The status quo and influencing factors of core competencies of ICU nurses in palliative care
10.3760/cma.j.cn115682-20221030-05245
- VernacularTitle:ICU护士安宁疗护核心能力现状及影响因素分析
- Author:
Yu WANG
1
;
Pengfei SUN
;
Xiujun LI
;
Guiying WANG
Author Information
1. 河北北方学院附属第一医院门诊部，张家口 075000
- Keywords:
Nurses;
Intensive Care Units;
Palliative care;
Core competence;
Death attitude
- From:
Chinese Journal of Modern Nursing
2023;29(6):728-734
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the status quo of ICU nurses' core competence in palliative care and analyze its influencing factors.Methods:This is a cross-sectional study. From January to March 2022, totally 148 ICU nurses from two ClassⅢ Grade A hospitals in Zhangjiakou were selected by convenience sampling and investigated with the General Information Questionnaire, Core Competence Questionnaire for Hospice Nurses and Chinese version of Death Attitude Profile-Revised. Pearson correlation analysis and multiple linear regression analysis were used to explore the influencing factors of ICU nurses' core competence in palliative care. A total of 148 questionnaires were distributed in this study, and 143 valid questionnaires were recovered, with an effective recovery rate of 96.62% (143/148) .Results:The total score of palliative care core competence of 143 ICU nurses was (77.28±16.95), and the top 2 dimensions with higher scores on the Chinese version of Death Attitude Profile-Revised were natural acceptance [ (4.40±0.34) points] and escape acceptance [ (3.34±0.49) points]. Pearson correlation analysis showed that palliative care core competency for ICU nurses was negatively correlated with fear of death ( r=-0.214; P<0.05), and positively correlated with both natural acceptance of death and escape from acceptance of death ( r=0.171, 0.221; P<0.05). Multiple linear regression analysis revealed that gender, age, professional title, whether they had participated in palliative care-related training, natural acceptance of death, and escape from acceptance of death were the main influencing factors of the core competence of ICU nurses in palliative care ( P<0.05) . Conclusions:ICU nurses have a high level of core competence in palliative care, and they hold a positive attitude towards death. Nursing managers should pay attention to cultivating ICU nurses' palliative care ability, carry out targeted palliative care training, and vigorously organize death continuing education, guide ICU nurses to establish a positive view of death, and improve their core competence in palliative care.
