Hospital Nurses’ Perception of Death and Self-Reported Performance of End-of-Life Care: Mediating Role of Attitude towards End-of-Life Care

Few studies have explored how nurses in acute care hospitals perceive and perform end-of-life care in Korea. Therefore, this study aimed to evaluate the influence of nurses’ perceptions of death on end-of-life care performance and analyze the mediating role of attitude towards end-of-life care among...

Full description

Bibliographic Details
Main Authors: Hyo-Jin Park, Yun-Mi Lee, Mi Hwa Won, Sung-Jun Lim, Youn-Jung Son
Format: Article
Language:English
Published: MDPI AG 2020-05-01
Series:Healthcare
Subjects:
Online Access:https://www.mdpi.com/2227-9032/8/2/142
_version_ 1797567205632638976
author Hyo-Jin Park
Yun-Mi Lee
Mi Hwa Won
Sung-Jun Lim
Youn-Jung Son
author_facet Hyo-Jin Park
Yun-Mi Lee
Mi Hwa Won
Sung-Jun Lim
Youn-Jung Son
author_sort Hyo-Jin Park
collection DOAJ
description Few studies have explored how nurses in acute care hospitals perceive and perform end-of-life care in Korea. Therefore, this study aimed to evaluate the influence of nurses’ perceptions of death on end-of-life care performance and analyze the mediating role of attitude towards end-of-life care among hospital nurses. This cross-sectional study included a total of 250 nurses who have had experience with end-of-life care from four general hospitals in Korea. We used the Korean validated tools with the View of Life and Death Scale, the Frommelt Attitudes Toward Care of the Dying (FATCOD) scale, and the performance of end-of-life care. Hierarchical linear regression and mediation analysis, applying the bootstrapping method. The results of hierarchical linear regression showed that nurses’ positive perceptions of death and attitude towards end-of-life care were significantly associated with their performance of end-of-life care. A mediation analysis further revealed that nurses’ attitude towards end-of-life care mediates the relationship between the perceptions of death and performance of end-of-life care. Our findings suggest that supportive and practical death educational programs should be designed, based on nurses’ professional experience and work environment, which will enable them to provide better end-of-life care.
first_indexed 2024-03-10T19:38:21Z
format Article
id doaj.art-1aa2b7afe60f48e38751f8ad3d11eef7
institution Directory Open Access Journal
issn 2227-9032
language English
last_indexed 2024-03-10T19:38:21Z
publishDate 2020-05-01
publisher MDPI AG
record_format Article
series Healthcare
spelling doaj.art-1aa2b7afe60f48e38751f8ad3d11eef72023-11-20T01:27:49ZengMDPI AGHealthcare2227-90322020-05-018214210.3390/healthcare8020142Hospital Nurses’ Perception of Death and Self-Reported Performance of End-of-Life Care: Mediating Role of Attitude towards End-of-Life CareHyo-Jin Park0Yun-Mi Lee1Mi Hwa Won2Sung-Jun Lim3Youn-Jung Son4Department of Nursing, Kyungnam College of Information & Technology, Busan 47011, KoreaDepartment of Nursing, College of Medicine, Inje University, Busan 47392, KoreaDepartment of Nursing, Wonkwang University, Iksan, Jeonbuk 54538, KoreaRed Cross College of Nursing, Chung-Ang University, 84 Heukseok-ro, Dongjak-Gu, Seoul 06974, KoreaRed Cross College of Nursing, Chung-Ang University, 84 Heukseok-ro, Dongjak-Gu, Seoul 06974, KoreaFew studies have explored how nurses in acute care hospitals perceive and perform end-of-life care in Korea. Therefore, this study aimed to evaluate the influence of nurses’ perceptions of death on end-of-life care performance and analyze the mediating role of attitude towards end-of-life care among hospital nurses. This cross-sectional study included a total of 250 nurses who have had experience with end-of-life care from four general hospitals in Korea. We used the Korean validated tools with the View of Life and Death Scale, the Frommelt Attitudes Toward Care of the Dying (FATCOD) scale, and the performance of end-of-life care. Hierarchical linear regression and mediation analysis, applying the bootstrapping method. The results of hierarchical linear regression showed that nurses’ positive perceptions of death and attitude towards end-of-life care were significantly associated with their performance of end-of-life care. A mediation analysis further revealed that nurses’ attitude towards end-of-life care mediates the relationship between the perceptions of death and performance of end-of-life care. Our findings suggest that supportive and practical death educational programs should be designed, based on nurses’ professional experience and work environment, which will enable them to provide better end-of-life care.https://www.mdpi.com/2227-9032/8/2/142attitudeend-of-life caredeathhospitalnursesperceptions
spellingShingle Hyo-Jin Park
Yun-Mi Lee
Mi Hwa Won
Sung-Jun Lim
Youn-Jung Son
Hospital Nurses’ Perception of Death and Self-Reported Performance of End-of-Life Care: Mediating Role of Attitude towards End-of-Life Care
Healthcare
attitude
end-of-life care
death
hospital
nurses
perceptions
title Hospital Nurses’ Perception of Death and Self-Reported Performance of End-of-Life Care: Mediating Role of Attitude towards End-of-Life Care
title_full Hospital Nurses’ Perception of Death and Self-Reported Performance of End-of-Life Care: Mediating Role of Attitude towards End-of-Life Care
title_fullStr Hospital Nurses’ Perception of Death and Self-Reported Performance of End-of-Life Care: Mediating Role of Attitude towards End-of-Life Care
title_full_unstemmed Hospital Nurses’ Perception of Death and Self-Reported Performance of End-of-Life Care: Mediating Role of Attitude towards End-of-Life Care
title_short Hospital Nurses’ Perception of Death and Self-Reported Performance of End-of-Life Care: Mediating Role of Attitude towards End-of-Life Care
title_sort hospital nurses perception of death and self reported performance of end of life care mediating role of attitude towards end of life care
topic attitude
end-of-life care
death
hospital
nurses
perceptions
url https://www.mdpi.com/2227-9032/8/2/142
work_keys_str_mv AT hyojinpark hospitalnursesperceptionofdeathandselfreportedperformanceofendoflifecaremediatingroleofattitudetowardsendoflifecare
AT yunmilee hospitalnursesperceptionofdeathandselfreportedperformanceofendoflifecaremediatingroleofattitudetowardsendoflifecare
AT mihwawon hospitalnursesperceptionofdeathandselfreportedperformanceofendoflifecaremediatingroleofattitudetowardsendoflifecare
AT sungjunlim hospitalnursesperceptionofdeathandselfreportedperformanceofendoflifecaremediatingroleofattitudetowardsendoflifecare
AT younjungson hospitalnursesperceptionofdeathandselfreportedperformanceofendoflifecaremediatingroleofattitudetowardsendoflifecare