Convergent journalism constitutes a systematic investigation into emergent journalistic forms,conceptual frameworks,and practices emerging within media convergence context,characterized by its inherent attributes of c...Convergent journalism constitutes a systematic investigation into emergent journalistic forms,conceptual frameworks,and practices emerging within media convergence context,characterized by its inherent attributes of convergence,datacentricity,and interactivity.Grounded in the theoretical discourse of digital narratology,this monograph crystallizes its analytical focus on the triadic conceptual constellation of"convergence""mediaticity"and"narrativity",By positioning""convergence"as the central problematique,it systematically constructs an epistemological framework for convergent journalistic narrative through three dimensions:narrative theory,narrative language,and narrative praxis,thereby elucidates the ontological foundations and operational logics intrinsic to contemporary journalism studies.展开更多
Jātaka story paintings are common narrative subjects in Dunhuang murals.Based on corresponding scriptures,they present all kinds of good deeds that Sakyamuni sacrificed his life to save sentient beings in his previou...Jātaka story paintings are common narrative subjects in Dunhuang murals.Based on corresponding scriptures,they present all kinds of good deeds that Sakyamuni sacrificed his life to save sentient beings in his previous life.Dunhuang Jātaka story paintings are highly consistent with the scriptures in content,but their intuitiveness and expressiveness are more prominent.By comparing the narrative relationship between Jātaka story paintings in the Mogao Grottoes of Dunhuang and their corresponding scriptures,this study finds that the two have unity in reproducing artistic images and restoring key plots of classic Buddhist scripture stories,but there are great differences in the narrative effect.Dunhuang Jātaka story paintings have three prominent features in narrative,including visualization of key elements,concretization of expressions and movements,and contextualization of cause and effect.This study aims to reveal the intertextual narrative relationship between Dunhuang Jātaka story paintings and their corresponding scriptures.展开更多
Narrative nursing has emerged as a vital approach in patient-centered care,and emphasize the importance of understanding patients’emotional experiences in addition to their physical health needs.In this article,we co...Narrative nursing has emerged as a vital approach in patient-centered care,and emphasize the importance of understanding patients’emotional experiences in addition to their physical health needs.In this article,we comment on the article by Zhou et al.Diseases such as acute pancreatitis can cause significant suffering and severely impact patients’quality of life.During treatment,routine nursing procedures such as gastric tube placement,oxygen therapy,monitoring,and nasogastric feeding often lack effective communication,which can adversely affect patients’recovery.This article highlights how narrative nursing can provide deeper insights into patients’emotional experiences,ultimately resulting in improved care outcomes.We also emphasize the role of narrative nursing in understanding and addressing these emotional needs to achieve personalized care,which can strengthen the therapeutic relationship between healthcare providers and patients.By recognizing the critical role of emotional well-being in patient care,we can develop comprehensive strategies that facilitate recovery and enhance overall quality of life.展开更多
Narrative nursing(NN)is emerging as a critical approach in modern healthcare,addressing the complex interplay between psychological well-being and physical recovery.This manuscript discusses a study on NN and its role...Narrative nursing(NN)is emerging as a critical approach in modern healthcare,addressing the complex interplay between psychological well-being and physical recovery.This manuscript discusses a study on NN and its role in alleviating psychological distress in patients with acute pancreatitis,published in the World Journal of Psychiatry.Their research demonstrates that NN,through structured storytelling,significantly reduces anxiety and depression,thereby enhancing patient satisfaction and fostering emotional resilience.This therapeutic approach extends beyond symptom management,offering a comprehensive strategy that supports the mental and emotional recovery of patients facing severe health challenges.NN provides a unique framework for engaging patients in their care journey,promoting a sense of agency,and strengthening the patient-provider relationship.In this manuscript,we explore the broader implications of NN by synthesizing findings from various studies,showing that NN is effective not only in acute settings but also in oncology,chronic illness management,and palliative care.The evidence indicates that integrating NN into standard clinical practice could enhance healthcare outcomes by addressing the holistic needs of patients,supporting psychological resilience,and fostering a compassionate healthcare environment.展开更多
Objective:This study aimed to explore the effect of standardized patient(SP)-narrative nursing in the experimental teaching of surgical nursing.Methods:A quasi-experimental study design was adopted.A total of 200 unde...Objective:This study aimed to explore the effect of standardized patient(SP)-narrative nursing in the experimental teaching of surgical nursing.Methods:A quasi-experimental study design was adopted.A total of 200 undergraduate nursing students were recruited from the Nursing College of Guilin Medical University in China from March 2023 to December 2024.The intervention group recruited students from the Class of 2022(n=100),and the control group recruited students from the Class of 2021(n=100).The intervention group adopted a teaching model combining standardized patients with narrative nursing based on traditional scenariobased simulation teaching,which was applied to the nursing of perioperative patients(4 class hours)and scenario-based case drills(4 class hours)in the experimental teaching of surgical nursing.The control group used traditional scenario-based simulation teaching.The Nurse Humanistic Care Quality Evaluation Scale,Clinical Thinking Ability Evaluation Index System Scale for Medical Students,and Nurse-Patient Communication Ability Evaluation Scale for Nursing Students were used to investigate and compare the teaching effects between the two groups of students.Results:The total scores of the intervention group on humanistic care(91.39±3.97),clinical thinking(79.64±6.33),and nurse-patient communication(157.22±7.95)abilities were significantly higher than those of the control group(82.29±3.62,65.11±7.24,and 147.05±7.84,respectively),with statistically significant differences(P<0.01).Conclusion:This study confirms that integrating the dual teaching model of standardized patients and narrative nursing in experimental teaching of surgical nursing has significantly optimized the theoretical and practical structure of teaching strategies.This innovative teaching method provides a promotable paradigm for nursing humanities education and is of positive significance for improving the effectiveness of cultivating the core literacy of nursing talents.展开更多
This study examines the integration of narrative medicine(NM)into primary healthcare(PHC)settings,evaluating its role in enhancing medical humanities education within grassroots healthcare institutions.Through a compr...This study examines the integration of narrative medicine(NM)into primary healthcare(PHC)settings,evaluating its role in enhancing medical humanities education within grassroots healthcare institutions.Through a comprehensive literature review and case analysis,the research investigates the current state,challenges,and practical barriers to embedding NM into PHC systems,while proposing targeted strategies for improvement.The findings suggest that NM fosters stronger doctor-patient trust,enhances healthcare quality,and promotes humanistic care.However,primary hospitals face numerous challenges in advancing medical humanities,including a lack of trust between doctors and patients,tensions arising from the commercialization of healthcare,institutional limitations,unequal distribution of resources,and issues related to physicians'professional competencies and stress management.These interrelated obstacles detract from the quality of PHC services and the overall patient experience.Drawing on successful case studies from primary hospitals,the paper outlines effective strategies for overcoming these challenges.The study provides both theoretical and practical insights for advancing medical humanities in PHC,contributing to improvements in healthcare service quality and supporting the development of high standards in the healthcare sector.Ultimately,the findings aim to promote the broader adoption and ongoing refinement of NM within PHC institutions.展开更多
Objective:To explore the effect of narrative nursing combined with exercise training on health beliefs and cardiac rehabilitation in patients with acute myocardial infarction(AMI)after interventional treatment.Methods...Objective:To explore the effect of narrative nursing combined with exercise training on health beliefs and cardiac rehabilitation in patients with acute myocardial infarction(AMI)after interventional treatment.Methods:A total of 111 patients with acute myocardial infarction(AMI)who received interventional therapy in Department of Cardiology of Hefei First People’s Hospital from January 2022 to September 2023 were selected as the study subjects.They were randomly divided into a control group(n=55)and a study group(n=56)using a random table method.Both groups received routine nursing care,while the control group received exercise training on top of it.The study group received narrative nursing care on top of the control group.Both groups were intervened until the patients were discharged.The health beliefs,heart function,psychological status,and quality of life after intervention were compared between two groups using a 6-minute walk test(6MWT).Results:After intervention,the scores of the TSK-SV Heart in all dimensions(fear of movement,functional disorders,risk perception,and avoidance of movement)decreased in both groups,and the study group was lower than the control group,with a statistical significant difference(P<0.05).After intervention,the scores of the Self Rating Anxiety Scale(SAS)and Self Rating Depression Scale(SDS)in both groups decreased,and the study group was lower than the control group,with a statistical significant difference(P<0.05).After intervention,both groups showed an increase in left ventricular ejection fraction(LVEF)and left ventricular early diastolic peak flow velocity/left ventricular late diastolic peak flow velocity(E/A),with the study group being higher than the control group.The left ventricular end diastolic diameter(LVEDD)and left atrial volume index(LAVI)decreased,and the study group was lower than the control group,with statistical significant differences(P<0.05).The walking distance of the study group at 6MWT(488.8±31.4)m was greater than that of the control group(425.54±30.7)m,with statistical significant differences(P<0.05).The quality of life measurement scale(CROQ-PTCA-Post)of the study group after coronary intervention treatment had higher scores in all dimensions(physical function,satisfaction,psychosocial function,adverse reactions,symptoms,cognitive function)than the control group,with statistical significant differences(P<0.05).Conclusion:Narrative nursing combined with exercise training can enhance the health beliefs of AMI patients towards exercise training after intervention therapy,which is beneficial for cardiac rehabilitation and can improve psychological status and quality of life.展开更多
This study examines the bidirectional shaping mechanism between short-video algorithms and film narratives within the attention economy.It investigates how algorithmic logic influences cinematic storytelling and how f...This study examines the bidirectional shaping mechanism between short-video algorithms and film narratives within the attention economy.It investigates how algorithmic logic influences cinematic storytelling and how films,in turn,contribute to the aesthetic enhancement of short-video content.Drawing on Communication Accommodation Theory and Berry’s Acculturation Theory,along with case analyses and industry data,this research demonstrates that algorithms push films toward high-stimulus,fast-paced narrative patterns—characterized by increased shot density and structural fragmentation—to capture and retain viewer attention.Conversely,films counter this influence by supplying narratively deep and artistically refined content that elevates short-video aesthetics and encourages critical audience engagement.This dynamic reflects a process of mutual adaptation rather than one-sided dominance.The study concludes that such interaction signifies a broader restructuring of cultural production logic,facilitating cross-media convergence while simultaneously posing risks to cultural diversity due to the prioritization of high-traffic content.Balancing this relationship will require policy support,algorithmic transparency,and strengthened industry self-regulation to preserve artistic integrity and cultural ecosystem diversity.展开更多
Objective:To explore the effect of narrative nursing combined with positive reinforcement nursing intervention on the psychological state of patients with gynecological cancer chemotherapy.Methods:From January 2022 to...Objective:To explore the effect of narrative nursing combined with positive reinforcement nursing intervention on the psychological state of patients with gynecological cancer chemotherapy.Methods:From January 2022 to December 2023,99 cancer patients with postoperative chemotherapy admitted to the Department of Gynecology in the author’s ClassⅲGrade A hospital were selected as the research objects,and they were divided into the control group(49 cases)and the observation group(50 cases)by random number method.The control group was intervened by the nursing model based on positive reinforcement theory,while the observation group received narrative nursing intervention measures on this basis.The self-rating Anxiety scale(SAS),self-rating depression scale(SDS),distress thermometer(DT),Pittsburgh sleep quality index(PSQI),and General Self-Efficacy Scale(GSES)were used to evaluate and compare the changes of various indicators between the two groups after intervention.Results:There were no significant differences in the scores of SAS,SDS,DT,PSQI,and GSES between the two groups at the time of intervention(P>0.05).After chemotherapy,the SAS,SDS,and DT scores of the observation group were significantly lower than those of the control group(P<0.05),and the PSQI and GSES scores were significantly better than those of the control group(P<0.01).Conclusion:Compared with the simple positive reinforcement nursing model,narrative nursing combined with positive reinforcement nursing intervention has more advantages in improving the mental health status of patients with gynecological cancer chemotherapy.It can significantly relieve the negative emotions,such as anxiety and depression of patients,effectively improve their self-efficacy level,optimize their sleep quality,and provide more comprehensive support for the physical and mental rehabilitation of patients.展开更多
This study,conducted during an internship at the Tumor Hospital of S Province,employs a qualitative research paradigm.The primary research subjects were 11 hospitalized breast cancer patients,with data collected throu...This study,conducted during an internship at the Tumor Hospital of S Province,employs a qualitative research paradigm.The primary research subjects were 11 hospitalized breast cancer patients,with data collected through semi-structured interviews and observation,followed by content analysis.The study aims to explore the disease experiences and life experiences of breast cancer patients,investigating what their illness means to them and whether it has led to a different understanding of the meaning of their lives.The findings reveal that the reconstruction of life meaning among breast cancer patients manifests as“new perceptions of existence,new attitudes toward life,and new life goals.”展开更多
University German majors in Chinese universities constitute a vital force in cross-cultural communication and play an increasingly important role in effectively communicating China’s narrative to global audiences.Des...University German majors in Chinese universities constitute a vital force in cross-cultural communication and play an increasingly important role in effectively communicating China’s narrative to global audiences.Despite their linguistic advantages,these students still face challenges such as limited cultural literacy and insufficient intercultural communication competence.It is therefore essential to explore effective approaches for strengthening their ability to convey China’s narrative in accurate,compelling,and culturally attuned ways.This article discusses key pathways for enhancing this competence and offers insights relevant to curriculum development and talent cultivation in the field of international communication.展开更多
On the evening of May 3Oth,the parallel forum"Equality and Inclusiveness&Harmonious Coexistence:Multi-dimensional Narratives of Civilisations from Writers'Perspective",as part of the 4th Dialogue on ...On the evening of May 3Oth,the parallel forum"Equality and Inclusiveness&Harmonious Coexistence:Multi-dimensional Narratives of Civilisations from Writers'Perspective",as part of the 4th Dialogue on Exchanges and Mutual Learning among Civilisations,was held in Dunhuang.The forum was organised by the China Writers Association and co-organised by China National Publications Import&Export(Group)Corporation.展开更多
At present,strengthening China’s international communication capabilities and enhancing China’s global influence have become important tasks.This study selects 60 pieces of soft news from China Daily from March 2023...At present,strengthening China’s international communication capabilities and enhancing China’s global influence have become important tasks.This study selects 60 pieces of soft news from China Daily from March 2023 to February 2024 as research objects and explores China’s national image from the source texts.Then,based on Mona Baker’s narrative theory,it analyzes the translation strategies to reconstruct the image of China,further revealing the regular characteristics of their application.Through translation,the reconstructed national image of China becomes more positive and more acceptable to foreign readers,effectively promoting the dissemination of Chinese stories in the international community.It is significant for promoting international understanding and cooperation,as well as effectively utilizing translation as a tool to enhance China’s national image.展开更多
My creative focus and interest has always been the state of human existence.Compared with grand narratives,it is often the most inadvertent,subtle actions that become my entry point.I starl a dialogue with myself by c...My creative focus and interest has always been the state of human existence.Compared with grand narratives,it is often the most inadvertent,subtle actions that become my entry point.I starl a dialogue with myself by carefully observing and deeply analyzing those subtle yet tense behaviors.Through this process,I discover and develop my own creative system to affirm the value of my existence in my work.展开更多
In the realm of Chinese narrative medicine, narrative thinking holds equal significance to evidence-based thinking within clinical practice, making substantial contributions to patient safety and medical quality. Anci...In the realm of Chinese narrative medicine, narrative thinking holds equal significance to evidence-based thinking within clinical practice, making substantial contributions to patient safety and medical quality. Ancient Chinese medical theories advocate forging a narrative bond with patients, urging healthcare practitioners to utilize Dao Shu Jie He(道术结合 integration of Dao and techniques) and Yi Dao Yu Shu(以道驭术 guiding techniques with Dao) during diagnosis, treatment, and rehabilitation. In this context, Dao(道) in traditional Chinese medicine(TCM) corresponds to narrative thinking(叙事思维) while Shu(术) aligns with scientific thinking(科学思维) in evidence-based medicine. This study adopts “narrative Chinese medicine” within the “discourse system of Chinese narrative medicine” as its framework, centering on medical stories that exemplify the application of narrative thinking in ancient Chinese diagnosis and treatment. It delves into the narrative thinking encapsulated in Chinese medicine, such as Guan Wu Qu Xiang(观物取象 observing things and extracting information), Can He Er Xing(参合而行 final examination and decision by integrating the four diagnoses), Xing Shen Bing Zhi(形神并治 body-spirit treatment), Xin Shen Jian Li(心身兼理 mind-body balance) and Bian Zheng Lun Zhi(辨证论治 treatment based on pattern differentiation). The study endeavors to inspire contemporary medical educators and clinicians to acknowledge the value of narrative thinking in TCM and fully incorporate it into daily medical practice.展开更多
Narrative foreclosure is a phenomenon highlighted within the Chinese narrative medicine system, characterized by a state in which individuals become overly suspicious due to certain events in their development, leadin...Narrative foreclosure is a phenomenon highlighted within the Chinese narrative medicine system, characterized by a state in which individuals become overly suspicious due to certain events in their development, leading to profound concerns about their health and safety. This article employs the logical discourse framework of Chinese narrative medicine to illustrate the experiences of various patients exhibiting typical instances of narrative foreclosure in traditional Chinese medicine(TCM) cases, such as Bei Gong She Ying(杯弓蛇影 to see a bow reflected in a cup as a snake), Wu Qiu Zhi Chong(吴球治虫 Wu Qiu treats worms), and Fa Jing Qu She(法靖驱蛇 Fajing drives away snakes). It explores how TCM practitioners leverage narrative wisdom to facilitate patients in dispelling their internal doubts through the concept of Bu Yao Wei Yao(不药为药 healing diseases without medicine). Through these medical cases, the article advocates for the significance of narrative competencies among medical practitioners in diagnosing and treating patients, alongside the use of pharmaceuticals and surgical interventions. Additionally, it outlines the prospects for the future development of narrative approaches in TCM.展开更多
Spatial narrative,as a unique literary narrative technique,focuses on advancing the plot and shaping characters through meticulous portrayal of space,providing readers with rich visual and perceptual experiences.This ...Spatial narrative,as a unique literary narrative technique,focuses on advancing the plot and shaping characters through meticulous portrayal of space,providing readers with rich visual and perceptual experiences.This paper examines the spatial narrative utilized in Jin Yucheng’s novel,Flowers of Shanghai.Through an in-depth analysis of the spatial narrative techniques in the novel,this paper asserts that such an exploration has far-reaching consequences in broadening research perspectives and fostering interdisciplinary collaborations between literature and geography.Furthermore,the paper explores the unique aspects of narrative perspective,narrative structure,and narrative time in Flowers of Shanghai,and how these elements perfectly combine with spatial narrative to create a fascinating literary world for readers.The aim of this study is to deeply explore the artistic value and literary charm of the novel through a comprehensive interpretation of the spatial narrative in Flowers of Shanghai.展开更多
This article analyzes The Kite Runner with the help of spactial narrative. The novel will be analyzed from three angles—the function of spatial narrative, the basic unit of spatial narrative, the periphery of spatial...This article analyzes The Kite Runner with the help of spactial narrative. The novel will be analyzed from three angles—the function of spatial narrative, the basic unit of spatial narrative, the periphery of spatial narrative and the overall effect presented in the novel by using these narrative techniques.展开更多
BACKGROUND Lung cancer is a common disease with high mortality,and psychological support is very important in the diagnosis and treatment of postoperative patients with cancer pain.AIM To explore the application effec...BACKGROUND Lung cancer is a common disease with high mortality,and psychological support is very important in the diagnosis and treatment of postoperative patients with cancer pain.AIM To explore the application effect of the narrative nursing method in postoperative lung cancer patients in the intensive care unit.METHODS A total of 120 patients diagnosed with lung cancer and experiencing cancer-related pain were randomly allocated into two groups:an observation group and a control group,each consisting of 60 cases.The control group was given routine analgesic and psychological care,while the research group applied the five-step narrative nursing method based on routine care,comparing the visual analogue scale scores,sleep status,anxiety and depression status,and quality of life of the two groups of patients before and after the intervention.RESULTS The pain scores,anxiety scores,and depression scores of the study group were lower than those of the control group after the intervention using the narrative nursing method,and the difference was statistically significant(P<0.05).CONCLUSION Using narrative nursing methods to intervene in patients with lung cancer combined with cancerous pain can help patients to correctly recognize their disease,adjust their mentality,establish confidence,alleviate patients'subjective pain feelings,and improve their adverse emotions.展开更多
BACKGROUND Acute pancreatitis(AP),as a common acute abdomen disease,has a high incidence rate worldwide and is often accompanied by severe complications.Negative emotions lead to increased secretion of stress hormones...BACKGROUND Acute pancreatitis(AP),as a common acute abdomen disease,has a high incidence rate worldwide and is often accompanied by severe complications.Negative emotions lead to increased secretion of stress hormones,elevated blood sugar levels,and enhanced insulin resistance,which in turn increases the risk of AP and significantly affects the patient's quality of life.Therefore,exploring the intervention effects of narrative nursing programs on the negative emotions of patients with AP is not only helpful in alleviating psychological stress and improving quality of life but also has significant implications for improving disease outcomes and prognosis.AIM To construct a narrative nursing model for negative emotions in patients with AP and verify its efficacy in application.METHODS Through Delphi expert consultation,a narrative nursing model for negative emotions in patients with AP was constructed.A non-randomized quasi-experimental study design was used in this study.A total of 92 patients with AP with negative emotions admitted to a tertiary hospital in Nantong City of Jiangsu Province,China from September 2022 to August 2023 were recruited by convenience sampling,among whom 46 patients admitted from September 2022 to February 2023 were included in the observation group,and 46 patients from March to August 2023 were selected as control group.The observation group received narrative nursing plan,while the control group was given with routine nursing.Self-rating anxiety scale(SAS),self-rating depression scale(SDS),positive and negative affect scale(PANAS),caring behavior scale,patient satisfaction scale and 36-item short form health survey questionnaire(SF-36)were used to evaluate their emotions,satisfaction and caring behaviors in the two groups on the day of discharge,1-and 3-month following discharge.RESULTS According to the inclusion and exclusion criteria,a total of 45 cases in the intervention group and 44 cases in the control group eventually recruited and completed in the study.On the day of discharge,the intervention group showed significantly lower scores of SAS,SDS and negative emotion(28.57±4.52 vs 17.4±4.44,P<0.001),whereas evidently higher outcomes in the positive emotion score,Caring behavior scale score and satisfaction score compared to the control group(P<0.05).Repeated measurement analysis of variance showed that significant between-group differences were found in time effect,inter-group effect and interaction effect of SAS and PANAS scores as well as in time effect and inter-group effect of SF-36 scores(P<0.05);the SF-36 scores of two groups at 3 months after discharge were higher than those at 1 month after discharge(P<0.05).CONCLUSION The application of narrative nursing protocols has demonstrated significant effectiveness in alleviating anxiety,ameliorating negative emotions,and enhancing satisfaction among patients with AP.展开更多
文摘Convergent journalism constitutes a systematic investigation into emergent journalistic forms,conceptual frameworks,and practices emerging within media convergence context,characterized by its inherent attributes of convergence,datacentricity,and interactivity.Grounded in the theoretical discourse of digital narratology,this monograph crystallizes its analytical focus on the triadic conceptual constellation of"convergence""mediaticity"and"narrativity",By positioning""convergence"as the central problematique,it systematically constructs an epistemological framework for convergent journalistic narrative through three dimensions:narrative theory,narrative language,and narrative praxis,thereby elucidates the ontological foundations and operational logics intrinsic to contemporary journalism studies.
文摘Jātaka story paintings are common narrative subjects in Dunhuang murals.Based on corresponding scriptures,they present all kinds of good deeds that Sakyamuni sacrificed his life to save sentient beings in his previous life.Dunhuang Jātaka story paintings are highly consistent with the scriptures in content,but their intuitiveness and expressiveness are more prominent.By comparing the narrative relationship between Jātaka story paintings in the Mogao Grottoes of Dunhuang and their corresponding scriptures,this study finds that the two have unity in reproducing artistic images and restoring key plots of classic Buddhist scripture stories,but there are great differences in the narrative effect.Dunhuang Jātaka story paintings have three prominent features in narrative,including visualization of key elements,concretization of expressions and movements,and contextualization of cause and effect.This study aims to reveal the intertextual narrative relationship between Dunhuang Jātaka story paintings and their corresponding scriptures.
基金Supported by National Natural Science Foundation of China,No.82100123。
文摘Narrative nursing has emerged as a vital approach in patient-centered care,and emphasize the importance of understanding patients’emotional experiences in addition to their physical health needs.In this article,we comment on the article by Zhou et al.Diseases such as acute pancreatitis can cause significant suffering and severely impact patients’quality of life.During treatment,routine nursing procedures such as gastric tube placement,oxygen therapy,monitoring,and nasogastric feeding often lack effective communication,which can adversely affect patients’recovery.This article highlights how narrative nursing can provide deeper insights into patients’emotional experiences,ultimately resulting in improved care outcomes.We also emphasize the role of narrative nursing in understanding and addressing these emotional needs to achieve personalized care,which can strengthen the therapeutic relationship between healthcare providers and patients.By recognizing the critical role of emotional well-being in patient care,we can develop comprehensive strategies that facilitate recovery and enhance overall quality of life.
文摘Narrative nursing(NN)is emerging as a critical approach in modern healthcare,addressing the complex interplay between psychological well-being and physical recovery.This manuscript discusses a study on NN and its role in alleviating psychological distress in patients with acute pancreatitis,published in the World Journal of Psychiatry.Their research demonstrates that NN,through structured storytelling,significantly reduces anxiety and depression,thereby enhancing patient satisfaction and fostering emotional resilience.This therapeutic approach extends beyond symptom management,offering a comprehensive strategy that supports the mental and emotional recovery of patients facing severe health challenges.NN provides a unique framework for engaging patients in their care journey,promoting a sense of agency,and strengthening the patient-provider relationship.In this manuscript,we explore the broader implications of NN by synthesizing findings from various studies,showing that NN is effective not only in acute settings but also in oncology,chronic illness management,and palliative care.The evidence indicates that integrating NN into standard clinical practice could enhance healthcare outcomes by addressing the holistic needs of patients,supporting psychological resilience,and fostering a compassionate healthcare environment.
基金supported by the Undergraduate Teaching Innovation Project of Guangxi Higher Education(grant number:2023JGB307,Department of Education of Guangxi Zhuang Autonomous Region,China)the Guangxi Autonomous Regionlevel Research and Practice Project on New Engineering,New Medicine,New Agriculture and New Liberal Arts"Research on the Reform of the Integration of Undergraduate Courses in Nursing Major under the Background of Grand Health"(grant number:XYK202414).
文摘Objective:This study aimed to explore the effect of standardized patient(SP)-narrative nursing in the experimental teaching of surgical nursing.Methods:A quasi-experimental study design was adopted.A total of 200 undergraduate nursing students were recruited from the Nursing College of Guilin Medical University in China from March 2023 to December 2024.The intervention group recruited students from the Class of 2022(n=100),and the control group recruited students from the Class of 2021(n=100).The intervention group adopted a teaching model combining standardized patients with narrative nursing based on traditional scenariobased simulation teaching,which was applied to the nursing of perioperative patients(4 class hours)and scenario-based case drills(4 class hours)in the experimental teaching of surgical nursing.The control group used traditional scenario-based simulation teaching.The Nurse Humanistic Care Quality Evaluation Scale,Clinical Thinking Ability Evaluation Index System Scale for Medical Students,and Nurse-Patient Communication Ability Evaluation Scale for Nursing Students were used to investigate and compare the teaching effects between the two groups of students.Results:The total scores of the intervention group on humanistic care(91.39±3.97),clinical thinking(79.64±6.33),and nurse-patient communication(157.22±7.95)abilities were significantly higher than those of the control group(82.29±3.62,65.11±7.24,and 147.05±7.84,respectively),with statistically significant differences(P<0.01).Conclusion:This study confirms that integrating the dual teaching model of standardized patients and narrative nursing in experimental teaching of surgical nursing has significantly optimized the theoretical and practical structure of teaching strategies.This innovative teaching method provides a promotable paradigm for nursing humanities education and is of positive significance for improving the effectiveness of cultivating the core literacy of nursing talents.
基金Supported by National Natural Science Foundation of China,No.82272204 and No.824721882022 Key Clinical Specialty of Zhejiang Province(Critical Care Medicine)+4 种基金“Pioneer”and“Leading Goose”R&D Program of Zhejiang,No.2023C03084Wenzhou Major Science and Technology Innovation Project,No.ZY2023005Central Guiding Local Technology Development,No.2024ZY01012Zhejiang Provincial College Students'Science and Technology Innovation Activity Program,No.2024R413A037National Innovation and Entrepreneurship Training Program for College Students,No.202410343030.
文摘This study examines the integration of narrative medicine(NM)into primary healthcare(PHC)settings,evaluating its role in enhancing medical humanities education within grassroots healthcare institutions.Through a comprehensive literature review and case analysis,the research investigates the current state,challenges,and practical barriers to embedding NM into PHC systems,while proposing targeted strategies for improvement.The findings suggest that NM fosters stronger doctor-patient trust,enhances healthcare quality,and promotes humanistic care.However,primary hospitals face numerous challenges in advancing medical humanities,including a lack of trust between doctors and patients,tensions arising from the commercialization of healthcare,institutional limitations,unequal distribution of resources,and issues related to physicians'professional competencies and stress management.These interrelated obstacles detract from the quality of PHC services and the overall patient experience.Drawing on successful case studies from primary hospitals,the paper outlines effective strategies for overcoming these challenges.The study provides both theoretical and practical insights for advancing medical humanities in PHC,contributing to improvements in healthcare service quality and supporting the development of high standards in the healthcare sector.Ultimately,the findings aim to promote the broader adoption and ongoing refinement of NM within PHC institutions.
文摘Objective:To explore the effect of narrative nursing combined with exercise training on health beliefs and cardiac rehabilitation in patients with acute myocardial infarction(AMI)after interventional treatment.Methods:A total of 111 patients with acute myocardial infarction(AMI)who received interventional therapy in Department of Cardiology of Hefei First People’s Hospital from January 2022 to September 2023 were selected as the study subjects.They were randomly divided into a control group(n=55)and a study group(n=56)using a random table method.Both groups received routine nursing care,while the control group received exercise training on top of it.The study group received narrative nursing care on top of the control group.Both groups were intervened until the patients were discharged.The health beliefs,heart function,psychological status,and quality of life after intervention were compared between two groups using a 6-minute walk test(6MWT).Results:After intervention,the scores of the TSK-SV Heart in all dimensions(fear of movement,functional disorders,risk perception,and avoidance of movement)decreased in both groups,and the study group was lower than the control group,with a statistical significant difference(P<0.05).After intervention,the scores of the Self Rating Anxiety Scale(SAS)and Self Rating Depression Scale(SDS)in both groups decreased,and the study group was lower than the control group,with a statistical significant difference(P<0.05).After intervention,both groups showed an increase in left ventricular ejection fraction(LVEF)and left ventricular early diastolic peak flow velocity/left ventricular late diastolic peak flow velocity(E/A),with the study group being higher than the control group.The left ventricular end diastolic diameter(LVEDD)and left atrial volume index(LAVI)decreased,and the study group was lower than the control group,with statistical significant differences(P<0.05).The walking distance of the study group at 6MWT(488.8±31.4)m was greater than that of the control group(425.54±30.7)m,with statistical significant differences(P<0.05).The quality of life measurement scale(CROQ-PTCA-Post)of the study group after coronary intervention treatment had higher scores in all dimensions(physical function,satisfaction,psychosocial function,adverse reactions,symptoms,cognitive function)than the control group,with statistical significant differences(P<0.05).Conclusion:Narrative nursing combined with exercise training can enhance the health beliefs of AMI patients towards exercise training after intervention therapy,which is beneficial for cardiac rehabilitation and can improve psychological status and quality of life.
文摘This study examines the bidirectional shaping mechanism between short-video algorithms and film narratives within the attention economy.It investigates how algorithmic logic influences cinematic storytelling and how films,in turn,contribute to the aesthetic enhancement of short-video content.Drawing on Communication Accommodation Theory and Berry’s Acculturation Theory,along with case analyses and industry data,this research demonstrates that algorithms push films toward high-stimulus,fast-paced narrative patterns—characterized by increased shot density and structural fragmentation—to capture and retain viewer attention.Conversely,films counter this influence by supplying narratively deep and artistically refined content that elevates short-video aesthetics and encourages critical audience engagement.This dynamic reflects a process of mutual adaptation rather than one-sided dominance.The study concludes that such interaction signifies a broader restructuring of cultural production logic,facilitating cross-media convergence while simultaneously posing risks to cultural diversity due to the prioritization of high-traffic content.Balancing this relationship will require policy support,algorithmic transparency,and strengthened industry self-regulation to preserve artistic integrity and cultural ecosystem diversity.
基金the First Affiliated Hospital of Shihezi University(Project No.:HL202110)。
文摘Objective:To explore the effect of narrative nursing combined with positive reinforcement nursing intervention on the psychological state of patients with gynecological cancer chemotherapy.Methods:From January 2022 to December 2023,99 cancer patients with postoperative chemotherapy admitted to the Department of Gynecology in the author’s ClassⅲGrade A hospital were selected as the research objects,and they were divided into the control group(49 cases)and the observation group(50 cases)by random number method.The control group was intervened by the nursing model based on positive reinforcement theory,while the observation group received narrative nursing intervention measures on this basis.The self-rating Anxiety scale(SAS),self-rating depression scale(SDS),distress thermometer(DT),Pittsburgh sleep quality index(PSQI),and General Self-Efficacy Scale(GSES)were used to evaluate and compare the changes of various indicators between the two groups after intervention.Results:There were no significant differences in the scores of SAS,SDS,DT,PSQI,and GSES between the two groups at the time of intervention(P>0.05).After chemotherapy,the SAS,SDS,and DT scores of the observation group were significantly lower than those of the control group(P<0.05),and the PSQI and GSES scores were significantly better than those of the control group(P<0.01).Conclusion:Compared with the simple positive reinforcement nursing model,narrative nursing combined with positive reinforcement nursing intervention has more advantages in improving the mental health status of patients with gynecological cancer chemotherapy.It can significantly relieve the negative emotions,such as anxiety and depression of patients,effectively improve their self-efficacy level,optimize their sleep quality,and provide more comprehensive support for the physical and mental rehabilitation of patients.
基金Lingnan Normal University and College of Education’s university-level course-based ideological and political education demonstration project,“Course-Based Ideological and Political Education Demonstration Course for‘Women’s Social Work’”(Project No.:LSSZ202507)Undergraduate Innovation and Entrepreneurship Training Program project,“Sharing a Room,Healing Together:Leading the Way in‘Three-Shared,One-Community’Services for Patients’Family Members”(Project No.:X202410579028)。
文摘This study,conducted during an internship at the Tumor Hospital of S Province,employs a qualitative research paradigm.The primary research subjects were 11 hospitalized breast cancer patients,with data collected through semi-structured interviews and observation,followed by content analysis.The study aims to explore the disease experiences and life experiences of breast cancer patients,investigating what their illness means to them and whether it has led to a different understanding of the meaning of their lives.The findings reveal that the reconstruction of life meaning among breast cancer patients manifests as“new perceptions of existence,new attitudes toward life,and new life goals.”
文摘University German majors in Chinese universities constitute a vital force in cross-cultural communication and play an increasingly important role in effectively communicating China’s narrative to global audiences.Despite their linguistic advantages,these students still face challenges such as limited cultural literacy and insufficient intercultural communication competence.It is therefore essential to explore effective approaches for strengthening their ability to convey China’s narrative in accurate,compelling,and culturally attuned ways.This article discusses key pathways for enhancing this competence and offers insights relevant to curriculum development and talent cultivation in the field of international communication.
文摘On the evening of May 3Oth,the parallel forum"Equality and Inclusiveness&Harmonious Coexistence:Multi-dimensional Narratives of Civilisations from Writers'Perspective",as part of the 4th Dialogue on Exchanges and Mutual Learning among Civilisations,was held in Dunhuang.The forum was organised by the China Writers Association and co-organised by China National Publications Import&Export(Group)Corporation.
文摘At present,strengthening China’s international communication capabilities and enhancing China’s global influence have become important tasks.This study selects 60 pieces of soft news from China Daily from March 2023 to February 2024 as research objects and explores China’s national image from the source texts.Then,based on Mona Baker’s narrative theory,it analyzes the translation strategies to reconstruct the image of China,further revealing the regular characteristics of their application.Through translation,the reconstructed national image of China becomes more positive and more acceptable to foreign readers,effectively promoting the dissemination of Chinese stories in the international community.It is significant for promoting international understanding and cooperation,as well as effectively utilizing translation as a tool to enhance China’s national image.
文摘My creative focus and interest has always been the state of human existence.Compared with grand narratives,it is often the most inadvertent,subtle actions that become my entry point.I starl a dialogue with myself by carefully observing and deeply analyzing those subtle yet tense behaviors.Through this process,I discover and develop my own creative system to affirm the value of my existence in my work.
基金National Social Science Foundation of China (No. 21FSHB007)Guangdong Planning Office of Philosophy and Social Science (No. GD23XWY20)Humanities and Social Sciences Youth Foundation of Ministry of Education of China (No. 23YJCZH082)。
文摘In the realm of Chinese narrative medicine, narrative thinking holds equal significance to evidence-based thinking within clinical practice, making substantial contributions to patient safety and medical quality. Ancient Chinese medical theories advocate forging a narrative bond with patients, urging healthcare practitioners to utilize Dao Shu Jie He(道术结合 integration of Dao and techniques) and Yi Dao Yu Shu(以道驭术 guiding techniques with Dao) during diagnosis, treatment, and rehabilitation. In this context, Dao(道) in traditional Chinese medicine(TCM) corresponds to narrative thinking(叙事思维) while Shu(术) aligns with scientific thinking(科学思维) in evidence-based medicine. This study adopts “narrative Chinese medicine” within the “discourse system of Chinese narrative medicine” as its framework, centering on medical stories that exemplify the application of narrative thinking in ancient Chinese diagnosis and treatment. It delves into the narrative thinking encapsulated in Chinese medicine, such as Guan Wu Qu Xiang(观物取象 observing things and extracting information), Can He Er Xing(参合而行 final examination and decision by integrating the four diagnoses), Xing Shen Bing Zhi(形神并治 body-spirit treatment), Xin Shen Jian Li(心身兼理 mind-body balance) and Bian Zheng Lun Zhi(辨证论治 treatment based on pattern differentiation). The study endeavors to inspire contemporary medical educators and clinicians to acknowledge the value of narrative thinking in TCM and fully incorporate it into daily medical practice.
基金National Social Science Fund of China (No. 21FSHB007)Affiliated Shunde Hospital of Southern Medical University (No. SPSPSP2021024)。
文摘Narrative foreclosure is a phenomenon highlighted within the Chinese narrative medicine system, characterized by a state in which individuals become overly suspicious due to certain events in their development, leading to profound concerns about their health and safety. This article employs the logical discourse framework of Chinese narrative medicine to illustrate the experiences of various patients exhibiting typical instances of narrative foreclosure in traditional Chinese medicine(TCM) cases, such as Bei Gong She Ying(杯弓蛇影 to see a bow reflected in a cup as a snake), Wu Qiu Zhi Chong(吴球治虫 Wu Qiu treats worms), and Fa Jing Qu She(法靖驱蛇 Fajing drives away snakes). It explores how TCM practitioners leverage narrative wisdom to facilitate patients in dispelling their internal doubts through the concept of Bu Yao Wei Yao(不药为药 healing diseases without medicine). Through these medical cases, the article advocates for the significance of narrative competencies among medical practitioners in diagnosing and treating patients, alongside the use of pharmaceuticals and surgical interventions. Additionally, it outlines the prospects for the future development of narrative approaches in TCM.
文摘Spatial narrative,as a unique literary narrative technique,focuses on advancing the plot and shaping characters through meticulous portrayal of space,providing readers with rich visual and perceptual experiences.This paper examines the spatial narrative utilized in Jin Yucheng’s novel,Flowers of Shanghai.Through an in-depth analysis of the spatial narrative techniques in the novel,this paper asserts that such an exploration has far-reaching consequences in broadening research perspectives and fostering interdisciplinary collaborations between literature and geography.Furthermore,the paper explores the unique aspects of narrative perspective,narrative structure,and narrative time in Flowers of Shanghai,and how these elements perfectly combine with spatial narrative to create a fascinating literary world for readers.The aim of this study is to deeply explore the artistic value and literary charm of the novel through a comprehensive interpretation of the spatial narrative in Flowers of Shanghai.
文摘This article analyzes The Kite Runner with the help of spactial narrative. The novel will be analyzed from three angles—the function of spatial narrative, the basic unit of spatial narrative, the periphery of spatial narrative and the overall effect presented in the novel by using these narrative techniques.
文摘BACKGROUND Lung cancer is a common disease with high mortality,and psychological support is very important in the diagnosis and treatment of postoperative patients with cancer pain.AIM To explore the application effect of the narrative nursing method in postoperative lung cancer patients in the intensive care unit.METHODS A total of 120 patients diagnosed with lung cancer and experiencing cancer-related pain were randomly allocated into two groups:an observation group and a control group,each consisting of 60 cases.The control group was given routine analgesic and psychological care,while the research group applied the five-step narrative nursing method based on routine care,comparing the visual analogue scale scores,sleep status,anxiety and depression status,and quality of life of the two groups of patients before and after the intervention.RESULTS The pain scores,anxiety scores,and depression scores of the study group were lower than those of the control group after the intervention using the narrative nursing method,and the difference was statistically significant(P<0.05).CONCLUSION Using narrative nursing methods to intervene in patients with lung cancer combined with cancerous pain can help patients to correctly recognize their disease,adjust their mentality,establish confidence,alleviate patients'subjective pain feelings,and improve their adverse emotions.
文摘BACKGROUND Acute pancreatitis(AP),as a common acute abdomen disease,has a high incidence rate worldwide and is often accompanied by severe complications.Negative emotions lead to increased secretion of stress hormones,elevated blood sugar levels,and enhanced insulin resistance,which in turn increases the risk of AP and significantly affects the patient's quality of life.Therefore,exploring the intervention effects of narrative nursing programs on the negative emotions of patients with AP is not only helpful in alleviating psychological stress and improving quality of life but also has significant implications for improving disease outcomes and prognosis.AIM To construct a narrative nursing model for negative emotions in patients with AP and verify its efficacy in application.METHODS Through Delphi expert consultation,a narrative nursing model for negative emotions in patients with AP was constructed.A non-randomized quasi-experimental study design was used in this study.A total of 92 patients with AP with negative emotions admitted to a tertiary hospital in Nantong City of Jiangsu Province,China from September 2022 to August 2023 were recruited by convenience sampling,among whom 46 patients admitted from September 2022 to February 2023 were included in the observation group,and 46 patients from March to August 2023 were selected as control group.The observation group received narrative nursing plan,while the control group was given with routine nursing.Self-rating anxiety scale(SAS),self-rating depression scale(SDS),positive and negative affect scale(PANAS),caring behavior scale,patient satisfaction scale and 36-item short form health survey questionnaire(SF-36)were used to evaluate their emotions,satisfaction and caring behaviors in the two groups on the day of discharge,1-and 3-month following discharge.RESULTS According to the inclusion and exclusion criteria,a total of 45 cases in the intervention group and 44 cases in the control group eventually recruited and completed in the study.On the day of discharge,the intervention group showed significantly lower scores of SAS,SDS and negative emotion(28.57±4.52 vs 17.4±4.44,P<0.001),whereas evidently higher outcomes in the positive emotion score,Caring behavior scale score and satisfaction score compared to the control group(P<0.05).Repeated measurement analysis of variance showed that significant between-group differences were found in time effect,inter-group effect and interaction effect of SAS and PANAS scores as well as in time effect and inter-group effect of SF-36 scores(P<0.05);the SF-36 scores of two groups at 3 months after discharge were higher than those at 1 month after discharge(P<0.05).CONCLUSION The application of narrative nursing protocols has demonstrated significant effectiveness in alleviating anxiety,ameliorating negative emotions,and enhancing satisfaction among patients with AP.
