Analysis of current status and influencing factors of palliative care knowledge, attitude, and practice among nurses in Zhejiang province under the palliative co-care model
10.3760/cma.j.cn115682-20241203-06655
- VernacularTitle:安宁共照下浙江省护士安宁疗护知信行现状及影响因素分析
- Author:
Fei YUAN
1
;
Yu YIN
;
Mei XU
;
Qianyuan DAI
;
Haifeng GU
Author Information
1. 浙江大学医学院附属第一医院护理部，杭州 310003
- Publication Type:Journal Article
- Keywords:
Palliative care;
Co-care;
Nurses;
Knowledge, attitude, and practice;
Influencing factors
- From:
Chinese Journal of Modern Nursing
2025;31(29):3934-3940
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To understand the current status of knowledge, attitude, and practice (KAP) of nurses in palliative care under the model of palliative co-care in hospitals of different levels in Zhejiang Province, and to analyze the influencing factors.Methods:This study was a cross-sectional study. Convenience sampling was used to select 541 clinical registered nurses from 3 Class Ⅲ hospitals, 3 Class Ⅱ hospitals, and 2 ClassⅠ hospitals in Hangzhou, Huzhou, and Lishui, Zhejiang Province, from March to April 2023. A general information questionnaire and the KAP Survey Scale of Palliative Care Under the Palliative Co-care Model were used to investigate the subjects. Multiple linear regression analysis was conducted to analyze the influencing factors of nurses' KAP of palliative care under palliative co-care. A total of 541 questionnaires were distributed, and 535 valid questionnaires were recovered, with an effective response rate of 98.89%.Results:The scores of 535 nurses for palliative care knowledge, attitude, and practice were (16.29±1.99), (71.10±9.00), and (32.21±5.89), respectively. Multiple linear regression analysis revealed that hospital level, gender, and whether nurses have participated in on-the-job training on palliative care are influencing factors of nurses' knowledge of palliative care ( P<0.05) ; ethnicity and the duration of palliative care training courses attended within two years are influencing factors of nurses' attitude toward palliative care ( P<0.05) ; department is an influencing factor of nurses' practice of palliative care ( P<0.05) . Conclusions:Under the palliative co-care model in Zhejiang Province, nurses demonstrate a good attitude toward palliative care, while their knowledge and practice levels of palliative care still have room for improvement, with distinct influencing factors for each dimension-hospital level, gender, and on-the-job training participation affect knowledge; ethnicity and training duration within two years affect attitude; and department affects practice.
