Narrative Based Medicine and Neonatology: an interpretative approach
The use of Evidence Based Medicine (EBM) has progressively lead doctors to focus their practice on the disease and not on the patient anymore. They consider a sick body or a sick part rather than a sick person. Such an attitude results in a progressive process of alienation or “unauthentic experienc...
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| Format: | Article |
| Language: | English |
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Hygeia Press di Corridori Marinella
2012-10-01
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| Series: | Journal of Pediatric and Neonatal Individualized Medicine |
| Subjects: | |
| Online Access: | https://www.jpnim.com/index.php/jpnim/article/view/6 |
| _version_ | 1818539284399915008 |
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| author | Massimiliano Zonza |
| author_facet | Massimiliano Zonza |
| author_sort | Massimiliano Zonza |
| collection | DOAJ |
| description | The use of Evidence Based Medicine (EBM) has progressively lead doctors to focus their practice on the disease and not on the patient anymore. They consider a sick body or a sick part rather than a sick person. Such an attitude results in a progressive process of alienation or “unauthentic experience”. On the contrary the Medical Humanities represents a strong reaction to this state of things, and for Medicine a chance to embrace again its humanistic “vocation”.
Narrative Based Medicine (NBM) places at the center of the clinical practice the communicative and relational dimension.
This study deepen the application of NBM to the scope of neonatal care.
As a result of our work, we have identified in the NBM applied to the neonatal area a fundamental characteristic, the Neonatal Triangle (doctors, patient, parents), and a triple functionality (diagnostic, ethical and educational) placed in three different ideal chronological moments (before, during and after). We explore the close connection between these functions and the clinical work and how the NBM model, through these same functions, enhance the opportunity of care and relationship.
The main assumption is obviously the Doctors ability to build a shared narrative relation with the Parents of the little Patients, that in the technical terms of the Narrative Based Medicine is called co-construction of the illness history.
We can remark that with the NBM we understand (the narrative frame), build (the therapeutic alliance) and share (decisions). |
| first_indexed | 2024-12-11T21:40:00Z |
| format | Article |
| id | doaj.art-3b0a7d59274d400892d6b38f85ec1937 |
| institution | Directory Open Access Journal |
| issn | 2281-0692 |
| language | English |
| last_indexed | 2024-12-11T21:40:00Z |
| publishDate | 2012-10-01 |
| publisher | Hygeia Press di Corridori Marinella |
| record_format | Article |
| series | Journal of Pediatric and Neonatal Individualized Medicine |
| spelling | doaj.art-3b0a7d59274d400892d6b38f85ec19372022-12-22T00:49:52ZengHygeia Press di Corridori MarinellaJournal of Pediatric and Neonatal Individualized Medicine2281-06922012-10-0111495210.7363/0101144Narrative Based Medicine and Neonatology: an interpretative approachMassimiliano Zonza0Neonatal Intensive Care Unit, Puericulture Institute and Neonatal Section, AOU CagliariThe use of Evidence Based Medicine (EBM) has progressively lead doctors to focus their practice on the disease and not on the patient anymore. They consider a sick body or a sick part rather than a sick person. Such an attitude results in a progressive process of alienation or “unauthentic experience”. On the contrary the Medical Humanities represents a strong reaction to this state of things, and for Medicine a chance to embrace again its humanistic “vocation”. Narrative Based Medicine (NBM) places at the center of the clinical practice the communicative and relational dimension. This study deepen the application of NBM to the scope of neonatal care. As a result of our work, we have identified in the NBM applied to the neonatal area a fundamental characteristic, the Neonatal Triangle (doctors, patient, parents), and a triple functionality (diagnostic, ethical and educational) placed in three different ideal chronological moments (before, during and after). We explore the close connection between these functions and the clinical work and how the NBM model, through these same functions, enhance the opportunity of care and relationship. The main assumption is obviously the Doctors ability to build a shared narrative relation with the Parents of the little Patients, that in the technical terms of the Narrative Based Medicine is called co-construction of the illness history. We can remark that with the NBM we understand (the narrative frame), build (the therapeutic alliance) and share (decisions).https://www.jpnim.com/index.php/jpnim/article/view/6narrative medicineclinical ethicspatient educationcommunication |
| spellingShingle | Massimiliano Zonza Narrative Based Medicine and Neonatology: an interpretative approach Journal of Pediatric and Neonatal Individualized Medicine narrative medicine clinical ethics patient education communication |
| title | Narrative Based Medicine and Neonatology: an interpretative approach |
| title_full | Narrative Based Medicine and Neonatology: an interpretative approach |
| title_fullStr | Narrative Based Medicine and Neonatology: an interpretative approach |
| title_full_unstemmed | Narrative Based Medicine and Neonatology: an interpretative approach |
| title_short | Narrative Based Medicine and Neonatology: an interpretative approach |
| title_sort | narrative based medicine and neonatology an interpretative approach |
| topic | narrative medicine clinical ethics patient education communication |
| url | https://www.jpnim.com/index.php/jpnim/article/view/6 |
| work_keys_str_mv | AT massimilianozonza narrativebasedmedicineandneonatologyaninterpretativeapproach |