Development of a Scale Based on Nursing Outcome Classification "Dignified Life Closure" (1307) to Assess End-of-Life Dignity of Patients in Care Homes for the Elderly.

Purpose: To develop and pilot the DD-14 scale, a 14-indicator scale based on the Nursing Outcome Classification "Dignified life closure" (1307).

Methods: Sixteen experts selected 14 indicators for Spanish populations. Six care home nurses piloted the scale in 50 terminal patients without cognitive impairment.

End of life care in nursing homes in Spain: Exploratory analysis and evidences of validity of a new scale.

Quality end-of-life care is a central issue in nursing homes, requiring the assessment of individual and family needs by health professionals. Although previous instruments have been developed, they usually rely on family reports and have been adapted from other clinical contexts (hospital or primary care). It is important to consider how health care professionals working in nursing homes perceive what is necessary to achieve quality end-of-life care.

[Facilitators and barriers regarding end of life care at nursing homes: A focus group study].

Aim: To identify the facilitators and barriers experienced by professional related to end of life care in nursing homes.

Design: Descriptive qualitative research with phenomenological orientation, through content analysis.

Placement: Nursing Homes at Primary Care District in Granada (Spain).