hkr.sePublikasjoner
Endre søk
Begrens søket
45678910 301 - 350 of 457
RefereraExporteraLink til resultatlisten
Permanent link
Referera
Referensformat
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
Treff pr side
  • 5
  • 10
  • 20
  • 50
  • 100
  • 250
Sortering
  • Standard (Relevans)
  • Forfatter A-Ø
  • Forfatter Ø-A
  • Tittel A-Ø
  • Tittel Ø-A
  • Type publikasjon A-Ø
  • Type publikasjon Ø-A
  • Eldste først
  • Nyeste først
  • Skapad (Eldste først)
  • Skapad (Nyeste først)
  • Senast uppdaterad (Eldste først)
  • Senast uppdaterad (Nyeste først)
  • Disputationsdatum (tidligste først)
  • Disputationsdatum (siste først)
  • Standard (Relevans)
  • Forfatter A-Ø
  • Forfatter Ø-A
  • Tittel A-Ø
  • Tittel Ø-A
  • Type publikasjon A-Ø
  • Type publikasjon Ø-A
  • Eldste først
  • Nyeste først
  • Skapad (Eldste først)
  • Skapad (Nyeste først)
  • Senast uppdaterad (Eldste først)
  • Senast uppdaterad (Nyeste først)
  • Disputationsdatum (tidligste først)
  • Disputationsdatum (siste først)
Merk
Maxantalet träffar du kan exportera från sökgränssnittet är 250. Vid större uttag använd dig av utsökningar.
  • 301.
    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.

  • 302.
    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))
  • 303.
    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, s. 175-189Kapittel 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.

  • 304.
    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)
  • 305.
    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, 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: Everything is connected , 2016, s. 331-344Kapittel i bok, del av antologi (Annet (populærvitenskap, debatt, mm))
  • 306.
    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.

  • 307.
    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.

  • 308.
    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)
  • 309.
    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)
  • 310.
    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.

  • 311.
    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)
  • 312.
    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.
    Kläfverud, Maria
    Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan. Högskolan Kristianstad, Forskningsmiljön Children's and Young People's Health in Social Context (CYPHiSCO).
    To be 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, s. 57-74Kapittel 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.

  • 313.
    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.

  • 314.
    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.  

     

  • 315.
    Olsson Möller, U
    et al.
    Lund University.
    Stigmar, K
    Lund University.
    Beck, Ingela
    Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan. Högskolan Kristianstad, Fakulteten för hälsovetenskap, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap. Lund University.
    Malmström, M
    Lund University.
    Rasmussen, B H
    Lund University.
    Bridging gaps in everyday life: a free-listing approach to explore the variety of activities performed by physiotherapists in specialized palliative care2018Inngår i: BMC Palliative Care, ISSN 1472-684X, E-ISSN 1472-684X, Vol. 17, nr 1Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: A growing body of studies indicate benefits of physiotherapy for patients in palliative care, for symptom relief and wellbeing. Though physiotherapists are increasingly acknowledged as important members of palliative care teams, they are still an underutilized source and not fully recognized. The aim of this study was to explore the variety of activities described by physiotherapists in addressing the needs and problems of patients and their families in specialized palliative care settings.

    METHODS: Using a free-listing approach, ten physiotherapists working in eight specialized palliative care settings in Sweden described as precisely and in as much detail as possible different activities in which patients and their families were included (directly or indirectly) during 10 days. The statements were entered into NVivo and analysed using qualitative content analysis. Statements containing more than one activity were categorized per activity.

    RESULTS: In total, 264 statements, containing 504 varied activities, were coded into seven categories: Counteracting a declining physical function; Informing, guiding and educating; Observing, assessing and evaluating; Attending to signs and symptoms; Listening, talking with and understanding; Caring for basic needs; and Organizing, planning and coordinating. In practice, however, the activities were intrinsically interwoven. The activities showed how physiotherapists aimed, through care for the body, to address patients' physical, psychological, social and existential needs, counteracting the decline in a patient's physical function and wellbeing. The activities also revealed a great variation, in relation not only to what they did, but also to their holistic and inseparable nature with regard to why, how, when, where, with whom and for whom the activities were carried out, which points towards a well-adopted person-centred palliative care approach.

    CONCLUSIONS: The study provides hands-on descriptions of how person-centred palliative care is integrated in physiotherapists' everyday activities. Physiotherapists in specialized palliative care help patients and families to bridge the gap between their real and ideal everyday life with the aim to maximize security, autonomy and wellbeing. The concrete examples included can be used in understanding the contribution of physiotherapists to the palliative care team and inform future research interventions and outcomes.

  • 316.
    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))
  • 317.
    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))
  • 318.
    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.

  • 319.
    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.

  • 320.
    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, s. 581-587Artikkel 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.

  • 321.
    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, s. 249-259Artikkel 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.

  • 322.
    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, s. 44-61Artikkel 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.

  • 323.
    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, s. e217-e226Artikkel 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.

  • 324.
    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, s. 162-171Artikkel 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.

  • 325. 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)
  • 326.
    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, s. 1904-1918Artikkel 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.

  • 327.
    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, s. 368-379Artikkel 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.

  • 328.
    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.

  • 329.
    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, s. 72-79Artikkel 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.

  • 330.
    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.

  • 331.
    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))
  • 332.
    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, s. 12-18Artikkel 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.

  • 333.
    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.

  • 334.
    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))
  • 335.
    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.

  • 336.
    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))
  • 337.
    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, s. 114-129Artikkel 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.

  • 338.
    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, s. 14-23Artikkel 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.

  • 339.
    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, s. 68-78Artikkel 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.

  • 340.
    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.

  • 341.
    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.

     

  • 342.
    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.

  • 343.
    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
    School of Medical and Health Sciences, Örebro University.
    Public home care professionals’ experiences of being involved in food distribution to home-living elderly people in Sweden: a qualitative study with an action research approach2012Inngår i: Journal of Nursing Education and Practice, ISSN 1925-4040, E-ISSN 1925-4059, Vol. 2, nr 2, s. 41-51Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

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

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

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

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

  • 344.
    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.
    Skog, Therese
    Kostenheten Kristianstads kommun.
    Palmquist, Eva-Lott
    Kristianstads Kommun.
    Arvidsson, Andreas
    Osby kommun.
    Andersson, Pia
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsmiljön Oral Hälsa - Allmänhälsa - Livskvalitet.
    ”Munhälsa”: till dig som har matdistribution2013Annet (Annet (populærvitenskap, debatt, mm))
  • 345.
    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.
    Skovdahl, Kirsti
    Hälsoakademin Örebro Universitet.
    Westergren, Albert
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsmiljön PRO-CARE.
    Persson, Lena
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap.
    How the professionals can identify needs for improvement and improve food distribution service for the home-living elderly people in Sweden - an action research project2013Inngår i: Journal of Nursing Education and Practice, ISSN 1925-4040, E-ISSN 1925-4059, Vol. 3, nr 8, s. 29-40Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Making changes to municipal social care and service has been found to be challenging to realise and highly multifaceted. The aim of this study was to describe how the professionals can identify needs for improvement and improve Food Distribution (FD) service for the home-living elderly people in Sweden.

    Methods: This study is part of a larger project with an action research approach focusing on to municipal FD to older people living in their own home in Sweden. The professionals involved in FD invited the first author to assist them in this process. The study participants were comprised of the following groups: “The Identification focus group” that identified need for improvement of FD (n= 5); “The Action focus group” that planned and choose suitable ‘action’ for improvement (n=5); “The First Evaluation group” (n=4) that evaluated the content of planned improvement and finally “The Second Evaluation group” (n=29) that evaluated the changes following improvement. The data was gathered and analysed by Story Dialogue Method.

    Results: The need to update and increase the FD recipient’s knowledge in nutrition by sending them informative letters was found to be an important area to focus on. The information letters (n=1700) were distributed to the all FD recipients in six municipalities in southern Sweden during April 2011. The results were evaluated during May 2011. The overall general estimation was that the content of the letters indicated that this was a suitable method for gaining information to make a nutrition competence update. Following this, “The Action focus group” decided: firstly, to continue preparing and distributing information letters to all FD recipients to be sent out twice a year, and secondly: to make the information letters accessible on the websites of the six municipalities and county councils involved.

    Conclusions: This study showed that systematic work inspired by an action research approach with motivated and involved participants can be beneficial and a starting point for the process of change in municipal service and care practice. The major conclusion of the study was that systematic reflection over everyday practice can be the vehicle for the future change of practice. The research process and the findings have implications for nursing, care of the elderly and gerontology.

  • 346.
    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.
    Westergren, Albert
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsmiljön PRO-CARE.
    Aktionsforskningens grunder2013Inngår i: Aktionsforskning i vård och omsorg: tillämpning och teori / [ed] Liselotte Jakobsson, Malmö: Gleerups Utbildning AB, 2013, s. 85-94Kapittel i bok, del av antologi (Annet vitenskapelig)
  • 347.
    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.
    Westergren, Albert
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsmiljön PRO-CARE.
    Matdistribution till äldre2013Inngår i: Aktionsforskning i vård och omsorg: tillämpning och teori / [ed] Liselotte Jakobsson, Malmö: Gleerups Utbildning AB , 2013, s. 13-32Kapittel i bok, del av antologi (Annet vitenskapelig)
  • 348.
    Pajalic, Zada
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsmiljön PRO-CARE. Linnaeus University Sweden and Oslo and Akershus University Norway.
    Westergren, Albert
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsmiljön PRO-CARE.
    Persson, Lena
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Skovdahl, Kirsti
    Hälsoakademin Örebro Universitet.
    Matdistribution från olika perspektiv - professioner, beslutsfattare och från äldre personer - en aktionsforskningsstudie2011Konferansepaper (Annet (populærvitenskap, debatt, mm))
  • 349.
    Palmquist, Eva-Lott
    et al.
    Kristianstads Kommun.
    Skog, Therese
    Region Skåne Hässleholm.
    Pajalic, Zada
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsmiljön PRO-CARE. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Till dig som har matdistribution: ”Bra mat vid förstoppning eller trög mage”2013Annet (Annet (populærvitenskap, debatt, mm))
  • 350.
    Papastavrou, Evridiki
    et al.
    Cyprus University of Technology.
    Acaroglu, Rengin
    Istanbul University.
    Sendir, Merdiye
    Istanbul University.
    Berg, Agneta
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap II. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Efstathiou, Georgios
    Ministry of Health, Cyprus.
    Idvall, Ewa
    Malmö University.
    Kalafati, Maria
    National and Kapodistrian University of Athens.
    Katajisto, Jouko
    University of Turku.
    Leino-Kilpi, Helena
    University of Turku.
    Lemonidou, Chryssoula
    National and Kapodistrian University of Athens.
    da Luz, Maria Deolinda Antunes
    Unidade de Investigaca˜o e Desenvolvimento em Enfermagem (UI&DE), Escola Superior de Enfermagem de Lisboa.
    Suhonen, Riitta
    University of Turku.
    The relationship between individualized care and the practice environment: an international study2015Inngår i: International Journal of Nursing Studies, ISSN 0020-7489, E-ISSN 1873-491X, Vol. 52, nr 1, s. 121-133Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: Previous research studies have found that the better the quality of practice environments in hospitals, the better the outcomes for nurses and patients. Practice environment may influence nurses' ability to individualize care but the detailed relationship between individualized care and the professional practice environment has not been investigated widely. Some evidence exists about the association of practice environments with the level of individualization of nursing care, but this evidence is based on single national studies.

    OBJECTIVES: The aim of this study was to determine whether nurses' views of their professional practice environment associate with their views of the level of care individualization in seven countries.

    DESIGN: This study had an international, multisite, prospective, cross-sectional, exploratory survey design.

    SETTINGS: The study involved acute orthopedic and trauma surgical inpatient wards (n=91) in acute care hospitals (n=34) in seven countries, Cyprus, Finland, Greece, the State of Kansas, USA, Portugal, Sweden, and Turkey.

    PARTICIPANTS: Nurses (n=1163), registered or licensed practical, working in direct patient care, in orthopedic and trauma inpatient units in acute care hospitals in seven countries participated in the study.

    METHODS: Self-administered questionnaires, including two instruments, the Revised Professional Practice Environment and the Individualized Care Scale-Nurse (Individualized Care Scale-Nurse A and B) were used for data collection. Data were analyzed statistically using descriptive statistics, simultaneous multiple regression analysis, and generalized linear model.

    RESULTS: Two regression models were applied to assess the predictive validity of the Revised Professional Practice Environment on the Individualized Care Scale-Nurse-A and B. The results showed that elements of the professional practice environment were associated with care individualization. Internal work motivation, cultural sensitivity, control over practice, teamwork, and staff relationship with physicians were predictors of support (Individualized Care Scale-A) for and the delivery (Individualized Care Scale-B) of individualized care.

    CONCLUSIONS: The results of this study provide evidence that environment aspect could explain variations in care individualization. These findings support the assertion that individualized care needs to be understood in a broader context than the immediate nurse-patient relationship and that careful development of the care environment may be an effective way to improve care quality and outcomes.

45678910 301 - 350 of 457
RefereraExporteraLink til resultatlisten
Permanent link
Referera
Referensformat
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf