Attitudes and influencing factors of nursing assistants towards hospice and palliative care nursing in chinese nursing homes: a cross-sectional study
Abstract Background Hospice and palliative care nursing (HPCN) in China is mainly available at public primary care institutions, where nursing homes (NHs) are rarely involved. Nursing assistants (NAs) play an essential role in HPCN multidisciplinary teams, but little is known about their attitudes t...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-04-01
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| Series: | BMC Palliative Care |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12904-023-01175-8 |
| _version_ | 1797836252039348224 |
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| author | Zhuojun Ye Limei Jing Haoyu Zhang Yongfa Qin Hangqi Chen Jiying Yang Ruize Zhu Jingrong Wang Huiwen Zhang Yifan Xu Tianshu Chu |
| author_facet | Zhuojun Ye Limei Jing Haoyu Zhang Yongfa Qin Hangqi Chen Jiying Yang Ruize Zhu Jingrong Wang Huiwen Zhang Yifan Xu Tianshu Chu |
| author_sort | Zhuojun Ye |
| collection | DOAJ |
| description | Abstract Background Hospice and palliative care nursing (HPCN) in China is mainly available at public primary care institutions, where nursing homes (NHs) are rarely involved. Nursing assistants (NAs) play an essential role in HPCN multidisciplinary teams, but little is known about their attitudes towards HPCN and related factors. Methods A cross-sectional study was designed to evaluate NAs’ attitudes towards HPCN with an indigenised scale in Shanghai. A total of 165 formal NAs were recruited from 3 urban and 2 suburban NHs between October 2021 and January 2022. The questionnaire was composed of four parts: demographic characteristics, attitudes (20 items with four sub-concepts), knowledge (nine items), and training needs (nine items). Descriptive statistics, independent samples t-test, one-way ANOVA, Pearson’s correlation, and multiple linear regression were performed to analyse NAs’ attitudes, influencing factors, and their correlations. Results A total of 156 questionnaires were valid. The mean score of attitudes was 72.44 ± 9.56 (range:55–99), with a mean item score of 3.6 ± 0.5 (range:1–5). The highest score rate was “perception of the benefits for the life quality promotion” (81.23%), and the lowest score rate was “perception of the threats from the worsening conditions of advanced patients” (59.92%). NAs’ attitudes towards HPCN were positively correlated with their knowledge score (r = 0.46, P < 0.01) and training needs (r = 0.33, P < 0.01). Marital status (β = 0.185), previous training experience (β = 0.201), location of NHs (β = 0.193), knowledge (β = 0.294), and training needs (β = 0.157) for HPCN constituted significant predictors of attitudes (P < 0.05), which explained 30.8% of the overall variance. Conclusion NAs’ attitudes towards HPCN were moderate, but their knowledge should be improved. Targeted training is highly recommended to improve the participation of positive and enabled NAs and to promote high-quality universal coverage of HPCN in NHs. |
| first_indexed | 2024-04-09T15:05:43Z |
| format | Article |
| id | doaj.art-f4555bd776384dbea9126951a6a091ae |
| institution | Directory Open Access Journal |
| issn | 1472-684X |
| language | English |
| last_indexed | 2024-04-09T15:05:43Z |
| publishDate | 2023-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Palliative Care |
| spelling | doaj.art-f4555bd776384dbea9126951a6a091ae2023-04-30T11:31:39ZengBMCBMC Palliative Care1472-684X2023-04-012211810.1186/s12904-023-01175-8Attitudes and influencing factors of nursing assistants towards hospice and palliative care nursing in chinese nursing homes: a cross-sectional studyZhuojun Ye0Limei Jing1Haoyu Zhang2Yongfa Qin3Hangqi Chen4Jiying Yang5Ruize Zhu6Jingrong Wang7Huiwen Zhang8Yifan Xu9Tianshu Chu10School of Public Health, Shanghai University of Traditional Chinese MedicineSchool of Public Health, Shanghai University of Traditional Chinese MedicineSchool of Public Health, Shanghai University of Traditional Chinese MedicineSchool of Public Health, Shanghai University of Traditional Chinese MedicineSchool of Public Health, Shanghai University of Traditional Chinese MedicineSchool of Public Health, Shanghai University of Traditional Chinese MedicineSchool of Public Health, Shanghai University of Traditional Chinese MedicineSchool of Public Health, Shanghai University of Traditional Chinese MedicineSchool of Public Health, Shanghai University of Traditional Chinese MedicineSchool of Public Health, Shanghai University of Traditional Chinese MedicineSchool of Public Health, Shanghai University of Traditional Chinese MedicineAbstract Background Hospice and palliative care nursing (HPCN) in China is mainly available at public primary care institutions, where nursing homes (NHs) are rarely involved. Nursing assistants (NAs) play an essential role in HPCN multidisciplinary teams, but little is known about their attitudes towards HPCN and related factors. Methods A cross-sectional study was designed to evaluate NAs’ attitudes towards HPCN with an indigenised scale in Shanghai. A total of 165 formal NAs were recruited from 3 urban and 2 suburban NHs between October 2021 and January 2022. The questionnaire was composed of four parts: demographic characteristics, attitudes (20 items with four sub-concepts), knowledge (nine items), and training needs (nine items). Descriptive statistics, independent samples t-test, one-way ANOVA, Pearson’s correlation, and multiple linear regression were performed to analyse NAs’ attitudes, influencing factors, and their correlations. Results A total of 156 questionnaires were valid. The mean score of attitudes was 72.44 ± 9.56 (range:55–99), with a mean item score of 3.6 ± 0.5 (range:1–5). The highest score rate was “perception of the benefits for the life quality promotion” (81.23%), and the lowest score rate was “perception of the threats from the worsening conditions of advanced patients” (59.92%). NAs’ attitudes towards HPCN were positively correlated with their knowledge score (r = 0.46, P < 0.01) and training needs (r = 0.33, P < 0.01). Marital status (β = 0.185), previous training experience (β = 0.201), location of NHs (β = 0.193), knowledge (β = 0.294), and training needs (β = 0.157) for HPCN constituted significant predictors of attitudes (P < 0.05), which explained 30.8% of the overall variance. Conclusion NAs’ attitudes towards HPCN were moderate, but their knowledge should be improved. Targeted training is highly recommended to improve the participation of positive and enabled NAs and to promote high-quality universal coverage of HPCN in NHs.https://doi.org/10.1186/s12904-023-01175-8Hospice and palliative care nursingNursing homesNursing assistantsAttitudesCross-sectional study |
| spellingShingle | Zhuojun Ye Limei Jing Haoyu Zhang Yongfa Qin Hangqi Chen Jiying Yang Ruize Zhu Jingrong Wang Huiwen Zhang Yifan Xu Tianshu Chu Attitudes and influencing factors of nursing assistants towards hospice and palliative care nursing in chinese nursing homes: a cross-sectional study BMC Palliative Care Hospice and palliative care nursing Nursing homes Nursing assistants Attitudes Cross-sectional study |
| title | Attitudes and influencing factors of nursing assistants towards hospice and palliative care nursing in chinese nursing homes: a cross-sectional study |
| title_full | Attitudes and influencing factors of nursing assistants towards hospice and palliative care nursing in chinese nursing homes: a cross-sectional study |
| title_fullStr | Attitudes and influencing factors of nursing assistants towards hospice and palliative care nursing in chinese nursing homes: a cross-sectional study |
| title_full_unstemmed | Attitudes and influencing factors of nursing assistants towards hospice and palliative care nursing in chinese nursing homes: a cross-sectional study |
| title_short | Attitudes and influencing factors of nursing assistants towards hospice and palliative care nursing in chinese nursing homes: a cross-sectional study |
| title_sort | attitudes and influencing factors of nursing assistants towards hospice and palliative care nursing in chinese nursing homes a cross sectional study |
| topic | Hospice and palliative care nursing Nursing homes Nursing assistants Attitudes Cross-sectional study |
| url | https://doi.org/10.1186/s12904-023-01175-8 |
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