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Related Experiment Video

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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Narrative care: Unpacking pandemic paradoxes.

Vera Caine1, Pamela Steeves2, Charlotte Berendonk1

  • 1Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada.

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Summary

This study explores the challenges nurses faced during the coronavirus disease 2019 pandemic, focusing on the paradoxes of care and distance. Narrative care offers a way to navigate these complexities and foster forward-looking stories.

Keywords:
COVID-19autobiographical inquirycarenarrative inquirypandemicpragmatism

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Area of Science:

  • Nursing
  • Sociology
  • Public Health Communication

Background:

  • Dominant public health narratives during coronavirus disease 2019 (COVID-19) emphasized physical distancing, shared experience, and a return to normalcy.
  • These narratives created paradoxes for healthcare professionals, particularly nurses, in their everyday lives and caregiving roles.

Purpose of the Study:

  • To investigate the complexities arising from the collision of dominant COVID-19 narratives with the lived experiences of nurses.
  • To explore three specific paradoxes: caring through distance, togetherness erasing inequities, and the possibility of returning to normal.

Main Methods:

  • Qualitative inquiry drawing on the authors' experiences as nurses, educators, and women.
  • Case examples of caring for an older adult (Ingrid) and a man with multiple disabilities (Matthew) are used to illustrate the paradoxes.

Main Results:

  • The dominant narratives generated paradoxes, including learning to care by creating physical distance, a false sense of togetherness that obscured inequities, and the unlikelihood of a simple return to normal.
  • Narrative care is presented as a counterstory to dominant narratives, enabling individuals to live within these paradoxes.

Conclusions:

  • Narrative care, through attention to embodiment, liminality, and imagination, facilitates the creation of forward-looking stories.
  • Understanding narrative care within these paradoxes offers a more nuanced perspective on its embodiment in personal and professional lives.