Department of Hepatobiliary Cancer, Tianjin Medical University Cancer Hospital and Institute, National Clinical Research Centre for Cancer, Key Laboratory of Cancer Prevention and Therapy, Tianjin's Clinical Research Centre for Cancer, Tianjin, China.
School of Nursing, Chengde Medical College, Chengde, China.
Eur J Oncol Nurs. 2023 Feb;62:102273. doi: 10.1016/j.ejon.2023.102273. Epub 2023 Jan 24.
Novice nurses find it challenging to cope with patient dying and death, especially in a death taboo cultural context, such as mainland China. By taking the example of Chinese novice oncology nurses, this study aimed to explore the contribution of their perceived death competence in determining their professional quality of life.
A multicentre, cross-sectional study was conducted in six tertiary cancer hospitals in mainland China involving 506 novice oncology nurses. Measurements were the Coping with Death Scale-Chinese version, the Professional Quality of Life Questionnaire, and the Coping Style Questionnaire. Hierarchical multiple regression analyses were used to analyse the data.
Death competence was significantly associated with compassion satisfaction (r = 0.509, P < 0.001), burnout (r = -0.441, P < 0.001) and secondary traumatic stress (r = -0.154, P < 0.001) which are the three dimensions of professional quality of life. The results of hierarchical multiple regression analyses demonstrated that death competence positively predicted compassion satisfaction and negatively predicted burnout (P < 0.01), but had no significant impact on secondary traumatic stress after coping style was entered into the model (P > 0.05).
Novice oncology nurses who perceive themselves to be incompetent in dealing with patient dying and death are more likely to experience poor professional quality of life in the death taboo cultural context. Cultural-sensitive interventions and a supportive work environment are important to enhance these nurses' death competence, increasing their professional quality of life and ultimately contributing to better end-of-life cancer care management.
新手护士发现应对患者死亡和死亡具有挑战性，特别是在像中国大陆这样的死亡禁忌文化背景下。本研究以中国新手肿瘤护士为例，旨在探讨其感知死亡能力对确定其专业生活质量的贡献。
在中国大陆的六家三级癌症医院进行了一项多中心、横断面研究，涉及 506 名新手肿瘤护士。测量工具为中文版应对死亡量表、职业生活质量问卷和应对方式问卷。采用分层多元回归分析进行数据分析。
死亡能力与同情心满足感显著相关（r=0.509，P<0.001）、倦怠（r=-0.441，P<0.001）和继发性创伤应激（r=-0.154，P<0.001），这是职业生活质量的三个维度。分层多元回归分析的结果表明，死亡能力对同情心满足感具有积极预测作用，对倦怠具有负向预测作用（P<0.01），但在进入应对方式模型后对继发性创伤应激没有显著影响（P>0.05）。
在死亡禁忌文化背景下，感知自己在处理患者死亡和死亡方面能力不足的新手肿瘤护士更有可能经历较差的职业生活质量。文化敏感的干预措施和支持性的工作环境对于提高这些护士的死亡能力、提高其职业生活质量以及最终有助于更好的临终癌症护理管理至关重要。
