Current situation and influencing factors of palliative care practice ability among oncology nurses:A multicenter cross-sectional study  

肿瘤科护士姑息护理实践能力的调查及影响因素分析

作　　者：Xiaofei Nie Fanfan Lv Longti Li Jia Jia 聂小菲;吕翻翻;李龙倜;贾佳

机构地区：[1]School of Nursing,Hubei University of Medicine,Hubei,China [2]Outpatient Service Quality Office of Shiyan City TaiHe Hospital(Affiliated Hospital of Hubei University of Medicine),Hubei,China [3]Shiyan City Taihe Hospital(Affiliated Hospital of Hubei University of Medicine),Hubei,China

出　　处：《International Journal of Nursing Sciences》2025年第1期35-41,I0002,共8页国际护理科学(英文)

基　　金：supported by the Philosophy and Social Science Research Youth Project of the Hubei Department of Education in 2022(22Q148).

摘　　要：Objectives:The study aimed to survey the current situation and explore the factors that influence the ability of palliative care practice among oncology nurses.Methods:A multicenter cross-sectional study was conducted using stratified random sampling to select 26 tertiary hospitals’oncology departments in Hubei Province,China.A total of 1,198 nurses were included and finished the questionnaire consisting of social demographic characteristics,Palliative Care Self-Report Practice Scale(PCPS),End-of-life Professional Caregiver Survey(EPCS),and Self-Perceived Pain Assessment Knowledge and Confidence Scale(Self-PAC)through the online platform.Data were analyzed using t-test,one-way ANOVA,Pearson correlation analysis,and multiple linear regression analysis in SPSS 26.0.Results:The total score for PCPS was 67.17±12.57,the three dimensions’scores were:physical symptom care(32.50±6.10),spiritual and psychological care(23.35±4.97),communication(11.58±2.48).There are significant positive correlations between the palliative care practice ability and core competence(r=0.77,P<0.01),as well as pain assessment ability(r=0.56,P<0.01).Multiple regression analysis identified female,with high education background(bachelor’s degree and master’s degree or above),interest in palliative care,pain assessment ability,and core competence were positive predictors of palliative care practice ability(Adjusted R^(2)=0.668,P<0.05).Conclusions:The overall ability of the oncology nurses to practice palliative care was relatively high,but the palliative nurses reported suboptimal performance in the communication dimension of palliative nursing practice ability.To comprehensively improve oncology nurses’palliative care practice ability,managers must consider the gender structure,educational background,enthusiasm for palliative care work,core competence,and pain assessment ability.目的调查肿瘤科护士姑息护理实践能力现状并分析其影响因素。方法采用分层随机抽样法,于2022年6月至8月选取湖北省26所三级甲等医院的肿瘤科护士为研究对象,并应用一般资料调查表、姑息护理实践自我报告量表、终末期专业照护者调查量表、疼痛评估知识与信心自我感知量表进行调查。结果共纳入1198名护士。肿瘤科护士的姑息护理实践能力总得分为(67.17±12.57)分,其中身体症状护理维度为(32.50±6.10)分,精神心理护理维度为(23.35±4.97)分,沟通维度为(11.58±2.48)分。肿瘤科护士的姑息护理实践能力与核心能力呈正相关(r=0.77,P<0.01),与疼痛评估能力也呈正相关(r=0.56,P<0.01)。多元线性回归分析结果显示,女性、教育背景(本科及硕士以上学历)、对姑息护理的兴趣、核心能力与疼痛评估能力为肿瘤科护士姑息护理实践能力的预测因素(调整后R^(2)=0.668,P<0.05)。结论为全面提升肿瘤科护士的姑息护理实践能力,护理管理者需考虑性别、教育背景以及对姑息护理方向的兴趣程度,同时也应加强护士姑息护理核心能力以及对患者疼痛评估能力的培训。

关 键 词：ONCOLOGY Palliative care Core competence Pain assessment Influencing factors 

分 类 号：F42[经济管理—产业经济]