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  • 1.
    Beck, Ingela
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    An intervention applying a palliative care approach in residential care: influences on nurse assistants' work situation2013Konferansepaper (Annet vitenskapelig)
    Abstract [en]

    Introduction

    Palliative care is an approach characterized by a holistic view of the person, which supports the individual for living with dignity and with the best possible level of wellbeing until the end of life. Those who, in practice, provide care in Swedish residential care facilities for older people (RCFs) are nurse assistants (NAs), a work group with limited education. They also often stand alone with difficult decisions with regards to the care provision, as the registered nurse has the role of consultant rather than leader. In an explorative qualitative study we found that NAs experienced that it was difficult to focus on relationship aspects in their work, as the main discourse in the residential care focused on tasks. Palliative care was described as something that was applied only during a short define phase i.e. last days of the residents’ life. These results were used as a basis for development of an intervention focus on a palliative care approach in RCFs. The intervention consisted of study circles with NAs, and workshops together with their leaders, focusing on improvement work.

    Aim

    To investigate how an intervention focusing on a palliative care approach in RCFs influenced the NAs and their work.

    Method

    Two quantitative studies, based on a questionnaire, including several measurements, that was answered pre-, and post- intervention and one qualitative study based on individual interviews after the intervention. A total of 75 nurse assistants participated in the intervention and answered the questionnaire at baseline and at two follow-ups, in comparison with 110 nurse assistants who served as controls. 

    Results

    The evaluation of the intervention showed that the NAs, after the intervention, had increased their focus on the residents’ situation and to a greater extent stated that they focused on the residents’ life stories and on aspects that brought meaning to their lives. The NAs also stated that they experienced less criticism from their superiors as well as from the residents after the intervention. However, the evaluation also showed that the NAs had a more negative view of the leadership, were more critical to the medical and the nursing care, and that their job satisfaction had decreased after the intervention. Interviews after the intervention showed that they, as a result of the intervention, had not only gained increased insight into their own significance in their encounter with residents and their relatives, but also an increased awareness of the needs of the residents and their relatives. The intervention also contributed to an increased openness in the workgroup. However, the nurse assistants also expressed frustration over barriers, primarily in the form of a lack of resources and limited leadership, standing in the way of the implementation of changes.

    Conclusion

    The results indicate that the NAs, through discussions and reflections over praxis in their ordinary work group, developed an increased awareness about, and focus on relationship aspects. However, in spite of the leaders’ involvement, the intervention was not sufficient for changing the organizational prerequisites for working in line with the palliative care approach. When implementing a palliative care approach in RCFs, more focus on support to the leaders in needed in order to maintain sustainable changes.

  • 2.
    Beck, Ingela
    Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan. Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna.
    IPOS - meningsfull skattning av palliativa vårdbehov2016Konferansepaper (Annet vitenskapelig)
  • 3.
    Bringsén, Åsa
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Oral hälsa och folkhälsovetenskap. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan. Högskolan Kristianstad, Forskningsmiljön Människa - Hälsa - Samhälle (MHS). Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Samhällsvetenskap.
    Andersson, Petra
    Kjell Arthursson, Frida
    Ejlertsson, Lina
    A health promoting leisure time for young teenage girls: results from a focusgroup study in Sweden2011Konferansepaper (Annet vitenskapelig)
    Abstract [en]

    Background

    An action research project was initiated in order to explore young teenage girls’ opinions of leisure time and activities and initiate health promoting activity groups for girls age 13-16 in two municipalities in the south of Swed

    Study design

    The project started with a focus group study that explored girls’ opinions about leisure time and activities.

    Sample size and composition

    A total of fifteen semi structured focusgroup interviews were conducted in February-April 2011. A total of 110 girls, age 13-16, were participating in the study. A combination of a purpose fold selection strategy and randomisation was used for facilitating transferability of the results.

    Analysis

    The results were analysed through a tape based qualitative content analysis that focused on the manifest content of the interviews.

    Results

    The findings showed that the girls wanted their leisure time to be characterised by a variety of different activities. Activities were often related to a combination of the social, physical and psychological dimension of health. The psychological dimension was associated with activity related positive experiences and emotions.Conclusions

    Health promoting activity groups needs to be implemented with support from all the three dimensions of health and characterised by a variety of different activities.

  • 4.
    Hagell, Peter
    et al.
    Högskolan Kristianstad, Forskningsmiljön PRO-CARE. Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap I. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Broman, Jan-Erik
    Uppsala University.
    Hellström, Amanda
    Blekinge Institute of Technology.
    Fagerström, Cecilia
    Blekinge Institute of Technology.
    Willman, Ania
    Malmö University.
    Westergren, Albert
    Högskolan Kristianstad, Forskningsmiljön PRO-CARE. Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap I.
    Measurement properties of the Minimal Insomnia Symptom Scale (MISS) as an insomnia screening tool among adults and the elderly2015Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Background: The Minimal Insomnia Symptom Scale (MISS) has been suggested as a brief 3-item screening tool for detecting insomnia. Each item has an ordered 5-category (0-4) response scale and the instrument yields a total score between 0-12 (higher scores = more insomnia). Available MISS evaluations have been based on classical test theory (CTT) approaches. Different cut-offs for identifying insomnia have been suggested for adults (aged 20-64) and elderly (aged 65+). For adults, a cut-off of ≥6 has been suggested, while a cut-off of ≥7 has been suggested for the elderly, as determined from applications of the Youden index.

    Aim: To test the measurement properties of the MISS using the Rasch measurement model, with special emphasis on Differential Item Functioning (DIF) by age, and to explore implications for the two suggested cut-off scores.

    Design: Cross-sectional MISS data from adult (n=1075) and elderly (n=548) populations were analysed by the unrestricted polytomous Rasch measurement model using the RUMM2030 software program. To avoid an inflated type I error rate, sample size was algebraically adjusted to 500 in the calculation of P-values while leaving all other aspects of data (e.g., locations, fit residuals) unaltered.

    Results: Mean person location was -1.095 (SD, 1.28), i.e. items tend to represent more severe levels of insomnia than that experienced by the sample. However, for the purpose of screening this may be considered acceptable. There were no statistically significant deviations from model expectations, with a non-significant overall item-trait interaction (χ2 = 26.94, P=0.173). Reliability (PSI) was 0.59 suggesting that the MISS can separate approximately two statistically distinct groups of people (1.92 strata). The highest Information Function (IF) was found at -0.2 logits. There were no disordered response category thresholds. There was uniform DIF by age for all three items, which disappeared following adjustment (split by age group) for the most pronounced DIF, suggesting that DIF was artificial for two items. Examination of raw scores-to-location estimates between the two age groups revealed differences at the lower and higher ends of the scale. The raw score cut-off of ≥6 was associated with a smaller logit difference between age groups than the ≥7 cut-off (0.09 vs. 0.23). That is, at a raw score of 6 the two age groups were comparable regarding their logit location estimates. This raw score (representing a logit value of -0.03 for the pooled sample) was also the one closest to the location of the highest IF (i.e., -0.2 logits).

    Summary and implications: This study provides general support for the measurement properties of the MISS. However, caution should be exercised in comparing MISS scores between age groups, but applying a ≥6 raw score cut-off appears to allow for valid comparisons between adults and elderly regarding the presence of insomnia. Nevertheless, additional studies are needed to determine the clinically optimal cut-score for identification of insomnia. 

  • 5.
    Hagell, Peter
    et al.
    Högskolan Kristianstad, Forskningsmiljön PRO-CARE. Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap I. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Westergren, Albert
    Högskolan Kristianstad, Forskningsmiljön PRO-CARE. Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap I.
    Sample size and statistical conclusions from tests of fit to the Rasch measurement model according to the RUMM2030 program2015Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Sample size is a major contributor to statistical null hypothesis testing, which is the basis for many approaches to testing Rasch model fit. To allow for taking this into account, the RUMM2030 Rasch analysis software has the ability to adjust n in the calculation of its chi-2 based fit statistics. This paper examines the effects of such post-hoc adjustments on the statistical conclusions, and explores the occurrence of type I errors with Rasch model fit statistics implemented in RUMM2030. Data simulations of Rasch model fitting 25-item dichotomous scales with sample sizes ranging from n=50-2500 were generated an analysed regarding fit with and without adjusted sample sizes corresponding to the same n values as those simulated. Results suggest that post-hoc downward sample size adjustment is a useful procedure to avoid type I errors when working with relatively large data sets (n≥500). The value of upward adjustment with small data sets is less clear, particularly regarding the total item-trait chi-2 test, which tends to falsely signal misfit. Under the assumption of Rasch model fit, our observations suggest that a sample size around 250 (up to about 500) provides a good balance for the statistical interpretation of RUMM2030 fit statistics.

  • 6.
    Jakobsson, Liselotte
    et al.
    Högskolan Kristianstad, Sektionen för lärande och miljö, Avdelningen för Humanvetenskap.
    Persson, Lena
    Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan. Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap.
    Lundqvist, Pia
    Lund University.
    Life after prostatectomy2011Konferansepaper (Fagfellevurdert)
  • 7.
    Khalaf, Atika
    et al.
    Högskolan Kristianstad, Forskningsmiljön PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna.
    Westergren, Albert
    Högskolan Kristianstad, Forskningsmiljön PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna. Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan.
    Berggren, Vanja
    Högskolan Kristianstad, Forskningsmiljön PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Högskolan Kristianstad, Forskningsmiljön Mat, måltid, hälsa i 24-timmarsperspektivet. Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna.
    Hazzaa, A-H
    Association of weight status and dietary habits with socio-demographic factors among university female students in Saudi Arabia2014Konferansepaper (Annet vitenskapelig)
  • 8.
    Maria, Kläfverud
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för samhällsvetenskap och integrerad hälsovetenskap. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan. Högskolan Kristianstad, Forskningsmiljön Children's and Young People's Health in Social Context (CYPHiSCO).
    Barn i barnahus: före, under och efter besök på barnahus -trygghetspersoner2015Konferansepaper (Annet vitenskapelig)
  • 9.
    Nilsson, David
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Samhällsvetenskap.
    Olsson, Ann-Margreth E.
    Högskolan Kristianstad, Forskningsmiljön Children's and Young People's Health in Social Context (CYPHiSCO). Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan. Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Ekonomi.
    Soldater, veteraner och deras anhöriga: öppet seminarium med David Nilsson och Ann-Margreth Olsson2015Inngår i: Forskningsplattformen Hälsa i Samverkan. Öppet seminarium med David Nilsson och Ann-Margreth Olsson, Högskolan Kristianstad, Kristianstad, December 4th 2015: Soldater, veteraner och deras anhöriga / [ed] Professor Anna-Karin Edberg, 2015Konferansepaper (Annet vitenskapelig)
    Abstract [sv]

    David  Nilsson,  som  är  doktorand  inom  sociologi  och  inskriven  vid  Lunds  Universitet,     presenterar  delar  av  sitt  pågående  avhandlingsarbete  som  handlar  om  nära   anhörigas  berättelser  om  hur  det  är  att  vara  tillsammans  –  gift  eller  sammanboende  -­‐  med   någon  som  arbetar  inom  Försvarsmakten  och  som  deltar  i  militära  insatser  utomlands.  I   avhandlingen  fokuserar  David  på  utlandstjänstens  konsekvenser  för  den  hemmavarande   partnerns  personliga  och  sociala  liv.    

     Ann-­‐Margreth E.  Olsson,  som  är  lektor  i  socialt  arbete  och  en  av  David  handledare,   lägger särskilt  fokus  på  anhöriga  och  barn  och  det  stöd  de  kan  behöva  inom  hälso-­och  sjukvård,  socialtjänst,  skola, förskola och från Försvarsmaktens sida i form av anhörigssamordnare vid lokala regementen

  • 10.
    Olsson, Ann-Margreth E.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Samhällsvetenskap. Högskolan Kristianstad, Forskningsmiljön Children's and Young People's Health in Social Context (CYPHiSCO). Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Anhörigforskning - Högskolan Kristianstad2012Inngår i: Försvarsmaktens seminarium för lokala anhörigsamordnare / [ed] Emma Wiik och Diana Samuelsson, FMHRC, 2012Konferansepaper (Annet (populærvitenskap, debatt, mm))
  • 11.
    Olsson, Ann-Margreth E.
    Högskolan Kristianstad, Forskningsmiljön Children's and Young People's Health in Social Context (CYPHiSCO). Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan. Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Ekonomi.
    Barn i Barnahus – ur socialsekreterares perspektiv: intervjuer med socialsekreterare2015Inngår i: Barn i Barnahus – tvärvetenskaplig studie ur barnperspektiv, Barnahuset Nordöstra Skåne och Högskolan Kristianstad, Kristianstad, 24 april 2015 / [ed] Ingela Bernholtz, 2015Konferansepaper (Annet vitenskapelig)
  • 12.
    Olsson, Ann-Margreth E.
    Högskolan Kristianstad, Forskningsmiljön Children's and Young People's Health in Social Context (CYPHiSCO). Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan. Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Ekonomi.
    Barnens röster om när förälder ger sig iväg på utlandsmission2015Inngår i: / [ed] Gabrielsen, Trine Viste, 2015Konferansepaper (Annet (populærvitenskap, debatt, mm))
    Abstract [sv]

    Att säkra barnens välbefinnnade när förälder deltar i fredsbevarande insatser i krig och terror. Om att mobilieras stöd till barn och unga på hemmafronten

  • 13.
    Olsson, Ann-Margreth E.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Samhällsvetenskap. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan. Högskolan Kristianstad, Forskningsmiljön Children's and Young People's Health in Social Context (CYPHiSCO).
    Barnens röster om när förälder ger sig iväg på utlandsmission2015Inngår i: / [ed] Monika Larsson, 2015Konferansepaper (Annet vitenskapelig)
  • 14.
    Olsson, Ann-Margreth E.
    Högskolan Kristianstad, Forskningsmiljön Children's and Young People's Health in Social Context (CYPHiSCO). Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan. Högskolan Kristianstad, Sektionen för hälsa och samhälle.
    Extended families in dialogical collaboration in response with deployed family-members2017Inngår i: 14th Biennial Conference of ERGOMAS / [ed] European Research Group on Military and Society, 2017Konferansepaper (Annet vitenskapelig)
    Abstract [en]

    In this action research study participants of extended families became invited to participate in individual interviews and network meetings with their family members. The participants narrated and explored their experiences of having a deployed family member and/or being a deployed family member. Focus was on how family members collaborate and manage house and family, supporting the soldier in his/her commission and vice versa. In focus was also need of support from the outside of the family system and if so what, how and what else they had asked for.The research project is directed, by means of a dialogical participation action research method, towards the discovery of the appropriate tools that can serve military individuals, their families and network, and act as a buffer in the challenges they face. It may also guide professionals in social services, education and health care and voluntaries in networks in the quest to reduce distress experienced and promote individual and family resilience.The study includes 186 interviews with all together 128 participants. The researcher has also participated in several meetings and gatherings organised by the Swedish Armed Forces (SAF). The participants in the study are children, spouses, siblings, parents, grandparents and other concerned relatives as well as soldiers and veterans.Depending on perspective or position hold in the extended family, results imply differences in lived experiences and responses. For example the result show different views on family gatherings organised by Swedish Armed Forces most of all appreciated by the parents of the soldiers.

  • 15.
    Olsson, Ann-Margreth E.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Samhällsvetenskap. Högskolan Kristianstad, Forskningsmiljön Children's and Young People's Health in Social Context (CYPHiSCO). Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Lämnad men inte övergiven2013Inngår i: Försvarsmaktens veteranforskningsseminarium, 2013Konferansepaper (Annet vitenskapelig)
  • 16.
    Olsson, Ann-Margreth E.
    Högskolan Kristianstad, Forskningsmiljön Children's and Young People's Health in Social Context (CYPHiSCO). Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan. Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Ekonomi.
    När en anhörig går ut i krig: utforskande av sociala konsekvenser och utveckling av det sociala stödet – före, under, efter och se’n2013Inngår i: Avgörandets år 1813 – på väg mot den långa freden: the decisive year of 1813 – Sweden on the road to stable peace / [ed] Bitr. professor Ingemar Ottosson, 2013Konferansepaper (Annet vitenskapelig)
  • 17.
    Olsson, Ann-Margreth E.
    Högskolan Kristianstad, Forskningsmiljön Children's and Young People's Health in Social Context (CYPHiSCO). Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan. Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Ekonomi.
    Rapport från studien Barn i Barnahus - tvärvetenskaplig studie ur barnperspektiv: reflekterande team och Delta-reflekterande team som metod i forsknings- och handledningssammanhang2015Inngår i: FPL Konferens, Kristianstad Högskola, Kristianstad, Sweden, November 18 2015: Forskning för Hälsa i Samverkan / [ed] Professor Anna-Karin Edberg, 2015Konferansepaper (Annet vitenskapelig)
  • 18.
    Olsson, Ann-Margreth E.
    Högskolan Kristianstad, Forskningsmiljön Children's and Young People's Health in Social Context (CYPHiSCO). Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan. Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Ekonomi.
    Samarbete vid oro för att barn är utsatta för våld och sexuella övergrepp: om Barnahus och socialtjänstens utredningsansvar2015Inngår i: Inspirationseftermiddag för förskollärare, Högskolan Kristianstad, November 5th 2015: förskollärarutbildningen i samverkan med forskningsmiljöerna vid Högskolan Kristianstad / [ed] Susanne Thulin, 2015Konferansepaper (Annet vitenskapelig)
  • 19.
    Olsson, Ann-Margreth E.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan. Högskolan Kristianstad, Forskningsmiljön Children's and Young People's Health in Social Context (CYPHiSCO).
    Soldat och pårørende/anhörig: anhörig/pårørende som soldat och veteran med erfarenhet av utlandsmissioner i krigsområden och hur det blir för familj och barn2012Konferansepaper (Annet (populærvitenskap, debatt, mm))
  • 20.
    Olsson, Ann-Margreth E.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Samhällsvetenskap. Högskolan Kristianstad, Forskningsmiljön Children's and Young People's Health in Social Context (CYPHiSCO). Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Utlandsmissioner och de därhemma2014Inngår i: Försvarsmaktens Veteranforskningsseminarium, Stockholm: Försvarsmakten, Swedish Armed Forces , 2014Konferansepaper (Annet vitenskapelig)
  • 21.
    Olsson, Ann-Margreth E.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan. Högskolan Kristianstad, Forskningsmiljön Children's and Young People's Health in Social Context (CYPHiSCO).
    Utvecklingen på hemmafronten vid utlandsuppdrag: Dialogiska berättelser i aktionsforskning2013Konferansepaper (Annet vitenskapelig)
  • 22.
    Persson, Lena
    Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan. Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap.
    Providing integrated health and social care for older persons: facing the challenges in Europe2004Konferansepaper (Fagfellevurdert)
  • 23.
    Petersson, Pia
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Samverkansprocesser kring närsjukvård: dilemman och möjligheter2007Konferansepaper (Annet (populærvitenskap, debatt, mm))
  • 24.
    Petersson, Pia
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Augustinsson, Sören
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Samhällsvetenskap. Högskolan Kristianstad, Forskningsmiljön Arbete i skolan (AiS).
    Coordinated care planning in public health care in Sweden2012Konferansepaper (Annet vitenskapelig)
    Abstract [en]

    The objective of this paper is to describe, increase the understanding of, and contribute to a theoretical development of how to look at care planning in public health care in Sweden. By transferring some of the medical care from hospitals to a patient's actual home in the 1990s, valuable beds at hospitals were made available to other patients. Patients who have been properly medically treated at hospitals should be discharged from the hospital as soon as possible. This enables a transferral of aftercare to the patient's home or to a municipally organised living accommodation for e.g. the elderly. In order to make sure that patients receive continued care after their discharge from the hospital, Sweden introduced a law concerning co-ordinated care planning (SOSFS 2005:27). This law prescribed that professionals at hospitals should work together with the patient, close kin and caretaker representatives (primarily in the patient's municipal) in order to agree on the need for continued care. In practice this means that an assistance administrator (the person who makes decisions concerning municipal care efforts) a nurse from the municipal home health care system, a nurse from the hospital department at which the patient was admitted, alongside with the patient and his or her close kin should form a care planning team who meet in order to plan the continued need for care. Ultimately the doctors have formal responsibility. In addition to this law, there are agreements between the county council responsible for the medical care and municipals responsible for home health care, well prepared routines for practical approaches, as well as IT support making sure that information is properly transferred to safeguard the safety of the patient and smooth processes (Region Skåne 2011). Despite legislations, governing and control, there are a number of problems when it comes to actual co-ordinated care planning, why is that so? (Augustinsson 2010; Judge 2003; Czarniawska and Lindberg 2006; Lidén 2009; Lindström 2011). This was the basis of the research assignment, i.e. studying actual events behind co-ordinated care planning and developing theoretical models that may be of use to the care planning team. Rather than focusing on the research objective, we asked "What happens in the process of co-ordinated care planning?" This question formed the basis of ten semi-structured interviews with nurses working with co-ordinated care planning at a hospital. We focused on events, interpretations, experiences and emotions in order to follow up with questions that could offer more details on descriptions and analyses. At the introductory phase of the analysis of the transcribed interviews, we asked the following questions "What is going on here?" and "What do the natives [professionals] think they are up to?" From these analyses of the empirical material (interviews as well as documents) and previous theoretical viewpoints of researchers and their knowledge of the field, one overall question emerged: "What happens in the gap between formal structure such as legislations, routines and standardised procedures, and the informal meaning actual co-ordinated planning processes?" The empirical material also included observations of mutual meetings at the hospital between nurses working with co-ordinated planning. The empirical material, based on the answers to the questions above, have later been addressed from various theoretical aspects in order to open up and create new perspectives on events and new theoretical models. This approach means that neither empirical material nor theories are taken for granted. The conclusion of the study, albeit preliminary, is that too many routines and regulations in a co-operation will make professionals unable to see solutions found outside of the predetermined boundaries. The detail level of regulations may be such a problem. This has been frequently discussed and is a known phenomenon among researchers studying knowledge development, safety and quality in organisational work (Dreyfus and Dreyfus 2003; Weick 2009).

  • 25.
    Westergren, Albert
    Högskolan Kristianstad, Forskningsmiljön PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna. Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan.
    Datorbaserad utbildning bidrar till att undernärda får adekvat nutritionsbehandling2015Konferansepaper (Annet vitenskapelig)
  • 26.
    Westergren, Albert
    Högskolan Kristianstad, Forskningsmiljön PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna. Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan.
    Eating difficulties and nutrition after stroke2015Konferansepaper (Annet vitenskapelig)
  • 27.
    Westergren, Albert
    Högskolan Kristianstad, Forskningsmiljön PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna. Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan.
    Preventiva hembesök till seniorer: för ett hälsosamt och oberoende liv2017Konferansepaper (Annet vitenskapelig)
  • 28.
    Westergren, Albert
    Högskolan Kristianstad, Forskningsmiljön PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna. Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan.
    Undernäring och fallrisk: ett folkhälsoproblem? Nordens största konferens med fokus på geriatrik och palliativ medicin2015Konferansepaper (Annet vitenskapelig)
1 - 28 of 28
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