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  • 251.
    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.
    Listening to the voice of children: inviting to partnership in social work2011Inngår i: Challenging social responsibilities for child abuse and neglect, 2011Konferansepaper (Annet vitenskapelig)
  • 252.
    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).
    Listening to the voice of children: systemic dialogical coaching inviting to participation and partnership in social work2011Inngår i: The joint Nordic conference on welfare and professionalism in turbulent times, 2011Konferansepaper (Annet vitenskapelig)
    Abstract [en]

    A study in and about systemic coaching in social work – systemic, and, as it unfolded, dialogical coaching (DC), with focus on what the conducted coaching brought forth, generated and created in the context of social work and for the members of the participating social welfare organisations, how the coaching inspired social workers to invite clients and especially children into partnership, making their voices heard, both in the written text and in the process of social investigations.

     

    The study was integral parts of commissions (and vice versa) of the County Administrative Board of Scania, Sweden, in my profession as systemic consultant and supervisor in Sweden. It was a study in how dialogical communication could improve how social workers, listening to the children’s invitation, could make children’s voices more heard in social investigations. In all, 55 social workers in seven municipalities participated in this dialogical participatory action research (DPAR) study, conducted for more than five years in all.

     

    The focus on communication and dialogue in the coaching changed and developed the participants’ approach in relation to clients and one another and others.  In the emerging awareness of how we reciprocally and reflexively co-create occurrences and outcomes, including who we become in relation to one another, the participating social workers’ awareness of the impact of their own contributions, and their own importance in relation to children and other clients, also improved. The expressions listening ears and listening questions were invented, capturing my, the coach’s, participation of placing myself completely at the other participants’ disposal, completely accessible in the mutual responsiveness in the moment – being here and now in the present. The systemic methods and techniques were reflexively influenced and adapted from within the relational dynamic of joint actions in the dialogical interplay, becoming living tools in both the social workers’ practice and mine as coach and researcher.

  • 253.
    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)
  • 254.
    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)
  • 255.
    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.
    När relationer hotar att brista: att lyckas med anhörigskapandet som soldat och anhörig2013Konferansepaper (Annet (populærvitenskap, debatt, mm))
    Abstract [sv]

    Samtliga familjer med familjemedlem som valt yrket soldat och officer i Sverige, förväntas fortsättningsvis kunna hantera att den försvarsanställde under långa perioder deltar i internationella militära insatser i krigsområden. Med dessa arbetsvillkor hamnar soldatens relationer under särskilda påfrestningar. Såväl soldater som deras anhöriga förväntas ha förmåga och kunnande att hålla sina relationer levande både på distans, under övningar och utlandstjänstgöring, liksom tiden före och efter sådana perioder.

    Försvarsmakten har genom åren sänt iväg soldater och officerare på cirka 100.000 uppdrag i utlandet. Under lång tid har Försvarsmakten betraktat de försvarsanställda som isolerade individer – inte som ingående i familjesystem. Dessutom har existensen av barn som berörs helt bortsetts ifrån. Först på senare år har Försvarsmakten börjat registrera att soldaten är gift, samboende. Antal egna barn registreras inte varför uppgifter om hur många barn som genom åren berörts saknas. Samtidigt förväntas soldatens anhöriga att på hemmaplan fungera optimalt dels för att inte undergräva soldatens kapacitet i fält, dels för att han/hon ska ha något att se framemot och återvända till. Dessutom, förväntas hemmavarande vuxna att fungera på ett sätt så att inte berörda barn blir ytterligare belastade när en förälder gett sig ut i krig.

    Att se soldaten som ingående i system, familjen och nätverket, innebär både att nya möjligheter öppnar sig och att andra hänsyn behöver tas än dem som idag tas. Familje- och/eller nätverksmöten skulle kunna både mobilisera resurser och göra överenskommelser om hur gå vidare i samskapandet av kommunikation och relationer.

    Ovanstående är utgångspunkter i pågående systemisk, narrativ, dialogisk deltagande aktionsforskning vid Högskolan Kristianstad. Forskningen genomförs som en 3-årig kvalitativ studie där forskningspersonerna och forskaren i dialog utforskar hur deltagarna gör anhörigskapet i relation till varandra och hur de löser de sociala sammanhangen före utlandstjänstgöring, under, efter och sén (efter ytterligare 1 år). Sammanlagt följs ett 30-tal familjer.

     

  • 256.
    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)
  • 257.
    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).
    Responsive understanding from within conducting social investigations in social work2014Inngår i: Beyond professional monologue: rendering oppressed voices audible in reflexive dialogical practice and research / [ed] Gail Simon, 2014Konferansepaper (Annet vitenskapelig)
    Abstract [en]

    In this Dialogical Participatory Action Research (DPAR) study we were exploring and developing dialogical coaching in social work with M.M. Bakhtin as one of the most important inspiration sources. The investigating social workers had traditionally been trained to seek neutral approach and external clarity. In the study the social workers started to invite the children to participate as partners in conducting the social investigations creating increasing mutual involvement in dialogical interplay and collaboration. When the social workers addressed the children, inviting the children and their families into a mutually involving dialogical participation, exploring and inquiring both the risks and the strengths of the child’s relationships, the social workers wanted to obtain a responsive understanding, that is, getting an understanding from within the family system and the child’s perspective. In dialogical conversations it became possible for the social worker to act and support changes improving the lives of the children from within the perspective of the children. Hearing the voice of the child, in the way the child chooses to speak, the social worker was given an idea of the communicative style and orientation in the family as well as of the social conditions, from the child’s point of view, including the child’s strategies in managing his or her situation. In the coaching the social workers explored how every unique speech experience became shaped and developed in continuous and constant interaction with others’ utterances and narratives. In the study was traced, together with participating social workers, examples, ideas and narratives given in the context of the research which were experienced as striking or special events – once-occurrent events of being – examples that emerged for the participants as important and significant for the progress and impact of the projects and the study.

  • 258.
    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)
  • 259.
    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.
    Securing children’s well-being when parent participates in peace-keeping forces abroad: the case of Sweden2014Inngår i: / [ed] Claes Göran Svedin, Nuuk, Greenland, 2014Konferansepaper (Annet vitenskapelig)
    Abstract [en]

    It is recognised that effects of war can last for generations. There is also an idea that Sweden has stayed out of war for centuries. Increasing involvement in war and turning away from conscription to recruiting personnel on contract assignments have caused new patterns. Among these are the need for family involvement and support systems, including those directed towards the children of the military/veterans. In Sweden the families are not located in campus. Professional expertise is not readily available. Support is largely channelled through organisations serving the general population. Both experience and research in Sweden into this area is scattered. Scientific studies regarding families and especially children have just recently started. This research project started 2012 involving 31 families of Swedish soldiers participating in a contingent in the northern Afghanistan. A total of 116 respondents of which 16 are children have participated. Interviews using a dialogical systemic approach have been conducted prior to, during and after the deployment. The data analysis is in its preliminary stages. An action research approach is part and parcel of the project. This has produced a framework for professional skills education. A course “Social work with Veterans, Soldiers and their Children” (7,5 higher education credits, basic level, rate of study 25%) is given, the first of its kind in Sweden.

     

  • 260.
    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).
    Securing children’s well-being when parents participate in peace-keeping forces abroad: relationships and social life prior to, during and after deployment abroad — a case in Sweden2013Konferansepaper (Annet vitenskapelig)
    Abstract [en]

    Research project in Social work funded during 2013 – 2015 by Swedish Armed Forces and Kristianstad University following 30 families of Swedish soldiers and officers participating in a contingent in the northern Afghanistan.

     

    This action research study explores the solutions narrated by soldiers, families and parents/relatives in connection with deployment to and readiness to participate in world wide peacekeeping operations. The study design is based on following a contingent in the situation prior to, during and after deployment. The design is open. Data from persons who have participated in other contingents are also collected. Sampling uses a mixed model, which involves interviews, participation in meetings and other actions. Soldiers and soldier’s relatives have been and are invited to participate in dialogical interviews, re-narrating and co-creating narratives about their experiences so far and orientation in how to go on. So far, 120 persons have been interviewed including 15 children. The analysis of the data is in its preliminary stages. Further inquiry needs to be done to reveal in more details how social support and the emergent strategies of the families and of the individual family members align themselves in face of the presence of deployment. More exploration is especially needed with regards to the voice of the children.

  • 261.
    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))
  • 262.
    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).
    Studenternas berättelser om PUUH i dialogisk och språksystemisk praxis2012Inngår i: Personlig och professionell utveckling inom socionomutbildningen: en antologi / [ed] Magnus Ottelid, Östersund: Mittuniversitetet , 2012, 1, 175-189 s.Kapittel i bok, del av antologi (Annet vitenskapelig)
    Abstract [sv]

    PUUH (Personlig Utveckling Under Handledning) kallas PPU (Person och Professionell Utveckling) vid Högskolan Kristianstad. I denna artikel hörs studenters röster och berättelser om PUUH som den blev när vi träffades och jag som handledare använde idéer och metoder sprungna ur systemisk och dialogisk praxis. Studenterna berättar om sitt deltagande och den betydelse PUUH fick för dem i relation till varandra och mig som handledare. Lärandet ökade när jag som handledare uppmuntrade nyfikenhet och utforskande i ne tillåtande atmosfär. Studien är genomförd som deltagande aktionsforskning med narrativ inriktning.

  • 263.
    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.
    Stödet till anhöriga och soldaten som anhörig2016Konferansepaper (Annet vitenskapelig)
  • 264.
    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 och arbetsliv.
    Systemic conversations with military families: research as intervention2016Inngår i: Systemic therapy as transformative practice / [ed] Imelda McCarthy and Gail Simon, Farnhill, UK: Everything is connected , 2016, 331-344 s.Kapittel i bok, del av antologi (Annet (populærvitenskap, debatt, mm))
  • 265.
    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.
    The importance of social worker's invitation of children in Children's House, Barnahus, into partnership2015Inngår i: New directions in child protection and wellbeing making a real difference to children's lives, 2015Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Objectives

    Children's Houses (CH) in Sweden are inspired by the Children's Advocacy Centre model. They aim to improve professional cooperation in investigating if a child may be victim of serious offence and need of protection, In CH professionals, police, prosecutors, health care and social welfare services collaborate in making the voice of the child heard in forensic interviews. In this ongoing study the aim is to explore the impact of the introduction of CH in social work encouraging the social workers' in their efforts to increase the children's involvement in the social investigation and the assessing processes.

    Methods

    This is a systemic participatory action research study where the emerging findings create foundations for further orientation in how to go on in practice both as participating social worker and researcher. In total 51 social workers have narrated in interviews and other meetings about the social work in the context of CH and children's response to CH. Meetings are recorded and transcribed by the researcher. In keeping with the social constructionist approach in the study, the participants' own understandings and their own constructed narratives are listened to in the content analysis and will speak in reports of the study.

    Results

    The procedure used in CH can create challenges for workers and families. When a parent is suspected, the court appoints a lawyer who can decide about the child's participation without parent's knowledge or consent. The lawyer brings the child from school or the child's day care centre to CH. Social workers report difficulties in knowing how to approach and orientate themselves in relation to the children in CH without disturbing the police proceedings. The children return to school or day care centre abandoned by the authorities and meet their parents alone afterwards without knowing their responses or reactions to the child's visit to CH and participating in the police interrogation.

    Conclusions

    In the on-going study, evidence has emerged indicating that the idea of the social worker involving the child and inviting into partnership, is at risk of being superseded by the priority given in the context of CH to the criminal law proceedings. The importance of the social workers approaching the child, offering support and inviting into partnership, has to be taken into consideration in the collaboration of CH. This is a delicate phase and crucial for if the child is going to invite the social worker into the child's life reaching an understanding from within the child's perspective or not.

  • 266.
    Olsson, Ann-Margreth E.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Ekonomi och arbetsliv. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan. Högskolan Kristianstad, Forskningsmiljön Children's and Young People's Health in Social Context (CYPHiSCO).
    The responses of Swedish military families before, during and after international deployment2016Inngår i: / [ed] NORDEFCO – Nordic Defense Cooperation, 2016Konferansepaper (Annet vitenskapelig)
    Abstract [en]

    This research project is directed by means of a dialogical participation action research (DPAR) method, towards the discovery of the right tools that can serve military individuals, families and especially the children.  Tools that can act as a buffer against the challenges they face when a family member working as Swedish soldier or officer participate in international military deployments. The research results may also guide professionals in social services, education and health care as well as voluntaries in networks in the quest to reduce the distress experienced and promote individual and family resilience.

     So far 186 interviews with individuals, families and relatives have been conducted. In total 128 persons participated including 26 children in aged 4-21, 35 soldiers or veterans, 24 parents or siblings of soldiers and 37 partners (spouse, fiancée, cohabiter or living apart together) in relation to the deployed soldier. Study results show different styles of reciprocal responses. The joint approaches were constructed into types: Partnership; Supporting and mobilizing; Normalizing – ordinary life; Adjusting and negotiating; Emotional reacting; Sacrificing and suffering.  The cycle of deployment includes several once-occurring phases of being also in the context of so called ‘leave’ during deployments. Crucial for future orientation in family relationships are detachment and re-attachment when the soldier leaves or returns home.

  • 267.
    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)
  • 268.
    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)
  • 269.
    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.
    Veteranen för samhället och i det sociala livet2012Inngår i: Veteranen i samhället, 2012Konferansepaper (Annet vitenskapelig)
    Abstract [sv]

    Sedan andra världskrigets slut finns omfattande forskning om veteransoldater i andra länder och olika former av stöd har utvecklats till soldater. Förvånansvärt litet forskning finns om motsvarande utveckling i Sverige. Vid Högskolan Kristianstad skapades under 2011 en forskargrupp inom socialt arbete med fokus på soldater, veteraner och deras anhöriga. Forskargruppen utvecklar forskning också inom sociologi och historia. Jag är en av forskarna vid Högskolan Kristianstad. Jag är huvudansvarig för forskningsprojektet När en anhörig går ut i krig: Om sociala konsekvenser och utveckling av stöd till soldat- och veteranfamiljer före, under, efter och sén som planeras innebära att vi följer FS 24 och deras anhöriga.

  • 270.
    Olsson, Ann-Margreth E.
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Ekonomi och arbetsliv. Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan. Högskolan Kristianstad, Forskningsmiljön Children's and Young People's Health in Social Context (CYPHiSCO).
    Kläfverud, Maria
    Högskolan Kristianstad, Forskningsmiljön Children's and Young People's Health in Social Context (CYPHiSCO). Högskolan Kristianstad, Sektionen för hälsa och samhälle. Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan.
    Becoming summoned to, visit and exit a "Barnahus" from child perspective2017Konferansepaper (Annet vitenskapelig)
  • 271.
    Olsson, Ann-Margreth E.
    et al.
    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.
    Maria, Kläfverud
    Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan. Högskolan Kristianstad, Forskningsmiljön Children's and Young People's Health in Social Context (CYPHiSCO).
    To become summoned to Barnahus: children's perspectives2017Inngår i: Collaborating against child abuse: exploring the Nordic Barnahus Model / [ed] Johansson, Susanna; Stefansen, Kari; Bakkesteig, Elisiv; Kaldal, Anna, Palgrave Macmillan, 2017, 57-74 s.Kapittel i bok, del av antologi (Annet vitenskapelig)
    Abstract [en]

    This chapter presents and analyses children’s narratives about becoming summoned to, arriving and visiting a Barnahus. In the children’s perspective Barnahus became a house where children meet the police in serious matters. The children felt welcomed as guests, however hard work waited in the police investigative interview in front of scary cameras and strangers watching in an adjacent room. The children found they had needed more information about what was going on and why. The chapter concludes with suggestions for further research and reflections for practitioners in considerations of children’s experiences of procedures and of becoming addressed as non-acting objects – instead of the acting subjects the children talked about themselves as being and acted as in the research interviews.

  • 272.
    Olsson, Ann-Margreth E.
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Ekonomi och arbetsliv. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan. Högskolan Kristianstad, Forskningsmiljön Children's and Young People's Health in Social Context (CYPHiSCO).
    Olsson, Sven-Erik
    AMOVE AB.
    Finsamprojekt förebyggande arbete: Kartläggning och behovsanalys av förebyggande arbete mot våld i nära relationer i Bromölla, Hässleholm, Kristianstad, Osby och Östra Göinge kommuner samt Region Skåne och Försäkringskassan2016Rapport (Annet vitenskapelig)
    Abstract [sv]

    Kommunerna i Skåne Nordost var tidigt ute med planer mot våld 2005. Försäkringskassan har på central nivå starkt profilerat sig som en aktör som skall motverka mäns våld mot kvinnor, men det verkar inte ha fått genomslag, än så länge. 

    Region Skåne har markerat sig i planarbete och utvecklande av metodverktyg, som Genushanden©, men fortfarande är praxis när det gället att Våga Fråga varierande. Samverkan mellan kommuner och Regionen i form av bl. a. Familjehus och föräldrautbildningsprogram, samtal och rådgivning lockar många deltagare. De är exempel på program för normpåverkan som i andra sammanhang visat sig fungera.

    Kommunerna samverkar, men har också gjort olika vägval. Hässleholm har satsat på sammanhållna processer inom kommunen, samverkan mellan tre förvaltningar och ett Familjefridscentrum som utvecklar och koordinerar arbetet mot våld i nära relationer. Övriga kommuner samverkar bland annat när det gäller spetskompetens genom Kriscentrum i Kristianstad. Alla kommuner satsar på förebyggande arbete genom bl.a. föräldrautbildningar. Samverkan med polis förefaller fungera bra när det gäller ungdom, men sämre när det handlar om kvinnor och/eller barn. Det framkom att det saknades stöd riktat till unga vuxna, där också personer som har eller kan vara aktuella för aktivitetsersättning återfinns.  

    Det pågår och planeras fortsatt kompetensutveckling riktad till personal och genom KompetensCentrum. När det gäller Kristianstad kommun handlar det om 550 personer som skall gå utbildning.

    Viktiga områden att fokusera på framöver är:

     - Våga Fråga!, idag är stor variation. Frågeställaren behöver vara trygg i vad som kan göras och erbjudas vid upptäckt av våld eller hot om våld.

    - Mer information, utbildning och dialog inom och mellan verksamheter för att öka kompetens för överlämnande och tilltro till varandra som samverkanspartners.

    - Förebyggande insatser för unga vuxna.

    - Kopplingen arbetsliv – livet i övrigt. Ur arbetsgivarperspektiv går det att göra mycket när det gäller att upptäcka om anställd är utsatt för våld eller hot om våld såväl i arbetet som utanför arbetet.

  • 273.
    Olsson, Ann-Margreth E.
    et al.
    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).
    Olsson, Sven-Erik
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Samhällsvetenskap.
    In search of the voice of children: social workers as allies and gate-keepers2013Konferansepaper (Annet vitenskapelig)
    Abstract [en]

    To improve a collaborative work a new institute has emerged in some places in Sweden, the Children’s House (CH), inspired by the Children’s Advocacy Center (CAC) model. In a CH professionals; police, prosecutors, health care and social services collaborate. One of the guiding ideas for CH is that the child should have to go to only one place during the investigatory process. In an ongoing dialogical participatory action research (DPAR) study the intention is to explore the children’s participation and understanding of CH. The aim is to support and secure a collaborative process with respect for the views of the child where the participating child becomes involved and listened to not only as a victim in an interrogation but as an actor.

    In developing evidence-based social work and learning in social work it becomes important that researchers are given opportunity to follow proceedings and listen to different voices including young clients. In the ongoing research project the researchers are participating observing the proceedings in CH and interviewing social workers asking them to mediate contact with participating children and their parents for the researcher. The researchers want to listen to the child’s view about visiting CH, the understanding of the context and the processes before, during and after visiting CH including the process of the social investigation and meetings with social workers.

    Several initiatives have been taken to improve participation within the child protection system, among these to develop social workers and social investigation processes from the perspective of being the child’s advocate. Evidence has emerged indicating that the ideas of inviting children into partnership with their social worker, are risking to be superseded by the priority to the forensic interview in CH, conducted by the police. The social workers report and show difficulties in knowing how to orientate themselves in relation to the children. The researcher’s request asking the social workers to invite the participating children and their parents into research collaboration seems to, so far, made the social workers to gate-keepers protecting the children from initiative reminding them of old abusive stories as well as severe proceedings.  

     

  • 274.
    Olsson, Sven-Erik
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Samhällsvetenskap. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    En myndighet till - skulle det hjälpa barnen?2014Annet (Annet (populærvitenskap, debatt, mm))
  • 275.
    Olsson, Sven-Erik
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Samhällsvetenskap. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Ny myndighet ökar inte barnskyddet2014Inngår i: Aftonbladet, ISSN 1403-9656Artikkel i tidsskrift (Annet (populærvitenskap, debatt, mm))
  • 276.
    Olsson, Viktoria
    et al.
    Högskolan Kristianstad, Sektionen för lärande och miljö, Avdelningen för Mat- och måltidsvetenskap. Högskolan Kristianstad, Forskningsmiljön Food and Meals in Everyday Life (MEAL).
    Nyberg, Maria
    Högskolan Kristianstad, Sektionen för lärande och miljö, Avdelningen för Mat- och måltidsvetenskap. Högskolan Kristianstad, Forskningsmiljön Food and Meals in Everyday Life (MEAL).
    Pajalic, Zada
    Linnéuniversitetet.
    Örtman, Gerd
    Linnéuniversitetet.
    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.
    Blucher, Anna
    Linnéuniversitetet.
    Andersson, Håkan
    Linnéuniversitetet.
    Wendin, Karin
    Högskolan Kristianstad, Sektionen för lärande och miljö, Avdelningen för Mat- och måltidsvetenskap. Högskolan Kristianstad, Forskningsmiljön Food and Meals in Everyday Life (MEAL).
    Designing meals for elderly with eating difficulties: a cooperative approach2014Konferansepaper (Annet vitenskapelig)
    Abstract [en]

    Approximately 15 % of the Scandinavian population aged 60 and above suffer from eating difficulties with malnutrition as a risk factor. In an effort to improve their possibilities of a healthy and independent living, we have chosen the strategy to develop nutritious and tasty food in combination with functional eating aids to be integrated in the everyday lives of elderly.

    This new, multi-disciplinary project concerns the design of meals for those who experience difficulties in transporting food from the plate to the mouth. The present paper, as part of the project, aims at presenting today’s knowledge of what home-living Scandinavian elderly with pre-oral eating difficulties experience as important factors concerning the meal. The review of peer-reviewed research publications will be complemented with in-depth interviews, surveys and observation studies. Data will be used in a co-designing process, where elderly are involved in developing meals and eating aids that support independence and integrity.

    For elderly in general it is well known that food and drink preferences are affected by past experiences. However, impaired appetite, taste and smell as well as eating difficulties require special adaptations of food and beverages. Serving popular dishes and using distinct flavours and presentations improves meal satisfaction. Elderly suffering from e.g. hand tremor or difficulties in gripping often develop strategies to remain independent, of which one may be to omit meal constituents affecting the sensory and nutritional quality of the meal. Furthermore, the eating situation among people with eating difficulties is often associated with guilt and shame, and social withdrawal is therefore a common scenario.

    Remaining independent in respect to eating is highly valued among elderly. By integrating various dimensions of the meal, including nutritional and sensory aspects, in the development of functional eating aids, the possibility of a healthy and independent living among elderly increases.

  • 277.
    Olsson, Viktoria
    et al.
    Högskolan Kristianstad, Sektionen för lärande och miljö, Avdelningen för Humanvetenskap. Högskolan Kristianstad, Forskningsmiljön Food and Meals in Everyday Life (MEAL).
    Nyberg, Maria
    Högskolan Kristianstad, Sektionen för lärande och miljö, Avdelningen för Humanvetenskap. Högskolan Kristianstad, Forskningsmiljön Food and Meals in Everyday Life (MEAL).
    Pajalic, Zada
    Linnaeus University.
    Örtman, Gerd
    Linnaeus University.
    Westergren, Albert
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap I. Högskolan Kristianstad, Forskningsmiljön PRO-CARE. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Blücher, Anna
    Linnaeus University.
    Andersson, Håkan
    Linnaeus University.
    Wendin, Karin
    Högskolan Kristianstad, Sektionen för lärande och miljö, Avdelningen för Humanvetenskap. Högskolan Kristianstad, Forskningsmiljön Food and Meals in Everyday Life (MEAL).
    Designing meals for elderly with eating difficulties: a cooperative approach2015Konferansepaper (Annet vitenskapelig)
    Abstract [en]

    Remaining independent in respect to eating is highly valued among elderly. By integrating various dimensions of the meal, including nutritional and sensory aspects, in the development of functional eating aids, the possibility of a healthy and independent living among elderly increases.

  • 278.
    Olsson, Yvonne
    et al.
    Lund University.
    Clarén, Lena
    Lund University.
    Alvariza, Anette
    Ersta Sköndal University College.
    Årestedt, Kristofer
    Ersta Sköndal University College.
    Hagell, Peter
    Högskolan Kristianstad, Forskningsmiljön PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan. Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna.
    Health and social service access among family caregivers of people with Parkinson's disease2016Inngår i: Journal of Parkinson's Disease, ISSN 1877-7171, E-ISSN 1877-718X, Vol. 6, nr 3, 581-587 s.Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: Being a family caregiver for a person with Parkinson's disease (PD) can negatively impact health and wellbeing, but it appears less clear to what extent caregivers' health/social service needs are met.

    OBJECTIVE: We explored the extent to which PD family caregivers experience sufficient access to health/social services, as compared to age-matched controls; and the associations between this and demographic and health-related variables.

    METHODS: A cross-sectional survey of 66 PD family caregivers and 79 age-matched control subjects including the SF-36 health survey, the Nottingham Health Profile Sleep section (NHP-Sleep), and questions regarding contacts with various health/social related services and whether these were perceived as sufficient.

    RESULTS: People reporting insufficient access (n = 29) were more often PD family caregivers than controls (83% vs. 37%), did more often have a disease of their own (79% vs. 46%), and reported poorer health according to the SF-36 and the NHP-Sleep. Being a PD family caregiver (OR, 8.90), reporting more pain (OR, 1.02) and having an own disease (OR, 3.46) were independently associated with insufficient health/social service access.

    CONCLUSIONS: Our results imply that those in greatest need for health/social services (i.e., those with poorer health, an own disease, and who are PD family caregivers) are those whose health/social service needs are least met. Larger studies are needed for firmer conclusions and regarding how unmet health/social service needs impacts caregiver health and wellbeing. Health/social service providers should not only focus on patients but also consider their family members' needs.

  • 279.
    Orban, Kristina
    et al.
    Department of Health Sciences, Lund University.
    Edberg, Anna-Karin
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Erlandsson, Lena-Karin
    Department of Health Sciences, Lund University.
    Using a time-geographical diary method in order to facilitate reflections on changes in patterns of daily occupations2012Inngår i: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 19, nr 3, 249-259 s.Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective and methods: Time-use methodologies have been proposed to be established research techniques when exploring aspects of daily occupations. In this study, two graphs illustrating the time arrangement of occupations as they appear in a continuous sequence were used in order to encourage individuals to reflect on their everyday life. The aim was to investigate the usefulness of a time-geographical diary method (using illustrative graphs) in combination with stimulated-recall interviews, to facilitate reflections on how patterns of daily occupations change over time and the causes that lie behind these changes. The study had a qualitative design. The participants were two working, married mothers, i.e. individuals considered to have highly complex patterns of daily occupations. The data analysis was performed by using thematic content analysis. Results: The results showed that the stimulated-recall interviews, based on the graphs, facilitated new insights that came to light concerning the scope of the participants' daily life. The method enabled the participants to reflect on their patterns of daily occupations and become aware of changes relevant to explain the causes for engaging in occupations the way they did. Conclusions: The method thus seems useful in research and practice for occupational therapists working with individuals with a need to change lifestyle.

  • 280.
    Orban, Kristina
    et al.
    Lund University.
    Edberg, Anna-Karin
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap II. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Thorngren-Jerneck, Kristina
    Lund University.
    Önnerfält, Jenny
    Lund University.
    Erlandsson, Lena-Karin
    Lund University.
    Changes in parents’ time use and its relationship to child obesity2014Inngår i: Physical & Occupational Therapy in Pediatrics, ISSN 0194-2638, E-ISSN 1541-3144, Vol. 34, nr 1, 44-61 s.Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective:The aim was to explore any change in parents' time use together with theirchildren, changes in their perceived occupational value, and its relationshipto children's body mass index (BMI) over the course of a one-yearoccupation-focused family intervention. Method: The study sample consisted ofparticipants in one arm of a randomized controlled trial, involving mothers andfathers (n = 30) of 17 children aged 4–6 years who were considered obese. Datawere collected by time-geographical diaries during the intervention and bymeasuring the parents’ occupational value and the children's BMI before andafter the intervention. Results: At the end of the intervention, an increasewas shown in the amount of time parents spent together with their childrenduring weekdays (p = .042) and the parents perceived occupational value (p =.013). Children's BMI z-score changed with −0.11 units. Conclusion:Collaboration with parents may be useful in interventions aiming atfacilitating a normal weight development among children.

  • 281.
    Orban, Kristina
    et al.
    Lund University.
    Erlandsson, Lena-Karin
    Lund University.
    Edberg, Anna-Karin
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap II. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Önnerfält, Jenny
    Lund University.
    Thorngren-Jerneck, Kristina
    Lund University.
    Effect of an occupation-focused family intervention on change in parents’ time use and children’s body mass index2014Inngår i: American Journal of Occupational Therapy, ISSN ISSN 0272-9490, EISSN 1538-7488, Vol. 68, nr 6, e217-e226 s.Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    OBJECTIVE. This study explored factors related to changes in the time parents spent with their children with obesity and associated decreases in children’s body mass index (BMI) z-scores after an occupation-focused intervention.

    METHOD. Parents participated in a 1-yr occupation-focused intervention to promote healthy family lifestyles. Data on 40 parents of 22 children with obesity ages 4–6 yr were collected before and after intervention and analyzed using linear and multiple regression methods.

    RESULTS. Parents increased time spent with their children by an average of 91 min/day. Parents’ finances, perceived satisfaction in daily occupations, low BMI, and mastery at inclusion were associated with increased time spent with their children. Mothers’ subjective health and high mastery and fathers’ perceived occupational value and education explained 67% of the variance in children’s BMI z-scores.

    CONCLUSION. The results indicate important factors to consider in developing interventions that facilitate occupational engagement and health among children with obesity and their families.

  • 282.
    Orrung Wallin, Anneli
    et al.
    Lund University.
    Edberg, Anna-Karin
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan.
    Beck, Ingela
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan.
    Jakobsson, Ulf
    Lund University.
    Psychometric properties concerning four instruments measuring job satisfaction, strain, and stress of conscience in a residential care context2013Inngår i: Archives of gerontology and geriatrics (Print), ISSN 0167-4943, E-ISSN 1872-6976, Vol. 57, nr 2, 162-171 s.Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    There are many instruments assessing the wellbeing of staff, but far from all have been psychometrically investigated. When evaluating supportive interventions directed toward nurse assistants in residential care, valid and reliable instruments are needed in order to detect possible changes. The aim of the study was to investigate validity in terms of data quality, construct validity, convergent and divergent validity and reliability in terms of the internal consistency and stability of the Job Satisfaction Questionnaire, the Psychosocial Aspects of Job Satisfaction, the Strain in Dementia Care Scale (SDCS), and the Stress of Conscience Questionnaire (SCQ) in a residential care context. The psychometric properties of the instruments were investigated in terms of data quality, construct validity, convergent and divergent validity and reliability, including test-retest reliability, in a residential care context with a sample consisting of nurse assistants (n=114). The four instruments responded with different psychometric-related problems such as internal missing data, floor and ceiling effects, problems with construct validity and low test-retest reliability, especially when assessed on the item level. These problems were however reduced or disappeared completely when assessed for total and factor scores. From a psychometric perspective, the SDCS seemed to stand out as the best instrument. However, it should be modified in order to reduce floor effects on item level and thereby gain sensitivity. The Job Satisfaction Questionnaire seemed to have problems both with the construct validity and test-retest reliability. The final choice of instrument must, however, be made dependent on what one intends to measure.

  • 283. Orrung Wallin, Anneli
    et al.
    Edfors, Ellinor
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap II.
    Edberg, Anna-Karin
    Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan. Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap II.
    Job satisfaction among nurse assistants working in residential care for older people2014Konferansepaper (Fagfellevurdert)
  • 284.
    Orrung Wallin, Anneli
    et al.
    Department of Health Sciences, Lund University.
    Jakobsson, Ulf
    Department of Clinical Sciences in Malmö, Lund University.
    Edberg, Anna-Karin
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Job satisfaction and associated variables among nurse assistants working in residential care2012Inngår i: International psychogeriatrics, ISSN 1041-6102, E-ISSN 1741-203X, Vol. 24, nr 12, 1904-1918 s.Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background:While the work situation for nurse assistants in residential care is strenuous, they themselves often state that they are satisfied with their job. More knowledge is clearly needed of the interrelationship of variables associated with job satisfaction. This study aims to investigate job satisfaction and explore associated variables among nurse assistants working in residential care.

    Methods: A total of 225 respondents completed a questionnaire measuring general job satisfaction, satisfaction with nursing-care provision and measures concerning person-centered care, work climate, leadership, and health complaints. Job satisfaction was the outcome measure and comparisons were made among those reporting low, moderate, and high levels of job satisfaction; multiple regression analyses were used to explore associated variables.

    Results: The caring climate and personalized care provision were associated with general job satisfaction. High levels of satisfaction with nursing-care provision were also associated with the general work climate, organizational and environmental support, and leadership. Low job satisfaction was mainly associated with health complaints.

    Conclusions: Nurse assistants working in a positive work climate, caring climate, with a positive attitude to their leaders, who receive organizational and environmental support, provide person-centered care and experience a higher degree of job satisfaction. It seems essential, however, to include both general and context-specific measures when investigating job satisfaction in this field as they reveal different aspects of the nurse assistant's work situation.

  • 285.
    Orrung Wallin, Anneli
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle. Lund University.
    Jakobsson, Ulf
    Lund University.
    Edberg, Anna-Karin
    Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan. Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna.
    Job strain and stress of conscience among nurse assistants working in residential care2015Inngår i: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 23, nr 3, 368-379 s.Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aim The aim was to investigate job strain and stress of conscience among nurse assistants working in residential care and to explore associations with personal and work-related aspects and health complaints. Background It is important to investigate job strain and stress of conscience, both for the well-being of the nurse assistants themselves and for the impact on the quality of care they provide. Method Questionnaires measuring job strain, stress of conscience, personal and work-related aspects and health complaints were completed by NAs (n = 225). Comparisons of high and low levels of job strain and stress of conscience and multiple linear regression analyses were performed. Result Organisational and environmental support and low education levels were associated with low levels of job strain and stress of conscience. Personalised care provision and leadership were related to stress of conscience and the caring climate was related to job strain. Conclusion There is a need for support from the managers and a supportive organisation for reducing nurse assistants work-related stress, which in turn can create a positive caring climate where the nurse assistants are able to provide high quality care. Implications for nursing management The managers' role is essential when designing supportive measures and implementing a value-system that can facilitate personalised care provision.

  • 286.
    Ottosson, Lena
    et al.
    Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Janlöv, Ann-Christin
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Vägen till ett aktivt och hälsosamt liv: upplevelser och erfarenheter av vad som ger ett aktivt och hälsosamt åldrande bland personer i gruppen 60-74 år2015Rapport (Annet vitenskapelig)
    Abstract [sv]

    Bakgrund: Den äldre befolkningen ökar i Sverige och i nästan alla delar av världen, därförär det viktigt med kunskap om hur vi kan skapa goda förutsättningar för att bevara hälsanför människor, även i hög ålder. Investeringar i hälsosamt åldrande ökar livskvalitet för denenskilde, skapar ett hållbart samhälle och bidrar till minskade samhällskostnader.Syfte: Syftet var att undersöka upplevelser och erfarenheter av vad som ger ett aktivt ochhälsosamt åldrande för personer i åldrarna 60 -74 år i Kristianstad kommun.Metod: En empirisk intervjustudie med datainsamling i två fokusgrupper, med sammanlagt15 deltagare och kvalitativ innehållsanalys.Resultat: Genomgående tema i resultatet var tillgänglighet till närsamhället. För bevaradhälsa var självständighet centralt och påverkades av var man bor, tillgänglig service, möjlighetatt ta sig fram samt goda möten med tid för samtal. För ett aktivt liv var känslan avdelaktighet, känna sig behövd och föreningsaktivitet av stor vikt. En trygg ekonomi, åtkomliginformation, mötas av respekt och att våga gå ut var förutsättningar för att vara aktivoch delta i samhället.Slutsats: För att möta den åldrande befolkningens behov behöver samhället arbeta preventivtför att ge seniorer en bra miljö att leva i. Det finns idag mycket forskning om hur viska leva hälsosamt och förebygga sjukdom. Den stora utmaningen är att forma ett samhällesom är hållbart för framtiden, där vi alla kan leva ett långt och hälsosamt liv, ävensom senior.

  • 287.
    Pajalic, Zada
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsmiljön PRO-CARE. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Food preparation at home: an example of new practical strategies in the Swedish municipal food service - a qualitative study2013Inngår i: Journal of Food Research, ISSN 1927-0887, E-ISSN 1927-0895, Vol. 2, nr 6, 72-79 s.Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The purpose of the present study was to describe how one of 290 Swedish municipalities improved its FS service by terminating their earlier service of food distribution (FD) which was the delivery of ready cooked meals produced at a central kitchen in the community and introducing food preparation at the client’s home. The revised system is referred to as the new FS. This study was performed using an action research approach. The data was collected by individual- and group interviews and through participatory observations. The transcribed interview material was analysed using qualitative content analysis. The (n=30) subjects were recruited The findings of this study revealed that the new FS was experienced as being a good service, that the new municipal FS met individual needs in a better way and that the elderly recipients could participate more actively in planning and preparing their meals. In conclusion, it was found that having their food prepared at home was considered by many of the recipients to be synonymous with individually adjusted help. The results of the study could have implications for nursing, public administration and gerontology.

  • 288.
    Pajalic, Zada
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsmiljön PRO-CARE. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Matdistribution till hemmaboende äldre personer ur flera perspektiv2013Doktoravhandling, med artikler (Annet vitenskapelig)
    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.

  • 289.
    Pajalic, Zada
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsmiljön PRO-CARE. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Matdistribution till hemmaboende äldre personer ur olika perspektiv. Presentation vid DiGiS, Malmö Skånes universitetssjukhus Geriatriska kliniken2013Annet (Annet (populærvitenskap, debatt, mm))
  • 290.
    Pajalic, Zada
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsmiljön PRO-CARE. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    The Swedish municipal food distribution service to the elderly living at home as experienced by the recipient’s relatives2013Inngår i: Global Journal of Health Science, ISSN 1916-9736, E-ISSN 1916-9744, Vol. 5, nr 6, 12-18 s.Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The municipal Food distribution service (FD) to the elderly living at home is a part of the public social and care service in Sweden, The objective of this service is to ensure proper food intake for persons who are unable to do their own shopping, and prepare their own meals. The foremost reasons for the need of the FD service are in situations where there are illness related physical or psychological limitations.This means that the Swedish welfare system takes on the responsibility for its citizens when they have a legal social related need of care. Further, according to the Swedish social legislation, children or other relatives have no legal obligations to take care of their parents or elderly disabled relatives. This also means that the children or relatives of elderly people requiring social support have no legal right to be involved in the evaluation procedure of need assessment or the outcome of any social and care services granted by the Swedish social welfare system.

    The aim of the present study was to gain insight into how the relatives of elderly people living at home in Sweden experience the municipal service of ready-made meals distributed daily.

    The data was collected using in-depth interviews with relatives of elderly persons who use the municipal food distribution (FD) service (n=8). The transcribed interview material was analysed using the grounded theory method.

    The findings of this study revealed that the relatives of the municipal FD service recipients advocate for a food preparation service in the home of the recipient rather than the distribution of ready-made meals from a central kitchen. The results also revealed that the participating relatives felt frustrated by the legal limitations that make it impossible for them to influence the municipal FD service. The findings in this study also indicate that relatives should be considered as a resource in this matter and could actively participate, and have a positive influence on the quality of the municipal FD service for the elderly. The results of the study could have implications for nursing, public administration and gerontology.

  • 291.
    Pajalic, Zada
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsmiljön PRO-CARE. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Utvärdering av den nya servicen matlagning i hemmet2013Rapport (Annet vitenskapelig)
    Abstract [en]

    Den nya matservicen, matlagning i hemmet, är en insats som riktar sig till en heterogen grupp äldre och som involverar ett stort antal personalgrupper. Vård- och omsorgsförvaltningen i Lunds kommun genomförde under år 2012 en förändring när det gäller matservice. Förändringen inriktades på att upphöra med matdistribution den 31 mars 2012 och införa insatsen matlagning i hemmet den 1 april 2012. Matlagning i hemmet definierades som en enklare form av matlagning med beräknad schablontid på ca 30 minuter. Intentionen med att införa matlagning i hemmet var att skapa en fungerande helhetslösning för brukare med stora vård- och omsorgsbehov, att öka valfriheten, öka kvaliteten på äldres måltider och att använda ekonomiska resurser på ett bättre sätt.

    Denna utvärdering är ett sätt att blicka tillbaka och kritiskt granska hur den nya matservicen har fallit ut och mvilka förbättringsmöjligheter som finns, i syfte att erbjuda matservice av hög kvalitet till kommunens invånare.

  • 292.
    Pajalic, Zada
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsmiljön PRO-CARE. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Zada Pajalic presenterar sin forskning2013Annet (Annet (populærvitenskap, debatt, mm))
  • 293.
    Pajalic, Zada
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsmiljön PRO-CARE. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Berggren, Vanja
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap.
    Keys for change: stakeholders' perceptions and experiences of promotion of breastfeeding: a joint project between Sweden and Norway2012Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Findings from international research as well as fromSwedenshow that breastfeeding is important for infant health. Further there are still needs to continuously invest on the society level to promote the breastfeeding. Working together in international research collaborations can empower all partners involved.

     

    The project have  two aims: both to describe the successful factors of  Swedish and Norwegian breastfeeding interventions programs on national level, and to elucidate the present situation and background of the present low rates of  breastfeeding.

     

    Data will be collected by individual interviews with obstetricians, midwifes, district nurses, paediatricians and voluntary breastfeeding advisers in both countries.

     

    The findings will be used to promote breastfeeding and inspire other countries spatially high-income countries to focus on the benefits and importance of the breastfeeding to infant’s health.

  • 294.
    Pajalic, Zada
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan. Högskolan Kristianstad, Forskningsmiljön PRO-CARE.
    Norberg, Erika
    Region Skåne CSK Kristianstad.
    Skog, Therese
    Region Skåne Hässleholm.
    Andersson, Kristina
    Kristianstads Kommun.
    Palmquist, Eva-Lott
    Kristianstads Kommun.
    Informationsbrev till matdistributionsmottagare2011Annet (Annet (populærvitenskap, debatt, mm))
  • 295.
    Pajalic, Zada
    et al.
    Oslo and Akershus University College of Applied Sciences.
    Persson, Lena
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap II. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Gillberg, Claudia
    Jönköping University.
    Implementing the Action Research approach in the context of Swedish municipal care: a facilitator’s reflections2014Inngår i: Action Learning Action Research Journal, ISSN 1326-964X, Vol. 20, nr 2, 114-129 s.Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The purpose of this paper is to describe the implementation of action research (AR) in the context of Swedish municipal care from a facilitator’s’ perspective. Four empirical studies using the AR approach were performed during 2007–2012 in six municipalities. Establishing support for AR was time-consuming when it concerns starting up processes that were created and were changeable over time. Further, the processes were focused on the sustainable development of practice, based on practitioners’ and care consumers’ knowledge, that is a precondition of organizational change. An important precondition was that the participants were motivated and participated actively in all phases of the AR cycle. Another important precondition was that the participants got along with each other and trusted each other. The participants’ engagement and the collaboration that was established between the participants and the facilitator were likely a result of this. Moreover, even positive interaction with participants representing a “top–down” perspective was important for the implementation of proposed changes to the practice. In conclusion, AR enhanced sustainable action based on participant’s everyday knowledge relating to areas they want to change and improve in the context of municipal care practice.

  • 296.
    Pajalic, Zada
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsmiljön PRO-CARE. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Persson, Lena
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap.
    Skovdahl, Kirsti
    The School of Medical and Health Sciences, Örebro University.
    Westergren, Albert
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsmiljön PRO-CARE.
    Facilitating change, the decision-maker’s views of municipality organized food distribution to elderly people living at home and suggestions for development: a participatory action research study2012Inngår i: Public Administration Research, ISSN 1927-517X, Vol. 1, nr 1, 14-23 s.Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This study is the final part of a larger project with an action research approach focusing on food distribution (FD) within municipal service and care for elderly persons, living at home (≥65 years), from various perspectives. The aim was to describe the decision-makers’ the politicians and top level administrative manager’s views on the FD service, and to give feedback from the results of earlier studies based on information given by FD receivers, the perspectives of involved professionals, and the results of an intervention study and further to report the decision-makers suggestions for which areas should be taken into consideration as starting points to improve the FD process and practice. Data was gathered in two steps: step 1, through individual interviews (n=12) with the decision-makers during the spring of 2009, step 2a through feedback from previous studies, received during the autumn of 2011 and step 2b from discussions based on the feedback. The interview data was analysed using qualitative content analysis. The findings indicated a discrepancy between the reality and the political visions. It was shown that decision-maker’s needed to make decisions despite their uncertain knowledge of the complexity of the FD programmeThey considered what has been, what is, and will be, when setting goals. Their goal was that elderly person’s rights and needs should be fulfilled. This included freedom of choice and individual consideration. In addition, it meant, meeting elderly people’s medical and social needs. Three areas were found to require facilitation for change related to FD: 1) the monitoring of the elderly’s health and wellbeing while providing FD, 2) the increasing of professional competence, and 3) the creation of a forum for inter-professional communication. The findings in this study have implications for nursing, gerontology and public administration.

  • 297.
    Pajalic, Zada
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsmiljön PRO-CARE. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Persson, Lena
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap.
    Westergren, Albert
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsmiljön PRO-CARE.
    Berggren, Vanja
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap.
    Skovdahl, Kirsti
    School of Medical and Health Sciences, Örebro University.
    The experiences of elderly people living at home related to their receiving meals distributed by a municipality in Sweden2012Inngår i: Journal of Food Research, ISSN 1927-0887, Vol. 1, nr 1, 68-78 s.Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The purpose of the study was to describe the experiences of elderly people, living at home who receive hot meals that are distributed by their municipality. Qualitative content analysis was used to analyse the (n=13) interviews. The results showed that feelings of dependency, loneliness and gratitude were expressed by the participants in the study related to their meals being delivered home. Dependency was expressed as not having influence over the food products the meals were made from. Loneliness was expressed as being isolated and being confined at home alone due to difficulties getting out of the house, which was associated with the costs of taxis transportation. Gratitude was expressed by the sincere thanks for the possibility of receiving traditional meals delivered daily.

    The major conclusion of the study was the indication that greater attention should be paid to meet both the practical and psychological needs of elderly people.

  • 298.
    Pajalic, Zada
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsmiljön PRO-CARE. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Persson, Lena
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap.
    Westergren, Albert
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsmiljön PRO-CARE.
    Skovdahl, Kirsti
    Hälsoakademin Örebro Universitet.
    Evaluation for change, the decision maker’s involvement in the development of food distribution to home living elderly people2012Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Findings from international research as well as from Sweden show that food distribution as a single inter­vention involves various professional groups on the various levels in organisation.

     

    The present research is one of several Action Research projects initiated as a result of a resolution on the highest political level aiming at achieving improvements within the care and service through collaboration between different levels in the organisations.

     

    The overall aim of this specific study is to describe the “top-down” perspective i.e. decision-makers involvement in identifying areas for the development of the food distribution chain.

     

    Data was collected in two steps, firstly by individual interviews with decision makers (politicians n=21, one administrative manager and one medical responsible nurse) and secondly by evaluation dialogue in group (n=23) discussion. The group discussions were based on findings from individual interviews and results from two previous studies focused on interviews with various professionals and food distribution recipients.

     

    The findings were that food distribution was seen as a multifaceted system that included three interrelated issues: the administration of work, the professional’s competence in nutrition and the relationship between various professional groups. To achieve a change, the central component of complexity needs to be clarified. When the issues are multifaceted the solutions need to regard the whole picture rather than its parts.

  • 299.
    Pajalic, Zada
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsmiljön PRO-CARE. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Persson, Lena
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap.
    Westergren, Albert
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsmiljön PRO-CARE.
    Skovdahl, Kirsti
    Hälsoakademin Örebro Universitet.
    Evaluation for change, the decision maker’s involvement in the development of food distribution to home living elderly people2012Inngår i: International Conference Interprofessional Partnership: Improvement for Global Health Outcomes Thailand, 2012Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Findings from international research as well as fromSwedenshow that food distribution as a single inter­vention involves various professional groups on the various levels in organisation.

     

    The present research is one of several Action Research projects initiated as a result of a resolution on the highest political level aiming at achieving improvements within the care and service through collaboration between different levels in the organisations.

     

    The overall aim of this specific study is to describe the “top-down” perspective i.e. decision-makers involvement in identifying areas for the development of the food distribution chain.

     

    Data was collected in two steps, firstly by individual interviews with decision makers and secondly by group discussions. The group discussions were based on findings from individual interviews and results from two previous studies focused on interviews with various professionals and food distribution recipients.

     

    The findings were that food distribution was seen as a multifaceted system that included three interrelated issues: the administration of work, the professional’s competence in nutrition and the relationship between various professional groups. To achieve a change, the central component of complexity needs to be clarified. When the issues are multifaceted the solutions need to regard the whole picture rather than its parts.

     

    Keywords: action research, decision-makers, food distribution in Swedish context, “top-down” perspective

     

    The short paper and presentation would fit in the key theme Health Care Management of the congress.

     

  • 300.
    Pajalic, Zada
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle. Högskolan Kristianstad, Forskningsmiljön PRO-CARE. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Persson, Lena
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap.
    Westergren, Albert
    Högskolan Kristianstad, Sektionen för hälsa och samhälle. Högskolan Kristianstad, Forskningsmiljön PRO-CARE.
    Skovdahl, Kirsti
    School of Health and Medical Sciences, Örebro University.
    Food distribution within a municipality from different perspectives – older people, decision makers and professionals: an action research study2011Konferansepaper (Fagfellevurdert)
    Abstract [en]

    The present research project is one of Action Research (AR) projects in a region in southern part of Sweden, Scania. All the AR projects originate as result of a decision on the highest political level. The decision was to do changes within the care service where collaboration between different care organisations should be advocated in aim to support and help care consumers. The care should be provided in more care consumer centred ways in which care consumers should be in the centre. These changes should emphasise public and care users’ involvement and participation in decisions around the treatment, service development and evaluation. The participatory service should be performed through a constructive dialogue between care users, health care professionals as a catalyst to common practice change.  The overall aim of the project was to explore FD to older people living alone in their own  homes from different perspectives: elderly as consumers, decision-makers and various professionals.  The specific aims were: 1)to explore various professionals’ experiences in relation to their involvement in food distribution in order to get a comprehensive understanding of the organisation, responsibilities and roles in the specific context (“bottom-up” perspective);

    2) to explore older people’s experiences of food distribution and their suggestions what they whish to change (“bottom-up” perspective); 3) to identify, suggest, implement and evaluate chosen actions issues together with various professionals and elderly people (“bottom-up” perspective); 4) the results from the studies 1-3 will be given as feedback to the decision-makers level and it will be start point for reflective reasoning by using Story Dialogue Method in aim to identify conditions for development of food distribution chain (“top-down” perspective).

     

    The short paper and presentation, on how to identify the practical issues involved and what can be done to create a receptive context for change, would fit in the fourth key theme of the congress.

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