Narrative Medicine for Healthcare Providers: Improving Practices of Advance Care Planning.

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Title: Narrative Medicine for Healthcare Providers: Improving Practices of Advance Care Planning.
Authors: Wallace, Cara L.1 Cara.wallace@slu.edu, Trees, April2, Ohs, Jennifer2, Hinyard, Leslie3
Source: Omega: Journal of Death & Dying. May2023, Vol. 87 Issue 1, p87-102. 16p. 3 Charts.
Subject Terms: *Continuing education, *Qualitative research, *Communication, *Listening, *Adult education workshops, Professional practice, Evaluation of medical care, Terminal care, Attitudes of medical personnel, Advance directives (Medical care), Health literacy, Quality assurance, Descriptive statistics, Thematic analysis, Narrative medicine
Abstract: Advance care planning (ACP) conversations about treatment preferences and end-of-life goals relate to positive outcomes for patients and families, though ongoing barriers exist. Additionally, providers personal discomfort and personal experiences may influence how they engage (or avoid) ACP conversations. Narrative medicine (NM) offers one approach to help practitioners develop ability to hear and understand the story of others in ways that may overcome barriers to quality conversations. This study investigated the effectiveness of a 3-hour NM workshop to develop communication skills around ACP and facilitate reflection on the relationship between personal experiences and professional practices in ACP and end-of-life care. Twenty-five participants completed post-assessments of the workshop. Key themes included increased awareness, improved skills for active listening and eliciting stories, and improved understanding of how personal experiences shape professional practice. Results indicate practitioners value the NM approach to ACP suggesting this approach may provide impactful change in practice. [ABSTRACT FROM AUTHOR]
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Abstract:Advance care planning (ACP) conversations about treatment preferences and end-of-life goals relate to positive outcomes for patients and families, though ongoing barriers exist. Additionally, providers personal discomfort and personal experiences may influence how they engage (or avoid) ACP conversations. Narrative medicine (NM) offers one approach to help practitioners develop ability to hear and understand the story of others in ways that may overcome barriers to quality conversations. This study investigated the effectiveness of a 3-hour NM workshop to develop communication skills around ACP and facilitate reflection on the relationship between personal experiences and professional practices in ACP and end-of-life care. Twenty-five participants completed post-assessments of the workshop. Key themes included increased awareness, improved skills for active listening and eliciting stories, and improved understanding of how personal experiences shape professional practice. Results indicate practitioners value the NM approach to ACP suggesting this approach may provide impactful change in practice. [ABSTRACT FROM AUTHOR]
ISSN:00302228
DOI:10.1177/00302228211015596