Psychometric Testing of Two Chinese-Version Scales on Attitudes Toward and Caregiving Behaviors for End-of-Life Patients and Families

Clin Nurs Res. 2018 Nov;27(8):1017-1040. doi: 10.1177/1054773817699931. Epub 2017 Mar 27.

Abstract

The study purpose was to examine the validities and reliabilities of the Chinese-versions Frommelt Attitudes Toward Care of the Dying Scale (Attitudes Scale) and Caregiving Behaviors Scale for End-of-Life Patients and Families (Behaviors Scale). The scales were tested in a convenience sample of 318 nurses with ≥6 months work experience at three hospitals. Cronbach's alphas of the Attitudes and Behaviors Scales were .90 and .96, respectively. Each scale had Kaiser-Meyer-Olkin index >.85 and Bartlett's test of sphericity >4000 ( p < .001). Attitudes Scale loaded on three factors: respecting and caring for dying patients and families, avoiding care of the dying, and involving patients and families in end-of-life care. The Behaviors Scale loaded on two factors: supporting dying patients and families, and helping families cope with grief. Factor loadings for both scales were ≥.49. Both Attitudes and Behaviors Scales are reliable and valid for evaluating nurses' attitudes and caregiving behaviors for the dying.

Keywords: attitudes toward EOL care; caregiving behaviors; dying patient and family; end-of-life care.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Asian People*
  • Attitude of Health Personnel*
  • Attitude to Death*
  • Caregivers / psychology*
  • Cross-Sectional Studies
  • Female
  • Humans
  • Male
  • Psychometrics*
  • Reproducibility of Results
  • Surveys and Questionnaires
  • Taiwan
  • Terminal Care*