Clinical Nursing
Path analysis of medical narrative competence and profession quality of life on professional identity of nurses
Pan Jinjin, Han Yuping, Li Na, Liu Xiaoli, Wang Fei, Sang Xiaoming
Published 2023-12-01
Cite as Chin J Prac Nurs, 2023, 39(34): 2694-2700. DOI: 10.3760/cma.j.cn211501-20230321-00680
Abstract
ObjectiveTo explore the path relationship among medical narrative competence and profession quality of life on professional identity of nurses, so as to provide reference for improving nurses′professional identity.
MethodsThis study was across-sectional survey. From October 2022 to February 2023, totally 619 nurses in Shandong Provincial Hospital Affiliated to Shandong First Medical University were investigated using Self-designed Demographic Questionnaire, Medical Narrative Competence Scale, Professional Quality of Life Scale and Professional Identity Scale.
ResultsThe score of nurses′s medical narrative competence was (144.13 ± 22.09) points, compassion satisfaction was (34.82 ± 6.96) points, job burnout was (24.03 ± 5.48) points, secondary traumatic stress was (23.91 ± 5.89) points, and the scores of nurses′ professional identity was (112.68 ± 19.05) points. Nurses′ medical narrative competence was positively correlated with compassion satisfaction and professional identity (r=0.585, 0.697, both P<0.01); nurses′ medical narrative competence was negatively correlated with job burnout and secondary traumatic stress (r=-0.516, -0.214, both P<0.01). Regression analysis showed that nurses′ medical narrative ability, compassion satisfaction and job burnout were the influencing factors of nurses′professional identity (t=13.26, 10.52, -2.32, all P<0.05). Structural equation model indicated that medical narrative ability of nurses had an intermediary effect on professional identity through the dimension of compassion satisfaction, and the intermediary effect was 0.269, and the intermediary effect accounted for 36.88% of the total effect.
ConclusionsMedical narrative ability of nurses can have positive emotional experience on nurses′ psychology, and thus have an impact on professional identity. Nursing managers should pay attention to the level of nurses′ medical satisfaction, and give full play to the intermediary effect of compassion satisfaction in nurses′ medical narrative ability and professional identity.
Key words:
Nurses; Medical narrative competence; Profession quality of life; Professional identity; Mediating effect
Contributor Information
Pan Jinjin
Department of Emergency Center, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan 250014, China
Han Yuping
Department of Emergency Center, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan 250014, China
Li Na
Department of Emergency Center, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan 250014, China
Liu Xiaoli
Department of Emergency Center, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan 250014, China
Wang Fei
Department of Emergency Center, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan 250014, China
Sang Xiaoming
Department of Emergency Center, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan 250014, China
