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辅助生殖技术中护士的临床叙事能力与人文关怀能力:一项横断面研究。

Clinical narrative competence and humanistic care ability of nurses in assisted reproductive technology: a cross-sectional study.

作者信息

Mo Fengyi, Hu Xiaorui, Ma Qing, Xing Lanfeng

机构信息

Department of Reproductive Endocrinology, Women's Hospital, School of Medicine, Zhejiang University, Hangzhou, People's Republic of China.

出版信息

BMC Nurs. 2024 Feb 15;23(1):119. doi: 10.1186/s12912-024-01791-6.

Abstract

BACKGROUND

Growing focus on patient-centred care emphasizes humanistic skills and clinical narrative competence in nursing, particularly in assisted reproductive nursing. However, there is limited evidence to suggest the levels of nurse' clinical narrative competence and humanistic care ability. This study aimed to investigate the clinical narrative competence and humanistic care ability of nurse specialists in assisted reproductive technology (ART) in China.

METHODS

This cross-sectional study included nurses who obtained the ART specialist nurse certificate after nurse training in Zhejiang province assisted reproductive technology specialist nurse training base between 2017 and 2022. A demographic questionnaire, the Caring Ability Inventory (CAI) and Narrative Competence Scale (NCS) were used for data collection. Multivariate linear regression analysis was used to explore risk factors.

RESULTS

A total of 122 participants (120 females, with a mean age of 33.35 ± 5.00 years) were included (response rate = 82.43%). NCS score and CAI score was 143.39 ± 19.24 (range: 27-189) and 198.42 ± 19.51 (range: 37-259) among nurse specialists in assisted reproductive technology, respectively. Multivariate linear regression analysis indicated that professional title (β = 20.003, 95%CI: 3.271-36.735, P = 0.020), and the CAI (β = 0.342, 95%CI: 0.180-0.540, P < 0.001) was independently associated with NCS. Head Nurse/ Team Leader/ Clinical Faculty had significantly higher CAI score than nurse (P = 0.006).

CONCLUSIONS

The clinical narrative competence and caring ability of nurse specialists in assisted reproductive technology was considered sufficient. Professional titles and work position were associated with clinical narrative competence. Enhancing clinical narrative competence can be considered as an effective strategy for promoting humanistic care ability.

TRIAL REGISTRATION

Not applicable.

摘要

背景

对以患者为中心的护理的关注度日益提高,这凸显了护理工作中人文技能和临床叙事能力的重要性,尤其是在辅助生殖护理领域。然而,目前尚无充分证据表明护士的临床叙事能力和人文关怀能力处于何种水平。本研究旨在调查中国辅助生殖技术(ART)专科护士的临床叙事能力和人文关怀能力。

方法

本横断面研究纳入了2017年至2022年期间在浙江省辅助生殖技术专科护士培训基地接受护士培训后获得ART专科护士证书的护士。使用人口统计学调查问卷、关怀能力量表(CAI)和叙事能力量表(NCS)进行数据收集。采用多元线性回归分析来探索危险因素。

结果

共纳入122名参与者(120名女性,平均年龄33.35±5.00岁)(应答率=82.43%)。辅助生殖技术专科护士的NCS得分和CAI得分分别为143.39±19.24(范围:27-189)和198.42±19.51(范围:37-259)。多元线性回归分析表明,职称(β=20.003,95%CI:3.271-36.735,P=0.020)和CAI(β=0.342,95%CI:0.180-0.540,P<0.001)与NCS独立相关。护士长/团队负责人/临床教员的CAI得分显著高于护士(P=0.006)。

结论

辅助生殖技术专科护士的临床叙事能力和关怀能力被认为是足够的。职称和工作岗位与临床叙事能力相关。提高临床叙事能力可被视为提升人文关怀能力的有效策略。

试验注册

不适用。

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