{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T14:45:05Z","timestamp":1791902705078,"version":"4.3.4"},"reference-count":29,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T00:00:00Z","timestamp":1791676800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T00:00:00Z","timestamp":1791676800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Nurs Ethics"],"abstract":"<jats:p>\n                    Narrative medicine has emerged as an influential framework in contemporary healthcare, arguing that attending to patients\u2019 stories improves the quality of clinical practice and ethical reasoning. Yet the conversation surrounding narrative practice has developed largely within medicine, leaving nursing positioned as a secondary site of application rather than a primary source. This paper challenges that positioning. The paper argues that\n                    <jats:italic toggle=\"yes\">narrative nursing<\/jats:italic>\n                    is not an extension of narrative medicine but a primary ethical practice in its own right, grounded in nursing\u2019s unique structural capacity for sustained, embodied presence at the site where illness stories unfold. The argument develops across three interlocking dimensions. The first establishes the conceptual foundations of narrative practice in healthcare, tracing a genealogy that extends beyond the most cited frameworks to include the contributions of Kleinman, Frank, and Benner. This genealogy suggests that nursing\u2019s relationship to narrative practice is not derivative but constitutive. The second examines nursing\u2019s structural position. Continuity, embodied presence, and relational depth are not features that nursing needs to acquire; they are its defining characteristics, and they are precisely the conditions under which illness stories can be told and heard. The third develops the ethical argument. Hearing a patient\u2019s story is an act of epistemic justice, moral witnessing, and relational care. Nursing\u2019s structural position makes it the discipline positioned to perform that act, drawing on the traditions of care ethics and the relational foundations already embedded in nursing practice. The paper concludes by arguing that\n                    <jats:italic toggle=\"yes\">narrative nursing<\/jats:italic>\n                    has the potential to make a distinctive contribution to clinical ethics, one grounded in sustained, relational presence rather than in episodic encounter. The implications for nursing education, clinical practice, and professional identity are considered.\n                  <\/jats:p>","DOI":"10.1177\/09697330261490914","type":"journal-article","created":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T11:41:42Z","timestamp":1791718902000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Narrative nursing: A primary ethical practice"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5436-3961","authenticated-orcid":false,"given":"Hasan","family":"Erbay","sequence":"first","affiliation":[{"name":"Afyonkarahisar Health Sciences University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,11]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/104973200129118499"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1093\/oso\/9780195166750.001.0001"},{"key":"e_1_3_4_4_2","first-page":"19658","article-title":"Narrative medicine in ethics education: from theory to practice","volume":"18","author":"Erbay H","year":"2025","unstructured":"Erbay H. Narrative medicine in ethics education: from theory to practice. J Med Ethics Hist Med. 2025; 18: 19658. https:\/\/doi.org\/10.18502\/jmehm.v18i9.19658","journal-title":"J Med Ethics Hist Med"},{"key":"e_1_3_4_5_2","volume-title":"The illness narratives: suffering, healing, and the human condition","author":"Kleinman A","year":"1988","unstructured":"Kleinman A. The illness narratives: suffering, healing, and the human condition. Basic Books, 1988."},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000446-198412000-00027"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11017-025-09713-6"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.2147\/AMEP.S350246"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/nin.70090"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1111\/1467-9566.13209"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1111\/nup.70038"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1177\/0969733012462050"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1093\/acprof:oso\/9780198237907.001.0001"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2026.109643"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11019-025-10285-4"},{"key":"e_1_3_4_16_2","doi-asserted-by":"publisher","DOI":"10.1136\/jme-2022-108630"},{"key":"e_1_3_4_17_2","doi-asserted-by":"publisher","DOI":"10.1002\/hast.263"},{"key":"e_1_3_4_18_2","doi-asserted-by":"publisher","DOI":"10.1177\/09697330231209295"},{"key":"e_1_3_4_19_2","doi-asserted-by":"publisher","DOI":"10.1177\/09697330251326235"},{"key":"e_1_3_4_20_2","volume-title":"Caring: a feminine approach to ethics and moral education","author":"Noddings N","year":"1984","unstructured":"Noddings N. Caring: a feminine approach to ethics and moral education. University of California Press, 1984."},{"key":"e_1_3_4_21_2","doi-asserted-by":"publisher","DOI":"10.4159\/9780674037618"},{"key":"e_1_3_4_22_2","first-page":"79","volume-title":"Nursing: images and ideals","author":"Gadow S","year":"1980","unstructured":"Gadow S. Existential advocacy: philosophical foundation of nursing. In: Spicker SF, Gadow S (eds). Nursing: images and ideals. Springer, 1980, pp. 79\u2013101."},{"key":"e_1_3_4_23_2","doi-asserted-by":"publisher","DOI":"10.1111\/jan.15794"},{"key":"e_1_3_4_24_2","doi-asserted-by":"publisher","DOI":"10.26900\/hsq.3215"},{"key":"e_1_3_4_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.mnl.2018.12.002"},{"key":"e_1_3_4_26_2","first-page":"13","article-title":"An integrated narrative nursing model: towards a new healthcare paradigm","volume":"87","author":"Artioli G","year":"2016","unstructured":"Artioli G, Fo\u00e0 C, Taffurelli C. An integrated narrative nursing model: towards a new healthcare paradigm. Acta Biomed 2016; 87: 13\u201322.","journal-title":"Acta Biomed"},{"key":"e_1_3_4_27_2","doi-asserted-by":"publisher","DOI":"10.1002\/hast.4994"},{"key":"e_1_3_4_28_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.nepr.2025.104288"},{"key":"e_1_3_4_29_2","doi-asserted-by":"publisher","DOI":"10.7748\/ncyp.2021.e1351"},{"key":"e_1_3_4_30_2","doi-asserted-by":"publisher","DOI":"10.1097\/CEH.0000000000000302"}],"container-title":["Nursing Ethics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/09697330261490914","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/09697330261490914","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/09697330261490914","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T13:46:28Z","timestamp":1791899188000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/09697330261490914"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,11]]},"references-count":29,"alternative-id":["10.1177\/09697330261490914"],"URL":"https:\/\/doi.org\/10.1177\/09697330261490914","relation":{},"ISSN":["0969-7330","1477-0989"],"issn-type":[{"value":"0969-7330","type":"print"},{"value":"1477-0989","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,11]]},"article-number":"09697330261490914"}}