Puente-Fernández, DanielJimeno-Ucles, RoselMota-Romero, EmilioRoldán, ConcepciónFroggatt, KatherineMontoya-Juárez, Rafael2021-05-282021-05-282021-05-16Puente-Fernández D, Jimeno-Ucles R, Mota-Romero E, Roldán C, Froggatt K, Montoya-Juárez R. Cultural Adaptation and Validation of the Quality of Dying in Long-Term Care Scale (QoD-LTC) for Spanish Nursing Homes. Int. J. Environ. Res. Public Health 2021, 18, 5287.1661-7827http://hdl.handle.net/10668/3342Background: There is a need for instruments that can evaluate the psychosocial quality of dying in nursing homes. The aim of this study was to adapt and validate the Quality of Dying in Long-Term Care scale (QoD-LTC) to the Spanish context. Methods: Descriptive cross-sectional study. Fourteen nurses from 7 facilities in southern Spain assessed 153 residents who died in the centers; validity, reliability, and feasibility were evaluated. Results: The Spanish version consists of 11 items with acceptable reliability (α = 0.681). Three factors model was validated by principal components analysis. A mean of 180.62 (SD = 86.66) seconds is needed to fill it in. An inter-observer 0.753 (95% CI: 0.391–0.900, p< 0.001) and intra-observer 0.855 (95% CI: 0.568–0.951 p = 0.001) reliability were observed. Weak correlation was observed; positive with mono-item question (0.322) and negative with Eastern Cooperative Oncology Group (ECOG) with a value of (−0.321) and Integrated Palliative outcome scale (IPOS) with a value of (−0.252). Conclusions: The QoD-LTC scale presents an adequate factorial structure, internal consistency, and feasibility to evaluate psychosocial quality of dying in nursing homes. It can be used as a quality indicator.enTerminal careNursing homesLong-term carePalliative careQuality of health careQuality indicatorsCuidado terminalCasas de saludCuidados a largo plazoCuidados paliativosCalidad de la atención de saludIndicadores de calidad de la atención de saludMedical Subject Headings::Health Care::Health Care Facilities, Manpower, and Services::Health Services::Patient Care::Terminal CareMedical Subject Headings::Health Care::Health Care Facilities, Manpower, and Services::Health Facilities::Residential Facilities::Nursing HomesMedical Subject Headings::Health Care::Health Care Facilities, Manpower, and Services::Health Services::Patient Care::Long-Term CareMedical Subject Headings::Health Care::Health Services Administration::Quality of Health Care::Quality Indicators, Health CareMedical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Therapeutics::Patient Care::Palliative CareMedical Subject Headings::Health Care::Health Services Administration::Quality of Health Care::Quality Indicators, Health CareCultural Adaptation and Validation of the Quality of Dying in Long-Term Care Scale (QoD-LTC) for Spanish Nursing Homesresearch articleopen access10.3390/ijerph181052871660-4601