Predictors of spiritual care provision for patients with dementia at the end of life as perceived by physicians: a prospective study

Table 3 Univariable associations of the provision of spiritual end-of-life care as perceived by physicians with potential predictors related to quality of care

	Descriptives	Spiritual care at the end of life^‡		Association with the provision of spiritual care; OR (95% CI)
	Descriptives	Provided	Not provided	Significant associations are italicized and bolded
Facility level ^*
Nursing home vs. residential home, %	92.3	83.7	94.5	0.32 (0.08; 1.2)
Located in town versus large city, %	19.8	14.0	21.3	0.33 (0.09; 1.2)
Enough nursing staff, %	50.0	52.4	49.4	1.4 (0.48; 4.0)
Resident level
Satisfaction with care (mean EOLD-SWC score, SD)	30.3 (4.2)	31.7 (3.9)	29.9 (4.2)	*1.10 (1.01; 1.21)*
Satisfied with communication with the physician
- Mean 0–3 scale (SD)^†	1.7 (1.0)	2.1 (0.88)	1.6 (1.1)	*1.6 (1.1; 2.3)* per point increment
- Percentage
- Not satisfied	7.1	2.9	8.1
- No talk but had wanted to	10.6	5.9	11.8
- Neutral	18.8	5.9	22.1
- No talk but accepted	1.8	0	2.2
- Satisfied about the main elements	36.5	50.0	33.1
- Satisfied in every respect	25.3	35.3	22.8

EOLD-SWC = End-Of-Life care in Dementia–Satisfaction With Care; range 10–40 with higher scores representing more satisfaction.
^*Facility characteristics refer to the facility where resident died (34 facilities; in 200 cases, same as facility of admission; in 7 cases, other facility) and descriptives are weighted for number of residents who died in the facility.
^†In 0–3 scale, combined “no talk but had wanted to” with “not satisfied” and “no talk but accepted” with “neutral”.
^‡For dichotomous variables, the proportion for which spiritual care was provided and not provided can be calculated as well reconstructing the 2x2 table and taking into account possible missing values as listed in Table 1. For example, 0.923 * 207 (no missing values) = 191 resided in nursing homes, so 207 – 191 = 16 in residential homes. Of those for whom spiritual end-of-life care was provided (43), 0.837*43 = 36 resided in nursing homes, so 7 in residential homes. The proportions (percentages) who were provided spiritual care at the end of life, were therefore 36/191 (18.8%) life in nursing homes, and 7/16 (43.8%) in residential homes.

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