Ethical considerations
The Ethics Committee of the University of Eastern Finland provided ethical approval (24/2017) and the participating healthcare organization granted the required research permission. The study followed ethical principles and all methods were performed in accordance with Ethical principles and the Declaration of Helsinki [One of the researchers (RT) informed 352 home care professionals about the study. The information included the aim of the study and the data collection process. Furthermore, the home care-professionals were informed of voluntary participation and their right to discontinue their participation in the study at any time. Furthermore, the home-care professionals were informed about their anonymity to ensure privacy. Altogether 315 home care professionals agreed to participate in the study and during the study period, they were taking care of 110 home care clients. All participants signed the informed consent form when agreeing to participate. No compensation was paid to the participants and their employer for participation in the study.