Mediating effect of regulatory emotion self-efficacy between narrative competence and rumination of ICU nurses
Objective To investigate the mediating effect of regulatory emotion self-efficacy in the relationship between ICU nurses'narrative competence and rumination.Methods The convenience sampling was used to select 472 ICU nurses from 34 tertiary grade-A hospitals and 7 secondary grade-A second-class hospitals in Guangdong Province from June to September 2022,and they were investigated by using general information questionnaire,Chinese-Event Related Rumination Inventory Scale,Narrative Competence Scale and Regulatory Emotional Regulatory Self-efficacy Questionnaire.SPSS 25.0 was used to test the mediating effect.Results The total score of narrative competence,rumination and regulatory emotion self-efficacy was 143.00(130.25,155.00),25.00(20.00,36.00),and 45.00(39.00,48.00)respectively.Narrative competence was negatively correlated with intrusive rumination(rs=-0.121,P<0.01),but positively with regulatory emotional regulatory self-efficacy(rs=0.490,P<0.001).Narrative competence could positively predict regulatory emotional self-efficacy(β=0.186,P<0.001).Regulatory eEmotional regulatory self-efficacy could negatively predict rumination(β=-0.423,P<0.001),which also played a suppressed role between narrative competence and rumination,and the indirect effect value was-0.079,accounting for 85.9% of the direct effect.Conclusion Narrative competence can directly predict rumination.Regulatory Emotional regulatory self-efficacy has an suppression effect between narrative competence and rumination.It is important to enhance the development of narrative competence among ICU nurses,thus to improve their self-efficacy in emotion regulation.This,in turn,may help reduce negative rumination caused by stressful events.