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The adaptation of the Dignity Care Intervention to a Swedish context

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http://www.diva-portal.org

Preprint

This is the submitted version of a paper presented at Nordic Conference in Nursing Research - Methods and Networks for the future, Oslo, Norway, 13-15 June, 2018.

Citation for the original published paper:

Söderman, A., Östlund, U., Werkander Harstäde, C., Blomberg, K. (2018) The adaptation of the Dignity Care Intervention to a Swedish context

In: Nordic Conference in Nursing Research - Methods and Networks for the future, 2018

N.B. When citing this work, cite the original published paper.

Permanent link to this version:

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1

GENERAL INFORMATION

Title: The adaptation of the Dignity Care Intervention to a Swedish context

Annika Söderman, RN, PhD-student

1

, Ulrika Östlund, RN, PhD

2, 3

, Carina Werkander Harstäde,

RN, PhD

2

, Karin Blomberg, RN, Associate Professor

1

1

Faculty of Medicine and Health, School of Health Sciences, Örebro University, Örebro, Sweden

2

Centre for Collaborative Palliative Care, Faculty of Health and Life Sciences, Linnaeus

University, Växjö, Sweden

3

Centre for Research & Development, Uppsala University/Region Gävleborg, Gävle, Sweden

First author:

Name: Annika Söderman

Department:Faculty of Medicine and Health, School of Health Sciences

Email: annika.soderman@oru.se Phone: 019-30 30 38

Nationality: Sweden

Corresponding author:

Name: Annika Söderman

Department:Faculty of Medicine and Health, School of Health Sciences

Email:annika.soderman@oru.se Phone:019- 303038, 073-6387620

Co-author:

Name: Karin Blomberg

Department:Faculty of Medicine and Health, School of Health Sciences

Email: karin.blomberg@oru.se Phone: 019-30 12 70

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Design/method/analysis:

Design Method Analysis

Multi methods Cultural adaptation of instrument

Review of literature

Qualitative methods

Thematic analysis (Mays et al., 2005)

Content analysis (Elo & Kyngäs, 2008).

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ABSTRACT: Word count max: 250 words

Points

Background: The Dignity Care Intervention (DCI) was developed in Scotland by Johnston and co-workers for nurses in municipality care, to enhance dignity in persons with palliative care needs. DCI includes a questionnaire, examples of reflective questions and suggests care actions. DCI has been tested in Ireland, and is now adapted to Swedish.

Objective: To translate and adapt the DCI to a Swedish palliative context.

Method: The questionnaire was translated and adapted into Swedish and reviewed by an expert

group, before validated in cognitive interviews (N=7) with older persons. To update evidence concerning care actions from a Swedish context, a review of Swedish research literature and interviews with older persons, relatives and health care professionals were carried out. This gathered knowledge has been integrated into the Swedish DCI (DCI-SWE) and a feasibility study now takes place in one municipality in home care, Sweden. Included nurses got repeated

information and participated in a shorter DCI-education, and will use the DCI in their everyday work for three months. Follow-up interviews will be conducted and analysed with qualitative content analysis.

Results: The Swedish version of the questionnaire was experienced relevant for older persons, and

both the Swedish review and the interviews gave culturally relevant proposals about dignity care actions. Further, a feasibility study will contribute to the ongoing development of the Swedish DCI-version.

Conclusion and implication for practice: Implementing DCI in Sweden can enhance dignity in

References

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