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To introduce a systematic narrative approach into clinical practice, not only training to improve narrative skills among physicians, but also a change in their perspective towards care, is required. This paper describes the development of a narrative path started at the IRCSS "Regina Elena" National Cancer Institute, based on training and research projects. The programme started in 2015 with a story-sharing intervention, named "Raccontami di te" ("Tell me about you"), involving patients, their relatives and health professionals, with the aim to improve the knowledge about the role of self-narration as well as the listening attitude. In 2017 a pilot study based on the use of a digital diary (digital narrative medicine - DNM), which is a platform for the application of narration in clinical practice started. The study aimed to evaluate the feasibility and the utility of a model integrating the patient theme-oriented narratives with clinical data during chemotherapy treatment, through a mixed qualitative quantitative analysis method. The results supported the value of the integration of patients narratives with clinical data; however the success of the intervention is strongly related to the whole care team participation and to an appropriate health organization.
This article was published in the following journal.
Name: Recenti progressi in medicina
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The act, process, or an instance of narrating, i.e., telling a story. In the context of MEDICINE or ETHICS, narration includes relating the particular and the personal in the life story of an individual.
The study and practice of medicine by direct examination of the patient.
NARRATION as a tool to collect and interpret information on a patient's experience of illness
Clinical practice by members of the nursing faculty in order to maintain a balance in their nursing activities--clinical, education, and research.
The practice of medicine concerned with conditions affecting the health of individuals associated with the marine environment.
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