| 21. |
- Pajalic, Zada
(författare)
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A researcher's self-reflection of the facilitation and evaluation of an action research project within the Swedish social and care context
- 2014
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Ingår i: Global Journal of Health Science. - : Canadian Center of Science and Education. - 1916-9736 .- 1916-9744. ; 7:3, s. 105-110
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Tidskriftsartikel (refereegranskat)abstract
- The AR’s (Lewin, 1946) assumption was that human beings exist in life spaces through interaction, and communication, and that knowledge development is the result of changes in cognitive structures through communication and involvement in research processes. And further, from the construction of new knowledge gained by learning from each other, comes the presumption to change. The participation is described as "citizen power" (Arnstein, 1969), which means being included in the development process. The degree of citizen power is based on partnership, delegated power and citizen control. All these steps are positioned at the highest level when ranking participation. Partnership means engaging and negotiating with the high level decision makers. The result of delegated power is apparent when the negotiations result in achieving leading decisions that influence a particular plan or programme.
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| 22. |
- Pajalic, Zada
(författare)
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Abstrakt presenterad på FOU dagen 2013, Sektionen för Hälsa och Samhälle, Sjuksköterskeprogrammet & PRO-CARE Titel: Matdistribution ur flera perspektiv
- 2013
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Annan publikation (övrigt vetenskapligt/konstnärligt)abstract
- Studiens övergripande syfte var att utifrån äldre hemmaboende personers, olika professioners samt beslutsfattarnas erfarenheter få insikt och beskriva matdistribution inom den kommunala omsorgen. De övergripande resultaten visade att matdistribution är komplex en organisation och att den är fragmenrerat organiserad. Dc involverade professionerna tog enbart ansvar för sina egna delar av matdistributionskedjan och det saknades en övergripande funktion som hade en övergripande bild och ansvar för matdistributionsprocessen. Resultaten visade även att vissa professioner (personalen i köket och taxichauffören) tog mer ansvar än der var tänkt i förhållande till deras komptens. Således finns det behov att beskriva ansvarsområden för alla involverade i matdistribution. Äldre personers erfarenheter indikerade att matdistribution inte bör ses som en fragmenterad social insats och symbol för heroende av andras hjälp. Srudien visar att matdistribution behöver organiseras så att de äldre personernas engagemang stärks. Systematiskt arbete och involvering på alla nivåer i denna organisation har visat sig vara en gynnsam startpunkt för utvecklingen av den kommunala mardisrriburionen. Denna studie visar vikten av kontinuerlig uppdatering av kunskaper hos olika professioner som är involverade i matdistributionskedjan. Resultaten visar att matdistribution inte enbart bör ses som en logistikfråga utan en samverkansfråga.
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| 23. |
- Pajalic, Zada, et al.
(författare)
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Aktionsforskningens grunder
- 2013
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Ingår i: Aktionsforskning i vård och omsorg. - Malmö : Gleerups Utbildning AB. ; , s. 85-94
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 24. |
- Pajalic, Zada
(författare)
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Att få maten lagad i sitt hem
- 2015
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Ingår i: Äldre i centrum. - 1653-3585. ; :1, s. 42-42
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)
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| 25. |
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| 26. |
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| 27. |
- Pajalic, Zada, et al.
(författare)
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Evaluation for change, the decision maker’s involvement in the development of food distribution to home living elderly people
- 2012
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- 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.
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| 28. |
- Pajalic, Zada, 1967-, et al.
(författare)
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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 study
- 2012
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Ingår i: Public Administration Research. - Toronto, Canada : Canadian Center of Science and Education. - 1927-517X .- 1927-5188. ; 1:1, s. 14-23
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Tidskriftsartikel (refereegranskat)abstract
- 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 programme. They 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.
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| 29. |
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| 30. |
- Pajalic, Zada, et al.
(författare)
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Food distribution within a municipality from different perspectives – older people, decision makers and professionals : an action research study
- 2011
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- 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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