Evidence map›Paper›PMID 40759941›Full record

ArticleBMC nursing2025

A qualitative exploration of barriers to narrative nursing practice among early-career nurses.

Lulu Chen, Xiaorong Zhou, Yuan Wang, Shen Zhang, Shuang Li, Jin Li, Li Zhang

Abstract read
In one paragraph

Article in BMC nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Lulu ChenDepartment of General Geriatric Surgery, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, 710004, Shaanxi, China.
Xiaorong ZhouDepartment of General Geriatric Surgery, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, 710004, Shaanxi, China.
Yuan WangDepartment of General Geriatric Surgery, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, 710004, Shaanxi, China.
Shen ZhangDepartment of General Geriatric Surgery, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, 710004, Shaanxi, China.
Shuang LiDepartment of General Geriatric Surgery, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, 710004, Shaanxi, China.
Jin LiDepartment of General Geriatric Surgery, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, 710004, Shaanxi, China.
Li ZhangDepartment of General Geriatric Surgery, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, 710004, Shaanxi, China. zhang2021li@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo explore the barriers faced by early-career nurses in practicing narrative nursing, covering individual competence, patient cooperation, institutional support, and sociocultural factors, aiming to provide theoretical and practical references for enhancing nurses' humanistic care ability, optimizing nurse-patient relationships, and improving care quality.

methodsA phenomenological qualitative study was conducted using purposive sampling to select seven early-career nurses from the Second Affiliated Hospital of Xi'an Jiaotong University between March and June 2024. Semi-structured face-to-face interviews were performed, and data were analyzed using Colaizzi's seven-step method to extract themes.

resultsFour major themes and ten subthemes were identified: (1) weak narrative competence among early-career nurses, manifested as the gap between theory and practice, insufficient communication in complex situations, and difficulty in emotional regulation; (2) limited patient understanding and cooperation, including communication barriers and lack of trust; (3) constrained objective conditions, such as high workload, lack of training, and insufficient humanistic atmosphere; (4) sociocultural factors affecting narrative nursing implementation, including imbalance between treatment and humanistic needs and reduced nurse-patient interaction willingness due to negative events.

conclusionInsufficient narrative competence of early-career nurses and low patient cooperation are the main obstacles to promoting narrative nursing. Targeted training, improving patient awareness, strengthening institutional support, and fostering a positive humanistic environment can effectively enhance nurses' humanistic care abilities and optimize nurse-patient relationships. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

Early-career nursesImplementation barriersNarrative nursingQualitative researchSemi-structured interviews

Identifiers

PMID40759941
PMCPMC12323129

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LicenceCC BY-NC-ND
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.