Altern Ther Health Med. 2024 Nov;30(11):369-373.
This study aimed to explore the proficiency level in medical narrative ability among nurses in VIP wards and identify the influencing factors. The objective was to provide valuable insights for enhancing the training and development of medical narrative skills among nurses in VIP wards, with the ultimate goal of promoting narrative nursing in clinical practice.
A survey was conducted of 94 nurses working in VIP wards at a grade-A tertiary hospital in Zhongshan City, using the Narrative Competence Scale.
The findings revealed that nurses' overall medical narrative ability in VIP wards was relatively low, with a total score of (135.31±16.50). The primary factors identified as influential were professional titles and familiarity with narrative medicine or narrative nursing, which played significant roles. Specifically, nurses with higher professional titles demonstrated greater proficiency in medical storytelling. Moreover, nurses more familiar with narrative medicine or narrative nursing tended to exhibit higher levels of medical narrative ability.
The results of this study highlight the significant opportunity for enhancing the medical narrative ability of nurses in VIP wards. To address this issue, it is recommended that training programs incorporate knowledge and skills related to narrative medicine and narrative nursing into the core competency development of VIP nurses. Additionally, there is a need to introduce narrative nursing practices gradually into clinical care. These measures will empower nurses to enhance their narrative abilities, providing superior nursing services to patients. Ultimately, such efforts will strengthen nurses' sense of professional value and increase the social benefits of nursing care.
本研究旨在探讨特需病房护士的医学叙事能力水平,并分析其影响因素。目的在于为特需病房护士的叙事能力培训与发展提供参考,促进叙事护理在临床实践中的应用。
采用便利抽样法,选取中山市某三甲医院特需病房的 94 名护士进行问卷调查,使用叙事能力量表进行调查。
特需病房护士医学叙事能力总分为(135.31±16.50)分,处于中等偏下水平。职称和叙事医学或叙事护理的了解程度是影响特需病房护士医学叙事能力的主要因素,职称高、对叙事医学或叙事护理了解程度高的护士医学叙事能力得分较高。
特需病房护士医学叙事能力有待提高,建议将叙事医学和叙事护理相关知识和技能纳入特需病房护士核心能力培养中,逐步将叙事护理实践引入临床护理中,以提高护士叙事能力,为患者提供优质护理服务,增强护士职业价值感,提高护理的社会效益。