Cai Wei-Wei, Wang Fei, Song Chang-Chun
Intensive Care Department, The Third People's Hospital of Bengbu, Bengbu, 233000, China.
Nursing Department of the Third People's Hospital of Bengbu City, Bengbu, 233000, China.
BMC Palliat Care. 2025 Jun 16;24(1):165. doi: 10.1186/s12904-025-01767-6.
Intensive care unit (ICU) nurses exhibit gaps in their knowledge, attitudes, and behaviors regarding palliative care. In China, there is a lack of standardized training programs for palliative care among ICU nurses, and corresponding research on the needs and impact of such training is also limited.
Through the investigation and analysis of ICU nurses' knowledge, attitudes, behaviors, and training needs regarding palliative care, this study explored the specific knowledge gaps and training needs of ICU nurses in palliative care.
A convenience sampling method was employed to survey ICU nurses at 23 tertiary (tier-A) hospitals in Anhui Province, adhering to the specified criteria, between December 2023 and April 2024. The study utilized a general demographic survey and a comprehensive questionnaire to assess ICU nurses' knowledge, attitudes, behaviors, and training requirements in palliative care.
Among the 693 ICU nurses surveyed, the scores for knowledge (73.67), attitude (77.1), behavior (75.84), and training needs (78.16) regarding palliative care were all below the middle level. Multivariate linear regression analysis indicated that gender, professional rank, prior attendance at death education or palliative care training, engagement with literature on death, experience caring for patients in advanced stages, and the number of terminally ill patients cared for in the past year significantly influence nurses' knowledge, attitudes, behaviors, and training needs in palliative care (P < 0.05).
Training and education in palliative care should be enhanced for male and lower-level ICU nurses to address the specific knowledge gaps in this area. Chinese nursing managers should implement targeted and practical palliative care training programs to meet the specific training needs of ICU nurses.
重症监护病房（ICU）护士在姑息治疗方面的知识、态度和行为存在差距。在中国，ICU护士缺乏标准化的姑息治疗培训项目，关于此类培训的需求及影响的相关研究也很有限。
通过调查和分析ICU护士在姑息治疗方面的知识、态度、行为及培训需求，本研究探索了ICU护士在姑息治疗方面的具体知识差距和培训需求。
2023年12月至2024年4月期间，采用便利抽样法，按照指定标准对安徽省23家三级甲等医院的ICU护士进行调查。该研究使用一般人口统计学调查问卷和综合问卷来评估ICU护士在姑息治疗方面的知识、态度、行为及培训要求。
在接受调查的693名ICU护士中，他们在姑息治疗方面的知识（73.67分）、态度（77.1分）、行为（75.84分）和培训需求（78.16分）得分均低于中等水平。多变量线性回归分析表明，性别、专业职称、是否曾参加死亡教育或姑息治疗培训、是否阅读过关于死亡的文献、照顾晚期患者的经验以及过去一年照顾的临终患者数量，显著影响护士在姑息治疗方面的知识、态度、行为及培训需求（P < 0.05）。
应加强对男性及低年资ICU护士的姑息治疗培训与教育，以弥补该领域的具体知识差距。中国护理管理者应实施有针对性且切实可行的姑息治疗培训项目，以满足ICU护士的特定培训需求。
