Objective To understand the current situation of the medical narrative ability of new nurses and analyze its influencing factors. Methods With convenience sampling method, 422 newly recruited nurses from a tertiary grade-A hospital in Nanchang from December 2021 to January 2022 were selected and surveyed by using general information questionnaire, Medical Narrative Ability Scale, Family Care Scale and Nurse Workplace Adaptation Scale. Results The total score of new nurses' medical narrative ability in this group was 139.06±20.79. Multiple linear regression analysis showed that family care, nurses' fitness in workplace and viewpoint on narrative nursing development entered the regression equation (P<0.01), which explained 43.5% of the total variation. Conclusion The medical narrative ability of newly recruited nurses in this group is at an upper-middle level, and the main influencing factors of narrative ability are family care, nurses' fitness in workplace and viewpoint on narrative nursing development. Targeted training is beneficial to improving medical narrative ability of new nurses and their professional growth.
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
.
DOI: 10.16460/j.issn1008-9969.2022.19.001
[1] 国家卫生计生委办公厅.国家卫生计生委办公厅关于印发《新入职护士培训大纲(试行)》的通知[EB/OL].(2016-02-16)[2022-04-17].http://www.nhc.gov.cn/yzygj/s3593/201602/6ae15991f91e41e795e7f9ecb9047d32.shtml.
[2] Charon R.Narrative Medicine: Form, Function,and Ethics[J].Ann Intern Med,2001,134(1):83-87.DOI:10.1001/jama.2016.16840.
[3] 贾立红,孙晓红,殷涵,等.新入职护士叙事护理知识-态度-行为的调查研究[J].中华护理教育,2021,18(8):732-735.DOI:10.3761/j.issn.1672-9234.2021.08.013.
[4] 侯佳坤,周宏珍,屠燕,等.叙事研究在护理领域中的应用与启示[J].中国护理管理,2021, 21(7):1116-1120.DOI:10.3969/j.issn.1672-1756.2021.07.031.
[5] 李真,郭娜,焦静,等.新入职护士角色转变相关理论模型研究进展[J].护理研究, 2022, 36(12):2217-2220.DOI:10.12102/j.issn.1009-6493.2022.12.029
[6] 关玉霞,孙锐,李芳芳,等.领悟社会支持在规范化培训护士反馈寻求行为与转型冲击间的调节作用[J].中国护理管理,2021,21(9):1392-1396.
[7] Fitzpatrick JJ.Narrative Nursing: Applications in Practice, Education, and Research[J].Appl Nurs Res,2017,37:67.DOI:10.1016/j.apnr.2017.08.005.
[8] 吴雪影,彭守华,马丽莎,等.主动性人格在规范化培训护士职场适应与照护行为间的调节作用[J].护理研究,2022,36(12):2160-2164.DOI:10.12102/j.issn.1009-6493.2022.12.017.
[9] 刘丽丽,吕路,郑雅宁,等.护士职场适应度量表的汉化及信效度检验[J].护理研究,2021,35(3):391-395.DOI:10.12102/j.issn.1009-6493.2021.03.004.
[10] 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.
[11] 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.
[12] 崔金锐,胡露红,旷婉,等.临床护理人员人文关怀品质与医学叙事能力的相关性研究[J].护理学杂志,2021,36(9):58-60.DOI:10.3870/j.issn.1001-4152.2021.09.058.
[13] 张丹,李伟,李萌,等.临床护理人员医学叙事能力与自我效能感的相关性分析[J].实用临床医药杂志, 2021,25(19):111-114.DOI:10.7619/jcmp.20211801.
[14] 胡雁,王志稳.护理研究[M].5版.北京:人民卫生出版社,2017.
[15] 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.
[16] Gabriel S.The Physician and Family Function Assessment[J].Family Systems Medicine,1984,2(3):263-278.
[17] 吕繁,顾湲.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.
[18] 张作记. 行为医学量表手册[M]北京:中华医学电子音像出版社,2005:121-156.
[19] Fujimoto H, Takama S.Re-examination of Nurses′ Workplace Adaptability Scale[J].The Nursing Society of University of Toyama,2013(1):25-33.
[20] 杨梅,肖静,蔡辉. 多元分析中的多重共线性及其处理方法[J].中国卫生统计,2012,29(4):620-624.DOI:10.3969/j.issn.1002-3674.2012.04.057.
[21] 刘振,刘晴,张苗.规培护士学习风格现状调查及影响因素分析[J].齐鲁护理杂志,2021,27(22):42-44.DOI:10.3969/j.issn.1006-7256.2021.22.016.
[22] Sabio C, Petges N.A Framework for Educator Story Telling: Situation, Background, Assessment, Recommendation, Review (SBARR)[J].Nurse Educator,2019,44(4):207-210.DOI:10.1097/NNE.0000000000000588.
[23] 胡玉娜,霍佳,邹辉煌,等.护士工作家庭支持与人文关怀能力的相关性研究[J].护理学杂志,2022,37(5):45-47.DOI:10.3870/j.issn.1001-4152.2022.05.045.
[24] 王媛,刘春兰.社会支持及应对方式在护士人格特征与心理健康间的中介作用[J].中华护理教育,2019,16(7):536-540.DOI:10.3761/j.issn.1672-9234.2019.07.015.
[25] 葛文杰,石珂,张海玲.471名本科及以上学历新护士职场适应度现状及影响因素分析[J].护理学报, 2021,28(23):53-57.DOI:10.16460/j.issn1008-9969.2021.23.053.
[26] Chu SY, Wen CC, Lin CW.A Qualitative Study of Clinical Narrative Competence of Medical Personnel[J]. BMC Med Educ.2020,20(1):415.DOI:10.1186/s12909-020-02336-6.
[27] The World Health Organization. Year of the Nurse and the Midwife 2020[EB/OL].(2020-01-01)[2022-04-17].https://www.who.int/campaigns/annual-theme/year-of-the-nurse-and-the-midwife-2020.
[28] 宋涛,张冬红.基于护士人文关怀能力培养的精神科叙事教育网络教学系统的开发[J].护理学报,2020,27(2):11-15.DOI:10.16460/j.issn1008-9969.2020.02.011.
[29] 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.
[30] 苏雪梅. 长春市三级甲等医院临床护士医学叙事能力现状及影响因素分析[D].长春:长春中医药大学,2021.DOI:10.26980/d.cnki.gcczc.2021.000182.
