Evidence map›Paper›PMID 41565612›Full record

ArticleNursing open2026

Factors Influencing Bereavement Care Competence in Midwifery Students: Regression and QCA Analysis.

Yuan Zhu, Qiulian Zhang, Yu Zhang, Qing Zhao, Aixia Zhang

Abstract read
In one paragraph

Article in Nursing open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Yuan ZhuSchool of Nursing, Nanjing University of Chinese Medicine, Nanjing, China.
Qiulian ZhangSchool of Nursing, Nanjing University of Chinese Medicine, Nanjing, China.
Yu ZhangSchool of Humanities and Health, Changzhou Vocational Institute of Textile and Garment, Changzhou, China.
Qing ZhaoAcacia Lab for Implementation Science, School of Public Health, Southern Medical University, Guangzhou, China.ORCID https://orcid.org/0000-0002-6299-4157
Aixia ZhangWomen's Hospital of Nanjing Medical University, Nanjing Women and Children's Healthcare Hospital, Nanjing, China.ORCID https://orcid.org/0000-0002-1266-0925

Funding

2025 Clinical Teaching Special Research Project of Nanjing University of Chinese Medicine, funded by Nanjing University of Chinese Medicine NZYJY2025-L-08General Project of Philosophy and Social Science Research in Colleges and Universities of Jiangsu Province 2024SJYB0250National Natural Science Foundation of China 72504147Phase IV Priority Academic Program Development of Jiangsu Higher Education Institutions - Open Project in Nursing, Nanjing University of Chinese Medicine, funded by the School of Nursing, Nanjing University of Chinese Medicine YSHL202530
6 · The paper itself

Abstract

backgroundPerinatal loss is a profoundly distressing experience for parents and can lead to long-term psychological challenges. Midwifery students often encounter bereaved parents during clinical placements but frequently feel unprepared to provide adequate support. Identifying the key factors that influence their competence in bereavement care is essential for enhancing training effectiveness and care quality.

methodsThis is a cross-sectional study. An online survey was administered to 215 final-year midwifery students from 10 institutions in Jiangsu Province in August 2024. Both regression analysis and fuzzy-set Qualitative Comparative Analysis (fsQCA) were used to identify the core influencing factors.

resultsRegression analysis revealed that Professional Meaning and Knowledge Development (Bereavement Care Knowledge) and Workload Influences (Organisational Support) were significantly associated with perceived competence. FsQCA identified Supporting Degree (Organisational Support), Competence and Resource Awareness (Self-Awareness), and Deficiency and Learning Awareness (Self-Awareness) as key configurations associated with high competence, outlining two distinct pathways: the Inadequate External Support Path and the Adequate External Support Path.

conclusionsThis study underscores the critical role of organisational support, self-awareness, and bereavement care knowledge in shaping midwifery students' competence. Training programs should be tailored to institutional contexts, integrating these elements to better prepare students for perinatal bereavement care.

Indexed as

BereavementClinical CompetenceHospice CareMidwiferyStudents, NursingAdultCross-Sectional StudiesFemaleHumansPregnancyRegression AnalysisSurveys and Questionnairescompetencemidwifery educationorganisational supportperinatal bereavement careself‐awareness

Identifiers

PMID41565612
PMCPMC12823463

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.