Moral distress, attitude toward death, and palliative care core competencies among ICU nurses: a cross-sectional study.

IF 2.5 2区医学 Q2 HEALTH CARE SCIENCES & SERVICES

BMC Palliative Care Pub Date : 2025-01-16 DOI:10.1186/s12904-025-01655-z

Mengyun Peng, Qin Guan, Xiaoling Zhu

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引用次数: 0

Abstract

Background: Palliative care is becoming more widely acknowledged as a crucial part of intensive care for all patients with life-threatening illnesses. Intensive care unit (ICU) nurses regard as a lead role to facilitate this integration, which require nurses to possess professional and comprehensive core competencies. However, there is little knowledge about the palliative care core competencies among ICU nurses.

Aims: To explore the association of moral distress, attitude toward death, and palliative care core competencies of ICU nurses, and explore the mediating role of attitude toward death.

Methods: This is a quantitative, cross-sectional study. Random cluster sampling method was used. 342 ICU nurses were selected from 5 hospitals across 4 provinces in China. Participants were evaluated using the Moral Distress Scale-revised (MDS-R), the Attitude toward Death Profile-Revised (DAP-R), and the Palliative Care Nurses' Core Competencies Scale (PCNCC). This study followed the STROBE statement.

Results: The level of palliative care core competencies among ICU nurses is moderate. Moral distress and negative attitude toward death are negatively associated while positive attitude toward death is positively associated with core competencies in palliative care among ICU nurses. Attitude toward death partially mediates the relationship between moral distress and core competencies.

Conclusion: Link between moral distress, attitude toward death, and palliative care core competencies among ICU nurses was found in this study.

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ICU护士的道德困扰、死亡态度和姑息治疗核心能力：一项横断面研究。

背景：姑息治疗越来越被广泛认为是所有危及生命的疾病患者重症监护的重要组成部分。重症监护室（ICU）护士被视为促进这种整合的主导角色，这需要护士具备专业和全面的核心能力。然而，ICU护士对姑息治疗核心能力的了解甚少。目的：探讨道德窘迫、死亡态度与ICU护士姑息治疗核心能力的关系，并探讨死亡态度的中介作用。方法：这是一项定量的横断面研究。采用随机整群抽样方法。选取全国4个省5家医院的342名ICU护士。采用道德困扰量表（MDS-R）、死亡态度量表（DAP-R）和姑息护理护士核心能力量表（PCNCC）对参与者进行评估。这项研究遵循了STROBE的声明。结果：ICU护士姑息治疗核心能力水平为中等水平。道德窘迫与消极死亡态度呈负相关，积极死亡态度与ICU护士姑息治疗核心能力呈正相关。死亡态度在道德痛苦与核心能力之间起部分中介作用。结论：本研究发现ICU护士的道德困扰、死亡态度与缓和疗护核心能力之间存在关联。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

BMC Palliative Care HEALTH CARE SCIENCES & SERVICES-

CiteScore

4.60

自引率

9.70%

发文量

201

审稿时长

21 weeks

期刊介绍： BMC Palliative Care is an open access journal publishing original peer-reviewed research articles in the clinical, scientific, ethical and policy issues, local and international, regarding all aspects of hospice and palliative care for the dying and for those with profound suffering related to chronic illness.