Structure and process of palliative care provision: a nationwide study of public hospitals in Thailand

Table 2 Reliability and validity of palliative care process latent variables (n = 542)

Latent Variables	Internal consistency Cronbach’s α	Corrected Item-Total Correlation	Cronbach’s α of Domain if Item Deleted	CFA Factor loading
Response to patient’s needs	0.88
Pain management		0.59	0.88	.64***
Delirium management		0.72	0.85	.71***
Depression management		0.75	0.85	.75***
Spiritual care management		0.78	0.84	.88***
Bereavement care management		0.74	0.85	.83***
Effective Communication	0.83
Compliance to breaking bad news (BBN) guidelines		0.64	0.79	.72***
Compliance to Advance care planning (ACP) guidelines		0.68	0.78	.78***
BBN by trained staff		0.66	0.79	.72***
ACP by trained staff		0.65	0.79	.75***
Respect to patient dignity	0.45
Decision-making		0.40	0.25	.77***
Living will		0.19	0.71^a	.23***
Place of death		0.37	0.24	.72***
All 11 items	0.90

Model fit index of CFA for the response to physical and psychological needs: χ²/df = 1.713 (p-value = 0.144), GFI = 0.995, AGFI = 0.982, CFI = 0.998, RMSEA = 0.036, and SRMR = 0.0120
Model fit index of CFA for effective communication: χ²/df = 0.419 (p-value = 0.518), GFI = 1.000, AGFI = 0.996, CFI = 1.000, RMSEA = 0.000, and SRMR = 0.0051
Model fit index of CFA for the Respect to patient: -
*** p < .01
^aremoved from the model

ISSN: 1472-6963