Table 4 Summary of reliability and mean scores and standard deviations for EPCS items\((n=25)\)
From: Adaptation and psychometric testing of the end-of-life professional caregiver survey in Jamaica
Items (No. of items) | Corrected Item-Total Correlation | Cronbach’s Alpha if Item Deleted | Cronbach’s alpha | McDonald’s Omega | Mean (SD) |
|---|---|---|---|---|---|
(P) Patient- and family-centered communication (11) | 0.91 | 0.85 | 2.40 (0.81) | ||
P1 I am comfortable helping patients and families to understand the meaning of a poor prognosis | 0.60 | 0.91 | 2.73 (1.03) | ||
P2 I am able to assist patients with serious illness and families set goals for care along the disease trajectory including end-of-life care | 0.82 | 0.89 | 2.13 (1.20) | ||
P3 I am comfortable talking to patients and families about personal choice and self-determination | 0.70 | 0.90 | 2.50 (1.15) | ||
P5 I can assist family members and others through the grieving process | 0.72 | 0.90 | 2.37 (1.09) | ||
P6 I am able to document patient needs and suggested patient care interventions | 0.71 | 0.90 | 2.79 (1.03) | ||
P7 I am comfortable talking with other health professionals about the care of dying patients | 0.70 | 0.90 | 2.92 (1.04) | ||
P8 I am comfortable helping to resolve family conflicts about end-of-life care | 0.76 | 0.90 | 1.76 (1.21) | ||
P9 I can recognize impending death (physiologic changes) | 0.39 | 0.92 | 2.96 (0.96) | ||
P10 I know how to use non-drug therapies to manage patient symptoms | 0.64 | 0.91 | 1.98 (1.11) | ||
P11 I am able to address patients’ and family members’ fears of getting addicted to pain medications | 0.72 | 0.90 | 2.13 (1.11) | ||
P12 I encourage patients and families to complete advance care planning (such as a living will) | 0.62 | 0.91 | 1.78 (1.32) | ||
(C) Cultural and Ethical Values (8) | 0.91 | 0.80 | 0.86 (0.53) | ||
C1 I am comfortable dealing with ethical issues related to end-of-life/hospice/palliative care | 0.70 | 0.90 | 2.00 (1.21) | ||
C2 I am able to effectively deal with my feelings (maintain self-care) related to working with dying patients | 0.67 | 0.90 | 2.68 (1.11) | ||
C3 I am comfortable (mentally, spiritually) caring for dying patients | 0.70 | 0.90 | 2.58 (1.15) | ||
C4 I am comfortable assessing how spiritual issues can impact the care of patients with serious illness and their families | 0.71 | 0.89 | 2.56 (1.08) | ||
C5 I am comfortable dealing with patients’ and families’ religious and cultural perspectives | 0.68 | 0.90 | 2.61 (1.04) | ||
C6 I am comfortable providing emotional support to grieving families | 0.76 | 0.89 | 2.48 (1.10) | ||
C7 I am comfortable providing emotional support to grieving staff members | 0.73 | 0.89 | 2.38 (1.07) | ||
C8 I am knowledgeable about cultural factors influencing end-of-life care | 0.66 | 0.90 | 2.24 (1.07) | ||
(E) Effective Care Delivery (6) | 0.83 | 0.73 | 0.84 (0.46) | ||
E2 I am familiar with palliative care principles that guide health professional palliative care education | 0.66 | 0.79 | 1.68 (1.10) | ||
E3 I am effective at helping patients and families navigate the healthcare system | 0.60 | 0.81 | 2.36 (1.01) | ||
E4 I am familiar with the services provided by the hospice facilities in Jamaica | 0.64 | 0.80 | 1.62 (1.23) | ||
E5 I am effective at helping to maintain continuity across care settings | 0.71 | 0.79 | 2.07 (1.10) | ||
E7 I have personal resources to help meet my needs when working with dying patients and families | 0.55 | 0.82 | 1.41 (1.19) | ||
E8 My workplace provides resources to support staff who care for dying patients | 0.48 | 0.83 | 0.94 (1.19) |