ArticleJournal of education and health promotion2026
Investigating the impact of palliative care training on perceived self-efficacy and moral distress of critical care nurses.
Article in Journal of education and health promotion, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundNurses' knowledge and self-efficacy in palliative care significantly influence the quality of care provided to patients and their families. Self-efficacy is a key predictor of the quality of palliative care. This study aimed to examine the effect of palliative care education on the self-efficacy and moral distress of critical care nurses. MATERIALS AND
methodsA semiexperimental study was conducted involving 40 intensive care nurses. Participants were randomly assigned to either the intervention group or the control group. Data collection tools included the Palliative Care Self-Efficacy Scale and the Corley Moral Distress Questionnaire. Palliative care training sessions were conducted over four sessions at Rajaee Cardiovascular, Medical, and Research Institute. Post-tests were administered two weeks after the intervention concluded. Data were analyzed using Shapiro-Wilk, Mann-Whitney U, and Wilcoxon tests, with all analyses performed using SPSS version 22.
resultsThe mean age of the nurses was 36.01 ± 9.10 years, with an average work experience of 11.16 ± 8.09 years. Before the intervention, nurses scored 57% of the total self-efficacy score (13.81 ± 6.20) in symptom management. Postintervention, 78% of the total self-efficacy score (18.73 ± 4.49) was attributed to psychological and social domains, while symptom management accounted for 73% of the total score (17.63 ± 5.02). In the intervention group, palliative care self-efficacy scores increased by 16.07 ± 9.65 (
conclusionPalliative care training enhances the self-efficacy of nurses in psychosocial support and symptom management while reducing moral distress. Despite certain limitations, this study provides valuable insights, indicating that a short-term, cost-effective educational program can have a positive impact on nursing practice. These findings are relevant for policymakers and healthcare professionals, emphasizing the need for evidence-based managerial and educational initiatives in palliative care.
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