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Article

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

1
Doctoral Program of Clinical Medicine and Public Health, University of Granada, 18012 Granada, Spain
2
Edades Nursing Home, 23160 Jaén, Spain
3
Salvador Caballero Primary Care Centre, Andalusian Health Service, 18012 Granada, Spain
4
Department of Statistics and Operational Research, University of Granada, 18071 Granada, Spain
5
Formerly International Observatory on End-of-Life Care, Lancaster University, Lancaster LA1 4YD, UK
6
Department of Nursing, University of Granada, 18071 Granada, Spain
*
Author to whom correspondence should be addressed.
Academic Editor: Paul B. Tchounwou
Int. J. Environ. Res. Public Health 2021, 18(10), 5287; https://doi.org/10.3390/ijerph18105287
Received: 21 April 2021 / Revised: 7 May 2021 / Accepted: 10 May 2021 / Published: 16 May 2021
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. View Full-Text
Keywords: terminal care; nursing homes; long-term care; palliative care; quality of health care; quality indicators terminal care; nursing homes; long-term care; palliative care; quality of health care; quality indicators
MDPI and ACS Style

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

AMA Style

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. International Journal of Environmental Research and Public Health. 2021; 18(10):5287. https://doi.org/10.3390/ijerph18105287

Chicago/Turabian Style

Puente-Fernández, Daniel; Jimeno-Ucles, Rosel; Mota-Romero, Emilio; Roldán, Concepción; Froggatt, Katherine; Montoya-Juárez, Rafael. 2021. "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 18, no. 10: 5287. https://doi.org/10.3390/ijerph18105287

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