The Mediating Model of Medicine Narrative Competence of Nurses in the Pneumoconiosis Department between Managerial Care and Caring Ability

The Mediating Model of Medicine Narrative Competence of Nurses in the Pneumoconiosis Department between Managerial Care and Caring Ability | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article The Mediating Model of Medicine Narrative Competence of Nurses in the Pneumoconiosis Department between Managerial Care and Caring Ability Yuan Chen, Mei Wu, YanWu Huang, ChunZhi Zhang, Zeya Shi This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-7033973/v1 This work is licensed under a CC BY 4.0 License Status: Under Review Version 1 posted 7 You are reading this latest preprint version Abstract Background: Building humanistic care in healthcare organizations is receiving increasing attention, and evidence is emerging on how to develop nurses' humanistic care competencies in clinical settings. As China's leading occupational disease killer, pneumoconiosis is incurable and progressively debilitating, imposing a heavy disease burden. Nurses' humanistic care plays a pivotal role in alleviating patients' psychological distress, enhancing treatment adherence and outcomes, and facilitating social reintegration.Currently, nurses' managerial caring perceptions play an important positive influence on nurses' own humanistic caring competence, and training nurses in narrative medicine can also significantly improve nurses' humanistic caring competence; however, few studies have simultaneously focused on the relationship between managerial caring perceptions, medical narrative competence, and humanistic caring competence. Research objective: This study aimed to examine the mediating effect of narrative medicine competence among perceptions of managerial caring and humanistic competence among nurses in a pneumoconiosis unit. Research design: A cross-sectional design used acceptable validity scales. The hypothesised moderated mediation model was tested in the SPSS PROCESS macro. Participants and research context: This survey collected data from 352 nurses working in the occupational disease departments of Hunan Prevention and treatment Institute for occupational diseases and Hunan Chest Hospital, as well as 107 pneumoconiosis rehabilitation centers in Hunan Province, China. Ethical considerations: This study was pre-approved by the ethics committee of the hospital （No.2025032501）. Informed consent was obtained from all of the participants in the study. Results: Pneumatology nurses' perceptions of managerial caring (β= 0.527, 95% CI = [0.446, 0.609 ]) had a direct positive effect on humanistic caring competence (β = 0.518, 95% CI = [0.447, 0.589]), and perceptions of managerial caring had a similarly positive effect on medical narrative competence (β = 0.565, 95% CI = [0.469, 0.662]). In addition, managerial caring perceptions of pneumoconiotic nurses could positively influence humanistic caring competence through narrative medicine competence (β = 0.293, 95% CI = [0.224, 0.363]). Conclusions: Narrative medicine competence partially mediates the relationship between perceptions of managerial caring and humanistic caring competence in pneumoconiosis nurses. This study highlights the importance of strengthening narrative medicine competencies and improving organizational support in developing humanistic caring competencies among pneumoconiosis nurses. Caring Ability mediation model Managerial Care Medicine Narrative Competence Nurses Pneumoconiosis Full Text Additional Declarations No competing interests reported. Cite Share Download PDF Status: Under Review Version 1 posted Reviews received at journal 30 Aug, 2025 Reviewers agreed at journal 19 Aug, 2025 Reviewers invited by journal 19 Aug, 2025 Editor invited by journal 22 Jul, 2025 Editor assigned by journal 09 Jul, 2025 Submission checks completed at journal 08 Jul, 2025 First submitted to journal 08 Jul, 2025 You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. Our growing team is made up of researchers and industry professionals working together to solve the most critical problems facing scientific publishing. Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-7033973","acceptedTermsAndConditions":true,"allowDirectSubmit":false,"archivedVersions":[],"articleType":"Research Article","associatedPublications":[],"authors":[{"id":505271185,"identity":"8c09c49e-6bea-4f65-9b8b-7cc40c0d6a5a","order_by":0,"name":"Yuan Chen","email":"","orcid":"","institution":"Hunan Prevention and Treatment Institute for Occupational Diseases","correspondingAuthor":false,"prefix":"","firstName":"Yuan","middleName":"","lastName":"Chen","suffix":""},{"id":505271186,"identity":"eea50222-1689-47d3-b560-634e40ff7f0b","order_by":1,"name":"Mei Wu","email":"","orcid":"","institution":"Hunan Prevention and Treatment Institute for Occupational Diseases","correspondingAuthor":false,"prefix":"","firstName":"Mei","middleName":"","lastName":"Wu","suffix":""},{"id":505271187,"identity":"fccd435d-501a-4776-b77b-8fd3e62c7e74","order_by":2,"name":"YanWu Huang","email":"","orcid":"","institution":"Hunan Prevention and Treatment Institute for Occupational Diseases","correspondingAuthor":false,"prefix":"","firstName":"YanWu","middleName":"","lastName":"Huang","suffix":""},{"id":505271188,"identity":"a8c24cbf-7705-4ae5-a7ea-3c5c4a675839","order_by":3,"name":"ChunZhi Zhang","email":"","orcid":"","institution":"Hunan Normal University","correspondingAuthor":false,"prefix":"","firstName":"ChunZhi","middleName":"","lastName":"Zhang","suffix":""},{"id":505271189,"identity":"30beecea-9888-411c-ba49-345fadd8dfac","order_by":4,"name":"Zeya Shi","email":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAZAAAAAyAQMAAABI0h/eAAAABlBMVEX///8AAABVwtN+AAAACXBIWXMAAA7EAAAOxAGVKw4bAAAA9ElEQVRIiWNgGAWjYNCCCgkeNmb2gw8+VDDwEFbNBiLO2MjxsfckG844Q6wWxrY0YzmeA2bSnG1EOEl+fvOxBx/YDie2SSQkSDPOq5MxZz/A+OFjDm4tBsfY0g1n8IC0JB4wLtx2mMeyJ4FZcuY2PFrYeMykeSQgtiTP3HaAx+BAAhszLx4t8m1ALX8MwFoMDvPOqeMxOP8AvxaGY0AtDAlpxmw8BwybeRuYeQxuELDF4FhammTPARs5NmAgM844dhio5WEzXr/INx8+JvHznwSPfDP78R8faursDc4nH/zwEZ/DsADGBtLUj4JRMApGwSjAAACZnk9lCHV5egAAAABJRU5ErkJggg==","orcid":"","institution":"Hunan Prevention and Treatment Institute for Occupational Diseases","correspondingAuthor":true,"prefix":"","firstName":"Zeya","middleName":"","lastName":"Shi","suffix":""}],"badges":[],"createdAt":"2025-07-03 04:08:17","currentVersionCode":1,"declarations":"","doi":"10.21203/rs.3.rs-7033973/v1","doiUrl":"https://doi.org/10.21203/rs.3.rs-7033973/v1","draftVersion":[],"editorialEvents":[],"editorialNote":"","failedWorkflow":false,"files":[{"id":90041641,"identity":"6ab393d7-005e-45be-8c4e-c58e8f367481","added_by":"auto","created_at":"2025-08-27 17:08:17","extension":"pdf","order_by":1,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":364864,"visible":true,"origin":"","legend":"","description":"","filename":"Maindocument.pdf","url":"https://assets-eu.researchsquare.com/files/rs-7033973/v1_covered_1ce998ca-be0c-4997-9ad1-e9b578ba7b72.pdf"}],"financialInterests":"No competing interests reported.","formattedTitle":"The Mediating Model of Medicine Narrative Competence of Nurses in the Pneumoconiosis Department between Managerial Care and Caring Ability","fulltext":[],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":false,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":false,"hideJournal":false,"highlight":"","institution":"","isAcceptedByJournal":false,"isAuthorSuppliedPdf":true,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":true,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"bmc-nursing","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"nurs","sideBox":"Learn more about [BMC Nursing](http://bmcnurs.biomedcentral.com/)","snPcode":"","submissionUrl":"https://www.editorialmanager.com/nurs/default.aspx","title":"BMC Nursing","twitterHandle":"@BMC_series","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"em","reportingPortfolio":"BMC Series","inReviewEnabled":true,"inReviewRevisionsEnabled":true},"keywords":"Caring Ability, mediation model, Managerial Care, Medicine Narrative Competence, Nurses, Pneumoconiosis","lastPublishedDoi":"10.21203/rs.3.rs-7033973/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-7033973/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003cp\u003e\u003cstrong\u003eBackground:\u003c/strong\u003e Building humanistic care in healthcare organizations is receiving increasing attention, and evidence is emerging on how to develop nurses' humanistic care competencies in clinical settings. As China's leading occupational disease killer, pneumoconiosis is incurable and progressively debilitating, imposing a heavy disease burden. Nurses' humanistic care plays a pivotal role in alleviating patients' psychological distress, enhancing treatment adherence and outcomes, and facilitating social reintegration.Currently, nurses' managerial caring perceptions play an important positive influence on nurses' own humanistic caring competence, and training nurses in narrative medicine can also significantly improve nurses' humanistic caring competence; however, few studies have simultaneously focused on the relationship between managerial caring perceptions, medical narrative competence, and humanistic caring competence.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eResearch objective: \u003c/strong\u003eThis study aimed to examine the mediating effect of narrative medicine competence among perceptions of managerial caring and humanistic competence among nurses in a pneumoconiosis unit.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eResearch design:\u003c/strong\u003e A cross-sectional design used acceptable validity scales. The hypothesised moderated mediation model was tested in the SPSS PROCESS macro.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eParticipants and research context:\u003c/strong\u003e This survey collected data from 352 nurses working in the occupational disease departments of Hunan Prevention and treatment Institute for occupational diseases and Hunan Chest Hospital, as well as 107 pneumoconiosis rehabilitation centers in Hunan Province, China. Ethical considerations: This study was pre-approved by the ethics committee of the hospital （No.2025032501）. Informed consent was obtained from all of the participants in the study.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eResults: \u003c/strong\u003ePneumatology nurses' perceptions of managerial caring (β= 0.527, 95% CI = [0.446, 0.609 ]) had a direct positive effect on humanistic caring competence (β = 0.518, 95% CI = [0.447, 0.589]), and perceptions of managerial caring had a similarly positive effect on medical narrative competence (β = 0.565, 95% CI = [0.469, 0.662]). In addition, managerial caring perceptions of pneumoconiotic nurses could positively influence humanistic caring competence through narrative medicine competence (β = 0.293, 95% CI = [0.224, 0.363]).\u0026nbsp;\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eConclusions:\u003c/strong\u003e Narrative medicine competence partially mediates the relationship between perceptions of managerial caring and humanistic caring competence in pneumoconiosis nurses. This study highlights the importance of strengthening narrative medicine competencies and improving organizational support in developing humanistic caring competencies among pneumoconiosis nurses.\u003c/p\u003e","manuscriptTitle":"The Mediating Model of Medicine Narrative Competence of Nurses in the Pneumoconiosis Department between Managerial Care and Caring Ability","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2025-08-27 17:00:11","doi":"10.21203/rs.3.rs-7033973/v1","editorialEvents":[{"type":"communityComments","content":0},{"type":"editorInvitedReview","content":"","date":"2025-08-31T01:03:27+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"164497428471981103018701314207161780618","date":"2025-08-20T00:53:38+00:00","index":"hide","fulltext":""},{"type":"reviewersInvited","content":"","date":"2025-08-19T20:24:06+00:00","index":"","fulltext":""},{"type":"editorInvited","content":"","date":"2025-07-22T20:28:09+00:00","index":"","fulltext":""},{"type":"editorAssigned","content":"","date":"2025-07-09T08:38:11+00:00","index":"","fulltext":""},{"type":"checksComplete","content":"","date":"2025-07-09T01:00:00+00:00","index":"","fulltext":""},{"type":"submitted","content":"BMC Nursing","date":"2025-07-09T00:58:45+00:00","index":"","fulltext":""}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"bmc-nursing","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"nurs","sideBox":"Learn more about [BMC Nursing](http://bmcnurs.biomedcentral.com/)","snPcode":"","submissionUrl":"https://www.editorialmanager.com/nurs/default.aspx","title":"BMC Nursing","twitterHandle":"@BMC_series","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"em","reportingPortfolio":"BMC Series","inReviewEnabled":true,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"dc559764-3608-41dd-8da0-a5b0e0500735","owner":[],"postedDate":"August 27th, 2025","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"under-review","subjectAreas":[],"tags":[],"updatedAt":"2025-08-27T17:00:11+00:00","versionOfRecord":[],"versionCreatedAt":"2025-08-27 17:00:11","video":"","vorDoi":"","vorDoiUrl":"","workflowStages":[]},"version":"v1","identity":"rs-7033973","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-7033973","identity":"rs-7033973","version":["v1"]},"buildId":"XKTyCvWXoU3ODBz1xrDgd","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}