Department of Nursing, The Second Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, China.
Department of Nursing, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guxngxi, China.
PLoS One. 2022 Feb 24;17(2):e0259647. doi: 10.1371/journal.pone.0259647. eCollection 2022.
Hospice care is a multidisciplinary approach that focused on patients' quality of life, and nurses allocate more of their time with patients and patients' families than those nurses working in other disciplines. Nurses' knowledge of and attitudes toward hospice care can affect the quality of hospice care. At present, China's hospice care institutions are suffering from an obvious shortage of nursing staff. Since clinical nurses are the main force behind the future provision of hospice care, their knowledge of, attitudes and willingness to practice can greatly promoted the growth of hospice care, however, available data on clinical nurses' willingness to practice hospice care are limited.
A cross-sectional descriptive study design was employed to collect data from 1833 nurses working in tertiary or secondary general hospitals in Guangxi, China. We examined nurses' demographic characteristics and scores on the Chinese version of the hospice care knowledge scale, the Chinese version of the Bradley Attitude Assessment Questionnaire, and a brief quiz concerning their willingness to practice hospice care in the future. Descriptive, single factor, multiple regression analyses and logistic regression analyses were used for data analysis.
Nurses displayed moderate mean scores for both knowledge of and attitudes, and only 505 (27.5%) nurses expressed their willingness to practice hospice care, 1329 (72.5%) of nurses sampled expressed their unwillingness or uncertainty. Multivariate regression analyses showed that education, professional qualification, monthly income, whether they had been trained in hospice care, and willingness to practice hospice care were the main influencing factors of knowledge; education, whether they lived with someone aged >60 years, and whether they had been trained in hospice care were main factors influencing attitudes. Additionally, logistic regression analyses showed that hospice care knowledge, whether they had been trained in hospice care, and whether they had clinical experience affected the nurses' willingness to practice hospice care.
This study highlighted a knowledge gap and moderate attitudes toward hospice care among nurses, and most nurses did not prefer to practice hospice care. Having been trained in hospice care was the main common factor of nurses' knowledge of, attitudes toward, and willingness to practice hospice care in the future, indicating the necessity to provide nurses with more targeted hospice care training.
临终关怀是一种多学科的方法，注重患者的生活质量，护士比其他学科的护士分配更多的时间与患者和患者的家属在一起。护士对临终关怀的知识和态度会影响临终关怀的质量。目前，中国的临终关怀机构面临着护理人员明显短缺的问题。由于临床护士是未来提供临终关怀的主要力量，他们对临终关怀的知识、态度和意愿可以极大地促进临终关怀的发展，然而，目前关于临床护士对临终关怀实践意愿的可用数据有限。
采用横断面描述性研究设计，从中国广西的 3 家三级或二级综合医院收集了 1833 名护士的数据。我们检查了护士的人口统计学特征和中文版临终关怀知识量表、中文版布拉德利态度评估问卷的得分，以及他们对未来从事临终关怀实践意愿的简短测验。采用描述性、单因素、多元回归分析和逻辑回归分析进行数据分析。
护士对临终关怀知识和态度的平均得分均为中等水平，只有 505 名（27.5%）护士表示愿意从事临终关怀实践，1329 名（72.5%）护士表示不愿意或不确定。多因素回归分析显示，教育程度、专业资格、月收入、是否接受过临终关怀培训以及从事临终关怀实践的意愿是知识的主要影响因素；教育程度、是否与 60 岁以上的人同住以及是否接受过临终关怀培训是影响态度的主要因素。此外，逻辑回归分析显示，临终关怀知识、是否接受过临终关怀培训以及是否有临床经验影响护士从事临终关怀实践的意愿。
本研究强调了护士对临终关怀知识的差距和态度的中等水平，大多数护士不喜欢从事临终关怀实践。接受过临终关怀培训是护士对临终关怀知识、态度和未来从事临终关怀实践意愿的共同主要因素，这表明有必要为护士提供更有针对性的临终关怀培训。
