Chain mediation of oncology nurses' general self-efficacy and humanistic care competence in empathy and medical narrative competence
10.3760/cma.j.cn115682-20240419-02177
- VernacularTitle:肿瘤科护士一般自我效能感及人文关怀能力在共情能力和医学叙事能力中的链式中介作用
- Author:
Yong DONG
1
;
Shuaizhong CAI
;
Ruie LI
;
Wentong ZHOU
;
Lei JIANG
;
Haiyin YANG
;
Shiyao YANG
;
Yuexi ZHU
;
Jinhu MIAO
;
Qiongyao GUAN
Author Information
1. 昆明医科大学第三附属医院护理部，昆明 650118
- Publication Type:Journal Article
- Keywords:
Nurses;
Oncology nurses;
Medical narrative competence;
Empathy;
Humanistic care competence;
General self-efficacy;
Chain mediation
- From:
Chinese Journal of Modern Nursing
2025;31(8):1072-1077
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the chain mediating role of general self-efficacy and humanistic care competence between oncology nurses' empathy and medical narrative competence, with a view to informing the development of targeted medical narrative competence enhancement strategies.Methods:Convenience sampling was used to select 1 104 oncology nurses from 17 ClassⅢ Grade A hospitals in Yunnan Province from May to August 2023 for the study. The General Information Questionnaire, Narrative Competence Scale, Chinese version of the Jefferson Scale of Empathy, Caring Ability Inventory, and General Self-Efficacy Scale were used to survey oncology nurses. Pearson correlation was used to analyze the correlation among oncology nurses' general self-efficacy, empathy, humanistic care competence, and medical narrative competence. Mediating effects were analyzed using Model 6 in the SPSS macro program PROCESS 4.0 plug-in. Bootstrap method was used to repeat the sampling 5 000 times for the chained mediating effect test.Results:A total of 1 104 questionnaires were distributed and the number of valid questionnaires recovered was 931, with a valid recovery rate of 84.33% (931/1 104). Among 931 oncology nurses, the scores of Narrative Competence Scale, Caring Ability Inventory, Chinese version of Jefferson Scale of Empathy, and General Self-Efficacy Scale were (151.52±17.61), (191.68±18.80), (95.31±13.96), and (27.59±6.02), respectively. There was a positive two-by-two correlation among oncology nurses' medical narrative competence, empathy, humanistic care competence, and general self-efficacy ( P<0.01). General self-efficacy and humanistic care competence acted as chain mediators between oncology nurses' empathy and medical narrative competence, with the mediating effect accounting for 43.13% of the total effect. Conclusions:General self-efficacy and humanistic care are mediating variables between oncology nurses' empathy and medical narrative competence. Nursing managers should focus on the cultivation of nurses' empathy, stimulate nurses' self-efficacy, and promote the practice of nursing humanistic care, which in turn improves oncology nurses' medical narrative competence and the quality of nursing services.
