Abstract 1461P
Background
Empowering nurses with knowledge is pivotal to development of palliative care. Tools like Palliative Care Quiz for Nursing are validated but differences in role of nurses in health care system makes locally developed and validated knowledge assessment questionnaire quintessential for educational programs A project was undertaken to develop such a questionnaire for developing countries.
Methods
An advisory committee of palliative care physicians and a statistician provided direction through the entire process of development. A thorough literature search using Medline, CINAHL, and Google scholar was followed by critical appraisal of relevant articles (n=19). A palliative care knowledge question bank thus created was reviewed considering Indian nursing context and basic national palliative care teaching module. Discussion with advisory committee, followed by comments and content validity by a panel of 7 palliative care experts (physicians and nurses) across India guided the final structure of the questionnaire. Item content validity index (I-CVI) and Scale CVI (S-CVI) were calculated and the questions with I-CVI >0.78 was considered as valid for content.
Results
The initial draft contained 69 items under 14 domains. Items were modified and merged, based on the inputs of advisory committee and a draft with 48 items under 12 domains was sent for content validation. Addition, removal and rephrasing of the domains and questions based on expert comments led to the final palliative care knowledge questionnaire consisting of 13 domains; including philosophy, need of palliative care, pain, morphine, breathlessness/death rattle, gastrointestinal, wound care, bed sore, dying care, communication, resuscitation, psycho-socio-spiritual, bereavement; and 52 questions (Yes/ No/ Don't know answer type) covering the breadth of palliative care knowledge required for nurses. Item content validity index (I-CVI) was >0.78 for all items except 1. Scale CVI was calculated as 0.98.
Conclusions
This 52 item self-administered questionnaire covers most of the basic topics in palliative care for nurses. It would require validation (item analysis, reliability analysis) in the population of nurses before using it in educational programs.
Clinical trial identification
Editorial acknowledgement
Legal entity responsible for the study
The authors.
Funding
Has not received any funding.
Disclosure
All authors have declared no conflicts of interest.