中国临床护士的医学叙事能力与人文关怀能力:移情能力的中介作用

IF 2.1 4区 医学 Q3 HEALTH CARE SCIENCES & SERVICES
Yiting Yu, Xia Wan, Changxian Sun, Yan Ji, Xiaozhu Zhao, Yinghua Cai, Xiaodong Cao
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引用次数: 0

摘要

目的:研究中国临床护士的医疗叙事能力与人文关怀能力之间的关系,探讨移情的潜在中介作用。背景:在生物-心理-社会医学模式和人文关怀护理的背景下,了解护理人员的医疗叙事能力、移情和人文关怀的核心能力至关重要:背景:在生物-心理-社会医学模式和人文护理的背景下,了解护理人员的医疗叙事能力、移情和人文关怀的核心能力至关重要。本研究探讨了移情在医疗叙事能力和人文关怀能力之间的中介作用:设计:横断面研究:研究采用描述性横断面调查设计,涉及无锡市人民医院的 741 名护士。从 2022 年 12 月至 2023 年 2 月,通过在线问卷对护士的人口统计学特征、医疗叙事能力、移情能力和人文关怀能力进行评估。皮尔逊相关分析评估了变量相关性,PROCESS v3.3 模型 4 用于中介分析。STROBE 语句被选为 EQUATOR 核对表:结果发现,护士的医疗叙事能力、人文关怀能力和移情能力之间存在正相关。结果:护士的医疗叙事能力、人文关怀能力和移情能力之间呈正相关,移情能力部分调解了医疗叙事能力和人文关怀能力之间的关系:结论:护士的医疗叙事能力直接或间接(通过移情)影响其人文关怀能力。提高护士的叙述能力和移情能力可以改善人文关怀、护理质量和护患关系:管理者应优先考虑提高护士讲故事和移情技能的计划,以加强人文关怀,改善护理质量和护患关系:本研究以临床护士为参与者,不涉及患者。本研究利用在线问卷平台收集中国临床护士的数据。问卷由四个部分组成,包括人口统计学信息和叙事能力量表、关怀能力量表和杰斐逊移情-医护人员量表。我们向参与者提供了关于如何完成每个量表的明确说明,并采取了措施防止漏答或重复回答。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Medical narrative ability and humanistic care ability of Chinese clinical nurses: The mediating role of empathy ability.

Aims: To investigate the relationship between medical narrative ability and humanistic care ability among Chinese clinical nurses, examining the potential mediating role of empathy.

Background: In the context of the bio-psychosocial medical model and humanistic nursing care, understanding the core competencies of medical narrative ability, empathy and humanistic care in nursing is crucial. This study explored the mediating role of empathy between medical narrative ability and humanistic care ability.

Design: A cross-sectional study.

Methods: The study employed a descriptive, cross-sectional survey design, involving 741 nurses from Wuxi People's Hospital. It assessed nurses' demographic characteristics, medical narrative ability, empathy, and humanistic care ability using an online questionnaire from December 2022 to February 2023. Pearson correlation analysis evaluated variable correlations, and PROCESS v3.3 model 4 was utilised for mediation analysis. The STROBE statement was chosen as the EQUATOR checklist.

Results: A positive correlation was found between nurses' medical narrative ability, humanistic care ability and empathy. Empathy partially mediated the relationship between medical narrative ability and humanistic care ability.

Conclusion: Nurses' medical narrative ability directly and indirectly (via empathy) influences their humanistic care ability. Enhancing nurses' narrative and empathic skills can improve humanistic care, nursing quality and nurse-patient relationships.

Relevance to clinical practice: Managers should prioritise programmes to improve nurses' storytelling and empathy skills to enhance humanistic care, improving nursing quality and patient relationships.

Public contribution: This study involves clinical nurses as participants and does not involve patients. This study collected data from clinical nurses using an online questionnaire platform in China. The questionnaire consisted of four sections, including demographic information and scales such as Narrative Competence Scale, Caring Ability Inventory and the Jefferson Scale of Empathy-Health Professional. Clear instructions were given to participants on how to complete each scale, and measures were taken to prevent missing or duplicate responses.

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来源期刊
CiteScore
4.80
自引率
4.20%
发文量
143
审稿时长
3-8 weeks
期刊介绍: The Journal of Evaluation in Clinical Practice aims to promote the evaluation and development of clinical practice across medicine, nursing and the allied health professions. All aspects of health services research and public health policy analysis and debate are of interest to the Journal whether studied from a population-based or individual patient-centred perspective. Of particular interest to the Journal are submissions on all aspects of clinical effectiveness and efficiency including evidence-based medicine, clinical practice guidelines, clinical decision making, clinical services organisation, implementation and delivery, health economic evaluation, health process and outcome measurement and new or improved methods (conceptual and statistical) for systematic inquiry into clinical practice. Papers may take a classical quantitative or qualitative approach to investigation (or may utilise both techniques) or may take the form of learned essays, structured/systematic reviews and critiques.
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