| 1. |
- Rämgård, Margareta, et al.
(författare)
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Det sociala sammanhanget : om Finsam MittSkånes arbete mot utanförskap
- 2018
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Bok (övrigt vetenskapligt/konstnärligt)abstract
- Finsam MittSkåne (där kommunerna Eslöv, Hörby och Höör ingår) har mellan åren 2012–2017 initierat och drivit ett flertal stora samverkansinsatser. I denna bok beskrivs tre av dessa insatser. Det som dessa tre insatser haft gemensamt är dels att de syftat till att öka graden av självförsörjning bland deltagarna, dels att de alla utgått från ett salutogent perspektiv. I detta perspektiv har det sociala sammanhanget och känslan av sammanhang haft särskilt stor betydelse. Malmö universitet har under flera år haft olika uppdrag för Finsam MittSkåne att studera, kartlägga och följa upp dessa insatser. Denna bok sammanfattar de erfarenheter som de olika rapporterna beskriver, men den ger även en djupare teoretisk bakgrund som inte beskrivits i rapporterna.
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| 2. |
- Rämgård, Margareta, et al.
(författare)
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Developing health and social care planning in collaboration
- 2015
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Ingår i: Journal of Interprofessional Care. - : Informa Healthcare. - 1356-1820 .- 1469-9567. ; 29:4, s. 354-358
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Tidskriftsartikel (refereegranskat)abstract
- Collaboration between different professions in community care for older people is often both difficult and complex. In this project, a participatory action research (PAR) was conducted in order to support the professions involved in the care for older people to develop individualized health and social care plans. Cases from daily work were discussed in different professional groups over a period of one year. A key finding was that lack of knowledge regarding the other professions' field of expertise and their underlying professional culture and values was a barrier in their collaboration. However, as the continuous reflective dialogue process progressed, the participants began to reflect more about the importance of collaboration as a prerequisite to achieve the best possible care for the recipient. This process of reflection led to the often complex needs of the care recipients being given a more central position and thus care plans being better tailored to each person's needs.5
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| 3. |
- Rämgård, Margareta, et al.
(författare)
-
Developing health and social care planning in collaboration
- 2015
-
Ingår i: Journal of Interprofessional Care. - : Informa Healthcare. - 1356-1820 .- 1469-9567. ; 29:4, s. 354-358
-
Tidskriftsartikel (refereegranskat)abstract
- Collaboration between different professions in community care for older people is often both difficult and complex. In this project, a participatory action research (PAR) was conducted in order to support the professions involved in the care for older people to develop individualized health and social care plans. Cases from daily work were discussed in different professional groups over a period of one year. A key finding was that lack of knowledge regarding the other professions’ field of expertise and their underlying professional culture and values was a barrier in their collaboration. However, as the continuous reflective dialogue process progressed,the participants began to reflect more about the importance of collaboration as a prerequisite to achieve the best possible care for the recipient. This process of reflection led to the often complex needs of the care recipients being given a more central position and thus care plans being better tailored to each person’s needs.
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| 4. |
- Rämgård, Margareta
(författare)
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INSATS MITHRA : ger stöd och möjlighet att närma sig arbetsmarknaden för den som varit utsatt för våld i nära relationer
- 2016
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- Insatsen MITRA i Hörby Kommun startades av Finsam MittSkåne för att det finns ett behov av riktade stödinsatser till personer som varit utsatta för våld i nära relationer. MITRA betyder skydd och vänskap och har sitt namn efter en beskyddande gudinna. Insatsen riktar sig mot de personer som varit utsatta för relationsrelaterat våld efter det akuta skedet när utredningsprocesser, krisbearbetning och missbruk är avslutade. Avsikten med insatsen är således inte att utreda själva våldshandlingen utan snarare att öka social inkludering och möjliggöra för personer som varit utsatta för våld i nära relationer att bli självförsörjande. Det övergripande syftet med insatsen är att deltagare genom MITRA skall närma sig arbetsmarknaden genom arbetsträning, praktik eller studier. Deltagarens delaktighet och det salutogena arbetssättet står i fokus i insatsen eftersom den riktas mot ett promotivt förebyggande arbete där deltagarnas egna resurser skall stärkas och tas tillvara. Samtidigt skall myndigheter och hälso- och sjukvård erbjuda olika former av stöd. Genom att detta arbete sker i samverkan med lokala myndigheter och hälso- och sjukvård i Hörby förväntas kommunen åter bli en trygg plats för dessa personer.
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| 5. |
- Rämgård, Margareta
(författare)
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Kulturbegreppet och personal i äldreomsorgen
- 2016
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Ingår i: Omsorg. - : Fagbokforlaget. - 0800-7489. ; :3, s. 17-21
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Tidskriftsartikel (refereegranskat)abstract
- Artikeln problematiserar först olika perspektiv på kulturell identitet i relation till personalens berättelser om att vårda i livets slut i den kommunala äldreomsorgen. Därefter presenteras ett tredje kulturgeografiskt perspektiv som kan berika en multikulturell ansats i den palliativa vården
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| 6. |
- Rämgård, Margareta, et al.
(författare)
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PHR in health and social care for older people : regional development whitin and across organisations
- 2017
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Ingår i: Educational action research. - : Routledge. - 0965-0792 .- 1747-5074. ; 25:4, s. 506-524
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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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| 7. |
- Rämgård, Margareta, et al.
(författare)
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PHR in Health and Social Care for older people – Regional development through learning within and across organisations
- 2017
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Ingår i: Educational Action Research. - : Informa UK Limited. - 0965-0792 .- 1747-5074. ; 25:4, s. 506-524
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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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| 8. |
- Rämgård, Margareta, et al.
(författare)
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Platsens betydelse för vården
- 2017
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Ingår i: Omvårdnad & Äldre. - : Studentlitteratur AB. - 9789144102795 ; , s. 567-580
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 9. |
- Rämgård, Margareta, et al.
(författare)
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Strategies for diversity: medical clowns in dementia care : an ethnographic study
- 2016
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Ingår i: BMC Geriatrics. - : BMC. - 1471-2318. ; :16
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Tidskriftsartikel (refereegranskat)abstract
- Background: As nursing homes become increasingly diverse, dementia care needs a wider range of culturally responsive strategies for individual and collective social interactions. While previous studies conclude that medical clowns have positive effects on verbal and non verbal social interactions, research is lacking from the perspective of residents’ cultural background. Aim: The aim of this study was to identify interaction strategies employed by medical clowns in culturally diverse dementia care settings Method: An ethnographic approach was used and data were collected through observation of interactions between medical clowns and residents with dementia in two nursing homes during a ten week period. Results: The observations showed that the medical clowns interacted with residents by being tuned in and attentive to the residents as individuals with a unique life-history, confirming each person´s sense of self. The clowns used sensory triggers, encouragement and confirmation in culturally responsive ways to bond socially with the residents in their personal spaces. The clowns involved objects in the daily environment that were meaningful for the residents, and paid attention to significant places and habits in the past. The clowns further contributed to joint interaction in the common spaces in the nursing homes, using music and drama Conclusion: The strategies employed by medical clowns in activities with older people with dementia appear to support social interaction. The medical clowns used the social and material environment in culturally responsive ways to strengthen individuals’ sense of self, while contributing to a sense of togetherness and interaction among residents in the common spaces. Findings suggest that both verbal and non-verbal cultural content affected social interaction. The non-demanding encouraging way the clowns tuned in to the residents as individuals could help nurses and staff members improve ways of communication in social activities inside the nursing home.
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| 10. |
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