ArticleJournal of hospice and palliative care2026
End-of-Life Care Preparedness, Importance, Performance, and Educational Needs of Care Workers for Integrated Care Support.
Article in Journal of hospice and palliative care, 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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3 authors.
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Abstract
Purpose: This study examined the levels of end-of-life care preparedness, importance, performance, and educational needs among community-based home care workers and identified factors influencing end-of-life care performance to inform hospice/end-of-life care education programs. Methods: This study used a descriptive, correlational design. The participants were 152 community-based home care workers with at least 6 months of work experience. Data were collected using structured questionnaires that assessed end-of-life care preparedness, importance, performance, and educational needs. Data were analyzed using descriptive statistics, correlation analysis, importance-performance analysis (IPA), and hierarchical multiple regression analysis using SPSS version 29.0. Results: Overall, end-of-life care performance was significantly lower than its perceived importance (t=14.41, P< 0.001), with the largest gaps observed in the caregiving support and emotional support domains. In the IPA, multiple items related to death preparation for patients/families, spiritual/emotional support, and care around the time of death fell into the low-importance/low-performance quadrant. Educational needs positively correlated with importance, intention, confidence, preparedness, and performance. In hierarchical regression, preparedness (β=0.21, P=0.03) and importance (β=0.26, P<0.001) significantly predicted performance, explaining 15% of variance. Conclusion: End-of-life care performance among home care workers was influenced by psychological factors, including preparedness, importance, and confidence in end-of-life care, as well as institutional and environmental factors. Standardized educational programs and organizational support are required to improve the quality of community-based end-of-life care.
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