TY - JOUR
AU - J. E. Yu
AU - J . Y. Park
AU - Y. G. Jeong
A1 - 
AB - PURPOSE: This study examined the levels of end-of-life care preparedness, importance, performance, and educational needs among community-based home care workers and identified factors influencing end-of-life care performance to inform hospice/end-of-life care education programs. METHODS: This study used a descriptive, correlational design. The participants were 152 community-based home care workers with at least 6 months of work experience. Data were collected using structured questionnaires that assessed end-of-life care preparedness, importance, performance, and educational needs. Data were analyzed using descriptive statistics, correlation analysis, importance-performance analysis (IPA), and hierarchical multiple regression analysis using SPSS version 29.0. RESULTS: Overall, end-of-life care performance was significantly lower than its perceived importance (t=14.41, P< 0.001), with the largest gaps observed in the caregiving support and emotional support domains. In the IPA, multiple items related to death preparation for patients/families, spiritual/emotional support, and care around the time of death fell into the low-importance/low-performance quadrant. Educational needs positively correlated with importance, intention, confidence, preparedness, and performance. In hierarchical regression, preparedness (β=0.21, P=0.03) and importance (β=0.26, P<0.001) significantly predicted performance, explaining 15% of variance. CONCLUSION: End-of-life care performance among home care workers was influenced by psychological factors, including preparedness, importance, and confidence in end-of-life care, as well as institutional and environmental factors. Standardized educational programs and organizational support are required to improve the quality of community-based end-of-life care.
AD - College of Nursing, Konyang University, Daejeon, Korea.; College of Medicine, Konyang University, Daejeon, Korea.
AN - 42281797
BT - J Hosp Palliat Care
C5 - Healthcare Disparities
CP - 2
DA - 06/2026
DO - 10.14475/jhpc.2026.29.2.27
DP - NLM
IS - 2
JF - J Hosp Palliat Care
LA - eng
N2 - PURPOSE: This study examined the levels of end-of-life care preparedness, importance, performance, and educational needs among community-based home care workers and identified factors influencing end-of-life care performance to inform hospice/end-of-life care education programs. METHODS: This study used a descriptive, correlational design. The participants were 152 community-based home care workers with at least 6 months of work experience. Data were collected using structured questionnaires that assessed end-of-life care preparedness, importance, performance, and educational needs. Data were analyzed using descriptive statistics, correlation analysis, importance-performance analysis (IPA), and hierarchical multiple regression analysis using SPSS version 29.0. RESULTS: Overall, end-of-life care performance was significantly lower than its perceived importance (t=14.41, P< 0.001), with the largest gaps observed in the caregiving support and emotional support domains. In the IPA, multiple items related to death preparation for patients/families, spiritual/emotional support, and care around the time of death fell into the low-importance/low-performance quadrant. Educational needs positively correlated with importance, intention, confidence, preparedness, and performance. In hierarchical regression, preparedness (β=0.21, P=0.03) and importance (β=0.26, P<0.001) significantly predicted performance, explaining 15% of variance. CONCLUSION: End-of-life care performance among home care workers was influenced by psychological factors, including preparedness, importance, and confidence in end-of-life care, as well as institutional and environmental factors. Standardized educational programs and organizational support are required to improve the quality of community-based end-of-life care.
PY - 2026
SN - 2765-3072 (Print); 2765-3072
SP - 27
EP - 40+
ST - End-of-Life Care Preparedness, Importance, Performance, and Educational Needs of Care Workers for Integrated Care Support
T1 - End-of-Life Care Preparedness, Importance, Performance, and Educational Needs of Care Workers for Integrated Care Support
T2 - J Hosp Palliat Care
TI - End-of-Life Care Preparedness, Importance, Performance, and Educational Needs of Care Workers for Integrated Care Support
U1 - Healthcare Disparities
U3 - 10.14475/jhpc.2026.29.2.27
VL - 29
VO - 2765-3072 (Print); 2765-3072
Y1 - 2026
ER -