Purpose
The purpose of this descriptive survey study was to investigate the relationship between death awareness, life-sustaining nursing stress, end-of-life care competency and performance, and resilience. Additionally, the factors influencing end-of-life care performance by ICU nurses were identified. Methods: Data were collected from one tertiary and two general hospitals in J province from July 1 to July 30, 2022. Nurses working in Intensive Care Units (ICU) for more than three months who had experience in end-of-life care were selected through convenience sampling. A total of 188 responses to the survey were included in the final analysis. An IBM SPSS program was used for the data analysis. Results: Factors impacting end-of-life care performance (with an explanatory power of 31.9%) were as follows: higher knowledge and behavioral competency in end-of-life care, higher relational patterns in resilience, higher levels of death positivity in death awareness, and clinical experience of less than a year compared to that of three to five years were associated with higher end-of-life care performance. Conclusion: These findings point to the urgent need for increasing end-of-life care performance among nurses in clinical practice; therefore, practical strategies must be developed and actively implemented to strengthen relevant competencies and resilience and promote death positivity. Based on these findings, future studies are needed to develop an intervention program to improve the spiritual scope of end-of-life care and verify the effects.

PURPOSE
This study was done to identify the degree that perceived social support effects the self esteem of the elderly. METHOD: A structured questionnaire was administered to 203 elderly subjects from April 2003 to June 2003. The data were analyzed with an SPSS program for descriptive statistics, Pearson`s correlation coefficients, t-test, ANOVA, and stepwise multiple regression. RESULTS: The level of social support was moderate; family support received the highest score among sources of support. In types of support, appraisal support was the highest score and material was the lowest. The level of self esteem was also moderate. The score of social support showed a slightly high positive correlation with self esteem. In general characteristics, several variables were significantly related to self esteem. The most powerful predictor of self esteem was material support by family and the variance explained was 19.6%. A combination of material support by family, informational support by relatives, perceived economic status, perceived health status, and having a subject to depend on accounted for 39.8% of the variance in self esteem of the elderly. CONCLUSION: To increase the self esteem of the elderly, it is necessary to consolidate material support by family.