Analysis of the core competence and influencing factors of hospice care for clinical nurses in a tertiary hospital in Xiamen
Objective To understand the current status of core competence of hospice care among clini-cal nurses in a hospital in Xiamen and analyze its influencing factors,so as to provide reference for formulating targeted education and training programs.Methods This study was a cross-sectional survey.Convenience sampling was used to select 205 clinical nurses from a hospital in Xiamen in December 2022 as the research subjects.A questionnaire on hospice care attitude,a questionnaire on core competence of hospice care among oncology nurses,and a general self-efficacy scale were used to conduct the survey.Results The total score of core competence of hospice care among clinical nurses was(125.72±31.93)points,with an average score of(3.14±0.28)points.The average scores of the dimensions of education,collaboration,and professional devel-opment were relatively low at(2.97±0.03)points;the attitude towards hospice care was(42.70±5.70)points and the self-efficacy score was(25.90±5.67)points.The core competence of hospice care was positively corre-lated with hospice care attitude and self-efficacy[correlation coefficient(r)=0.177,0.454,P＜0.05].Multiple linear regression analysis showed that self-efficacy,specialist nurse,participation in hospice care training,the number of terminally ill patients cared for in the last six months,and the level of hospice care services in the hospital were influencing factors of nurses'core competence of hospice care(P＜0.05).Conclusion The core competence of hospice care among clinical nurses is at a moderate level,with weak abilities in education,col-laboration,and professional development.Self-efficacy has a positive predictive effect on core competence.Nursing administrators should emphasize the education and training of hospice care core competence to im-prove the level of hospice care among clinical nurses.
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NSTL
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