119 A NM intervention on the OB-GYN work floor using site-specific poetry Table 3: Themes for the NM training series. Category Narrative theme 1. Individual Shame and stigmatization: Concerns related to personal well-being, selfconfidence, work/life balance 2. Department Diversity and inclusion: Gender bias in care, ethnic background, disability, gender, feeling scrutinized by the gaze of others 3. Healthcare system (Mis)communication: Sensemaking and recovery 4. Society Community and belonging: Invisible healthcare providers and patients, longing to be taken seriously 5. Global Environment and sustainability: Impact of treatment plans, feeling closed in within a shrinking space Discussion Our study explored OB-GYN professionals and patients’ reactions to a site-specific poem used as part of a NM session. The session aimed to promote meaningful discussions on sensitive OB-GYN topics in a teaching hospital. OB-GYN professionals and patients’ reactions to the site-specific poem and NM format were positive and they reported willingness to participate in future NM sessions. Based on these findings we conclude that an art-based narrative medicine training on OB-GYN topics is both feasible and appropriate for this setting. We would now like to consider our findings in relation to previous research and highlight possible opportunities to implement a multidisciplinary art-based NM training session in other OB-GYN settings. In accordance with previous research (21, 37, 48-50), our results indicate that it’s possible to implement NM training sessions in clinal units like the OB-GYN division at the Gelre hospitals, and it that healthcare professionals and patients are willing to participate. Those who attended a session found the experience engaging and valued seeing themselves or situations through the lens of literary representation—in this case, a site-specific commissioned poem. This artwork allowed space for diverse perspectives on sensitive topics like shame and gender inequity. Participants interpreted the poem in a variety of ways and connected the content to their own professional and personal experiences in a variety of ways (23, 32, 51).This research enriches our understanding of the role arts-based interventions can play in interprofessional workshops and training sessions (25, 27). As a lasting reminder of the co-creative process and NM workshop, a verse of the poem now hangs in the waiting room and is read daily by professionals, patients and their families (43). In addition, participants reported that they greatly appreciated the opportunity to form new interprofessional connections with colleagues and discuss topics related to OB-GYN healthcare using their own written reflections as a guide (9, 52, 53). Additionally, the NM session met or exceeded participants’ expectations; this was repeatedly mentioned during the postintervention interviews, both in relation to the diversity in perspectives and opportunity for interprofessional dialogue. These findings are consistent with the results of previous qualitative research, which have stressed the important role story-telling plays in making sense of social determinants of health, disease, and lived experiences (8, 30, 31). 7
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