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      Auto-etnografia de un error médico. Una mirada desde adentro Translated title: A self-ethnography of the medical errors. At looking from inside

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          Abstract

          Resumen Los errores médicos son desafortunados, pero parte ineludible de la práctica médica. El trabajo trata de evidenciar cuáles son los factores culturales, sociales y políticos de la comunicación de los efectos adversos. Se narran las prácticas y discursos desde una doble perspectiva: desde la experiencia como enfermera, y desde la vivencia como paciente, tras haber sufrido un error médico. Se discute el concepto de auto-etnografía, como recurso metodológico para la realización de un análisis desde el punto de vista de la enfermería. Y el impacto de los efectos adversos, desde la mirada activa y participativa de la autora. En la comunidad asistencial, la implementación de una cultura de comunicación, reconocimiento y disculpa del error, supone abordar barreras tanto culturales y legales, así como también facilitar herramientas comunicativas a los profesionales.

          Translated abstract

          Abstract Medical errors are unfortunate, but are unavoidable in medical practice. The work deals with the cultural, social and political factors, which show the communication of the adverse effects. The work narrates the practice and speech from a dual perspective; from the experience as a nurse and from the patient's life lessons of having suffered a medical error. They discuss the concept of self-ethnography as methodological resources for the realization of an analysis from the viewpoint of the nurse, and the impact of the adverse effects from a quick active glance and with the author's participation. In the care community, the implementation of the communication culture, recognition and forgiveness of the error, deal with possible barriers, cultural as well as legal, and also the communication tools of the professionals.

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          Most cited references18

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          Human error: models and management

          J. Reason (2000)
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            Phenomenology and its application in medicine.

            Havi Carel (2011)
            Phenomenology is a useful methodology for describing and ordering experience. As such, phenomenology can be specifically applied to the first person experience of illness in order to illuminate this experience and enable health care providers to enhance their understanding of it. However, this approach has been underutilized in the philosophy of medicine as well as in medical training and practice. This paper demonstrates the usefulness of phenomenology to clinical medicine. In order to describe the experience of illness, we need a phenomenological approach that gives the body a central role and acknowledges the primacy of perception. I present such a phenomenological method and show how it could usefully illuminate the experience of illness through a set of concepts taken from Merleau-Ponty. His distinction between the biological body and the body as lived, analysis of the habitual body, and the notions of motor intentionality and intentional arc are used to capture the experience of illness. I then discuss the applications this approach could have in medicine. These include narrowing the gap between objective assessments of well-being in illness and subjective experiences which are varied and diverse; developing a more attuned dialogue between physicians and patients based on a thick understanding of illness; developing research methods that are informed by phenomenology and thus go beyond existing qualitative methods; and providing medical staff with a concrete understanding of the impact of illness on the life-world of patients.
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              Lying Informants: A Fieldwork Experience from Ghana

              Wolf Bleek (1987)
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                Author and article information

                Journal
                index
                Index de Enfermería
                Index Enferm
                Fundación Index (Granada, Granada, Spain )
                1132-1296
                1699-5988
                June 2020
                : 29
                : 1-2
                : 60-64
                Affiliations
                [1] Terres de l'Ebre Tortosa orgnameUniversidad Rovira i Virgili orgdiv1Facultad de Enfermería España
                Article
                S1132-12962020000100014 S1132-1296(20)02900100014
                845d0be3-db49-4107-97a9-084299986b80

                This work is licensed under a Creative Commons Attribution-NonCommercial 3.0 International License.

                History
                : 29 October 2019
                : 12 December 2019
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 29, Pages: 5
                Product

                SciELO Spain

                Categories
                Historia y Vida

                Ética Profesional,Seguridad del Paciente,Barreras de Comunicación,Fenomenología,Errores Médicos,Auto-etnografía,Ethics Professional,Patient Safety,Communication Barriers,Phenomenology,Medical Errors,Autoethnography

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