StructuralEquation Model of End-of-Life Nursing Performance of Home Visiting Nurses
	    		
		   		
		   			 
		   		
	    	
    	 
    	10.12934/jkpmhn.2023.32.2.124
   		
        
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		Sukhee KIM
			        		
			        		
			        		
			        			1
			        			
			        		
			        		
			        		
			        		
			        		;
		        		
		        		
		        		
			        		Soongnang JANG
			        		
			        		
		        		
		        		
		        		
    Author Information Author Information
 
			        		
			        		
			        			1. Assistant Professor, Department of Nursing, Namseoul University, Cheonan, Korea
 
 
- Publication Type:Original Article
- From:Journal of Korean Academy of Psychiatric and Mental Health Nursing
	            		
	            		 2023;32(2):124-137
	            	
            	
- CountryRepublic of Korea
- Language:Korean
- 
		        	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:Findingsof 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.