摘要
目的通过meta分析探讨临床护士医学叙事能力的影响因素。方法检索知网、万方、维普、生物医学文献数据库、PubMed、PsycINFO、Embase、The Cochrane Library、Web of Science,检索时限为2020年4月至2025年4月。采用美国卫生保健研究机构的标准对纳入文献进行质量评价,采用RevMan 5.3软件进行meta分析。结果共纳入36篇文献,纳入文献发表时间为2020—2025年,文献质量评分为6~10分。从36项研究中共提取出23个影响临床护士医学叙事能力的因素,包括年龄、性别、工作年限、用工性质、生育状况、职称、职务、医院类型、医院等级、同事关怀、朋友关怀、家人关怀、工作满意程度、医学叙事熟悉程度、医学叙事培训经历、医学叙事实践经历、认为开展医学叙事的必要性、工作相关生活质量、自我效能感、家庭关怀度、组织支持感、关怀能力、共情能力。结论临床护士的医学叙事能力受到多种因素的综合影响,包括个人背景、职业环境、社会支持、心理状态以及对医学叙事的专业认知等。护理管理可根据这些因素制定个性化的培训策略,优化工作环境,强化社会支持,提供专业培训与实践机会,以提升护士的医学叙事能力。
Objective To explore the influencing factors of medical narrative competence among clinical nurses through meta-analysis.Methods Computer-based searches were conducted across multiple databases,including China National Knowledge Infrastructure,Wanfang Data Knowledge Service Platform,VIP Chinese Sci-Tech Journals Full-text Database,China Biology Medicine,PubMed,PsycINFO,Embase,The Cochrane Library,and Web of Science.The search period spanned from April 2020 to April 2025.The quality of the included literatures was evaluated according to the standards of American health care research institutions,and the Revman 5.3 software was used for meta-analysis.Results A total of 36 studies published between 2020 and 2025 were included,with quality scores ranging from 6 to 10.From 36 studies,a total of 23 factors affecting clinical nurses'medical narrative ability were extracted,including age,gender,years of work experience,employment nature,reproductive status,professional title,position,hospital type,hospital level,colleague care,friend care,family care,job satisfaction,familiarity with medical narrative,medical narrative training experience,medical narrative practice experience,perceived necessity of developing medical narrative,job-related quality of life,self-efficacy,family care degree,perceived organizational support,caring ability,and empathy ability.Conclusion Medical narrative competence among clinical nurses is influenced by a combination of factors,including personal background,occupational environment,social support,psychological state,and professional cognition of medical narrative.According to these factors,nursing managers can formulate personalized training strategies,optimize the working environment,strengthen social support,and provide professional training and practice opportunities to improve nurses'medical narrative ability.
作者
李笑
李慧
方杰
王智文
LI Xiao;LI Hui;FANG Jie;WANG Zhiwen(Outpatient Surgery Room,Hospital for Skin Diseases,Institute of Dermatology,Chinese Academy of Medical Sciences&Peking Union Medical College,Jiangsu Province,Nanjing 210042,China)
出处
《中国当代医药》
2026年第3期10-16,22,共8页
China Modern Medicine
关键词
临床护士
医学叙事能力
影响因素
META分析
Clinical nurses
Medical narrative competence
Influencing factors
Meta-analysis
