Evaluation of the English version of the End-of-Life Nursing Education Questionnaire.

Abstract

End-of-Life Nursing Education Consortium (ELNEC) train-the-trainer workshops prepare participants to teach ELNEC content to others. In 2010, researchers in Japan developed and validated the End-of-Life Nursing Education Questionnaire (ELNEQ) to measure the impact of ELNEC workshops on participants' readiness to teach the content. The study's objective was to evaluate the psychometric properties of the English version of the ELNEQ. The study was a pre-test/posttest cross-sectional survey design with 113 participants. The English version of the ELNEQ is composed of 20 items measuring five domains related to teaching end-of-life (EOL) content: confidence in teaching; motivation for teaching; preparedness to teach; preparedness to lead initiatives; and expected influence on participants. Reliability was established for all domains (Cronbach's α±range 0.83-0.99) and the scale as a whole (Cronbach's α±= 0.92), as was content validity at the item level. Confirmatory factor analysis showed excellent fit for both the first order and second order factor models. Sensitivity was confirmed as comparisons between pre- and posttest results on all scales and overall were significant. The English version of the ELNEQ is a psychometrically sound instrument for measuring the impact of ELNEC train-the-trainer workshops.