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Insights on End-of-Life Care from Korean Nurses

November 20, 2025
in Medicine
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In a groundbreaking qualitative study, researchers have delved into the often-overlooked perspectives of nursing staff involved in end-of-life care within South Korean long-term care facilities. The study, conducted by Chang, S.J., Lee, N.K., and Sim, SH, has shed light on the complexities and emotional undertones of providing care to residents in their final days. This timely research not only addresses the challenges faced by nursing professionals but also highlights the profound impact their roles have on both the individuals they care for and themselves.

As the population continues to age globally, the demand for long-term care facilities has grown exponentially. In South Korea, this trend is particularly prominent, with an increasing number of elderly individuals seeking specialized care that accommodates their unique needs at this critical stage of life. However, the nursing staff responsible for their care often experience considerable emotional and psychological burdens, a reality that is frequently underappreciated in discussions surrounding healthcare.

The authors of this study employed qualitative methodologies to gather in-depth insights from nursing staff working in various long-term care settings. By conducting interviews and focus groups, they sought to understand not only the practical aspects of end-of-life care but also the emotional landscape that accompanies it. The results revealed that while the nursing staff are committed to providing compassionate care, they also grapple with feelings of helplessness, stress, and moral dilemmas that arise from the complexities of end-of-life decisions.

One of the prominent themes identified in the study was the challenge of communication. Many nursing staff reported difficulties in having open discussions about death and dying with residents and their families. Often, these conversations are fraught with cultural sensitivities that make it hard for nurses to navigate. This lack of communication can hinder the ability of caregivers to provide the most appropriate care tailored to the personal wishes and dignity of the residents, highlighting a crucial area for improvement within the training and support systems for nursing teams.

Moreover, the study examined the emotional toll of end-of-life care on nursing professionals. Participants expressed feelings of grief, loss, and, at times, burnout, as they form bonds with residents over time and face the inevitable realities of their passing. This connection, while rewarding, often complicates their emotional well-being, leading to an urgent need for support systems that recognize and address the psychological demands of such work.

The findings also pointed to the essential role of teamwork and collaboration among nursing staff in managing the difficulties associated with end-of-life care. Participants noted that when they felt supported by their colleagues, they were better equipped to provide compassionate care while also taking care of their emotional health. Building a strong support network within caregiving teams can enhance the overall work environment and lead to improved care for residents.

In South Korea, cultural norms deeply influence perceptions of death and dying. Many nursing staff highlighted the importance of addressing these cultural factors when planning end-of-life care. Understanding the desires and beliefs of the residents and their families is crucial for providing personalized care that respects individual values. The researchers underscored the importance of incorporating cultural competence into nursing education to better prepare staff for the diverse needs of the population they serve.

The study’s implications extend beyond individual practices in South Korean long-term care facilities. The need for systemic changes within the healthcare framework is undeniable. Policymakers and healthcare administrators must pay attention to the findings to implement strategies that bolster support for nursing staff engaged in end-of-life care. Training programs that focus on communication skills, emotional resilience, and cultural competency can significantly enhance the quality of care provided.

The researchers call for ongoing dialogue and research into end-of-life care practices, emphasizing the critical role of nursing staff in delivering this care. Their experiences, both positive and negative, provide invaluable insights that can inform future healthcare policies and educational curricula. By prioritizing the voices of those on the front lines, the healthcare industry can pave the way for a more compassionate and effective end-of-life care framework.

In conclusion, the qualitative study by Chang, S.J., Lee, N.K., and Sim, SH offers a compelling snapshot of the challenges faced by nursing staff in South Korea’s long-term care facilities. Their experiences and perspectives are essential in understanding the multi-faceted nature of end-of-life care, serving as a clarion call for improvements in training, support systems, and cultural sensitivity. Ultimately, enhancing the working conditions for nursing staff not only benefits the caregivers themselves but also has far-reaching impacts on the quality of care provided to residents during their final days.

As we reflect on this important research, it becomes clear that attention must be paid to the emotional and psychological needs of those providing care. By investing in the well-being of nursing staff, we can foster an environment that promotes dignity, respect, and compassion for those at the end of life, ensuring that every individual receives the care they deserve.


Subject of Research: Nursing staff’s experiences and perspectives on end-of-life care in long-term care facilities in South Korea.

Article Title: Nursing staff’s experiences and perspectives on end-of-life care in South Korean long-term care facilities: a qualitative study.

Article References:

Chang, S.J., Lee, N.K. & Sim, SH. Nursing staff’s experiences and perspectives on end-of-life care in South Korean long-term care facilities: a qualitative study.
BMC Nurs 24, 1417 (2025). https://doi.org/10.1186/s12912-025-04071-z

Image Credits: AI Generated

DOI: https://doi.org/10.1186/s12912-025-04071-z

Keywords: end-of-life care, nursing staff, qualitative study, long-term care, South Korea

Tags: aging population and healthcarecomplexities of providing end-of-life careelderly care demands and trendsemotional challenges in nursingemotional landscape of nursing careend-of-life care in South Koreainsights from Korean nurseslong-term care facilities in South Koreanursing staff perspectives on elderly carepsychological impact on nursesqualitative methodologies in nursing researchqualitative research in healthcare
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