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| Analysis of influencing factors of cognitive ability and level of hospice care in nurses based on structural equation model |
| HU Yujie1 PAN Yuqin1▲ DU Hua2 |
1.Department of Medical Oncology, the First Affiliated Hospital of Anhui Medical University, Anhui Province, Hefei 230022, China;
2.Department of Radiation Oncology, the First Affiliated Hospital of Anhui Medical University, Anhui Province, Hefei 230022, China |
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Abstract Objective To analyze the factors affecting cognitive ability and attitude of nurses in hospice care by using structural equation model. Methods General information, hospice care knowledge and hospice care attitude scale scores of 952 in-service nurses from the High-tech Zone of the First Affiliated Hospital of Anhui Medical University from January 2020 to January 2021 were obtained through questionnaire survey, and the influencing factors were analyzed by structural equation model. Results In this survey, 695 valid questionnaires were collected, with effective recovery of 73%. The average score of cognitive ability and level of hospice care was (12.65±2.81) points, and the average accuracy was 60.7%. The total score of nurses’ attitude towards taking care of terminal patients was (105.49±9.24), and 80.40% of them had a positive attitude. Univariate analysis showed that clinical nurses with different ages, working years, professional titles, and departments had statistically significant differences in cognitive ability and level scores of hospice care (P＜0.05). There were statistically significant differences in the scores of hospice care attitude of clinical nurses in different ages, working years, professional titles, and departments (P＜0.05). Pearson correlation analysis showed that hospice care attitude score was positively correlated with cognitive ability and level of nurses (P＜0.05). All fitting values of the structural equation model were within the acceptable range. The maximum total effect of experience factor on cognition and attitude of nurses in hospice care was 15.70, of which the direct effect was 15.48, and the indirect effect was 0.22 by influencing work factor. It was followed by family factor (4.67) and work factor (0.86). Conclusion Nurses’ cognition and attitude of hospice care need to be improved, and experience factors and family factors have a great influence on them. Targeted training can be adopted to improve the knowledge level and attitude of hospice care in the later stage, so as to provide a basis for the formulation of effective hospice care measures.
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