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SDQ
Sheffield Dignity Questionnaire (SDQ)

 

Simon Dixon
University of Sheffield and Devices for Dignity (D4D) Healthcare Technology Co-operative

Keywords: SDQ, dignity, health care, questionnaire development, well-being



Abstract
While dignity is a prominent issue in healthcare, no standardized questionnaire exists that captures the multi-faceted nature of it. A qualitative framework was used to identify dignity-related concepts and a set of questions was developed that linked to a conceptual model of dignity, healthcare, and well-being. The questions were given to 197 hospital inpatients. Factor analysis and reliability statistics suggested a structure that linked back to our conceptual model.

Background
The importance of dignity within healthcare has been increasingly recognized in recent years. Within the United Kingdom this
become a policy imperative with the Dignity in Care Campaign, the Dignity Challenge,1 guidelines from the Nursing and Midwifery Council2 together with other initiatives from voluntary sector organizations (for example, Magee3). However, while dignity is a prominent issue in healthcare, no standardized questionnaire exists that captures the multi-faceted nature of it.3 This study describes the work done to date on a program of research undertaken in collaboration between the University of Sheffield and the Devices for Dignity (D4D) Project, that aims to develop a patient-reported outcome measure relating to dignity that is capable of being used in health technology assessment.

Methods
Question development
Electronic searches were undertaken to identify how dignity has been used in relation to healthcare. This was supported by a pearl-growing strategy based on policy documents and gray literature known to the research team. Usage of the term “dignity” was described and different concepts that underlie its use were identified. Qualitative research techniques were used to identify broader themes that characterize the overarching concept of dignity and brought together in a conceptual map. Existing questions relating to the different dignity themes were highlighted, and other potential questions were constructed.

 


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