Epistemic injustices in clinical communication: the example of narrative elicitation in person‐centred care

作者: Öncel Naldemirci , Nicky Britten , Helen Lloyd , Axel Wolf

DOI: 10.1111/1467-9566.13209

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摘要: The increasing popularity of the term 'person-centred' in healthcare literature and a wide range ideals practices it implies point to need for more inclusive holistic provision. A framework developed Swedish context suggested narrative elicitation as key practice transition person-centred care. Initiating clinical communication by inviting people tell their stories makes persistent yet often subtle problems visible. By drawing upon an observational study on vignette-based focus group interviews with nurses, our aim is trace 'credibility deficits' (Fricker 2007. Epistemic Injustice. Power Ethics Knowing. Oxford: Oxford University Press) excesses' (Medina 2011, Social Epistemology, 25, 1, 15-35, 2013, Epistemology Resistance: Gender Racial Oppression, Injustice, Imagination. elicitation. We argue that may be one way tackle epistemic injustices giving voice previously silenced groups, not enough erase effects communication. Rather than judging individual professionals' success or failure eliciting narratives, we underline some extrinsic elicitation, namely structural positional inequalities reflecting credibility patients. 'Credibility can useful indicative better understand where they are missing.

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