Przyczynek do wykorzystania perspektywy narracyjnej w zarządzaniu ochroną zdrowia
Contribution to the use of narrative perspective in health care management

Analysis of patient care during caesarean section

Author(s): Joanna Kacperczyk-Bartnik, Tomasz Ochinowski
Subject(s): Business Economy / Management
Published by: Wydawnictwa Uniwersytetu Warszawskiego
Keywords: cesarean section; narrative medicine; crew resource management; healthcare
Summary/Abstract: This chapter proposes the use of narrative medicine for the purposes of health care management. Narrative medicine enables the supplementation of clinical evidence based medicine with additional reflection and empathy, which contributes to achieving higher levels of professionalism. This part of the book presents the narrative perspective, established in four specific examples of stories on the Caesarean section. It addresses issues of teamwork, the role of information flow between team members, the hierarchy of positions, the assignment of tasks based on knowledge and skills, mutual control and an in-depth assessment of the current obstetric situation, as well as the affirmation of the continuity of care. The analysis based on examples allows us to accurately trace the events from the perspective of individual characters, along with the genesis of possible shortcomings and the formulation of universal conclusions. As a result, efforts can be made to achieve the best use of the potential of the whole medical team, the optimal division of tasks according to competencies and the increase of the quality and efficiency of the provided work. High interpersonal skills assist in appropriate co-operation between team members representing various medical professions.

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