Table 5 Factor analysis of maximum variance after orthogonal rotation in the survey scale on the care burden of hospice medical staff

C5 Do you think that when the personalities of family members and patients are difficult to approach, the implementation of hospice care work will make you feel difficult?

C6 Do you think it is more difficult to handle conflicts between end-stage patients and their families?

C4 Do you think it is difficult to handle patients with depression and those who hold a pessimistic attitude towards death in the work of hospice care?

C3 Do you think it is difficult to communicate with patients who are not aware of their impending death?

C7 Do you think that caring for end-stage patients requires more work (including psychological care and disease care)?

C2 Do you think that when end-stage patients and their families who care for them do not accept the deterioration of their condition, you will feel pressure?

C9 Do you believe that the recognition and cooperation of family members towards hospice care are important factors in carrying out work?

C1 Do you think that the end-stage patients you care for or their families will make excessive demands for care from you?

C8 Do you think that when caring for end-stage patients, they often feel embarrassed due to their demands?

D4 Do you think you feel unprepared when taking care of end-stage children and adolescents?

D6 Do you think it is more difficult to take care of respiratory symptoms in end-stage patients when they are heavily cared for?

D1 Do you think that when caring for end-stage patients, facing their continuous death experiences can make you feel burdened?

D5 Do you think that when the symptoms of end-stage patients cannot be effectively controlled, there will be a sense of powerlessness?

D3 Do you think that in the event of an unexpected situation in end-stage patients (such as sudden cardiac arrest or life-threatening situations) that requires rescue, the burden is heavy?

D2 Do you think it is more difficult to handle the mental symptoms of end-stage patients than the physical symptoms?

D7 Do you think there is insufficient training in symptomatic and psychological care for end-stage patients?

A1 Do you think the uniqueness of the hospice department and the recognition of family and peers are very important?

A2 Do you think that the hospice department needs to further strengthen management and increase economic investment?

A3 Do you think that the hospice department lacks the implementation and participation of government and hospital policies and plans?

B1 Do you think it is possible for you to spend more time caring for end-stage patients?

A4 Do you think that poor communication with colleagues in hospice care can affect the progress of work?

B5 Do you think that in the care work of hospice care, it is difficult to clearly define your professional role?

B8 Do you think that it is more difficult for hospice workers to achieve a sense of professional achievement?

B4 Do you think that the care work of hospice care is quite complex and often requires being on call, which will make your time insufficient (busy work hours and occupying life time)?

B6 Do you think the significance of caring for end-stage patients is reflected in the care process at that time?

B3 Do you think it is necessary to quickly establish a sense of identification with end-stage patients and feel pressure?

B7 Do you think that taking care of end-stage patients requires more emotional investment?

B2 Do you think there is insufficient preparation when dealing with the emotional needs of end-stage patients and their families?

A7 Do you think there is a significant gap between the actual working environment and the ideal for hospice care, resulting in a decrease in expectations and work enthusiasm?

A8 Do you think that in the working atmosphere of hospice care, there is pressure to respond to the high-quality care and quality related requirements of hospitals?

A6 Do you think that excessive exposure to death by the hospice department can cause psychological stress?

A9 Do you think that hospice care currently lacks social recognition and support from other forces in society?

A5 Do you think that when the staffing of the hospice department is insufficient, there is greater pressure at work?