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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
Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Research Environment PRO-CARE. Kristianstad University, Forskningsplattformen Hälsa i samverkan.ORCID iD: 0000-0003-1212-293X
Hälsoakademin Örebro Universitet.
Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Research Environment PRO-CARE.ORCID iD: 0000-0003-4820-6203
Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap.
2013 (English)In: Journal of Nursing Education and Practice, ISSN 1925-4040, E-ISSN 1925-4059, Vol. 3, no 8, 29-40 p.Article 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.

Place, publisher, year, edition, pages
2013. Vol. 3, no 8, 29-40 p.
Keyword [en]
Action research, Evaluation, Improvement, Food distribution, Story dialogue method
National Category
Health Sciences
Identifiers
URN: urn:nbn:se:hkr:diva-10058DOI: 10.5430/jnep.v3n8p29OAI: oai:DiVA.org:hkr-10058DiVA: diva2:599659
Available from: 2013-01-22 Created: 2013-01-22 Last updated: 2017-12-06Bibliographically approved
In thesis
1. Matdistribution till hemmaboende äldre personer ur flera perspektiv
Open this publication in new window or tab >>Matdistribution till hemmaboende äldre personer ur flera perspektiv
2013 (Swedish)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The overall aim of this study was to gain insight into municipal food distribution from several perspectives: that of the clients, mainly elderly people, and also from the perspectives of different professionals and decision makers. An action research approach was chosen, as the characteristics of this method were deemed to be correct in relation to the basic aim of the study. This thesis is based on four empirical studies. Study I aimed to explore various professionals’ experiences of involvement in food distribution (FD) in order to get a comprehensive understanding of the organization, responsibilities and roles. The results showed that FD is a fragmentary intervention where a comprehensive perspective and clear roles of responsibility are lacking. Study II aimed to gain insight and to describe the experiences of home-living elderly people who receive hot meals distributed by their municipality. The results showed that there were feelings of dependency, and loneliness among the elderly participants, however they also expressed gratitude for the opportunity to have their meals delivered to their home.  Study III aimed to describe how the professionals can identify needs for improvement and improve the municipal FD service to home living elderly people. The need to update and increase the FD recipient’s knowledge in nutrition by sending information letters was found to be an important area to focus on. Evaluation of letters resulted in the decision to continue preparing and distributing information letters to all FD recipients twice a year and to make the information letters assessable on the websites of the six municipalities and county councils involved. Study IV aimed to describe the decision maker’s views on FD and to report their suggestions for which areas reported from studies I-III should be taken into consideration as starting points to improve the municipal FD. The findings resulted in the decisions to monitor the elderly’s health and wellbeing while providing FD and to increase the professionals’ competence and to create a forum for inter-professional communication. In conclusion, this thesis illustrates that there is a necessity to identify the needs for general improvement of FD by involving the participants and to start out from their personal experiences and in their own context.

Place, publisher, year, edition, pages
Örebro: Örebro universitet, 2013. 81 p.
Series
Örebro Studies in Care Sciences, ISSN 1652-1153 ; 43
Keyword
Action Research, Facilitation, Food Distribution, Story Dialogue Method, Home-living Elderly People.
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hkr:diva-10790 (URN)978-91-7668-924-0 (ISBN)
Public defence
2013-05-10, Hörsal P2 Prismahuset, Örebro Universitet, Örebro, Örebro, 12:11 (Swedish)
Opponent
Supervisors
Available from: 2013-08-09 Created: 2013-07-21 Last updated: 2014-10-14Bibliographically approved

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Pajalic, ZadaWestergren, AlbertPersson, Lena

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