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Narrative, Meaning Making and Context-Based Care: How to Realize Person-Centred Care
Jan Sitvast*
Department of Health Care, Hogeschool Utrecht, Heidelberglaan 7, Utrecht, 3584CS, Netherlands
- *Corresponding Author:
- Jan Sitvast, Ph.D
Lecturer, Department of Health Care
Hogeschool Utrecht, Heidelberglaan 7
Utrecht, 3584CS, Netherlands
Tel: 0031614328220
E-mail: jan.sitvast@hu.nl
Received date: August 22, 2017; Accepted date: August 24, 2017; Published date: August 31, 2017
Citation: Sitvast J (2017) Narrative, Meaning Making and Context-Based Care: How to Realize Person-Centred Care. J Comm Pub Health Nursing 3:188. doi:10.4172/2471-9846.1000188
Copyright: © 2017 Sitvast J. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
This case study illustrates the need for person-centred care. It postulates a central position for narrative in meaning making processes. Three social functions are discerned in the use of narrative. A narrative model deduced from the metaphor of the spinning top is proposed to be used by professionals in their contact with patients. It is been argued that there is a need for a context sensitive evidence-based practice in which circularity plays an important role. The context is found in the lifeworld, especially social interaction and the life story. Circularity is based on the recognition that both patients and professionals are agents who interact and that there should be reciprocity to some degree in order to realize a fruitful and therapeutic treatment outcome.
