Richard Leiter MD MA, Rachel Rusch LCSW MSW MA APHSW-C, Alexis Drutchas MD
{"title":"缓和故事交换:叙事医学与人文科学","authors":"Richard Leiter MD MA, Rachel Rusch LCSW MSW MA APHSW-C, Alexis Drutchas MD","doi":"10.1016/j.jpainsymman.2025.02.044","DOIUrl":null,"url":null,"abstract":"<div><h3>Outcomes</h3><div>1. Recognize how storytelling and narrative interventions foster meaning making and cultivate sustainability among palliative care professionals.</div><div>2. Participate in a live, in-person storytelling event focusing on authentic vulnerability, deep listening, and interprofessional connection.</div></div><div><h3>Abstract</h3><div>Palliative care (PC) faces a workforce crisis. Seriously ill patients surpass the supply of PC clinicians, and in their work, clinicians face repeated loss and extreme suffering which can lead to burnout and attrition. We urgently need interventions that foster thriving communities in this emotionally complex environment. Storytelling represents a promising path forward. In response to widespread loneliness and moral distress among PC clinicians, we created The Palliative Story Exchange (PSE), a storytelling intervention to build community, decrease isolation, and help clinicians rediscover the shared meaning in their work.</div></div><div><h3>Methods/approach</h3><div>Attendees will participate in a Palliative Story Exchange. In this session, volunteer storytellers will share personal stories about moments that they “are holding onto,” either from work or from at home. After each story, the facilitators will lead an interactive reflection with the group.</div></div><div><h3>Results</h3><div>To date, 84 interprofessional participants from practice locations across 10 different countries have completed a program evaluation survey. Responses demonstrate an increase in the connection that participants felt towards their work and the larger palliative care community after attending a PSE. Further, more than half of all free-text responses include terms such as, “meaningful,” “healing,” “powerful,” and “universal,” to describe their participation.</div></div><div><h3>Conclusions</h3><div>The PSE builds upon narrative medicine and healthcare worker wellness initiatives through a novel combination of storytelling, community co-creation using reflection, and shared meaning making. Initial survey data demonstrates that after attending a PSE, participants feel increased meaning in their work, in the significance of their own stories, and connection with the PC community.</div></div><div><h3>Reference</h3><div>Drutchas A, Rusch R, and Leiter R. The Palliative Story Exchange: An innovative storytelling intervention to build community, foster shared meaning, and improve sustainability. Palliative and Supportive Care. In press.</div></div>","PeriodicalId":16634,"journal":{"name":"Journal of pain and symptom management","volume":"69 5","pages":"Page e435"},"PeriodicalIF":3.2000,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Palliative Story Exchange: Narrative Medicine and the Humanities\",\"authors\":\"Richard Leiter MD MA, Rachel Rusch LCSW MSW MA APHSW-C, Alexis Drutchas MD\",\"doi\":\"10.1016/j.jpainsymman.2025.02.044\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Outcomes</h3><div>1. Recognize how storytelling and narrative interventions foster meaning making and cultivate sustainability among palliative care professionals.</div><div>2. Participate in a live, in-person storytelling event focusing on authentic vulnerability, deep listening, and interprofessional connection.</div></div><div><h3>Abstract</h3><div>Palliative care (PC) faces a workforce crisis. Seriously ill patients surpass the supply of PC clinicians, and in their work, clinicians face repeated loss and extreme suffering which can lead to burnout and attrition. We urgently need interventions that foster thriving communities in this emotionally complex environment. Storytelling represents a promising path forward. In response to widespread loneliness and moral distress among PC clinicians, we created The Palliative Story Exchange (PSE), a storytelling intervention to build community, decrease isolation, and help clinicians rediscover the shared meaning in their work.</div></div><div><h3>Methods/approach</h3><div>Attendees will participate in a Palliative Story Exchange. In this session, volunteer storytellers will share personal stories about moments that they “are holding onto,” either from work or from at home. After each story, the facilitators will lead an interactive reflection with the group.</div></div><div><h3>Results</h3><div>To date, 84 interprofessional participants from practice locations across 10 different countries have completed a program evaluation survey. Responses demonstrate an increase in the connection that participants felt towards their work and the larger palliative care community after attending a PSE. Further, more than half of all free-text responses include terms such as, “meaningful,” “healing,” “powerful,” and “universal,” to describe their participation.</div></div><div><h3>Conclusions</h3><div>The PSE builds upon narrative medicine and healthcare worker wellness initiatives through a novel combination of storytelling, community co-creation using reflection, and shared meaning making. Initial survey data demonstrates that after attending a PSE, participants feel increased meaning in their work, in the significance of their own stories, and connection with the PC community.</div></div><div><h3>Reference</h3><div>Drutchas A, Rusch R, and Leiter R. The Palliative Story Exchange: An innovative storytelling intervention to build community, foster shared meaning, and improve sustainability. Palliative and Supportive Care. In press.</div></div>\",\"PeriodicalId\":16634,\"journal\":{\"name\":\"Journal of pain and symptom management\",\"volume\":\"69 5\",\"pages\":\"Page e435\"},\"PeriodicalIF\":3.2000,\"publicationDate\":\"2025-04-10\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of pain and symptom management\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0885392425001046\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"CLINICAL NEUROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of pain and symptom management","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0885392425001046","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
Palliative Story Exchange: Narrative Medicine and the Humanities
Outcomes
1. Recognize how storytelling and narrative interventions foster meaning making and cultivate sustainability among palliative care professionals.
2. Participate in a live, in-person storytelling event focusing on authentic vulnerability, deep listening, and interprofessional connection.
Abstract
Palliative care (PC) faces a workforce crisis. Seriously ill patients surpass the supply of PC clinicians, and in their work, clinicians face repeated loss and extreme suffering which can lead to burnout and attrition. We urgently need interventions that foster thriving communities in this emotionally complex environment. Storytelling represents a promising path forward. In response to widespread loneliness and moral distress among PC clinicians, we created The Palliative Story Exchange (PSE), a storytelling intervention to build community, decrease isolation, and help clinicians rediscover the shared meaning in their work.
Methods/approach
Attendees will participate in a Palliative Story Exchange. In this session, volunteer storytellers will share personal stories about moments that they “are holding onto,” either from work or from at home. After each story, the facilitators will lead an interactive reflection with the group.
Results
To date, 84 interprofessional participants from practice locations across 10 different countries have completed a program evaluation survey. Responses demonstrate an increase in the connection that participants felt towards their work and the larger palliative care community after attending a PSE. Further, more than half of all free-text responses include terms such as, “meaningful,” “healing,” “powerful,” and “universal,” to describe their participation.
Conclusions
The PSE builds upon narrative medicine and healthcare worker wellness initiatives through a novel combination of storytelling, community co-creation using reflection, and shared meaning making. Initial survey data demonstrates that after attending a PSE, participants feel increased meaning in their work, in the significance of their own stories, and connection with the PC community.
Reference
Drutchas A, Rusch R, and Leiter R. The Palliative Story Exchange: An innovative storytelling intervention to build community, foster shared meaning, and improve sustainability. Palliative and Supportive Care. In press.
期刊介绍:
The Journal of Pain and Symptom Management is an internationally respected, peer-reviewed journal and serves an interdisciplinary audience of professionals by providing a forum for the publication of the latest clinical research and best practices related to the relief of illness burden among patients afflicted with serious or life-threatening illness.