Pan Yingyan, Qi Qiong, Qiu Hailing, Yang Chao, Su Wanying, Zhang Siqi, Li Lin
Hunan Provincial People's Hospital (The First Affiliated Hospital of Hunan Normal University), Changsha, China.
J Adv Nurs. 2025 Apr;81(4):1924-1936. doi: 10.1111/jan.16434. Epub 2024 Sep 3.
Narrative nursing (NN) is a crucial component of modern medical humanistic care. It involves utilising storytelling as a means to guide nurses in devising future interventions for patients, and help patients in reconstructing positive psychological defences. The willingness of clinical nurses to engage in narrative nursing holds significant implications for both effective communication and the overall quality of care. However, there is limited knowledge regarding clinical nurses' willingness to engage in narrative nursing. This study aims to investigate the participation willingness of Chinese nurses, identify its predictors and explore its corresponding reasons.
A cross-sectional study.
Clinical nurses were enrolled in Hunan province, Central South, China, and a convenience sampling strategy was used. A structured questionnaire was distributed to clinical nurses by an online survey platform. Information on sociodemographic characteristics, willingness and possible influencing factors (experience, ability, perceptions on narrative nursing) was collected. Binary logistic regression was conducted to identify the predictors of willingness to participate in narrative nursing.
A total of 2310 nurses were recruited, of which 2092 nurses completed the questionnaire (response rate: 90.6%). One thousand seven hundred and thirty-four nurses (82.9%) were willing to participate in NN, and 358 (17.1%) were not. Binary logistic regression analysis identified nine predictors of participants' willingness to participate, including working departments, professional title, working position, experience of received mobilisation and training of NN, understanding of related knowledge, NCS level, affirmation of NN and positive attitude towards clinical application (all p values < 0.05). These indicators explained 17.1% of the variances in the dependent variable (p < 0.001).
A high proportion of nurses in Hunan province were willing to practice in clinic using NN. Willingness to participate may be increased by a focus on nurses with low professional titles, no administrative position and working in specialised departments, such as emergency departments, infectious departments, critical care units and operating theatres.
The study identified a high proportion of nurses in Hunan Province who were willing to use NN. However, the figure was slightly lower than expected. Influencing factors were analysed to give insights for managers to develop more effective NN outreach programs.
No patient or public contribution.
叙事护理是现代医学人文关怀的重要组成部分。它通过讲故事的方式，指导护士为患者制定未来的干预措施，并帮助患者重建积极的心理防御机制。临床护士参与叙事护理的意愿对有效沟通和整体护理质量具有重要意义。然而，关于临床护士参与叙事护理意愿的了解有限。本研究旨在调查中国护士的参与意愿，确定其预测因素并探究相应原因。
横断面研究。
在中国中南地区湖南省招募临床护士，采用便利抽样策略。通过在线调查平台向临床护士发放结构化问卷。收集社会人口学特征、意愿及可能的影响因素（经验、能力、对叙事护理的认知）等信息。进行二元逻辑回归分析以确定参与叙事护理意愿的预测因素。
共招募2310名护士，其中2092名护士完成问卷（回复率：90.6%）。1734名护士（82.9%）愿意参与叙事护理，358名（17.1%）不愿意。二元逻辑回归分析确定了9个参与意愿的预测因素，包括工作科室、职称、工作岗位、接受叙事护理动员和培训的经验、对相关知识的了解、护士共情能力水平、对叙事护理的肯定以及对临床应用的积极态度（所有p值<0.05）。这些指标解释了因变量17.1%的变异（p<0.001）。
湖南省有较高比例的护士愿意在临床实践中运用叙事护理。关注职称低、无行政职务且在急诊科、感染科、重症监护病房和手术室等专科工作的护士，可能会提高参与意愿。
该研究发现湖南省有较高比例的护士愿意使用叙事护理。然而，这一数字略低于预期。分析了影响因素，为管理人员制定更有效的叙事护理推广计划提供参考。
无患者或公众贡献。
