Factors Influencing End-of-Life Care Performance Among Community Care Workers Prior to the Implementation of the Integrated Care Support Act: Focusing on Home Care Aides
10.14475/jhpc.2026.29.1.10
- Author:
Jae Eun YU
1
;
Ju Young PARK
;
Young Gil JEONG
Author Information
1. College of Nursing, Konyang University, Daejeon, Korea
- Publication Type:Original Article
- From:
Journal of Hospice and Palliative Care
2026;29(1):10-20
- CountryRepublic of Korea
- Language:English
-
Abstract:
Purpose:This study aimed to identify the factors influencing end-of-life care performance among community-based care workers prior to the implementation of the Integrated Care Support Act in South Korea.
Methods:A cross-sectional survey was conducted among 153 community care workers who provided home-based services. Data were collected using structured questionnaires that assessed perceptions of a good death, attitudes toward end-of-life care, end-of-life care stress, and end-of-life care performance. Data analysis included descriptive statistics, independent t tests, Pearson correlation coefficients, and hierarchical multiple regression using SPSS version 29.0.
Results:End-of-life care performance demonstrated a significant positive correlation with end-of-life care stress (r=0.43,P＜0.001). Hierarchical regression analysis identified end-of-life care stress (β=0.32, P＜ 0.001), gender (female; β=–0.20, P=0.01), and intention to participate in end-of-life care education (β=–0.20, P=0.01) as significant predictors. The final model explained 25%of the variance in end-of-life care performance.
Conclusion:End-of-life care stress was the strongest predictor of performance among community-based care workers, along with gender and intention to participate in end-of-life care education. These findings suggest that, when appropriately managed and supported, end-of-life care stress may function as a motivating factor rather than solely a burden. Therefore, structured education and emotional support interventions—such as debriefing and peer-based supervision—are recommended. Additionally, the implementation of the Integrated Care Support Act should be accompanied by institutional systems that facilitate effective end-of-life care practices.
