ツボノウチ　チヅル   TSUBONOUCHI, Chizuru   坪之内　千鶴 看護学部 看護学科 助教
言語種別	英語
発行・発表の年月	2024
形態種別	学術雑誌
査読	査読あり
標題	Allyship with Psychiatric Patients for Health Care Practice Reform: A Case Study of a Narrative Approach Using Patient-Authored Medical Records
執筆形態	共同
掲載誌名	Creative Nursing
掲載区分	国外
著者・共著者	◎Chizuru Tsubonouchi, Midori Asano
概要	Introduction: To facilitate partnerships between nurses and their patients with psychiatric illness, it is important to provide a safe narrative space for both parties where patients can voice their opinions. Purpose: A case study shows how the Patient-Authored Medical Record (PAMR) can contribute to health practice reform. Methods: A patient who visited an outpatient psychiatric clinic was asked to describe his life events. The researchers created the patient's PAMR, a first-person account of how he thought his illness could be cured, which was used when conducting follow-up meetings. The contents of the PAMR and that of subsequent meetings were used to evaluate the tool's usefulness. Results: The narrative content of the PAMR and the follow-up meetings reflected a reduction in the patient's symptoms and a change in his perception of his illness. Conclusions: Patient-authored medical records could be a step toward health-care reform. Allyships created with patients can form new cooperative two-way relationships that are more equal than authoritative one-way relationships.