Integrating digital and narrative medicine in modern healthcare: a systematic review.

IF 3.8 2区 医学 Q1 EDUCATION & EDUCATIONAL RESEARCH
Medical Education Online Pub Date : 2025-12-01 Epub Date: 2025-05-06 DOI:10.1080/10872981.2025.2475979
Efthymia Efthymiou
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引用次数: 0

Abstract

The increasing integration of digital technologies in healthcare, such as electronic health records, telemedicine, and diagnostic algorithms, improved efficiency but raised concerns about the depersonalization of care. Narrative medicine has emerged as a pedagogical and clinical response to this shift, emphasizing the value of patient stories, socio-cultural contexts, and reflective practice. Understanding how digital tools support, rather than undermine, narrative competencies is critical for developing a more human-centered healthcare education. This review systematically examined empirical and theoretical studies on the integration of digital technologies and narrative medicine within healthcare education. Databases including PubMed, MEDLINE, and Google Scholar were searched using defined inclusion and exclusion criteria. Studies were screened, reviewed, and thematically analyzed to identify patterns in outcomes, pedagogical applications, and integration strategies.The findings indicate that narrative medicine nurtures empathy, communication, and professional identity formation among healthcare trainees. Digital tools, such as virtual reality simulations, mobile health applications, and e-portfolios, reinforce these outcomes by providing immersive, interactive, and reflective learning experiences. The integration of narrative methods into digital platforms and curricular models provides a promising approach for linking clinical competence with relational care. The convergence of digital and narrative medicine provides a compelling pedagogical framework for healthcare education. This integrated approach supports technological proficiency and humanistic values, for advancements in digital health to improve rather than displace the interpersonal foundations of patient care. Further empirical research might assess long-term outcomes and guide implementation into curricula, faculty development, and institutional policy.

Background: The increasing integration of digital technologies in healthcare, such as electronic health records, telemedicine, and diagnostic algorithms, has improved efficiency but raised concerns about the depersonalization of care. Narrative medicine has emerged as a pedagogical and clinical response to this shift, emphasizing the value of patient stories, socio-cultural contexts, and reflective practice.

Objective: To understand how digital tools can support, rather than undermine, narrative competencies and contribute to a more human-centered healthcare education.

Methods: This review systematically examined empirical and theoretical studies on the integration of digital technologies and narrative medicine within healthcare education. Databases including PubMed, MEDLINE, and Google Scholar were searched using defined inclusion and exclusion criteria. Identified studies were screened, reviewed, and thematically analyzed to extract patterns in outcomes, pedagogical applications, and integration strategies.

Results: The findings indicate that narrative medicine nurtures empathy, communication, and professional identity formation among healthcare trainees. Digital tools, including virtual reality simulations, mobile health applications, and e-portfolios, reinforce these outcomes by providing immersive, interactive, and reflective learning experiences. Integrating narrative methods into digital platforms and curricular models presents a promising approach for linking clinical competence with relational care.

Conclusion: The convergence of digital and narrative medicine offers a compelling pedagogical framework for healthcare education. This integrated approach supports both technological proficiency and humanistic values, enabling advancements in digital health to enhance rather than displace the interpersonal foundations of patient care. Further empirical research is needed to assess long-term outcomes and guide implementation in curricula, faculty development, and institutional policy.

Abstract Image

整合数字化和叙事医学在现代医疗保健:系统综述。
电子健康记录、远程医疗和诊断算法等数字技术在医疗保健领域的日益整合提高了效率,但也引发了对护理去个性化的担忧。叙事医学作为对这种转变的教学和临床反应而出现,强调患者故事、社会文化背景和反思实践的价值。了解数字工具如何支持而不是破坏叙事能力,对于开发更加以人为本的医疗保健教育至关重要。本研究系统检视医疗保健教育中数位科技与叙事医学整合的实证与理论研究。使用明确的纳入和排除标准对PubMed、MEDLINE和谷歌Scholar等数据库进行检索。对研究进行筛选、审查和专题分析,以确定结果、教学应用和整合策略方面的模式。研究结果显示,叙事医学培养了医疗学员的同理心、沟通和职业认同的形成。数字工具,如虚拟现实模拟、移动医疗应用程序和电子投资组合,通过提供沉浸式、互动式和反思性的学习体验,加强了这些成果。将叙事方法整合到数字平台和课程模型中,为将临床能力与关系护理联系起来提供了一种很有前途的方法。数字医学和叙事医学的融合为医疗保健教育提供了一个引人注目的教学框架。这种综合方法支持技术熟练程度和人文价值,促进数字卫生的进步,以改善而不是取代患者护理的人际基础。进一步的实证研究可能会评估长期结果,并指导课程、教师发展和机构政策的实施。背景:医疗保健中越来越多的数字技术集成,如电子健康记录、远程医疗和诊断算法,提高了效率,但也引起了对护理去个性化的担忧。叙事医学作为对这种转变的教学和临床反应而出现,强调患者故事、社会文化背景和反思实践的价值。目的:了解数字工具如何支持而不是破坏叙事能力,并有助于更加以人为本的医疗保健教育。方法:本研究系统分析了医疗保健教育中数字技术与叙事医学整合的实证和理论研究。使用明确的纳入和排除标准对PubMed、MEDLINE和谷歌Scholar等数据库进行检索。对已确定的研究进行筛选、回顾和专题分析,以提取结果、教学应用和整合策略方面的模式。结果:叙事性医学培养了医疗学员的共情、沟通和职业认同的形成。数字工具,包括虚拟现实模拟、移动医疗应用程序和电子投资组合,通过提供身临其境、互动和反思的学习体验,加强了这些成果。将叙事方法整合到数字平台和课程模型中,是将临床能力与关系护理联系起来的一种很有前途的方法。结论:数字医学和叙事医学的融合为医疗保健教育提供了一个令人信服的教学框架。这种综合方法支持技术熟练程度和人文价值,使数字卫生的进步能够加强而不是取代患者护理的人际基础。需要进一步的实证研究来评估长期结果,并指导课程、教师发展和机构政策的实施。
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来源期刊
Medical Education Online
Medical Education Online EDUCATION & EDUCATIONAL RESEARCH-
CiteScore
6.00
自引率
2.20%
发文量
97
审稿时长
8 weeks
期刊介绍: Medical Education Online is an open access journal of health care education, publishing peer-reviewed research, perspectives, reviews, and early documentation of new ideas and trends. Medical Education Online aims to disseminate information on the education and training of physicians and other health care professionals. Manuscripts may address any aspect of health care education and training, including, but not limited to: -Basic science education -Clinical science education -Residency education -Learning theory -Problem-based learning (PBL) -Curriculum development -Research design and statistics -Measurement and evaluation -Faculty development -Informatics/web
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