Influencing Factors of Medical Narrative Competence Among Clinical Nurses in China: A Systematic Review and Meta‐Analysis
8 affiliations
- 1Department of Cancer Center Sichuan Provincial People’s Hospital School of Medicine University of Electronic Science and Technology of China Chengdu Sichuan China uestc.edu.cn
- 2Department of Vascular Surgery Sichuan Provincial People’s Hospital School of Medicine University of Electronic Science and Technology of China Chengdu Sichuan China uestc.edu.cn
- 3Department of Thoracic Surgery Sichuan Provincial People’s Hospital School of Medicine University of Electronic Science and Technology of China Chengdu Sichuan China uestc.edu.cn
- 4School of Medicine University of Electronic Science and Technology of China Chengdu Sichuan China uestc.edu.cn
- 5College of Nursing Chengdu University of Traditional Chinese Medicine Chengdu Sichuan China cdutcm.edu.cn
- 6College of Nursing North Sichuan Medical College Nanchong Sichuan China nsmc.edu.cn
- 7Department of Outpatient Pediatrics Sichuan Provincial People’s Hospital School of Medicine University of Electronic Science and Technology of China Chengdu Sichuan China uestc.edu.cn
- 8Department of Nursing Sichuan Provincial People’s Hospital School of Medicine University of Electronic Science and Technology of China Chengdu Sichuan China uestc.edu.cn
Abstract
Aim: To investigate the current level of and influencing factors for medical narrative competence among clinical nurses in China.
Background: In China, clinical nurses generally demonstrate insufficient medical narrative competence. This condition is associated with suboptimal delivery of humanistic nursing services, frequent nurse–patient frictions, and diminished professional identity among nursing staff. It is essential to systematically explore the current situation and relevant influencing factors, so as to enhance clinical nurses’ medical narrative competence and improve the overall quality of nursing services.
Methods: Systematic searches were conducted to retrieve literature on the current status and influencing factors of medical narrative competence among clinical nurses in China from 11 databases, including China National Knowledge Infrastructure (CNKI), Wanfang Database, VIP Database, China Biomedical Literature Database (CBM), PubMed, Embase, Scopus, Cochrane Library, Web of Science, PsycINFO, and the Cumulative Index to Nursing and Allied Health Literature (CINAHL). Meta‐analysis was performed using Stata 15.0 and RevMan 5.4 software.
Results: A total of 34 studies involving 21,455 Chinese clinical nurses were included, and 17 influencing factors were identified. Meta‐analysis showed that the pooled mean total score of medical narrative competence was 147.38 (95% CI: 145.17–149.60). Factors associated with higher medical narrative competence included age > 35 years, working experience ≥ 10 years, senior professional title, head nurse or above position, male nurse status, monthly income ≥ 10,000 CNY, great familiarity with narrative medicine, and previous training experience in medical narrative. By contrast, moderate colleague support and dissatisfaction with nursing work were associated with lower medical narrative competence (all p < 0.05).
Conclusion: The medical narrative competence of clinical nurses in China is at the lower end of the moderate level and was associated with multiple individual and occupational factors.
Implication for Nursing Management: These findings may offer preliminary evidence to inform nursing management. Given the factors associated with medical narrative competence, nursing managers may consider developing targeted interventions and training programs to help enhance nurses’ competence and contribute to better nursing care quality.
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BibTeX
@article{li2026influencing,
title = {{Influencing Factors of Medical Narrative Competence Among Clinical Nurses in China: A Systematic Review and Meta‐Analysis}},
author = {Yuqin Li and Rong Hu and Li Tang and Feng Chen and Wei Yang and Ying Xiao and Huilu Yao and Hongxiu Wang and Qin Mao and Xiaorong Mao},
journal = {Journal of Nursing Management},
year = {2026},
month = nov,
doi = {10.1155/jonm/5040520},
url = {https://doi.org/10.1155/jonm/5040520},
note = {CC BY 4.0},
}
RIS
TY - JOUR
TI - Influencing Factors of Medical Narrative Competence Among Clinical Nurses in China: A Systematic Review and Meta‐Analysis
AU - Yuqin Li
AU - Rong Hu
AU - Li Tang
AU - Feng Chen
AU - Wei Yang
AU - Ying Xiao
AU - Huilu Yao
AU - Hongxiu Wang
AU - Qin Mao
AU - Xiaorong Mao
PY - 2026
DA - 2026/11/03
JO - Journal of Nursing Management
DO - 10.1155/jonm/5040520
UR - https://doi.org/10.1155/jonm/5040520
AB - Aim: To investigate the current level of and influencing factors for medical narrative competence among clinical nurses in China. Background: In China, clinical nurses generally demonstrate insufficient medical narrative competence. This condition is associated with suboptimal delivery of humanistic nursing services, frequent nurse–patient frictions, and diminished professional identity among nursing staff. It is essential to systematically explore the current situation and relevant influencing factors, so as to enhance clinical nurses’ medical narrative competence and improve the overall quality of nursing services. Methods: Systematic searches were conducted to retrieve literature on the current status and influencing factors of medical narrative competence among clinical nurses in China from 11 databases, including China National Knowledge Infrastructure (CNKI), Wanfang Database, VIP Database, China Biomedical Literature Database (CBM), PubMed, Embase, Scopus, Cochrane Library, Web of Science, PsycINFO, and the Cumulative Index to Nursing and Allied Health Literature (CINAHL). Meta‐analysis was performed using Stata 15.0 and RevMan 5.4 software. Results: A total of 34 studies involving 21,455 Chinese clinical nurses were included, and 17 influencing factors were identified. Meta‐analysis showed that the pooled mean total score of medical narrative competence was 147.38 (95% CI: 145.17–149.60). Factors associated with higher medical narrative competence included age > 35 years, working experience ≥ 10 years, senior professional title, head nurse or above position, male nurse status, monthly income ≥ 10,000 CNY, great familiarity with narrative medicine, and previous training experience in medical narrative. By contrast, moderate colleague support and dissatisfaction with nursing work were associated with lower medical narrative competence (all p < 0.05). Conclusion: The medical narrative competence of clinical nurses in China is at the lower end of the moderate level and was associated with multiple individual and occupational factors. Implication for Nursing Management: These findings may offer preliminary evidence to inform nursing management. Given the factors associated with medical narrative competence, nursing managers may consider developing targeted interventions and training programs to help enhance nurses’ competence and contribute to better nursing care quality.
SN - 0966-0429
SN - 1365-2834
ER -