| 1. |
- James, Inger, 1953-
(författare)
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Att bygga kunskap vid vård i livets slut
- 2020
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Ingår i: Palliativ vård. - : Studentlitteratur AB. - 9789144131078 ; , s. 525-538
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 2. |
- James, Inger, 1953-
(författare)
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Att lära och leva en värdegrund
- 2022
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Ingår i: Deltagarbaserad aktionsforskning. - Lund : Studentlitteratur AB. - 9789144154039 ; , s. 135-159
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 3. |
- James, Inger, 1953-, et al.
(författare)
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First-line managers struggling to lead home care based on the individual’s needs and goals – conflict between ethical principles
- 2024
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Ingår i: Leadership in Health Services. - : Emerald Group Publishing Limited. - 1188-3669. ; 37:5, s. 84-98
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: The purpose of this paper is to describe how first-line managers (FLMs) in home care (HC) reason about the opportunities and obstacles to lead the work according to the individual’s needs and goals. Design/methodology/approach: In this participatory appreciative action reflection project, eight managers within one Swedish municipality were interviewed. The data were analysed using a thematic analysis. Findings: The results showed a polarization between two different systems that FLMs struggle to balance when attempting to lead HC that adapts to the needs and goals of individuals. One system was represented by the possibilities of a humane system, with human capital in the form of the individual, older persons and the co-workers in HC. The second system was represented by obstacles in the form of the economic needs of the organization in which the individual receiving HC often felt forgotten. In this system, the organization’s needs and goals governed, with FLMs needing to adapt to the cost-effectiveness principle and keep a balanced budget. The managers had to balance an ethical conflict of values between the human value and needs-solidarity principles, with that of the cost-effectiveness principle. Originality/value: The FLMs lack the opportunity to lead HC according to the needs and goals of the individuals receiving HC. There is a need for consensus and a value-based leadership model based on ethical principles such as the principles of human value and needs-solidarity to lead the HC according to the individual’s needs and goals.
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| 4. |
- James, Inger, 1953-, et al.
(författare)
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Nurse assistants' experiences and knowledge of how they create a meaningful daily life for older persons receiving municipal home healthcare
- 2024
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Ingår i: Scandinavian Journal of Caring Sciences. - : John Wiley & Sons. - 0283-9318 .- 1471-6712. ; 38:1, s. 159-168
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Tidskriftsartikel (refereegranskat)abstract
- Aims and Objectives: To explore nurse assistants' experiences and knowledge of how they create a meaningful daily life for older people receiving municipal home healthcare.Design: A participatory appreciative action reflection approach.Methods: Interviews, participant observations and informal conversations with 23 nurse assistants in municipal home healthcare generated the data. A thematic analysis was used.Results: Two main themes were developed. The first main theme, building a reciprocal relationship, was structured by three subthemes: To strengthen the older person's self-esteem, to co-create care and to create equality. The second main theme, creating meaning, was structured by two subthemes: To create closeness and to receive appreciation. The two main themes are each other's prerequisite. Nursing assistants' building reciprocal relationships gives meaning; through the meaning, reciprocal relationships are achieved, and by that, meaningful daily lives for both the older people and the nurse assistants.Conclusion: Nurse assistants built a reciprocal relationship both for the older people and for the nurse assistant. This contributes to create a meaningful daily life for the older people. The older person was the main character, and it seems that the nurse assistants apply person-centred care, which can represent a shared common vision that can be used in the encounter.
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| 5. |
- Kihlgren, Annica, 1957-, et al.
(författare)
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Core values and local guarantees of dignity in the care of older persons – Application, obstacles and further actions
- 2020
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Ingår i: Scandinavian Journal of Caring Sciences. - : Wiley-Blackwell Publishing Inc.. - 0283-9318 .- 1471-6712. ; 35:2, s. 616-625
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Tidskriftsartikel (refereegranskat)abstract
- Background and aim: Due to reported shortcomings in elderly care in Sweden, the government has introduced national guidelines to establish core values and guarantees of dignity. With a bottom-up perspective, core values and local guarantees of dignity were developed using an participatory and appreciative action and reflection (PAAR) approach and implemented in municipal elderly care. The aim of this study was to evaluate the core values and local guarantees of dignity applied by the municipal healthcare staff caring for older persons. Method and results: A cross-sectional descriptive design study using a questionnaire was conducted one year after the implementation of core values and local guarantees of dignity in municipal elderly care. In total, 608 caregivers answered the questionnaire. The results show that the caregivers strived to apply the core values and local guarantees of dignity, but experienced obstacles from the organisation. Proposals were given to facilitate further application of the core values. © 2020 Nordic College of Caring Science
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| 6. |
- Kihlgren, Annica, 1957-, et al.
(författare)
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We have to turn a transatlantic liner-Leaders' perspectives on creating a meaningful life for older persons receiving municipal care
- 2023
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Ingår i: Nursing Open. - : John Wiley & Sons. - 2054-1058. ; 10:10, s. 6836-6844
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Tidskriftsartikel (refereegranskat)abstract
- Aims: To describe leaders' perspectives on what is important to create a meaningful daily life for older persons receiving municipal elderly care.Design: This study combined the Participatory Appreciative Action Reflection approach and qualitative methods.Methods: Focus Group Discussions were performed with eighty leaders that was analysed with qualitative content analysis.Results: One overall theme emerged "We have to turn a transatlantic liner". The leaders proposed a need to change from an institutional care to a more person-centered care approach on all levels of the healthcare system. This meant that everyone in the organization needed to think outside the box and find new ways to provide care to older persons. They needed to hire the right persons with the right values and knowledge. The leaders would need to provide for and support staff empowerment. There was also a need to see the older person and their relatives as co-participants.No Patient or Public Contribution.
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| 7. |
- Tavemark, Sofia, 1988-, et al.
(författare)
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Individual goal-setting in municipal homecare : A participatory appreciative action and reflection study
- 2023
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Ingår i: Journal of Public Health Research. - : Sage Publications. - 2279-9028 .- 2279-9036. ; 12:2
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: There is a need for structural change in municipal homecare to shift power to older persons and to center the individuals in need. To make this change, the individual older persons should have enough self-determination to formulate their own individual homecare goals. Our aim was to explore how stakeholders reason about individual goal-setting in homecare. DESIGN AND METHODS: We theoretically and methodologically used a participatory appreciative action and reflection (PAAR) design. The stakeholders, that is, the older persons, the older persons' relatives, and the multi-professional team, were seen as co-researchers. Data were collected between 2019 and 2020 through in depth-interviews, focus group discussions, and reference groups. The data were analyzed using thematic analysis.RESULTS: We learned from the stakeholders that it was a struggle to sustain the individual's goal to continue life as usual, that is, being an ordinary human being with an ordinary everyday life and maintaining individual roles. The individual wants to improve health, be active, and enjoying life. The individuals were struggling against the homecare organization, which tended to overshadow the individual's goals. The individual's goals fall under several legal jurisdictions and come to be overshadowed by the professionals' dominant goal. The organization is rigid, with finances and resources creating the framework.CONCLUSION: We learned that older persons receiving homecare must have the same rights as other citizens in society, which is in line with public health goals.
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