Development of a palliative end of life care (PEOLC) model based on transcultural nursing for patients in need of long-term care
Dublin Core
Title
Development of a palliative end of life care (PEOLC) model based on transcultural nursing for patients in need of long-term care
Subject
hospice care, indonesia, supportive care, transcultural nursing
Description
Introduction: Palliative end-of-life care (PEOLC) is heavily impacted by culture and always discusses death,
bereavement, uncertainty, loss, grief, and incurable disease. Long-term care and more culturally sensitive nursing care
are essential to address the diverse needs of patients. This study aimed to develop a PEOLC model grounded in
transcultural nursing principles, with a focus on enhancing the quality of care for patients requiring long-term support.
Methods: This study employed a cross-sectional explanatory design involving 180 patients with chronic illnesses as
participants selected using simple random sampling. The proposed model involved eight variables: patient factors,
nurse factors, service factors, family factors, technology factors, the PEOLC model, quality of life, and quality of death. A
valid questionnaire was used to collect data, and we employed SEM-PLS to analyse the results.
Results: The PEOLC model had an R2 value of 0.61. These findings showed that 60.1% of the variability of PEOLC
variables was explained by the patient, family, nurse, service, and technology aspects. For each construct, a value of Q2
> 0 (0.083) indicated that the model was appropriate. The path coefficient value of 0.343 indicates that the service
factors make the most significant contribution to the PEOLC model.
Conclusions: This research led to the development of the PEOLC model, which comprises eight variables. It provides a
comprehensive framework for integrating transcultural nursing principles into long-term care and emphasises the
importance of cultural sensitivity in delivering personalised and effective end-of-life care.
bereavement, uncertainty, loss, grief, and incurable disease. Long-term care and more culturally sensitive nursing care
are essential to address the diverse needs of patients. This study aimed to develop a PEOLC model grounded in
transcultural nursing principles, with a focus on enhancing the quality of care for patients requiring long-term support.
Methods: This study employed a cross-sectional explanatory design involving 180 patients with chronic illnesses as
participants selected using simple random sampling. The proposed model involved eight variables: patient factors,
nurse factors, service factors, family factors, technology factors, the PEOLC model, quality of life, and quality of death. A
valid questionnaire was used to collect data, and we employed SEM-PLS to analyse the results.
Results: The PEOLC model had an R2 value of 0.61. These findings showed that 60.1% of the variability of PEOLC
variables was explained by the patient, family, nurse, service, and technology aspects. For each construct, a value of Q2
> 0 (0.083) indicated that the model was appropriate. The path coefficient value of 0.343 indicates that the service
factors make the most significant contribution to the PEOLC model.
Conclusions: This research led to the development of the PEOLC model, which comprises eight variables. It provides a
comprehensive framework for integrating transcultural nursing principles into long-term care and emphasises the
importance of cultural sensitivity in delivering personalised and effective end-of-life care.
Creator
Ni Luh Putu Inca Buntari Agustini1
, I Ketut Swarjana2
, Israfil Israfil2*, and I Gede Putu
Darma Suyasa2
, I Ketut Swarjana2
, Israfil Israfil2*, and I Gede Putu
Darma Suyasa2
Source
http://dx.doi.org/10.20473/jn.v20i2.65544
Date
6 May 2025
Contributor
peri irawan
Format
pdf
Language
english
Type
text
Files
Collection
Citation
Ni Luh Putu Inca Buntari Agustini1
, I Ketut Swarjana2
, Israfil Israfil2*, and I Gede Putu
Darma Suyasa2, “Development of a palliative end of life care (PEOLC) model based on transcultural nursing for patients in need of long-term care,” Repository Horizon University Indonesia, accessed February 22, 2026, https://repository.horizon.ac.id/items/show/11143.