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Integrated narrative assessment exemplification: a leukaemia case history
Giovanna Artioli1, Chiara Foà, Chiara Cosentino
1IRCCS (Scientific Institute for Research, Hospitalization and Health Care), Santa Maria Nuova Hospital, Reggio Emilia, Italy. Giovanna.Artioli@asmn.re.it.
Acta Bio-Medica : Atenei Parmensis
|July 29, 2017
Summary
The Integrated Narrative Nursing Assessment (INNA) combines evidence-based and narrative models for comprehensive patient evaluation. This integrated approach enhances understanding of patient needs by merging subjective narratives with objective scale measurements.
Area of Science:
- Nursing Science
- Patient-Centered Care
- Qualitative and Quantitative Research Methods
Background:
- The Integrated Narrative Nursing Assessment (INNA) merges Evidence-Based Nursing and Narrative-Based Nursing models.
- INNA utilizes both quantitative (natural sciences) and qualitative (human sciences) instruments.
- This approach aims for standardization, reproducibility, customization, and uniqueness in patient evaluation.
Observation:
- A nurse in a North Italy hospital assessed a patient with acute myeloid leukemia undergoing chemotherapy.
- The nurse employed the INNA, selecting narrative (subjective perception) and scales (objective measurement) instruments.
- This selection was based on the patient's specific characteristics and needs.
Findings:
- Integrated outcomes provided a comprehensive overview of the patient's healthcare needs and their interconnections.
- Combining narrative information with scale data yielded consistent and valuable results.
- The study demonstrated the utility of integrating diverse assessment strategies.
Implications:
- Qualitative and quantitative assessment strategies are complementary, not mutually exclusive.
- Integrated assessments are crucial for identifying, understanding, and measuring patient needs.
- This approach facilitates customized interventions, connecting disease, illness, sickness, and daily life.
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