Self-Efficacy For Palliative Care In Nurses And Influencing Factors

Objective:Our objective is to explore the nurses’ self-efficacy for Palliative care and its influencing factors.Methods:Data were collected via a self-constructed questionnaire，using the convenience sampling method.Subjects are nurses from two“grade-A”General hospitals in KaiFeng and PingDingShan，The sample sizeis260. To investigate their demographic data、“the experience of the past behavior”which related to thepalliative care、“self-perceived degree of importance”and the nurses’“self-efficacy for palliative care”.The data was analyzed by SPSS11.5descriptive statistics、Spearman rank correlation analysis、one-wayANOVA、 Pearson correlation and Stepwise multiple regression.Results:（1）The nurses’ self-efficacy for Palliative care overall at a relatively high level，but in light of thephysical care、 psychological and spiritual care as well as family care aspects is unbalanced. physical careself-efficacy mean score4.00，followed by family care self-efficacy mean score3.85，then psychologicaland spiritual care self-efficacy mean score3.70(each item assignment1-5)；（2）Different departments, and different attitudes toward death which in the nurses’ self-efficacy forPalliative care have significant difference(p <0.01)；（3）“The experience of the past behavior”which related to the care of patients with end-stage and“self-efficacy for Palliative care”is positively correlated (r=0.698)；The nurses’“self-perceived degreeof importance”and “self-efficacy for Palliative care”is also a positive correlation (r=0.617)；(4) Stepwise multiple regression analysis revealed：The experience of past behavior andself-perceived degree of importance entered regression equation with57%of predictability.Conclusion The nurses’“self-efficacy for Palliative care” at a relatively high level， the self-efficacy isinfluenced by “the experience of the past behavior” which related to the care of patients with end-stage、“self-perceived degree of importance”、work departments and attitudes toward death.