Approved or disregarded? Exploring arenas for narrative relations in geriatric care

Publication Year: 2023
Contributing Organisation: Karolinska University Hospital
Authors: Lisa Herulf Scholander, Anne-Marie Boström, and Staffan Josephsson
Learning Themes: Global Health

Purpose: The use of narration in healthcare has been accentuated as a response to the requested shift towards person-centred care. The notion of narrative relations refers to a process of involving several people in mutual and ongoing narrative exchange. This study aimed to explore how and where narrative relations may be adopted and enacted in everyday healthcare practice.
Methods: The study has a qualitative, explorative design. Seven interprofessional focus group discussions with healthcare staff were prompted by vignettes. A multidisciplinary team of healthcare staff (n = 31) were recruited on a geriatric ward. Data were analysed using a constant comparative method.
Results: A core theme shows how narrative relations are adopted and enacted both as part of an approved practice—the work procedures commonly approved as part of healthcare, and as a disregarded practice where covert but important narrative relations take place to support fundamental qualities of healthcare. Moreover, the findings consider arenas of healthcare practice where approved or disregarded practices are enacted in the clinic frontstage and the clinic backstage.
Conclusions: Narrative relations may take place in different arenas of healthcare practice yet simultaneously become a cohesive force interconnecting those arenas and uphold continuity. Impeded narrative relations in one arena may have unintended consequences in another.

Related Resources

Adolescent Insights
Global Health
Measurement & Evaluation
Quality & Standards
Youth Integration

Your Favorites

      No Favorites

Download Resource

Please log in or register to enjoy curated content and resources tailor-made for you and add them to your favorites' collection for ease of reference and download. Or close the dialog box to continue without logging in.