| 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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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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| 3. |
- Norberg, Erika, et al.
(författare)
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”Mat efter behov”
- 2012
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Annan publikation (populärvet., debatt m.m.)
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| 4. |
- Norberg, Erika, et al.
(författare)
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"Matiga smörgåsar"
- 2012
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Annan publikation (populärvet., debatt m.m.)
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| 5. |
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| 6. |
- 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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| 7. |
- Pajalic, Zada, 1967-, et al.
(författare)
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Keys for change : stakeholders' perceptions and experiences of promotion of breastfeeding: a joint project between Sweden and Norway
- 2012
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Konferensbidrag (refereegranskat)abstract
- Findings from international research as well as fromSwedenshow that breastfeeding is important for infant health. Further there are still needs to continuously invest on the society level to promote the breastfeeding. Working together in international research collaborations can empower all partners involved. The project have two aims: both to describe the successful factors of Swedish and Norwegian breastfeeding interventions programs on national level, and to elucidate the present situation and background of the present low rates of breastfeeding. Data will be collected by individual interviews with obstetricians, midwifes, district nurses, paediatricians and voluntary breastfeeding advisers in both countries. The findings will be used to promote breastfeeding and inspire other countries spatially high-income countries to focus on the benefits and importance of the breastfeeding to infant’s health.
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| 8. |
- Pajalic, Zada, 1967-, et al.
(författare)
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Public home care professionals’ experiences of being involved in food distribution to home-living elderly people in Sweden : a qualitative study with an action research approach
- 2012
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Ingår i: Journal of Nursing Education and Practice. - : Sciedu Press. - 1925-4040 .- 1925-4059. ; 2:2, s. 41-51
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Tidskriftsartikel (refereegranskat)abstract
- Background: Research focusing on Food Distribution (FD) from various professionals’ and organisational perspectivesare lacking. The aim of this study was therefore to explore various professionals’ experiences of involvement in FD inorder to get comprehensive understanding of the organisation, responsibilities and roles.Methods: This qualitative study is a part of a larger project with an action research approach focusing on FD in themunicipal home service and care for home-living elderly persons in a municipality in southern Sweden. The data wascollected through participatory observations (n=90 occasions and in total 480 hours), repeated focus group interviews (n =4) with different professionals (n =10) involved in the FD process and one individual interview. The material was analysedby qualitative manifest and latent content analysis.Results: The study indicates that Food Distribution is a fragmentary intervention where a comprehensive perspective andclear roles of responsibility are lacking. The FD organisation seemed to be strictly divided and limited by constraintsregarding time and money. The fragmented organisation led partly to staff only taking responsibility for their part of thechain and no one having the full picture of and responsibility for the FD process, but also to some professionals takingmore responsibility than they were supposed to.Conclusions: The aim of the study was met by using an action research approach. The study was however limited by thatno home help officers were represented. The FD appeared as an extremely complex chain of different but connectedactivities. It is not merely the distribution of a product, i.e. the meal box. The fragmentation of FD means that staff onlytakes responsibility for their part of the chain, and that no one has the full picture of or responsibility for the FD process.Consequently, there is a need for an outline of responsibilities. The findings have implications for nursing, gerontology,and in the care for the elderly.
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| 9. |
- Pajalic, Zada, 1967-, et al.
(författare)
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The experiences of elderly people living at home related to their receiving meals distributed by a municipality in Sweden
- 2012
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Ingår i: Journal of Food Research. - : Canadian Center of Science and Education. - 1927-0887 .- 1927-0895. ; 1:1, s. 68-78
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Tidskriftsartikel (refereegranskat)abstract
- The purpose of the study was to describe the experiences of elderly people, living at home who receive hot meals that are distributed by their municipality. Qualitative content analysis was used to analyse the (n=13) interviews. The results showed that feelings of dependency, loneliness and gratitude were expressed by the participants in the study related to their meals being delivered home. Dependency was expressed as not having influence over the food products the meals were made from. Loneliness was expressed as being isolated and being confined at home alone due to difficulties getting out of the house, which was associated with the costs of taxis transportation. Gratitude was expressed by the sincere thanks for the possibility of receiving traditional meals delivered daily.The major conclusion of the study was the indication that greater attention should be paid to meet both the practical and psychological needs of elderly people.
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| 10. |
- Pajalic, Zada, 1967-, et al.
(författare)
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The successful factors of Swedish and Norwegian breastfeeding interventions programs as inspiration to promote breastfeeding internationally - presentation of the future joint project between Sweden and Norway
- 2012
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Konferensbidrag (refereegranskat)abstract
- Findings from international research as well as from Sweden show that breastfeeding is important for infant health. Further there are still needs to continuously invest on the society level to promote the breastfeeding. Working together in international research collaborations can empower all partners involved. The projects’ aims are to describe the successful factors of Swedish and Norwegian breastfeeding interventions programs on national level, and to elucidate the present situation and background of the present low rates of breastfeeding. Further the aim is to develop the Nordic breastfeeding model. Data will be collected between September and December 2013 by individual and focus group interviews with obstetricians, midwifes, district nurses, paediatricians and voluntary breastfeeding advisers in both countries. Further the outcomes from the interviews will be used to creation of the questionnaire that will be tested and power analysis performed during the spring at 2014. The findings will be used to promote breastfeeding and inspire other countries spatially high-income countries to focus on the benefits and importance of the breastfeeding to infant’s health.
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