Yu Yiting, Wan Xia, Sun Changxian, Ji Yan, Zhao Xiaozhu, Cai Yinghua, Cao Xiaodong
Department of Nursing, Xiamen Medical College, Xiamen, China.
Nanjing Medical University Affiliated Wuxi People's Hospital, Wuxi, China.
J Eval Clin Pract. 2025 Feb;31(1):e14046. doi: 10.1111/jep.14046. Epub 2024 Aug 7.
To investigate the relationship between medical narrative ability and humanistic care ability among Chinese clinical nurses, examining the potential mediating role of empathy.
In the context of the bio-psychosocial medical model and humanistic nursing care, understanding the core competencies of medical narrative ability, empathy and humanistic care in nursing is crucial. This study explored the mediating role of empathy between medical narrative ability and humanistic care ability.
A cross-sectional study.
The study employed a descriptive, cross-sectional survey design, involving 741 nurses from Wuxi People's Hospital. It assessed nurses' demographic characteristics, medical narrative ability, empathy, and humanistic care ability using an online questionnaire from December 2022 to February 2023. Pearson correlation analysis evaluated variable correlations, and PROCESS v3.3 model 4 was utilised for mediation analysis. The STROBE statement was chosen as the EQUATOR checklist.
A positive correlation was found between nurses' medical narrative ability, humanistic care ability and empathy. Empathy partially mediated the relationship between medical narrative ability and humanistic care ability.
Nurses' medical narrative ability directly and indirectly (via empathy) influences their humanistic care ability. Enhancing nurses' narrative and empathic skills can improve humanistic care, nursing quality and nurse-patient relationships.
Managers should prioritise programmes to improve nurses' storytelling and empathy skills to enhance humanistic care, improving nursing quality and patient relationships.
This study involves clinical nurses as participants and does not involve patients. This study collected data from clinical nurses using an online questionnaire platform in China. The questionnaire consisted of four sections, including demographic information and scales such as Narrative Competence Scale, Caring Ability Inventory and the Jefferson Scale of Empathy-Health Professional. Clear instructions were given to participants on how to complete each scale, and measures were taken to prevent missing or duplicate responses.
探讨中国临床护士的医学叙事能力与人文关怀能力之间的关系,检验共情的潜在中介作用。
在生物-心理-社会医学模式和人文护理的背景下,了解护理中医学叙事能力、共情和人文关怀的核心能力至关重要。本研究探讨了共情在医学叙事能力和人文关怀能力之间的中介作用。
横断面研究。
本研究采用描述性横断面调查设计,纳入了无锡市人民医院的741名护士。在2022年12月至2023年2月期间,使用在线问卷评估护士的人口统计学特征、医学叙事能力、共情和人文关怀能力。采用Pearson相关分析评估变量间的相关性,并使用PROCESS v3.3模型4进行中介分析。选择STROBE声明作为EQUATOR清单。
护士的医学叙事能力、人文关怀能力和共情之间存在正相关。共情部分中介了医学叙事能力和人文关怀能力之间的关系。
护士的医学叙事能力直接并通过共情间接影响其人文关怀能力。提高护士的叙事和共情技能可以改善人文关怀、护理质量和护患关系。
管理者应优先开展项目,以提高护士的叙事和共情技能,从而加强人文关怀,提升护理质量和患者关系。
本研究以临床护士为参与者,不涉及患者。本研究通过中国的在线问卷平台从临床护士中收集数据。问卷包括四个部分,包括人口统计学信息以及叙事能力量表、关怀能力量表和杰斐逊共情量表(健康专业人员版)等量表。向参与者明确说明了如何完成每个量表,并采取措施防止遗漏或重复回答。