The Clinical Narrative is a tool that allows therapists to describe their practice within a specific case (over a number of days or treatment sessions) or at a specific point in time. The Clinical Narrative is a document written in an informal manner in the first person used to facilitate reflection regarding practice and to provide opportunities in which to show a therapist's practice level across the themes and sub themes of the Practice Model Continuum. The Clinical Narrative provides the writer with the opportunity to address critical components of care including communication, teamwork, patient advocacy, critical thinking skills and other areas.
What is a Clinical Narrative?
- It is a story written from the therapist's perspective describing a specific clinical case that happened within the last year;
- It provides the therapist with a tool for self reflection on their current practice;
- It enables the therapist to depict her/his current clinical practice; and
- It presents information in a way that promotes discussion with colleagues.
What should the Clinical Narrative be about?
- A patient interaction in which your intervention made an impact on the patient's outcome;
- A situation that was challenging or particularly meaningful to you, but could also be rather ordinary in nature, as an example of your current practice; or
- A situation that you frequently experience that highlights your role in the patient care team that gives you new insight into your role as a therapist.
What should be included in the Clinical Narrative?
- A detailed account of the case that helps the reader to visualize and understand the situation even if they are unfamiliar with your specific clinical role;
- A discussion of your thoughts, feelings and actions surrounding the situation - your description should indicate the rationale for your actions;
- Aspects of the situation that concerned you at the time;
- Why this situation was important to you;
- Conversations you had with others including, but not limited to the patient, family members and the patient care team.
What are some of the tips for writing an effective Clinical Narrative?
- Present the story from your point of view, changing the patient's name and any other identifying information;
- You may find it helpful to review the story with a colleague who is familiar with the patient's case;
- Have someone who is unfamiliar with the patient read your Narrative to identify areas that lack clarity;
- Include your thought and decision making process to help illustrate how and why you made your choices in this situation as it took place.
- Be specific. Give the reader an accurate picture of the situation. Avoid general or summary statements.
Sample Clinical Narratives
UW Health Examples
Physical Therapist, Acute Care, Sample 1
Benner P. From Novice to Expert: Excellence and Power in Clinical Nursing Practice. Addison-Wesley Publishing Company. 1984; 2001.
Jensen GM, Gwyer JM, Hack LM, Shepard KF. Expertise in Physical Therapy Practice. Second Edition. St. Louis: Saunders. 2007.
Mattingly C. Healing dramas and clinical plots: The narrative structure of experience. Cambridge University Press. 1998.