Clinical application cases and analysis of narrative medical records within care community
10.3760/cma.j.issn.0254-9026.2024.07.009
- VernacularTitle:照护共同体叙事病历的临床应用案例与分析
- Author:
Fei LI
1
;
Jianli WANG
;
Menglan LIN
;
Ying ZHENG
;
Xiaoyan DAI
;
Chenchen SUN
;
Xiaohong NING
Author Information
1. 中国医学科学院 北京协和医学院人文和社会科学学院，北京 100730
- Keywords:
Education, medical;
Narration;
Palliative care;
Care community
- From:
Chinese Journal of Geriatrics
2024;43(7):817-821
- CountryChina
- Language:Chinese
-
Abstract:
Objective:This study focuses on the use of narrative medical records in palliative care teams and analyzes text from cases.The goal is to establish a foundation for standardizing and structuring narrative content, providing guidance for incorporating future narratives into medical record writing.Methods:Three cases of narrative medical records from the palliative care team at Peking Union Medical College Hospital were chosen for text analysis to demonstrate the clinical significance of narrative medical records within palliative care teams.These records included medical consultation records, social work service records, and disease progress records, authored by nurses, social workers, and doctors, respectively.Results:Our study discovered that narrative medical records demonstrate traits such as structured writing, cooperative writing, and comprehensive documentation.Furthermore, the narrative information contained in these records can be efficiently organized and condensed.Conclusions:By examining the cases and utilization of narrative medical records in the healthcare community, we emphasize the potential benefits of incorporating narrative elements into existing medical documentation.These results offer valuable insights for enhancing medical education in the future.
