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. 2020 May 9;28(9):4527–4537. doi: 10.1007/s00520-020-05465-2

Table 2.

Items per subscales, scales, and subscale scores

Subscale (min.–max. subscale scores) Itema Possible answer options Frequencies of answers (imputed dataset) (%) Percentage of missing before imputation
(1) Support and time of doctors and nurses (0–36) There was enough help available to meet his/her personal care needs, such as washing, personal hygiene, and toileting needs. (1) Strongly agree (4) 81.0 2.5
Agree (3) 12.7
Neither agree nor disagree (2) 3.8
Disagree (1) 2.1
Strongly disagree (0) 0.4
There was enough help with nursing care, such as giving medicines and helping him/her find a comfortable position in bed. (2) Strongly agree (4) 83.1 0.0
Agree (3) 11.4
Neither agree nor disagree (2) 3.0
Disagree (1) 2.5
Strongly disagree (0) 0.0
The nurses had time to listen and discuss his/her condition with me. (7) Strongly agree (4) 67.1 0.4
Agree (3) 22.8
Neither agree nor disagree (2) 5.5
Disagree (1) 4.2
Strongly disagree (0) 0.4
The doctors had time to listen and discuss his/her condition with me. (8) Strongly agree (4) 68.4 2.5
Agree (3) 22.4
Neither agree nor disagree (2) 3.0
Disagree (1) 5.1
Strongly disagree (0) 1.3
Did you have confidence and trust in the nurses who were caring for him/her? (5) Yes, in all of them (4) 82.7 0.8
Yes, in some of them (2) 17.3
No, not in any of the nurses (0) 0.0
Did you have confidence and trust in the doctors who were caring for him/her? (6) Yes, in all of them (4) 83.1 2.1
Yes, in some of them (2) 15.2
No, not in any of the doctors (0) 1.7
In your view, did the doctors and nurses do enough to help relieve the pain? (10)

Yes, all of the time (4)

Not applicable, s/he was not in pain (4)

93.7 1.3
Yes, some of the time (2) 5.9
No, not at all (0) 0.4
In your view, did the doctors and nurses do enough to help relieve the restlessness? (12)

Yes, all of the time (4)

Not applicable, s/he was not restlessness (4)

82.3 2.5
Yes, some of the time (2) 16.0
No, not at all (0) 1.7
In your view, did the doctors and nurses do enough to help relieve the “noisy rattle” to his/her breathing? (14)

Yes, all of the time (4)

Not applicable, s/he had no noise rattle (4)

80.6 4.6
Yes, some of the time (2) 16.9
No, not at all (0) 2.5
(2) Spiritual and emotional support (0–12) How would you assess the overall level of emotional support given to you by the healthcare team? (19) Excellent (4) 59.9 0.8
Good (3) 31.6
Fair (1) 6.3
Poor (0) 2.1
Overall, his/her religious or spiritual needs were met by the healthcare team. (20) Strongly agree (4) 57.8 10.1
Agree (3) 23.6
Neither agree nor disagree (2) 12.7
Disagree (1) 3.8
Strongly disagree (0) 2.1
Overall, my religious or spiritual needs were met by the healthcare team. (21) Strongly agree (4) 61.2 10.5
Agree (3) 18.1
Neither agree nor disagree (2) 12.2
Disagree (1) 5.9
Strongly disagree (0) 2.5
(3) Information and decision-making (0–16) During the last 2 days, how involved were you with the decisions about his/her care and treatment? (15) Very involved (4) 60.8 0.4
Fairly involved (2) 26.2
Not involved (0) 13.1
Did any of the healthcare team discuss with you whether giving fluids through a “drip” would be appropriate in the last 2 days of life? (16) Yes (4) 56.5 1.3
No (0) 43.5 9.7 (do not know)
Would a discussion about the appropriateness of giving fluids through a “drip” in the last 2 days of life have been helpful? (17)

No (4)

Not applicable, we had these types of discussions (4)

79.3 7.6
Yes (0) 20.7
Did the healthcare team explain his/her condition and/or treatment in a way you found easy or difficult to understand? (18) Very easy (4) 39.2 0.8
Fairly easy (3) 45.1
Fairly difficult (2) 9.3
Very difficult (1) 1.3
They did not explain his/her condition or treatment to me (0) 5.1
(4) Environment (0–8) The bed area and surrounding environment was comfortable for him/her. (3) Strongly agree (4) 69.2 0.8
Agree (3) 17.7
Neither agree nor disagree (2) 8.0
Disagree (1) 4.2
Strongly disagree (0) 0.8
The bed area and surrounding environment had adequate privacy for him/her. (4) Strongly agree (4) 72.2 0.8
Agree (3) 17.7
Neither agree nor disagree (2) 5.5
Disagree (1) 3.8
Strongly disagree (0) 0.8
(5) Information about dying process (0–12) Before s/he died, were you told s/he was likely to die soon? (22) Yes (4) 85.2 0.4
No (0) 14.8
Did a member of the healthcare team talk to you about what to expect when s/he was dying (e.g., symptoms that may arise)? (23) Yes (4) 54.4 2.5
No (0) 45.6
Would a discussion about what to expect when s/he was dying have been helpful? (24)

No (4)

Not applicable, we had these types of discussions (4)

71.7 6.8
Yes (0) 28.3
(6) Symptom presence (0–12) In your opinion, during the last 2 days, did s/he appear to have a “noisy rattle” to his/her breathing? (13) Yes, all of the time (0) 13.1 1.7
Yes, some of the time (2) 39.7
No (4) 47.3
In your opinion, during the last 2 days, did s/he appear to be in pain? (9) Yes, all of the time (0) 8.9 0.8
Yes, some of the time (2) 33.3
No (4) 57.8
In your opinion, during the last 2 days, did s/he appear to be restless? (11) Yes, all of the time (0) 8.4 0.4
Yes, some of the time (2) 41.4
No (4) 50.2
(7) Support at actual time of death and afterwards (0–8) I was given enough help and support by the healthcare team at the actual time of his/her death. (25) Strongly agree (4) 73.0 2.1
Agree (3) 13.1
Neither agree nor disagree (2) 7.6
Disagree (1) 3.0
Strongly disagree (0) 3.4
After s/he had died, did individuals from the healthcare team deal with you in a sensitive manner? (26) Yes (4) 96.2 2.5
No (0) 3.8 5.1 (not applicable)
Optional itemsb In your opinion, how clean was the ward area that s/he was in? (O 1) Very clean (4) 86.5 0.0
Fairly clean (2) 12.7
Not at all clean (0) 0.8
In your opinion did s/he die in the right place? (O 2) Yes, it was the right place (4) 83.5 2.6 (do not know)
Not sure (2) 6.8
No, it was not the right place (0) 7.2

aOriginal English wording of items; numbered according to CODE-GER

bItems were deleted after psychometric analyses for the final version of CODE-GER