{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T14:02:10Z","timestamp":1790776930733,"version":"4.1.0"},"reference-count":40,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T00:00:00Z","timestamp":1790553600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Palliat Care"],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>In East Asian societies, end-of-life care is deeply rooted in family-centered values. This study aimed to examine the relationships among filial piety values, caregiving burden, and perceptions of a good death among primary caregivers of terminally ill patients in Taiwan.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Between December 6, 2022 and April 30, 2023, a cross-sectional survey using purposive sampling was conducted at a medical center in Southern Taiwan. Primary caregivers (\n                      <jats:italic toggle=\"yes\">N<\/jats:italic>\n                      \u2009=\u2009256) of terminally ill patients completed the Chinese Filial Piety Scale, Caregiver Burden Inventory, and the Good Death Inventory-Short Version. Data were analyzed using multiple linear regression to identify independent predictors of good death perceptions.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Caregivers reported high levels of filial piety (Mean\u2009=\u20094.46, SD\u2009=\u20090.50) and moderate perceptions of a good death (Mean\u2009=\u20095.42, SD\u2009=\u20090.87). Pearson's correlation revealed that filial piety was positively associated with good death perceptions (\n                      <jats:italic toggle=\"yes\">r<\/jats:italic>\n                      \u2009=\u20090.277, \u2009\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt;\u2009.001), whereas caregiving burden showed a significant negative association (\n                      <jats:italic toggle=\"yes\">r<\/jats:italic>\n                      \u2009=\u2009\u22120.361,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u2009.001). Multiple regression analysis (\n                      <jats:italic toggle=\"yes\">R<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u200928.18%) revealed that caregiving burden (\u03b2\u2009=\u2009\u22120.48,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u2009.001) and being employed (\u03b2\u2009=\u2009\u22120.39,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u2009.009) were negative predictors of good death perceptions. In contrast, filial piety (\u03b2\u2009=\u20090.33,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u2009.001), religious belief (\u03b2\u2009=\u20090.35,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u2009.012), and older age (41-55 years: \u03b2\u2009=\u20090.29,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u2009.015; &gt;55 years: \u03b2\u2009=\u20090.32,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u2009.013) were significant positive predictors.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Filial piety serves as a cultural resource that enhances caregivers\u2019 understanding of a dignified death, while caregiving burden remains a primary barrier to positive end-of-life perceptions. Palliative care interventions should be culturally sensitive, focusing on alleviating the emotional and physical strain of caregivers while integrating traditional filial values to facilitate meaningful and dignified dying experiences.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08258597261487886","type":"journal-article","created":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T15:37:08Z","timestamp":1790609828000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Factors Associated With Good Death Perception Among Primary Caregivers of Terminally Ill Patients: The Role of Filial Piety and Caregiving Burden"],"prefix":"10.1177","author":[{"given":"Chin-Lan","family":"Hsu","sequence":"first","affiliation":[{"name":"Nursing Department, Antai Medical Care Corporation Antai Tian-Sheng Memorial Hospital, Donggang Township, Taiwan (ROC)"},{"name":"Meiho University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2741-1400","authenticated-orcid":false,"given":"Peng-Lin","family":"Tseng","sequence":"additional","affiliation":[{"name":"Department of Intensive Care Unit, Pingtung Hospital, Ministry of Health and Welfare, Pingtung City, Taiwan (ROC)"},{"name":"Meiho University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9495-7676","authenticated-orcid":false,"given":"Yi-Chien","family":"Chen","sequence":"additional","affiliation":[{"name":"Meiho University"},{"name":"Taipei Veterans General Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9316-5098","authenticated-orcid":false,"given":"Chao-Hsien","family":"Lee","sequence":"additional","affiliation":[{"name":"Meiho University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,28]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2025.08.003"},{"key":"e_1_3_3_3_2","unstructured":"Super-aged Taiwan hopes to seize billion dollar silver dividend with smart care. 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