Author Affiliations: Department of Nursing, School of Health and Welfare, Jönköping University, Affiliated to Department of Oncology, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg (Dr Browall); and Department of Nursing, School of Health and Welfare, Jönköping University (Dr Pakpour), Sweden; Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran (Dr Pakpour); and Department of Health Sciences, Palliative Research Centre, Ersta Sköndal Bräcke College, Stockholm (Dr Melin-Johansson, Dr Hagelin, and Dr Österlind); Institute of Health and Care Sciences, Sahlgrenska Academy at the University of Gothenburg (Dr Henoch); Department of Research and Development, Angered Hospital, Gothenburg (Dr Henoch), Sweden.
Cancer Nurs. 2021;44(4):305-313. doi: 10.1097/NCC.0000000000000794.
The Frommelt Attitudes Toward Care of the Dying (FATCOD) is widely used as a measure of attitudes toward care of dying patients. However, poor factor structure and item redundancy have been reported across the literature.
A short version of the questionnaire is needed, to facilitate effective assessments of the attitudes of those caring for dying patients. The purpose of this study was to develop a FATCOD-Short Form and to secure its psychometric properties.
INTERVENTIONS/METHODS: Data gathered from 1000 nurses in previous studies were pooled and reanalyzed. Principal components analysis and confirmatory factor analysis were utilized to assess the factor structure of the FATCOD-30. A Rasch model was used to evaluate the measurement functioning of the scale.
Of the original 30 items, 9 items of FATCOD were chosen for retention in the short form based on the principal components analysis, floor or ceiling effects, interitem correlations, and item-total correlation. All 9 items had good internal reliability. Both confirmatory factor analysis and Rasch analysis supported the unidimensionality of the FATCOD-Short Form.
The 9-item FATCOD-Short Form demonstrates evidence of acceptable validity and reliability to identify nurses' attitudes toward caring for dying persons because of its brevity and comprehensive content.
When changing curricula in nursing education or implementing new procedures in nursing practice, it is important to have valid instruments to evaluate the results of the change. Such instruments should not be too lengthy or complicated. FATCOD-Short Form is a brief and valid instrument that can be easily used.
Frommelt 对临终关怀的态度量表（FATCOD）被广泛用作评估临终关怀态度的工具。然而，文献中报道了该量表存在较差的因子结构和项目冗余问题。
需要一种简短的问卷版本，以便更有效地评估照顾临终患者的人员的态度。本研究旨在开发一种 FATCOD-短式量表，并确保其心理测量学特性。
干预/方法：对先前研究中收集的 1000 名护士的数据进行汇总和重新分析。采用主成分分析和验证性因子分析来评估 FATCOD-30 的因子结构。使用 Rasch 模型评估量表的测量功能。
在原始的 30 个项目中，根据主成分分析、地板或天花板效应、项目间相关性和项目总分相关性，选择了 9 个 FATCOD 项目保留在短式量表中。所有 9 个项目均具有良好的内部一致性信度。验证性因子分析和 Rasch 分析均支持 FATCOD-短式量表的单维性。
9 项 FATCOD-短式量表具有良好的信度和效度，可用于识别护士对照顾临终患者的态度，因其简短且内容全面。
在改变护理教育课程或实施护理实践中的新程序时，拥有有效的工具来评估变更的结果非常重要。这些工具不应该太长或太复杂。FATCOD-短式量表是一种简短且有效的工具，易于使用。
