Grasping a new approach to older persons' dignity: A process evaluation of the Swedish Dignity Care Intervention in municipal palliative care.

IF 1.9 4区医学 Q2 NURSING

Scandinavian Journal of Caring Sciences Pub Date : 2024-06-01 Epub Date: 2023-10-26 DOI:10.1111/scs.13222

Annika Söderman, Maria Hälleberg Nyman, Carina Werkander Harstäde, Bridget Johnston, Karin Blomberg

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引用次数: 0

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.

查看原文本刊更多论文

把握老年人尊严的新方法：瑞典尊严护理干预城市姑息治疗的过程评估。

目的：老年人的尊严是姑息治疗的一个目标。本研究旨在对瑞典城市姑息治疗中的瑞典尊严护理干预（DCI-SWE）进行过程评估，重点关注实施、背景和影响机制。方法：本研究采用过程评价设计。知识到行动框架为DCI-SWE的实施提供了支持。社区护士对老年人（n = 18）家庭保健和疗养院。数据是通过对社区护士的焦点小组和个人访谈收集的（n = 11），卫生保健专业人员（n = 5）和管理者（n = 5）、反思日记和现场笔记。结果：掌握DCI-SWE对一些社区护士来说是一项挑战。要求加强沟通培训，增加管理人员的参与度。然而，DCI-SWE被认为可以增强护理专业人员的自豪感。就保真度、剂量和覆盖范围而言，该项目并未完全实现。关于影响机制，DCI-SWE有助于解决老年人的孤独感和生存生活问题，因为它将与老年人的对话列入了社区护士的议程。结论：DCI-SWE为维护老年人的尊严和生活质量提供了机会。然而，随着设计和DCI-SWE的改进，环境中的可持续性可能会增加。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Scandinavian Journal of Caring Sciences NURSING-

CiteScore

4.60

自引率

5.30%

发文量

期刊介绍： Scandinavian Journal of Caring Sciences is an established quarterly, peer reviewed Journal with an outstanding international reputation. As the official publication of the Nordic College of Caring Science, the Journal shares their mission to contribute to the development and advancement of scientific knowledge on caring related to health, well-being, illness and the alleviation of human suffering. The emphasis is on research that has a patient, family and community focus and which promotes an interdisciplinary team approach. Of special interest are scholarly articles addressing and initiating dialogue on theoretical, empirical and methodological concerns related to critical issues. All articles are expected to demonstrate respect for human dignity and accountability to society. In addition to original research the Journal also publishes reviews, meta-syntheses and meta-analyses.