Influencing factors of knowledge, attitude and behavior in children’s palliative care among pediatric healthcare workers: a cross-sectional survey in China

BMC Palliative Care

Research

Yuee Xiong¹  Muhua Chen¹  Yi Xu²  Yuqiong Xiang³  Tingwei Luo³  Sishan Jiang³  Zhiqiang Zhang³  Yaojia Hu⁴  Lihui Zhu⁵  Na Zhang⁶ 

[1] Department of Neonatology, Hunan Children’s Hospital, Changsha, China;Department of Nursing, Hunan Children’s Hospital, Changsha, China;Department of Nursing, Hunan University of Chinese Medicine, Changsha, China;Department of Ophthalmology, Hunan Children’s Hospital, Changsha, China;Nursing Teaching and Research Section, Hunan Cancer Hospital/The Afliated Cancer Hospital of Xiangya School of Medicine, Central South University, Changsha, China;Nursing Teaching and Research Section, Hunan Cancer Hospital/The Afliated Cancer Hospital of Xiangya School of Medicine, Central South University, Changsha, China;Department of Nursing, Hunan Children’s Hospital, Changsha, China;

关键词: Pediatric healthcare workers;    Children’s palliative care;    Humanistic care;   

DOI  :  10.1186/s12904-023-01187-4

 received in 2022-10-19, accepted in 2023-05-25,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundPalliative care has become a key medical field worldwide. Although research relating to adult palliative care is well-established, less is known about children’s palliative care (CPC). Therefore, this study investigated the knowledge, attitude and behavior of pediatric healthcare workers (PHWs) regarding CPC and analyzed the influencing factors for the implementation and development of CPC.MethodsA cross-sectional survey of 407 PHWs was carried out in a Chinese province from November 2021 to April 2022. The questionnaire consisted of two parts: a general information form and questions on the knowledge, attitude and behavior of PHWs about CPC. Data were analyzed using t-test, ANOVA and multiple regression analysis.ResultsThe total score of the PHWs’ knowledge, attitude and behavior about CPC was 69.98, which was at a moderate level. PHWs’ CPC knowledge, attitude, and behavior are positively correlated.The most important influencing factors were working years, highest education, professional title, job position, marital status, religion, grade of hospital (I, II or III), type of medical institution, experience of caring for a terminally ill child/kinsfolk and total hours of CPC education and training received.ConclusionsIn this study, PHWs in a Chinese province had the lowest scores on the knowledge dimension of CPC, with moderate attitude and behavior and various influencing factors. In addition to professional title, highest education and working years, it is also worth noting that the type of medical institution and marital status also affected the score. Continuing education and training of PHWs in CPC should be emphasized by the administrators of relevant colleges and medical institutions. Future research should start with the above-mentioned influencing factors and focus on setting up targeted training courses and evaluating the post-training effects.

【 授权许可】

CC BY   
© The Author(s) 2023

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