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Updated: Feb 17, 2026

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Development and initial validation of the grief training needs assessment scale (GTNAS)
Alexandra Coelho1,2,3, Sofia Aníbal4, Catarina Nobre2,3
1Applied Psychology Research Centre Capabilities and Inclusion, ISPA-Universitary Institute, Lisbon, Portugal.
Death Studies
|February 16, 2026
Summary
A new scale, the Grief Training Needs Assessment Scale (GTNAS), effectively identifies healthcare professionals
Area of Science:
- Psychology
- Healthcare Education
- Grief Counseling
Background:
- Healthcare professionals require specialized training to effectively support patients experiencing grief.
- Existing assessment tools may not adequately capture the nuanced training needs in grief care.
- The development of a validated instrument is crucial for identifying specific training gaps.
Purpose of the Study:
- To develop the Grief Training Needs Assessment Scale (GTNAS) for healthcare professionals.
- To provide initial validation evidence for the GTNAS.
- To identify specific training needs in grief care among healthcare professionals.
Main Methods:
- Item generation via deductive approach and expert Delphi procedure for content validity.
- Cognitive interviews for item refinement.
- Online administration of the final scale to 221 healthcare professionals, followed by exploratory factor analysis.
Main Results:
- A three-factor structure emerged: Pre- and Post-death Grief Competencies and Motivation for Grief Training.
- The GTNAS showed excellent internal consistency (α = .952) and satisfactory convergent and construct validity.
- Discriminant validity was supported for motivation, but competency factors showed overlap.
Conclusions:
- The GTNAS is a promising instrument for assessing grief-related training needs in healthcare professionals.
- Preliminary findings support the scale's utility, but further validation with diverse samples is recommended.
- The scale can inform the development of targeted grief care training programs.
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