叙事医学在儿科医学教育和病人护理:范围综述。

IF 1.4 Q2 MEDICINE, GENERAL & INTERNAL
Tzu Chi Medical Journal Pub Date : 2025-03-04 eCollection Date: 2025-04-01 DOI:10.4103/tcmj.tcmj_181_24
Ting-Chun Tseng, Pan-Yuan Kuo, Meei-Ju Lin, Shao-Yin Chu
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引用次数: 0

摘要

叙事医学是一种以病人的经历和他们的疾病故事为中心的方法。其在儿科人群中的应用值得进一步研究。本研究旨在概述(1)叙事医学在儿科医学教育中的应用(2)叙事医学在儿科患者护理中的实施。在书目数据库(Cochrane Library、ClinicalTrials.gov、EBSCOhost、Embase、MedEdPORTAL、Ovid、PubMed和Web of Science)中进行检索,没有日期和语言限制。研究人员独立筛选文章,绘制数据图表,并进行数据合成。采用Kirkpatrick量表对教育干预研究进行评价,采用混合方法评价工具对所有研究进行方法学质量评价。41篇文章符合我们的标准:17篇关注叙事医学在儿科医学教育中的应用,24篇关注叙事医学在儿科患者护理中的实施。教育干预显示了总体满意度,据报道在移情、反思、病人理解和专业发展方面有所改善。在患者护理环境中,叙事医学为故事分享提供了一个安全的空间,增强了情感、关系和社会联系,促进了以患者和家庭为中心的护理。这篇综述强调了叙事医学从教育干预到儿科临床实践的翻译。虽然还需要更有力的研究,但现有证据支持叙事医学在促进与患者和护理人员的真实接触以及提高不同疾病和发育阶段儿科护理质量方面的潜力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Narrative medicine in pediatric medical education and patient care: A scoping review.

Narrative medicine is an approach centered on patients' experiences and their illness stories. Its application in pediatric population warrants further research. This study aims to overview (1) the application of narrative medicine in pediatric medical education and (2) the implementation of narrative medicine in pediatric patient care. Searches were conducted in bibliographic databases (Cochrane Library, ClinicalTrials.gov, EBSCOhost, Embase, MedEdPORTAL, Ovid, PubMed, and Web of Science) without date or language restrictions. Researchers independently screened articles, charted data, and performed data synthesis. Educational intervention studies were evaluated with Kirkpatrick Scale, and Mixed Methods Appraisal Tool was used for methodological quality assessment of all studies. Forty-one articles met our criteria: 17 focused on the application of narrative medicine in pediatric medical education and 24 on its implementation in pediatric patient care. Educational interventions indicated general satisfaction, with reported improvements in empathy, reflection, patient understanding, and professional development. In patient care settings, narrative medicine provided a safe space for story sharing, enhancing emotional, relational, and social connections, and promoting patient- and family-centered care. This review highlights the translation of narrative medicine from educational interventions to clinical practice in pediatric settings. Although more robust research is required, existing evidence supports narrative medicine's potential to foster authentic engagement with patients and caregivers and enhance the quality of pediatric care across various conditions and developmental stages.

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来源期刊
Tzu Chi Medical Journal
Tzu Chi Medical Journal MEDICINE, GENERAL & INTERNAL-
CiteScore
3.40
自引率
0.00%
发文量
44
审稿时长
13 weeks
期刊介绍: The Tzu Chi Medical Journal is the peer-reviewed publication of the Buddhist Compassion Relief Tzu Chi Foundation, and includes original research papers on clinical medicine and basic science, case reports, clinical pathological pages, and review articles.
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