Japan has an advanced healthcare system, on par with any developed country;at the same time, it is challenged by a rapidly aging population. In line with other countries, medical and paramedical training differs from ...Japan has an advanced healthcare system, on par with any developed country;at the same time, it is challenged by a rapidly aging population. In line with other countries, medical and paramedical training differs from college or university to when the graduates start working in the hospital wards;it seems like a new career to freshmen. Rehabilitation draws together the most varied professional teams treating patients from a range of specialists, and physical therapists generally receive very little intra-workplace skills training. The aim of this paper is to develop the first of a two-part educational model that is useful for the professional development of therapists working in rehabilitation medicine, by incorporating, at least, Shared Decision-Making and Narrative-Based Medicine. The most productive systems of analysis are Bloom’s psychomotor taxonomy and the Japanese DIKW system. The Japanese DIKW model of “chishin”, which is based on Data, Information, Knowledge, and Wisdom, is similar to the professional attitude and rehabilitative mindset in the healthcare system, the convalescent rehabilitation wards. The individual, departmental, and hospital levels could all benefit from aspects of these systems. Rehabilitative medicine in Japanese terms is presented as a holistic medical care that heals the body and mind and restores dignity, such as personality and self-confidence, and it is also a place where unique Japanese cultural concepts such as “Ikigai” (reason to live) and “Omotenashi” (hospitality) can be nurtured as professional awareness.展开更多
NBM(Narrative based medicine)即叙事医学,就是通过和患者进行叙述性对话,了解疾病发生的原因、病情进展情况以及患者自身对疾病的认识,帮助患者反思、重构生命的价值体系。本研究建议通过向康复治疗专业学生传授NBM的基础知识,教授NB...NBM(Narrative based medicine)即叙事医学,就是通过和患者进行叙述性对话,了解疾病发生的原因、病情进展情况以及患者自身对疾病的认识,帮助患者反思、重构生命的价值体系。本研究建议通过向康复治疗专业学生传授NBM的基础知识,教授NBM的临床实践课以及培养学生抓住患者叙述主题这三个步骤,让学生正确认识NBM,指导康复治疗专业学生把NBM运用到以后的临床中。展开更多
文摘Japan has an advanced healthcare system, on par with any developed country;at the same time, it is challenged by a rapidly aging population. In line with other countries, medical and paramedical training differs from college or university to when the graduates start working in the hospital wards;it seems like a new career to freshmen. Rehabilitation draws together the most varied professional teams treating patients from a range of specialists, and physical therapists generally receive very little intra-workplace skills training. The aim of this paper is to develop the first of a two-part educational model that is useful for the professional development of therapists working in rehabilitation medicine, by incorporating, at least, Shared Decision-Making and Narrative-Based Medicine. The most productive systems of analysis are Bloom’s psychomotor taxonomy and the Japanese DIKW system. The Japanese DIKW model of “chishin”, which is based on Data, Information, Knowledge, and Wisdom, is similar to the professional attitude and rehabilitative mindset in the healthcare system, the convalescent rehabilitation wards. The individual, departmental, and hospital levels could all benefit from aspects of these systems. Rehabilitative medicine in Japanese terms is presented as a holistic medical care that heals the body and mind and restores dignity, such as personality and self-confidence, and it is also a place where unique Japanese cultural concepts such as “Ikigai” (reason to live) and “Omotenashi” (hospitality) can be nurtured as professional awareness.
文摘NBM(Narrative based medicine)即叙事医学,就是通过和患者进行叙述性对话,了解疾病发生的原因、病情进展情况以及患者自身对疾病的认识,帮助患者反思、重构生命的价值体系。本研究建议通过向康复治疗专业学生传授NBM的基础知识,教授NBM的临床实践课以及培养学生抓住患者叙述主题这三个步骤,让学生正确认识NBM,指导康复治疗专业学生把NBM运用到以后的临床中。
