| 1. |
- Pajalic, Zada, 1967-, 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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Ingår i: International Conference Interprofessional Partnership: Improvement for Global Health Outcomes Thailand.
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Konferensbidrag (refereegranskat)abstract
- 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.
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| 2. |
- Pajalic, Zada, 1967-, 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 (refereegranskat)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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| 3. |
- Pajalic, Zada, 1967-, et al.
(författare)
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Functioning and subjective health among stroke survivors after discharge from hospital
- 2006
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Ingår i: Journal of Advanced Nursing. - 0309-2402 .- 1365-2648. ; 54:4, s. 457-466
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Tidskriftsartikel (refereegranskat)abstract
- Existing Activities of Daily Living scales were expanded and found to relate to a participation scale and a subjective health scale. Using these scales in nursing care has the potential to correct current bias towards functions and activities by broadening the focus to include the social as well as the physical.
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| 4. |
- Pajalic, Zada, 1967-, et al.
(författare)
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Improvement of food distribution to home living elderly people by using action research approach
- 2012
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Ingår i: Book of abstracts 2012. ; , s. 33-
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Konferensbidrag (refereegranskat)abstract
- The study was performed in accordance with action research approach and included four phases: look, think, act and evaluate.Look phase was performed in the three steps:To gain insight into and describe the experiences of elderly home-living people who receive meals from municipalityTo explore various professional’s experiences of involvement in the food distribution process in order to get a comprehensive understanding of the organization and responsibilities and rolesTo describe decision makers views on the food distribution serviceThink phase was performed in the three steps:To reflect on what was important for the elderly people relating to their receiving meals distributed by the municipalityTo reflect on what the various involved professionals identify as most important to develop in the food distribution chainTo reflect over suggested developmental areas and choose one of them and reflect over how to perform action and evaluationAct phase was performed in two steps:The knowledge in nutrition as developmental area was chosen to focus action onThe way how to develop nutrition knowledge, the information letters, was chosenThe information letters were developed I collaboration with professionals and elderly peopleThe 1700 information letters were distributedThe evaluation phase was performed in three phases:The preliminary outcomes were given as feedback to involved representatives from various professionalsThe finally outcomes were given as feedback to decision makersFinal feedback resulted in three future actionsOutcomes from look and think phase are: The food distribution receivers expressed feelings of: to not have influence over food products the meals were made from, to feel isolated and confined at home due to difficulties getting out of the house and expressed sincere gratitude for the meal service from the municipality.The various professionals expressed that: food distribution is a fragmentary intervention where comprehensive perspective and roles of responsibility are lacking, the fragmented organization seemed strictly divided and limited by constrains regarding time and money, the necessary observations and structured following up of nutrition status for food distribution receivers is missing, and that knowledge in nutrition need to be continuously developed.The decision makers found areas to require facilitation for change related to food distribution: the monitoring of the food distribution receiver’s health and wellbeing, to focus on involved professional’s competence in nutrition and to create a forum for inter-professional communication.
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| 5. |
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| 6. |
- Nyberg, Maria, 1977-, et al.
(författare)
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Eating difficulties, nutrition, meal preferences and experiences among elderly : a literature overview from a Scandinavian context
- 2015
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Ingår i: Journal of Food Research. - 1927-0887 .- 1927-0895. ; 4:1, s. 22-37
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Forskningsöversikt (övrigt vetenskapligt/konstnärligt)abstract
- The risk of malnutrition increases with ageing, resulting in poorer health and higher risk of disease. Eating difficulties are important risk factors for malnutrition. Moreover, independence in relation to food and meals is highly rated by the elderly and has been associated with health and well-being. The purpose of this literature overview was to provide insights into nutritional status, food choice and preferences as well as the meal situations of home-living elderly (65+) people with motoric eating difficulties focusing on Scandinavia. The overall aim is to support independence and to prevent malnutrition. Nutritional status in the elderly was found to be negatively influenced by motoric eating difficulties including problems with manipulating food on the plate and transporting food to the mouth. Motoric eating difficulties may result in practical simplifications such as use of pre-prepared meals, less advanced cooking, and omission of certain meal constituents in order to avoid e.g. mismanagement and spillage. Eating difficulties are often accompanied by feelings of guilt and shame. Choosing smaller portions, reducing the number of eating episodes and not cooking independently have been associated with a higher risk of malnutrition. The nutritional effects of eating difficulties may be exacerbated by diminished chemosensory functions. Furthermore, both past and present food preferences should be considered in order to meet nutritional needs and meal satisfaction. Development of refined and socially accepted eating aids, in combination with tasty and nutritious products, is important in order to promote healthy and independent living among home-living elderly with motoric eating difficulties.
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| 7. |
- Nyberg, Maria, et al.
(författare)
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Eating Difficulties, Nutrition, Meal Preferences and Experiences Among Elderly : A Literature Overview From a Scandinavian Context
- 2015
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Ingår i: Journal of Food Research. - : Canadian Center of Science and Education. - 1927-0887 .- 1927-0895. ; 4:1, s. 22-37
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Tidskriftsartikel (refereegranskat)abstract
- The risk of malnutrition increases with ageing, resulting in poorer health and higher risk of disease. Eating difficulties are important risk factors for malnutrition. Moreover, independence in relation to food and meals is highly rated by the elderly and has been associated with health and well-being. The purpose of this literature overview was to provide insights into nutritional status, food choice and preferences as well as the meal situations of home-living elderly (65+) people with motoric eating difficulties focusing on Scandinavia. The overall aim is to support independence and to prevent malnutrition. Nutritional status in the elderly was found to be negatively influenced by motoric eating difficulties including problems with manipulating food on the plate and transporting food to the mouth. Motoric eating difficulties may result in practical simplifications such as use of pre-prepared meals, less advanced cooking, and omission of certain meal constituents in order to avoid e.g. mismanagement and spillage. Eating difficulties are often accompanied by feelings of guilt and shame. Choosing smaller portions, reducing the number of eating episodes and not cooking independently have been associated with a higher risk of malnutrition. The nutritional effects of eating difficulties may be exacerbated by diminished chemosensory functions. Furthermore, both past and present food preferences should be considered in order to meet nutritional needs and meal satisfaction. Development of refined and socially accepted eating aids, in combination with tasty and nutritious products, is important in order to promote healthy and independent living among home-living elderly with motoric eating difficulties.
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| 8. |
- Nyberg, Maria, et al.
(författare)
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The meal as a performance : Food and meal practices beyond health and nutrition
- 2018
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Ingår i: Ageing & Society. - : Cambridge University Press. - 0144-686X .- 1469-1779. ; 38:1, s. 83-107
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Tidskriftsartikel (refereegranskat)abstract
- The proportion of elderly people in the population is increasing, presenting a number of new challenges in society. The purpose of this qualitative study was to investigate how elderly persons with motoric eating difficulties perceive and perform their food and meal practices in everyday life. By using Goffman's concept of performance as a theoretical framework together with Bourdieu's thinking on habitus, a deeper understanding of food and meal practices is obtained. Semi-structured interviews were conducted with 14 elderly people (aged between 67 and 87 years) and meal observations were carried out with 11 of these people. Participants were found to manage food and meal practices by continuously adjusting and adapting to the new conditions arising as a result of eating difficulties. This was displayed by conscious planning of what to eat and when, avoiding certain foods and beverages, using simple eating aids, but also withdrawing socially during the meals. All these adjustments were important in order to be able to demonstrate proper food and meal behaviour, to maintain the facąde and to act according to the perceived norms. As well as being a pleasurable event, food and meals were also perceived in terms of being important for maintaining health and as 'fuel' where the main purpose is to sustain life. This was strongly connected to the social context and the ability to enjoy food and meals with family members and friends, which appeared to be particularly crucial due to the impending risk of failing the meal performance.
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| 9. |
- Olsson, Viktoria, et al.
(författare)
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Designing meals for elderly with eating difficulties : a cooperative approach
- 2015
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- 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.
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| 10. |
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