Narrative Medicine in professional development for the prevention of HIV and congenital syphilis
Keywords:
narrative medicine, sexually transmitted infections, medical educationAbstract
Introduction: The Narrative medicine is a tool of medical education that uses the experience and personal narrative of patients and suppliers to increase the scientific understanding of the disease.
Objective: To demonstrate the effectiveness of narrative medicine as pedagogic tool in the professional training for the prevention of maternal and child transmission of the HIV and congenital syphilis.
Method: A mixed investigation was carried out on 38 family doctors from José Martí Polyclinic in Santiago de Cuba during January - March 2024; with the implementation of surveys, interviews and focal groups to evaluate the effectiveness of the narrative medicine course and the Donald Kirkpatrick pattern of evaluation was also used. The results were processed and percentage was used as summary measure.
Results: The 92 % of medical staff were satisfied with the use of narrative medicine in the prevention and control of STIs; 81.6 % acquired knowledge and skills and they agreed to apply and practice what they learned in equal proportion. The results of interviews coincide with the above-mentioned.
Conclusions: Family doctors perceived narratives as effective, important and useful; they proposed to generalize it in medical education.
Downloads
References
2. Kirmayer L J, Gómez-Carrillo A, Sukhanova E, Garrido E. Narrative Medicine. In: Mezzich, J.E., Appleyard, W.J., Glare, P., Snaedal, J., Wilson, C.R. (eds) PersonCentered Medicine. Springer, Cham 2023. [citado 20/08/2024] Disponible en: https://doi.org/10.1007/978-3-031-17650-0_14
3. Loy M, Kowalsky R. Narrative Medicine: The Power of Shared Stories to Enhance Inclusive Clinical Care, Clinician Well-Being, and Medical Education. Perm J. 2024 Jun 14;28(2):93-101. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC11232909/
4. Urday-Fernández D, Cuba-Fuentes M. Medicina narrativa. An Fac med. 2019 [citado 20/08/2024];80(1):109-13. Disponible en: https://doi.org/10.15381/anales. v80i1.15880
5. Kirkpatrick DL. Thefourlevels of evaluation. In: EvaluatingCorporate Training: Models and Issues. Springer, Dordrecht; 1998 [citado 20/08/2024]. https://doi.org/10.1007/978-94-011-4850-4_5
6. Cuba Fuentes MS, Cruz Preciado LY Preciado, Mejía Victorio CS (edits). Narrativas desde la atención primaria de salud: historias de salud y enfermedad narradas por profesionales de la salud. Fondo Editorial UPCH, Lima Perú. 2021
7. Soto-Faúndes C, Pérez-Villalobos C. Profesionalismo y medicina narrativa. Rev. méd. Chile. 2022 Sep [citado 20/08/2024]; 150(9):8-113 Disponible en: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872022000901234&lng=es
8. Krinock M, Defenbaugh N, DeTurk S, Pellegrino A. Anintroduction to narrativemedicine. International Journal of Academic Medicine. 2020;6(2):121-3. DOI: 10.4103/IJAM.IJAM_68_20
9. Butchart L, Parsa S. Narrative Medicine Theory and Practice: The Double Helix Model. Med Humanit. 2024 Feb 22;50(1):153-161.
10. Antinori A, Vergori A, Ripamonti D, Valenti D, Esposito V, et al. Investigating coping and stigma in people living with HIV through narrative medicine in the Italian multicentre non-interventional study DIAMANTE. Sci Rep. 2023 Oct 17 [citado 20/08/2024];13(1):17624. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC10582167/
11. Moleka P. Unveiling the power of disclosure: Transforming HIV stigma through personal narratives. World Journal of Internal Medicine and Surgery. 2024 [citado 20/08/2024];1(2):17-22. Disponible en: https://wjims.com/admin/assets/article_issue/1712321482wjims_2024.pdf
12. Namer Y, Drüke F, Razum O. Transformative Encounters: A Narrative Review of Involving People Living With HIV/AIDS in Public Health Teaching. Public Health Rev. 2022 Jun 22 [citado 20/08/2024];43:1604570. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC9258193/
13. Restall G, Ukoli P, Mehta P, Hydesmith E, Payne M. Resisting and disrupting HIV-related stigma: a photovoice study. BMC Public Health. 2023 Oct 21 [citado 20/08/2024];23(1):2062. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC10590010/
14. Remein CD, Childs E, Pasco JC, Trinquart L, Flynn DB, Wingerter SL, Bhasin RM, Demers LB, Benjamin EJ. Content and outcomes of narrative medicine programmes: a systematic review of the literature through 2019. BMJ Open. 2020 Jan 26 [citado 20/08/2024];10(1): e031568. Disponible en: https://bmjopen.bmj.com/content/10/1/e031568
15. Morantes Valencia FM, Ariza Rodríguez M, García Villalba C.La narrativa como estrategia terapéutica y fortalecimiento de la ciudadanía en el tratamiento de personas con VIH-SIDA. Conrado. 2019 [citado 20/08/2024];15(70): 31-36. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1990-86442019000500031&lng=es&tlng=es
Downloads
Published
How to Cite
Issue
Section
License
All the articles can be downloaded or read for free. The journal does not charge any amount of money to the authors for the reception, edition or the publication of the articles, making the whole process completely free. Medisan has no embargo period and it is published under the license of Creative Commons, International Non Commercial Recognition 4.0, which authorizes the copy, reproduction and the total or partial distribution of the articles in any format or platform, with the conditions of citing the source of information and not to be used for profitable purposes.
![Secimed](/templates/images/secimed.png"){kind=small}
Guidelines for authors
