ArticlePloS one2025
Behaviors and influencing factors of Chinese oncology nurses towards frailty care: A cross-sectional study based on knowledge-attitude-practice theory in 2024.
Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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6 citing papers in PubMed.
- Leading from behind the scenes: Community birth attendants, the unsung heroines of childhood vaccination in Ibadan urban slum communities.PLOS global public health · 2026Article
- A Network Analysis of Medication Literacy and Associated Psychological Factors in Patients with Coronary Heart Disease and Diabetes.Patient preference and adherence · 2026Article
- Nurses' knowledge, attitudes, practices, and educational needs regarding frailty: a multicenter cross-sectional survey in southwestern China.Frontiers in public health · 2026Observational
- Association between nurses' knowledge and attitudes and caring behaviors toward people with opioid use disorder.PloS one · 2026Article
- Determinants of childcare service demand for infants aged 0-3 among the childbearing population in China.Frontiers in public health · 2025Article
- Community health workers' knowledge and attitudes toward advance directives in China: a cross-sectional study.Frontiers in public health · 2025Article
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Abstract
backgroundThe demand for frailty care is continuously increasing in hospitalized tumor patients with the aging of the population. Nurses are the primary care providers of hospitalized tumor patients with frailty but research on exploring their behavior and associated factors is limited. This study aims to describe the current situation of frailty care behaviors in oncology nurses and to explore the factors influencing frailty care behaviors.
methodsFrom August 1, 2023, to March 31, 2024, this cross-sectional study was conducted among nurses from oncology-related departments in 5 Secondary A (mid-tier hospitals providing comprehensive care) or above hospitals in South China. Convenience sampling was employed to recruit participants. In China, a "Secondary A hospital is a mid-tier hospital that provides comprehensive medical care and handles more complex cases than primary hospitals but is smaller and less specialized than tertiary hospitals. Data were collected using the standardized frailty-knowledge, attitudes, and practices questionnaire (F-KAP) and general information questionnaire including sociodemographic and work-related details. The sub-scale scores of knowledge, attitude, and practice were calculated by summing up the items within each sub-scale. Student's independent t-test, one-way ANOVA, Pearson's correlation coefficient, and two kinds of multiple linear regression models were used for data analysis.
resultsWe included a total of 17 (3.70%) male and 443 (96.30%) female participants in this study. The mean total score of oncology nurses for frailty care behaviors was 33.26±6.61. The three lowest scoring behaviors were "conduct frailty measurements and screening for patients (3.30±1.12)", "accumulate frailty-related knowledge in daily work (3.59±0.87)", and "actively pay attention to the patient's debilitating condition". Pearson's correlations analysis showed that nursing grades (r = 0.13), frailty-related training willingness (r = 0.18), nursing frail patients experience (r = 0.22), frailty-related knowledge learning experience (r = 0.33), frailty-related training experience (r = 0.17), frailty care knowledge (r = 0.23), and hospice care attitudes (r = 0.54) were positively associated with frailty care behaviors. Two kinds of multiple linear regression models both showed that the factors most significantly associated with the oncology nurses' frailty care behaviors are their self-rated subjective knowledge and attitudes towards frailty identification.
conclusionOncology nurses practiced relatively low-frequency frailty in daily work. Our findings provide theoretical support for improving frailty care attitudes among nurses and enhancing patient quality of life.
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