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Open AccessArticle

Spanish Version of the Attitude Towards Euthanasia Scale

Department of Nursing, University of Huelva, 21071 Huelva, Spain
Department of Psychology, Universidad Rey Juan Carlos, 28922 Alcorcón, Madrid, Spain
Department of Nursing, Physiotherapy and Occupational Therapy, University of Castilla-La-Mancha, Ciudad Real, 13071 Ciudad Real, Spain
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(11), 3855;
Received: 7 May 2020 / Revised: 27 May 2020 / Accepted: 28 May 2020 / Published: 29 May 2020
(This article belongs to the Special Issue Palliative and End-of-Life Care)
Euthanasia is undoubtedly the protagonist of many of the debates around the end of life both among health staff and in the general population. Considering that nurses provide care for terminally ill patients and support families and patients in their final days, it is essential to know their attitudes towards euthanasia. The aims of the study were to adapt and validate the Attitude Towards Euthanasia scale to a Spanish context, to test the dimensionality and to estimate the reliability of the scale. A cross-sectional study was conducted with a non-probabilistic sample of Spanish health-workers of 201 in a University Hospital in Ciudad Real. A self-reported socio-demographic questionnaire and the Euthanasia Attitude Scale were used for data collection. The psychometric properties of the scale were assessed, including reliability and validity using an exploratory and confirmatory factor analysis. Cronbach’s alpha of the Attitude Towards Euthanasia scale was α = 0.827 and McDonald’s Omega = 0.903. The range of items of homogeneity was from 0.205 to 0.685. For the different exploratory factor analyses carried out, the Bartlett’s test of sphericity was p < 0.001 and the sample index value of Kaiser-Meyer-Olkin was over 0.802. in all cases. We present the factorial weights for three models: The first one assumes a unidimensional solution, the second model was composed by three factors and the third model was composed by four factors. In the confirmatory factor analysis, the three models presented an acceptable fit index. The Attitude Towards Euthanasia scale adaptation to a sample of Spanish health workers has shown, with some limitations, appropriate psychometric properties. There have been several differences between the original factorial solution. It would be necessary to replicate the study to reinforce the findings about the number of factors of the scale. View Full-Text
Keywords: attitude; end-of-life care; euthanasia; psychometric properties attitude; end-of-life care; euthanasia; psychometric properties
MDPI and ACS Style

Fernández-Martínez, E.; Fernández-Muñoz, J.J.; Romero-Blanco, C.; Parra-Fernández, M.L.; Onieva-Zafra, M.D. Spanish Version of the Attitude Towards Euthanasia Scale. Int. J. Environ. Res. Public Health 2020, 17, 3855.

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