“…There are so far four main QODD versions: the original 31-item version, a 14-item version for nurses in the ICU (Treece et al, 2004), a later Version 3.2 for self-administration by a significant other (family member and/or friend) of a patient who died in a hospital or ICU (Glavan et al, 2008), and a similar version for self-administration by HCP who cared for a patient who died in a hospital or ICU (UW Medicine, n.d.). Certain versions have also been validated or used in populations other than Americans, e.g., South Korean ICU patients (Version 3.2 for HCP) (Cho et al, 2018), Chinese ICU patients (Version 3.2 for HCP) (Han et al, 2021), German palliative care patients (31-item version) (Heckel et al, 2015, 2016), Kenya cancer patients (31-item version) (Mah et al, 2019b), Chilean cancer patients (30 items) (Pérez-Cruz et al, 2017), and cancer patients in Spain (26 items) (Sánchez and Cuesta-Vargas, 2018). Due to these substantial differences in the versions, raters, and settings, results from the QODD's validation studies could not be grouped as one (Kupeli et al, 2019).…”