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- Pajalic, Zada, 1967-, 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. - 9789140685643 ; , s. 85-94
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 2. |
- 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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| 3. |
- 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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| 4. |
- 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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| 5. |
- 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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| 6. |
- Pajalic, Zada, 1967-, et al.
(författare)
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Matdistribution till äldre
- 2013
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Ingår i: Aktionsforskning i vård och omsorg. - Malmö : Gleerups Utbildning AB. - 9789140685643 ; , s. 13-32
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 7. |
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| 8. |
- 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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| 9. |
- Pajalic, Zada, 1967-
(författare)
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Matdistribution till hemmaboende äldre personer ur flera perspektiv
- 2013
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- 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.
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