International Medicine and Health Guidance News ›› 2023, Vol. 29 ›› Issue (10): 1463-1467.DOI: 10.3760/cma.j.issn.1007-1245.2023.10.029

• Nursing Research • Previous Articles     Next Articles

Nursing interns' medical narrative ability and its influencing factors

Xu Fengmin1, Feng Shushuang2, Wei Ruihong3, Lu Junhong4   

  1. 1 Medical College, Shantou University, Shantou 515000, China; 2 CCU, Second Hospital, Medical College, Shantou University, Shantou 515000, China; 3 Nursing Department, Second Hospital, Medical College, Shantou University, Shantou 515000, China; 4 Department of Respiratory and Tumor Medicine, Tumor Hospital, Medical College, Shantou University, Shantou 515000, China

  • Received:2022-10-31 Online:2023-05-15 Published:2023-05-16
  • Contact: Feng Shushuang, Email: 13592803932@163.com
  • Supported by:

    Research Project of Teaching Reform of Guangdong Medical Teaching Foundation (2019JD109)

护理实习生医学叙事能力现状及影响因素分析

许枫敏1  冯舒爽2  魏睿宏3  卢俊红4   

  1. 1汕头大学医学院,汕头 5150002汕头大学医学院第二附属医院CCU,汕头 5150003汕头大学医学院第二附属医院护理部,汕头 5150004汕头大学医学院附属肿瘤医院呼吸肿瘤内科,汕头 515000

  • 通讯作者: 冯舒爽,Email:13592803932@163.com
  • 基金资助:

    广东省临床教学基地教学改革研究项目(2019JD109

Abstract:

Objective To investigate the current situation of medical narrative ability of nursing interns, to explore its influencing factors, and to provide evidences for making educational program to improve the medical narrative ability of nursing interns. Methods From October to December 2021, a total of 144 nursing interns who were 16-25 years old were selected from First Hospital, Medical College, Shantou University, Second Hospital, Medical College, Shantou University, and Guangzhou Red Cross Hospital as the research objects by the convenient sampling method. The medical Narrative Ability Scale (NCS) was used to investigate the nursing interns, and the influencing factors were analyzed. χ2 test, t test, and analysis of variance were applied. The multilinear regression analysis was used for the multivariate analysis. Results The nursing interns' score of medical narrative ability of was (140.50±19.19). The scores of attentive listening, reflective representation, and understanding response were (5.27±0.75), (5.21±0.78), (5.15±0.83). The scores of medical narrative ability of the nursing interns with recognition of nursing industry, familiarity with medical narrative ability, and care for friends had statistical significance (P<0.05). Multilinear regression analysis showed that the recognition degree of nursing industry, the familiarity degree of medical narrative ability, and the care degree of friends were the main factors affecting their medical narrative ability. Conclusions The medical narrative ability of nursing interns is at a low level, so nursing interns' vocational identity education and school education of narrative nursing should be strengthened.

Key words:

Nursing interns, Medical narrative ability, Influencing factors

摘要:

目的 了解护理实习生的医学叙事能力水平现状,并对其影响因素进行讨论,为制定提高护理实习生医学叙事能力的教育方案提供依据。方法 202110月至12月,采用便利抽样法选取来自汕头大学医学院第一附属医院、汕头大学医学院第二附属医院、广州市红十字会医院共144名护理实习生作为研究对象,年龄在1625岁间,应用医学叙事能力量表(NCS)对护理实习生进行调查并分析其影响因素。采用χ2检验、t检验、方差分析,多因素分析采用多重线性回归分析。结果 护理实习生的医学叙事能力得分为(140.50±19.19)分;各维度的条目均分从高到低分别为关注倾听(5.27±0.75)分、反思再现(5.21±0.78)分、理解回应(5.15±0.83)分。对护理行业的认可程度、对医学叙事能力的熟悉程度、对朋友的关怀程度的护理实习生医学叙事能力得分比较,差异有统计学意义(P<0.05)。多重线性回归分析显示,对护理行业的认可程度、对医学叙事能力的熟悉程度、对朋友的关怀程度是影响其医学叙事能力的主要影响因素。结论 护理实习生的医学叙事能力处于较低水平,护理管理者应加强培养护理实习生的职业认同感,并重视叙事护理的学校教育。

关键词:

护理实习生, 医学叙事能力, 影响因素