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- Olander, Ewy, et al.
(författare)
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Hälsovägledning i barnhälsovården. Erfarenheter från sju års forsknings- och utvecklingsarbete.
- 2006
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Annan publikation (övrigt vetenskapligt/konstnärligt)abstract
- Between 1997 -2005 a research and developing work has been carried out in collaboration between Child Health Services, Lyckeby Primary Health Area , County Council of Blekinge and a researcher at School of Health, Blekinge Institute of Technology with purpose to develop health counselling in Child Health Services and to study this process. Corner stones for the collaboration and developing process were a participatory approach, a Health Action process and improvement work evolving from practice. The present report describe the evaluation of improvement for seven years, two initial years as a project and five years in ordinary activity, the impact on health counselling and, strains and obstacles for maintaining. The evaluation suggests that the overall aim for the improvement has been achieved. The studies shows that health counselling is a multi-faced work and therefore actions and improvements can not only focus on the health counselling in the consultations. Several factors interact and influence on the routines for child health services, collaboration and health counselling. The process evaluation showed that the participatory action approach made that the district nurses felt that they “urge on together” to improve the health counselling and reach the goal, although the extra developing work took time. The health action working process and the group meetings developed the request of reflection and discussion. By active participating in the project the district nurses developed awareness, knowledge, skills and methods for action and changing and prerequisites for maintaining and application in the organisation increase. The “outsider” (researcher) is important as a reflection and analysis partner. The improving and changing process needs and takes time, for being emerged and not forced, sustainable and not a dayfly.
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