Use of narrative medicine to identify key factors for effective doctor-patient relationships in severe asthma

Antonietta Cappuccio, Silvia Napolitano, Francesco Menzella, Guido Pellegrini, Alessandro Policreti, Girolamo Pelaia, Pasquale Alberto Porpiglia, Maria Giulia Marini, Andrea Antonelli, Cesare Arezzo, Stefano Baglioni, Elisa Boni, Alice Bragantini, Domenico Bruzzese, Valeria Caldarelli, Marco Caminati, Lucia Caminiti, Chiara Carraro, Maria Antonietta Ceccon, Fulvia Chieco BianchiAnastasia Cirisano, Roberto Cogo, Elisabetta Conte, Enza D'Auria, Saverio Daniele, Dario De Brasi, Giovanna De Castro, Stefano De Luca, Caterina Detoraki, Emanuela Di Palmo, Grazia Fenu, Anna Ferrara, Gaetano Ferrigno, Alessandra Fusi, Annatalia Gaccione, Michela Gandino, Gabriella Guarnieri, Aldo Guerrieri, Corrado Iacoacci, Donato Lacedonia, Mario Lo Schiavo, Rocco Longo, Carla Magazzù, Gabriele Marzo, Michele Mastroberardino, Gian Paolo Mattioli, Liberatore Monaco, Carmen Montera, Marco Morelli, Antonello Nicolini, Pinuccia Omodeo, Gerardo Palmiero, Alessandro Pannofino, Antonio Papa, Francesca Patria, Laura Pini, Stefano Polti, Antonio Pontillo, Mariangela Poppa, Sergio Poto, Oliviero Quercia, Alberto Raie, Vanessa Ronzoni, Yuri Rosati, Antonio Russo, Antonello Salzillo, Marilena Santoro, Francesca Savoia, Anna Simonazzi, Bruno Sposato, Victoria Tourtchenko, Salvatore Tripodi, Alessandro Vatrella, Elisabetta Veronelli

Research output: Contribution to journalArticlepeer-review

Abstract

Background: In this project the authors use a narrative medicine (NM) approach to assess the promotion of trust in the relationship between physicians and their asthma patients. Methods: Following a NM educational course for physicians, a research was carried out in which at least 5 written narratives (parallel charts) for each participating physician were collected and qualitatively analysed according to Bury's classification and the Grounded Theory. Results: The results of this study were of speculative and clinical interest. In particular, 66 participants wrote 314 narratives (246 on adult and 68 on paediatric patients). As a result of applying the NM approach, when the relationships remained problematic, many physicians wrote with a moral style about their adult (67%), and paediatric patients (33%) - especially in cases of asthmatic children's or adolescents' overprotective or absent families (40%) -. On the contrary, physicians who were able to listen to their patients with empathy (35%) made more shared decisions with patients, even with those they initially had a bad relationship. The used words of welcome, interest and acceptance were promoting patients' trust that lead to restoring their activities in 45% of cases, according to physicians self-reporting. Conclusions: These approaches of NM are useful in daily clinical practice, with the goal of improving the quality of life (QOL) of patients with severe asthma, even in cases in which the doctor-patient relationship isn't initially good.

Original languageEnglish
Article number26
JournalMultidisciplinary Respiratory Medicine
Volume14
Issue number1
DOIs
Publication statusPublished - Sep 2 2019

Keywords

  • Medical education and training
  • Narrative medicine
  • Qualitative research
  • Severe asthma

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

Fingerprint Dive into the research topics of 'Use of narrative medicine to identify key factors for effective doctor-patient relationships in severe asthma'. Together they form a unique fingerprint.

Cite this