End-of-life care, End-of-Life Nursing Education Consortium, End-of-Life Nursing Education Questionnaire, nursing education, palliative care



  1. Takenouchi, Sayaka MPH
  2. Miyashita, Mitsunori RN, MS, PhD
  3. Tamura, Keiko RN, MS, OCNS, PhD
  4. Kizawa, Yoshiyuki MD
  5. Kosugi, Shinji MD, PhD


This article describes the development and psychometric testing of the End-of-Life Nursing Education Questionnaire to measure effectiveness of nursing faculty development programs in end-of-life care in Japan. The questionnaire was developed and validated with the data provided by a cross-sectional survey from 143 participants in the End-of-Life Nursing Education Consortium-Japan Faculty Development Program held in Tokyo, in July and November 2009. Face and content validation was followed by data collection. Factor analysis was performed, and internal consistency reliability was tested. The response rate was 99% for preprogram and postprogram evaluations. The outcome was the development of 20 items in five domains. Cronbach's [alpha] ranged from .84 to .97, and interclass correlation coefficients for test-retest reliability were 0.63 to 0.76. The data support face, content, and construct validity of the questionnaire. There were significant changes in responses between preprogram and postprogram evaluations on nearly all domains, and this proved sufficient sensitivity of the questionnaire. The End-of-Life Nursing Education Questionnaire is a valid and reliable instrument to evaluate the effectiveness of nursing faculty development program in end-of-life care. The changes reported by participants of this study suggest that the program successfully met its objectives in facilitating significant changes in nursing faculties.