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

• Published in: International journal of environmental research and public health Vol. 18; no. 10; p. 5287
• Main Authors: Puente-Fernández, Daniel, Jimeno-Ucles, Rosel, Mota-Romero, Emilio, Roldán, Concepción, Froggatt, Katherine, Montoya-Juárez, Rafael
• Format: Journal Article
• Language: English
• Published: Switzerland MDPI AG 16.05.2021; MDPI
• Subjects: Adaptation; Component reliability; Cross-Sectional Studies; Culture; Death & dying; Dementia; Evaluation; Geriatrics; Humans; Long term health care; Long-Term Care; Nurses; Nursing Homes; Older people; Palliative care; Principal components analysis; Professional ethics; Psychometrics; Quality control; Quality of life; Reliability analysis; Reproducibility of Results; Spain; Surveys and Questionnaires; Validity; Spain; quality of health care; terminal care; quality indicators; palliative care; nursing homes; long-term care
• ISSN: 1660-4601; 1661-7827; 1660-4601
• DOI: 10.3390/ijerph18105287

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. 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. 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, < 0.001) and intra-observer 0.855 (95% CI: 0.568-0.951 = 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). 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.