Factors Associated with Behaviors Toward End-of-life Care Among Chinese Oncology Nurses: A Cross-Sectional Study
Summary: Purpose: The goal of this study was to describe the current status of oncology nurses' behaviors toward end of life (EOL) care in China and to explore the factors associated with oncology nurses’ behaviors toward EOL care. Methods: A cross-sectional design was applied and a convenienc...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2021-12-01
|
| Series: | Asian Nursing Research |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1976131721000785 |
| _version_ | 1818366564535107584 |
|---|---|
| author | Xiaoyu Wu Zhihuan Zhou Yiheng Zhang Xiaoyan Lin Meng Zhang Fulin Pu Meifen Zhang |
| author_facet | Xiaoyu Wu Zhihuan Zhou Yiheng Zhang Xiaoyan Lin Meng Zhang Fulin Pu Meifen Zhang |
| author_sort | Xiaoyu Wu |
| collection | DOAJ |
| description | Summary: Purpose: The goal of this study was to describe the current status of oncology nurses' behaviors toward end of life (EOL) care in China and to explore the factors associated with oncology nurses’ behaviors toward EOL care. Methods: A cross-sectional design was applied and a convenience sample of 1038 oncology nurses from 22 grade A hospitals were recruited into this study. A general social demographic data questionnaire was administered, and the Chinese version of Nurses’ Behaviors of Caring for Dying Patients Scale was used to assess nurse behavior toward EOL care. The total score ranges from 40 to 200 points. Data were analyzed with SPSS 26.0 software. Results: Chinese oncology nurses' average score of holistic EOL care behaviors was 2.97 ± 0.59. Oncology nurses provide physical care most (3.81 ± 0.76), followed by family care (3.02 ± 0.86), and spiritual care (2.37 ± 0.67). Multiple regression analysis showed that a higher frequency of sharing EOL care experience with colleagues, in-service palliative care education, higher level of head nurse support for EOL patient care, more cases of EOL care, higher working position, and nurse's perceived high level of support were positively associated with behavior toward EOL care. These six factors explained 16.2% of the total variance. Conclusions: The results may help provide a basis for converting behavior for EOL care among oncology nurses and design interventions to better improve quality of life for EOL patients with cancer in China. |
| first_indexed | 2024-12-13T22:38:10Z |
| format | Article |
| id | doaj.art-d6b8db1b1212473ab8a6c01f76fc8cdc |
| institution | Directory Open Access Journal |
| issn | 1976-1317 |
| language | English |
| last_indexed | 2024-12-13T22:38:10Z |
| publishDate | 2021-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Asian Nursing Research |
| spelling | doaj.art-d6b8db1b1212473ab8a6c01f76fc8cdc2022-12-21T23:28:56ZengElsevierAsian Nursing Research1976-13172021-12-01155310316Factors Associated with Behaviors Toward End-of-life Care Among Chinese Oncology Nurses: A Cross-Sectional StudyXiaoyu Wu0Zhihuan Zhou1Yiheng Zhang2Xiaoyan Lin3Meng Zhang4Fulin Pu5Meifen Zhang6School of Nursing, Sun Yat-sen University, Guangzhou, Guangdong, ChinaDepartment of Neurosurgery, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat-sen University Cancer Center, Guangzhou, Guangdong, ChinaSchool of Nursing, Sun Yat-sen University, Guangzhou, Guangdong, ChinaDepartment of Neurosurgery, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat-sen University Cancer Center, Guangzhou, Guangdong, ChinaSchool of Nursing, Sun Yat-sen University, Guangzhou, Guangdong, ChinaSchool of Nursing, Sun Yat-sen University, Guangzhou, Guangdong, ChinaSchool of Nursing, Sun Yat-sen University, Guangzhou, Guangdong, China; Correspondence to: Meifen Zhang, PhD, School of Nursing, Sun Yat-sen University, No. 74 Zhongshan 2nd Road, Guangzhou, Guangdong, 510080, China.Summary: Purpose: The goal of this study was to describe the current status of oncology nurses' behaviors toward end of life (EOL) care in China and to explore the factors associated with oncology nurses’ behaviors toward EOL care. Methods: A cross-sectional design was applied and a convenience sample of 1038 oncology nurses from 22 grade A hospitals were recruited into this study. A general social demographic data questionnaire was administered, and the Chinese version of Nurses’ Behaviors of Caring for Dying Patients Scale was used to assess nurse behavior toward EOL care. The total score ranges from 40 to 200 points. Data were analyzed with SPSS 26.0 software. Results: Chinese oncology nurses' average score of holistic EOL care behaviors was 2.97 ± 0.59. Oncology nurses provide physical care most (3.81 ± 0.76), followed by family care (3.02 ± 0.86), and spiritual care (2.37 ± 0.67). Multiple regression analysis showed that a higher frequency of sharing EOL care experience with colleagues, in-service palliative care education, higher level of head nurse support for EOL patient care, more cases of EOL care, higher working position, and nurse's perceived high level of support were positively associated with behavior toward EOL care. These six factors explained 16.2% of the total variance. Conclusions: The results may help provide a basis for converting behavior for EOL care among oncology nurses and design interventions to better improve quality of life for EOL patients with cancer in China.http://www.sciencedirect.com/science/article/pii/S1976131721000785Cross-sectional StudiesHospice careNursesOncology Nursing |
| spellingShingle | Xiaoyu Wu Zhihuan Zhou Yiheng Zhang Xiaoyan Lin Meng Zhang Fulin Pu Meifen Zhang Factors Associated with Behaviors Toward End-of-life Care Among Chinese Oncology Nurses: A Cross-Sectional Study Asian Nursing Research Cross-sectional Studies Hospice care Nurses Oncology Nursing |
| title | Factors Associated with Behaviors Toward End-of-life Care Among Chinese Oncology Nurses: A Cross-Sectional Study |
| title_full | Factors Associated with Behaviors Toward End-of-life Care Among Chinese Oncology Nurses: A Cross-Sectional Study |
| title_fullStr | Factors Associated with Behaviors Toward End-of-life Care Among Chinese Oncology Nurses: A Cross-Sectional Study |
| title_full_unstemmed | Factors Associated with Behaviors Toward End-of-life Care Among Chinese Oncology Nurses: A Cross-Sectional Study |
| title_short | Factors Associated with Behaviors Toward End-of-life Care Among Chinese Oncology Nurses: A Cross-Sectional Study |
| title_sort | factors associated with behaviors toward end of life care among chinese oncology nurses a cross sectional study |
| topic | Cross-sectional Studies Hospice care Nurses Oncology Nursing |
| url | http://www.sciencedirect.com/science/article/pii/S1976131721000785 |
| work_keys_str_mv | AT xiaoyuwu factorsassociatedwithbehaviorstowardendoflifecareamongchineseoncologynursesacrosssectionalstudy AT zhihuanzhou factorsassociatedwithbehaviorstowardendoflifecareamongchineseoncologynursesacrosssectionalstudy AT yihengzhang factorsassociatedwithbehaviorstowardendoflifecareamongchineseoncologynursesacrosssectionalstudy AT xiaoyanlin factorsassociatedwithbehaviorstowardendoflifecareamongchineseoncologynursesacrosssectionalstudy AT mengzhang factorsassociatedwithbehaviorstowardendoflifecareamongchineseoncologynursesacrosssectionalstudy AT fulinpu factorsassociatedwithbehaviorstowardendoflifecareamongchineseoncologynursesacrosssectionalstudy AT meifenzhang factorsassociatedwithbehaviorstowardendoflifecareamongchineseoncologynursesacrosssectionalstudy |