The puzzle of therapeutic emplotment
Creating a Shared Clinical Plot Through Interprofessional Interaction in Biopsychosocial Pain Rehabilitation
Bibliographic Data
| ID | 4767573 |
|---|---|
| Authors | Gudrun Songøygard Battin (OsloMet – Oslo Metropolitan University, corresponding author), Grace Inga Romsland (0000-0003-0424-5948, Sunnaas sykehus), Bruce Christiansen (0000-0001-7442-3266, OsloMet – Oslo Metropolitan University), Bjørg Christiansen |
| Year | 2021 |
| Volume | 277 |
| Pages | 113904 |
| Publication date | 2021-05-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Social Science & Medicine (JOURNAL) |
| Journal identifiers | ISSN: 0277-9536 • E-ISSN: 1873-5347 |
| Publisher | Elsevier BV (PUBLISHER) |
| DOI | 10.1016/j.socscimed.2021.113904 |
| PMID | 33839468 |
| OpenAlex | W3142492407 |
| Language | EN |
| References cited | 35 |
Interprofessional collaboration is increasingly encouraged and studied. However, there remains a need to broaden the understanding of professionals' contributions through their day-to-day interactions to minimize the impact of professional boundaries that evoke gaps in patient care. Drawing upon narrative theory emphasizing therapeutic emplotment, this ethnographic study explores how professionals contribute to interprofessional collaboration through social interactions during teamwork. Data collection was undertaken in a biopsychosocial pain rehabilitation ward in a hospital in Norway in 2016, and included participant observation of the ward-based work of two teams, and interviews with professionals from six professions (12) and patients (7). Formal and informal interprofessional interactions and patient encounters were observed. The study found that through interactions, the professionals' shared their understandings across all professions about the successfulness of their own work and of what outsider professionals were doing incorrectly when addressing patients from a biomedical approach. Imbued in these interactions were the pieces of an implicit shared clinical plot for their patients' journeys through rehabilitation and life afterwards. We argue that creating the shared clinical plot enhances conciliation across professions and interpersonal motivation to carry out the work. A struggle between perspectives in interprofessional collaboration should not be prematurely interpreted as an obstruction to collaboration, since the struggle can imbue essential narrative work. This extends the theoretical study of therapeutic emplotment as a central motivational process in interprofessional collaboration in teams
Biopsychosocial model · Interpersonal communication · Medical education · Narrative · Participant observation · Physical therapy · Psychotherapist · Sociology · Teamwork · Health Policy Implementation Science · Interprofessional Education and Collaboration · Medicine · Mental Health and Patient Involvement · Nursing · Psychology · Social Psychology · Rehabilitation
Qualitative interviewing
Healing Dramas and Clinical Plots
Analyzing Narrative Reality
The biopsychosocial model of illness
Working on working together. A systematic review on how healthcare professionals contribute to interprofessional collaboration
The Need for a New Medical Model
Narrative Reciprocity
Emerging Ethical Issues in Reproductive Medicine
Ethnography
Institutional Ecology, `Translations' and Boundary Objects
"Atrocity Stories" and Professional Relationships
Using thematic analysis in psychology
Narrating Nursing Jurisdiction
Leadership, Service Reform, and Public-Service Networks
This is Not a Boundary Object
Oncology and narrative time
The concept of therapeutic 'emplotment
The struggle to improve patient care in the face of professional boundaries
From boundary concept to boundary object
In the subjunctive mode
Imperfect Angels
Constructing Hope
Theory Construction in Qualitative Research
Nut clusters and crisps
| Citation velocity | historical |
|---|---|
| Highly cited | No |