Nie Xiaofei, Lv Fanfan, Li Longti, Jia Jia
School of Nursing, Hubei University of Medicine, Hubei, China.
Outpatient Service Quality Office of Shiyan City TaiHe Hospital (Affiliated Hospital of Hubei University of Medicine), Hubei, China.
Int J Nurs Sci. 2024 Dec 12;12(1):35-41. doi: 10.1016/j.ijnss.2024.12.006. eCollection 2025 Jan.
The study aimed to survey the current situation and explore the factors that influence the ability of palliative care practice among oncology nurses.
A multicenter cross-sectional study was conducted using stratified random sampling to select 26 tertiary hospitals' oncology departments in Hubei Province, China. A total of 1,198 nurses were included and finished the questionnaire consisting of social demographic characteristics, Palliative Care Self-Report Practice Scale (PCPS), End-of-life Professional Caregiver Survey (EPCS), and Self-Perceived Pain Assessment Knowledge and Confidence Scale (Self-PAC) through the online platform. Data were analyzed using -test, one-way ANOVA, Pearson correlation analysis, and multiple linear regression analysis in SPSS 26.0.
The total score for PCPS was 67.17 ± 12.57, the three dimensions' scores were: physical symptom care (32.50 ± 6.10), spiritual and psychological care (23.35 ± 4.97), communication (11.58 ± 2.48). There are significant positive correlations between the palliative care practice ability and core competence ( = 0.77, < 0.01), as well as pain assessment ability ( = 0.56, < 0.01). Multiple regression analysis identified female, with high education background (bachelor's degree and master's degree or above), interest in palliative care, pain assessment ability, and core competence were positive predictors of palliative care practice ability (Adjusted = 0.668, < 0.05).
The overall ability of the oncology nurses to practice palliative care was relatively high, but the palliative nurses reported suboptimal performance in the communication dimension of palliative nursing practice ability. To comprehensively improve oncology nurses' palliative care practice ability, managers must consider the gender structure, educational background, enthusiasm for palliative care work, core competence, and pain assessment ability.
本研究旨在调查肿瘤护理人员姑息护理实践的现状，并探索影响其姑息护理实践能力的因素。
采用分层随机抽样法在中国湖北省选取26家三级医院的肿瘤科进行多中心横断面研究。共纳入1198名护士，通过在线平台完成了包含社会人口学特征、姑息护理自我报告实践量表（PCPS）、临终专业护理人员调查问卷（EPCS）以及自我感知疼痛评估知识与信心量表（Self-PAC）的问卷。使用SPSS 26.0软件进行t检验、单因素方差分析、Pearson相关分析和多元线性回归分析。
PCPS总分67.17±12.57，三个维度得分分别为：躯体症状护理（32.50±6.10）、精神心理护理（23.35±4.97）、沟通（11.58±2.48）。姑息护理实践能力与核心能力（r = 0.77，P < 0.01）以及疼痛评估能力（r = 0.56，P < 0.01）之间存在显著正相关。多元回归分析显示，女性、高学历背景（本科及硕士及以上学历）、对姑息护理感兴趣、疼痛评估能力和核心能力是姑息护理实践能力的正向预测因素（调整R² = 0.668，P < 0.05）。
肿瘤护理人员的整体姑息护理实践能力较高，但姑息护理人员在姑息护理实践能力的沟通维度表现欠佳。为全面提高肿瘤护理人员的姑息护理实践能力，管理者必须考虑性别结构、教育背景、对姑息护理工作的热情、核心能力和疼痛评估能力。
