Analysis of the Chain-Mediated Effects of Narrative Care Skills and Evidence-Based Nursing Competencies between Clinical Nurse Core Competencies and Sense of Career Benefit

Background: To understand the current status of clinical nurses' narrative care skills and evidence-based nursing competence, and to explore their chain-mediated roles between nurses' core competence and sense of career benefit, so as to provide references for improving nurses' sense of career benefit and positively developing nursing teams. Methods: A general information questionnaire, narrative competence scale for healthcare professionals, evidence-based nursing competency scale, registered nurse core competency scale, and nurses' sense of career benefit questionnaire were used to survey 716 nurses, and the chain mediation model was constructed and tested. Results: The total evidence-based nursing competency score of clinical nurses was (65.53±9.17), which was at a moderate level. The total score of narrative care skills (113.57±18.52), the total score of nurses' core competence (179.15±33.37), and the total score of nurses' sense of career benefit (109.37±20.81) were in the middle level; narrative care skills and evidence-based nursing competence acted as chain mediators between nurses' core competence and their sense of career benefit, and the mediation effects were respectively 0.006, 0.014. Conclusion: Narrative care skills and evidence-based nursing competency were at intermediate level, and the chain mediating effect of narrative care skills and evidence-based nursing competency indirectly predicted nurses' sense of professional benefit. It is suggested that nursing leaders can carry out lectures and training courses to improve nurses' narrative care skills and evidence-based nursing competence, to promote nurses' sense of career identity and to create a good nurse-patient relationship, which will be conducive to the positive development of the nursing team in the modern healthcare environment.