Li Yanjia, Kang Limei, Zhang Rong, Hu Yanli, Zhang Limei, Zeng Xiaoying, Wu Fengju, He Xiao, Zhang Yiying, Liu Jing, Tang Shurong
Department of Nursing, Sichuan Taikang Hospital, Chengdu 610213, Sichuan, China.
School of Nursing, Guangzhou Medical University, Guangzhou 511495, Guangdong, China.
J Nurs Manag. 2024 Dec 17;2024:4466721. doi: 10.1155/jonm/4466721. eCollection 2024.
The purpose of this study was to investigate the relationship between nurses' perceived organizational support, work well-being, and medical narrative ability. With the proposed bio-psycho-social medical model, nurses' medical narrative ability is closely related to patients' health problems and quality of life. Nurses' perceived organizational support and work well-being can improve nurses' empathy and reflection ability to a certain extent and promote patients' rehabilitation. However, the relationship between nurses' perceived organizational support, work well-being, and medical narrative ability is unclear. A total of 1831 nurses from 8 hospitals in China were surveyed using an online questionnaire that included nurses' sociodemographic, perceived organizational support, work well-being, and medical narrative ability. IBM SPSS 27.0 was used for Pearson's correlation analysis, one-way ANOVA, -test, and mediation effect analysis using Model 4 in PROCESS (5000 resamples). The total mean score of perceived organizational support (46.68 ± 11.00), work well-being (53.09 ± 10.81), and medical narrative ability (154.48 ± 22.93) among nurses was found to be moderate. The relationship between perceived organizational support, work well-being, and medical narrative ability was significant, with correlation coefficients ranging from 0.348 to 0.685 ( < 0.01). The relationship between perceived organizational support and medical narrative ability is partially mediated by work well-being. The intermediate effect accounted for 52.36% of the total effect. This study found that nurses' work well-being mediated the relationship between perceived organizational support and medical narrative ability. This study evaluated nurses' medical narrative ability and explored the relationship between nurses' perceived organizational support, work well-being, and medical narrative ability. The results of this study can help nursing managers and educators to take appropriate measures to intervene nurses' perceived organizational support and work well-being, so as to improve nurses' medical narrative ability and optimize nursing quality.
本研究旨在探讨护士感知到的组织支持、工作幸福感与医疗叙事能力之间的关系。基于提出的生物-心理-社会医学模式，护士的医疗叙事能力与患者的健康问题和生活质量密切相关。护士感知到的组织支持和工作幸福感在一定程度上可以提高护士的同理心和反思能力，促进患者的康复。然而，护士感知到的组织支持、工作幸福感与医疗叙事能力之间的关系尚不清楚。本研究采用在线问卷对中国8家医院的1831名护士进行了调查，问卷内容包括护士的社会人口学信息、感知到的组织支持、工作幸福感和医疗叙事能力。使用IBM SPSS 27.0进行Pearson相关分析、单因素方差分析、t检验以及使用PROCESS中的模型4进行中介效应分析（5000次重抽样）。结果发现，护士感知到的组织支持（46.68±11.00）、工作幸福感（53.09±10.81）和医疗叙事能力（154.48±22.93）的总平均分处于中等水平。感知到的组织支持、工作幸福感与医疗叙事能力之间的关系显著，相关系数在0.348至0.685之间（P<0.01）。感知到的组织支持与医疗叙事能力之间的关系部分由工作幸福感介导。中介效应占总效应的52.36%。本研究发现，护士的工作幸福感介导了感知到的组织支持与医疗叙事能力之间的关系。本研究评估了护士的医疗叙事能力，并探讨了护士感知到的组织支持、工作幸福感与医疗叙事能力之间的关系。本研究结果有助于护理管理者和教育工作者采取适当措施干预护士感知到的组织支持和工作幸福感，从而提高护士的医疗叙事能力，优化护理质量。
