Analysis of the current status and influencing factors of medical narrative competence among medical and nursing staff engaged in hospice care in Shanxi Province
10.12026/j.issn.1001-8565.2026.09.11
- VernacularTitle:山西省从事安宁疗护医护人员医学叙事能力现状及影响因素分析
- Author:
Hao YANG
1
;
Jinshu XIA
2
;
Zhizhong WANG
1
;
Lingjuan LIU
3
;
Xiaolong WANG
1
Author Information
1. College of Humanities and Social Sciences， Shanxi Medical University， Taiyuan 030001， China
2. The Eighth People’s Hospital of Taiyuan， Taiyuan 030001， China
3. Department of Critical and Palliative Care， the Second People’s Hospital of Taiyuan， Taiyuan 030001， China
- Publication Type:Journal Article
- Keywords:
hospice care;
medical narrative competence;
degree of colleague care;
narrative medicine education system
- From:
Chinese Medical Ethics
2026;39(9):1212-1219
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo understand the level of medical narrative competence among hospice care practitioners in Shanxi Province， explore its influencing factors， and provide references for carrying out targeted training and improving the medical narrative competence of the medical and nursing staff. MethodsUsing convenience sampling， a total of 102 medical and nursing staff from hospitals providing hospice care in Shanxi Province were recruited as the research subjects. Questionnaire surveys were conducted with the Self-Designed General Information Questionnaire and the Self-Rating Scale for Medical Narrative Competence as the research tools. Univariate analysis and multiple linear regression analysis were adopted to explore the level of medical narrative competence and its influencing factors among hospice care practitioners in Shanxi Province. ResultsThe total score of medical narrative competence among hospice care practitioners in Shanxi Province was （158.19±19.69）. The mean scores of all dimensions were ranked from the lowest to the highest as attention and listening， understanding and response， and reflection and representation. Univariate analysis demonstrated that working years in hospice care， daily communication frequency with patients， weekly communication duration， degree of colleague care， professional recognition， job satisfaction， and familiarity with narrative medicine constituted the influencing factors for the level of medical narrative competence among hospice care practitioners （all P<0.05）. Multiple linear regression analysis showed that working years in hospice care， degree of colleague care， and familiarity with narrative medicine had statistically significant effects on the medical narrative competence of hospice care practitioners （all P<0.05）. ConclusionAdministrators of hospice care should prioritize medical and nursing staff who lack familiarity with narrative medicine， have low degrees of colleague care， experience short working years， and possess low professional recognition and job satisfaction with hospice care work. Targeted training should be strengthened for these individuals to improve their medical narrative competence level， thereby enhancing the quality of hospice care services.
