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

Daniel Puente-Fernández, Rosel Jimeno-Ucles, Emilio Mota-Romero, Concepción Roldán, Katherine Froggatt and Rafael Montoya-Juárez
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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

IJERPH, 2021, vol. 18, issue 10, 1-13

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 (? = 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.

Keywords: terminal care; nursing homes; long-term care; palliative care; quality of health care; quality indicators (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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