| 31. |
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| 32. |
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| 33. |
- 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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| 34. |
- Petersson, Pia, et al.
(författare)
-
Story dialogue as a method to connect theory and practice.
- 2007
-
Konferensbidrag (övrigt vetenskapligt/konstnärligt)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 problemand 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 projectwhere 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)
-
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. |
- Petersson, Pia, et al.
(författare)
-
The triumph of hope over experience : using peoples’ experiences to inform leg ulcer care through participatory action research
- 2009
-
Ingår i: Journal of Nursing and Healthcare of Chronic Illness. - : Wiley. - 1752-9816 .- 1752-9824. ; 1:1, s. 96-104
-
Tidskriftsartikel (refereegranskat)abstract
- Aim. To explore how people experienced leg ulcer care so as to inform practitioners about the patients' view as a vehicle for a changed leg ulcer care practice. 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 leg ulcers has to deal with physical, emotional, cognitive and social problems and long-term encounters with practitioners. Method. A Participatory Action Research approach was used. Nine older persons with chronic leg ulcers, treated in primary care, were asked about their experiences of the care. Content analysis and reflective dialogues with practitioners and persons with chronic leg ulcers was performed. The study was undertaken from autumn 2004 to spring 2005. 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 participatory action research project did not proceed from problem identification towards development and change. Conclusion. Participation is about negotiation and transferring power and authority from practitioners towards patients and from researchers towards practitioners and patients. Undertaking a participatory action research project that brings sustainable change requires substantial work to involve practitioners in initiating and planning the research. Relevance to clinical practice. Participation requires true partnership. To reach participation between researchers, practitioners and patients would need a significant change in attitude of all parties as well as a change in the care culture. Changing attitudes is not enough as long as practitioners and patients are stuck in a hierarchical structure with predetermined and taken for granted roles and relations in the medical culture.
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| 38. |
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| 39. |
- Reit, Claes, 1946, et al.
(författare)
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Diagnosis of pulpal and periapical disease
- 2009
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Ingår i: Bergenholtz G, Hørsted-Bindslev P, Reit C. Textbook of endodontology. - Oxford : Wiley-Blackwell. ; , s. 235-254
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 40. |
- Rohlin, Madeleine, et al.
(författare)
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Systematic reviews - avenues to improved quality in oral health care and research
- 2009
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Ingår i: Programme and abstract book. ; , s. 70-70
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Introduction Systematic reviews comprise a synthesis of scientific evidence that is a key in three approaches to improve the quality of care - evidence-based medicine, health technology assessment, and clinical guidelines. Analysis of the scientific literature also reveals issues that require further research as knowledge gaps will be identified. These can be used to improve the research agenda in health care. Objectives To analyse evidence from systematic reviews on imaging methods in oral health care. Materials and methods Common features of five systematic reviews, which we performed, were analysed. The reviews elucidated methods used to diagnose chronic periodontitis (one review), jaw bone tissue in dental implant planning (two reviews), and temporomandibular joint disorders (two reviews). Our analysis of original studies included and excluded in the reviews focussed on the study design and outcomes using the Thornbury's ladder (1). Results Overall there is room for improvement. There was a wide heterogeneity in study design and reported outcome variables. Most studies reported outcomes on the level of diagnostic ability. No study presented how any diagnostic method influenced patient care in terms of changed treatment and change in patient outcome. Evidence was limited also on outcomes of combinations of imaging methods with other diagnostic methods as used in clinical care. Conclusions and discussion To improve the accuracy and completeness of studies on diagnostic methods, the Standards for Reporting of Diagnostic Accuracy (STARD) statement should be applied. Evidence to support clinical effectiveness of imaging methods is required to improve oral health care. (1) Fryback DG, Thornbury JR. The efficacy of diagnostic imaging. Med Decis Making 1991;11:88-94. Rohlin M1, Knutsson K1, Lindh C1, Petersson A1 1 Malmö University, Malmö, Sweden Introduction Systematic reviews comprise a synthesis of scientific evidence that is a key in three approaches to improve the quality of care - evidence-based medicine, health technology assessment, and clinical guidelines. Analysis of the scientific literature also reveals issues that require further research as knowledge gaps will be identified. These can be used to improve the research agenda in health care. Objectives To analyse evidence from systematic reviews on imaging methods in oral health care. Materials and methods Common features of five systematic reviews, which we performed, were analysed. The reviews elucidated methods used to diagnose chronic periodontitis (one review), jaw bone tissue in dental implant planning (two reviews), and temporomandibular joint disorders (two reviews). Our analysis of original studies included and excluded in the reviews focussed on the study design and outcomes using the Thornbury's ladder (1). Results Overall there is room for improvement. There was a wide heterogeneity in study design and reported outcome variables. Most studies reported outcomes on the level of diagnostic ability. No study presented how any diagnostic method influenced patient care in terms of changed treatment and change in patient outcome. Evidence was limited also on outcomes of combinations of imaging methods with other diagnostic methods as used in clinical care. Conclusions and discussion To improve the accuracy and completeness of studies on diagnostic methods, the Standards for Reporting of Diagnostic Accuracy (STARD) statement should be applied. Evidence to support clinical effectiveness of imaging methods is required to improve oral health care. (1) Fryback DG, Thornbury JR. The efficacy of diagnostic imaging. Med Decis Making 1991;11:88-94.
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