J Korean Acad Psychiatr Ment Health Nurs.  2023 Jun;32(2):124-137. 10.12934/jkpmhn.2023.32.2.124.

StructuralEquation Model of End-of-Life Nursing Performance of Home Visiting Nurses

• Kim S
• Jang S

• KMID: 2544253
• DOI: http://doi.org/10.12934/jkpmhn.2023.32.2.124

Abstract

Purpose
The purpose of this study was to build a structural model for explaining and predicting end-of-life care performance of home-visiting nurses.
Methods
This study was conducted using data from 360 home-visiting nurses that fit the structural equation model collected from May 3 to September 2, 2019. These data were analyzed using descriptive statistics, Pearson’s correlation coefficient, and structural equation modeling to determine factors that could influence end-of-life care performance.
Results
Our proposed structural model demonstrated a fine fitness level. Our proposed structural model was also able to describe end-of-life care performance with an accuracy of 35.5%. Visiting nursing types, experience of end-of-life care education, attitudes toward nursing care of the dying, and end-of-life care stress were confirmed as key factors that could influence end-of-life care performance. Meanwhile, death-related anxiety was not a factor influencing end-of-life care performance.
Conclusion
Findings of this study suggest that the aforementioned key factors can improve the performance of home-visiting nurses in providing end-of-life care. Therefore, expanding home nursing services, developing end-of-life nursing education at home, and implementing programs to reduce stress and improve positive attitudes toward end-of-life care are necessary for home-visiting nurses who provide end-of-life care.

Keyword

Terminal care; Death; Anxiety; Attitudes to death; Stress, psychological; 임종간호수행; 죽음인식; 죽음불안; 임종간호태도; 임종간호 스트레스