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Hanum AL, Hu Q, Wei W, Ma F. A longitudinal assessment of factors affecting training transfer among new clinical nurse specialists. Int J Nurs Sci 2024; 11:308-314. [PMID: 39156676 PMCID: PMC11329046 DOI: 10.1016/j.ijnss.2024.06.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2023] [Revised: 03/15/2024] [Accepted: 06/09/2024] [Indexed: 08/20/2024] Open
Abstract
Objective This study aimed to explore the determinants influencing training transfer and evaluate how those factors change over time among nurses who graduated from clinical nurse specialist training to provide a theoretical basis for improving the training transfer of clinical nurse specialists (CNSs). Methods A quantitative longitudinal survey with four rounds of data collection was utilized to measure the influencing aspects of training transfer from June 2018 to December 2019. A total of 46 new CNSs participated in this study, including 30 and 16 nurses receiving training programs for CNSs in Infusion, Wound and Ostomy. The factor influencing training transfer (FITT) questionnaire was used to collect data for the first month (time 1), the third month (time 2), the sixth month (time 3), and the first year (time 4) after training. This questionnaire contains 53 items divided into five dimensions, including managerial support (20 items); hindrance in the organization (6 items); the validity of the training program (10 items); organizational and personal facilitators (11 items); and personal attitudes towards training transfer (6 items). Results The influencing factors of CNSs transfer decreased over time, with managerial support, hindrance in the organization, the validity of the training program, and personal attitudes towards training transfer changing statistically over time (P < 0.05), and no statistical difference in organizational and personal facilitators over time (P = 0.229). During early after training (the first month and the third month after training), hindrance in the organization is the biggest obstacle to training transfer. During the later of training (the sixth month and first year after the training), managerial support is the biggest obstacle to training transfer. Overall level of influencing factors of training transfer decreased in three months after training among Infusion nurses (P < 0.001), and Wound and Ostomy nurses decreased in the first year after training (P < 0.001). Conclusions The trend and level of training transfer predictors decreased depending on time. Clarifying the factors influencing transfer and its patterns may help nursing managers enhance the implementation and impact of nurse specialist training.
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Affiliation(s)
- Ardani Latifah Hanum
- School of Nursing, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
| | - Qiulan Hu
- Geriatric Department, The First Affiliated Hospital of Kunming Medical University, Kunming, China
| | - Wei Wei
- Gastroenterology Department, The First Affiliated Hospital of Kunming Medical University, Kunming, China
| | - Fang Ma
- Department of Nursing, The First Affiliated Hospital of Kunming Medical University, Kunming, China
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Guo J, Dai Y, Chen Y, Liang Z, Hu Y, Xu X, Xiao Y. Core competencies among nurses engaged in pallative care: A scoping review. J Clin Nurs 2024. [PMID: 38798026 DOI: 10.1111/jocn.17294] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2024] [Revised: 04/09/2024] [Accepted: 05/13/2024] [Indexed: 05/29/2024]
Abstract
AIM To synthesize available evidence about core competencies for nurses engaged in palliative care. DESIGN A scoping review conducted according to the framework from Joanna Briggs Institute. METHODS The Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews checklist was adopted to report this scoping review. The PubMed, Web of Science, Embase, ScienceDriect, CNKI, WangFang, VIP and Sinomed databases were used to systematically search for published studies from their inception to December 2023. Two researchers independently screened and selected relevant studies and performed the data charting. RESULTS Twenty-six studies were included in this scoping review. Among these, 14 studies identified core competency assessment instruments among nurses engaged in palliative care, with the Palliative Care Core Competence Questionnaire was used most frequently; 13 studies investigated the status of core competencies of nurses engaged in palliative care, the majority of included studies indicated that nurse's core competencies were at moderate levels; 11 studies explored the factors influencing the core competencies of the nurses engaged in palliative care, which were classified as sociodemographic-related factors, palliative care education-related factors, death attitude, palliative care practice-related experience and others. CONCLUSION This scoping review offers a comprehensive overview of the current landscape of core competencies among nurses in palliative care. Findings suggested that the clinical nursing leaders need to develop tailored strategies and interventions to address specific factors and promote the continuous development of nurses' competencies in palliative care. RELEVANCE TO CLINICAL PRACTICE Core competency assessment instruments equip nurses and healthcare organizations with a range of validated tools for evaluating their proficiency in palliative care. Targeted core competency enhancement programmes need to be developed to foster a nursing workforce better equipped to improve the quality of life of end-of-life patients and their families. PATIENT OR PUBLIC CONTRIBUTION No patient or public contribution.
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Affiliation(s)
- Junchen Guo
- Department of Palliative Care, Hunan Cancer Hospital, Changsha, China
- School of Nursing, University of South China, Hengyang, China
| | - Yunyun Dai
- Health Services Research Institute, University of Wollongong, Wollongong, Australia
- School of Nursing, Guilin Medical University, Guilin, China
| | - Yongyi Chen
- Department of Palliative Care, Hunan Cancer Hospital, Changsha, China
| | - Zhen Liang
- Department of Palliative Care, Hunan Cancer Hospital, Changsha, China
| | - Yonghong Hu
- Department of Palliative Care, Hunan Cancer Hospital, Changsha, China
| | - Xianghua Xu
- Department of Palliative Care, Hunan Cancer Hospital, Changsha, China
| | - Yazhou Xiao
- Department of Palliative Care, Hunan Cancer Hospital, Changsha, China
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Wu C, Zhang H, Lin Y, Yuan W, He J, Li L, Jiang D, Ji Z, Lang H. Construction and application of the core competence course training system for infectious disease specialist nurses. BMC MEDICAL EDUCATION 2024; 24:410. [PMID: 38622627 PMCID: PMC11017496 DOI: 10.1186/s12909-024-05405-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/27/2023] [Accepted: 04/09/2024] [Indexed: 04/17/2024]
Abstract
OBJECTIVES This study aims to construct and apply a training course system which was scientific and comprehensive to foster the core competence of infectious disease specialist nurses. DESIGN A two-round Delphi consultation survey was carried out to collect feedback from experts on constructing the training course system of core competence for infectious disease specialist nurses. Besides, a non-randomized controlled experimental study was adopted to check the application effect of the courses. METHODS This study adopted a series of methods including group discussion, theoretical analysis and Delphi consultation to draft the training course content of core competence of infectious disease specialist nurses. Twenty-one Chinese experts were invited to participate in the Delphi consultation from November 2021 to December 2021. From October 2022 to January 2023, a total of 105 infectious disease specialist nurses from two training bases were selected by the convenience sampling method, of which the nurses in one training base were the control group and the nurses in the other training base were the observation group. The observation group was trained by the constructed core competence training course. Questionnaire evaluation was used to compare the core competence of infectious disease specialist nurses and the training effect. RESULTS The experts, regarded as the authorities on the subject, were highly motivated in this study. Besides, they reached a consensus on the results. The final training course system of core competence for infectious disease specialist nurses focused on 5 competence modules and was composed of 12 categories of courses with 66 classes and corresponding objectives. The core competence scores of the observation group were significantly higher than those in the control group after training (P < 0.05), which proved the training system can effectively enhance the core competence of infectious disease specialist nurses. CONCLUSIONS The research methods embodied scientific and precise properties. The course system was comprehensive in content and reliable in results. It could serve as a reference for training infectious disease specialist nurses.
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Affiliation(s)
- Chao Wu
- Nursing Department, Air Force Medical University, No. 169 Changle West Road, 710032, Shaanxi, Shaanxi, China
| | - Hongli Zhang
- Nursing Department, Air Force Medical University, No. 169 Changle West Road, 710032, Shaanxi, Shaanxi, China
- School of Nursing, Shaanxi University of Chinese Medicine, Xianyang, China
| | - Yawei Lin
- Department of Anesthesiology, 956Th Hospital of the Chinese People's Liberation Army, Nyingchi, China
| | - Weiyun Yuan
- Xijing Hospital of Air Force Medical University, Shaanxi, China
| | - Jing He
- Laboratory Department, Yan'an University Affiliated Hospital, Yan'an, China
| | - Lu Li
- Tangdu Hospital of Air Force Medical University, Shaanxi, China
| | - Donglei Jiang
- Department of Foreign Languages, School of Basic Medicine, Air Force Medical University, No. 169 Changle West Road, 710032, Shaanxi, Shaanxi, China.
| | - Zhaohua Ji
- Department of Epidemiology, Ministry of Education Key Lab of Hazard Assessment and Control in Special Operational Environment, School of Public Health, Air Force Medical University, Shaanxi, China.
| | - Hongjuan Lang
- Nursing Department, Air Force Medical University, No. 169 Changle West Road, 710032, Shaanxi, Shaanxi, China.
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Guo J, Liu J, Liu C, Wang Y, Xu X, Chen Y. Nursing informatics competency and its associated factors among palliative care nurses: an online survey in mainland China. BMC Nurs 2024; 23:157. [PMID: 38443955 PMCID: PMC10913251 DOI: 10.1186/s12912-024-01803-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2023] [Accepted: 02/16/2024] [Indexed: 03/07/2024] Open
Abstract
BACKGROUND Nursing informatics (NI) competency is a required core competency for high-quality care in digitally enabled healthcare environments. Given the increasing reliance on digital health in palliative care settings, it becomes crucial to evaluate the NI competency of nurses to ensure the seamless integration and effective utilization of digital health in their clinical practice. This study aimed to investigate the level of NI competency and explore its associated factors among palliative care nurses in mainland China. METHODS A cross-sectional design was conducted for this study, involving a total of 409 palliative care nurses from 302 hospitals in mainland China. Anonymous data were collected through a self-designed sociodemographic questionnaire, the Nursing Informatics Competency Scale (NICS) and the Innovative Self-Efficacy Scale. RESULTS The total score of the NICS was 129.19 ± 22.02, which indicated that Chinese palliative care nurses had a moderate level of NI competency. There was a positive correlation between innovative self-efficacy and NI competency (r = 0.602, P < 0.01). The hospital level and innovative self-efficacy were identified as statistically significant factors influencing nurses' NI competency based on multiple linear regression analysis results. These associated factors could explain 35.1% of the difference in NI competency. CONCLUSIONS This study found that palliative care nurses in mainland China exhibited moderate levels of NI competency and identified the hospital level and innovative self-efficacy as associated factors of nurses' NI competency. Measures such as developing supported strategies, including targeted NI training programs by nursing education managers of primary-level hospitals and creating a positive culture of innovation by healthcare institutions can be considered to improve the level of NI competency among Chinese palliative care nurses.
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Affiliation(s)
- Junchen Guo
- Department of Palliative Care, Hunan Cancer Hospital, No. 283, Tongzipo Road, Yuelu District, 410006, Changsha, Hunan, China
- School of Nursing, University of South China, No. 28, Changsheng West Road, 421001, Hengyang, Hunan, China
| | - Junqingzhao Liu
- Department of Palliative Care, Hunan Cancer Hospital, No. 283, Tongzipo Road, Yuelu District, 410006, Changsha, Hunan, China
| | - Chaoyi Liu
- Department of Palliative Care, Hunan Cancer Hospital, No. 283, Tongzipo Road, Yuelu District, 410006, Changsha, Hunan, China
| | - Ying Wang
- Department of Palliative Care, Hunan Cancer Hospital, No. 283, Tongzipo Road, Yuelu District, 410006, Changsha, Hunan, China
| | - Xianghua Xu
- Department of Palliative Care, Hunan Cancer Hospital, No. 283, Tongzipo Road, Yuelu District, 410006, Changsha, Hunan, China
| | - Yongyi Chen
- Department of Palliative Care, Hunan Cancer Hospital, No. 283, Tongzipo Road, Yuelu District, 410006, Changsha, Hunan, China.
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Cheng Q, Chen Y, Duan Y, Xie J, Zhang Q, Zheng H. Exploring the spiritual needs of patients with advanced cancer in China: a qualitative study. Sci Rep 2024; 14:4009. [PMID: 38369657 PMCID: PMC10874944 DOI: 10.1038/s41598-024-54362-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2023] [Accepted: 02/12/2024] [Indexed: 02/20/2024] Open
Abstract
This qualitative study aimed to gain a deep understanding of the spiritual needs of patients with advanced cancer. A qualitative study using semi-structured interviews was conducted. The interviews were audio-recorded, transcribed verbatim, and subjected to thematic analysis. Two researchers coded the interviews independently in NVivo 12 plus and developed major themes and subthemes by inductive and constant comparison. This study was conducted in the inpatient ward of a tertiary cancer hospital in Hunan Province, Chinese Mainland. Eligible participants with advanced cancer were recruited using the purposive sampling method. The sample size was determined by data saturation. All interviews were conducted face-to-face individually from May 2021 to July 2021. A total of 13 patients with advanced cancer patients were interviewed. Six themes were identified, namely being treated as normal and independent individuals, receiving and giving love, seeking inner peace, connecting with spiritual sources, finding meaning and purpose, and preparing for death. Different categories of spiritual needs of patients with advanced cancer were identified in this study. Healthcare professionals need to develop interventions that aim to meet patients' spiritual needs.
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Affiliation(s)
- Qinqin Cheng
- Nursing Department, Hunan Cancer Hospital/The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, Changsha, China
| | - Yongyi Chen
- Nursing Department, Hunan Cancer Hospital/The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, Changsha, China
| | - Yinglong Duan
- Nursing Department, The Third Xiangya Hospital, Central South University, Changsha, Hunan, China
| | - Jianfei Xie
- Nursing Department, The Third Xiangya Hospital, Central South University, Changsha, Hunan, China
| | - Qinghui Zhang
- Nursing Department, Hunan Cancer Hospital/The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, Changsha, China
| | - Hongling Zheng
- Nursing Department, Sichuan Clinical Research Center for Cancer, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, Affiliated Cancer Hospital of University of Electronic Science and Technology of China, Chengdu, China.
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Chen W, Chung JOK, Lam KKW, Molassiotis A. Patients', families' and healthcare providers' perspectives on end-of-life communication in Chinese hospital settings: A qualitative study protocol. PLoS One 2023; 18:e0296342. [PMID: 38150444 PMCID: PMC10752523 DOI: 10.1371/journal.pone.0296342] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2023] [Accepted: 12/11/2023] [Indexed: 12/29/2023] Open
Abstract
BACKGROUND Perspectives of key stakeholders should be fully considered to enhance culturally appropriate strategies in end-of-life communication and strengthen healthcare service delivery. So far, little research evidence is available on Chinese patients', families', and healthcare professionals' experiences with and perspectives of end-of-life communication in hospital settings. AIM The current study aims to explore experiences, perceptions and suggestions of end-of-life communication among Chinese terminally ill patients, their families and healthcare providers. METHODS The phenomenology qualitative approach will be adopted. Semi-structured in-depth interviews and focus group discussions will be used to collect relevant data. Eligible terminally ill patients, family caregivers and healthcare providers will be recruited in two hospitals in Mainland China via purposive sampling. Thematic analysis will be performed to analyse data. The Standards for Reporting Qualitative Research (SRQR) checklist will be followed for reporting. This study has been registered at ClinicalTrials.gov (NCT05734781). DISCUSSION This qualitative study is, as far as we are aware, the first to specifically address patient/family-provider end-of-life communication in the Chinese social-cultural context. The results hold the potential to enrich current knowledge of end-of-life communication, navigate culturally appropriate communication strategies, and inform the development of related training programs for healthcare providers in hospital settings.
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Affiliation(s)
- Weilin Chen
- School of Nursing, The Hong Kong Polytechnic University, Kowloon, Hong Kong Special Administrative Region, China
| | - Joyce Oi Kwan Chung
- School of Nursing, The Hong Kong Polytechnic University, Kowloon, Hong Kong Special Administrative Region, China
| | - Katherine Ka Wai Lam
- School of Nursing, The Hong Kong Polytechnic University, Kowloon, Hong Kong Special Administrative Region, China
| | - Alex Molassiotis
- School of Nursing, The Hong Kong Polytechnic University, Kowloon, Hong Kong Special Administrative Region, China
- Health and Social Care Research Centre, University of Derby, Derby, United Kingdom
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Wu C, Zhang Y, Wu J, Zhang L, Du J, Li L, Chen N, Zhu L, Zhao S, Lang H. Construction and application on the training course of information literacy for clinical nurses. BMC MEDICAL EDUCATION 2023; 23:614. [PMID: 37644432 PMCID: PMC10466842 DOI: 10.1186/s12909-023-04505-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/04/2023] [Accepted: 07/09/2023] [Indexed: 08/31/2023]
Abstract
DESIGN A two-round Delphi survey was conducted to seek opinions from experts about the index system for the evaluation of training courses of clinical nursing staff's information literacy. Besides, a non-randomized controlled experimental study was adopted to check the application effect of the training courses. AIMS This study intended to construct a training course of information literacy for clinical nurses, train nurses in order to improve their information literacy level and provide theoretical reference for the training of information literacy courses for clinical nurses. METHODS Two rounds of Delphi study were conducted for the study among 26 clinical medical and nursing experts as well as educational experts from 5 different provinces and cities in China. From July 2022 to October 2022, a total of 84 clinical nurses from two hospitals were selected by the convenience sampling method, of which the nurses in one hospital were the control group and the nurses in the other hospital were the observation group. 42 nurses in the observation group were trained by the constructed information literacy training course. Questionnaire evaluation was used to compare the differences in the level of information literacy of nurses and the training effect between the two groups. RESULTS The results of the Delphi consultation showed that the expert's judgment coefficient was 0.958, the expert's familiarity was 0.946, and the expert's authority coefficient was 0.952. Finally, a training course of information literacy for clinical nurses with 4 course categories and 45 specific course contents was formed. Among them, nursing information awareness included 7 courses, nursing information knowledge 15 courses, nursing information ability 19 courses, and nursing information ethics 4 courses. The results of the empirical study showed that the information literacy level of the nurses in the observation group after the training of the information literacy course was improved, and the scores in nursing information awareness, nursing information knowledge, nursing information ability, and information ethics were significantly higher than those in the control group after training (P < 0.05). CONCLUSIONS The constructed information literacy training courses for clinical nurses were clearly targeted and systematic. Empirical research showed that the course contents were scientific and reasonable, which could provide reference for the training of clinical nurses' information literacy.
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Affiliation(s)
- Chao Wu
- Department of Nursing, Air Force Medical University, No.169 Changle West Road, Xi'an, 710032, Shaanxi, China
| | - Yinjuan Zhang
- Department of Nursing, Air Force Medical University, No.169 Changle West Road, Xi'an, 710032, Shaanxi, China
| | - Jing Wu
- Department of Nursing, Air Force Medical University, No.169 Changle West Road, Xi'an, 710032, Shaanxi, China
| | - Linyuan Zhang
- Department of Nursing, Air Force Medical University, No.169 Changle West Road, Xi'an, 710032, Shaanxi, China
| | - Juan Du
- Department of Nursing, Air Force Medical University, No.169 Changle West Road, Xi'an, 710032, Shaanxi, China
| | - Lu Li
- Department of Anesthesia Intensive Care Unit, The Second Affiliated Hospital, Air Force Military Medical University, Xi'an, Shaanxi, China
| | - Nana Chen
- Department of Otolaryngology, Army Hospital of the Seventy- seventh Group, Jiajiang, Sichuan, China
| | - Liping Zhu
- Department of Foreign Languages, Quzhou NO. 2 School, Quzhou, Zhejiang, China.
| | - Sheng Zhao
- Department of Political Teaching, Quzhou NO. 2 School, Quzhou, Zhejiang, China.
| | - Hongjuan Lang
- Department of Nursing, Air Force Medical University, No.169 Changle West Road, Xi'an, 710032, Shaanxi, China.
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Han H, Ye Y, Xie Y, Liu F, Wu L, Tang Y, Ding J, Yue L. The impact of death attitudes on death education needs among medical and nursing students. NURSE EDUCATION TODAY 2023; 122:105738. [PMID: 36731246 DOI: 10.1016/j.nedt.2023.105738] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/25/2022] [Revised: 01/11/2023] [Accepted: 01/23/2023] [Indexed: 06/18/2023]
Abstract
BACKGROUND Medical and nursing students will play an essential role in delivering palliative care in the future. Death education is important in preparing them for future palliative care, however, little is known about students education needs and how death attitudes affect such needs in Mainland China. OBJECTIVES The purpose of this survey was to investigate the death education needs of medical and nursing students and to evaluate the impact of death attitudes on death education needs. DESIGN Multi-center, cross-sectional survey. SETTINGS Fourteen medical and nursing colleges & universities in Hunan, Sichuan, Liaoning, Guangdong, Shandong, and Shanxi provinces in China. PARTICIPANTS The sample included 1044 medical and nursing students from six provinces. METHODS In this multi-center cross-sectional study, all data were collected through an online questionnaire that included demographic information and questions on death-related experiences. In addition, the Death Attitude Profile-Revised and the Death Education Needs Scale were used to evaluate students' death attitudes and death education needs , respectively. RESULTS The students had a mean death education needs score of 38.85 ± 7.25 (range: 10-50), yet only 20.9 % of them had received palliative care-related training. Being female (B:3.869, 95 % CI:2.849-4.889), fear of death (B:0.119, 95 % CI:0.005-0.232), and neutral acceptance (B:0.787, 95 % CI:0.638-0.936) were associated with higher death education needs, while death avoidance (B: -0.226, 95 % CI: -0.368 ~ -0.083), approach acceptance (B: -0.126, 95 % CI: -0.215 ~ -0.036), and escape acceptance (B: -0.198, 95 % CI: -0.322 ~ -0.073) were associated with lower death education needs. CONCLUSIONS The high level of death education needs and low training rate in palliative care among medical and nursing students in mainland China indicates a gap that needs to be addressed. Students' death education needs were affected by gender and death attitudes, which provides implications for the future development of palliative care training models.
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Affiliation(s)
- Huiwu Han
- Teaching and Research Section of Clinical Nursing, Xiangya Hospital of Central South University, Changsha, Hunan, PR China; Xiangya School of Nursing, Central South University, Changsha, Hunan, PR China
| | - Ying Ye
- Teaching and Research Section of Clinical Nursing, Xiangya Hospital of Central South University, Changsha, Hunan, PR China; Xiangya School of Nursing, Central South University, Changsha, Hunan, PR China
| | - Yanhui Xie
- Teaching and Research Section of Clinical Nursing, Xiangya Hospital of Central South University, Changsha, Hunan, PR China
| | - Fei Liu
- Teaching and Research Section of Clinical Nursing, Xiangya Hospital of Central South University, Changsha, Hunan, PR China
| | - Lidan Wu
- Teaching and Research Section of Clinical Nursing, Xiangya Hospital of Central South University, Changsha, Hunan, PR China; Oncology Department, Xiangya Hospital of Central South University, Changsha, Hunan, PR China
| | - Yu Tang
- Teaching and Research Section of Clinical Nursing, Xiangya Hospital of Central South University, Changsha, Hunan, PR China; Oncology Department, Xiangya Hospital of Central South University, Changsha, Hunan, PR China
| | - Jinfeng Ding
- Xiangya School of Nursing, Central South University, Changsha, Hunan, PR China
| | - Liqing Yue
- Teaching and Research Section of Clinical Nursing, Xiangya Hospital of Central South University, Changsha, Hunan, PR China; Xiangya School of Nursing, Central South University, Changsha, Hunan, PR China.
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Ko E, Lowie S, Ni P. Confidence in carrying out palliative care among intensive care nurses. Nurs Crit Care 2023; 28:13-20. [PMID: 34889484 DOI: 10.1111/nicc.12735] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2021] [Revised: 11/11/2021] [Accepted: 11/12/2021] [Indexed: 02/03/2023]
Abstract
BACKGROUND Nurses in intensive care units (ICUs) play a crucial role in providing palliative care. Effective provision of palliative care in the ICU requires nurses' active engagement, yet little is known about the confidence for palliative care that ICU nurses hold in China. AIM To explore confidence in performing palliative care among ICU nurses in China and factors related to nurses' level of confidence. STUDY DESIGN A cross-sectional design was implemented. METHODS This study utilized convenience sampling to recruit ICU nurses from nine hospitals in Wuhan, China. Data were collected via an online survey. Multiple regression was conducted to identify the predictors of the ICU nurses' confidence in performing palliative care. RESULTS A total of 231 ICU nurses participated in the study, resulting in a response rate of 78% (231/296). Participants reported a relatively low level of confidence for carrying out palliative care (mean score = 2.60 ± 0.53; range = 1-4). Nurses who had more positive attitudes toward palliative care communication (P < .001), higher levels of formal training on palliative care (P < .001), more years of working as an ICU nurse (P < .05) and those working in integrated ICU (P < .001) showed a higher level of confidence in carrying out palliative care. CONCLUSION Participants' lack of confidence in performing palliative care makes for increased challenges, particularly in uncertainty about family assessments, palliative care discussions and lack of palliative care training. Strengthening palliative care curricula in nursing education and professional training is imperative to enhance ICU nurses' confidence. RELEVANCE TO CLINICAL PRACTICE Strengthening palliative care education and training, particularly in relation to palliative care communication, is critical. Implementing and tailoring culturally relevant palliative care call for attention to practice and for policy changes in palliative care delivery in China.
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Affiliation(s)
- Eunjeong Ko
- School of Social Work, San Diego State University, San Diego, California, USA
| | - Samantha Lowie
- Outpatient Behavioral Health, Vista Hill Foundation, San Diego, California, USA
| | - Ping Ni
- Nursing School, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
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Cao Z, Wang Y, Zhang H. "It's a Tall Order but I'll Try": a qualitative study on Chinese nurses' cognition and experience responding to cancer patients' requests to hasten death. Support Care Cancer 2022; 30:7509-7515. [PMID: 35665858 DOI: 10.1007/s00520-022-07192-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2021] [Accepted: 05/30/2022] [Indexed: 11/24/2022]
Abstract
PURPOSE The purpose of this study is to understand the cognition and experience of oncology nurses in China when responding to a patient's request to hasten death, to describe the obstacles that prevent their response, and to provide suggestions for dealing with the patient's request. METHODS Researchers conducted a qualitative study that consisted of open-ended, semi-structured interviews with 18 registered nurses who had more than 5 years of working experience in the oncology department at a large-scale urban hospital. We analyzed these data for content and themes. RESULTS How to deal with patients' requests to hasten death is a problem often encountered and handled by nurses in the Department of Oncology. Nurses have a certain understanding of the patients' requests to hasten death. This study abstracts four themes: (1) the nurses' cognition of the "Accelerate the process of death"; (2) the methods they use to deal with the patients' requests to hasten death; (3) the obstacles that prevent nurses from fulfilling the patients' requests to hasten death; and (4) their suggestions for improvement. CONCLUSION Nurses have a deep understanding of the real thoughts of patients who make a death request, and they hope to provide the corresponding psychological support and physical care. However, the lack of relevant knowledge, policy support, and cooperation of patients' families are obstacles that prevent them from taking action. Therefore, increasing relevant training for nurses, encouraging multi-department cooperation, and developing standardized nursing processes may lay a foundation for oncology nurses to better undertake and guide such conversations.
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Affiliation(s)
- Zhaoming Cao
- Department of Nursing, Nursing College of Jinzhou Medical University, No.40, Section 3, Songpo Road, Linghe District, Jinzhou City, Liaoning, China
| | - Yingchun Wang
- Department of Oncology Department, Affiliated Hospital of Jinzhou Medical University, Jinzhou, Liaoning, China
| | - Huijun Zhang
- Department of Nursing, Nursing College of Jinzhou Medical University, No.40, Section 3, Songpo Road, Linghe District, Jinzhou City, Liaoning, China.
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Wang YL, Yang ZW, Tang YZ, Li HL, Zhou LS. A qualitative exploration of "empathic labor" in Chinese hospice nurses. Palliat Care 2022; 21:23. [PMID: 35172778 PMCID: PMC8851695 DOI: 10.1186/s12904-022-00911-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2021] [Accepted: 02/08/2022] [Indexed: 11/15/2022] Open
Abstract
Background Hospice nurses may devote more emotional labor during the empathy process with patients, and this empathy can be used as a form of psychological behavior of emotional labor in the hospice care model. The aim of this study was to analyze hospice nurses’ empathy characteristics in the context of emotional labor theory, and explore the impact of empathy on patient care. Methods We conducted semi-participant observations from three hospitals and multicenter in-depth interviews with n = 26 hospice nurses from eight cities. Interviews were transcribed, and directed content analysis was applied. Results Two categories with four sub-categories were extracted from the data analysis. Category 1 described the “empathic labor” process which covers cognitive empathy (including empathic imagination, empathic consideration, and empathic perception) and affective empathy (including natural empathy, surface empathy, and deep empathy). The second category concerns the outcome of nurses’ “empathic labor” which incorporates both positive and negative effects. Conclusions The findings indicated that hospice nurses’ empathy process should be understood as emotional labor. Nursing managers should pay more attention to raising the ability of deep empathy with hospice nurses, and explore more sufficient active empowerment strategies to alleviate the negative impact of empathy on nurses and to strengthen nurses' deep empathy with terminal ill patients.
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Affiliation(s)
- Ya-Ling Wang
- School of Nursing, Soochow University, No.1, Shizi Street, Suzhou, 215000, China
| | - Zi-Wei Yang
- School of Nursing, Soochow University, No.1, Shizi Street, Suzhou, 215000, China
| | - Yue-Zhong Tang
- KangJian Community Health Service Center, 88 Jiangan Road, Shanghai, 200433, China
| | - Hui-Ling Li
- School of Nursing, Soochow University, No.1, Shizi Street, Suzhou, 215000, China.
| | - Lan-Shu Zhou
- School of Nursing, Naval Military Medical University, 800 Xiangyin Road, Shanghai, 200433, China.
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