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Facilitating change, the decision-maker’s views of municipality organized food distribution to elderly people living at home and suggestions for development: a participatory action research study
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden. The School of Health and Society, The PROCARE Group & The Network for Eating and Nutrition, Kristianstad, Sweden.
The School of Health and Society, The PROCARE Group & The Network for Eating and Nutrition, Kristianstad, Sweden.
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
The School of Health and Society, The PROCARE Group & The Network for Eating and Nutrition, Kristianstad, Sweden.
2012 (English)In: Public Administration Research, ISSN 1927-517X, E-ISSN 1927-5188, Vol. 1, no 1, p. 14-23Article in journal (Refereed) Published
Abstract [en]

This study is the final part of a larger project with an action research approach focusing on food distribution (FD) within municipal service and care for elderly persons, living at home  (≥ 65 years), from various perspectives. The aim was to describe the decision-makers’ the politicians and top level administrative manager’s views on the FD service, and to give feedback from the results of earlier studies based on information given by FD receivers, the perspectives of involved professionals, and the results of an intervention study and further to report the decision-makers suggestions for which areas should be taken into consideration as starting points to improve the FD process and practice. Data was gathered in two steps: step 1, through individual interviews (n=12) with the decision-makers during the spring of 2009, step 2a through feedback from previous studies, received during the autumn of 2011 and step 2b from discussions based on the feedback. The interview data was analysed using qualitative content analysis. The findings indicated a discrepancy between the reality and the political visions. It was shown that decision-maker’s needed to make decisions despite their uncertain knowledge of the complexity of the FD programme. They considered what has been, what is, and will be, when setting goals. Their goal was that elderly person’s rights and needs should be fulfilled. This included freedom of choice and individual consideration. In addition, it meant, meeting elderly people’s medical and social needs. Three areas were found to require facilitation for change related to FD: 1) the monitoring of the elderly’s health and wellbeing while providing FD, 2) the increasing of professional competence, and 3) the creation of a forum for inter-professional communication. The findings in this study have implications for nursing, gerontology and public administration.

Place, publisher, year, edition, pages
Toronto, Canada: Canadian Center of Science and Education , 2012. Vol. 1, no 1, p. 14-23
Keywords [en]
Action research, decision-makers, facilitation, food distribution, municipality
National Category
Medical and Health Sciences Nursing
Research subject
Nursing Science
Identifiers
URN: urn:nbn:se:oru:diva-26276DOI: 10.5539/par.v1n1p14OAI: oai:DiVA.org:oru-26276DiVA, id: diva2:561524
Available from: 2012-10-19 Created: 2012-10-19 Last updated: 2017-12-07Bibliographically approved
In thesis
1. Matdistribution till äldre hemmaboende ur flera persperktiv
Open this publication in new window or tab >>Matdistribution till äldre hemmaboende ur flera persperktiv
2013 (Swedish)Doctoral thesis, comprehensive summary (Other academic)
Place, publisher, year, edition, pages
Örebro: Örebro universitet, 2013. p. 81
Series
Örebro Studies in Medicine, ISSN 1652-4063 ; 43
Keywords
Action Research, Facilitation, Food Distribution, Story Dialogue Method, Home-living Elderly People
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:oru:diva-27892 (URN)978-91-7668-924-0 (ISBN)
Public defence
2013-05-10, 09:15 (Swedish)
Opponent
Supervisors
Available from: 2013-03-11 Created: 2013-03-11 Last updated: 2017-10-17Bibliographically approved

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Pajalic, ZadaSkovdahl, Kirsti

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