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Res Nurs Health. 2001 Aug;24(4):298-306.

Preferences for care near the end of life: scale development and validation.

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University of Texas Medical Branch, School of Nursing, 301 University Boulevard, Galveston, TX 77555-1029, USA.


The purpose of this study was to develop and validate an instrument, the Preferences for Care near the End of Life (PCEOL) scale. Following a literature review and using the domain-referenced approach and a test grid, a large pool of items was generated to reflect five dimensions of preferences for care near the end of life. These were reviewed for relevance and clarity by an expert panel. A convenience sample of 198 adults was secured to provide data for the study of the psychometric properties of the scale. Data screening and item analysis resulted in a final sample of 43 items. A principal factor analysis (PFA) resulted in an interpretable, meaningful five-factor solution. Reliability estimates (internal consistency) for the factors on the multidimensional instrument ranged from.68 to.91. Retest stability estimates for the PCEOL showed correlations of.80 to.94 for factor scores over a 2-week interval.

[Indexed for MEDLINE]

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