Development of the Nurses' Practice Behavior in Caring of the Dying Evaluation Questionnaire and psychometric properties test
HOU Xiaoting;LI Xin ;GUO Renxiu ;WANG Yun ;YANG Hong ;LU Yuhan;The First Division of Thoracic Oncologic Department, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education, Beijing), Peking University Cancer Hospital & Institute;
Objective: To develop the Nurses' Practice Behavior in Caring of the Dying Evaluation Questionnaire and to test its psychometric properties. Methods: An item pool was development based on the CARES framework. The items were selected and modified by expert assessment, and then totally 210 oncology nurses were investigated with the questionnaire to test its psychometric properties. Through item analysis, factor analysis, internal consistency analysis, test-retest reliability to screen items of the questionnaire and conduct reliability and validity tests. Results: The final questionnaire consisted of 31items. Exploratory factor analysis identified four principal factors which could explain 72.459% of the variance. Considering the items content, the final questionnaire was adjusted to 5 factors, namely pain management and comfort, airway management, restlessness and delirium management, emotional and spiritual support, and nurse self-care. The I-CVI was 0.80-1.00, and the S-CVI/Ave was 0.98. The Cronbach's α coefficient of the overall questionnaire was 0.945 and the test-retest reliability was 0.785. Conclusion: The Nurses' Practice Behavior in Caring of the Dying Evaluation Questionnaire has good validity and reliability, which can assess nurses' practice behaviors in providing the care for the dying.
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