Influence of Moral Sensitivity and End-of-Life Care Competency on End-of-Life Care Performance among Intensive Care Unit Nurses

Purpose : This study aimed to identify factors associated with end-of-life care performance among intensive care unit (ICU) nurses.Methods : Participants were 125 ICU nurses employed at a tertiary hospital. Data were collected using structured self-report questionnaires and analyzed using independent t-tests, one-way analysis of variance, Pearson’s correlation coefficients, and multiple regression analysis with SPSS/WIN version 27.0.Results : End-of-life care performance was significantly and positively correlated with both moral sensitivity (r=.36, <i>p</i> ＜.001) and end-of-life care competency (r=.56, <i>p</i> ＜.001). Multiple regression analysis revealed that moral sensitivity (<i>β</i>=.21, <i>p</i>=.006) and end-of-life care competency (<i>β</i>=.44, <i>p</i> ＜.001) were significant factors associated with end-of-life care performance. The regression model explained 37.1% of the variance in end-of-life care performance (F=13.17, <i>p</i> ＜.001).Conclusion : Educational programs aimed at enhancing moral sensitivity and end-of-life care competency should be developed and implemented in clinical settings to improve end-of-life care performance among ICU nurses.