Jia Jia, Lv Fan Fan, Cai Zhen Hua, Li Long Ti, Nie Xiao Fei
School of Nursing, Hubei University of Medicine, 30 Renmin South Rd., Maojian District, Shi Yan, Shiyan City, Hubei Province, China.
In Outpatient Service Quality Office of Shiyan City TaiHe Hospital, Affiliated Hospital of Hubei University of Medicine, 30 Renmin South Rd., Maojian District, Shi Yan, Shiyan City, Hubei Province, China.
BMC Nurs. 2024 Nov 6;23(1):806. doi: 10.1186/s12912-024-02471-1.
The study was to survey the current situation and explore the relationship between pain assessment ability, palliative care core competence and palliative care practice ability among oncology nurses in mainland China.
A multicenter cross-sectional study design was employed. Study data were collected in 26 tertiary hospitals among 1198 registered oncology nurses in the oncology department in Hubei province, China. A web-based survey was conducted using a stratified random integral sampling method to obtain data. All variables were measured using standardized instruments. Data was analyzed using SPSS 26.0 and AMOS 26.0 statistical software. All statistical tests were two-sided, with the significance level set at P < 0.05. The structural equation model was utilized to test the mediation effect of pain assessment ability on the pathway from palliative care core competence to palliative care practice ability.
The mean scores for pain assessment, core competence and practice ability were 125.68 (SD = 31.16), 76.67 (SD = 19.59) and 67.17(SD = 12.57), respectively. Pearson correlation analysis revealed significant positive correlations among the PCPS, EPCS, and Self-PAC scores of the oncology nurses (P < 0.01). The association between core competence and palliative care practice ability was mediated by pain assessment ability (ES = 0.125, 95%CI: 0.090-0.168).
To enhance the effectiveness of palliative care practice, managers need to strengthen the core competencies of palliative care nurses and their ability to assess patients' pain, as these two factors will promote the practical abilities of oncology nurses.
本研究旨在调查中国大陆肿瘤专科护士的疼痛评估能力、姑息护理核心能力和姑息护理实践能力的现状，并探讨它们之间的关系。
采用多中心横断面研究设计。在中国湖北省的26家三级医院收集了1198名肿瘤专科注册护士的研究数据。采用分层随机整群抽样方法进行基于网络的调查以获取数据。所有变量均使用标准化工具进行测量。使用SPSS 26.0和AMOS 26.0统计软件对数据进行分析。所有统计检验均为双侧检验，显著性水平设定为P < 0.05。利用结构方程模型检验疼痛评估能力在姑息护理核心能力通向姑息护理实践能力路径上的中介作用。
疼痛评估、核心能力和实践能力的平均得分分别为125.68（标准差 = 31.16）、76.67（标准差 = 19.59）和67.17（标准差 = 12.57）。Pearson相关分析显示，肿瘤专科护士的PCPS、EPCS和Self-PAC得分之间存在显著正相关（P < 0.01）。核心能力与姑息护理实践能力之间的关联由疼痛评估能力介导（效应量 = 0.125，95%置信区间：0.090 - 0.168）。
为提高姑息护理实践的有效性，管理者需要加强姑息护理护士的核心能力及其评估患者疼痛的能力，因为这两个因素将促进肿瘤专科护士的实践能力。
