Журнал общественного и общественного здравоохранения сестринского дела

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Narrative, Meaning Making and Context-Based Care: How to Realize Person-Centred Care

Jan Sitvast*

This case study illustrates the need for person-centred care. It postulates a central position for narrative in meaning making processes. Three social functions are discerned in the use of narrative. A narrative model deduced from the metaphor of the spinning top is proposed to be used by professionals in their contact with patients. It is been argued that there is a need for a context sensitive evidence-based practice in which circularity plays an important role. The context is found in the lifeworld, especially social interaction and the life story. Circularity is based on the recognition that both patients and professionals are agents who interact and that there should be reciprocity to some degree in order to realize a fruitful and therapeutic treatment outcome.