关键词: 叙事医学, 叙事护理, 医学叙事能力, 量表开发, 信效度检验

Abstract: Objective To develop an instrument for measuring narrative competence of medical staff and to test its reliability and validity. Methods The research was completed under the guidance of the Storytelling/Narrative Theory,the Story Theory as well as Nodding's Care Theory. Combined with literature analysis and interviews with 17 narrative medicine/narrative nursing staff,the Narrative Competence Scale was constructed. The items were formed by Delphi technique and pilot survey,and 607 medical staff were surveyed to test the reliability and validity of the scale. Results The Narrative Competence Scale consisted of 27 items with 3 dimensions（accumulated variance contribution rate of 65.02%）,The total scale's Cronbach's α coefficient was 0.950,the split-half reliability was 0.935,the one month test-retest reliability was 0.717（P< 0.001）,the content validity index was 0.89. The Narrative Competence Scale was positively correlated with JSE-HP,CAI（P< 0.001）. Conclusion The Narrative Competence Scale has good reliability and validity,which is suitable for the evaluation of medical narrative ability of medical staff in China.

Key words: Narrative Medicine, Narrative Nursing, Narrative Competence, Scale Development, Test of Reliability and Validity