Assessing readiness for death in hospice elders and older adults.
Background: Readiness for death may affect the quality of the death experience and influence response to treatments. The psychologic vulnerability of the dying person is a major focus of palliative care. Accurate assessment of readiness for death may lead to earlier and more appropriate intervention...
| Publicado en: | Hospice Journal Vol. 15; no. 2; pp. 49 - 66 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
2000
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107133240&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 107133240 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 0742969X SPJ jtl: Hospice Journal issn: 0742969X maglogo: N pubinfo: dt: 2000 vid: 15 iid: 2 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 107133240 107133240 2000062263 10.1080/0742-969x.2000.11882952 NLM11271159 107133240 ppf: 49 ppct: 17 formats: tig: atl: Assessing readiness for death in hospice elders and older adults. aug: au: Moody LE Beckie T Long C Edmonds A Andrews S affil: Professor, University of South Florida College of Nursing, MDC 22, Tampa, FL 33612; e-mail: lmoody@com1.med.usf.edu sug: subj: Attitude to Death In Old Age Psychometrics Palliative Care Terminally Ill Patients Psychosocial Factors kappa Statistic Content Validity Factor Analysis Descriptive Statistics T-Tests P-Value Questionnaires Chi Square Test Coefficient alpha Internal Consistency Psychological Tests Aged Human Aged: 65+ years ab: Background: Readiness for death may affect the quality of the death experience and influence response to treatments. The psychologic vulnerability of the dying person is a major focus of palliative care. Accurate assessment of readiness for death may lead to earlier and more appropriate interventions. Objective: The purpose of this study was to assess the psychometric properties of the revised readiness for death instrument. Methods: Using a known groups technique and a cross-sectional study design, the revised instrument was administered to 52 elders in hospice care with a terminal diagnosis and 91 community dwelling adults without a terminal diagnosis. Results: Instrument content validity (Kappa = 0.96) was supported by three expert panelists who were hospice researchers. Principal components factor analysis explained 43% of the variance and partially supported the proposed tour-factor structure of the revised 26-item instrument. Internal consistency was acceptable (.76). Discriminant validity was significant as assessed by an independent t-test between two contrast groups (t = 5.98, p = 0.000). The factor analysis, reliability testing, and qualitative analysis of items supported deletion of 2 items. Conclusions: Results indicated that the revised instrument has sound psychometric properties but further testing with a larger sample of hospice subjects is needed to confirm the factor structure of the instrument. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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