ABSTRACT
Objective:
To understand the status quo of neonatal
palliative care attitude of
nurses in
neonatal intensive care unit (NICU) and analyze the influencing factors, in order to provide reference and direction for
hospital management to improve the neonatal
palliative care attitude of NICU
nurses.
Methods:
A total of 237 NICU
nurses in 9
hospitals in Shijiazhuang, Hebei Province were selected by
cluster sampling method from November to December 2021, and the
questionnaire was conducted using General Data
Survey, Neonatal
Palliative Care Attitude Scale (NiPCAS), the Jefferson Scale of
Empathy (JSE) and Coping with
Death Scale (CDS). And analyze the results.
Results:
The total score of the NICU
nurses′ neonatal
palliative care attitude was 89.35 ± 18.86. The average score of each dimension from high to low was
belief,
work experience,
resources,
organization, and obstacle; and the total score of neonatal
palliative care attitude was positively correlated with
empathy ability ( r=0.653, P<0.01) and
death coping
ability ( r=0.597, P<0.01), in addition the factor of
barrier was negatively correlated with
empathy and
death coping
ability ( r=-0.602, -0.526, both P<0.01) Multiple
linear regression analysis showed that educational background, whether
nursing dying
infants, frequency of attending
hospice nursing education in
hospitals,
empathy ability and
death coping
ability were the influencing factors of neonatal
palliative care attitude, which could explain 47.3% of the total variation.
Conclusions:
NICU
nurses′ neonatal
palliative care attitude was generally at a moderate level, and affected by five factors such as
education. It is suggested that
hospital management should provide to improve
empathy ability and
death response
ability as the premise of personalized, diversified
education training support, multiple ways, multi-level improve its
empathy ability and
death coping
ability, improve neonatal
palliative care attitude, and then improve the quality of
nursing service.