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Korean J Hosp Palliat Care 2019; 22(3): 125-133
End of Life Care Competencies and Terminal Care Stress of Nurses in Long Term Care Hospitals
Young-Hee Jeong, R.N., M.A. and Kyung Ja June, R.N., Ph.D.*
Department of Nursing, Graduate School, Soonchunhyang University,
*Department of Nursing, Soonchunhyang University College of Medicine, Cheonan, Korea
Correspondence to: Kyung Ja June
Department of Nursing, Soonchunhyang University, 31 Soonchunhyang 6 Gil, Dongnam-gu, Cheonan 31151, Korea
Tel: +82-41-570-2495
Fax: +82-41-570-2498
Received: January 14, 2019; Revised: August 26, 2019; Accepted: August 27, 2019; Published online: September 1, 2019.
© Korean Society for Hospice and Palliative Care. All rights reserved.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Purpose: The purpose of this study was to investigate the relationship between end of life care competencies and terminal care stress of nurses in long term care hospitals. Methods: For this study, 140 nurses were sampled among those that have over 6-month end of life care experience and were working at long term care hospitals located in A city and C city of Chungcheongnam-do. Using a questionnaire, data were collected from January 2018 through March 2018. Data were analyzed using the SPSS, Windows version 21.0, according to the purpose of the study and analyzed by descriptive statistics, t-test, one way ANOVA, Schéffe’s test, and Pearson’s correlation coefficient. Results: The mean score on terminal care stress of nurses was above the normal level. The scores on end of life care competencies significantly varied by age, total career at hospitals, death/hospice and palliative care education, and bereavement experience. The mean score of end of life care competencies was negatively correlated with the mean score of lack of knowledge and skills among the subitems of the terminal care stress category (r=–0.260, P=0.002). Conclusion: To decrease the terminal care stress of long term care hospital nurses, it is suggested to carry out end of life care education tailored to nurses’ characteristics.
Keywords: Nurses, Long-Term care, Clinical competence, Terminal care, Occupational stress

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