Current status and influencing factors of knowledge, attitude, and practice towards narrative nursing among 1791 tuberculosis department nurses: a national survey
Objective:To investigate the knowledge, attitude, and practice towards narrative nursing among tuberculosis department nurses and explore the influencing factors.Methods:A total of 1 791 tuberculosis department nurses from 41 hospitals in 17 provinces and cities across China were selected by multi-stage sampling as the survey subjects. A cross-sectional survey was conducted with a general data questionnaire and the Knowledge-Attitude-Practice Survey of Clinical Nurses on Narrative Nursing.Results:The scores of narrative nursing knowledge, attitude, and practice of tuberculosis department nurses were (24.78±5.04), (32.86±5.05), and (31.37±5.44), respectively. There were statistically significant differences in the scores of narrative nursing among different educational backgrounds, professional titles, positions, and levels of family care, colleague care, and leader care (P<0.05). The results of multiple linear regression analysis showed that position (t=3.081, P=0.002), family care level (t=-2.519, P=0.012), and leadership care level (t=-5.039, P<0.001) were the main factors affecting the narrative nursing knowledge, attitude, and practice of tuberculosis department nurses.Conclusion:Tuberculosis department nurses have a good grasp of narrative nursing knowledge and a positive attitude towards narrative nursing, but they have a lack of narrative nursing practice. Nursing managers should carry out various forms of education and training to create a good caring environment and improve nurses' narrative ability.