Purpose
The purpose of this study was to investigate pediatric nurses' perceptions regarding in end-of-life care and turnover intention.
Methods
A cross-sectional descriptive study was performed among 111 hospital nurses. Pediatric nurses' perceptions of obstacles and supportive behaviors were measured using the Pediatric Nurses' Perceptions of End of Life Care Questionnaire which was translated into Korean and turnover intention was measured using the Korean Nurse Turnover Intention Scale (K-NTIS).
Results
The supportive behavior with the highest perceived magnitude was 'Physicians who are compassionate, but very clear about prognosis.' The obstacle with the highest perceived magnitude was 'Instigating painful treatments when there is no hope of recovery.' Pediatric nurses' perceptions of obstacles in end-of-life care showed statistically significant differences depending on whether nurses received end-of-life care education (t=2.02, p=.046). The perception of obstacles in end-of-life care was positively correlated with turnover intention (intensity r=.28, p=.002) (frequency r=.20, p=.027).
Conclusion
These results suggest that pediatric nurses' perception of obstacles and supportive behaviors in end-of-life care need to be assessed when considering turnover intention. Furthermore, psychological counseling should be offered to nurses to prevent burnout and reduce moral distress which is correlated with the turnover rate.

Citations

• “Even though it is difficult, …, is truly worth everything”: A qualitative study on pediatric nurses' end of life care experiences
  Simay Ezgi Budak, Melike Ayça Ay Kaatsız
  Journal of Pediatric Nursing.2025; 82: e91.     CrossRef
• Beyond technology, drips, and machines: Moral distress in PICU nurses caring for end‐of‐life patients
  Michelle Gagnon, Diane Kunyk
  Nursing Inquiry.2022;[Epub]     CrossRef
• Nurses’ Perceived Needs and Barriers Regarding Pediatric Palliative Care: A Mixed-Methods Study
  Kyung-Ah Kang, SuJeong Yu, Cho Hee Kim, Myung-Nam Lee, Sujeong Kim, So-Hi Kwon, Sanghee Kim, Hyun Sook Kim, Myung-Hee Park, Sung Eun Choi
  The Korean Journal of Hospice and Palliative Care.2022; 25(2): 85.     CrossRef
• Understanding Nurses’ Experiences and Perceptions of End-of-Life Care for Cancer Patients in Korea: A Scoping Review
  Min Young Jung, Alicia K Matthews
  Journal of Palliative Care.2021; 36(4): 255.     CrossRef