Cultural Adaptation and Validation of the Quality of Dying in Long-Term Care Scale (QoD-LTC) for Spanish Nursing Homes
Metadatos
Afficher la notice complèteAuteur
Puente Fernández, Daniel; Roldán López Del Hierro, Concepción Beatriz; Montoya Juárez, RafaelEditorial
MDPI
Materia
Terminal care Nursing homes Long term care Palliative care Quality of health care Quality indicators
Date
2021Referencia bibliográfica
Puente-Fernández, D.; Jimeno-Ucles, R.; Mota-Romero, E.; Roldán, C.; Froggatt, K.; Montoya-Juárez, R. Cultural Adaptation and Validation of the Quality of Dying in Long-Term Care Scale (QoD-LTC) for Spanish Nursing Homes. Int. J. Environ. Res. Public Health 2021, 18, 5287. https:// doi.org/10.3390/ijerph18105287
Patrocinador
Fundación Pública Andaluza Progreso y Salud, grant number (AP-0105-2016)Résumé
Background: There is a need for instruments that can evaluate the psychosocial quality of
dying in nursing homes. The aim of this study was to adapt and validate the Quality of Dying in
Long-Term Care scale (QoD-LTC) to the Spanish context. Methods: Descriptive cross-sectional study.
Fourteen nurses from 7 facilities in southern Spain assessed 153 residents who died in the centers;
validity, reliability, and feasibility were evaluated. Results: The Spanish version consists of 11 items
with acceptable reliability (α = 0.681). Three factors model was validated by principal components
analysis. A mean of 180.62 (SD = 86.66) seconds is needed to fill it in. An inter-observer 0.753 (95%
CI: 0.391–0.900, p< 0.001) and intra-observer 0.855 (95% CI: 0.568–0.951 p = 0.001) reliability were
observed. Weak correlation was observed; positive with mono-item question (0.322) and negative
with Eastern Cooperative Oncology Group (ECOG) with a value of (−0.321) and Integrated Palliative
outcome scale (IPOS) with a value of (−0.252). Conclusions: The QoD-LTC scale presents an adequate
factorial structure, internal consistency, and feasibility to evaluate psychosocial quality of dying in
nursing homes. It can be used as a quality indicator.