Current situation and influencing factors of palliative care practice ability among oncology nurses: A multicenter cross-sectional study

Objectives: The study aimed to survey the current situation and explore the factors that influence the ability of palliative care practice among oncology nurses. Methods: A multicenter cross-sectional study was conducted using stratified random sampling to select 26 tertiary hospitals’ oncology depa...

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Main Authors: Xiaofei Nie, Fanfan Lv, Longti Li, Jia Jia
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:International Journal of Nursing Sciences
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Online Access:http://www.sciencedirect.com/science/article/pii/S2352013224001297
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author Xiaofei Nie
Fanfan Lv
Longti Li
Jia Jia
author_facet Xiaofei Nie
Fanfan Lv
Longti Li
Jia Jia
author_sort Xiaofei Nie
collection DOAJ
description Objectives: The study aimed to survey the current situation and explore the factors that influence the ability of palliative care practice among oncology nurses. Methods: 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 t-test, one-way ANOVA, Pearson correlation analysis, and multiple linear regression analysis in SPSS 26.0. Results: 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 (r = 0.77, P < 0.01), as well as pain assessment ability (r = 0.56, P < 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 R2 = 0.668, P < 0.05). Conclusions: 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.
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spelling doaj-art-f2d5fce093314bfda7fd54ed89b56ab42025-01-26T05:04:00ZengElsevierInternational Journal of Nursing Sciences2352-01322025-01-011213541Current situation and influencing factors of palliative care practice ability among oncology nurses: A multicenter cross-sectional studyXiaofei Nie0Fanfan Lv1Longti Li2Jia Jia3School of Nursing, Hubei University of Medicine, Hubei, ChinaOutpatient Service Quality Office of Shiyan City TaiHe Hospital (Affiliated Hospital of Hubei University of Medicine), Hubei, ChinaShiyan City Taihe Hospital (Affiliated Hospital of Hubei University of Medicine), Hubei, ChinaSchool of Nursing, Hubei University of Medicine, Hubei, China; Corresponding author.Objectives: The study aimed to survey the current situation and explore the factors that influence the ability of palliative care practice among oncology nurses. Methods: 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 t-test, one-way ANOVA, Pearson correlation analysis, and multiple linear regression analysis in SPSS 26.0. Results: 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 (r = 0.77, P < 0.01), as well as pain assessment ability (r = 0.56, P < 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 R2 = 0.668, P < 0.05). Conclusions: 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.http://www.sciencedirect.com/science/article/pii/S2352013224001297OncologyPalliative careCore competencePain assessmentInfluencing factors
spellingShingle Xiaofei Nie
Fanfan Lv
Longti Li
Jia Jia
Current situation and influencing factors of palliative care practice ability among oncology nurses: A multicenter cross-sectional study
International Journal of Nursing Sciences
Oncology
Palliative care
Core competence
Pain assessment
Influencing factors
title Current situation and influencing factors of palliative care practice ability among oncology nurses: A multicenter cross-sectional study
title_full Current situation and influencing factors of palliative care practice ability among oncology nurses: A multicenter cross-sectional study
title_fullStr Current situation and influencing factors of palliative care practice ability among oncology nurses: A multicenter cross-sectional study
title_full_unstemmed Current situation and influencing factors of palliative care practice ability among oncology nurses: A multicenter cross-sectional study
title_short Current situation and influencing factors of palliative care practice ability among oncology nurses: A multicenter cross-sectional study
title_sort current situation and influencing factors of palliative care practice ability among oncology nurses a multicenter cross sectional study
topic Oncology
Palliative care
Core competence
Pain assessment
Influencing factors
url http://www.sciencedirect.com/science/article/pii/S2352013224001297
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