ArticleJournal of Korean gerontological nursing2026
Effects of awareness of person-centered care, knowledge of life-sustaining treatment decisions, and attitudes toward advance directives on end-of-life care competency among nurses in long-term care hospitals: A cross-sectional study.
Article in Journal of Korean gerontological nursing, 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
purposeThis study aimed to investigate the factors influencing end-of-life care competency by examining awareness of person-centered care, knowledge of life-sustaining treatment decisions, and attitudes toward advance directives among nurses in long-term care hospitals.
methodsThrough convenience sampling, nurses with more than 6 months of clinical experience and who were responsible for inpatient care in long-term care hospitals in Jennam-do and Gwangju-metropolitan city were selected to participate in this study. Data were collected using a structured self-administered questionnaire between December 1 and 23, 2023. Data were analyzed through descriptive statistics, independent t-test, one-way ANOVA, Scheffé's test, Pearson's correlation coefficient, and multiple regression analysis.
resultsEnd-of-life care competency had an average of 3.72 out of 5 points. "Collaboration with team members" had the highest average score and "professional development" the lowest. Multiple regression analysis identified that awareness of person-centered care (β=.31, p<.001), attitudes toward advance directives (β=.31, p<.001), and providing end-of-life care 11 times or more in the past year (β=.17, p=.014) significantly influenced end-of-life care competency.
conclusionVarious educational strategies that promote awareness of person-centered care and foster positive attitudes toward advance directives are needed to enhance nurses' end-of-life care competency in long-term care hospitals. Additionally, educational programs that provide opportunities for both direct and indirect experience in end-of-life care are needed, as such programs can help establish a system to ensure the delivery of high-quality end-of-life care.
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