肿瘤护理卓越的三元组：临床治理氛围、数字健康能力和以患者为中心的护理的协同作用。

The triad of excellence in oncology nursing: The synergy of clinical governance climate, digital health competence, and patient-centered care.

作者信息

El-Sayed Ahmed Abdelwahab Ibrahim, Alsenany Samira Ahmed, Alanizi Danah Sultan Hilal, Elzohairy Nadia Waheed, Asal Maha Gamal Ramadan

机构信息

Nursing Department, College of Pharmacy and Applied Medical Sciences, Dar Al Uloom University, Riyadh, Saudi Arabia; Nursing Administration Department, Faculty of Nursing, Alexandria University, Alexandria, Egypt.

Public Health Department, Faculty of Nursing, King Abdulaziz University, Jeddah, Saudi Arabia.

出版信息

Eur J Oncol Nurs. 2025 Aug 5;78:102956. doi: 10.1016/j.ejon.2025.102956.

DOI:10.1016/j.ejon.2025.102956

PMID:40849969

Abstract

PURPOSE

Patient-centered care competency is vital for oncology nurses to provide high-quality, individualized cancer care. A strong clinical governance climate fosters accountability, ethical decision-making, and continuous improvement, yet its role in oncology nursing remains underexplored. Additionally, the impact of digital health competence in strengthening the clinical governance-patient-centered care relationship is unclear. This study examines how clinical governance influences patient-centered care competency and whether digital health competence enhances this relationship.

METHODS

A cross-sectional study was conducted among 600 oncology nurses from five hospitals in Egypt. After excluding outliers, 592 responses were retained for analysis. Data were collected using validated questionnaires measuring clinical governance climate, digital health competence, and patient-centered care. Multivariate regression and moderation analysis were performed to examine associations between these variables.

RESULTS

The mean score for clinical governance climate was 2.74 ± 0.41, digital health competence was 2.63 ± 0.83, and patient-centered care was 2.70 ± 0.42. Clinical governance climate was positively associated with patient-centered care (B = 0.362, p < 0.01), and digital health competence independently improved patient-centered care (B = 0.191, p < 0.01). The interaction effect (B = 0.241, p = 0.01) confirmed that digital health competence strengthened the positive association between clinical governance and patient-centered care.

CONCLUSIONS

This study highlights the triad of excellence in oncology nursing-clinical governance climate, digital health competence, and patient-centered care. Integrating these elements ensures safe, efficient, and compassionate cancer care. Strengthening governance and digital proficiency optimizes patient outcomes, setting a benchmark for excellence in oncology nursing within the digital age.

摘要

目的

以患者为中心的护理能力对于肿瘤护理人员提供高质量、个性化的癌症护理至关重要。强大的临床治理氛围促进问责制、道德决策和持续改进，但其在肿瘤护理中的作用仍未得到充分探索。此外，数字健康能力在加强临床治理与以患者为中心的护理关系方面的影响尚不清楚。本研究探讨临床治理如何影响以患者为中心的护理能力，以及数字健康能力是否能增强这种关系。

方法

对埃及五家医院的600名肿瘤护理人员进行了横断面研究。排除异常值后，保留592份回复进行分析。使用经过验证的问卷收集数据，这些问卷测量临床治理氛围、数字健康能力和以患者为中心的护理。进行多变量回归和调节分析以检验这些变量之间的关联。

结果

临床治理氛围的平均得分为2.74±0.41，数字健康能力为2.63±0.83，以患者为中心的护理为2.70±0.42。临床治理氛围与以患者为中心的护理呈正相关（B = 0.362，p < 0.01），数字健康能力独立改善了以患者为中心的护理（B = 0.191，p < 0.01）。交互效应（B = 0.241，p = 0.01）证实数字健康能力加强了临床治理与以患者为中心的护理之间的正相关。