title: Emerging themes in using narrative in geriatric care: Implications for patient-centered practice and interprofessional teamwork.
abstract: Narrative approaches are increasingly used with older adults by different health professionals in a variety of care settings to provide unique and powerful insights into the patient's lifeworld and the meaning of their illness. Understanding these approaches requires insight into the narratives of both the patient and the provider. Different health professions have differing attitudes toward aging and are socialized into distinct ways of framing the problems of older adults. In a patient assessment, they may co-construct different stories that create the basis for interprofessional collaboration, posing challenges for communication among members of the team. This paper develops a conceptual framework for characterizing the use of narrative as the development of sets of "voices" reflecting a dynamic interaction between the provider and the patient, including the use of master narratives, stories and counterstories, and plots and subplots. The literature on the use of narrative with older adults in the professions of medicine, nursing, and social work is reviewed comparatively to develop a typology of these professional differences and the basis for them. Implications and recommendations for the development of new models of patient-centered care and interprofessional practice with older adults are developed.
authors.affiliation: Program in Gerontology and Rhode Island Geriatric Education Center, University of Rhode Island, Quinn Hall 100, 55 Lower College Road, Kingston, RI 02881, USA. Electronic address: aging@uri.edu.
authors.forename: Phillip G
authors.initials: PG
authors.lastname: Clark
mesh_terms: D000368:Aged; D006299:Health Services for the Aged; D006801:Humans; D007400:Interprofessional Relations; D033262:Narration; D062525:Narrative Therapy / Q000379:methods*; D009732:Nursing Care / Q000379:methods; D010348:Patient Care Team; D018802:Patient-Centered Care / Q000379:methods*; D011369:Professional-Patient Relations; D012947:Social Work / Q000379:methods
keywords: Interprofessional teamwork; Narrative; Patient-centered practice