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Self-Efficacy in Palliative Care Among Nursing Professionals: A Mixed-Methods Study.
Mónica Alexandra Valdiviezo1,2, Alejandro Martínez-Granados3, Abigail Rivas-Lorefice1
1Programa de Doctorado en Medicina Clínica y Salud Pública, Universidad de Granada, Granada, Spain.
Journal of Clinical Nursing
|April 16, 2026
Summary
Ecuadorian nurses show high self-efficacy in palliative care teamwork and pain management but struggle with communication. Enhancing these skills is crucial for improving palliative care services.
Area of Science:
- Nursing
- Palliative Care
- Healthcare Education
Background:
- Palliative care coverage and nursing training are deficient in Ecuador.
- Examining nurse self-efficacy can inform education strategies and improve services.
Purpose of the Study:
- To assess the self-efficacy of nurses in Ecuador regarding Palliative Care.
- Identify areas of strength and weakness in nurses' palliative care competencies.
Main Methods:
- Sequential explanatory mixed-methods study.
- Quantitative data collected via the Self-Efficacy in Palliative Care Questionnaire.
- Qualitative data gathered through online semi-structured interviews.
Main Results:
- Nurses reported highest self-efficacy in teamwork and lowest in communication.
- Confidence was high in pain management but lower for agitation and dyspnea.
- Spiritual care was primarily linked to religious facilitation; communication challenges included emotions and prognosis.
Conclusions:
- Quantitative and qualitative data showed alignment, with discrepancies in psychological and social communication.
- Improving communication, comprehensive patient management, and interdisciplinary collaboration is essential for Ecuadorian Palliative Care.
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