Cultural Adaptation and Validation of the Quality of Dying in Long-Term Care Scale (QoD-LTC) for Spanish Nursing Homes
Metadatos
Mostrar el registro completo del ítemEditorial
MDPI
Materia
Terminal care Nursing homes Long term care Palliative care Quality of health care Quality indicators
Fecha
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)Resumen
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.