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Individual goal-setting in municipal homecare: A participatory appreciative action and reflection study
Örebro University, School of Health Sciences. Örebro Municipality Healthcare and Social Services, Örebro, Sweden. (Older People's Health and Living Condition)ORCID iD: 0000-0003-1781-2729
Örebro University, School of Health Sciences. (Older People's Health and Living Condition)ORCID iD: 0000-0002-2873-4247
Örebro University, School of Health Sciences. Department of Home Care, Halmstad Municipality, Halmstad, Sweden. (Older People's Health and Living Condition)ORCID iD: 0000-0002-1174-2523
Örebro University, Örebro, Sweden; Faculty of Health, Science and Technology, Karlstad University, Karlstad, Sweden. (Older People's Health and Living Condition)ORCID iD: 0000-0003-4362-2902
2023 (English)In: Journal of Public Health Research, ISSN 2279-9028, E-ISSN 2279-9036, Vol. 12, no 2Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
Sage Publications, 2023. Vol. 12, no 2
Keywords [en]
Homecare, action research, individual goal, municipality, public health
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:oru:diva-106617DOI: 10.1177/22799036231181198ISI: 001004419500001PubMedID: 37361239Scopus ID: 2-s2.0-85163039972OAI: oai:DiVA.org:oru-106617DiVA, id: diva2:1775887
Available from: 2023-06-27 Created: 2023-06-27 Last updated: 2024-03-04Bibliographically approved

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Tavemark, SofiaKihlgren, AnnicaNorell Pejner, Margaretha

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