Knowledge, attitude, and practice of hospice care among senior nursing staff in Chongqing and Hebei: a cross-regional study

BackgroundThe demand for quality hospice care rises in China as the population ages. Specialized gerontological advanced practice nurses (GAPNs) are vital to the Chinese healthcare system, yet their knowledge, attitudes, and practices (KAP) regarding hospice care in China remain poorly understood.Ob...

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Main Authors: Huan Liu, Ying Zeng, Qin Chen, Jihua Feng, Lu Wang
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-05-01
Series:Frontiers in Public Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2025.1512897/full
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author Huan Liu
Ying Zeng
Qin Chen
Jihua Feng
Lu Wang
author_facet Huan Liu
Ying Zeng
Qin Chen
Jihua Feng
Lu Wang
author_sort Huan Liu
collection DOAJ
description BackgroundThe demand for quality hospice care rises in China as the population ages. Specialized gerontological advanced practice nurses (GAPNs) are vital to the Chinese healthcare system, yet their knowledge, attitudes, and practices (KAP) regarding hospice care in China remain poorly understood.ObjectivesTo explore the KAP toward hospice care in specialized GAPNs and the factors influencing KAP.MethodsThis cross-sectional study was conducted from May 6, 2023, to July 30, 2023, in GAPNs working in Chongqing and Hebei. This study used a previously developed scale on the KAP toward hospice care. Descriptive analysis, univariable and multivariable regression analyses, and correlation analyses were used.ResultsA total of 300 valid questionnaires were collected. The median knowledge score was 7. The median attitude score was 82. The proportion of participants with hospice care experience was 15.7%. The median confidence in practice score was 38. The median actual practice score was 40. High school/vocational school education and unwillingness to participate in hospice care were negatively associated with knowledge. Unwillingness to participate in hospice care and knowledge scores were positively associated with attitudes. Age 41–50 and attitude scores were positively associated with confidence in practice, while never provided hospice care and Hebei province were negatively associated.ConclusionGAPNs in Chongqing and Hebei show moderate KAP toward hospice care, with Chongqing performing better. The regional differences found suggest the need for region-specific education and policy interventions.
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spelling doaj-art-b5d4565e3adb47c6a1e6ca7b7b0e23742025-08-20T02:33:19ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-05-011310.3389/fpubh.2025.15128971512897Knowledge, attitude, and practice of hospice care among senior nursing staff in Chongqing and Hebei: a cross-regional studyHuan Liu0Ying Zeng1Qin Chen2Jihua Feng3Lu Wang4Department of Geriatric, Chongqing General Hospital, Chongqing University, Chongqing, ChinaDepartment of Geriatric, Chongqing General Hospital, Chongqing University, Chongqing, ChinaDepartment of Geriatric, TongNan Traditional Chinese Medicine Hospital, Chongqing, ChinaDepartment of Geriatric, HanDan Central Hospital, Hebei, ChinaDepartment of Oncology, Chongqing General Hospital, Chongqing University, Chongqing, ChinaBackgroundThe demand for quality hospice care rises in China as the population ages. Specialized gerontological advanced practice nurses (GAPNs) are vital to the Chinese healthcare system, yet their knowledge, attitudes, and practices (KAP) regarding hospice care in China remain poorly understood.ObjectivesTo explore the KAP toward hospice care in specialized GAPNs and the factors influencing KAP.MethodsThis cross-sectional study was conducted from May 6, 2023, to July 30, 2023, in GAPNs working in Chongqing and Hebei. This study used a previously developed scale on the KAP toward hospice care. Descriptive analysis, univariable and multivariable regression analyses, and correlation analyses were used.ResultsA total of 300 valid questionnaires were collected. The median knowledge score was 7. The median attitude score was 82. The proportion of participants with hospice care experience was 15.7%. The median confidence in practice score was 38. The median actual practice score was 40. High school/vocational school education and unwillingness to participate in hospice care were negatively associated with knowledge. Unwillingness to participate in hospice care and knowledge scores were positively associated with attitudes. Age 41–50 and attitude scores were positively associated with confidence in practice, while never provided hospice care and Hebei province were negatively associated.ConclusionGAPNs in Chongqing and Hebei show moderate KAP toward hospice care, with Chongqing performing better. The regional differences found suggest the need for region-specific education and policy interventions.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1512897/fullhospice caregerontological advanced practice nurses (GAPNs)knowledgeattitudepracticeChina
spellingShingle Huan Liu
Ying Zeng
Qin Chen
Jihua Feng
Lu Wang
Knowledge, attitude, and practice of hospice care among senior nursing staff in Chongqing and Hebei: a cross-regional study
Frontiers in Public Health
hospice care
gerontological advanced practice nurses (GAPNs)
knowledge
attitude
practice
China
title Knowledge, attitude, and practice of hospice care among senior nursing staff in Chongqing and Hebei: a cross-regional study
title_full Knowledge, attitude, and practice of hospice care among senior nursing staff in Chongqing and Hebei: a cross-regional study
title_fullStr Knowledge, attitude, and practice of hospice care among senior nursing staff in Chongqing and Hebei: a cross-regional study
title_full_unstemmed Knowledge, attitude, and practice of hospice care among senior nursing staff in Chongqing and Hebei: a cross-regional study
title_short Knowledge, attitude, and practice of hospice care among senior nursing staff in Chongqing and Hebei: a cross-regional study
title_sort knowledge attitude and practice of hospice care among senior nursing staff in chongqing and hebei a cross regional study
topic hospice care
gerontological advanced practice nurses (GAPNs)
knowledge
attitude
practice
China
url https://www.frontiersin.org/articles/10.3389/fpubh.2025.1512897/full
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