Abstract
Narrative competence is essential for building a good communication relationship between medical staffs and patients. It is a powerful instrument for the delivery of holistic healthcare. However, there is little research focusing on the influencing factors of narrative competence and the relationships among resilience, self-efficacy, and narrative competence. The aim of the study is to explore the influence factors of narrative competence of medical staff and confirm the relationships among self-efficacy, resilience and narrative competence. A cross-sectional survey was conducted among 606 medical staffs from two affiliated hospitals, from Zhejiang and Heilongjiang province, respectively. The participants were scored by the Chinese narrative competence scale, the brief Chinese version of the resilience scale, and the Chinese version of self-efficacy scale. Results showed that the score of narrative competence was 149.76 ± 28.70, including the scores of listening dimension (48.01 ± 9.36), understanding dimension (67.75 ± 13.55), and reflecting dimension (34.00 ± 6.77). High narrative competence score was associated with hospital location and parallel chart writing (p<0.01). Pearson correlation analysis showed resilience and self-efficacy were positive related to narrative competence.