Instrument development of health providers' Knowledge, Attitude and Practice of Hospice Care Scale in China

Abstract

Objective: To match the reform of hospice development in China, this study aimed to construct an indigenized health providers' Knowledge, Attitude and Practice of Hospice Care (KAPHC) Scale in China with good validity and reliability. Methods: We used three steps to develop the scale, establishing items-pool firstly based on literature review and expert consultation, followed by forming a draft-scale design through synthetically consideration, and finally modifying the draft by conducting a self-administrative survey in sampled institution and testing the reliability and validity by statistical analysis. Results: The KAPHC Scale was comprised of 15 knowledge items, 24 attitude items and 22 practice items. In the part of knowledge, the Cronbach's α coefficient was 0.686, the average difficulty was 0.62 and average discrimination was 0.46. The attitude items were divided into four domains (KMO ¼ 0.770), with Cronbach's α coefficient of 0.868. The practice items included confidence of practices and selfreported behaviors (KMO ¼ 0.732), with Cronbach's α coefficient of 0.958. Conclusion: The KAPHC Scale demonstrated good validity and reliability. As an effective tool, the scale may contribute to assessing health providers' KAP status of

Attitudes and influencing factors of nursing assistants towards hospice and palliative care nursing in chinese nursing homes: a cross-sectional study

“…NAs’ attitudes and related indicators were measured using a scientific scale modified by Shu et al [ 28 ] and Jing et al [ 29 ] that was based on the Frommelt Attitude Toward Care of the Dying Scale (FATCOD) [ 30 ] as well as Liu et al’s attitude questionnaire [ 31 ]. In the original study [ 29 ], the scale was proven to have good reliability and validity, with a Cronbach’s alpha reliability coefficient of 0.768 and a chi-square value of KMO 0.624.…”

Healthcare Provider Knowledge, Attitudes, and Practices in Hospice Care and Their Influencing Factors: A Crosssectional Study in Shanghai

“…Participants were informed that participation was voluntary and were required to give informed consent. We adopted the indigenized healthcare provider KAPHC scale, which was scientifically constructed by Shu et al 20 and which proved to have good reliability and validity. The scale comprised four parts: demographic characteristics (11 items), knowledge (15 items), attitudes (24 items with 5 sub-concepts), and practices (2 sub-concepts, confidence of practices and self-reported practices, which each comprised 11 items) in HC.…”

“…Accordingly, we conducted a novel large-scale empirical study to comprehensively evaluate healthcare provider KAPHC based on an indigenized KAPHC scale published by our research team. 20 Then, we performed a linear regression and Pearson’s ( r ) correlation analysis to uncover related influencing factors and their correlations. Ultimately, we sought to discover the problems in delivering HC and develop corresponding solutions rooted in improving healthcare provider KAPHC with targeted training.…”

Status and influencing factors of knowledge, attitude and self‐reported practice regarding hospice care among nurses in Hainan, China: A cross‐sectional study

“…Knowledge, Attitude and Practice of Hospice Care Scale (Chinese version) was used to investigate the health providers' knowledge, attitude and self-reported practice status of hospice care. It was scientifically constructed by Shu et al (2021). It includes four subscales: demographic characteristics (12 items), knowledge (15 items), attitudes (24 items with five sub-concepts) and self-reported practices (14 items) in hospice care.…”