{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T13:31:10Z","timestamp":1787146270703,"version":"build-2736575974"},"reference-count":25,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T00:00:00Z","timestamp":1786665600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Patient-centered care, which emphasizes clinical narrative competence of nurses, is receiving increasing attention. However, there is limited evidence indicating the level of clinical narrative competence of nurses. This study aimed to explore the current situation and associated factors of the clinical narrative competence of nurses in selected hospitals in Guangxi, China.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This cross-sectional study involved 316 nurses from seven affiliated hospitals of Guangxi Medical University and Guangxi University of Chinese Medicine. A self-administered questionnaire was used for data collection through an online survey platform. T-tests and one-way ANOVA were utilized to determine significant differences for the variables. Multiple linear regression analysis was employed to explore the significant variables associated with the clinical narrative competence of nurses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Univariate analysis showed that everal factors were significantly associated with clinical narrative competence (\n                      <jats:italic>p<\/jats:italic>\n                      &amp;lt;\u202f0.003 for all), including: \u201cthe level of knowledge about narrative medicine\u201d; \u201cbelieving that it\u2019s necessary to understand the stories and feelings of patients or their families\u201d; \u201cbelieving that listening to patients\u2019 accounts helps medical staff understand patients more deeply, thereby prompting them to provide more personalized and humanized treatment to patients\u201d; \u201cwilling to continue or plan to study narrative medicine\u201d; and \u201cbelieving that it\u2019s necessary to develop narrative medicine research and practice in clinical settings.\u201d Multiple linear regression analysis revealed that \u201cbelieving that it is necessary to develop narrative medicine research and practice in clinical settings\u201d (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.002), \u201cbelieving that listening to patients\u2019 accounts helps medical staff understand patients more deeply\u201d (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.009), and \u201cthe level of knowledge about narrative medicine\u201d (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.011) were significant associated factors of the clinical narrative competence of nurses.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Attitudes towards narrative medicine were significantly associated with the clinical narrative competence of nurses. It is suggested that the knowledge and skills related to narrative medicine and narrative nursing should be incorporated into the core competence development of nurses. Moreover, it is necessary to gradually introduce narrative nursing practice into clinical nursing. These measures may enhance nurses\u2019 clinical narrative competence and provide high-quality nursing services to patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fmed.2026.1898040","type":"journal-article","created":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T04:23:35Z","timestamp":1786681415000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Current situation and associated factors of clinical narrative competence of nurses in selected hospitals in Guangxi, China: a cross-sectional study"],"prefix":"10.3389","volume":"13","author":[{"given":"Senlan","family":"Zhang","sequence":"first","affiliation":[{"name":"Department Two of Gynecology, The First Affiliated Hospital of Guangxi Medical University","place":["Nanning, Guangxi, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaiyong","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Occupational Health and Environmental Health, School of Public Health, Guangxi Medical University","place":["Nanning, Guangxi, China"]},{"name":"China (Guangxi)-ASEAN Engineering Research Center of Big Data for Public Health, Guangxi Medical University","place":["Nanning, China"]},{"name":"University Engineering Research Center of China (Guangxi)-ASEAN Intelligent Health Emergency Response","place":["Nanning, Guangxi, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liuyi","family":"Chen","sequence":"additional","affiliation":[{"name":"School of Humanities and Social Sciences, Guangxi Medical University","place":["Nanning, Guangxi, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yingming","family":"Liao","sequence":"additional","affiliation":[{"name":"School of Information and Management, Guangxi Medical University","place":["Nanning, Guangxi, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huabin","family":"Su","sequence":"additional","affiliation":[{"name":"Ministry of Science and Education, Jiangbin Hospital of Guangxi Zhuang Autonomous Region","place":["Nanning, Guangxi, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jinmeng","family":"Huang","sequence":"additional","affiliation":[{"name":"Educational Evaluation and Faculty Development Center, Guangxi Medical University","place":["Nanning, Guangxi, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,8,14]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"1897","DOI":"10.1001\/jama.286.15.1897","article-title":"Narrative medicine: a model for empathy, reflection, profession, and 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