Development of an Instrument for Evaluating Nurses' Knowledge and Attitude Toward End-of-Life Care

Tomoko Arahata, Mitsunori Miyashita, Sayaka Takenouchi, Keiko Tamura, Yoshiyuki Kizawa

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

This study aimed to develop a scale focusing on knowledge and attitudes toward palliative care and end-of-life care for nurses and to confirm the scale's validity and reliability. We conducted a self-administered questionnaire survey with 1745 nurses of 10 hospitals all over Japan. We also examined the test-retest reliability of items for 205 of the nurses, 2 weeks after the first survey was completed. We used item-response theory, factor analysis, and intraclass correlation coefficients. The response rate was 44.5% (n = 762). Ninety items in 9 domains about knowledge of palliative care and end-of-life care were selected by using item-response theory. For knowledge items, Kuder-Richardson-20 was 0.85, and intraclass correlation coefficient was 0.84 in all domains. Ten items in 3 domains about attitudes toward palliative care and end-of-life care were selected by using exploratory factor analysis. For attitude items, Cronbach's α coefficient was.90, and intraclass correlation coefficient was 0.80 in all domains. The developed scale, named the End-of-Life Nursing Education Consortium - Japan Core Quiz, has sufficient validity and reliability. This scale may contribute to assessing the effectiveness of the End-of-Life Nursing Education Consortium - Japan Core Curriculum Nursing Education Program in Japan.

Original languageEnglish
Pages (from-to)55-62
Number of pages8
JournalJournal of Hospice and Palliative Nursing
Volume20
Issue number1
DOIs
Publication statusPublished - 2018 Feb 1

Keywords

  • end-of-life care
  • evaluation
  • nursing education
  • palliative care

ASJC Scopus subject areas

  • Community and Home Care
  • Advanced and Specialised Nursing

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