Qualitative research on influencing factors of hospice care carried out by clinical nurses in general hospitals under the mode of hospice shared care model
10.3760/cma.j.cn211501-20240417-00936
- VernacularTitle:安宁共照模式下综合性医院临床护士开展安宁疗护工作影响因素的质性研究
- Author:
Weibin ZHANG
1
;
Ying QIAN
;
Yuyu SUN
;
Lijuan LIU
Author Information
1. 浙江大学医学院附属邵逸夫医院综合内科，杭州 310020
- Keywords:
Qualitative research;
Nurses;
Hospice care;
COM-B model;
Hospice shared care model;
Influencing factors
- From:
Chinese Journal of Practical Nursing
2024;40(28):2213-2219
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the influencing factors of clinical nurses in general hospitals to carry out hospice care under hospice shared care model, and further improve the quality of hospice care in general hospitals under this mode.Methods:Using the descriptive phenomenological research method, 13 clinical nurses from Sir Run Run Shaw Hospital Affiliated to Medical School of Zhejiang University were selected by purposive sampling from June to September 2023. Semi-structured interviews were conducted based on the capacity opportunity-motivation-behavior model, and Colaizzi′s 7-step analysis method was used to summarize and refine the theme.Results:There were 3 males and 10 females, aged 24-38 years old. Three themes and 11 sub-themes were extracted in this study: ability factors (theoretical knowledge cannot meet clinical needs, lack of clinical practice ability, insufficient self emotional regulation ability), motivation factors (willingness to carry out hospice shared care model, sense of professional benefit, professional identity, perception of care pressure, hospice care self-efficacy), opportunity factors (the influence of Confucian culture, systematic construction of hospice shared care model in hospitals, and multiple external support).Conclusions:Nurses' hospice care under hospice shared care model is affected by internal and external factors. Nurses can learn through multiple channels, find positive work experience, and use multi-dimensional support system to provide high-quality hospice care services for patients.
