We have organized this book to reflect our own journey with the narrative.
Chapter 1, “Creating a Narrative Culture,” describes the importance of building a foundation of the narrative by building it into the fabric of the organization. This chapter discusses the development of our Clinical Recognition Program (CRP); the themes and criteria for the program were created through the narratives of PCS clinicians in six disciplines.
Chapter 2 defines the first theme of the CRP, “clinician–patient relationship,” as the “interpersonal engagement or relational connection between the clinician and the patient and/or family.” We share narratives from clinicians across the disciplines, commentary, and reflective questions the narrative raises.
In Chapter 3, the theme “clinical knowledge and decision-making” is defined as the “understanding attained through formal and experiential learning” and is explored through narratives we share from clinicians across the disciplines, through commentaries, and through reflective questions.
In Chapter 4, the theme “teamwork and collaboration” is defined as “through the development of effective relationships with unit-based colleagues and other members of the healthcare team, the best possible outcome is achieved for the patient and family.” As with the other chapters, the theme is explored through narratives we share from clinicians across the disciplines, through commentaries, and through reflective questions.
In Chapter 5, “Movement,” the theme is specific to occupational therapy and physical therapy. The theme is defined as “through observation, palpitation, and touch the therapist uses knowledge and skill to assess the patients’ functional ability” and is explored through narratives, commentaries, and reflective questions.
In Chapter 6, “Strategies to Hardwire a Narrative Culture,” we share what has helped us embed the use of narratives across MGH.