Current status and influencing factors of knowledge, attitude, and practice towards narrative nursing among 1791 tuberculosis department nurses: a national survey

doi:10.3877/cma.j.issn.1674-0785.2023.10.017

Abstract

Abstract:

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.

Key words: Tuberculosis, Nurses, Narrative nursing, Practice

Wenwen Shi, Ying Liu, Lei Yu, Xiuhua Wang. Current status and influencing factors of knowledge, attitude, and practice towards narrative nursing among 1791 tuberculosis department nurses: a national survey[J]. Chinese Journal of Clinicians(Electronic Edition), 2023, 17(10): 1123-1128.

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URL: https://zhlcyszz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-0785.2023.10.017

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References 16

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条目	均值±标准差
患者叙事属于哪一层次的需要	3.26±1.55
叙事护理与常规护理最大的不同之处	4.12±1.35
叙事护理属于哪一种类型的护患关系模式	4.21±1.26
对“疾病”和“病痛”的理解	4.29±1.27
进行护理评估收集患者资料时最合适的方式	4.30±1.09
临床护理工作中正确回应患者叙事的方式	4.59±1.06
总分	24.78±5.04

条目	均值±标准差
患者叙事属于哪一层次的需要	3.26±1.55
叙事护理与常规护理最大的不同之处	4.12±1.35
叙事护理属于哪一种类型的护患关系模式	4.21±1.26
对“疾病”和“病痛”的理解	4.29±1.27
进行护理评估收集患者资料时最合适的方式	4.30±1.09
临床护理工作中正确回应患者叙事的方式	4.59±1.06
总分	24.78±5.04

条目	均值±标准差
对患者的生活故事经历是否感兴趣	3.60±0.91
是否认为优质护理、人文关怀能加深护患沟通	3.89±0.89
是否愿意倾听并引导患者倾诉生活故事或感受	3.94±0.73
是否觉得叙事护理对自身工作有帮助	4.08±0.82
是否认为叙事护理能缓和医患关系	4.22±0.89
是否认为倾听患者叙事能为患者提供更好的护理	4.29±0.83
是否认为叙事护理能使患者对护理人员更信任	4.29±0.85
是否认为护理过程中需要考虑患者故事及感受	4.54±0.74
总分	32.86±5.05

条目	均值±标准差
对患者的生活故事经历是否感兴趣	3.60±0.91
是否认为优质护理、人文关怀能加深护患沟通	3.89±0.89
是否愿意倾听并引导患者倾诉生活故事或感受	3.94±0.73
是否觉得叙事护理对自身工作有帮助	4.08±0.82
是否认为叙事护理能缓和医患关系	4.22±0.89
是否认为倾听患者叙事能为患者提供更好的护理	4.29±0.83
是否认为叙事护理能使患者对护理人员更信任	4.29±0.85
是否认为护理过程中需要考虑患者故事及感受	4.54±0.74
总分	32.86±5.05

条目	均值±标准差
是否尝试将与患者相处的细节撰写成故事	3.05±1.33
是否掌握了有效的提问方式引导患者叙事	3.35±0.98
是否有采集患者故事意见来改进医疗护理质量	3.67±1.06
是否有与患者讨论护理方案并征求其意见的经历	3.86±1.05
在工作中是否有患者对自己叙述故事的经历	4.15±0.78
在患者叙事时能否做到专心倾听	4.32±0.86
在与患者沟通时，能否做到换位思考	4.35±0.73
倾听患者叙述故事时，心情如何	4.61±0.79
总分	31.37±5.44

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