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Cultural Adaptation and Validation of the Quality of Dying in Long-Term Care Scale (QoD-LTC) for Spanish Nursing Homes

Author

Listed:
  • Daniel Puente-Fernández

    (Doctoral Program of Clinical Medicine and Public Health, University of Granada, 18012 Granada, Spain)

  • Rosel Jimeno-Ucles

    (Edades Nursing Home, 23160 Jaén, Spain)

  • Emilio Mota-Romero

    (Salvador Caballero Primary Care Centre, Andalusian Health Service, 18012 Granada, Spain)

  • Concepción Roldán

    (Department of Statistics and Operational Research, University of Granada, 18071 Granada, Spain)

  • Katherine Froggatt

    (Formerly International Observatory on End-of-Life Care, Lancaster University, Lancaster LA1 4YD, UK)

  • Rafael Montoya-Juárez

    (Department of Nursing, University of Granada, 18071 Granada, Spain)

Abstract

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.

Suggested Citation

  • Daniel Puente-Fernández & Rosel Jimeno-Ucles & Emilio Mota-Romero & Concepción Roldán & Katherine Froggatt & Rafael Montoya-Juárez, 2021. "Cultural Adaptation and Validation of the Quality of Dying in Long-Term Care Scale (QoD-LTC) for Spanish Nursing Homes," IJERPH, MDPI, vol. 18(10), pages 1-13, May.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:10:p:5287-:d:555610
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    References listed on IDEAS

    as
    1. Daniel Puente-Fernández & Concepción Petra Campos-Calderón & Ana Alejandra Esteban -Burgos & César Hueso-Montoro & Concepción Beatriz Roldán-López & Rafael Montoya-Juárez, 2020. "Palliative Care Symptoms, Outcomes, and Interventions for Chronic Advanced Patients in Spanish Nursing Homes with and without Dementia," IJERPH, MDPI, vol. 17(5), pages 1-12, February.
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