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  • 1. Folkesson, Agneta
    et al.
    Petersen, Karin Anna
    Abrahamsson, Agneta
    Blomqvist, Kerstin
    Petersson, Pia
    Pajalic, Zada
    Örebro University, School of Health and Medical Sciences.
    Lindskov, Cecilia
    Johansson, Yvonne
    Participatory practice in a Non Participatory world: experiences and challenges of working in the health and social care sector in Sweden and elsewhere2008Conference paper (Refereed)
  • 2. Lindskov, Cecilia
    et al.
    Petersson, Pia
    Furenbäck Olsson, Ingela
    Johansson, Yvonne
    Pajalic, Zada
    Örebro University, School of Health and Medical Sciences.
    Romance versus reality: five doctoral students' experiences of action research in the health care system in Sweden2007Conference paper (Refereed)
  • 3.
    Pajalic, Zada
    Örebro University, School of Health and Medical Sciences.
    Matdistribution inom äldreomsorgen2010Conference paper (Refereed)
  • 4.
    Pajalic, Zada
    Örebro University, School of Health and Medical Sciences.
    Matdistribution till hemma boende äldre personer: en aktionsforskningsstudie2011Conference paper (Refereed)
  • 5.
    Pajalic, Zada
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Matdistribution till äldre hemmaboende ur flera persperktiv2013Doctoral thesis, comprehensive summary (Other academic)
    List of papers
    1. Public home care professionals’ experiences of being involved in food distribution to home-living elderly people in Sweden: a qualitative study with an action research approach
    Open this publication in new window or tab >>Public home care professionals’ experiences of being involved in food distribution to home-living elderly people in Sweden: a qualitative study with an action research approach
    2012 (English)In: Journal of Nursing Education and Practice, ISSN 1925-4040, E-ISSN 1925-4059, Vol. 2, no 2, p. 41-51Article in journal (Refereed) Published
    Abstract [en]

    Background: Research focusing on Food Distribution (FD) from various professionals’ and organisational perspectivesare lacking. The aim of this study was therefore to explore various professionals’ experiences of involvement in FD inorder to get comprehensive understanding of the organisation, responsibilities and roles.

    Methods: This qualitative study is a part of a larger project with an action research approach focusing on FD in themunicipal home service and care for home-living elderly persons in a municipality in southern Sweden. The data wascollected through participatory observations (n=90 occasions and in total 480 hours), repeated focus group interviews (n =4) with different professionals (n =10) involved in the FD process and one individual interview. The material was analysedby qualitative manifest and latent content analysis.

    Results: The study indicates that Food Distribution is a fragmentary intervention where a comprehensive perspective andclear roles of responsibility are lacking. The FD organisation seemed to be strictly divided and limited by constraintsregarding time and money. The fragmented organisation led partly to staff only taking responsibility for their part of thechain and no one having the full picture of and responsibility for the FD process, but also to some professionals takingmore responsibility than they were supposed to.

    Conclusions: The aim of the study was met by using an action research approach. The study was however limited by thatno home help officers were represented. The FD appeared as an extremely complex chain of different but connectedactivities. It is not merely the distribution of a product, i.e. the meal box. The fragmentation of FD means that staff onlytakes responsibility for their part of the chain, and that no one has the full picture of or responsibility for the FD process.Consequently, there is a need for an outline of responsibilities. The findings have implications for nursing, gerontology,and in the care for the elderly.

    Keywords
    Action research, Elderly people, Food distribution, Focus group, Organisational perspective
    National Category
    Medical and Health Sciences Nursing
    Research subject
    Medicine
    Identifiers
    urn:nbn:se:oru:diva-26232 (URN)10.5430/jnep.v2n2p41 (DOI)
    Note

     

    Available from: 2012-10-17 Created: 2012-10-17 Last updated: 2017-12-07Bibliographically approved
    2. The experiences of elderly people living at home related to their receiving meals distributed by a municipality in Sweden
    Open this publication in new window or tab >>The experiences of elderly people living at home related to their receiving meals distributed by a municipality in Sweden
    Show others...
    2012 (English)In: Journal of Food Research, ISSN 1927-0887, E-ISSN 1927-0895, Journal of Food Research, ISSN 1927-0887, Vol. 1, no 1, p. 68-78Article in journal (Refereed) Published
    Abstract [en]

    The purpose of the study was to describe the experiences of elderly people, living at home who receive hot meals that are distributed by their municipality. Qualitative content analysis was used to analyse the (n=13) interviews. The results showed that feelings of dependency, loneliness and gratitude were expressed by the participants in the study related to their meals being delivered home. Dependency was expressed as not having influence over the food products the meals were made from. Loneliness was expressed as being isolated and being confined at home alone due to difficulties getting out of the house, which was associated with the costs of taxis transportation. Gratitude was expressed by the sincere thanks for the possibility of receiving traditional meals delivered daily.

    The major conclusion of the study was the indication that greater attention should be paid to meet both the practical and psychological needs of elderly people.

    Keywords
    Action research, elderly people, distribution of meals, home-living
    National Category
    Medical and Health Sciences Nursing
    Research subject
    Medicine
    Identifiers
    urn:nbn:se:oru:diva-26239 (URN)10.5539/jfr.v1n1p68 (DOI)
    Available from: 2012-10-17 Created: 2012-10-17 Last updated: 2017-12-07Bibliographically approved
    3. How the professionals can identify needs for improvement and improve Food Distribution service for the home-living elderly people in Sweden: an action research project
    Open this publication in new window or tab >>How the professionals can identify needs for improvement and improve Food Distribution service for the home-living elderly people in Sweden: an action research project
    2013 (English)In: Journal of Nursing Education and Practice, ISSN 1925-4040, E-ISSN 1925-4059, Vol. 3, no 8, p. 29-40Article in journal (Refereed) Published
    Abstract [en]

    Background: Making changes to municipal social care and service has been found to be challenging to realise and highly multifaceted. The aim of this study was to describe how the professionals can identify needs for improvement and improve Food Distribution (FD) service for the home-living elderly people in Sweden.

    Methods: This study is part of a larger project with an action research approach focusing on to municipal FD to older people living in their own home in Sweden. The professionals involved in FD invited the first author to assist them in this process. The study participants were comprised of the following groups: “The Identification focus group” that identified need for improvement of FD (n= 5); “The Action focus group” that planned and choose suitable ‘action’ for improvement (n=5); “The First Evaluation group” (n=4) that evaluated the content of planned improvement and finally “The Second Evaluation group” (n=29) that evaluated the changes following improvement. The data was gathered and analysed by Story Dialogue Method.

    Results: The need to update and increase the FD recipient’s knowledge in nutrition by sending them informative letters was found to be an important area to focus on. The information letters (n=1700) were distributed to the all FD recipients in six municipalities in southern Sweden during April 2011. The results were evaluated during May 2011. The overall general estimation was that the content of the letters indicated that this was a suitable method for gaining information to make a nutrition competence update. Following this, “The Action focus group” decided: firstly, to continue preparing and distributing information letters to all FD recipients to be sent out twice a year, and secondly: to make the information letters accessible on the websites of the six municipalities and county councils involved.

    Conclusions: This study showed that systematic work inspired by an action research approach with motivated and involved participants can be beneficial and a starting point for the process of change in municipal service and care practice. The major conclusion of the study was that systematic reflection over everyday practice can be the vehicle for the future change of practice. The research process and the findings have implications for nursing, care of the elderly and gerontology.

    Keywords
    Action research, Evaluation, Improvement, Food distribution, Story dialogue method
    National Category
    Nutrition and Dietetics Nursing
    Research subject
    Nutrition; Nursing Science
    Identifiers
    urn:nbn:se:oru:diva-29028 (URN)10.5430/jnep.v3n8p29 (DOI)
    Note

    Zada Pajalic is also affiliated to The School of Health and Society, The PROCARE Group & The Network for Eating and Nutrition, Kristianstad University,Sweden

    Available from: 2013-05-15 Created: 2013-05-15 Last updated: 2018-08-28Bibliographically approved
    4. 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
    Open this publication in new window or tab >>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
    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
    Keywords
    Action research, decision-makers, facilitation, food distribution, municipality
    National Category
    Medical and Health Sciences Nursing
    Research subject
    Nursing Science
    Identifiers
    urn:nbn:se:oru:diva-26276 (URN)10.5539/par.v1n1p14 (DOI)
    Available from: 2012-10-19 Created: 2012-10-19 Last updated: 2017-12-07Bibliographically approved
  • 6.
    Pajalic, Zada
    et al.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Andersson, Kristina
    Palmquist, Eva-Lott
    Skog, Therese
    Norberg, Erika
    Till dig som har matdistribution: det är aldrig för sent att träna2012Other (Other academic)
  • 7.
    Pajalic, Zada
    et al.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Berggren, Vanja
    Keys for change: stakeholders' perceptions and experiences of promotion of breastfeeding : a joint project between Sweden and Norway2012Conference paper (Refereed)
  • 8.
    Pajalic, Zada
    et al.
    Örebro University, School of Health and Medical Sciences.
    Palmquist, Eva-Lott
    Norberg, Erika
    Andersson, Kristina
    Skog, Therese
    Till dig som har matdistribution: mellanmål för dig2011Other (Other academic)
  • 9.
    Pajalic, Zada
    et al.
    Örebro University, School of Health and Medical Sciences.
    Persson, Lena
    Using story dialogue method, inspired by the PAR approach, to identify and develop problem areas in food distribution to elderly people living at home in five municipalities in Sweden2010Conference paper (Refereed)
  • 10.
    Pajalic, Zada
    et al.
    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.
    Persson, Lena
    The School of Health and Society, The PROCARE Group & The Network for Eating and Nutrition, Kristianstad, Sweden.
    Skovdahl, Kirsti
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Westergren, Albert
    The School of Health and Society, The PROCARE Group & The Network for Eating and Nutrition, Kristianstad, Sweden.
    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 study2012In: Public Administration Research, ISSN 1927-517X, E-ISSN 1927-5188, Vol. 1, no 1, p. 14-23Article in journal (Refereed)
    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.

  • 11.
    Pajalic, Zada
    et al.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden. School of Health and Society, Kristianstad University, Kristianstad, Sweden.
    Persson, Lena
    School of Health and Society, Kristianstad University, Kristianstad, Sweden.
    Westergren, Albert
    School of Health and Society, Kristianstad University, Kristianstad, Sweden.
    Berggren, Vanja
    School of Health and Society, Kristianstad University, Kristianstad, Sweden.
    Skovdahl, Kirsti
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    The experiences of elderly people living at home related to their receiving meals distributed by a municipality in Sweden2012In: Journal of Food Research, ISSN 1927-0887, E-ISSN 1927-0895, Journal of Food Research, ISSN 1927-0887, Vol. 1, no 1, p. 68-78Article in journal (Refereed)
    Abstract [en]

    The purpose of the study was to describe the experiences of elderly people, living at home who receive hot meals that are distributed by their municipality. Qualitative content analysis was used to analyse the (n=13) interviews. The results showed that feelings of dependency, loneliness and gratitude were expressed by the participants in the study related to their meals being delivered home. Dependency was expressed as not having influence over the food products the meals were made from. Loneliness was expressed as being isolated and being confined at home alone due to difficulties getting out of the house, which was associated with the costs of taxis transportation. Gratitude was expressed by the sincere thanks for the possibility of receiving traditional meals delivered daily.

    The major conclusion of the study was the indication that greater attention should be paid to meet both the practical and psychological needs of elderly people.

  • 12.
    Pajalic, Zada
    et al.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Persson, Lena
    Westergren, Albert
    Skovdahl, Kirsti
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Evaluation for change, the decision maker’s involvement in the development of food distribution to home living elderly people2012Conference paper (Refereed)
  • 13.
    Pajalic, Zada
    et al.
    Örebro University, School of Health and Medical Sciences.
    Persson, Lena
    Westergren, Albert
    Skovdahl, Kirsti
    Food distribution within a municipality from different perspectives - older people, decision makers and professionals: an action research study2011Conference paper (Refereed)
  • 14.
    Pajalic, Zada
    et al.
    School of Health and Society, Kristianstad University, Kristianstad, Sweden.
    Persson, Lena
    School of Health and Society, Kristianstad University, Kristianstad, Sweden.
    Westergren, Albert
    School of Health and Society, Kristianstad University, Kristianstad, Sweden.
    Skovdahl, Kirsti
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Public home care professionals’ experiences of being involved in food distribution to home-living elderly people in Sweden: a qualitative study with an action research approach2012In: Journal of Nursing Education and Practice, ISSN 1925-4040, E-ISSN 1925-4059, Vol. 2, no 2, p. 41-51Article in journal (Refereed)
    Abstract [en]

    Background: Research focusing on Food Distribution (FD) from various professionals’ and organisational perspectivesare lacking. The aim of this study was therefore to explore various professionals’ experiences of involvement in FD inorder to get comprehensive understanding of the organisation, responsibilities and roles.

    Methods: This qualitative study is a part of a larger project with an action research approach focusing on FD in themunicipal home service and care for home-living elderly persons in a municipality in southern Sweden. The data wascollected through participatory observations (n=90 occasions and in total 480 hours), repeated focus group interviews (n =4) with different professionals (n =10) involved in the FD process and one individual interview. The material was analysedby qualitative manifest and latent content analysis.

    Results: The study indicates that Food Distribution is a fragmentary intervention where a comprehensive perspective andclear roles of responsibility are lacking. The FD organisation seemed to be strictly divided and limited by constraintsregarding time and money. The fragmented organisation led partly to staff only taking responsibility for their part of thechain and no one having the full picture of and responsibility for the FD process, but also to some professionals takingmore responsibility than they were supposed to.

    Conclusions: The aim of the study was met by using an action research approach. The study was however limited by thatno home help officers were represented. The FD appeared as an extremely complex chain of different but connectedactivities. It is not merely the distribution of a product, i.e. the meal box. The fragmentation of FD means that staff onlytakes responsibility for their part of the chain, and that no one has the full picture of or responsibility for the FD process.Consequently, there is a need for an outline of responsibilities. The findings have implications for nursing, gerontology,and in the care for the elderly.

  • 15.
    Pajalic, Zada
    et al.
    Örebro University, School of Health and Medical Sciences.
    Skog, Therese
    Norberg, Erika
    Andersson, Kristina
    Palmquist, Eva-Lott
    Till dig som har matdistribution: smak och andra sinnen har betydelse2011Other (Other academic)
  • 16.
    Pajalic, Zada
    et al.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Skovdahl, Kirsti
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Westergren, Albert
    The School of Health and Society, The PROCARE Group & The Network for Eating and Nutrition, Kristianstad University, Kristianstad, Sweden.
    Persson, Lena
    The School of Health and Society, The PROCARE Group & The Network for Eating and Nutrition, Kristianstad University, Kristianstad, Sweden.
    How the professionals can identify needs for improvement and improve Food Distribution service for the home-living elderly people in Sweden: an action research project2013In: Journal of Nursing Education and Practice, ISSN 1925-4040, E-ISSN 1925-4059, Vol. 3, no 8, p. 29-40Article in journal (Refereed)
    Abstract [en]

    Background: Making changes to municipal social care and service has been found to be challenging to realise and highly multifaceted. The aim of this study was to describe how the professionals can identify needs for improvement and improve Food Distribution (FD) service for the home-living elderly people in Sweden.

    Methods: This study is part of a larger project with an action research approach focusing on to municipal FD to older people living in their own home in Sweden. The professionals involved in FD invited the first author to assist them in this process. The study participants were comprised of the following groups: “The Identification focus group” that identified need for improvement of FD (n= 5); “The Action focus group” that planned and choose suitable ‘action’ for improvement (n=5); “The First Evaluation group” (n=4) that evaluated the content of planned improvement and finally “The Second Evaluation group” (n=29) that evaluated the changes following improvement. The data was gathered and analysed by Story Dialogue Method.

    Results: The need to update and increase the FD recipient’s knowledge in nutrition by sending them informative letters was found to be an important area to focus on. The information letters (n=1700) were distributed to the all FD recipients in six municipalities in southern Sweden during April 2011. The results were evaluated during May 2011. The overall general estimation was that the content of the letters indicated that this was a suitable method for gaining information to make a nutrition competence update. Following this, “The Action focus group” decided: firstly, to continue preparing and distributing information letters to all FD recipients to be sent out twice a year, and secondly: to make the information letters accessible on the websites of the six municipalities and county councils involved.

    Conclusions: This study showed that systematic work inspired by an action research approach with motivated and involved participants can be beneficial and a starting point for the process of change in municipal service and care practice. The major conclusion of the study was that systematic reflection over everyday practice can be the vehicle for the future change of practice. The research process and the findings have implications for nursing, care of the elderly and gerontology.

  • 17.
    Pajalic, Zada
    et al.
    Örebro University, School of Health and Medical Sciences.
    Springett, Jane
    Dychawy-Rosner, Irena
    Ensuring a receptive context for participatory action researchas a vehicle for change: the example of community assistance for the elderly in Sweden2007Conference paper (Refereed)
  • 18.
    Pajalic, Zada
    et al.
    Örebro University, School of Health and Medical Sciences.
    Therese, Skog
    Norberg, Erika
    Palmquist, Eva-Lott
    Andersson, Kristina
    Till dig som har matdistribution: matens betydelse för dig2011Other (Other academic)
  • 19.
    Pajalic, Zada
    et al.
    Örebro University, School of Health and Medical Sciences.
    Westergren, Albert
    Persson, Lena
    Skovdahl, Kirsti
    Matdistribution från olika prespektiv: professioner, beslutsfattare och från äldre personer - en aktionsforskningsstudie2011Conference paper (Refereed)
  • 20. Petersson, Pia
    et al.
    Johansson, Yvonne
    Kälström Olsson, Ingela
    Lindskov, Cecilia
    Pajalic, Zada
    Örebro University, School of Health and Medical Sciences.
    Romance versus reality: five doctoral students' experiences of Action Reserach in the health care system in Sweden2007Conference paper (Refereed)
1 - 20 of 20
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