Patient-authored medical record II: A not-knowing approach to psychiatric nursing

A patient-authored medical record (PAMR) is a narrative-based prescription that is written by a psychiatric patient with help from a nurse. It is a tool specifically designed and developed for psychiatric nursing. We have reported its notable therapeutic effects for Japanese patients and found that...

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Veröffentlicht in:Archives of psychiatric nursing 2024-08, Vol.51, p.143-151
Hauptverfasser: Tsubonouchi, Chizuru, Asano, Midori, Nomura, Naoki
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container_title Archives of psychiatric nursing
container_volume 51
creator Tsubonouchi, Chizuru
Asano, Midori
Nomura, Naoki
description A patient-authored medical record (PAMR) is a narrative-based prescription that is written by a psychiatric patient with help from a nurse. It is a tool specifically designed and developed for psychiatric nursing. We have reported its notable therapeutic effects for Japanese patients and found that the patients had accurate views of how to improve their illness. The present paper, which broadens the scope of this examination, includes the entire process of using this tool, including both patient-authored medical records and follow-up dialogue. We aim to demonstrate how a patient's potentials are leveraged and expanded through the interpretation of such texts through dialogue, in which interpretation takes the form of a conversational question based on not-knowing. Follow-up meetings facilitate the therapeutic process and team collaboration for patients, medical staff, and families. We also reaffirm the soundness and legitimacy of psychiatric patients writing their own prescription with help from a nurse.
doi_str_mv 10.1016/j.apnu.2024.06.012
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subjects Conversational question
Definitional ceremony
Dialogical interpretation
Humans
Japan
Medical Records
Mental Disorders - nursing
Mental Disorders - psychology
Mental Disorders - therapy
Narration
Not-knowing
Nurse-Patient Relations
Open dialogue
Polyphony
Psychiatric Nursing
Reflecting
title Patient-authored medical record II: A not-knowing approach to psychiatric nursing
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