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Related Experiment Video

Updated: Aug 26, 2025

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
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Valuing the individual - evaluating the Dignity Care Intervention.

Annika Söderman1, Carina Werkander Harstäde2, Maria Hälleberg Nyman3

  • 1Faculty of Medicine and Health, School of Health Sciences, 6233Örebro University, Örebro, Sweden.

Nursing Ethics
|October 7, 2022
PubMed
Summary

The Swedish Dignity Care Intervention (DCI-SWE) offers a space for discussing dignity in palliative care for older adults. However, improved competence, continuity, and resources are essential for its effective implementation.

Keywords:
dignityinterventionmixed methodolder personspalliative care

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Area of Science:

  • Gerontology
  • Palliative Care
  • Healthcare Interventions

Background:

  • Older persons' dignity can be compromised in palliative care settings.
  • The Swedish Dignity Care Intervention (DCI-SWE), based on Chochinov's dignity model, aims to provide dignity-conserving care.
  • The DCI-SWE is an adaptation of an intervention previously tested in the UK and Scotland.

Purpose of the Study:

  • To explore the experiences of older persons and their relatives regarding dignity and dignity-conserving care.
  • To evaluate the use of the DCI-SWE within a Swedish municipal healthcare context.

Main Methods:

  • A mixed-methods study employing a convergent parallel design.
  • The DCI-SWE intervention was implemented and assessed.
  • Quantitative data on dignity-related distress and quality of life were collected (n=17).
  • Qualitative data from interviews with older persons (n=10) and relatives (n=8) were analyzed using thematic analysis.

Main Results:

  • No significant changes were observed in older persons' dignity-related distress or overall quality of life post-intervention.
  • A significant decrease in psychological quality of life was noted (p = 0.01).
  • Both older persons and their relatives highlighted the importance of individual recognition and valuing the person.

Conclusions:

  • The DCI-SWE facilitates discussions about dignity but requires enhanced competence, continuity, and resources for optimal effectiveness.
  • Psychological support and training in communication skills for healthcare professionals are crucial.
  • Further evaluation necessitates a larger sample size and the use of validated instruments to fully assess the DCI-SWE's impact.