Background: Dysphagia is prevalent among nursing-home residents and contributes to complications such as aspiration pneumonia, malnutrition, and diminished quality of life. Nurses’ knowledge and attitudes strongly influence care quality, yet few validated tools exist to assess these domains in long-term care. Objective: This study aimed to develop and validate the Evaluating Attitudes, Training and Skills in Dysphagia Care (EATS) Questionnaire for nursing home nurses in Singapore. Methods: A cross-sectional study involving 111 nurses from three nursing homes was conducted. The EATS questionnaire was adapted from a hospice-based tool, refined through experts’ and users’ feedback, and subjected to psychometric testing. Analyses included item difficulty and discrimination for the knowledge component, exploratory factor analysis for the attitude component, and internalconsistency reliability. Construct validity was examined by comparing knowledge and attitude scores across nursing seniority and experience. Results: The final questionnaire comprised 22 knowledge and 18 attitude items that loaded onto three factors—Barriers to Dysphagia Care, Patients’ Preferences and Nurses’ Confidence, and Personal Choice. The attitude scale showed moderate internal consistency, and the knowledge items demonstrated acceptable performance for discrete factual content. Senior nurses scored higher in knowledge, confirming construct validity. The tool revealed persistent misconceptions and gaps in recognising subtle clinical signs of dysphagia. Conclusions: The EATS Questionnaire is a valid and pragmatic instrument for assessing dysphagia-related knowledge and attitudes among nursing home nurses. It provides actionable insights for designing targeted education and improving resident safety in long-term care settings.
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