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Sökning: margareta rämgård

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1.
  • Abma, Tineke, et al. (författare)
  • Social impact of participatory health research : : collaborative none- linear processes of knowledge mobilization
  • 2017
  • Ingår i: Educational Action Research. - Routledge. - 1747-5074. ; 25:4, s. 489-505
  • Tidskriftsartikel (refereegranskat)abstract
    • Social impact, defined as an effect on society, culture, quality of life, community services, or public policy beyond academia, is widely considered as a relevant requirement for scientific research, especially in the field of health care. Traditionally, in health research, the process of knowledge transfer is rather linear and one-sided and has not recognized and integrated the expertise of practitioners and those who use services. This can lead to discrimination or disqualification of knowledge and epistemic injustice. Epidemic injustice is a situation wherein certain kinds of knowers and knowledge are not taken seriously into account to define a situation. The purpose of our article is to explore how health researchers can achieve social impact for a wide audience, involving them in a non-linear process of joint learning on urgent problems recognized by the various stakeholders in public health. In participatory health research impact is not preordained by one group of stakeholders, but the result of a process of reflection and dialog with multiple stakeholders on what counts as valuable outcomes. This knowledge mobilization and winding pathway embarked upon during such research have the potential for impact along the way as opposed to the expectation that impact will occur merely at the end of a research project. We will discuss and illustrate the merits of taking a negotiated, discursive and flexible pathway in the area of community-based health promotion.
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3.
  • Larsson, Helena, et al. (författare)
  • Older persons’ existential loneliness, as interpreted by their significant others - an interview study study
  • 2017
  • Ingår i: BMC Geriatrics. - BioMed Central. - 1471-2318. ; 17:138
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: In order to better understand people in demanding medical situations, an awareness of existential concerns is important. Studies performed over the last twenty years conclude that when dying and death come closer, as in the case with older people who are stricken by infirmity and diseases, existential concerns will come to the fore. However, studies concerning experiences of existential loneliness (EL) are sparse and, in addition, there is no clear definition of EL. EL is described as a complex phenomenon and referred to as a condition of life, an experience, and a process of inner growth. Listening to someone who knows the older person well, as significant others often do, may be one way of learning more about EL. Methods: This study is part of a larger research project on EL, the LONE study, where EL is explored through interviews with frail older people, their significant others and health care professionals. The aim of this study was to explore frail older (>75) persons’ EL, as interpreted by their significant others. The study is qualitative and based on eighteen narrative interviews with nineteen significant others of older persons. The data was analysed using Hsieh and Shannon’s conventional content analysis. Results: According to the interpretation of significant others, the older persons experience EL (1) when they are increasingly limited in body and space, (2) when they are in a process of disconnecting, and (3) when they are disconnected from the outside world. Conclusion: The result can be understood as if the frail older person is in a process of letting go of life. This process involves the body, in that the older person is increasingly limited in his/her physical abilities. The older person’s long-term relationships are gradually lost, and finally the process entails the older person’s increasingly withdrawing into him- or herself and turning off the outside world. The result of this study is consistent with previous research that has shown that EL is a complex phenomenon, but the implications of this research include a deepened understanding of EL. In addition, the study highlights the interpretations of significant others.
4.
  • Rämgård, Margareta, et al. (författare)
  • PHR in Health and Social Care for older people – Regional development through learning within and across organisations
  • 2017
  • Ingår i: Educational Action Research. - Taylor & Francis. - 0965-0792.
  • Tidskriftsartikel (refereegranskat)abstract
    • The study draws on findings from a series of seven participatory action research projects in community care for older people carried out over a period of eight years in 20 municipalities in southern Sweden. The analysis here looks at social impact across administrative levels and geographical scales. Different professional groups and care workers in community care participated, crossing divides between social work and health care. The participatory methods all involved a phase of individual reflection, a phase of reflection in practice with colleagues and mixed groups at the regional level, including unit managers and directors in some stages. Impacts concerned interprofessional learning and improved conditions for collaboration in care for older people across institutional boundaries as well as organisational learning across the municipalities. The action research approach was characterised by intensive work with values, empowering low-status professional groups. Social impacts were achieved beyond each project by benefitting from the multi-stakeholder design, using the structure of the organisations and the regional R&D department of the Association of Local Authorities. Over time, the different projects thus contributed to regional development ‘from below’. Nevertheless, employer perspectives tended to determine which conclusions from the projects were eventually implemented and prioritised. Continued reflective dialogue meetings between professional groups are therefore, needed as part of regular work processes. Local and regional structures need forms of autonomy that allow them to implement recommendations from participatory projects. Finally, employee perspectives need to be reflected in decision-making at all levels, particularly including low-status groups of care staff.
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5.
  • Rämgård, Margareta, et al. (författare)
  • Platsens betydelse för vården
  • 2017
  • Ingår i: Omvårdnad & Äldre. - Studentlitteratur. - 9789144102795 ; s. 567-580
  • Bokkapitel (övrigt vetenskapligt)
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6.
  • Rämgård, Margareta, et al. (författare)
  • Vården som system
  • 2017
  • Ingår i: Omvårdnad & äldre. - Lund : Studentlitteratur. - 978-91-44-10279-5 ; s. 553-564
  • Bokkapitel (övrigt vetenskapligt)
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7.
  • Rämgård, Margareta, et al. (författare)
  • Vården som system
  • 2017
  • Ingår i: Omvårdnad & Äldre. - Studentlitteratur. - 9789144102795 ; s. 551-566
  • Bokkapitel (övrigt vetenskapligt)
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8.
  • Sundström, Malin, et al. (författare)
  • Health and social care planning in collaboration in olderpersons’ homes : the perspectives of older persons, familymembers and professionals
  • 2017
  • Ingår i: Scandinavian Journal of Caring Sciences. - 0283-9318.
  • Tidskriftsartikel (refereegranskat)abstract
    • Providing health and social care to older persons is challenging, since older persons often have multiple diseases and a complex health situation. Hence many professions and organisations are involved. Lack of interprofessional and interorganisational collaboration leads to fragmented care. Care planning meetings before hospital discharge have long been used to overcome this fragmentation, but meetings conducted at the hospital have limitations in identifying long-term needs at home. A new model for health and social care planning in collaboration (HSCPC) in older persons' homes was introduced in two Swedish municipalities. The aim of this study was to gain a deeper understanding of the HSCPC-meeting from the perspectives of older persons, family members, and professionals. Ten care planning meetings from two municipalities were consecutively included. Interviews in retrospect with ten older persons, eight family members, and ten groups of professionals who had attended the HSCPC-meeting at home were analysed with a hermeneutic approach. Four themes emerged: unspoken agendas and unpreparedness, security and enhanced understanding, asymmetric relationships, and ambiguity about the mission and need for follow-up. The comprehensive interpretation is that the professionals handled the HSCPC-meeting mainly as a routine task, while the older persons and family members viewed it as part of their life course. Older persons are in an inferior institutional, cognitive and existential position. However, meeting together in the home partly reduced their inferior position. Findings from this study provide some general suggestions for how HSCPC-meetings should be designed and developed: attention of power relations, the importance of meeting skills and follow-up.
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9.
  • Wijk, Helle, et al. (författare)
  • Ledarskap och Teamarbete
  • 2017
  • Ingår i: Omvårdnad & Äldre. - Studentlitteratur. - 9789144102795 ; s. 581-590
  • Bokkapitel (övrigt vetenskapligt)
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10.
  • Cuesta, Marta, 1954-, et al. (författare)
  • Intersectional Perspective in Elderly Care
  • 2016
  • Ingår i: International Journal of Qualitative Studies on Health and Well-being. - Järfälla : Co-Action Publishing. - 1748-2623. ; 11
  • Tidskriftsartikel (refereegranskat)abstract
    • Earlier research has shown that power relationships at workplaces are constructed by power structures. Processes related to power always influence the working conditions for (in this study in elderly care) the working groups involved. Power structures are central for intersectional analysis, in the sense that the intersectional perspective highlights aspects such as gender and ethnicity (subjective dimensions) and interrelates them to processes of power (objective dimension). This qualitative study aims to explore in what way an intersectional perspective could contribute to increased knowledge of power structures in a nursing home where the employees were mostly immigrants from different countries. By using reflexive dialogues related to an intersectional perspective, new knowledge which contributes to the employeés well-being could develop. Narrative analysis was the method used to conduct this study. Through a multi-stage focus group on six occasions over six months, the staff was engaged in intersectional and critical reflections about power relationship with the researchers, by identifying patterns in their professional activities that could be connected to their subjectivities (gender, ethnicity, etc.). The result of this study presents three themes that express the staffs experiences and connect these experiences to structural discrimination. 1. Intersectionality, knowledge and experiences of professionalism, 2. Intersectionality, knowledge and experiences of collaboration, 3. Intersectionality, knowledge and experiences of discrimination. The result demonstrates that an intersectional perspective reinforces the involved abilities, during the conversations, into being clear about, for example, their experiences of discrimination, and consequently developing a better understanding of their professionalism and collaboration. Such deeper reflections became possible through a process of consciousness-raising, strengthening the employee’s self-confidence, in a positive way. © 2016 M. Cuesta.
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