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Article History

Received: 11 November 2019

Accepted: 17 January 2020

First Online: 22 January 2020

Ethics approval and consent to participate

: Patient information was not part of this study. Ethics approval was not obtained, since Norwegian regulations demand this when personal information is gathered directly or indirectly. The research did not involve any directly or indirectly identifying information about the participants. The study was submitted to the informal notification test provided by the Norwegian Data Protection Official for Research [CitationRef removed], and was found not to be subject to notification. This study was a part of the Center for Development of Institutional and Home Care Services Nordland, project 13,211,141, and was supported by the Nordland County Council, project 18–15-0041. The following ethical guidelines were used (31): 1) Participants were informed orally and in writing about the purpose of the research and their rights to make independent decisions without negative consequences, including withdrawing at any phase of the research. 2) Participants were not pushed to give information. 3) Participants gave written informed consent to participating. 4) Ethical challenges related to conducting focus group interviews [CitationRef removed] when the researchers and participants know each other were considered and found not to be problematic by the participants, as the group stated a high degree of confidence during the interviews.

: All the participants gave their consent (signed form) to use their de-identified quotes from their interviews to be published in this manuscript.

: The authors declare they have no competing interests.