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Grasping a new approach to older persons' dignity: A process evaluation of the Swedish Dignity Care Intervention in municipal palliative care.
- Source :
- Scandinavian Journal of Caring Sciences; Jun2024, Vol. 38 Issue 2, p496-511, 16p
- Publication Year :
- 2024
-
Abstract
- Aim: Dignity in older persons is a goal of palliative care. This study aimed to perform a process evaluation of the Swedish Dignity Care Intervention (DCI‐SWE) in municipal palliative care in Sweden, focusing on implementation, context, and mechanism of impact. Methods: This study had a process evaluation design. The Knowledge to Action framework supported the implementation of the DCI‐SWE. The intervention was used by community nurses with older persons (n = 18) in home healthcare and nursing homes. Data were collected by focus groups‐ and individual interviews with community nurses (n = 11), health care professionals (n = 5) and managers (n = 5), reflective diaries, and field notes. Results: Grasping the DCI‐SWE was challenging for some community nurses. Enhanced communication training and increased engagement from managers were requested. However, the DCI‐SWE was perceived to enhance professional pride in nursing. In terms of fidelity, dose and reach the project was not fully achieved. Regarding mechanism of impact the DCI‐SWE contributes to address older persons' loneliness and existential life issues, as it put conversations with older persons on community nurses' agenda. Conclusions: The DCI‐SWE provided opportunities to maintain older persons' dignity and quality of life. However, with refinements of design and the DCI‐SWE, the sustainability in the context may increase. [ABSTRACT FROM AUTHOR]
- Subjects :
- HOME care services
COMMUNITY health services
PALLIATIVE treatment
HUMAN services programs
COMMUNITY health nurses
NURSE administrators
RESEARCH funding
DIGNITY
EVALUATION of human services programs
INTERVIEWING
CONTENT analysis
DESCRIPTIVE statistics
LONELINESS
NURSING care facilities
ATTITUDES of medical personnel
COMMUNICATION
LOCAL government
OLD age
Subjects
Details
- Language :
- English
- ISSN :
- 02839318
- Volume :
- 38
- Issue :
- 2
- Database :
- Complementary Index
- Journal :
- Scandinavian Journal of Caring Sciences
- Publication Type :
- Academic Journal
- Accession number :
- 177398619
- Full Text :
- https://doi.org/10.1111/scs.13222