文献分享·第83期|影响临床护士参与叙事护理意愿的因素： 横断面研究

文献分享 | Factors Influencing the Willingness of Clinical Nurses to Participate in Narrative Nursing: A Cross-Sectional Study

来源： J Adv Nurs

DOI： 10.1111/jan.16434. Epub ahead of print. 

Abstract 摘要

Aim(s):  Narrative nursing (NN) is a crucial component of modern medical humanistic care. It involves utilising storytelling as a means to guide nurses in devising future interventions for patients, and help patients in reconstructing positive psychological defences. The willingness of clinical nurses to engage in narrative nursing holds significant implications for both effective communication and the overall quality of care. However, there is limited knowledge regarding clinical nurses' willingness to engage in narrative nursing. This study aims to investigate the participation willingness of Chinese nurses, identify its predictors and explore its corresponding reasons.

目的：叙事护理（NN）是现代医学人文关怀的重要组成部分。它包括利用讲故事的方式指导护士为病人设计未来的干预措施，并帮助病人重建积极的心理防御。临床护士参与叙事护理的意愿对有效沟通和整体护理质量具有重要意义。然而，有关临床护士参与叙事护理的意愿的知识有限。本研究旨在调查中国护士的参与意愿，确定其预测因素并探讨其相应的原因。

Design: A cross-sectional study.

设计：横断面研究。

Methods: Clinical nurses were enrolled in Hunan province, Central South, China, and a convenience sampling strategy was used. A structured questionnaire was distributed to clinical nurses by an online survey platform. Information on sociodemographic characteristics, willingness and possible influencing factors (experience, ability, perceptions on narrative nursing) was collected. Binary logistic regression was conducted to identify the predictors of willingness to participate in narrative nursing.

研究方法：采用横断面研究： 在中国中南部湖南省招募临床护士，采用便利抽样策略。通过在线调查平台向临床护士发放结构化问卷。收集的信息包括社会人口学特征、意愿和可能的影响因素（经验、能力、对叙事护理的看法）。进行二元逻辑回归以确定参与叙事护理意愿的预测因素。 

Results: A total of 2310 nurses were recruited, of which 2092 nurses completed the questionnaire (response rate: 90.6%). One thousand seven hundred and thirty-four nurses (82.9%) were willing to participate in NN, and 358 (17.1%) were not. Binary logistic regression analysis identified nine predictors of participants' willingness to participate, including working departments, professional title, working position, experience of received mobilisation and training of NN, understanding of related knowledge, NCS level, affirmation of NN and positive attitude towards clinical application (all p values < 0.05). These indicators explained 17.1% of the variances in the dependent variable (p < 0.001).

结果：共招募了 2310 名护士，其中 2092 名护士完成了问卷调查（回复率：90.6%）。有 1734 名护士（82.9%）愿意参与 NN，358 名护士（17.1%）不愿意。二元邏輯迴歸分析確定了 9 項預測參與者是否願意參與的因素，包括工作科室、職稱、工作職位、曾接受動員及培訓非華語護士的經驗、對相關知識的了解、非華語水平、對非華語護士的肯定及對臨床應用的正面態度（所有 P 值均 < 0.05）。这些指标解释了因变量中 17.1%的变异（p < 0.001）。

conclusion:A high proportion of nurses in Hunan province were willing to practice in clinic using NN. Willingness to participate may be increased by a focus on nurses with low professional titles, no administrative position and working in specialised departments, such as emergency departments, infectious departments, critical care units and operating theatres.    结论：湖南省有很高比例的护士愿意使用 NN 进行临床实践。将重点放在低职称、无行政职务以及在急诊科、感染科、重症监护室和手术室等专业科室工作的护士身上，可提高参与意愿。 

Impact: The study identified a high proportion of nurses in Hunan Province who were willing to use NN. However, the figure was slightly lower than expected. Influencing factors were analysed to give insights for managers to develop more effective NN outreach programs.

影响：研究发现，湖南省愿意使用 NN 的护士比例较高。但这一数字略低于预期。研究分析了影响因素，为管理者制定更有效的 NN 推广计划提供了启示。

Patient or public contribution: No patient or public contribution.

患者或公众的贡献：无患者或公众贡献。 

Keywords: cross‐sectional studies; narrative‐medicine; narrative‐nursing; nurses; willingness.

关键词：横断面研究；叙事医学；叙事护理；护士；意愿。 

（译文仅供参考）