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The patient-authored medical record: A narrative path to a new tool in psychiatric nursing
Chizuru Tsubonouchi1, Yuriko Kinoshita2, Naoki Nomura3
1School of Health Sciences, Graduate School of Medicine, Nagoya University, Nagoya City, Japan; School of Nursing, Japanese Red Cross Toyota College of Nursing, Toyota City, Japan.
Abstract:
This paper describes preliminary research from Japan on developing a new tool for psychiatric nurses, the patient-authored medical record, a "prescription" written in ordinary language by the patient with the assistance of a nurse. The nurse asks the patient how to improve their illness and she types up the patient's story on site in the form of a first-person narrative. The patient checks it for accuracy before taking a copy home. Ten Japanese patients participated in this field-oriented ethnographic study, and the analysis of the qualitative data strongly suggested that the approach had therapeutic effects on each patient. This narrative-based prescription could be used as a tool, specifically by psychiatric nurses, in many cultures, and it is our hope that it contributes to their professional identity.
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