1.
Ledwith, Margaret, et al.
(författare)
Participatory practice : community-based action for transformative change
2009
Bok (populärvet., debatt m.m.) abstract
Participatory Practice explores the core ideas of participatory practice and how theory and practice can be integrated to achieve transformative change. The ideas in the book are founded on two premises: firstly, that transformative practice begins in the everyday stories that people tell about their lives and that practical theory generated from these narratives is the best way to inform both policy and practice. Secondly, that participatory practice is a tool for examining this knowledge in that it allows practitioners to examine the way they view the world and to situate their local practice within bigger social issues. The book is expected to be of interest to both academics and community-based practitioners. Professor Springett commented: “Writing the book was a transformative experience in itself because we had to cross the divide between our different professions. The idea to write it came from our joint concern for the appropriation of the language of participation by many politicians and agencies without a real examination of what true participation actually consists of."
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4.
Holmberg, Leif, 1943-
(författare)
Task uncertainty and rationality in medical problem solving
2006
Ingår i: International Journal for Quality in Health Care. - 1353-4505 .- 1464-3677. ; 18:6, s. 458-462
Tidskriftsartikel (refereegranskat) abstract
ISSUE: Medical problem-solving situations are characterized by various degrees of 'task uncertainty'--i.e. uncertainty related to the definition of a problem, the effect of a technology, the value of a solution, and so on. The need for professional discretion varies and depends on the degree of perceived task uncertainty. SUGGESTED SOLUTION: In this report it is argued that, in order to obtain rationality in problem-solving processes, differences in the degree of task uncertainty need to be met by variation in the structure of the health care organization. IMPLICATIONS: The main implications of this view are that (under norms of rationality) problem-solving processes with low task uncertainty must be organized in one way and processes with high task uncertainty in another. Furthermore, processes with high and low task uncertainty also need to be evaluated according to different standards. Some hypotheses regarding the different organizational requirements are presented.
5.
Johansson, Ulla, et al.
(författare)
Nutritionsbehandling inom slutenvården : Svenska sjukhus klarar inte Europarådets riktlinjer
2006
Ingår i: Läkartidningen. - 0023-7205 .- 1652-7518. ; 103:21-22, s. 1718-1724
Tidskriftsartikel (refereegranskat) abstract
Sjukdomsrelaterad undernäring har beskrivits i Europa sedan ett tiotal år. Problemet har föranlett Europarådet att 2003 anta en resolution med rekommendationer till medlemsländerna om nutritionsbehandling på sjukhus.I en enkätstudie genomförd bland svenska läkare, sjuksköterskor och dietister undersöktes attityder till och rutiner för nutritionsbehandling inom slutenvården – i relation till Europarådets rekommendationer.Totalt 1 656 personer (38 procent) svarade på enkäten. Av dessa ansåg 88 procent att nutritionsstatus ska screenas vid inläggning, medan endast 22 procent beskrev att så verkligen sker. Nästan hälften ansåg att utbildningen i klinisk nutrition för vårdpersonal var otillräcklig. En otydlighet i ansvarsfördelningen beskrevs av majoriteten av dem som svarat.Undersökningen visar att svensk slutenvård inte lever upp till Europarådets rekommendationer om nutritionsbehandling. Brister har också definierats vad gäller riktlinjer och organisation.För framtiden efterlyses en nationell handlingsplan för att implementera Europarådets resolution i svensk hälso- och sjukvård.
6.
Leppänen, Vesa, 1966-
(författare)
Maktutövning i telefonrådgivning
2008
Ingår i: Holmström, i. (red.), Telefonrådgivning inom hälso- och sjukvård. - Lund : Studentlitteratur. - 9789144047768 ; , s. 19-36
Bokkapitel (övrigt vetenskapligt/konstnärligt)
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10.
Åhgren, Bengt
(författare)
Chain of care development in Sweden : results of a national study
2003
Ingår i: International journal of integrated care. - 1568-4156. ; 3, s. e01-
Tidskriftsartikel (refereegranskat) abstract
Chains of Care are today an important counterbalance to the ever-increasing fragmentation of Swedish health care, and the ongoing development work has high priority. Improved quality of care is the most important reason for developing Chains of Care. Despite support in the form of goals and activity plans, seven out of ten county councils are uncertain whether they have been quite successful in the development work. Strong departmentalisation of responsibilities between different medical professions and departments, types of responsibilities and power still remaining in the vertical organisation structure, together with limited participation from the local authorities, are some of the most commonly mentioned reasons for the lack of success. Even though there is hesitation regarding the development work up to today, all county councils will continue developing Chains of Care. The main reason is, as was the case with Chain of Care development up to today, to improve quality of care. Although one of the main purposes is to make health care more patient-focused, patients in general seem to have limited impact on the development work. Therefore, the challenge is to design Chains of Care, which regards patients as partners instead of objects.
