Mediating effect of hospice self-efficacy among clinical nurses between sense of life meaning and hospice behavior
10.3760/cma.j.cn211501-20240517-01255
- VernacularTitle:临终照护自我效能在临床护士生命意义感与安宁疗护行为间的中介效应
- Author:
Di FAN
1
;
Xue ZHANG
;
Zhiping LIU
;
Haikun JIANG
;
Hongyan LU
Author Information
1. 宁夏医科大学护理学院，银川 750004
- Keywords:
Nurses;
Self-efficacy;
Mediating analysis;
Sense of life meaning;
Hospice care
- From:
Chinese Journal of Practical Nursing
2024;40(28):2205-2212
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the mediating effect of hospice self-efficacy among clinical nurses between sense of life meaning and hospice behavior, in order to provide references for nursing managers to formulate strategies to improve clinical nurses′ hospice behavior.Methods:This was a cross-sectional survey study. The clinical nurses were selected from 8 tertiary hospitals in Ningxia Hui Autonomous Region by convenience sampling method from July to November in 2023. General data survey scale, The Meaning in Life Questionnaire, End-of-life Care Self-efficacy Scale and Hospice Behavior Scale were used to investigate. Pearson correlation analysis was used to examine the correlation between variables, and AMOS 24.0 software was used to analyze the mediating effect of hospice self-efficacy on nurses′ sense of meaning of life and hospice behavior.Results:The effective response rate of the questionnaire was 89.82%(988/1 100). There were 41 males and 947 females, aged (32.95 ± 5.61) years old. The scores of sense of life meaning, end-stage hospice self-efficacy and hospice behavior of clinical nurses were (45.18 ± 7.90), (49.62 ± 10.93), (123.42 ± 28.55) points, respectively. Correlation analysis showed that the sense of life meaning, hospice behavior and end-stage hospice self-efficacy of clinical nurses were correlated ( r values were 0.263-0.932, all P<0.01). The terminal hospice self-efficacy had a partial mediating effect between clinical nurses′ sense of life meaning and hospice behavior.The total effect of the sense of life meaning on clinical nurses′ hospice care behavior was 0.435, in which the direct effect was 0.246, accounting for 56.55% of the total effect, the indirect effect was 0.190, accounting for 43.45% of the total effect. Conclusions:End-stage hospice self-efficacy of clinical nurses is the mediating variable between sense of life meaning and hospice behavior. Managers can improve hospice behavior by cultivating end-stage hospice self-efficacy of clinical nurses.
