Journal List > J Korean Acad Psychiatr Ment Health Nurs > v.25(4) > 1058090

Ko and Moon: Factors Influencing Performance of End-of-life Care by ICU Nurses



This study was a descriptive research to assess the level of and the relationship of related factors in the performance of end-of-life care by intensive care unit (ICU) nurses.


Participants were 238 ICU nurses from university and general hospitals. Data were collected, using structured questionnaires, and collected data were analyzed using t-test, ANOVA, Scheffé test, Pearson correlation coefficients, and multiple regression analysis with SPSS/WIN 22.0.


There were significantly positive effects between performance of end-of-life care and end-of-life care attitudes. Performance end-of-life care was negatively associated with end-of-life care stress and obstacles. Factors that significantly influenced ICU nurses' performance of end-of-life were end-of-life care stress, medical team in obstacles related to end-of-life care, and end-of-life care attitudes, which explained about 53% of the variance in the performance of end-of-life care.


Findings indicate that hospital organizations should carry out stress management and counseling programs in order to lower ICU nurses' end-of-life care stress, and to enhance end-of-life care attitudes. In addition, concern needs to be given to the medical team which was one of the obstacles to end-of-life care. It is also necessary to decrease the heavy workload and increase the communication with medical workers.

Figures and Tables

Table 1

End-of-life Care Performance according to General Characteristics (N=238)

Table 2

End-of-life Care Performance according to End-of-life related Characteristics (N=238)



Table 3

Levels of End-of-life Care Performance, End-of-life Care Attitude, DNR Ethical Attitude, End-of-life Care Stress, End-of-life Care Obstacles (N=238)

Table 4

Correlation of End-of-life Care Performance, End-of-life Care Attitude, DNR Ethical Attitude, End-of-life Care Stress, End-of-life Care Obstacles (N=238)



Table 5

Influencing Factors on the End-of-life Care Performance of ICU Nurses (N=238)



This article is a condensed form of the first author's master's thesis from Mokpo National University.


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