College of Nursing and Health Sciences, Flinders University, Bedford Park, SA, Australia.
Central Adelaide Local Health Network, Woodville, SA, Australia.
J Clin Nurs. 2022 Jul;31(13-14):1960-1971. doi: 10.1111/jocn.15462. Epub 2020 Sep 7.
To generate content for a new questionnaire, based on the 10 Principles of Dignity in Care.
Older people in hospital are vulnerable and at risk of harm, including indignity. The 10 Principles of Dignity in Care, which undergird the United Kingdom's Dignity in Care Campaign, have been used to promote dignified care for older people in hospital. A 2006 recommendation of the campaign was to survey people on their experiences of dignity in care. To undertake such a survey, a questionnaire based on the 10 Principles of Dignity is required.
Qualitative methods based on a modified Delphi technique, assessed against the CREDES checklist.
A Delphi panel of experts was convened that included: consumers, carers, clinicians, academics, policy experts and representatives from the National Dignity Council in the UK, Aboriginal people and people from culturally and linguistically diverse backgrounds.
Fifty-seven experts consented to participate, over the three rounds of Delphi panel deliberations (response rate: R1 n = 49, R2 n = 47 and R3 n = 44). The Delphi panellists were asked to rank, rewrite, relocate or remove items and suggest additional items, under each of the 10 Principles of Dignity in Care. The initial list of 93 items, generated from a review of the literature, existing questionnaires and drafted by the authors, was reduced to 87 items in Round 2 and 69 items in Round 3.
A panel of experts were able to determine, based on their own judgement, and through consensus, the 69-items and response categories to be included in the patient and carer versions of the Dignity in Care questionnaire, to progress to a pilot study.
根据尊严护理的 10 项原则，为新问卷生成内容。
住院的老年人易受伤害，有遭受侮辱的风险。尊严护理的 10 项原则是英国尊严护理运动的基础，旨在为住院老年人提供有尊严的护理。该运动的 2006 年建议是对人们在护理尊严方面的经历进行调查。要进行这样的调查，需要基于 10 项尊严原则的问卷。
采用基于修正德尔菲技术的定性方法，并根据 CREDES 清单进行评估。
召集了一个由专家组成的德尔菲小组，其中包括：消费者、护理人员、临床医生、学者、政策专家以及英国国家尊严委员会、土著人和来自文化和语言多样化背景的代表。
57 位专家同意参与三轮德尔菲小组审议（响应率：第一轮 n=49，第二轮 n=47，第三轮 n=44）。德尔菲小组成员被要求对 10 项尊严护理原则下的每个项目进行排序、重写、重新定位或删除，并提出其他项目。最初的 93 项清单是通过文献回顾、现有问卷和作者起草生成的，第二轮减少到 87 项，第三轮减少到 69 项。
专家组能够根据自己的判断并通过共识确定包含在患者和护理人员版本的尊严护理问卷中的 69 项内容和响应类别，以进行试点研究。
