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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
Örebro University, School of Health and Medical Sciences.
Sektionen för hälsa och samhälle, Högskolan Kristianstad.
2011 (English)In: International Journal of Older People Nursing, ISSN 1748-3735, Vol. 6, no 1, 25-32 p.Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
2011. Vol. 6, no 1, 25-32 p.
Keyword [en]
Participatory Action Research, Story Dialogue Method, Sense of Security, Older care
National Category
Nursing
Research subject
Nursing Science
Identifiers
URN: urn:nbn:se:oru:diva-8450DOI: 10.1111/j.1748-3743.2010.00211.xOAI: oai:DiVA.org:oru-8450DiVA: diva2:275118
Available from: 2009-11-03 Created: 2009-11-03 Last updated: 2011-04-19Bibliographically approved
In thesis
1. Att göra abstrakta begrepp och komplexa situationer konkreta: en avhandling om deltagarbaserad aktionsforskning i svensk vård och omsorg
Open this publication in new window or tab >>Att göra abstrakta begrepp och komplexa situationer konkreta: en avhandling om deltagarbaserad aktionsforskning i svensk vård och omsorg
2009 (Swedish)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

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.

Place, publisher, year, edition, pages
Örebro: Örebro universitet, 2009. 67 p.
Series
Örebro Studies in Care Sciences, ISSN 1652-1153 ; 26
Keyword
Participatory action research, Story Dialogue Method, Health and social care, Organisational change, Leg ulcer care, Sense of Security, Discharge Planning
National Category
Nursing Social Sciences Interdisciplinary Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:oru:diva-8452 (URN)978-91-7668-705-5 (ISBN)
Public defence
2009-12-15, Hus 6, Aulan, Högskolan Kristianstad, Kristianstad, 13:00 (Swedish)
Opponent
Supervisors
Available from: 2009-11-19 Created: 2009-11-03 Last updated: 2011-05-02Bibliographically approved

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Citation style
  • apa
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  • ieee
  • modern-language-association-8th-edition
  • vancouver
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