Psychometric properties of End-of-Life Caregiving Experience Appraisal Scale: Iranian critical care nurses

Hamid Sharif Nia, Amir H. Goudarzian, Akram Shahrokhi, Christopher Boyle, Michael S. J. Wilson, S. Zahra Hosseinigolafshani (Lead / Corresponding author)

    Research output: Contribution to journalArticlepeer-review

    2 Citations (Scopus)


    Background: Health care providers should be able to provide good quality end-of-life care. A tool to evaluate the positive and negative consequences of caring for dying patients is warranted.

    Aim: The aim of this study was to evaluate the psychometric properties of the Persian version of the End-of-Life Caregiving Experience Appraisal Scale (EOLCAS).

    Methods: This research was conducted in two phases. Phase I: The World Health Organization Protocol of forward-backward translation and an expert panel in order to determine face and content validity. Phase II: Survey development with 310 nurses who worked in critical care units, construct validity (construct, convergent and divergent validity), internal consistency (average inter-item correlation, Cronbach's alpha and McDonald's omega) and construct reliability were evaluated.

    Results: The exploratory factor analysis showed that the present scale (Persian version) has four factors: Negative physical-emotional and social consequences, transcendental communication, information deficits and future rumination, which explained 83·92% of the overall extracted variance. Convergent and divergent validity were confirmed for all factors. The internal consistency and construct reliability were acceptable.

    Conclusion: The scale has a multidimensional concept that is sufficiently reliable and the use of the scale would be helpful in measuring consequences of caring for dying patients.

    Relevance to clinical practice: This scale makes a significant contribution in that it helps in the recognition of positive and negative consequences of critical care nurses' caring for dying patients.

    Original languageEnglish
    Pages (from-to)269-276
    Number of pages7
    JournalNursing in Critical Care
    Issue number5
    Early online date2 May 2019
    Publication statusPublished - Sept 2020


    • Critical care nursing
    • Iran
    • Psychometrics
    • Terminal care

    ASJC Scopus subject areas

    • Critical Care


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