| 1. |
- Larsen, Anne, et al.
(författare)
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Complex caring needs without simple solutions : the experience of interprofessional collaboration among staff caring for older persons with multimorbidity at home care settings
- 2017
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Ingår i: Scandinavian Journal of Caring Sciences. - 0283-9318 .- 1471-6712. ; 31:2, s. 342-350
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Tidskriftsartikel (refereegranskat)abstract
- Background: Older persons with multimorbidity being cared for at home often have complex needs which can´t be met by one player. Interprofessional collaboration is therefore considered necessary if care is to be organised according to the needs of the elderly. To achieve coherent healthcare, municipalities and regions need to develop this area.Aim: The aim of the study was to illustrate how various professionals belonging to homemaker services, home care services in municipality and Hospital-Based Home Care Services experience their collaboration in caring for older persons with multimorbidity.Method: Eleven informants took part in the study and individual interviewed. The material was analysed using a hermeneutic data analysis.Result: The result shows that collaboration between players contains various types of experiences which influence not only the staff who are involved in collaboration but also the result of the collaboration itself. The informants´ experience of collaboration was defined by trust and distrust and by security and insecurity. These influenced both the staff who were involved in collaboration and the result of collaboration itself.Conlusion: Complex situations could not be solved with simple models. Instead a flexible approach appears necessary with focus shifted from structures to interpersonal relations and interactions. Therefor the different professions have to work as a transprofessional team where close interactions, flexibility and improvisation is a key to success. Relevance to clinical practice: A transprofessional approach to teamwork collaboration can blur professional boundaries and take the competence of all staff into account when home health care to older people with multimorbidity is to be provided by multiple caregivers. This is suggested as an approach with potential to provide high quality and safe care to a vulnerable population.
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| 2. |
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| 3. |
- Westergren, Albert, 1967-, et al.
(författare)
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Sätt måltidsupplevelsen i centrum
- 2012
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Ingår i: Kristianstadsbladet. - 1103-9523. ; :16/6, s. B4-
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Tidskriftsartikel (populärvet., debatt m.m.)abstract
- Måltidsupplevelsen påverkas av så mycket; ljuset i lokalen, ljud, dukning, servering, bemötande, maten, smakerna, doften och sällskapet. Men hur kan den kunskapen omsättas på sjukhus och äldreboenden? Det skriver Albert Westergren, professor i omvårdnad, Kerstin Blomqvist, biträdande professor i klinisk omvårdnad, Anna-Karin Edberg, professor i omvårdnad, och Pia Petersson, ansvarig för sjuksköterskeprogrammet, samtliga på Högskolan Kristianstad.
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| 4. |
- Alam, Farzana, et al.
(författare)
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Trygghet och delaktighet : vård- och omsorgspersonalens syn på närståendes behov av stöd vid palliativ vård av äldre
- 2019
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Rapport (populärvet., debatt m.m.)abstract
- När äldre inte klarar av att bo hemma längre flyttar de ofta till ett vård-och omsorgs-boende, lever den sista tiden där och är i behov av palliativ vård. Palliativ vård är ett förhållningssätt som kännetecknas av en helhetssyn på människan utifrån individens behov. De som arbetar nära den äldre och den närstående är vård- och omsorgsperso-nalen och det är distriktssköterskan som har det övergripande ansvaret för omvårdna-den. Stöd till den närstående är av största vikt inom den palliativa vården. Syftet med studien var att beskriva vård- och omsorgspersonalens erfarenheter av att uppmärk-samma och stödja närstående till den äldre på vård- och omsorgsboende utifrån ett palliativt förhållningssätt. Datainsamlingarna gjordes i två omgångar, en fokusgrupp-sintervju 2017 och genomförda diskussionsgrupper 2010, analyserades med hjälp av kvalitativ innehållsanalys och tolkades med hjälp av Dosseys "Theory of integral nur-sing". I resultatet framkom kategorierna att skapa trygghet för den närstående, önskan att göra den närstående delaktig och att få kunskap om palliativ vård. Kategorierna utmynnade i temat: I ett palliativt förhållningssätt stöds närstående genom att de får känna trygghet och delaktighet. Slutsatsen är att vård- och omsorgspersonalens in-tention är att stödja de närstående men behöver arbeta mer i ett partnerskap med de närstående för att de ska känna en helhet och därmed trygghet och delaktighet.
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| 5. |
- Augustinsson, Sören, 1957-, et al.
(författare)
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On discharge planning : dynamic complex processes – uncertainty, surprise and standardisation
- 2015
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Ingår i: Journal of Research in Nursing. - 1744-9871 .- 1744-988X. ; 20:1, s. 39-53
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Tidskriftsartikel (refereegranskat)abstract
- How can discharge planning (DP) for patients who require care in the home following a period in hospital be understood and developed through the lenses of complexity theory? With the help of complexity theory and practice-based narrative research this study discloses the formal routines and complex dynamic practices that are associated with DP. A study of the literature established that there was an almost total absence of complexity-theoretical perspectives on interpreting and developing DP. The researchers collected narratives about the DP processes using qualitative interviews with the nurses responsible for this in a hospital ward: these were audio-recorded and transcribed verbatim. They also participated in and documented meetings where these nurses, as a group, discussed DP. The findings show that nurses have to continuously deal with uncertainty, surprises and the unknown. They have to make sense and take charge of dynamic complex events and new knowledge, and manage complex relations and information. The researchers argue that looking upon practice from the lenses of complexity theory, and therefore accepting the complexity of practice, could facilitate the development of nurses' skills in order to guarantee good quality in DP.
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| 6. |
- Blom, Lisbeth, et al.
(författare)
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The SBAR model for communication between health care professionals : a clinical intervention pilot study.
- 2015
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Ingår i: International Journal of Caring Sciences. - 1791-5201 .- 1792-037X. ; 8:3, s. 530-535
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Tidskriftsartikel (refereegranskat)abstract
- Background: SBAR has been suggested as a means to avoid unclear communication between health care professionals and in turn enhance patient safety in the healthcare sector. Aim: to evaluate hospital-based health care professionals experiences from using the Situation, Background, Assessment and Recommendation (SBAR) communication model. Methodology: A quantitative, descriptive, comparative pre- and post-intervention questionnaire-based pilot study before and after the implementation of SBAR at surgical hospitals wards. Open comments to questionnaire items were analyzed qualitatively. Results: The introduction of SBAR increased the experience of having a well-functioning structure for oral communication among health care professionals regarding patients’ conditions. Qualitative findings revealed the categories: Use of SBAR as a structure, Reporting time, Patient safety, and Personal aspects. Conclusions: SBAR is perceived as effective to get a structure of the content in patient reports, which may facilitate patient safety.
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| 7. |
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| 8. |
- Blomqvist, Kerstin, et al.
(författare)
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Vårdkedjans aktörer och organisering
- 2014. - 2
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Ingår i: Omvårdnadens grunder. - Lund : Studentlitteratur. - 9789144083544 ; , s. 167-196
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Bokkapitel (populärvet., debatt m.m.)
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| 9. |
- Bringsén, Åsa, 1970-, et al.
(författare)
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Nursing staff's experience of appearance issues in various nursing situations
- 2021
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Ingår i: BMC Nursing. - 1472-6955 .- 1472-6955. ; 20:1, s. 1-12
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Health care professionals frequently interact with unknown patients in a process involving appearance-based judgements and priority-setting, all of which has an effect on health care equality. The healthcare provider-patient interaction is also highly relevant for the awareness and support of patients' appearance concerns, with an associated possibility for improving patients' satisfaction with their appearance and health. The aim was therefore to explore nursing staff's experience of patients' appearance issues in various nursing situations, with the purpose to facilitate awareness raising and knowledge development.METHOD: A qualitative research approach with focus group interviews was chosen due to the exploratory aim of the study. Five semi-structured focus group interviews were conducted with 24 nursing staff in total (19 women and five men). The participants' ages varied (20 to 45 years) as did their professional nursing experience. The interviews lasted approximately one hour, were digitally recorded, transcribed verbatim and analysed through thematic analysis.RESULTS: The thematic analysis resulted in the two themes Patient perspective and Professional nursing role, with associated subthemes. The findings showed the importance and impact of appearance issues in nursing situations and how these are linked to the health of the patients. Some groups of patients were identified as more vulnerable than others, which was associated with health care inequalities and health disparities. Value-based strategies along with knowledge, and skills for holistic person-centred care were identified as important resources for the development of appearance-related awareness and support in various nursing situations.CONCLUSION: Strategies for improvement can be realised through the educational system for nursing staff, but mainly by using collective reflective learning forums in different workplaces. An empowerment approach is considered a useful framework for the implementation of holistic person-centred care, functioning as a resource for appearance-related awareness and support in various nursing situations. However, more research is needed on the complex and challenging phenomenon of appearance issues in nursing situations. Knowledge development related to successful person-centred strategies for appearance-related awareness and support is important, especially strategies with a salutogenic perspective.
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| 10. |
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| 11. |
- Edfors, Ellinor, 1956-, et al.
(författare)
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Interkollegialt lärande för handledning och bedömning av examensarbete
- 2013
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Ingår i: Högskolepedagogisk debatt. - 2000-9216. ; :1, s. 27-37
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- I sjuksköterskeutbildningen vid Högskolan Kristianstad har sedan 2008 använts en modell för handledning och examination av examensarbetet med fokus på studenternas lärande. Trots att handledningsmodellen varit i bruk under några år visade genomförda kursutvärderingar att studenter uppfattade att det fanns skilda uppfattningar hos handledare och examinatorer om hur examensarbetet ska genomföras. På grund av detta ansöktes medel från Lärande Resurs Centrum (LRC) och Sektionen för Hälsa och Samhälle för att i kollegiet skapa möjligheter att diskutera vilka pedagogiska möjligheter och svårigheter som finns samt hur likheter och olikheter i syn på kunskap kan främja såväl som hindra studenternas lärandeprocess under examensarbetet. I denna rapport beskrivs projektets upplägg och genomförande samt centrala aspekter från den dialog som fördes i kollegiet under projektets gång.
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| 12. |
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| 13. |
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| 14. |
- Jakobsson, Liselotte, 1953-, et al.
(författare)
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Implementering
- 2013
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Ingår i: Aktionsforskning i vård och omsorg. - Malmö : Gleerups Utbildning AB. - 9789140685643 ; , s. 111-124
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 15. |
- Laustsen, Christine E., et al.
(författare)
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Involvement of professionals in research: knowledge integration, development of practice, and challenges : a group concept mapping study
- 2021
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Ingår i: Health Research Policy and Systems. - 1478-4505 .- 1478-4505. ; 19:1, s. 1-17
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Research and practice are often considered as two different worlds with different values, which causes a gap between them. Involving professionals such as practitioners, managers, decision-makers, and policy-makers in research on ageing and health might address the gap between research and practice, strengthen the healthcare system, and increase older people's possibilities for healthy ageing. The aim of this study was to conceptualize professionals' involvement in research on ageing and health from the perspective of the professionals themselves.METHODS: A mixed method called group concept mapping was used. Professionals with experience being involved in research on ageing and health participated in qualitative data collection through brainstorming sessions (n = 29) and by sorting statements (n = 29). Afterwards, they participated in a quantitative data collection by rating statements according to how much each statement strengthened practice (n = 30) and strengthened research (n = 28). Multidimensional scaling analysis and hierarchical cluster analysis were used to conduct quantitative analysis. Latent qualitative analysis was also conducted.RESULTS: Analysis resulted in eight clusters which illustrated conceptual areas of professionals' involvement in research projects. The qualitative latent construct of the cluster map resulted in the themes: challenges for professionals; prerequisites and professionals' learning can contribute to development of practice; and integrated knowledge benefits older people. There was a strong correlation between what strengthens practice and research (r = 0.92).CONCLUSIONS: This study illustrates conceptual areas of professionals' own perspectives on what their involvement in research can lead to. Their involvement may lead to knowledge being integrated, and the professionals may learn through their involvement, which can contribute to the development of practice. However, there can also be challenges that need to be handled when professionals are involved in research. The study can be useful for improving the understanding of and actual involvement of professionals in research, and for optimizing the involvement of professionals.
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| 16. |
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| 17. |
- Nivestam, Anna, et al.
(författare)
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Give older persons a voice in the society : By using information compiled during preventive home visits on a societal level
- 2021
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Ingår i: International Journal of Environmental Research and Public Health. - 1661-7827 .- 1660-4601. ; 18:14, s. 1-17
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Tidskriftsartikel (refereegranskat)abstract
- Preventive home visits (PHVs) are offered to older persons with the purpose of promoting health and preventing risks on an individual level. However, aspects of health need to be considered on a societal level as well. This study aims to get a deeper understanding of perceptions of the usability of the information compiled during the PHVs to promote health, among older persons, on a societal level. Three online focus groups were conducted with heads of unit of PHVs, heads of department, and politicians responsible for health and welfare in seven municipalities in Sweden (n = 12). The findings were visualised in the core category Enable an inclusive society and the interrelated categories Monitoring determinants of health and Enabling exchange of information. The information from the PHVs could be used to monitor determinants of health by identifying assets, challenges, shifts, trends, and future needs in the society. Moreover, exchange of information from the PHVs could occur within and outside the health and welfare organisation. However, the potential use was affected by hindrances illustrated in the category Obstacles to interpreting and communicating the information. To conclude, using the information from the PHVs could possibly contribute to an inclusive society, where persons not usually represented in decision making are given a voice.
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| 18. |
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| 19. |
- Nivestam, Anna, et al.
(författare)
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Older person's experience of the gains from the support and advice given during the preventive home visit
- 2021
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Background: In order to maintain good health in old age, a comprehensive perspective including both health promotion and risk prevention is crucial. Preventive home visit is one intervention with the purpose to prevent risks and promote health among older persons. Support and advice given during the preventive home visit needs to be tailored towards the older person’s needs. In order to give advice and support that is targeting older persons prerequisites there is a need for more research about how older persons experience support and advice given during a preventive home visit. Therefore, the aim of this study was to explore older person’s experiences of the gains from the support and advice given in a preventive home visit program developed in collaboration between several municipalities, a county council and researchers.Method: Individual semi-structured interviews were conducted with 13 older persons, mean age 79 years old, living at home who had received a preventive home visit. The interviews were analysed with content analysis.Findings: The overarching preliminary theme Being empowered and recognised as a person reviled the participants feeling of that the support and advice given encountered all aspects of health and the whole person. The support and advice generated conditions for the person to be empowered by contributing to a feeling of control and preparedness for the future. Further the support and advice given contributed to a feeling of being recognised when health, behaviour and the surrounding environment were assessed.Conclusion: Being empowered and recognised as a person might be central gains from the support and advice given during the preventive home visits, which enables good health among older persons.
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| 20. |
- Nivestam, Anna, et al.
(författare)
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Promote social participation among older persons by identifying physical challenges : an important aspect of preventive home visits
- 2021
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Ingår i: Archives of gerontology and geriatrics (Print). - 0167-4943 .- 1872-6976. ; 93, s. 1-6
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Tidskriftsartikel (refereegranskat)abstract
- Introduction: Social participation can have a positive impact on health; however, physical challenges can be hindrances. During a preventive home visit a health professional (visitor) assesses different aspects of physical, mental and social health. However, there might be a challenge for the visitor to discover the interrelationship between physical factors that hinder social participation. Therefore, the aim of this study was, in the context of preventive home visits, to identify physical factors which can hinder older persons from taking part in social contexts. Methods: Cross-sectional register data from preventive home visits to older persons (n=1,245, ≥77 years old, without home care) was used. Data was collected during a period of 17 months, in seven Swedish municipalities. Logistic regression was used to analyse the association between physical factors and the item physical problems hindering social participation. Results: The mean age was 78.8 (standard deviation 1.8 years), and 55% were women. The physical factors significantly associated with physical problems hindering taking part in social contexts were: having urinary incontinence (women only), having pain, impaired endurance and using a mobility device. Conclusions: This study provides insights into how to make the best use of the questions asked during preventive home visits, in order to enable older persons to take part in social contexts. The results recognise the importance of taking into account physical challenges to be able to support social participation. Furthermore, considering physical challenges for social participation on both an individual and a societal level might reduce inequalities among older persons.
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| 21. |
- Petersson, Pia, 1961-, et al.
(författare)
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Aktionsforskning
- 2012
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Ingår i: Vetenskaplig teori och metod. - Lund : Studentlitteratur. - 9789144071350 ; , s. 289-1§302
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 22. |
- Petersson, Pia, 1961-
(författare)
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Att göra abstrakta begrepp och komplexa situationer konkreta : en avhandling om deltagarbaserad aktionsforskning i svensk vård och omsorg
- 2009
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- This dissertation covers the subject of how abstract concepts and complex situations can be concretized through research together with practitioners. The dissertation is based on four empirical studies. The researcher role, the practitioner participation and the methods for data collection and analysis have varied. In study I the concept ‘Närsjukvård’ was explored to understand how practitioners, managers and politicians in hospitals, primary health care and municipalities interpreted the concept. The researcher acted as consultant who collected data by interviews and questionnaires. Practitioners’ participation was limited. ‘Närsjukvård’ was interpreted as accessibility to hospital beds, accessibility to primary health care, collaboration between care providers and continuity and developed home care. Study II aimed to explore how people experienced leg ulcer care. The researcher acted as a consultant who performed the interviews and analysed the data. Although the informants experienced their encounters with the nurses as satisfying, the study illuminated low participation in the care and low practitioner involvement in issues about daily living with the leg ulcer. The findings were brought back to the informants and the practitioners. The project did not proceed towards development and change. In study III the aim was to explore the Swedish concept ‘trygghet’ by using stories from daily life. Four older women were interviewed and the Story Dialogue method was used together with assistant nurses and registered nurses who participated in data collection and analysis. Two themes emerged: Sense of Security and factors strengthening the Sense of Security. Together with the assistant nurses, areas for improvements were identified. Study IV aimed to explore the discharge planning situation in order to generate ideas for development. Members from a discharge planning network participated in the whole research process. Conditions for a successful coordinated discharge planning situation were a system including: the participation of the patient, the competence of the staff and the support from the organisation. The group arranged a workshop about communication and interdisciplinary collaboration. The findings resulted in a form with self-evaluation questions. In conclusion, this thesis illustrates that it is possible to clarify abstract concepts and complex situations together with practitioners. To do this successfully, sense making activities and to start from practitioners’ experiences and their own context are key factors. The studies illuminate that building trust, relationship and sense of participation are essential in health and social care in general and specifically in the participatory action research process.
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| 23. |
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| 24. |
- Petersson, Pia, 1961-, et al.
(författare)
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Coordinated care planning in public health care in Sweden
- 2012
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- The objective of this paper is to describe, increase the understanding of, and contribute to a theoretical development of how to look at care planning in public health care in Sweden. By transferring some of the medical care from hospitals to a patient's actual home in the 1990s, valuable beds at hospitals were made available to other patients. Patients who have been properly medically treated at hospitals should be discharged from the hospital as soon as possible. This enables a transferral of aftercare to the patient's home or to a municipally organised living accommodation for e.g. the elderly. In order to make sure that patients receive continued care after their discharge from the hospital, Sweden introduced a law concerning co-ordinated care planning (SOSFS 2005:27). This law prescribed that professionals at hospitals should work together with the patient, close kin and caretaker representatives (primarily in the patient's municipal) in order to agree on the need for continued care. In practice this means that an assistance administrator (the person who makes decisions concerning municipal care efforts) a nurse from the municipal home health care system, a nurse from the hospital department at which the patient was admitted, alongside with the patient and his or her close kin should form a care planning team who meet in order to plan the continued need for care. Ultimately the doctors have formal responsibility. In addition to this law, there are agreements between the county council responsible for the medical care and municipals responsible for home health care, well prepared routines for practical approaches, as well as IT support making sure that information is properly transferred to safeguard the safety of the patient and smooth processes (Region Skåne 2011). Despite legislations, governing and control, there are a number of problems when it comes to actual co-ordinated care planning, why is that so? (Augustinsson 2010; Judge 2003; Czarniawska and Lindberg 2006; Lidén 2009; Lindström 2011). This was the basis of the research assignment, i.e. studying actual events behind co-ordinated care planning and developing theoretical models that may be of use to the care planning team. Rather than focusing on the research objective, we asked "What happens in the process of co-ordinated care planning?" This question formed the basis of ten semi-structured interviews with nurses working with co-ordinated care planning at a hospital. We focused on events, interpretations, experiences and emotions in order to follow up with questions that could offer more details on descriptions and analyses. At the introductory phase of the analysis of the transcribed interviews, we asked the following questions "What is going on here?" and "What do the natives [professionals] think they are up to?" From these analyses of the empirical material (interviews as well as documents) and previous theoretical viewpoints of researchers and their knowledge of the field, one overall question emerged: "What happens in the gap between formal structure such as legislations, routines and standardised procedures, and the informal meaning actual co-ordinated planning processes?" The empirical material also included observations of mutual meetings at the hospital between nurses working with co-ordinated planning. The empirical material, based on the answers to the questions above, have later been addressed from various theoretical aspects in order to open up and create new perspectives on events and new theoretical models. This approach means that neither empirical material nor theories are taken for granted. The conclusion of the study, albeit preliminary, is that too many routines and regulations in a co-operation will make professionals unable to see solutions found outside of the predetermined boundaries. The detail level of regulations may be such a problem. This has been frequently discussed and is a known phenomenon among researchers studying knowledge development, safety and quality in organisational work (Dreyfus and Dreyfus 2003; Weick 2009).
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| 25. |
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| 26. |
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| 27. |
- Petersson, Pia, 1961-, et al.
(författare)
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Local interpretations of health policy concepts : the exemple of Närsjukvård in Sweden
-
Annan publikation (övrigt vetenskapligt/konstnärligt)abstract
- Health care systems in Europe face many challenges requiring greater integration of health and social care. The health policy response in government financed health systems has varied but a consistent feature has been continual change in an attempt to secure greater efficiencies and to meet patient expectations concerning service quality. This paper explores the manifestation of this phenomenon in a subregion of Sweden, where a new concept ‘Närsjukvård’ (literally Nearby Care) was introduced. Method: Data was collected through interviews and questionnaires. A convenience sample of 57 practitioners and managers was interviewed. A questionnaire with four statements based upon the findings from the interviews was answered by 1361 practitioners, managers and politicians working in primary health care, in municipalities and in hospitals. Results: The findings illustrated that the concept was interpreted as; accessibility to hospital beds, accessibility to primary health care, collaboration between care providers and continuity and developed home care. The study revealed different understanding and interpretations partly depending on the respondents’ professional domain and their organisational elonging. Conclusion: A prerequisite for creating a common meaning to the expression ‘Närsjukvård’ is that activities that help the creation of meaning are offered at and between all domain levels and organisations.
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| 28. |
- Petersson, Pia, 1961-, et al.
(författare)
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Local interpretations of health policy concepts : the example of Närsjukvård in Sweden
-
Annan publikation (övrigt vetenskapligt/konstnärligt)abstract
- Health care systems in Europe face many challenges requiring greater integration of health and social care. The health policy response in government financed health systems has varied but a consistent feature has been continual change in an attempt to secure greater efficiencies and to meet patient expectations concerning service quality. This paper explores the manifestation of this phenomenon in a subregion of Sweden, where a new concept ‘Närsjukvård’ (literally Nearby Care) was introduced.Method: Data was collected through interviews and questionnaires. A convenience sample of 57 practitioners and managers was interviewed. A questionnaire with four statements based upon the findings from the interviews was answered by 1361 practitioners, managers and politicians working in primary health care, in municipalities and in hospitals.Results: The findings illustrated that the concept was interpreted as; accessibility to hospital beds, accessibility to primary health care, collaboration between care providers and continuity and developed home care. The study revealed different understanding and interpretations partly depending on the respondents’ professional domain and their organisational belonging. Conclusion. A prerequisite for creating a common meaning to the expression ‘Närsjukvård’ is that activities that help the creation of meaning are offered at and between all domain levels and organisations.
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| 29. |
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| 30. |
- Petersson, Pia, 1961-
(författare)
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Samordnad vårdplanering
- 2013
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Ingår i: Aktionsforskning i vård och omsorg. - Malmö : Gleerups Utbildning AB. - 9789140685643 ; , s. 45-57
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 31. |
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| 32. |
- Petersson, Pia, 1961-, et al.
(författare)
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Sense of security : searching for its meaning by using stories: a participatory action research study in health and social care in Sweden
- 2011
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Ingår i: International Journal of Older People Nursing. - 1748-3735 .- 1748-3743. ; 6:1, s. 25-32
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Tidskriftsartikel (refereegranskat)abstract
- Background. In Sweden, attempts to implement core values to ensure high quality health and social care for older people are given high priority and concepts such as security and dignity are often used. As concepts are abstract they are difficult to transform into practical work. Aim: The aim of this study was to make sense of the Swedish concept ‘trygghet’ by using stories from daily life in a participatory action research project. Design: One group of six assistant nurses and one group of five registered nurses working in municipality participated in Story Dialogue Method and four older women were interviewed. Result: ‘Trygghet’ was found to be an internal sense – an intrinsic state based on faith and trust in oneself and others called security were situations Sense of security. External factors that strengthened Sense ofto be part of a community, to recognise and be familiar with things andand to use various kinds of aids. Conlusion and Relevance to Clinical Practice: A prerequisite for the professionals being able to support the care receivers adequately is that they have a sense of security themselves, and that they are allowed to operate in a system that facilitates for the care receivers to maintain trustworthy and reliable relations over time.
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| 33. |
- Petersson, Pia, 1961-, et al.
(författare)
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Sense of security – searching for its meaning by using stories : a Participatory Action Research study in health and social care in Sweden
- 2011
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Ingår i: International Journal of Older People Nursing. - : Wiley. - 1748-3735 .- 1748-3743. ; 6:1, s. 25-32
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Tidskriftsartikel (refereegranskat)abstract
- In Sweden, attempts to implement core values to ensure high quality health and social care for older people are given high priority and concepts such as security and dignity are often used. As concepts are abstract they are difficult to transform into practical work. The aim of this study was to make sense of the Swedish concept ‘trygghet’ by using stories from daily life in a participatory action research project. One group of seven assistant nurses and one group of five registered nurses working in municipality participated in Story Dialogue Method and four older women were interviewed. ‘Trygghet’ was found to be an internal sense – an intrinsic state based on faith and trust in oneself and others called Sense of security. External factors that strengthened Sense of security were to be part of a community, to recognise and be familiar with things and situations and to use various kinds of aids. A prerequisite for the professionals being able to support the care receivers adequately is that they have a sense of security themselves, and that they are allowed to operate in a system that facilitates for the care receivers to maintain trustworthy and reliable relations over time.
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| 34. |
- Petersson, Pia, 1961-, et al.
(författare)
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Story dialogue as a method to connect theory and practice.
- 2007
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Konferensbidrag (refereegranskat)abstract
- There is an ongoing debate about how to bridge the gap between theory and practise and use existing theory in everyday practice. To enhance knowledge, understanding and to promote change in clinical practice, Participatory Action Research (PAR) is recommended. PAR is a process of systematic inquiry as its methodology emphasise equality and participation. To promote change in the clinical practice the research is done with those who are concerned by the issue rather than on them. By involving and engaging, PAR brings collective ownership and responsibility of making use of the findings. Methods which emphasise reflection and dialogue help professionals to elucidate concerns about issues in their clinical practise, to challenge the status quo and to change. Story-telling is a tool in knowledge development as narratives are powerful to convey experiences. By using Story dialogue method narratives can be investigated in a systematic way. Dialogue and reflection enhance different ways of viewing a problem and a day to day problem can be examined in a systematic way.This paper is about how to use Story dialogue method with the aim to support professionals to elucidate, investigate and take action towards significant problems in care planning situations.The on-going research is performed in a multi-professional care planning network. The purpose of the network is to develop knowledge about care planning in clinical settings and to reach understanding about how to make care planning holistic. We decided in collaboration to examine what holism is in a care planning situation and used members’ narratives about care planning situations characterised by holism. The members and the researches have met four times. Narratives were investigated by using a structured dialogue, writing insight cards and building categories based on insights from the dialogue. Based on the categories we constructed an observation manual which later on will be tested in practise.This paper presents an on-going research project where researchers and practitioners work together to bridge the gap between theory and practice. By using PAR and Story Dialogue Method the members in the care planning network enhance their collective knowledge and understanding about holism with the purpose to improve care planning in practice.
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| 35. |
- Petersson, Pia, 1961-, et al.
(författare)
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Telling stories from everyday practice, an opportunity to see a bigger picture : a participatory action research project about developing discharge planning
- 2009
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Ingår i: Health and Social Care in Community. - Oxford : Blackwell Science. - 1365-2524 .- 0966-0410. ; 17:6, s. 548-556
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Tidskriftsartikel (refereegranskat)abstract
- In spite of laws, rules and routines, findings from Swedish as well as international research show that discharge planning is not a simple matter. There is considerable knowledge about discharge planning but the quality of the actual process in practice remains poor. With this in mind, a research and developmental (R & D) health and social care network decided to use Participation Action Research (PAR) to explore the discharge planning situation in order to generate new ideas for development. This paper reports on the research process and the findings about our enhanced understanding about the discharge planning situation. Story Dialogue Method was used as a method. The method is based on stories from everyday practice. The stories are used as ‘triggers’ to ask probing questions in a dialogical and structured form. Local theory is developed to help the participants to find solutions for action in the practice. Our findings were that the discharge planning situation could be seen as a system including three interconnected areas: patient participation, practitioners’ competence and organisational support. To reach good quality in discharge planning all this three issues need to be developed, but not only as routines and forms. Rather, when developing a discharge planning situation a system where relational aspects such as confidence and continuity are essential and thus needs to be considered. To achieve a change the core problem needs to be clarified. When the issue is complex the solution needs to consider the bigger picture and not just the parts. Telling stories from everyday practice and to systematically reflect and analyse those in inter-professional groups can create opportunities for enhanced understanding as well as be a vehicle for future change of practice.
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| 36. |
- Petersson, Pia, 1961-, et al.
(författare)
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The triumph of hope over experience : using patients' experiences to inform leg ulcer care through participatory action research
- 2009
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Ingår i: Journal of Nursing and Healthcare of Chronic Illness. - Oxford : Blackwell Publishing. - 1752-9816 .- 1752-9824. ; 1:1, s. 96-104
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Tidskriftsartikel (refereegranskat)abstract
- Aims and objectives: The aim of this Participatory Action Research (PAR) project was to find out how the patients experienced their care in order to allow the practitioners to reflect about the patients’ view as a vehicle for a changed leg ulcer care practice. This paper reports on findings from the project and from the PAR process.Background: Great numbers of people suffer from chronic leg ulcers and many have to live with their illness for a long time. Even when the illness is controlled by medical treatment, the person with the chronic condition has to deal with physical, emotional, cognitive and social problems and usually has frequent and long-term encounters with practitioners. In one municipality in a southern part of Sweden researchers were engaged as consultants in a PAR project aiming to improve the care for persons with chronic leg ulcers.Method: Nine older persons with chronic leg ulcers, mainly treated in primary care, were asked about their experiences of the care. The analysis proceeded in several steps including a number of content analysis and reflective dialogues with practitioners and persons with chronic leg ulcers.Result: Although the persons with chronic leg ulcers experienced their encounters with practitioners as satisfying, findings illuminated low participation in their own care and low practitioner involvement in issues about their daily living with chronic illness. In addition, the PAR project did not succeed to proceed from problem identification towards development and change.Conclusion and relevance to clinical practice: Participation is about negotiation and transferring power and authority from practitioners towards patients and from researchers towards practitioners and patients. This is however difficult to achieve in practice. This project illuminated that success in performing a PAR project that brings sustainable change requires substantial work to involve practitioners in initiating and planning the research.
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| 37. |
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| 38. |
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| 39. |
- Rämgård, Margareta, et al.
(författare)
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Developing health and social care planning in collaboration
- 2015
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Ingår i: Journal of Interprofessional Care. - : Informa Healthcare. - 1356-1820 .- 1469-9567. ; 29:4, s. 354-358
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Tidskriftsartikel (refereegranskat)abstract
- Collaboration between different professions in community care for older people is often both difficult and complex. In this project, a participatory action research (PAR) was conducted in order to support the professions involved in the care for older people to develop individualized health and social care plans. Cases from daily work were discussed in different professional groups over a period of one year. A key finding was that lack of knowledge regarding the other professions' field of expertise and their underlying professional culture and values was a barrier in their collaboration. However, as the continuous reflective dialogue process progressed, the participants began to reflect more about the importance of collaboration as a prerequisite to achieve the best possible care for the recipient. This process of reflection led to the often complex needs of the care recipients being given a more central position and thus care plans being better tailored to each person's needs.5
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| 40. |
- Springett, Jane, 1952-, et al.
(författare)
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Annual report 2004
- 2005
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Rapport (övrigt vetenskapligt/konstnärligt)
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| 41. |
- Springett, Jane, 1952-, et al.
(författare)
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Närsjukvård : bakgrund, erfarenheter och pilotstudie
- 2005
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- Närsjukvård är ett centralt begrepp i ett förändringsarbete som för genomförs i nordöstra Skåne för att utveckla hälso- och sjukvårdsväsendet. Det ingår därmed som en av de centrala delarna av Region Skånes vision om hälso- och sjukvård: Skånsk livskraft – vård och hälsa. Syftet med denna rapport är att ge en bakgrund till begreppet (Del A) och att presentera en del preliminära rön beträffande hur olika aktörer i nordöstra Skåne uppfattar begreppet (Del B). Del A ger en översikt kring ursprunget till begreppet Närsjukvård inom ramen för de förändringar i hälso- och sjukvården som sker i Sverige i stort. Den beskriver sedan vilka slags förändringar som har planerats på politisk nivå och som nu håller på att genomföras under detta paraplybegrepp, nationellt, regionalt och lokalt. För detta syfte används statliga dokument och publicerade utvärderingsstudier i stor utsträckning som källmaterial. Denna del ska därför inte ses som en heltäckande översikt. Del B inriktas på att belysa hur långt förverkligandet av idén om Närsjukvård har kommit inom regionen. Avsnittet är en kartläggning av olika aktörers förståelse av Närsjukvård i den nordöstra delen av Region Skåne. Forskningsfrågorna inriktades på hur folk pratade om Närsjukvård, det vill säga på hur de förstod och använde begreppet.
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| 42. |
- Sundström, Malin, 1968-, et al.
(författare)
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Factors for improving Health and Social Care Planning in Collaboration (HSCPC) : a Participatory Action Research project. Oral presentation at Nordic Conference in Nursing Research. Odense 2014
- 2014
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Konferensbidrag (refereegranskat)abstract
- Objective: A recent project to develop Health and Social Care Plannings in Collaboration (HSCPC) resulted in a new model for care plannings in older persons’ homes. After having used the model for about six months, the management and participating professionals asked researchers for support to evaluate the model. In particular they wanted to know how the older persons experienced the HSCPC and how the model could be improved.Methodology: We used a Participatory Action Research approach and invited older persons, their relatives and professionals who had participated in HSCPC. The older persons and their relatives were interviewed individually two weeks after the HSCPC and the profes- sionals from the same care planning took part in focus groups. The professionals and the management were also invited to participate in feedback sessions.Results: Older persons, relatives and professionals expressed an overall positive attitude to HSCPC. In particular they appreciated that the meeting was held in the older persons’ homes and that the older persons were able to express their own experiences and wishes. Preparation of the meeting, communications skills during the meeting and follow up’s were areas that should be improved. During the feed- back sessions, professionals and management came up with ideas of how to handle improvement needs.Conclusion: The initial development project became an established part of everyday practice characterized by an endeavor to make continuous improvements. Thus, it could be viewed as a triple-helix project.
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| 43. |
- Sundström, Malin, 1968-, et al.
(författare)
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Health and social care planning in collaboration in olderpersons’ homes : the perspectives of older persons, familymembers and professionals
- 2018
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Ingår i: Scandinavian Journal of Caring Sciences. - 0283-9318 .- 1471-6712. ; 32:1, s. 147-156
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Tidskriftsartikel (refereegranskat)abstract
- Providing health and social care to older persons is challenging, since older persons often have multiple diseases and a complex health situation. Hence many professions and organisations are involved. Lack of interprofessional and interorganisational collaboration leads to fragmented care. Care planning meetings before hospital discharge have long been used to overcome this fragmentation, but meetings conducted at the hospital have limitations in identifying long-term needs at home. A new model for health and social care planning in collaboration (HSCPC) in older persons' homes was introduced in two Swedish municipalities. The aim of this study was to gain a deeper understanding of the HSCPC-meeting from the perspectives of older persons, family members, and professionals. Ten care planning meetings from two municipalities were consecutively included. Interviews in retrospect with ten older persons, eight family members, and ten groups of professionals who had attended the HSCPC-meeting at home were analysed with a hermeneutic approach. Four themes emerged: unspoken agendas and unpreparedness, security and enhanced understanding, asymmetric relationships, and ambiguity about the mission and need for follow-up. The comprehensive interpretation is that the professionals handled the HSCPC-meeting mainly as a routine task, while the older persons and family members viewed it as part of their life course. Older persons are in an inferior institutional, cognitive and existential position. However, meeting together in the home partly reduced their inferior position. Findings from this study provide some general suggestions for how HSCPC-meetings should be designed and developed: attention of power relations, the importance of meeting skills and follow-up.
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| 44. |
- Sundström, Malin, et al.
(författare)
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Inte samma mall för alla : om vård- och omsorgsplanering i samverkan
- 2013
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- När en person är medicinskt färdigbehandlad på sjukhuset och ska skrivas ut, men i fortsatt behov av vård och omsorg sker en övergripande vårdplanering på sjukhuset för att fördela ansvaret mellan kommun och landsting/region, en så kallad Samordnad vårdplanering (SVPL). Det handlar om att fördela ansvaret både praktiskt och ekonomiskt samt att besluta om vem som ansvarar för uppföljning. När vården och omsorgen ges i det egna hemmet beviljas personen insatser via hemsjukvården och då bör en specifik vårdplan upprättas (Region Skåne, 2005). Dokumentet benämns vård- och omsorgsplan i samverkan (VOPS) eftersom vårdplaneringen skall ske i samverkan mellan kommunens och primärvårdens personal. Denna VOPS skall vara framåtsyftande till sin karaktär och verka för att bevara den enskildes hälsa och välbefinnande i ett längre perspektiv, där också personens egna önskemål tas med i planeringen. En avsikt är också att en VOPS-planering skall följa personen i hela processen, kommunen, primärvården och specialistvården. Genom dokumentationen skall sedan olika vårdgivare kunna skapa sig en uppfattning om personens situation och de olika vårdbehov som finns och kan uppstå för att ge en god vård och omsorg. En annan avsikt är också att förebygga oplanerade sjukhusinläggningar genom att planera åtgärder vid akut insjuknande och försämring. I den här studien har tio VOPS-möten följts upp med individuella intervjuer med den äldre och dennes närstående samt fokusgruppsintervjuer med personalgruppen. Avsikten har varit att fånga olika deltagares erfarenheter av att delta i och genomföra en vård- och omsorgsplanering i samverkan (VOPS).
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| 45. |
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| 46. |
- Williams, Pia, 1961, et al.
(författare)
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Perspectives of preschool quality in Sweden. A selection of current projects
- 2024
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Ingår i: Nordic Evidence Based High Quality Early Childhood Education and Care Research Network for Social Justice. Workshop: Establishing collaborations and introducing theories of impact. Stockholm university, May 13-14, 2024.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)
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