首页|医学叙事能力在临床护士共情与人文关怀品质间的中介效应研究

医学叙事能力在临床护士共情与人文关怀品质间的中介效应研究

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目的 探讨医学叙事能力在临床护士共情与人文关怀品质间的中介效应。方法 采用多阶段分层随机抽样选取 10 所三级甲等综合医院的 1 050 名护士为研究对象，运用一般资料调查表、杰弗逊共情量表、医学叙事能力量表及人文关怀品质量表进行问卷调查。结果 临床护士共情、医学叙事能力、人文关怀品质得分依次为(92。63±16。42)分、(148。09±23。66)分、(127。34±17。09)分;临床护士共情与医学叙事能力、人文关怀品质呈两两正相关(r1=0。340，r2=0。243，r3=0。409，P＜0。01);医学叙事能力在临床护士共情与人文关怀品质间发挥部分中介效应，效应值为 0。374，占总效应的 54。68%。结论 临床护士人文关怀品质处于中等水平，医学叙事能力在临床护士共情与人文关怀品质间发挥部分中介效应，建议护理管理者通过相关措施提高临床护士的医学叙事能力，进而提高其人文关怀品质。
Mediating role of narrative competence between empathy and humanistic care quality in clinical nurses
Objective To explore the mediating effect of narrative competence between empathy and humanistic care quality in clinical nurses.Methods A total of 1 050 nurses from 10 tertiary-level A general hospitals were selected by multi-stage stratified random sampling.The general information questionnaire,Jefferson Scale of Empathy,Narrative Competence Scale,Nursing Caring Characters Assessment Tool were used to conduct a questionnaire survey.Results The scores of clinical nurses'empathy,narrative competence,and humanistic care qual-ity were(92.63±16.42),(148.09±23.66),and(127.34±17.09),respectively.Clinical nurses'empathy was positively correlated with narra-tive competence and the humanistic care quality(r1=0.340,r2=0.243,r3=0.409,P＜0.01).Narrative competence played a partial mediating effect between clinical nurses'empathy and humanistic care quality,with an effect value of 0.374,accounting for 54.68%of the total effect.Conclusion The quality of clinical nurses'humanistic care quality is at an upper-middle level,and narrative competence plays a partial me-diating effect between clinical nurses'empathy and humanistic care quality.It is recommended that nursing managers improve the narrative competence of clinical nurses through relevant measures,thereby improving their humanistic care quality.

clinical nursesempathynarrative competencehumanistic care qualitymediating effect

徐林霞、宋美璇、吴秀丽、熊露、李显蓉

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646000,泸州市,西南医科大学附属医院胃肠外科

646000,泸州市,西南医科大学附属医院医学装备部

临床护士 共情 医学叙事能力 人文关怀品质 中介效应

泸州市哲学社会科学研究规划2021年度课题西南医科大学社科联2021年度研究课题西南医科大学2022年高等教育教学研究与改革项目泸州市哲学社会科学研究规划2023年度课题

泸社联发[2021]15号SMUSS202105JG2022159泸社联发[2023]36号

2024

10.3969/j.issn.1671-315x.2024.05.009

护理管理杂志
中国人民解放军北京军区总医院

护理管理杂志

CSTPCD
影响因子：2.38
ISSN：1671-315X
年,卷(期)：2024.24(5)
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