护理学报2025，Vol.32Issue(14)：31-37,7.DOI:10.16460/j.issn2097-6569.2025.14.031
护士临终沟通自我效能研究的范围综述
Nurses'self-efficacy regarding end-of-life communication:a scoping review
摘要
Abstract
Objective To provide a scoping review of studies on nurses'self-efficacy regarding end-of-life communication,and to summarize its assessment tools,current status,influencing factors,and intervention strategies.Methods We retrieved literature from Chinese and English databases including PubMed,Embase,CINAHL,Medline,PsycINFO,Web of Science,Cochrane Library,Pro-Quest,CNKI,and CBM,with a retrieval time spanning from the inception of the databases to September 2024.The included literature was analyzed and discussed.Results Twenty studies were included,including 11 cross-sectional studies,4 class-experimental stud-ies,2 randomized controlled trials,and 3 mixed studies.Nurses'self-efficacy regarding end-of-life communication was assessed by the following instruments:The Communication Subscale of the Hospice Self-Efficacy Scale,a self-designed questionnaire,instruments adapted from those used in other survey-type or intervention studies,an item in the Attitudes to Caring for Patients with a Sense of Meaninglessness Scale on communication self-efficacy,etc.Totally,38.00%to 54.53%of nurses reported low self-efficacy regarding end-of-life communication.Demographic factors,work experience,work environment,psychological characteristics,and hospice-relat-ed experiences affected nurses'self-efficacy regarding end-of-life communication.Intervention strategies for nurses'self-efficacy re-garding end-of-life communication were multidisciplinary and with diverse forms.Conclusion Nurses'self-efficacy regarding end-of-life communication needs further improvement,with complex and multidimensional influencing factors,a lack of specific assess-ment tools and intervention strategies requiring further improvement.关键词
护士/临终沟通/自我效能/安宁疗护/范围综述Key words
nurse/end-of-life communication/self-efficacy/hospice care/scoping review分类
医药卫生引用本文复制引用
吴萍,柳嘉怡,于宛辰,苗慧,王佳誉,王汕珊..护士临终沟通自我效能研究的范围综述[J].护理学报,2025,32(14):31-37,7.基金项目
中国生命关怀协会第二届人文护理科研项目(RW2024YB19) （RW2024YB19）
