Zhao Ya-Ning, Wang Xiao-Kai, Zhang Qiu-Jun, Li Hong-Feng, Guo Si-Yan, Yang Shao-Ping, Zhang Yu-Ye, Ke Dan-Dan
School of Nursing and Health, Zhengzhou University, Zhengzhou, Henan, China.
Department of Nursing, The Fifth Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China.
Int Nurs Rev. 2025 Mar;72(1):e13067. doi: 10.1111/inr.13067.
To examine if reflection mediates the relationship between narrative competence and nurses' communication ability with angry patients.
Workplace violence is a significant hazard in clinical settings and leads to deleterious effects on health workers. Anger is a key contributing factor to aggressive behavior, and effectively managing patients' anger can help mitigate the risk of workplace violence. Narrative competence and reflection are important factors that enhance communication ability. Therefore, this study aims to explore the mediating role of reflection in the influence of narrative competence on nurses' ability to communicate with angry patients.
Data were collected in China, where 647 nurses completed assessments on narrative competence, reflection, and communication ability with angry patients. Structural equation modeling was used to test the study's hypothesis.
The relationship between narrative ability and communication with angry patients is mediated by reflection, and it is statistically significant at the alpha = 0.05 level.
Nurses' narrative ability has a crucial influence on their communication ability when interacting with angry patients, whereby narrative competence directly affects reflection and indirectly influences communication ability. This study offers a new narrative perspective to reduce nurse-patient conflicts and alleviate hospital violence.
By integrating narrative techniques into healthcare education, nursing managers can prioritize the development of nurses' narrative competence and reflective abilities. This will not only improve the nurse-patient relationship and reduce conflicts but will also foster a positive healthcare environment, contributing to the overall development of the healthcare industry and the enhancement of human health.
探讨反思是否在叙事能力与护士与愤怒患者沟通能力之间的关系中起中介作用。
工作场所暴力是临床环境中的重大危害，会对医护人员产生有害影响。愤怒是攻击行为的一个关键促成因素，有效管理患者的愤怒有助于降低工作场所暴力的风险。叙事能力和反思是增强沟通能力的重要因素。因此，本研究旨在探讨反思在叙事能力对护士与愤怒患者沟通能力影响中的中介作用。
在中国收集数据，647名护士完成了关于叙事能力、反思以及与愤怒患者沟通能力的评估。采用结构方程模型来检验研究假设。
叙事能力与与愤怒患者沟通之间的关系由反思介导，在α = 0.05水平上具有统计学意义。
护士的叙事能力在与愤怒患者互动时对其沟通能力有至关重要的影响，即叙事能力直接影响反思，间接影响沟通能力。本研究为减少护患冲突和缓解医院暴力提供了一个新的叙事视角。
通过将叙事技巧融入医护教育，护理管理者可以优先发展护士的叙事能力和反思能力。这不仅会改善护患关系、减少冲突，还将营造积极的医疗环境，有助于医疗行业的整体发展和人类健康的提升。
