120 Chapter 7 Limitations and implications for clinical practice First, our findings are limited by the fact that joining our study requires certain cognitive linguistic skills; it does not encompass other modes of communication such as visual or auditory modalities. It is important to explore and accommodate for these variations in future research to develop a full picture on the experiences of those who are unable to engage in reflective writing. Second, our study was conducted in a high-income country with an advanced health care system; this undoubtedly impacts both the content and nature of the discussions about sensitive topics. Despite these limitations, our findings offer further support for the benefits of narrative medicine in healthcare as a feasible means of facilitating multidisciplinary dialogue and discussion on the work floor about taboo and sensitive topics (16-18, 21). The artistic collaboration resulted in a site-specific piece of artwork that is recognizable and valued by patients and healthcare providers alike (12). We can also confirm that writing and discussing together can help facilitate a sense of community and can provide a meaningful space for emotional and moral support and can contribute to professional development (13, 22-25). Furthermore, the creative writing and sharing proved to be an effective means for healthcare providers to express and empathize with powerful thoughts, emotions, and experiences (11, 12, 54),. CONCLUSION The findings of this study revealed that implementing the NM approach with a site-specific poem in a clinical gynecological setting could be feasible and useful to facilitate meaningful discussions on sensitive topics related to OB-GYN healthcare between patients and healthcare providers.
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