How to Write a Clinical Narrative Piece of Writing?

How to Write a Clinical Narrative Piece of Writing?

June 8, 2020 Nursing Essay Writing 0
How to Write a Clinical Narrative Piece of Writing

A clinical narrative is a kind of written statement of current nursing practice. It is a document of how you gave care for a family and patient. This might be how you prepared a family or a patient for something that modified their lifestyle when they came back home like an amputation. Or it might be the way you assisted the young couples in preparation for the death of their child suffering from cancer. 


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The narrative is the patient care situation story that is meaningful to you. It is the one which made you mirror on your practice, and might continue to impact your practice when you face similar situations. This is a proper example of how your compassion and care made a difference in a certain family/patient outcome. You may say that you advanced in your pro practice as a result of such an experience, that the interventions and relationship you shared reinforced the things you really believed in.

What is the target of clinical narrative?
In simple words, the target of the clinical narrative is to make your practice visible and articulate nursing. The aim is also to see the development and growth you have done over time. This narrative helps you reflect on your practice.

✏️ What must I write about my practice?

Often nurses do not know their contributions to the family and patient care. They might not see the ways the situation may have been handled in a different way or missed opportunities. When you write about the experience and share it with your peers, you might see your growth as a pro. You also get direction for widening your clinical practice. Composing about your clinical practice assists you in reflecting on that practice and relate your experience to certain patient care situations in the nearest future. It also pours light on the skills you have now.

▶️ How should I start to write the clinical narrative?

Think of your primary patient. What do you remember about them? This might be a patient you took care of last week, yesterday, or within the past year. What was the way you interacted with him or her? It is not important to write about a certain life-threatening situation only. Select the one, involving your relationship with the family and patient. What were the things you and your patient were planning to do? What choices did you make? Try to make the reader understand your practice.

💁 Should I compose the narrative, utilizing the word “I”?

Yes, you should. Utilize the first-person narrative. It is always complicated to write about ourselves. However, think in terms of yourself to describe your practice. You are the person who made the difference. Use the word “I” and talk about it.

👉 What must I do after I choose a patient to write about?

Write your story, sitting down in a quiet place:

  1. Set the scene. Help the reader visualize the situation and your patient. Jot down a few opening paragraphs.
  2. Include yourself early in this scene. 
  3. Tell about the things you did, your thoughts, and choices. Write 2-3 sentences. The task should be ongoing, grounded on the feedback during the family and patient intervention.
  4. Make sure there are the beginning and the end. The reader must be aware of what happened as an outcome of your intervention, what this case says about your overall practice and means to you.
When you proceed with the story, tell about the role you had with this patient, your evaluation of the care that was given, the way you involved the family and patient, and also the advocacy role that you played with the patient. Include a certain reason why you made specific choices. Define your thought process. Tell about the way you extended your intervention outside the clinics and mobilized your resources. When you write the narrative, you will understand the way your care impacted the patient’s outcome.

The clinical narrative writings must include the following: 

  • Identifier of a patient.
  • Sex and age of the patient, general patient clinical condition.
  • The disease that was treated with its duration.
  • Previous or relevant illnesses with details of duration or occurrence.
  • Previous or relevant medication with dosage details.
  • Administered test drug, including the length of time and dose.

⚓ Location and format for narratives

Regarding the location and format, the guidance is less specific. No cut-off should be specified. The author offers that 5 or fewer narratives might clearly and logically be reported in the text. Though, it depends on several factors that include the flow of data in the CSR, relevant course of events, the complexity of reporting, and the therapeutic area. If you doubt, we recommend the narratives to be prepared like separate docs.

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💭 Additional considerations

patient safety narratives approximate number

It is necessary to define the patient safety narratives approximate number to be made early in the planning process. This identifies the narrative format and influences the timing of production. If the safety patient narratives are written from draft information prior to database lock, the updates are needed based on the final information. Such an approach might consume more time than just preparing all the narratives after the database lock. However, it is more feasible for such projects where a big number of narratives are supposed to be drafted in a short span. Proper communication is important for any project’s success. However, it is particularly necessary for the projects that include the preparation of the huge patient safety narratives number. There must be a proper understanding of the requirements by each party and agreement of the main principles prior to the project start and the scope. 

📊 Source information

A medical writer will utilize different sources of data when conducting narrative writing in clinical research. It includes Data Clarification Forms (DCFs), MedWatch forms, Case Report Forms (CRFs), Council for International Organizations of Medical Sciences (CIOMS) forms, and clinical database listings.

Since pieces of source information are captured during the study conduct and the narratives are prepared often prior to the database lock and reconciliation, a medical writer can define information discrepancies between other sources and the clinical study database. The situation is difficult because CIOMS forms are being updated during a clinical study. A medical writer should evaluate the effect of any discrepancies and give feedback to the sponsor, helping with the information cleaning process. 

📅 Process

The narrative production process is different from company to company. It depends on a small degree on if the reporting is made by a Clinical Research Organization (CRO) or internally. When necessary numbers of narratives are needed, it is important to develop a template, defining overall content and structure, and obtain the approval from all the stakeholders prior to the initiation of work. The consideration in the template must be provided to a number of factors that include the relevance of concomitant medications and specific medical history, date format, sentence structure, the order of data, using of generic or trade names for medications, and if normal ranges must be included for all or some laboratory test results. 

A comprehensive template that is flexible enough to meet sponsor requirements when maintaining internal consistency is such an effective device. Nevertheless, care must be taken to make sure all writers understand the template’s limitations and feel able to deviate from it as information need for transparent reporting.

We recommend the patient safety narratives should be written this way:

  • Preparation of the 1st draft narrative from subject/patient information by the medical writer.
  • Editorial and scientific peer review to check whether the doc is complete, accurate, consistent with all the requirements, and across all the docs by the CRO project lead.
  • Draft narrative clinical review. This must be done by designate or sponsor, even though the CRO can give this service as it is important to be.
  • Medical writer revision grounded on clinical review. 
  • Quality control review grounded on final subject/patient information. Provided the huge number of narratives needed for the small size of every doc relative to the CSR and individual studies, we recommend a single Quality control review be done towards the process end, not just review of the 1st draft and final one.
  • Medical writer revision grounded on Quality control review findings.
  • The sponsor’s approval after a final review.

In doing medical writing, you should collect all data sources. Narrative projects suppose regulatory requirements. When conducting clinical trial you should make sure the narrative writing process is performed well. Do not ignore quality control QC. For clinical study reports (СSRs) you will need some special interest in events experienced. Also, when you study drugs, do not forget to ask the patient family whether the patient has no allergy to it. 

📝 How do you compose a nursing narrative?

Make sure your clinical nursing narrative includes all the necessary details. Try to mention all the things you think are important. Try to add every single detail and relevant data regarding the patient. Remember: the more accurate you are, the better the nursing narrative is. First of all, set the scene. Secondly, involve yourself early in this scene. Thirdly, tell what you thought and what you did. 

📃 What is a nursing narrative paper example?

nursing narrative paper example

📋 What does the narrative mean in the medical terms?

It means you are as a nurse able to analyze and evaluate your progress in your profession. So you will develop and grow further. Many stories are being told in medicine. Patients tell a story about a concern or symptom. It is a story that features several variations in language, context, the way it is told, and the person telling it.

Created by potrace 1.16, written by Peter Selinger 2001-2019

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