{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T18:29:24Z","timestamp":1763749764320,"version":"3.45.0"},"reference-count":57,"publisher":"Public Library of Science (PLoS)","issue":"11","license":[{"start":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T00:00:00Z","timestamp":1763683200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100007046","name":"Wuhan University","doi-asserted-by":"publisher","award":["LCHL202327"],"award-info":[{"award-number":["LCHL202327"]}],"id":[{"id":"10.13039\/501100007046","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS One"],"abstract":"<jats:sec id=\"sec001\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Palliative care is essential for end-of-life (EOL) patient care. While prior research has acknowledged the role of self-efficacy in nursing, its specific mechanisms within graded diagnosis and treatment contexts remain underexplored.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec002\">\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>(1) To investigate the relationship between healthcare providers\u2019 attitudes and behaviors regarding palliative care, graded diagnosis, treatment and the mediating role of self-efficacy. (2) To explore whether self-efficacy moderates the effect of compassion fatigue on well-being at work.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec003\">\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A cross-sectional study was conducted at two tertiary hospitals in Hubei Province, China, and data were collected from 900 healthcare providers in July and August 2023.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec004\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Four validated self-report scales (Palliative Care Graded Diagnosis and Treatment Knowledge, Attitude, and Behavior scale, Self-Efficacy Scale, Brief Compassion Fatigue Scale, and Nurses\u2019 Well-being at Work Scale) were used to collect data. Analyses were performed using SPSS PROCESS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec005\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Significant correlations were found among healthcare providers\u2019 attitudes toward graded diagnosis and treatment, self-efficacy, and their behaviors. Healthcare providers\u2019 attitudes towards graded diagnosis and treatment predicted an increase in self-efficacy (\u03b2\u2009=\u20090.161,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), which subsequently led to improved graded diagnosis and treatment behavior (\u03b2\u2009=\u20090.647,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Self-efficacy mediated 34.81% of the effect of attitudes on graded diagnosis and treatment behavior. Although significant correlations existed among healthcare providers\u2019 compassion fatigue, self-efficacy, and well-being at work, further analysis revealed that self-efficacy played a moderating role.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec006\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Self-efficacy plays a crucial role in palliative care graded diagnosis and treatment, moderating the relationship between compassion fatigue and well-being at work. This finding indicates that enhancing self-efficacy not only improves nursing practice in palliative care but also alleviates emotional stress and boosts professional well-being.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1371\/journal.pone.0336925","type":"journal-article","created":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T18:24:32Z","timestamp":1763749472000},"page":"e0336925","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["Healthcare providers\u2019 palliative care graded diagnosis and treatment behavior, attitudes, self-efficacy, compassion fatigue, and workplace well-being: A mediating moderation model"],"prefix":"10.1371","volume":"20","author":[{"given":"Lixiang","family":"Liu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meidi","family":"Xiong","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fang","family":"Hong","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yiting","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-1467-2666","authenticated-orcid":true,"given":"Chunhua","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2025,11,21]]},"reference":[{"issue":"2","key":"pone.0336925.ref001","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1111\/ecot.12430","article-title":"Can the improvements in human capital quality mitigate the negative impact of ageing on growth? 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