Division of Hepatobiliary and Pancreatic Surgery, Department of Surgery, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Chengde Medical University, Chengde, China.
PLoS One. 2024 Nov 7;19(11):e0310375. doi: 10.1371/journal.pone.0310375. eCollection 2024.
Narrative medicine was introduced in China in 2011 and has been applied as a tool for humane medical practice. The prominent problem in the narrative medicine is the lack of adequate attention and devotion. This study aimed to investigate Chinese medical staffs' narrative competence and the influencing factors, confirming whether the level of narrative competence is different in different hospital settings.
A cross-sectional survey was conducted among 1003 medical staffs, including 201 from Children's hospital and 802 from the General hospital. The participants were scored based on the Chinese narrative competence scale, a brief Chinese version of the resilience scale, and a Chinese version of the self-efficacy scale. Data were analyzed using IBM SPSS version 25.0.
A total of 1003 medical staff from Children's hospital and General hospital participated in the survey, with a response rate of 94.36%. Our results showed that the score of narrative competence of General hospital and Children's hospital was 149.45±26.22 and 147.10±18.87, respectively, both of which were in intermediate level. Resilience, familiarity with narrative medicine were influencing factors of narrative competence in 2 kinds of hospitals, and whether having written parallel charts before were the influencing factors of narrative competence in General hospital. Besides, our study found that the level of narrative competence (χ2 = 13.672, p≤0.001), resilience score (personal ability dimension, t = 3.439, p≤0.001) and self-efficacy (t = 1.976, p<0.005) are different between General and Children's hospital.
Narrative competence is different between General hospital and Children's hospital. Medical staff in General hospital are more familiar with narrative medicine. The competence of medical staff in China needs to be improved.
叙事医学于 2011 年引入中国，已作为一种人性化医疗实践的工具得到应用。叙事医学的突出问题是缺乏足够的关注和投入。本研究旨在调查中国医务人员的叙事能力及其影响因素，确定叙事能力在不同医院环境中的水平是否存在差异。
采用横断面调查方法，对 1003 名医务人员进行调查，其中儿童医院 201 名，综合医院 802 名。采用中文版叙事能力量表、中文版韧性量表和中文版自我效能感量表对参与者进行评分。采用 IBM SPSS 25.0 版进行数据分析。
共有 1003 名儿童医院和综合医院的医务人员参加了本次调查，应答率为 94.36%。结果显示，综合医院和儿童医院叙事能力得分分别为 149.45±26.22 和 147.10±18.87，均处于中等水平。韧性、对叙事医学的熟悉程度是两种医院叙事能力的影响因素，而是否有过平行病历书写经验是综合医院叙事能力的影响因素。此外，我们的研究发现，叙事能力水平（χ2=13.672，p≤0.001）、韧性得分（个人能力维度，t=3.439，p≤0.001）和自我效能感（t=1.976，p<0.005）在综合医院和儿童医院之间存在差异。
综合医院和儿童医院的叙事能力存在差异，综合医院的医务人员对叙事医学更为熟悉。中国医务人员的叙事能力有待提高。
