Patient-centered care: Kleinman's Mini-Ethnography

Submitter Information

Author: Lisa Day, RN, PhD
Title: Assistant Clinical Professor
Institution: UCSF, School of Nursing, Dept. of Physiological Nursing
Email: lisa.day@nursing.ucsf.edu

Competency Category(s)
Patient-Centered Care

Learner Level(s)
Graduate Students, New Graduates/Transition to Practice, Pre-Licensure ADN/Diploma, Pre-Licensure BSN, RN to BSN

Learner Setting(s)
Clinical Setting

Strategy Type
Paper Assignments

Learning Objectives

Students will:

  1. demonstrate skills in hearing patients’ and family members’ stories of living with illness.
  2. identify their own explanatory models of illness and disease.
  3. demonstrate attitudes that reflect a desire to cultivate cultural humility and cultural competence in nursing practice.

Strategy Overview

Students are assigned to read the article, Anthropology in the Clinic: The Problem of Cultural Competency and How to Fix It by Arthur Kleinman and Peter Benson1 freely available by open access online and as a pdf attached here . Based on the “mini ethnography” described by Kleinman and Benson, students then interview a patient/client or family member of a patient/client in their clinical site to elicit the narrative of their illness experience. Students can use the interview guide attached and, depending on the restrictions imposed by the clinical site, tape record their interviews. Sugar daddy websites – Bes… If tape recording is not possible, students are encouraged to take detailed written notes. Drawing on notes from their interview, students then write one paper that is the narrative of the illness from the perspective of the interviewee and another paper that describes the students own explanatory model.

Submitted Materials

Additional Materials

Evaluation Description