Nursing Department of Xinjiang Medical University, China.
Nursing Department of Xinjiang Medical University, China.
Nurse Educ Today. 2024 Mar;134:106080. doi: 10.1016/j.nedt.2023.106080. Epub 2023 Dec 29.
Palliative care involves providing comprehensive physical, psychological, and social care to improve clinical symptoms and quality of life, as well as to ensure patients' dignity at the end of life. Nurses are important members of hospice care teams, and undergraduate nursing students are the hospice care providers of the future. The ability of undergraduate nursing students to provide hospice care will, thus, directly affect service quality.
To understand the relationship between hospice competence and the death-coping abilities of nursing students and provide a theoretical basis for promoting the development of hospice education for nursing students.
A convenience sample of 204 nursing students from a university in China completed the general conditions questionnaire, Hospice Competency Assessment Questionnaire, and a simplified version of the Coping with Death Scale.
The participants' overall average hospice competency score was 46 (35-52), with an average score of 3.0 (2.3-3.3) for effective caregiving skills, 2.6 (2.0-3.0) for cultural and ethical values, and 3.0 (2.2-3.4) for interprofessional teamwork. The average death-coping competency score was 92 (72-107). Multivariate logistic regression and Spearman's correlation analysis showed a positive correlation between death-coping and hospice competencies (P < 0.05).
Nursing students' overall hospice competency is low to moderate. Consequently, nurse educators should effectively modify the hospice education curriculum using the Dedicated Education Unit model.
姑息治疗涉及提供全面的身体、心理和社会关怀，以改善临床症状和生活质量，并确保患者在生命末期的尊严。护士是临终关怀团队的重要成员，本科护理学生是未来的临终关怀提供者。因此，本科护理学生提供临终关怀的能力将直接影响服务质量。
了解护理学生临终关怀能力与应对死亡能力之间的关系，为促进护理学生临终关怀教育的发展提供理论依据。
采用便利抽样法，选取中国某大学 204 名护理学生，完成一般情况问卷、临终关怀能力评估问卷和简化版死亡应对量表。
参与者的总体临终关怀能力平均得分为 46（35-52），有效护理技能得分为 3.0（2.3-3.3），文化和伦理价值观得分为 2.6（2.0-3.0），跨专业团队合作得分为 3.0（2.2-3.4）。死亡应对能力的平均得分为 92（72-107）。多元逻辑回归和 Spearman 相关分析显示，死亡应对和临终关怀能力之间呈正相关（P<0.05）。
护理学生的临终关怀能力总体处于中下水平。因此，护士教育者应采用专门教育单位模式有效修改临终关怀教育课程。
