临床护士叙事护理知识态度行为与人文关怀品质的相关性研究
A Study on the Correlation between Clinical Nurses’ Narrative Nursing Knowledge, Attitudes, Practices, and Humanistic Care Competence
摘要: 目的:探讨临床护士叙事护理知识态度行为与人文关怀品质的现状及其相互关系,为建构临床护士人文关怀品质提升方案提供借鉴。方法:采用便利抽样法,选取延吉市3家医院的421名临床护士作为研究对象,使用一般资料调查表、叙事护理知识态度行为问卷及人文关怀品质量表进行线上问卷调查。采用SPSS 27.0软件进行数据分析。结果:临床护士叙事护理知识态度行为和人文关怀品质总分均处于中等水平,分别为(83.62 ± 16.11)分、(113.09 ± 24.92)分,二者呈正相关(r = 0.511, P < 0.01);年龄、第一学历、是否愿意从事护理工作、是否知晓叙事医学或叙事护理、叙事护理知识态度行为是临床护士人文关怀品质的主要预测因素(F = 34.812,P < 0.001,调整后R2 = 0.287)。结论:临床护士叙事护理知识态度行为与人文关怀品质水平仍待进一步提高,二者密切相关。护理管理者应通过强化护士叙事护理核心能力,推动人文关怀品质的持续提升,为建立高质量临床护理服务模式奠定基础。
Abstract: Objective: To explore the current status of clinical nurses’ knowledge, attitude, and behavior regarding narrative nursing and their humanistic care quality, as well as the interrelationships between them, in order to provide a reference for developing strategies to enhance the humanistic care quality of clinical nurses. Methods: Using convenience sampling, 421 clinical nurses from three hospitals in Yanji City were recruited. Online surveys were conducted using the General Information Questionnaire, the Narrative Nursing Knowledge, Attitude, and Behavior Questionnaire, and the Humanistic Care Quality Scale. Data were analyzed with SPSS 27.0 software. Results: The total scores for clinical nurses’ narrative nursing knowledge, attitude, and behavior and their humanistic care quality were both at moderate levels, scoring (83.62 ± 16.11) and (113.09 ± 24.92) points, respectively. A positive correlation was found between the two (r = 0.511, P < 0.01). Age, initial education degree, willingness to engage in nursing work, awareness of narrative medicine/nursing, and narrative nursing knowledge, attitude, and behavior were the main predictors of clinical nurses’ humanistic care quality (F = 34.812, P < 0.001, adjusted R2 = 0.287). Conclusion: The levels of clinical nurses’ narrative nursing knowledge, attitude, and behavior and their humanistic care quality require further improvement. These aspects are closely related. Nursing managers should enhance nurses’ core competencies in narrative nursing to promote the continuous improvement of humanistic care quality, thereby laying the groundwork for establishing a high-quality clinical nursing service model.
文章引用:李珈妮, 朴丽燕, 李明今, 黄尚奕, 郑薇. 临床护士叙事护理知识态度行为与人文关怀品质的相关性研究[J]. 护理学, 2026, 15(2): 12-23. https://doi.org/10.12677/ns.2026.152029

参考文献

[1] Lv, J., Su, Y., Tang, H., Jiang, X. and Chen, X. (2025) Humanistic Nursing Care Management Strategies: From Formulation to Implementation. Frontiers in Public Health, 13, Article ID: 1591077. [Google Scholar] [CrossRef] [PubMed]
[2] 中共中央, 国务院. “健康中国2030”规划纲要[Z]. 北京: 人民出版社, 2016.
[3] Carter, B.M. and McMillian-Bohler, J. (2020) Rewriting the Microaggression Narrative: Enhancing Nursing Students’ Ability to Respond. Nurse Educator, 46, 96-100. [Google Scholar] [CrossRef] [PubMed]
[4] Mo, F., Hu, X., Ma, Q. and Xing, L. (2024) Clinical Narrative Competence and Humanistic Care Ability of Nurses in Assisted Reproductive Technology: A Cross-Sectional Study. BMC Nursing, 23, Article No. 119. [Google Scholar] [CrossRef] [PubMed]
[5] 崔金锐, 胡露红, 旷婉, 等. 临床护理人员人文关怀品质与医学叙事能力的相关性研究[J]. 护理学杂志, 2021, 36(9): 58-60.
[6] 黄辉. 三级甲等医院护理人员叙事护理知识、态度、行为研究[D]: [硕士学位论文]. 武汉: 华中科技大学, 2016.
[7] 刘于皛, 姜安丽. 护士人文关怀品质测评量表的研制与分析[J]. 解放军护理杂志, 2012, 29(8): 19-21.
[8] 彭涛. 临床护士开展叙事护理培训的范围综述[J]. 中国护理管理, 2023, 23(7): 1026-1030.
[9] 沈谢冬, 吕君, 王世英. 护理人员亚健康与职业兴趣相关性分析[J]. 解放军医院管理杂志, 2015, 22(10): 950-951, 955.
[10] Masibo, R.M., Kibusi, S.M. and Masika, G.M. (2024) Gender Dynamics in Nursing Profession: Impact on Professional Practice and Development in Tanzania. BMC Health Services Research, 24, Article No. 1179. [Google Scholar] [CrossRef] [PubMed]
[11] 于翠香, 王建英, 周松, 等. 临床护士叙事护理的知信行现状及其影响因素[J]. 护理学杂志, 2019, 34(23): 50-53.
[12] 廖芳, 侯铭, 蔺波等. 肿瘤科护士叙事护理知信行现状及其影响因素分析[J]. 现代临床护理, 2021, 20(8): 17-22.
[13] 王杉, 果彤, 孙咏莉, 等. 依托叙事医学教育构建医学人文精神研究——基于2145名医务人员的KAP调查报告[J]. 中国医学伦理学, 2022, 35(10): 1376-1384.
[14] 邵静, 孙宏玉, 王晨, 等. 精神科护士人文关怀品质现状及影响因素研究[J]. 中国实用护理杂志, 2021, 37(2): 108-114.
[15] 熊沫, 胡露红, 旷婉等. 肿瘤科护士叙事护理能力与人文关怀品质的相关性研究[J]. 中西医结合护理, 2022, 8(11): 108-113.
[16] Watson, J. (2003) Love and Caring. Ethics of Face and Hand-All Invitation to Return to the Heart and Soul of Nursing and Our Deep Humanity. Nursing Administration Quarterly, 27, 197-202. [Google Scholar] [CrossRef] [PubMed]
[17] 陶莹, 李丽萍. 叙事教育在培养护理本科生职业态度中的应用[J]. 中华护理教育, 2020, 17(12): 1061-1066.
[18] Watson, J. (2011) Nursing: Human Science and Human Care: A Theory of Nursing. 2nd Edition, Jones & Bartlett Learning.
[19] 杨秋梅, 龚桂芳, 殷彩欣. 基于人口学特征的妇儿护士叙事护理知信行状况及影响因素的调查分析[J]. 国际护理学研究, 2022, 4(4): 39-43.
[20] 李爽, 张广清, 施盛莹, 等. 407名规范化培训护士叙事护理的知信行调查分析[J]. 护理学报, 2020, 27(23): 5-9.
[21] 张明娇, 李玉凤, 李星娅, 等. 老年雾化吸入患者人文护理需求研究进展[J]. 中西医结合护理, 2024, 10(2): 117-120.
[22] 邓敏, 李华英, 蔡靳, 等. 知情同意告知中护士人文关怀品质与行为的相关分析[J]. 中国实用护理杂志, 2019, 35(18): 1425-1428.
[23] Kuşlu, S., Eminoğlu, A. and Muşluoğlu, M. (2025) The Effect of Holistic and Humanistic Approach on Professional Pride in Nursing Care. Journal of Advanced Nursing, 1-17. [Google Scholar] [CrossRef] [PubMed]
[24] 邱萍萍. 护士人文关怀行为与职业认同的相关性研究[J]. 中国护理管理, 2014, 14(8): 870-872.
[25] Smith, M.J. and Liehr, P. (2005) Story Theory: Advancing Nursing Practice Scholarship. Holistic Nursing Practice, 19, 272-276. [Google Scholar] [CrossRef] [PubMed]
[26] 刘俊, 李莉, 李芳, 冯哲, 蔡永婕, 谢胜. 叙事教育在护理研究生人文关怀教育中的应用[J]. 护理学, 2024, 13(4): 456-461.