A Mixed-Methods Study on the Current Situation and Factors Influencing Nurses’ Practice of Palliative Care in Hangzhou, China

Nurses in Hangzhou demonstrate moderate levels of palliative care competency; however, notable gaps impede high-quality service delivery. There is an urgent need for systematic training, particularly in symptom management and communication skills. Multilevel efforts involving government, healthcare institutions, and the wider community are essential. Priorities include optimizing resource allocation, refining insurance policies, establishing specialized training systems, and enhancing public education to foster informed and rational understanding of end-of-life care.