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Palliative care knowledge test for nurses and physicians: validation and cross-cultural adaptation
  1. Monica Lopez-Garcia1,2,3,
  2. Leticia Rubio3,
  3. Rafael Gomez-Garcia1,2,
  4. Fuensanta Sanchez-Sanchez4,
  5. Mitsunori Miyashita5,
  6. Maria Dolores Medina-Abellan6 and
  7. Maria D. Perez-Carceles7
  1. 1Fundación Cudeca, CUDECA, Benalmadena, Spain
  2. 2Biomedical Research Institute of Malaga (IBIMA), University of Malaga, Malaga, Spain
  3. 3Department of Human Anatomy, Legal and Forensic Medicine, Universidad de Malaga, Malaga, Spain
  4. 4Coordination Unit for Palliative Care, Health Service, Murcia, Spain
  5. 5Department of Palliative Nursing, Health Sciences, Tohoku University Graduate School of Medicine, Sendai, Japan
  6. 6Health Center in Espinardo, Health Service, Murcia, Spain
  7. 7Department of Legal and Forensic Medicine, Faculty of Medicine, Biomedical Research Institute (IMIB-Arrixaca), University of Murcia, Murcia, Spain
  1. Correspondence to Dr Leticia Rubio, Department of Human Anatomy, Legal and Forensic Medicine, Universidad de Malaga, Malaga, Spain; lorubio{at}


Background Palliative care knowledge is essential in primary healthcare due to the increasing number of patients who require attention in the final stage of their life. Health professionals (physicians and nurses) need to acquire specific knowledge and abilities to provide high-quality palliative care. The development of education programmes in palliative care is necessary. The Palliative Care Knowledge Test (PCKT) is a questionnaire that evaluates the basic knowledge about palliative care, but it has not been adapted into Spanish, and its effectiveness and utility for Spanish culture have not been analysed.

Objective The aim of this study was to report the translation into Spanish and a psychometric analysis of the PCKT.

Methods The questionnaire survey was validated with a group of 561 physicians and nurses. The PCKT Spanish Version (PCKT-SV) was obtained from a process, including translation, back translation and revision by experts and a pilot study. The content validity and reliability of the questionnaire were analysed.

Results The results showed internal consistency and reliability indexes similar to those obtained by the original version of PCKT.

Conclusion The PCKT-SV is a useful instrument for measuring Spanish-speaking physician and nurse knowledge of palliative care, and it is suitable to evaluate the effectiveness of training activities in palliative care.

  • education and training
  • terminal care

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  • Contributors MDM-A and FS-S conceived the project, developed the dataset and oversaw data collection. ML-G and RG-G refined the data set, analysed the data and produced the first draft of the report. LORL and MDP-C conceived the project, developed the dataset, analysed the data and drafted the paper. MM and MDP-C oversaw the project and interpreted the data. All authors reviewed and approved the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Ethics approval The study and protocols for recruitment were approved by the Human Research Ethics Committee of the University of Murcia (Approval number: 2388/2018, date of approval 10 April 2019) in accordance with the ‘Ethical Principles for Medical Research Involving Human Subjects’ adopted in Declaration of Helsinki by the World Medical Association (64thth WMA General Assembly, Fortaleza, Brazil, October 2013).

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Data availability statement All data relevant to the study are included in the article or uploaded as online supplementary information. All data relevant to the study are included in the article.