Purpose: This study examined the relationship between end-of-life care stress, attitude, and performance among home-visit nurses under long-term care insurance. It also identified the factors that influence their performance of end-of-life care.Methods: From September 1 to September 15, 2025, data were collected from 138 Long-Term Care Visiting Nurses using a structured questionnaire. Descriptive statistics, independent t-test, one-way ANOVA, Pearson’s correlation, and multiple regression analysis were performed using IBM SPSS version 26.0.Results: The mean score was 3.81±0.50 for end-of-life care stress, 2.72±0.26 for end-of-life care attitude, and 3.09±0.53 for end-of-life care performance. Nurses’ performance of end-of-life care differed significantly based on the frequency of providing such care (t= -2.53, p=.013). End-of-life care stress was positively correlated with end-of-life care attitude (r=.26, p=.002) and performance (r=.21, p=.012). However, end-of-life care attitude and performance were not correlated (r=.14, p=.109). Furthermore, end-of-life care stress (β=.20, p=.020) and frequency (β=.25, p=.003) significantly influenced the end-of-life care performance of long-term care visiting nurses, explaining 9.4% of the variance in their performance.Conclusion: End-of-life care stress and practical experiences influence the end-of-life care provided by visiting nurses. Supporting nurses in effectively managing stress and converting it into professional competence, along with expanding practice opportunities and case-based education, may enhance the quality of end-of-life care.
E. J. Choi (Sun,) studied this question.