Abstract： Objective To understand the current medical narrative competence of oncology nurses in a GradeⅢ-A hospital and explore its influencing factors,aiming to provide a reference for improving the humanistic nursing competence of these nurses.Methods In December 2022,191 oncology nurses were selected by convenience sampling from a Grade Ⅲ-A general hospital.They were investigated using the Narrative Competence Scale(NCS).The factors influencing their medical narrative competence were analyzed by univariable analysis and multiple linear regression analysis.Results For the 191 oncology nurses surveyed,the total average score of medical narrative competence was(139.50±19.10)points,indicating a low level of competence.Based on the results of multiple linear regression analysis,the medical narrative competence of these nurses was influenced to a certain extent by working years and their familiarity with narrative medicine(P<0.05).Conclusion Nursing administrators may conduct targeted training to enhance nurses'medical narrative competence and their ability to empathize with patients'stories.This approach aims to provide more humanistic care for patients,thereby improving their health outcomes and satisfaction with nursing services.