Xu Yun, Guo Hongkai, Ge Guomei, Shu Jing, Liu Li, Jin Qi, Jia Junjun
Department of Nursing, International Healthcare Center The First Affiliated Hospital of Zhejiang University, School of Medicine Hangzhou China.
Division of General Surgery Changxing Traditional Chinese Medicine Hospital Huzhou China.
Health Sci Rep. 2025 Jan 22;8(1):e70388. doi: 10.1002/hsr2.70388. eCollection 2025 Jan.
Narrative competence is essential for good communication between medical staff and patients. It is a powerful instrument for the delivery of holistic healthcare. However, little research focuses on the influencing factors of narrative competence and the relationships among resilience, self-efficacy, and narrative competence. The study aims to explore the influence factors of narrative competence of medical staff and confirm the relationships among self-efficacy, resilience, and narrative competence.
A cross-sectional survey was conducted among 606 medical staff from two affiliated hospitals in Zhejiang and Heilongjiang provinces, respectively. The participants were scored using the Chinese narrative competence scale, the brief Chinese version of the resilience scale, and the Chinese version of the self-efficacy scale.
This study showed that the score of narrative competence was 149.76 ± 28.70, including the scores of listening dimension (48.01 ± 9.36), understanding dimension (67.75 ± 13.55), and reflecting dimension (34.00 ± 6.77). A high narrative competence score was associated with hospital location and parallel chart writing ( < 0.01). Pearson's correlation analysis showed resilience and self-efficacy were positively related to narrative competence.
Medical staff's narrative competence is intermediate in China. Parallel chart writing and resilience would impact this competence, which should be further improved.
叙事能力对于医护人员与患者之间的良好沟通至关重要。它是提供整体医疗服务的有力工具。然而，很少有研究关注叙事能力的影响因素以及心理弹性、自我效能感与叙事能力之间的关系。本研究旨在探讨医护人员叙事能力的影响因素，并确认自我效能感、心理弹性与叙事能力之间的关系。
分别对来自浙江省和黑龙江省两家附属医院的606名医护人员进行横断面调查。使用中国叙事能力量表、中文版简易心理弹性量表和中文版自我效能感量表对参与者进行评分。
本研究显示，叙事能力得分为149.76±28.70，包括倾听维度得分（48.01±9.36）、理解维度得分（67.75±13.55）和反思维度得分（34.00±6.77）。叙事能力高分与医院所在地和平行病历书写有关（<0.01）。Pearson相关性分析显示，心理弹性和自我效能感与叙事能力呈正相关。
中国医护人员的叙事能力处于中等水平。平行病历书写和心理弹性会影响这一能力，应进一步提高。
