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Journal : Jurnal NERS

Development of a palliative end of life care (PEOLC) model based on transcultural nursing for patients in need of long-term care Buntari Agustini, Ni Luh Putu Inca; Swarjana, I Ketut; Israfil, Israfil; Suyasa, I Gede Putu Darma
Jurnal Ners Vol. 20 No. 2 (2025): VOLUME 20 ISSUE 2 MAY 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v20i2.65544

Abstract

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.
Co-Authors Abdul Haris Abdurrahman, Firman Ah Yusuf, Ah Amin, Nur Syariful Arba Arba Arnaya, I Gede Putu Suka Artha Kusuma, I Nyoman Krisna Artsanthia, Jintana Bai, Marieta Kristina Sulastiawati Banhae, Yulianti Kristiani Beni, Hakiki Handar Buntari, Ni Luh Putu Inca Agustini Cahyadi, Herry Suwaja Cintariasih, Putu Dewi, Ni Putu Ayu Ratna Drs. I Wayan Darsana,M.Ed . Duygulu, Sergul Edi Sanjana, I Wayan Fauzia, Erlina Ferry Efendi Haeratun, Haeratun Hamu, Antonia Handi Partiwi, Putu I GEDE PUTU DARMA SUYASA I Gede Putu Darma Suyasa, I Gede Putu I Gusti Ngurah , Aryana I Kadek, Miki Indra Bela I Ketut Swarjana Ilya Krisnana, Ilya Imaniar, Mahrati INA DEBORA RATU LUDJI Indah, Sulistia Indrayani, Ni Luh Dwi Irfan Irfan Irfan Irfan Irham Irham Irmansah, Irmansah khusnul khotimah Kusmadi, I Kadek Doni Lesomar, Ulifa Making, Maria Agustina Maria Agustina Making Mindo Sinaga, Mindo MMSI Irfan ,S. Kom Muchlis Muchlis Musakir Salat Nasution Nasution Negara, I Gusti Ngurah Made Gusti Kusuma Ni Kadek Sutini Ni Kadek, Nefi Widiastuti Ni Luh Putu Inca Buntari Agustini Ni Made, Ratih Comala Dewi Norma Tiku Kambuno Nugroho, Febtian C. Nurhayati Nurhayati Nurhijriah, Nurhijriah Nurrahmania, Nurrahmania Oka Putra, I Nyoman Trisna Oka Putra Pangruating Diyu, Ida Ayu Ningrat Paramitasari, Ketut Citra Portia, Vitug Prasetyanto, Yohanes Ari Purnama Sari, Putu Mariany Putra, Komang Ardidhana Nugraha Rahmania, Atiatun Rittiruang, Amonwan Sagita, Ni Wayan Riska Sanjaya, Febry Sari, Aninda Rahma Sastrawati, Desak Kadek Selasa, Pius Sri Dewi Megayanti Sri Rahayu, Dewa Ayu Erna Suantari, Luh Ari Surayya, Ita Suryani, Ni Wayan Susanti, Ni Putu Aries Tammubua, Milcha Handayani Tanuparbrungson, Supawan Trifonia Sri Nurwela, Trifonia Sri Trivonia Sri Nurwela Untung Sujianto Wahyu Mulyadi Wahyu, I Made Yudi Wahyuni, Ni Komang Sri Wardana, Dewa Gede Wisnu Wilianarti, Pipit Festi Wulandari, Sarah Kartika Yudi Apriani, Ni Luh Putu Yuni S. Arief Yusniawati, Yustina Ni Putu