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Public home care professionals’ experiences of being involved in food distribution to home-living elderly people in Sweden: a qualitative study with an action research approach
Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Research Environment PRO-CARE. Kristianstad University, Forskningsplattformen Hälsa i samverkan.ORCID iD: 0000-0003-1212-293X
Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap.
Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Research Environment PRO-CARE.ORCID iD: 0000-0003-4820-6203
School of Medical and Health Sciences, Örebro University.
2012 (English)In: Journal of Nursing Education and Practice, ISSN 1925-4040, E-ISSN 1925-4059, Vol. 2, no 2, 41-51 p.Article in journal (Refereed) Published
Abstract [en]

Background: Research focusing on Food Distribution (FD) from various professionals’ and organisational perspectivesare lacking. The aim of this study was therefore to explore various professionals’ experiences of involvement in FD inorder to get comprehensive understanding of the organisation, responsibilities and roles.

Methods: This qualitative study is a part of a larger project with an action research approach focusing on FD in themunicipal home service and care for home-living elderly persons in a municipality in southern Sweden. The data wascollected through participatory observations (n=90 occasions and in total 480 hours), repeated focus group interviews (n =4) with different professionals (n =10) involved in the FD process and one individual interview. The material was analysedby qualitative manifest and latent content analysis.

Results: The study indicates that Food Distribution is a fragmentary intervention where a comprehensive perspective andclear roles of responsibility are lacking. The FD organisation seemed to be strictly divided and limited by constraintsregarding time and money. The fragmented organisation led partly to staff only taking responsibility for their part of thechain and no one having the full picture of and responsibility for the FD process, but also to some professionals takingmore responsibility than they were supposed to.

Conclusions: The aim of the study was met by using an action research approach. The study was however limited by thatno home help officers were represented. The FD appeared as an extremely complex chain of different but connectedactivities. It is not merely the distribution of a product, i.e. the meal box. The fragmentation of FD means that staff onlytakes responsibility for their part of the chain, and that no one has the full picture of or responsibility for the FD process.Consequently, there is a need for an outline of responsibilities. The findings have implications for nursing, gerontology,and in the care for the elderly.

Place, publisher, year, edition, pages
2012. Vol. 2, no 2, 41-51 p.
Keyword [en]
Action research, Elderly people, Food distribution, Focus group, Organisational perspective
National Category
Nursing
Identifiers
URN: urn:nbn:se:hkr:diva-9190DOI: 10.5430/jnep.v2n2p41OAI: oai:DiVA.org:hkr-9190DiVA: diva2:512813
Available from: 2012-03-29 Created: 2012-03-29 Last updated: 2014-10-14Bibliographically approved
In thesis
1. Matdistribution till hemmaboende äldre personer ur flera perspektiv
Open this publication in new window or tab >>Matdistribution till hemmaboende äldre personer ur flera perspektiv
2013 (Swedish)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The overall aim of this study was to gain insight into municipal food distribution from several perspectives: that of the clients, mainly elderly people, and also from the perspectives of different professionals and decision makers. An action research approach was chosen, as the characteristics of this method were deemed to be correct in relation to the basic aim of the study. This thesis is based on four empirical studies. Study I aimed to explore various professionals’ experiences of involvement in food distribution (FD) in order to get a comprehensive understanding of the organization, responsibilities and roles. The results showed that FD is a fragmentary intervention where a comprehensive perspective and clear roles of responsibility are lacking. Study II aimed to gain insight and to describe the experiences of home-living elderly people who receive hot meals distributed by their municipality. The results showed that there were feelings of dependency, and loneliness among the elderly participants, however they also expressed gratitude for the opportunity to have their meals delivered to their home.  Study III aimed to describe how the professionals can identify needs for improvement and improve the municipal FD service to home living elderly people. The need to update and increase the FD recipient’s knowledge in nutrition by sending information letters was found to be an important area to focus on. Evaluation of letters resulted in the decision to continue preparing and distributing information letters to all FD recipients twice a year and to make the information letters assessable on the websites of the six municipalities and county councils involved. Study IV aimed to describe the decision maker’s views on FD and to report their suggestions for which areas reported from studies I-III should be taken into consideration as starting points to improve the municipal FD. The findings resulted in the decisions to monitor the elderly’s health and wellbeing while providing FD and to increase the professionals’ competence and to create a forum for inter-professional communication. In conclusion, this thesis illustrates that there is a necessity to identify the needs for general improvement of FD by involving the participants and to start out from their personal experiences and in their own context.

Place, publisher, year, edition, pages
Örebro: Örebro universitet, 2013. 81 p.
Series
Örebro Studies in Care Sciences, ISSN 1652-1153 ; 43
Keyword
Action Research, Facilitation, Food Distribution, Story Dialogue Method, Home-living Elderly People.
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hkr:diva-10790 (URN)978-91-7668-924-0 (ISBN)
Public defence
2013-05-10, Hörsal P2 Prismahuset, Örebro Universitet, Örebro, Örebro, 12:11 (Swedish)
Opponent
Supervisors
Available from: 2013-08-09 Created: 2013-07-21 Last updated: 2014-10-14Bibliographically approved

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