Hall,
Joanne M., and Jill Powell. "Understanding the Person through
Narrative." Nursing Research and
Practice (2011): article 293847.
2019
Resumen:
Mental health nurses need to know their clients at depth, and to comprehend their social contexts in order to provide holistic care. Knowing persons through their stories, narratives they tell, provides contextual detail and person-revealing characteristics that make them individuals. Narratives are an everyday means of communicating experience, and there is a place for storytelling in nearly all cultures. Thus narrative is a culturally congruent way to ascertain and understand experiences. This means the nurse should ask questions such as “How did that come about?” versus why questions. A narrative approach stands in contrast to a yes/no algorithmic process in conversing with clients. Eliciting stories illustrates the social context of events, and implicitly provides answers to questions of feeling and meaning. Here we include background on narrative, insights from narrative research, and clinical wisdom in explaining how narratively understanding the person can improve mental health nursing services. Implications for theory, practice, and research are discussed.
La conclusión dice que:
Mental health nursing is a field of nursing fraught with ambiguities, and language is predominant in our interventions in many of our clients’ cases. This creates a space in which narrative exploration and intervention might permit new understandings of how symptoms correlate with life events. Skilled psychiatric nurses who already elicit narratives will be reaffirmed in these techniques. This exploration of narrative framing of practice provides a new lens through which to know clients at depth and plan with them toward recovery that is in synch with their life situations and their social networks. More purposefully collecting and disseminating narratives about mental health-related cases and events will strengthen the preparation of new generations of mental health nurses who find clinically based narratives to be exciting and vicariously rewarding.
In the social worlds revealed by narratives, the plot, with its beginning, middle, and ending, takes place in a scene and is carried forward through the characters and actors described. Thus narratives can capture the wholes of experiences that are of central importance to mental health nurses who seek above all to understand the whole person in his/her history and social environment.
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