Yuan Niu, Lv Zhang-Hong, Wen Yuan-Yuan, Sun Chun-Rong, Tao Ting-Yu, Qian Dan
Department of Nursing, The First Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Department of Respiratory Medicine, The First Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
BMC Nurs. 2023 Mar 21;22(1):76. doi: 10.1186/s12912-023-01237-5.
The crucial role that nurses play in offering palliative care to patients with life-threatening diseases is widely acknowledged, but the correlation between their eHealth literacy and their knowledge, attitudes, and practice in this domain has yet to be investigated. This study is conducted to investigate the status of eHealth literacy and knowledge, attitudes, and practice regarding palliative care among nurses, and to examine their relationship.
A cross-sectional study design was conducted among 546 nurses selected from the first-class tertiary hospitals located both inside and outside of Zhejiang Province between May 12 and May 20, 2022. The online survey of eHealth literacy scale (eHEALS) and scale of knowledge, attitudes, and practice (KAP) regarding palliative care was performed using snowball sampling through the WeChat mini program "Questionnaire Star". The Spearman rank correlation and binary logistic regression model were used to analyze the independent association between eHealth literacy and KAP toward palliative care.
The median scores of eHEALS and KAP regarding palliative care were 32 (interquartile range[IQR] 29 to 38) and 82 (IQR 54 to 106) points. The results of correlation analysis showed that the KAP regarding palliative care was significantly correlated with eHEALS (rho = 0.189, P < 0.001). In addition, the results of binary logistic regression analysis demonstrated that the eHEALS score was independently associated with the KAP score regarding palliative care when controlling for sociodemographic factors (OR = 2.109; P < 0.001).
Nurses who worked in first-class tertiary hospitals have good levels of eHealth literacy, while the overall level of KAP regarding palliative care is moderate. Our findings highlight that the eHEALS score is independently associated with the KAP score regarding palliative care. Therefore, nursing managers should adopt multiple measures to comprehensively improve eHealth literacy among nurses, further enrich their knowledge of palliative care, promote a positive transformation of attitudes towards palliative care, and efficiently implement palliative care practice, in order to promote high-quality development of palliative care.
护士在为危及生命的疾病患者提供姑息治疗中所起的关键作用已得到广泛认可，但他们的电子健康素养与该领域的知识、态度和实践之间的相关性尚待研究。本研究旨在调查护士的电子健康素养状况以及他们对姑息治疗的知识、态度和实践情况，并检验它们之间的关系。
于2022年5月12日至5月20日，对从浙江省内外的一流三级医院选取的546名护士进行了一项横断面研究设计。通过微信小程序“问卷星”采用雪球抽样法对电子健康素养量表（eHEALS）和姑息治疗知识、态度和实践量表（KAP）进行在线调查。采用Spearman等级相关和二元逻辑回归模型分析电子健康素养与姑息治疗KAP之间的独立关联。
eHEALS和姑息治疗KAP的中位数得分分别为32分（四分位间距[IQR]29至38）和82分（IQR 54至106）。相关性分析结果表明，姑息治疗KAP与eHEALS显著相关（rho = 0.189，P < 0.001）。此外，二元逻辑回归分析结果表明，在控制社会人口学因素时，eHEALS得分与姑息治疗KAP得分独立相关（OR = 2.109；P < 0.001）。
在一流三级医院工作的护士具有良好的电子健康素养水平，而姑息治疗KAP的总体水平中等。我们的研究结果表明，eHEALS得分与姑息治疗KAP得分独立相关。因此，护理管理者应采取多种措施全面提高护士的电子健康素养，进一步丰富他们的姑息治疗知识，促进对姑息治疗态度的积极转变，并有效实施姑息治疗实践，以推动姑息治疗的高质量发展。
