Show simple item record

dc.contributor.authorWarmington, Sally
dc.contributor.authorJohansen, May-Lill
dc.contributor.authorWilson, Hamish
dc.date.accessioned2022-08-09T09:24:22Z
dc.date.available2022-08-09T09:24:22Z
dc.date.issued2022-02-17
dc.description.abstractObjectives To explore medical students’ reflective essays about encounters with residents during preclinical nursing home placements.<p> <p>Design Dialogical narrative analysis aiming at how students characterise residents and construct identities in relation to them. <p>Setting Medical students’ professional identity construction through storytelling has been demonstrated in contexts including hospitals and nursing homes. Some preclinical students participate in nursing home placements, caring for residents, many living with dementia. Students’ interactions with these residents can expose them to uncontained body fluids or disturbing behaviour, evoking feelings of disgust or fear. <p>Participants Reflective essays about experiences as caregivers in nursing homes submitted to a writing competition by preclinical medical students in New Zealand. <p>Results Describing early encounters, students characterised residents as passive or alien, and themselves as vulnerable and dependent. After providing care for residents, they identified them as individuals and themselves as responsible caregivers. However, in stories of later encounters that evoked disgust, some students again identified themselves as overwhelmed and vulnerable, and residents as problems or passive objects. We used Kristeva’s concept of abjection to explore this phenomenon and its relationship with identity construction. <p>Conclusions Providing personal care can help students identify residents as individuals and themselves as responsible caregivers. Experiencing disgust in response to corporeal or psychic boundary violations can lead to abjection and loss of empathy. Awareness of this possibility may increase students’ capacity to treat people with dignity and compassion, even when they evoke fear or disgust. Medical education theory and practice should acknowledge and address the potential impact of strong negative emotions experienced by medical students during clinical encounters.en_US
dc.identifier.citationWarmington S, Johansen M, Wilson H. Identity construction in medical student stories about experiences of disgust in early nursing home placements: A dialogical narrative analysis. BMJ Open. 2022;12(2)en_US
dc.identifier.cristinIDFRIDAID 2007578
dc.identifier.doi10.1136/bmjopen-2021-051900
dc.identifier.issn2044-6055
dc.identifier.urihttps://hdl.handle.net/10037/26032
dc.language.isoengen_US
dc.publisherBMJen_US
dc.relation.journalBMJ Open
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2022 The Author(s)en_US
dc.titleIdentity construction in medical student stories about experiences of disgust in early nursing home placements: A dialogical narrative analysisen_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


File(s) in this item

Thumbnail

This item appears in the following collection(s)

Show simple item record