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Objective: To explore the moderating effect of working years on nurses' medical narrative ability and empathy ability.
Methods: A multi-center cross-sectional survey was conducted among 1920 clinical nurses from 12 general hospitals of different levels in 7 cities of Hunan Province. Data were collected using a general information questionnaire, Narrative Competence Scale (NCS), and the Jefferson Empathy Health Professional Scale (JSE-HP). The general situation, medical narrative ability and empathy ability were investigated by questionnaires. The correlations among nurses' working years, medical narrative ability and empathy ability were analyzed. The group regression method was used to analyze the moderating effect of different working years on nurses' medical narrative ability and empathy ability, and the differences of regression coefficients were further analyzed to understand the specific effects of different working years.
Results: A total of 1852 valid questionnaires were collected, and the effective recovery rate was 96.46%. Medical narrative ability was positively correlated with empathy ability (r = 0.198, P < 0.05), working years was positively correlated with medical narrative ability (r = 0.047, P < 0.05), and there was no correlation between medical narrative ability and empathy ability (P > 0.05). Working years had a moderating effect on the relationship between medical narrative ability and empathy ability (β=-0.174, P < 0.001). Group regression analysis showed that with the increase of nurses' working years, the regression coefficient of medical narrative ability and empathy ability decreased gradually (0.077 > 0.036 > 0.019). The difference of regression coefficient was statistically significant (P < 0.05).
Conclusions: Nurses with different working years have different effects on empathy. With the increase of working years, the positive effect of medical narrative ability on empathy is gradually weakened. It suggests that nursing managers should carry out hierarchical intervention for nurses with different working years.
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http://dx.doi.org/10.1186/s12912-025-02824-4 | DOI Listing |
J Palliat Med
September 2025
Middle East Cancer Consortium, Haifa, Israel.
Despite a plethora of evidence available on the benefits of palliative care (PC), it is estimated that only about 14% of those living in low- to middle-income countries (LMIC) or developing countries have access to PC. To globally examine PC expert perspectives regarding PC infrastructure and resources within each country, drug and opioid availability to provide PC, and workforce and educational issues. Descriptive, open-ended survey seeking first-hand qualitative perspectives.
View Article and Find Full Text PDFInt J Technol Assess Health Care
September 2025
Evidence Synthesis Group, Population Health Sciences Institute, Faculty of Medical Sciences, https://ror.org/01kj2bm70Newcastle University, Newcastle upon Tyne, UK.
Objectives: The National Institute for Health and Care Excellence (NICE) in England introduced early value assessments (EVAs) as an evidence-based method of accelerating access to promising health technologies that could address unmet needs and contribute to the National Health Service's Long Term Plan. However, there are currently no published works considering differences and commonalities in methods used between Assessment Reports for EVAs.
Methods: This rapid scoping review included all completed EVAs published on the NICE website up to 23 July 2024.
Pediatr Blood Cancer
September 2025
Nuffield Department of Surgical Sciences, Oxford University, Oxford, UK.
Background: Local control strategies in pediatric oncology are guided by disease-specific considerations. Effective communication of the goals of surgical procedure and associated intraoperative events plays a crucial role in shaping subsequent treatment decisions. However, accurately and comprehensively documenting these findings remains challenging, with considerable variability across different tumor types.
View Article and Find Full Text PDFMonash Bioeth Rev
September 2025
Department of Biochemistry, Cell and Molecular Biology, College of Basic and Applied Sciences, University of Ghana, Legon, Accra, Ghana.
This paper examines bioethical considerations of research conducted in Sub-Saharan Africa (SSA), where a notable scarcity persists in literature addressing region-specific bioethical issues. Although bioethics-related activities have encountered challenges surpassing existing protocol safeguards, emerging evidence demonstrates growing recognition of integrated scientific and ethical principles within African medical research. Maintaining research continuity in resource-limited settings necessitates bridging critical gaps between informed consent procedures and participants' actual understanding.
View Article and Find Full Text PDFImmunol Invest
September 2025
Respiratory and Critical Care Medicine, The 940th Hospital of Joint Logistics Support Force of chinese PLA, Lanzhou, China.
Background: Pulmonary neuroendocrine cells (PNECs) are specialized airway epithelial cells with dual sensory and secretory functions. They release bioactive mediators --including neuropeptides such as calcitonin gene-related peptide (CGRP) and gastrin-releasing peptide (GRP), and neurotransmitters such as 5-hydroxytryptamine (5-HT) and γ-aminobutyric acid (GABA) --that regulate airway smooth-muscle tone, mucus production, and immune responses. In chronic obstructive pulmonary disease (COPD), these PNEC-derived mediators contribute to airway inflammation, remodeling, and smooth-muscle dysfunction.
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