Yang Chao, Su Wanying, Qiu Hailing, Pan Yingyan, Qi Qiong, Zhang Siqi, Yin Hao
Department of Orthopedics, Hunan Provincial People's Hospital, The First Affiliated Hospital of Hunan Normal University, Changsha, China.
Department of Orthopedics, Hunan Provincial People's Hospital, The First Affiliated Hospital of Hunan Normal University, Changsha, China
BMJ Open. 2025 Jan 9;15(1):e084554. doi: 10.1136/bmjopen-2024-084554.
To explore the current status of clinical nurses' narrative medicine (NM) ability and its related influencing factors, so as to provide a theoretical basis for nursing managers to develop targeted nurse training programmes.
A cross-sectional study.
A total of 1792 clinical nurses from eight medical institutions in Hunan province were selected as participants using convenience sampling.
Online questionnaires were employed to collect general data, NM competence scores, empathy ability scores and personality trait scores from the participants.
A total of 1820 questionnaires were collected, with 28 deemed invalid due to contradictory responses. The final dataset included 1792 valid questionnaires, resulting in a valid recovery rate of 98.5%.
The total NM competence score averaged at 153.37±18.34. Marital status, having children, hospital grade, empathy ability score and challenges faced in carrying out NM were identified as influential factors through multiple linear regression (p<0.01). These factors collectively explained 71.9% of the total variation in the NM competence of clinical nurses.
Clinical nurses in this study demonstrate an intermediate level of NM competence. Marital status, having children, hospital grade, empathy ability score and challenges in carrying out NM emerge as the primary factors affecting NM competence among nurses. The findings suggest that nursing managers should implement targeted measures to improve the NM competence of clinical nurses, thereby fostering their professional growth.
探讨临床护士叙事医学（NM）能力的现状及其相关影响因素，为护理管理者制定针对性的护士培训计划提供理论依据。
横断面研究。
采用便利抽样法，选取湖南省8家医疗机构的1792名临床护士作为研究对象。
采用在线问卷收集研究对象的一般资料、NM能力得分、共情能力得分和人格特质得分。
共收集问卷1820份，其中28份因回答矛盾被视为无效。最终数据集包括1792份有效问卷，有效回收率为98.5%。
NM能力总得分平均为153.37±18.34。通过多元线性回归分析确定婚姻状况、是否育有子女、医院等级、共情能力得分以及开展NM时面临的挑战为影响因素（p<0.01）。这些因素共同解释了临床护士NM能力总变异的71.9%。
本研究中的临床护士NM能力处于中等水平。婚姻状况、是否育有子女、医院等级、共情能力得分以及开展NM时面临的挑战是影响护士NM能力的主要因素。研究结果表明，护理管理者应采取针对性措施提高临床护士的NM能力，促进其专业成长。
