Table 4. Univariate analyses for CNs.
| N | Satisfied n (%) | Not satisfied n (%) | P | |||
|---|---|---|---|---|---|---|
| Factors related to activity | ||||||
| Clinical nursing experience (years) | Less than 19 | 849 | 320 (37.70) | 529 (62.30) | 0.48 | |
| 19 or more | 623 | 246 (39.50) | 377 (60.50) | |||
| Years of experience after acquiring CN qualification (see Note) | Less than 5 | 895 | 270 (30.20) | 625 (69.80) | 0.00 | |
| 5 or more | 577 | 296 (51.30) | 281 (48.70) | |||
| Presence in the same facility• CNS | Yes | 467 | 199 (42.60) | 268 (57.40) | 0.02 | |
| No | 1005 | 367 (36.50) | 638 (63.50) | |||
| • CN in palliative care | Yes | 962 | 390 (40.50) | 572 (59.50) | 0.02 | |
| No | 510 | 176 (34.50) | 334 (65.50) | |||
| • CN in cancer pain management nursing | Yes | 603 | 233 (38.60) | 370 (61.40) | 0.74 | |
| No | 869 | 333 (38.30) | 536 (61.70) | |||
| • CN in cancer chemotherapy nursing | Yes | 911 | 374 (41.10) | 537 (58.90) | 0.04 | |
| No | 561 | 192 (34.20) | 369 (65.80) | |||
| • CN in radiation therapy nursing | Yes | 310 | 137 (44.20) | 173 (55.80) | 0.01 | |
| No | 1162 | 429 (37.00) | 733 (63.00) | |||
| • CN in breast cancer nursing | Yes | 363 | 158 (43.50) | 205 (56.50) | 0.03 | |
| No | 1109 | 408 (36.80) | 701 (63.20) | |||
| Affiliation | Yes | 409 | 186 (45.50) | 223 (54.50) | 0.00 | |
| • Palliative care team | No | 1063 | 380 (35.70) | 683 (64.30) | ||
| • Cancer consultation and support center | Yes | 83 | 45 (54.20) | 38 (45.80) | 0.00 | |
| No | 1389 | 521 (37.50) | 868 (62.50) | |||
| • Chemotherapy room | Yes | 402 | 167 (41.50) | 235 (58.50) | 0.14 | |
| No | 1070 | 399 (37.30) | 671 (62.70) | |||
| • Radiotherapy room | Yes | 65 | 19 (29.30) | 46 (70.70) | 0.12 | |
| No | 1407 | 547 (38.90) | 860 (61.10) | |||
| • Outpatient department | Yes | 356 | 130 (36.50) | 226 (63.50) | 0.39 | |
| No | 1116 | 436 (39.10) | 680 (60.90) | |||
| • Ward department | Yes | 629 | 177 (28.10) | 452 (71.90) | 0.00 | |
| No | 843 | 389 (46.10) | 454 (53.90) | |||
| Position | Manager | 629 | 177 (28.10) | 452 (71.90) | 0.00 | |
| Staff | 843 | 389 (46.10) | 454 (53.90) | |||
| Role in teaching other nurses | Yes | 1359 | 533 (39.20) | 826 (60.80) | 0.00 | |
| No | 113 | 33 (29.20) | 80 (70.80) | |||
| Launched a department or patient group | Yes | 877 | 305 (34.80) | 572 (65.20) | 0.00 | |
| No | 595 | 261 (43.90) | 334 (56.10) | |||
| Cross-departmental activities | Yes | 1053 | 500 (47.50) | 553 (52.50) | 0.00 | |
| No | 419 | 66 (15.80) | 353 (84.20) | |||
| Information exchanges or joint workshops etc. with other facilities | Yes | 1209 | 505 (41.80) | 704 (58.20) | 0.00 | |
| No | 263 | 61 (23.20) | 202 (76.80) | |||
| High ratings from senior staff | Yes | 980 | 511 (52.10) | 469 (47.90) | 0.00 | |
| No | 492 | 55 (11.20) | 437 (88.80) | |||
| Factors related to facilities | ||||||
| Type of hospital | Cancer centers | 1021 | 412 (40.40) | 609 (59.60) | 0.02 | |
| Other hospitals | 451 | 154 (34.10) | 297 (65.90) | |||
| Bed capacity | Less than 200 | 165 | 75 (45.50) | 90 (54.50) | 0.05 | |
| 200 or more | 1307 | 491 (37.60) | 816 (62.40) | |||
| Advertisements for CNSs and CNs | Yes | 1273 | 501 (39.40) | 772 (60.60) | 0.07 | |
| No | 199 | 65 (32.70) | 134 (67.30) | |||
| Service system in the following four departments | Yes | 883 | 361 (40.90) | 522 (59.10) | 0.02 | |
| No | 589 | 205 (34.80) | 384 (65.20) | |||
| Additional medical services• Palliative care practice | Yes | 593 | 236 (39.80) | 357 (60.20) | 0.38 | |
| No | 879 | 330 (37.50) | 579 (62.50) | |||
| • Cancer patient counseling | Yes | 942 | 394 (41.80) | 548 (58.20) | 0.00 | |
| No | 530 | 172 (32.50) | 358 (67.50) | |||
| • Outpatient palliative care management | Yes | 340 | 139 (40.90) | 201 (59.10) | 0.29 | |
| No | 1132 | 427 (37.70) | 705 (62.30) | |||
| • Cancer pain palliation instruction | Yes | 830 | 349 (42.00) | 481 (58.00) | 0.00 | |
| No | 642 | 217 (33.80) | 425 (66.20) | |||
| Requirements • Second opinion | Received | 1021 | 476 (46.60) | 725 (53.40) | 0.05 | |
| Not received | 271 | 90 (33.20) | 181 (66.80) | |||
| • Collaboration team and the primary care physician | Received | 605 | 278 (46.00) | 327 (54.00) | 0.00 | |
| Not received | 867 | 288 (33.20) | 579 (66.80) | |||
| • Operation of cancer regional alliances path | Received | 670 | 291 (43.40) | 379 (56.60) | 0.00 | |
| Not received | 802 | 275 (34.30) | 527 (65.70) | |||
| • Training of local healthcare professionals | Received | 996 | 424 (42.60) | 572 (57.40) | 0.00 | |
| Not received | 476 | 142 (29.80) | 334 (70.20) | |||
| • Hospital cancer registry | Received | 973 | 404 (41.50) | 569 (58.50) | 0.00 | |
| Not received | 499 | 162 (32.50) | 337 (67.50) | |||
| Positive evaluation of CNS development | Yes | 531 | 286 (53.90) | 245 (46.10) | 0.00 | |
| No | 941 | 280 (29.80) | 661 (70.20) | |||
| Positive evaluation of CN development | Yes | 898 | 451 (50.20) | 447 (49.80) | 0.00 | |
| No | 574 | 115 (27.00) | 459 (73.00) | |||
| Appropriate staff allocation | Yes | 604 | 319 (52.81) | 285 (47.19) | 0.00 | |
| No | 868 | 247 (28.46) | 621 (71.54) | |||
| Factors related to the cancer care team | ||||||
| Coordination among healthcare professionals | Yes | 1384 | 548 (39.60) | 836 (60.40) | 0.00 | |
| No | 88 | 18 (20.50) | 70 (79.50) | |||
| Independent activities | Yes | 1090 | 542 (49.70) | 548 (50.30) | 0.00 | |
| No | 382 | 24 (6.30) | 358 (93.70) | |||
| Availability of conferences | Yes | 1235 | 515 (41.70) | 720 (58.30) | 0.00 | |
| No | 237 | 51 (21.50) | 186 (78.50) | |||
| Job Type• Pharmacist | Involvement | 1350 | 528 (39.10) | 822 (60.90) | 0.44 | |
| Non-involvement | 122 | 38 (31.10) | 84 (68.90) | |||
| • Medical social worker | Involvement | 1137 | 461 (40.50) | 676 (59.50) | 0.00 | |
| Non-involvement | 335 | 105 (31.30) | 230 (68.70) | |||
| • Nutritionist | Involvement | 987 | 398 (40.30) | 589 (59.70) | 0.35 | |
| Non-involvement | 485 | 168 (34.60) | 317 (65.40) | |||
| • Physical therapist | Involvement | 831 | 325 (39.10) | 506 (60.90) | 0.55 | |
| Non-involvement | 641 | 241 (37.60) | 400 (62.40) | |||
| • Occupational therapist | Involvement | 547 | 217 (39.70) | 330 (60.30) | 0.46 | |
| Non-involvement | 925 | 349 (37.70) | 576 (62.30) | |||
| • Speech therapist | Involvement | 307 | 119 (38.80) | 188 (61.20) | 0.90 | |
| Non-involvement | 1165 | 447 (38.40) | 718 (61.60) | |||
| • Clinical psychologist | Involvement | 537 | 233 (43.40) | 304 (56.60) | 0.00 | |
| Non-involvement | 935 | 333 (35.60) | 602 (64.40) | |||
The threshold for years of experience was set at 5 years, because according to [32], 44.00% of CNs are hesitant to renew their initial 5-year contracts. Reasons given for their hesitation Include: “There is no satisfaction in the work” and they have “not been able to fully refresh.”