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「敘事醫學」師資培育工作坊專題報導

Special Report on a Faculty Development Workshop concerning Narrative Medicine

摘要


敘事醫學,有助維擊醫護人員與患者問的溝通,了解彼此對於疾病與健康照護的看法。敘事醫學的原則包括專注(attention)、再現(representation)與接納(affiliation)「專注」與「再現」幫助醫者在接收訊息後加以整合與交流,以培養「接納」的同理心,達到敘事醫學之最終目標。藉由聆聽、閱讀、書寫等敘事練習,在教學上啟發學生思考,教師參與討論的過程中與學生同時發展批判、反思之能力;在臨床醫療工作應用上,敘事醫學幫助建立團隊合作的溝通能力,讓醫護人員不僅以「醫者」的眼光看待疾病,更學習從「人」的角度體會疾病經驗。敘事醫學為目前醫學教育重要之新興議題,歐美醫學院校亦積極搜集相關證據以評估其教學成果,希望藉由工作坊回顧,讓國內相關教學與研究更臻完善。

並列摘要


Narrative medicine can help bridge communication between physicians and patients and thus improves understanding of illness and health care issues for both sides. The principles of narrative medicine include attention, representation, and affiliation. With attention and representation, physicians are able to integrate the received message, and therefore cultivate the empathy created from affiliation, which is the objective of narrative medicine. Adopting narrative practices such as listening, reading and writing, teachers can inspire thinking in their students. At the same time, students as well as teachers are enabled so that they develop critical thinking and reflective ability. In the context of clinical practice, narrative medicine helps health care professionals establish good communication within the health care team. Medical staff members thus not only treat diseases as medical practitioners, but also learn to experience illness from the perspective of a human being. Narrative medicine has become an important issue in contemporary medical education. American and European medical schools are actively collecting evidence that will evaluate the effectiveness of narrative medicine. Through this report, we wish to advance teaching and research in the area of narrative medicine in Taiwan.

參考文獻


Beach, M.C.,Inui, T.,the Relationship-Centered Care Research Network(2006).J Gen Intern Med.21,3-8.
Charon, R.(2001).Narrative medicine: A model for empathy, reflection, profession and trust.JAMA.286(215),1897-1902.
Charon, R.(2007).What to do with stories? The sciences of narrative medicine.Can Fam Physician.53,1265-1267.
Charon, R.(2005).Narrative medicine: Attention, representation, affiliation.Narrative.13(3),261-270.
Charon, R.(2004).Narrative and medicine.N Eng J Med.350(9),862-864.

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