PURPOSE
The purpose of this study was to identify the level of terminal care performance of nurses in long-term care hospitals, and investigate how nursing professionalism, attitudes on advance directives and death anxiety affects their terminal care performance.
METHODS
Total of 294 nurses from long-term care hospitals completed the structured questionnaires including nursing professionalism scale, advance directives attitude survey, death anxiety scale and terminal care performance scale. Data were analyzed using the SPSS/WIN 24.0.
RESULTS
There were significantly correlation among terminal care performance of nurse, nursing professionalism, attitudes on advance directives, and death anxiety. The key factor that affected nurses terminal care performance was nursing professionalism(β=.26, p < .001), followed by attitudes on advance directive (β=.20, p < .001), participation of terminal care education (β=.15, p=.006), total work experience (β=.13, p=.015), and participation of Do-Not-Resuscitate education (β=.13, p=.018), which explained about 23.1% of the variance in nurses terminal care performance (F=17.05, p < .001).
CONCLUSION
The results of this research suggest that to enhance the nursing performance of nurses in long-term care hospital, it is necessary to develop an education program that can enhance a professionalism and the attitudes on advance directives, and reduce death anxiety experienced by nurses.

Citations

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  Won Hee Jun
  BMC Nursing.2025;[Epub]     CrossRef
• Investigation of the effect of nurses’ professional values on their perceptions of good death: a cross-sectional study in Türkiye
  Fatma Aksoy, Sule Biyik Bayram, Aysel Özsaban
  BMC Nursing.2024;[Epub]     CrossRef
• Development and Psychometric Evaluation of the End-of-Life Nursing Competency Scale for Clinical Nurses
  Ji-yeon Kim, Hyun-sun Kim, Mi-jung Kang, Hee-young Oh, Mi-rae Jo
  Healthcare.2024; 12(16): 1580.     CrossRef
• Relationship Between Physician’s and Nurses’ Attitudes Towards Futile Treatment and Their Approach to Death and Terminally Ill Patients
  Gulay Yildirim, Meryem Türkan Işık, Sibel Oner Yalcin
  OMEGA - Journal of Death and Dying.2023;[Epub]     CrossRef
• The moderating effect of attitudes in the relationship between knowledge and self-efficacy in palliative care among nurses: A cross-sectional, correlational study
  JinShil Kim, Seongkum Heo, Jisun Yang, Miyeong Kim, SeongHu Park, KyungAh Cho, JungHee Kang, Hani Yi, Minjeong An, Jeong-Ah Ahn
  PLOS ONE.2023; 18(10): e0292135.     CrossRef
• StructuralEquation Model of End-of-Life Nursing Performance of Home Visiting Nurses
  Sukhee Kim, Soongnang Jang
  Journal of Korean Academy of psychiatric and Mental Health Nursing.2023; 32(2): 124.     CrossRef
• Factors associated with attitudes toward advance directives in nurses and comparisons of the levels between emergency nurses and palliative care nurses
  Jisun Yang, Hee Jung Kim, Seongkum Heo, Minjeong An, SeongHu Park, Songthip Ounpraseuth, JinShil Kim
  Japan Journal of Nursing Science.2023;[Epub]     CrossRef
• Education needs for clinical nursing practice using an Importance-Performance Analysis and Borich needs assessment model: Focused on nurses in the general wards of a tertiary hospital
  Mira Lee, Jiyoung Kim, Boyeon Kim, Yooyun Park, Jiyoo Han, Seunghee Lee, Hyunju Lee
  The Journal of Korean Academic Society of Nursing Education.2023; 29(2): 124.     CrossRef
• Knowledge, Experience, and Attitudes of Nurses at Long-Term Care Hospitals regarding Advance Directives
  Go Eun Park, Nae Young Lee
  The Korean Journal of Hospice and Palliative Care.2022; 25(4): 139.     CrossRef
• Trends in Nursing Research on Life-Sustaining Treatment in South Korea after the Enforcement of the Act on Decisions on Life-Sustaining Treatment
  Jun-Hwa Choi, Eun-Suk Choi
  The Korean Journal of Hospice and Palliative Care.2022; 25(1): 25.     CrossRef
• Nurses' views and applications on palliative care
  Diğdem Lafci, Ebru Yildiz, Seda Pehlivan
  Perspectives in Psychiatric Care.2021; 57(3): 1340.     CrossRef
• Effects of Awareness of Good Death and End-of-Life Care Attitudes on End-of-Life Care Performance in Long-Term Care Hospital Nurses
  Sun-Hee Kim, Eun-Young Kim
  The Korean Journal of Hospice and Palliative Care.2021; 24(1): 26.     CrossRef
• Family's Perception of Proxy Decision Making to Authorize Do Not Resuscitate Order of Elderly Patients in Long Term Care Facility: A Q-Methodological Study
  Hyeon Jin Cho, Jiyeon Kang
  Journal of Korean Academy of Nursing.2021; 51(1): 15.     CrossRef
• Nurses' Experiences of End-of-life Care for Elderly Patients in Long-term Care Hospitals
  Chun Yee Lee, Ga Eon Lee
  Journal of Korean Academy of Community Health Nursing.2020; 31(2): 199.     CrossRef
• The Relationship among Attitudes toward the Withdrawal of Life-sustaining Treatment, Death Anxiety, and Death Acceptance among Hospitalized Elderly Cancer Patients
  YeonMi Seo, Sujin Shin
  Asian Oncology Nursing.2019; 19(3): 142.     CrossRef
• The Effect of Nurses’ Compassion Competence on Performance of Terminal Care in Geriatric Hospitals
  Young Hye An, Soon Rim Suh
  Journal of Health Informatics and Statistics.2019; 44(3): 253.     CrossRef
• The Impact of Nursing Hospital Workers’ Hospice·Palliative Care Knowledge and Awareness, End-of-Life Care Attitude and Death Awareness on Their End-of-Life Care Performance
  Meera Park, Nam Joo Je
  The Korean Journal of Hospice and Palliative Care.2018; 21(4): 124.     CrossRef

PURPOSE
The aims of this study were to identify the reported attitudes of older patients with cancer toward advance directives (ADs) and the factors associated with their attitudes toward ADs.
METHODS
The design was a cross-sectional survey. The age mean of the 130 participants were 70.8, and 66.2% of the participants were male. The data were collected at one university hospital in Seoul, South Korea during the period from October 1st to December 5th in 2013. The data collecting instruments were the Advance Directives Attitude Survey (ADAS) and questionnaires including socio-demographic and disease-related characteristics, family function.
RESULTS
30.0% of the participants were aware of ADs, only 9% of them had been informed by healthcare providers. Most participants (93.1%) intended to complete ADs. The mean score of ADAS was 48.29. The stepwise linear regression analysis indicated that family function, perceived health status, period of education, and age accounted for a significant percentage (52.0%, p<.001) of the variance in participants' ADAS. The variable with the greatest effect was family function.
CONCLUSION
The findings suggest that family function and attitude of older cancer patients need to be considered for adapting ADs to Korean health care systems. Healthcare providers should include family members in advanced care planning discussions.

Citations

• Factors Affecting Intention of Signing the Advance Directives in Middle Aged Adults in Korea Based on the Theory of Planned Behavior: A Cross-sectional Study
  Hyun Jeong Park, Kyu Eun Lee
  Journal of Health Informatics and Statistics.2024; 49(3): 279.     CrossRef
• Factors That Influence Attitudes toward Advance Directives among Female Cancer Patients
  Aeri Kim, Kisook Kim
  The Korean Journal of Hospice and Palliative Care.2023; 26(2): 80.     CrossRef
• Making decisions on life-sustaining treatment among Koreans: a population-based nationwide survey
  Ae-Ran Kim, Kwang-Hwan Kim, Seok-Hwan Bae, Jung-Hee Park, Chiara Achangwa, Moo-Sik Lee
  Journal of Global Health Science.2022;[Epub]     CrossRef
• Factors Influencing Advanced Directives Among Hemodialysis Patients
  Eunseong SON, Minjeong SEO
  Korean Journal of Medical Ethics.2022; 25(3): 243.     CrossRef
• Factors Affecting Intention of Signing an Advanced Directives in Cancer Patients
  Eun-Ju Ha, Mee Ock Gu
  Journal of Korean Academy of Fundamentals of Nursing.2021; 28(1): 121.     CrossRef
• Modifiable Factors Associated with the Completion of Advance Treatment Directives in Hematologic Malignancy: A Patient–Caregiver Dyadic Analysis
  JinShil Kim, Jinny Park, Mee Ok Lee, Eun Young Park, Seongkum Heo, Jae Lan Shim
  Journal of Palliative Medicine.2020; 23(5): 611.     CrossRef
• Attitudes toward advance directives and prognosis in patients with heart failure: a pilot study
  JinShil Kim, Minjeong An, Seongkum Heo, Mi-Seung Shin
  The Korean Journal of Internal Medicine.2020; 35(1): 109.     CrossRef
• Associations of Advance Directive Knowledge, Attitudes, and Barriers/Benefits With Preferences for Advance Treatment Directives Among Patients With Heart Failure and Their Caregivers
  JINSHIL KIM, MI-SEUNG SHIN, YAE MIN PARK, HYANG-NANG LEE, SEONGKUM HEO, SONGTHIP OUNPRASEUTH
  Journal of Cardiac Failure.2020; 26(1): 61.     CrossRef
• Psychometric Testing of the Korean Version of the Attitudes toward the Advance Directives in Low-Income Chronically Ill Older Adults
  JinShil Kim, Seongkum Heo, Sun Woo Hong, HeeRyang Kim, Ahrang Jung, Minjeong An, JaeLan Shim
  Healthcare.2020; 8(1): 62.     CrossRef
• Development of Advance Directives for Nursing Home Residents
  Kyem Ju Lee, Sung Ok Chang
  Journal of Korean Gerontological Nursing.2019; 21(2): 75.     CrossRef
• The Relationship among Attitudes toward the Withdrawal of Life-sustaining Treatment, Death Anxiety, and Death Acceptance among Hospitalized Elderly Cancer Patients
  YeonMi Seo, Sujin Shin
  Asian Oncology Nursing.2019; 19(3): 142.     CrossRef
• Good Death Awareness, Attitudes toward Advance Directives and Preferences for Care Near the End of Life among Hospitalized Elders in Long-term Care Hospitals
  Eunju Kim, Yoonju Lee
  Journal of Korean Academy of Fundamentals of Nursing.2019; 26(3): 197.     CrossRef
• The Korean–Advance Directive Model and Factors Associated With Its Completion Among Patients With Hematologic Disorders
  Mee Ok Lee, Jinny Park, Eun Young Park, Youngji Kim, Eunjoo Bang, Seongkum Heo, JinShil Kim
  Journal of Hospice & Palliative Nursing.2019; 21(4): E10.     CrossRef
• Comparison of forecasting models of disease occurrence due to the weather in elderly patients
  Seonjae Lee, In-Kwon Yeo
  Korean Journal of Applied Statistics.2016; 29(1): 145.     CrossRef

PURPOSE
The purpose of this study was to explore the chronic patients' references for care near the end of life.
METHODS
This is a descriptive survey research, with subjects of 161 outpatients with hypertension, diabetes mellitus or chronic renal failure.
RESULTS
The majority of the subjects do not want meaningless life sustaining treatment and they report thinking positively about family or health care professional to participate in their end of life decision making process. Subjects reported preferring adequate pain management and spiritual support at the end of life. In regard to advance directives (ADs), those subjects with chronic disease report thinking positively about the necessity of ADs and its institutionalization. However, the subjects report not having the detailed information on the proper time and method of writing their ADs.
CONCLUSION
Based on these results, educational programs on end of life decision making for chronic patients need to be developed. Also, the nurse should try to reflect the opinion of chronic patients as much as possible when make an end-of-life decision.