From: The role of patients’ stories in medicine: a systematic scoping review
Impact | |
---|---|
Positive | Negative |
Professional Development | |
Greater appreciation of the patient’s context, symptomology, contextual considerations, and concerns [114, 124, 130, 143, 174, 175, 180, 182] | Lack of training, support and remediation in the use of stories in clinical practice [19, 139, 153, 169] |
Molding of professional identities (PIF) [139, 152, 157, 170, 202, 241, 247, 273,274,275, 288, 289] | Difficulty in verifying information thus risking skewing care determinations [30, 32, 33, 180, 182] |
Patient- physician Relationship | |
Enhanced patient-centered care through [22, 33, 111, 290, 291]: • Enhanced relationship building [19, 30, 111, 125, 136, 146, 148, 153, 155, 161, 192, 201, 205, 212, 271, 277,278,279,280, 292,293,294], • Enhanced trust [111], • Enhanced cultural sensitivity [114, 140, 170, 173, 176,177,178,179, 181, 290] • Improved communication [12, 29, 32, 33, 115, 146, 150, 154, 163, 166, 173, 176, 183, 189, 194, 228, 247, 252, 260, 267, 268, 271, 273, 279, 281, 288] • Improved framing of therapeutic plans [12, 25, 27,28,29, 33, 117, 150, 154, 173, 189, 192,193,194, 211, 227, 247, 252, 260, 268, 271, 272, 274, 276, 279, 284, 288, 293] | Risk of overwhelming emotional investment in patients thus requiring careful disentangling from emotional and psychological distress [33, 129, 157, 197] |
Lack of clear feedback and guidelines on creeping breaches in professional boundaries until professional standards are broken [29, 115, 173, 180, 188, 197, 225, 254, 272, 288] | |
Personal Development | |
Enhanced self-reflection [116, 135, 139, 158, 269,270,271,272] | Poor emotional and psychological support [115, 163, 165, 173, 197, 244, 256, 268, 288] |
Interprofessional Development | |
Enhanced collaboration and interprofessional working [114, 116, 135, 139, 158, 171, 174, 269,270,271,272, 276] | |
Enhanced practical wisdom [12, 25, 29, 117, 154, 173, 191, 194, 211, 228, 247, 250, 273, 279, 280, 288] |