ABSTRACT

LEARNING ABOUT ASKING CLINICAL QUESTIONS The Transition from a Narrative Dilemma to a Clinically Relevant Question We ended the last chapter by demonstrating how a narrative competent clinician overrides their impulses to seek a diagnosis by training themselves to listen to the patient’s story. The story, or narrative, has a certain structure and is usually told for a specific purpose. This chapter begins by trying to find the question that will resolve the narrative dilemma for the patient. At each and every step of this care process it is important to get it right or subsequent efforts become inefficient, unhelpful, or wrong. So how do we turn the patient’s narrative dilemma into an appropriate question that can be answered by using evidence?