以质量求发展，以服务铸品牌

Journal of Nursing ›› 2024, Vol. 31 ›› Issue (5): 73-78.doi: 10.16460/j.issn1008-9969.2024.05.073

Previous Articles    

Current status of medical narrative competence and its influencing factors: a case study of 666 nurses in military hospitals

ZENG Huia, SHI Yan-rub, LI Qib, DONG Yanc, XU Yuan-pingd, LIANG Miao-miaoe   

  1. a. Dept. of Traditional Chinese Medicine; b. Dept. of Psychiatry; c. Dept. of Otorhinolaryngology, Head and Neck Surgery; d. Dept. of Gastroenterology; e. Dept. of Outpatient, the First Affiliated Hospital of Air Force Military University (Xijing Hospital) , Xi'an 710032,China
  • Received:2023-11-27 Online:2024-03-10 Published:2024-04-08

PDF (PC)

329

Like

Abstract: Objective To investigate the current status of medical narrative competence of nurses in military hospitals and analyze its influencing factors. Methods Convenience sampling was used to select clinical nurses from three military general hospitals in Xi'an from September to October 2023. The nurses were surveyed using a general information questionnaire, Medical Narrative Competence Scale, General Self-Efficacy Scale, Family APGAR Index Scale and Work-related Quality of Life Scale. Multiple linear regression was used to analyze the influencing factors of medical narrative competence of nurses in military hospitals. Results The total score of medical narrative competence of nurses was 155.06±18.30. Medical narrative competence was positively correlated with general self-efficacy（r=0.576）, family care（r=0.252） and work-related quality of life (r=0.443) (P<0.01). Single factor analysis showed that marital status and childbearing, working length, experience as a caregiver, narrative nursing knowledge reserve, and narrative nursing training experience were statistically significant in terms of medical narrative competence (P<0.05). Multiple linear regression showed that narrative nursing knowledge reserve (B=0.161), general self-efficacy (B=0.458), family function（B=0.101）and work-related quality of life(B=0.259) entered the regression equation (P<0.01), accounting for 40.4% of the total variation. Conclusion The level of medical narrative competence of nurses in military hospitals is at a medium level. Narrative nursing knowledge reserve, general self-efficacy, family functions and work-related quality of life have a significant impact on medical narrative competence. Nursing managers should pay attention to these influencing factors, and perform targeted nursing training to improve the level of medical narrative competence.

Key words: narrative medical competence, military hospitals nurse, general self-efficacy, family care, work-related quality of life

CLC Number: 

  • R47
[1] Nash W,Erondu M,Childress A.Expanding narrative medicine through the collaborative construction and compelling performance of stories[J].J Med Humanit,2023,44(2):207-225.DOI:10.1007/s10912-022-09779-6.
[2] 王国位,窦鸿伟,李梦琦,等.心内科门诊军队伤病员焦虑抑郁状况横断面调查及影响因素[J]. 西北国防医学杂志,2019,40(3):159-163.DOI:10.16021/j.cnki.1007-8622.2019.03.006.
[3] 朱思悦,赵婷,王晓媛.军队干部平战时期心理健康状况及影响因素研究[J].联勤军事医学,2023,37(6):506-510.DOI:10.13730/j.issn.2097-2148.2023.06.011.
[4] 黄黎烜,周晨枫,张程程,等.叙事护理中文文献研究[J].医学与哲学,2023,44(12):63-67.DOI:10.12014/j.issn.1002-0772.2023.12.14.
[5] 李铮,刘宁.护理学研究方法[M].2 版.北京:人民卫生出版社,2018:58.
[6] 马婉贞,顾平,张晶晶,等.医护人员医学叙事能力量表的编制及信效度检验[J].中华护理杂志,2020,55(4):578-583.DOI:10.3761/j.issn.0254-1769.2019.04.019.
[7] 王才康,胡中锋,刘勇.一般自我效能感量表的信度和效度研究[J].应用心理学,2001,7(1):37-40.DOI:10.3969/j.issn.1006-6020.2001.01.007.
[8] 吕繁,顾溪.家庭APGAR问卷及其临床应用[J].国外医学医院管理分册,1995(2):56-59.
[9] 邵亚,廖少玲,钟慧琴,等.护士工作相关生活质量量表的信效度研究[J].护理学杂志,2014,29(13):1-3.DOI:10.3870/hlxzz.2014.13.001.
[10] 田丽,李梦媛,肖抒情,等.三级医院护士医学叙事能力现状及影响因素分析[J].护理学杂志,2021,36(7):72-75.DOI:10.3870/j.issn.1001-4152.2021.07.072.
[11] 梁慧,王建宁,张艺,等.422名新入职护士医学叙事能力现状及影响因素分析[J].护理学报,2022,29(19):1-5.DOI:10.16460/j.issn1008-9969.2022.19.001.
[12] 王丽梅,李露,喻鹏,等.237名护理硕士研究生医学叙事能力现状及影响因素分析[J].护理学报,2023,30(17):1-4.DOI:10.16460/j.issn1008-9969.2023.17.001.
[13] 侯佳坤,周宏珍,胡瑞丹,等.临床护士医学叙事能力现状及影响因素分析[J].护理学杂志,2021,36(1):63-65.DOI:10.3870/j.issn.1001-4152.2021.01.063.
[14] 于翠香,王建英,周松,等.临床护士叙事护理的知信行现状及其影响因素[J].护理学杂志,2019,34(23):50-53.DOI:10.3870/j.issn.1001-4152.2019.23.050.
[15] 梁鑫悦,王秋静,李燕,等.医护人员医学叙事能力的研究进展与思考[J].中国护理管理,2021,21(7):1107-1111.DOI:10.3969/j.issn.1672-1756.2021.07.029.
[16] 石婷婷,韩悦,张竞,等.肿瘤科护士医学叙事能力现状及其影响因素分析[J].护理管理杂志, 2021,21(9):650-654.DOI:10.3969/j.issn.1671-315x.2021.09.009.
[17] 翟艳萍,徐红梅,李润,等.叙事护理在中青年脑卒中伴急性应激障碍病人中的应用[J].护理研究,2023,37(17):3211-3216.DOI:10.12102/j.issn.1009-6493.2023.17.032.
[18] 周雅婷,易敏,张先红,等.儿科无陪护病房护理人员医学叙事能力与一般自我效能感的相关性分析[J]. 全科护理,2022, 20(30):4268-4271.DOI:10.12104/j.issn.1674-4748.2022.30.024.
[19] 刘文文,史晓红,谢正,等.同理心培训对住院医师知觉压力及情绪的影响[J].临床心身疾病杂志,2021,27(5):59-62.DOI:10.3969/j.issn.1672-187X.2021.05.015.
[20] 黄丽萍,陈安丽,赵素凡,等.浙江省部分三级甲等医院临床护士家庭功能与共情能力水平的相关性研究[J].中华现代护理杂志, 2020, 26(19):2569-2573.DOI:10.3760/cma.j.cn115682-20190904-03196.
[21] 田洁,田丽,张莉,等.肿瘤专科护士医学叙事能力的现状调查及影响因素分析[J].天津护理,2021, 29(4):383-386.DOI:10.3969/j.issn.1006-9143.2021.04.002.
[22] Biagioli V, Prandi C, Nyatanga B, et al.The role of professional competency in influencing job satisfaction and organizational citizenship behavior among palliative care nurses[J].J Hosp Palliat Nurs,2018, 20(4):377-384.DOI:10.1097/NJH.0000000000000454.
[23] 李进俊,李牧玲,刘月,等.护士共情能力在医学叙事能力与人文关怀能力的中介效应分析[J].护理学报,2022,29(24):1-5.DOI:10.16460/j.issn1008-9969.2022.24.001.
[1] WEI Li, ZHAO Xing-ying, LIU Jia, HE Yu-xuan, CHEN Xiao-mei, YANG Xue, XIAN Ji-shu, YANG Yan-ni. Care burden of family caregivers of severe inpatients in neurosurgery department and its influencing factors [J]. Journal of Nursing, 2025, 32(2): 1-6.
[2] He Xu-bin, Huan Zong-su, Du Na, Liu Jiao, Qin Yuan, Wu Dong-mei, Yue Yu-chuan. Qualitative research on experience of primary caregivers of adolescents with non-suicidal self-injury: a Meta-integration [J]. Journal of Nursing, 2024, 31(1): 46-51.
[3] WANG Jing-rong, WEN Xiu-lin, QIAO Li-na, JIN Xian-zhen, FAN Hui, LIU Xuan-xuan, LUO Li-qun, XIAO Qian. Construction of core care skill index system for family caregivers of patients with enterostomy in early stage [J]. Journal of Nursing, 2023, 30(12): 1-6.
[4] XIE Min-juan, XIAO Kang-jiao, YANG La-mei, WANG Rui, LI Jing-zhi, LIANG Yun-fang. Current Status of Subjective Well-being of Family Caregivers of Community Disabled Elderly People and Its Influence Factors [J]. Journal of Nursing, 2022, 29(9): 5-10.
[5] LIANG Hui, WANG Jian-ning, ZHANG Yi, HU Jiao-jiao, GONG Cui-ying. Status Quo of Medical Narrative Competence of New Nurses and Its Influencing Factors: A 422-case Study [J]. Journal of Nursing, 2022, 29(19): 1-5.
[6] YAN Li-fang, JIN Hong-mei, ZHU Chun-yan, TONG Xiao-zhen, ZHONG Jian-cheng, TAN Huan-tao. Current Status of General Self-efficacy and Its Influencing Factors: A 1,131-case Study [J]. Journal of Nursing, 2022, 29(18): 59-62.
[7] ZHAO Hong-yu, WANG Ming-ming, WANG Xiu-rong, WANG Hui-feng, LIU Lu. Construction of Extending Nursing Program for Family Caregivers of Stroke Patients Based on Information-Motivation-Behavioral Skills Model [J]. Journal of Nursing, 2022, 29(17): 65-69.
[8] YAN Si-qin, FAN Jing-hui, XIONG Liang-kun. Application of Family Empowerment Theory in Health Guidance for Family Caregivers of atients with Ileostomy [J]. Journal of Nursing, 2021, 28(15): 74-78.
[9] WANG Hui-ping, WEI Li-jun, FANG Dong-min, LI Jin-hui, YUAN Qing-li. Self-consciousnesss of Children with Short Stature and Its Influence Factor: A 97-case Study [J]. Journal of Nursing, 2020, 27(2): 53-57.
[10] . Mediating Effect of General Self-efficacy on Meaning in Life and Prosocial Behaviors of Nursing College and Undergraduate Students [J]. Journal of Nursing, 2020, 27(19): 47-51.
[11] XUE Gui-fang, ZHANG Ying-jun, QU Jia. Ordinal Logistic Regression Analysis of Spiritual Health and Its Influence Factors of Maintenance Hemodialysis Patients: A 190-case Study [J]. Journal of Nursing, 2019, 26(24): 32-35.
[12] YUAN Li, XU Yi-yuan, DING Shu-zhen, FENG Hong. Current Status of Adjustment in Enterostomy Patients and Its Influence Factors [J]. Journal of Nursing, 2019, 26(15): 1-4.
[13] MA Hui, YANG Fu-guo, LU Xiao-hong, XIA Ting-ting, YIN Chun-lan, LI Yao-yao. Influence Factors of Self-management Behavior of Patients with Percutaneous Coronary Intervention [J]. Journal of Nursing, 2018, 25(20): 1-4.
[14] MAO Zhi-hui,LIU Xiao-ting,LIU Wei,SUN Xiao-ting,LIU Yan-xia,LI Wei. Depression of 265 Caregivers of Disabled Elders in Huanggu District of Shenyang City and Its Influence Factors [J]. , 2017, 24(2): 32-36.
[15] JIANG Chang-ying,ZANG Wei-ping,WEI Feng,SHI Xiu-hua. Effects of Caregiving Training for Family Caregivers of Senile Dementia Patients in Community [J]. Journal of Nursing, 2017, 24(16): 71-73.
Viewed
Full text


Abstract

Cited
  Shared   
No Suggested Reading articles found!