![]() The descriptive data showed that few respondents selected 'never' and 'always'. The Swedish HECS-S consists of 21 items including all 14 items from HECS-S and items added to develop a multi-professional version, relevant for paediatrics. Decisions on retaining or modifying items were made in a review group. Furthermore, descriptive data were used from a previous study with healthcare professionals (n = 89), employing a modified Swedish HECS. ![]() Three focus group interviews and three cognitive interviews were conducted with healthcare professionals. The procedure of translating and culturally adapting the Swedish version followed the scientific structure of guidelines. In HECS and HECS-S the labels of the scale range from 'almost never true' to 'almost always true' while the Swedish HECS labels range from 'never' to 'always'. In HECS-S, the respondents are asked to indicate the veracity of statements. Another aim was to describe decisions about retaining versus modifying the questionnaire in order to keep the Swedish version as close as possible to the original while achieving a good functional level and trustworthiness. HECS has previously been translated into Swedish and the aim of this study was to describe a process of translating and culturally adapting HECS-S and to develop a Swedish multi-professional version, relevant for paediatrics. ![]() The Hospital Ethical Climate Survey (HECS) was developed in the USA and later shortened (HECS-S). ![]()
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