The Latent Profiles and Influencing Factors of Hospice Care Attitude among Clinical Nurses in a County-Level Hospital in Jiangsu Province
ZHENG Yaping
RUI Xiaoyan
LI Qin
QI Jun
JIANG Lu
TIAN Jinping
Abstract：Objective To explore the latent class and influencing factors of nurses'attitudes towards palliative care in a county-level hospital.Methods A total of 496 clinical nurses in a county-level hospital in Jiangsu Province were selected with the convenience sampling method.The survey was investigated by the general information questionnaire,the Hospice Attitude Scale of Medical Staff and Chinese version of Death Attitude Profile-Revised Questionnaire.The latent profile analysis of the attitudes of nurses in a county-level hospital towards hospice care was conducted using Mplus 8.3 software.And to explore the influencing factors of different latent profiles of hospice care attitudes.Results The attitudes towards palliative care could be classified into three potential categories,including the group that recognized the benefits of palliative care and had a positive attitude(23.39%),the group that weighed the benefits and drawbacks and had a neutral attitude(48.39%),and the group that perceived the obstacles of palliative care and had a negative attitude(28.22%).Whether having received education or training related to palliative care,death fear,death avoidance,and natural acceptance were the influencing factors of the potential profile categories of nurses'attitudes towards palliative care in county-level hospital(P<0.05).Conclusion There is heterogeneity in the attitudes of nurses in county-level hospitals towards hospice care.It is suggested that nursing managers should adopt targeted intervention measures based on different potential profiles and influencing factors.They should focus on the groups with negative attitudes towards hospice care,provide systematic and comprehensive training to correct their attitudes towards death,enhance their understanding of the meaning of life and the value of death,and improve the level of hospice care attitudes of nurses in county-level hospitals.
Keywords：county-level hospitalnurseshospice caredeathattitudelatent profile analysisinfluencing factors
Publication Date：2025-12-10
Online Publishing Date：2026-01-05(First online date of this platform, not the publication date of the document)
Pages：6( 1029-1034 )