Narrative Care and Engagement in Social and Health Care: Enhancing Identity with a Small Story Approach
Abstract
Narrative care, an approach developed from the larger concept of narrative gerontology, considers the importance of stories as a source of identity. A type of person-centered care, narrative care in care settings encourages care workers to elicit stories to gain a more wholistic understanding of the person. Drawing on personal experience in the field, I argue that although “big” story approaches (e.g., grand life narratives) have typically been used in social and healthcare settings, “small” story approaches (e.g., snippets or moments) are more practical for care workers. The expansion of the concept of narrative care to include “narrative engagement” will be explored, which if applied in meaningful ways can promote citizenship, shift power dynamics, generate empowerment, and create systemic change in social and health care settings. Finally, newly developed train-the-trainer narrative care training will be discussed, which is designed to meet the needs of diverse social/health care workers, with a focus on meaningful methods of adopting narrative care and engagement in practice.
References
Alami, H., Lehoux, P., Fleet, R., Fortin, J. P., Liu, J., Attieh, R., & Ag Ahmed, M. A. (2021). How can health systems better prepare for the next pandemic? Lessons learned from the management of COVID-19 in Quebec (Canada). Frontiers in Public Health, 9, 696. https://doi.org/10.3389/fpubh.2021.671833
Baldwin, C., Greason, M., and Hill, C. (2018). Exploring the rhizomal self. Narrative Works, 8(1/2). Retrieved from: https://journals.lib.unb.ca/index.php/NW/article/view/28920. https://doi.org/10.7202/1059846ar
Bamberg, M. (2006). Stories: Big or small: Why do we care? Narrative Inquiry, 16(1), 139–147. https://doi.org/10.1075/ni.16.1.18bam
Bamberg, M. & Georgakopoulou, A. (2008). Small stories as a new perspective in narrative and identity analysis. Text & Talk, 28(3), 377-396. https://doi.org/10.1515/TEXT.2008.018
Barnes, R., Auburn, T., & Lea, S. (2004). Citizenship in practice. British Journal of Social Psychology, 43(2), 187–206. https://doi.org/10.1348/0144666041501705
Berendonk, C., Blix, B. H., Hoben, M., Clandinin, D. J., Roach, P. M., Compton, R. M., & Caine, V. (2020). A narrative care approach for persons living with dementia in institutional care settings. International Journal of Older People Nursing, 15(1). https://doi.org/10.1111/opn.12278
Berendonk, C., & Caine, V. (2017). Big or small stories? Two ways to approach narrative care in Canadian long-term care settings. Innovation in Aging, 1(Suppl_1), 1145–1145. https://doi.org/10.1093/geroni/igx004.4181
Berendonk, C., Blix, B. H., Randall, W. L., Baldwin, C., & Caine, V. (2017). Care as narrative practice in the context of long-term care: Theoretical considerations. International Journal of Older People Nursing, 12(4), e12156. https://doi.org/10.1111/opn.12156
Birren, J. E. (2006). Benefits of memory priming: Effects of guided autobiography and reminiscence. A joint program of the American Society on Aging and MetLife Foundation (lecture). Retrieved from: https://asaging.org/sites/default/files/files/booklet_2006.pdf.
Birren, J. E., & Cochran, K. N. (2001). Telling the stories of life through guided autobiography groups. Johns Hopkins University Press.
Brannelly, T. (2011). Sustaining citizenship: People with dementia and the phenomenon of social death. Nursing Ethics, 18(5), 662–671. https://doi.org/10.1177/0969733011408049
Buse, C. & Twigg, J. (2016). Materialising memories: Exploring the stories of people with dementia through dress. Ageing and Society, 36(6), 1115–1135. https://doi.org/10.1017/S0144686X15000185
Clarke, A. (2000). Using biography to enhance the nursing care of older people. British Journal of Nursing, 9(7), 429–33. https://doi.org/10.12968/bjon.2000.9.7.6323
Cooney, A., Hunter, A., Murphy, K., Casey, D., Devane, D., Smyth, S., Dempsey, L., Murphy, E., Jordan, F., & O'Shea, E. (2014). 'Seeing me through my memories': A grounded theory study on using reminiscence with people with dementia living in long-term care. Journal of Clinical Nursing, 23(23-24), 3564–74. https://doi.org/10.1111/jocn.12645
Coventry, T. H., Maslin-Prothero, S. E. & Smith, G. (2015). Organizational impact of nurse supply and workload on nurses continuing professional development opportunities: An integrative review. Journal of Advanced Nursing, 71(12), 2715-2727. https://doi.org/10.1111/jan.12724
Crowe, S., Howard, A. F., Vanderspank-Wright, B., Gillis, P., McLeod, F., Penner, C., & Haljan, G. (2021). The effect of COVID-19 pandemic on the mental health of Canadian critical care nurses providing patient care during the early phase pandemic: A mixed method study. Intensive and Critical Care Nursing, 63, 102999. https://doi.org/10.1016/j.iccn.2020.102999
de Medeiros, K. (2016). Narrative gerontology: Countering the master narratives of aging. Narrative Works, 6(1). Retrieved from https://journals.lib.unb.ca/index.php/NW/article/view/25446
Dominelli, L., & Ioakimidis, V. (2015). Social work on the frontline in addressing disasters, social problems and marginalization. International Social Work, 58(1), 3–6. https://doi.org/10.1177/0020872814561402
Doraisamy, G., Coral, M.-C., Hui, Z., & Hongli, S. G. (2022). Effectiveness of the biography and life storybook for nursing home residents: A quasi-experimental study. International Journal of Environmental Research and Public Health, 19(4749), 4749–4749. https://doi.org/10.3390/ijerph19084749
Garcia, S. (1996). Cities and citizenship. International Journal of Urban and Regional Research, 20(1), 7-21. https://doi.org/10.1080/13621020601099773
Georgakopoulou, A. (2007). Small stories, interaction, and identities. John Benjamins Publishing Co. https://doi.org/10.1075/sin.8
Gillies, B., & Johnston, G. (2004). Identity loss and maintenance: commonality of experience in cancer and dementia. European Journal of Cancer Care, 13(5), 436–442. https://doi.org/10.1111/j.1365-2354.2004.00550.x
Graham, K. R., Davies, B. L., Woodend, A. K., Simpson, J., & Mantha, S. L. (2011). Impacting Canadian public health nurses’ job satisfaction. Canadian Journal of Public Health, 102, 427-431. https://doi.org/10.1007/BF03404193
Freeman, M. (2011). Stories, big and small: toward a synthesis. Theory & Psychology, 21(1), 114–121. https://doi.org/10.1177/0959354309354394
Haight, W., Sugrue, E., Calhoun, M., & Black, J. (2016). A scoping study of moral injury: Identifying directions for social work research. Children and Youth Services Review, 70, 190–200. https://doi.org/10.1016/j.childyouth.2016.09.026
Harding, K. E., Porter, J., Horne-Thompson, A., Donley, E., & Taylor, N. F. (2014). Not enough time or a low priority? Barriers to evidence-based practice for allied health clinicians. Journal of Continuing Education in the Health Professions, 34(4), 224-231. https://doi.org/10.1002/chp.21255
Hussain, F., & Raczka, R. (1997). Life story work for people with learning disabilities. British Journal of Learning Disabilities, 25(2), 73–76. https://doi.org/10.1111/j.1468-3156.1997.tb00014.x
Ikenwilo, D., & Skåtun, D. (2014). Perceived need and barriers to continuing professional development among doctors. Health Policy, 117(2), 195-202. https://doi.org/10.1016/j.healthpol.2014.04.006
Ingersoll, G. L., Olsan, T., Drew-Cates, J., DeVinney, B. C., & Davies, J. (2002). Nurses’ job satisfaction, organizational commitment, and career intent. JONA: The Journal of Nursing Administration,32(5),250-263.https://doi.org/10.1097/00005110200205000-00005
Isin, E. F., & Turner, B. S. (2007). Investigating citizenship: An agenda for citizenship studies.Citizenship Studies, 11(1), 5-17. https://doi.org/10.1080/13621020601099773
Kenyon, G. M., & Randall, W. L. (1999). Introduction: narrative gerontology. Journal of Aging Studies, 13(1), 1–5. https://doi.org/10.1016/S0890-4065(99)80001-2
Kenyon, G.M., J.-E. Ruth and W. Mader. 1999. "Elements of a Narrative Gerontology." In Handbook of Theories of Aging, edited by V. Bengston and W. Schaie. Springer.
Kindell, J., Burrow, S., Wilkinson, R., & Keady, J. (2014). Life-story resources in dementia care: A review. Quality in Ageing and Older Adults, 15, 151–161. https://doi.org/10.1108/QAOA-02-2014-0003
Kitwood, T. (1997). Dementia reconsidered. Open University Press.
Lavoie-Tremblay, M., Gélinas, C., Aubé, T., Tchouaket, E., Tremblay, D., Gagnon, M. P., & Côté, J. (2022). Influence of caring for COVID-19 patients on nurse's turnover, work satisfaction and quality of care. Journal of Nursing Management, 30(1), 33-43. https://doi.org/10.1111/jonm.13462
Lyotard, J-F. (1984) The postmodern condition. Manchester University Press.
Macleod, F., Storey, L., Rushe, T., & McLaughlin, K. (2021). Towards an increased understanding of reminiscence therapy for people with dementia: a narrative analysis. Dementia, 20(4), 1375–1407. https://doi.org/10.1177/1471301220941275
McAdams, D. P. (2001). The psychology of life stories. Review of General Psychology, 5(2), 100–122. https://doi.org/10.1037/1089-2680.5.2.100
McAdams, D. P., & McLean, K. C. (2013). Narrative identity. Current Directions in Psychological Science, 22(3), 233–238. https://doi.org/10.1177/0963721413475622
Meininger, H. P. (2010). Connecting stories: A narrative approach of social inclusion of persons with intellectual disability. Alter - European Journal of Disability Research, Revue Européen De Recherche Sur Le Handicap, 4(3), 190–202. https://doi.org/10.1016/j.alter.2010.04.001
Mitchell, G., & Agnelli, J. (2015). Person-centred care for people with dementia: Kitwood reconsidered. Nursing Standard, 30(7), 46–46. https://doi.org/10.7748/ns.30.7.46.s47
Mullaly, B. & Dupré, M. (2018). The new structural social work (4th ed.). Oxford University Press.
Mullaly, R. P., & West, J. (2018). Challenging oppression and confronting privilege A critical social work approach to anti-oppressive and anti-privilege theory and practice. Oxford University Press.
Phenice, L. A., & Griffore, R. J. (2013). The importance of object memories for older adults. Educational Gerontology, 39(10), 741–749. https://doi.org/10.1080/03601277.2013.766536
Phillips, R. (2014). Space for curiosity. Progress in Human Geography, 38(4), 493-512. https://doi.org/10.1177/0309132513506271
Quick, D., & Scott, A. L. (2019). Affect and emotion in a parent's engagement with statutory child-protection services: Navigating stigma and 'identity assault'. British Journal of Social Work, 49(2), 485–502. https://doi.org/10.1093/bjsw/bcy055
Randall, R.L. (1986). Reminiscing in the elderly: Pastoral care of self-narratives. Journal of Pastoral Care and Counselling, 40(3), 207-215. https://doi.org/10.1177/002234098604000304
Renner, B. (2006). Curiosity about people: The development of a social curiosity measure in adults. Journal of Personality Assessment, 87(3), 305-316. https://doi.org/10.1207/s15327752jpa8703_11
Riedl, M., Mantovan, F., Them, C. (2013). Being a nursing home resident: A challenge to one's identity. Nursing Research and Practice. https://doi.org/10.1155/2013/932381
Schadt, J. C. (2022). The Ethical Imperative of Narrative Care: The Necessity of Applying Narrative Skills to Clinical & Bioethical Practice (Doctoral dissertation, Temple University. Libraries).
Schweitzer, D. J. & Krassa, T. J. (2010). Deterrents to nurses' participation in continuing professional development: An integrative literature review. Journal of Continuing Education in Nursing, 41(1), 441-447. https://doi.org/10.3928/00220124-20100601-05
Sedikides, C., Leunissen, J., & Wildschut, T. (2022). The psychological benefits of music-evoked nostalgia. Psychology of Music, 50(6), 2044–2062. https://doi.org/10.1177/03057356211064641
Spencer, E., Massing, D., & Gough, J. (2017). Social work ethics: Progressive, practical, and relational approaches. Oxford University Press.
Stanley, P. & Hurst, M. (2011). Narrative palliative care: A method for building empathy. Journal of Social Work in End-of-Life & Palliative Care, 7(1), 39-55. https://doi.org/10.1080/15524256.2011.548046
Thompson, R. (2011). Using life story work to enhance care. Nursing Older People, 23(8), 16–21. https://doi.org/10.7748/nop2011.10.23.8.16.c8713
Tourangeau, A. E., & Cranley, L. A. (2006). Nurse intention to remain employed: understanding and strengthening determinants. Journal of Advanced Nursing, 55(4), 497-509. https://doi.org/10.1111/j.1365-2648.2006.03934.x
Wisdom, J. P., Bruce, K., Saedi, G. A., Weis, T., & Green, C. A. (2008). 'Stealing me from myself': Identity and recovery in personal accounts of mental illness. The Australian and New Zealand Journal of Psychiatry, 42(6), 489–95. https://doi.org/10.1080/00048670802050579
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