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Table 4 Final scale analysis (after omission of Items “whether ward was clean” and “ Whether patient died in the right place”)

From: Assessment of the quality of end-of-life care: translation and validation of the German version of the “Care of the Dying Evaluation” (CODE-GER) - a questionnaire for bereaved relatives

 

Overall Cronbach’s Alpha = 0.86

Subscales and short description of items

Cronbachs’Alpha if item deleted per scale

Item Scale Correlation

1 Support and time of doctors and nurses

α = 0.85; 14.6% Variance explained

 Nursing care - medicines and comfortable position

0.82

0.68

 Nursing care - personal care needs

0.82

0.68

 Confidence and trust with the doctors

0.83

0.57

 Time of doctors to listen and discuss the patient’s condition

0.82

0.69

 Whether HCT did all they could to relieve pain

0.84

0.54

 Whether HCT did all they could to control respiratory tract secretions

0.85

0.41

 Confidence and trust in nurses

0.84

0.51

 Whether HCT did all they could to relieve restlessness

0.83

0.56

 Time of nurses to listen and discuss the patients’ condition

0.83

0.57

2 Spiritual and emotional support

α = 0.86; 10.6% Variance explained

 Whether HCT met overall religious spiritual needs of patient

0.74

0.82

 Whether HCT met overall religious spiritual needs of next-of-kin

0.75

0.80

 Emotional support to next-of-kin

0.87

.62

3 Information and decision-making

α = 0.61; 8.5% Variance explained

 Difficulty of explanations about the patient’s condition

0.50

0.54

 Involvement in decision-making

0.43

0.55

 Whether discussion giving fluids through a ‘drip’ would have been helpful

0.62

0.28

 Whether discussion of giving fluids through a ‘drip’ took place

0.62

0.34

4 Environment

α = 0.81; 8.2% Variance explained

 Whether the bed area had adequate privacy

0.81

0.68

 Whether the bed area was comfortable

0.81

0.68

5 Information about dying process

α = 0.68; 7.6% Variance explained

 Whether a discussion about what to expect during the dying process would have been helpful

0.51

0.55

 Information about what to expect during the dying process of the patient

0.56

0.52

 Information about the soon death of the patient

0.66

0.44

6 Presence of symptoms

α = 0.58; 6.5% Variance explained

 Whether patient was restless

0.51

0.30

 Whether patient had pain

0.46

0.40

 Whether patient had retained respiratory tract secretions

0.62

0.26

7 Support at actual time of death and afterwards

α = 0.59; 5.7% Variance explained

 Support at actual time of death

 

0.43

 Sensitivity of HCT after death

 

0.43

  1. Values in bold were critical and have been analysed individually in order to decide on item in−/exclusion; HCT = Health Care Team