Construction of the clinical practice pathway for narrative medicine in traditional Chinese medicine
10.12026/j.issn.1001-8565.2024.11.01
- VernacularTitle:中医叙事医学临床实践路径的构建
- Author:
Zixu WANG
1
;
Jingjing ZHAO
;
Yipin LIU
;
Jie LI
;
Qiuli YANG
;
Yongyan WANG
Author Information
1. 中国中医科学院中医临床基础医学研究所,北京 100700
- Keywords:
narrative medicine;
traditional Chinese medicine;
practical pathway;
nominal group technique
- From:
Chinese Medical Ethics
2024;37(11):1251-1262
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct the clinical practice pathway for narrative medicine in traditional Chinese medicine(TCM),with a view to providing clinical practice guidelines for narrative medicine in TCM for frontline practitioners.Methods:Using the realistic literature review and the Nominal Group Technique(NGT),the paper systematically sorted out the practices of humanistic care in ancient Chinese medical books and famous medical cases,as well as constructed the first draft of the clinical practice pathway and details for narrative medicine in TCM.Subsequently,experts from multiple fields were invited to demonstrate by using the NGT.After in-depth discussion and collective voting,various operational modules,and their detailed rules and supporting tools were determined,thus completing the construction of the entire practical pathway.Results:A complete set of clinical practice pathways for narrative medicine in TCM had been established.It encompassed six core modules,including"start of diagnosis and treatment","communication of disease conditions","diagnosis and explanation","joint decision-making","end of diagnosis and treatment",and"reflection and summary".Besides,detailed operating rules and supporting tools were also provided.Conclusion:The clinical practice pathway for narrative medicine in TCM integrates the humanistic spirit of TCM,the core concepts of narrative medicine,and the communication skills of psychology,providing medical workers with standardized,procedural,and operationally flexible practice guidance,which helps both doctors and patients to better communicate,empathize,and make joint decisions throughout the entire process of diagnosis and treatment.
