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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Barriers and facilitators to narrative nursing implementation for junior nurses: A qualitative study.

Li Zhang1, Qiang Han1, Lin Nan2

  • 1Department of Geriatric Digestive Surgery, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi Province, China.

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Junior nurses face barriers like skill gaps and high workloads in implementing narrative nursing. Enhancing training and support can improve patient-centered care and humanism in nursing.

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Area of Science:

  • Nursing
  • Healthcare Management
  • Qualitative Research

Background:

  • Narrative nursing emphasizes patient-centered communication and holistic care.
  • Junior nurses' experiences with implementing new care models are crucial for effective integration.
  • Understanding challenges is key to optimizing nursing practice and humanistic care.

Purpose of the Study:

  • To explore barriers and facilitators to narrative nursing implementation by junior nurses.
  • To identify factors influencing the adoption of humanistic care approaches in early-career nursing.
  • To inform strategies for enhancing narrative nursing practices.

Main Methods:

  • Purposive sampling of junior nurses.
  • Semi-structured interviews conducted between October 2023 and February 2024.
  • Thematic analysis using Colaizzi's seven-step method.

Main Results:

  • Identified five key barriers: lack of practical skills, neglect of humanistic care, negative events, high workload, and restricted environment.
  • Identified three facilitators: patient/family trust, relevant training, and a supportive work atmosphere.
  • Significant challenges exist in junior nurses' narrative nursing implementation.

Conclusions:

  • Systematic training in narrative nursing knowledge and skills is needed.
  • Optimizing the medical humanistic environment and improving nurses' psychological resilience are recommended.
  • Enhancing these areas will encourage early adoption and deepen high-quality nursing humanism.