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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  [cached]
Zada Pajalic,Kirsti Skovdahl,Albert Westergren,Lena Persson
Journal of Nursing Education and Practice , 2013, DOI: 10.5430/jnep.v3n8p29
Abstract: 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.
The Experiences of Elderly People Living at Home Related to Their Receiving Meals Distributed by a Municipality in Sweden  [cached]
Zada Pajalic,Lena Persson,Albert Westergren,Berggren Vanja
Journal of Food Research (JFR) , 2012, DOI: 10.5539/jfr.v1n1p68
Abstract: 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.
Breastfeeding: An existential challenge—women's lived experiences of initiating breastfeeding within the context of early home discharge in Sweden  [cached]
Lina Palmér,Gunilla Carlsson,Margareta Mollberg,Maria Nystr?m
International Journal of Qualitative Studies on Health & Well-Being , 2010, DOI: 10.3402/qhw.v5i3.5397
Abstract: For most Swedish women, breastfeeding is an essential part of the childbearing period. Yet, the meaning of breastfeeding from women's perspective is scantily explored. Therefore, the aim of this study is to describe women's lived experiences of initiating breastfeeding within the context of early home discharge. Eight women, two primiparous, and six multiparous were interviewed within 2 months after birth. A reflective lifeworld research design based on phenomenological philosophy was used during the data gathering and data analysis. The results show that the phenomenon, initiating breastfeeding, in spite of good conditions, i.e., early home discharge, is complex and entails an existential challenge. The essential meaning of the phenomenon is conceptualized as, “A movement from a bodily performance to an embodied relation with the infant and oneself as a mother.” This pattern is further described in its five constituents: “Fascination in the first encounter,” “Balancing the unknown,” “Devoting oneself and enduring the situation,” “Seeking confirmation in the unique,” and “Having the entire responsibility.” Caring for women initiating breastfeeding entails, from a caring science perspective, to help the mother meet insecurity and strengthen confidence to trust her ability to breastfeed the newborn infant. According to these findings, it is suggested in the discussion that it is time for health care professionals to reject the idea of breastfeeding merely as meals or eating for the infant. Instead, they ought to embrace its origin, namely as a way to closeness between mother and infant.
Experiences of being old and receiving home nursing care. Older South Sami narrations of their experiences—An interview study  [PDF]
Tove Mentsen Ness, Ingela Enmarker, Ove Hellzèn
Open Journal of Nursing (OJN) , 2013, DOI: 10.4236/ojn.2013.31001
Abstract:

The Sami people who are the natives of Scandinavia are not a homogeneous group. They consist of different groups of Sami populations of which the South Sami population are one small group. For the South Sami this means a problem; they have to struggle against a general ignorance about the Sami people and culture, which also may affect received home nursing care. The aim of this study is to describe individual South Sami experiences of being old and receiving home nursing care. A sample of 10 older persons with South Sami background was chosen for this study. Narrative interviews were conducted and qualitative content analysis was used to identify and categorize primary patterns in data. The experience of being an old person with South Sami background who receives home nursing care was understood through the use of the following four themes developed from the informants’ own narratives: “Experience of losses in life”; “Feelings of being less valued”; “Feelings of gratitude”; and “Experience of meaning in daily life as old”. The main finding is that the South Sami population still is exposed to an ongoing subtle colonisation. Therefore, it is important to prepare and teach nurses who work in the South Sami area in cultural care, traditional values and beliefs specific to the South Sami population.

Sustainable practice change: Professionals' experiences with a multisectoral child health promotion programme in Sweden
Kristina Edvardsson, Rickard Garvare, Anneli Ivarsson, Eva Eurenius, Ingrid Mogren, Monica E Nystr?m
BMC Health Services Research , 2011, DOI: 10.1186/1472-6963-11-61
Abstract: All professionals involved in the Salut Programme's pilot areas were interviewed between May and September 2009, approximately two years after the intervention package was established and implemented. Participants (n = 23) were midwives, child health nurses, dental hygienists/dental nurses, and pre-school teachers. Transcribed data underwent qualitative content analysis to illuminate perceived facilitators, barriers, and requirements for programme sustainability.The programme was described as sustainable at most sites, except in child health care. The perception of facilitators, barriers, and requirements were largely shared across sectors. Facilitators included being actively involved in intervention development and small-scale testing, personal values corresponding to programme intentions, regular meetings, working close with collaborators, using manuals and a clear programme branding. Existing or potential barriers included insufficient managerial involvement and support and perceived constraints regarding time and resources. In dental health care, barriers also included conflicting incentives for performance. Many facilitators and barriers identified by participants also reflected their perceptions of more general and forthcoming requirements for programme sustainability.These results contribute to the knowledge of processes involved in achieving sustainability in health promotion initiatives. Facilitating factors include involving front-line professionals in intervention development and using small scale testing; however, the success of a programme requires paying attention to the role of managerial support and an overall supportive system. In summary, these results emphasise the importance for both practitioners and researchers to pay attention to parallel processes at different levels in multidisciplinary improvement efforts intended to ensure sustainable practice change.Vast evidence shows that conditions during the foetal period, infancy, and childhood can
Nursing Staff’s Experiences of Providing Toilet Assistance to Elderly Nursing Home Residents with Urinary Incontinence  [PDF]
Doris H?gglund, Emma Momats, Tiffany Mooney
Open Journal of Nursing (OJN) , 2017, DOI: 10.4236/ojn.2017.72013
Abstract: Introduction: Urinary incontinence is a common condition among elderly. It affects their daily life and quality of life. Toilet assistance may decrease urinary incontinence episodes among elderly. Many nursing home residents do not receive the available evidence-based toilet assistance they need. Aim: The aim of the present study was to describe nursing staff members’ experiences of providing toilet assistance to elderly nursing home residents with urinary incontinence. Design: A descriptive design with a qualitative content analysis method was used. Method: Four nurses and seven auxiliary nurses were interviewed in three homogenous focus groups. Data were collected during spring 2015. Results: The most essential opportunity factor for good toilet assistance was the nursing staff’s attitude and behavior regarding the elderly’s need to visit the lavatory. This resulted in individual toilet assistance in which the elderly’s integrity and needs were cared for. Functioning routines and sufficient staff availability were crucial in determining whether the elderly could visit the lavatory. Other enabling factors for good toilet assistance were information and education of staff. The main obstructing factors for good toilet assistance were the elderly’s decreased cognitive ability, negative attitudes toward receiving toilet assistance and lack of communication and co-operation between professionals with regard to prescribing and fastening individual incontinence aids. Conclusion: Providing toilet assistance is a considerable nursing intervention for elderly to help them regain continence or contain incontinence, whenever possible. Person-centered incontinence care is important for developing and adjusting toilet assistance based on each older person’s individual needs.
Experiences of the ombudsmen in Sweden and Norway
Ze?evi? Radoje
Medjunarodni Problemi , 2006, DOI: 10.2298/medjp0603306z
Abstract: The article deals with the genesis and attainments of the ombudsmen institutions in Sweden and Norway. The author presents existing forms organizational structure, functioning of ombudsmen, their competences authorities, the way of financing their functions, rules of procedure and operation of some forms of the ombudsmen. He particularly analyses the institutional and other relationships between the ombudsmen institutions and legislative, executive and judicial authorities in these two countries.
Lived experiences of elderly home residents: a qualitative study  [PDF]
Mohsen Adib-Hajbaghery,Mina Rajaei
Behbood , 2011,
Abstract: Background: Increasing elderly population has been lead to increased number of hospices and their customers. However, the lived experiences of elderly home residents have been less noticed. This study aimed to investigate the lived experiences of elderly residents of Kashan's Golabchi elderly hospice.Methods: In this qualitative study based on phenomenological approach data collected using purposive sampling and deep open interview, narrative collection method until data saturation was obtained. Data were analyzed using Van Manen’s six step method.Results: Fifteen elderly with age range 65-73 years and average length of stay of 2.5 years participated in the study. Five items were extracted from data, including of "rejection and isolation", "feel failure and disgrace", "adaptation", "satisfaction" and "being monotonous and waiting". Most of the participants felt that were rejected by their families and the community. Their life was tedious and this had reduced their life passion and they were waiting for the end of life. Conclusion: Most of the elderly had not positive experiences of living in the hospice. Inattention of the family and the condition of the hospice environment made them a feel of “isolation and being rejected” along with a “feel of failure and disgrace”. Improving the validity of elderly home residents, may be achieved by improving communication culture of this population, elderly hospices condition and appropriate training of geriatric nurses.
Being a Nursing Home Resident: A Challenge to One's Identity  [PDF]
Maria Riedl,Franco Mantovan,Christa Them
Nursing Research and Practice , 2013, DOI: 10.1155/2013/932381
Abstract: Going into a nursing home can turn out to be a critical life experience if elderly people are afraid of losing their independence and identity after having moved into a nursing home. In order to find out what nursing home residents need in their first year after having moved into a nursing home to maintain their identity and self-determination, 20 problem-orientated interviews with residents of three nursing homes in the Austrian province of Salzburg were conducted and analysed based on content analysis according to Mayring. The participants of this study resist against having decisions taken away from them and fight for their independence and identity. In order to be able to cope with these strains, they need the help of family members, professionals, and identity-forming conversations in new social networks in the nursing home. The study participants draw enough strength from their faith in order to fight for their independence. They develop a new identity close to their previous identity by maintaining autonomy and mobility with a clear focus on the future. 1. Introduction Currently, 16% of the entire European population are 65 years of age or older. From a demographic point of view, the European population is “twice as old” as the world population, whose proportion of senior citizens is 7%. According to forecasts, the proportion of senior citizens will reach 28% in 2050 [1]. Ageing from 75 years and onwards is characterized by critical changes and turning points, such as the death of a partner or a child, increasing health problems, the increasing need for care and possibly the move into an old peoples home or a nursing home [2]. In order to assess the current state of knowledge about the changes which the elderly experience in their first year after having moved into a nursing home, systematic literature research on “what changes do nursing home residents experience after their move into a nursing home?” was conducted [3]. Publications both in English and German, published between 1996 and 2010, were used. The following databases were utilised: Cinahl (Ebsco), Academic Search Elite (Ebsco), PsychInfo, Medline (PubMed), Embase, DIMDI, Gerolit, WISE, Cochrane, and Ageline. Keywords used are residential home/nursing home, home admission/moving into a nursing home, institutionalization, and burden. People who move into a nursing home experience different types of changes which they feel to a greater or lesser degree is stressful. The change in social status, the impact on autonomy, the feeling of having no place to call home, the change in social
Professionals’ Experiences of the Relations between Personal History and Professional Role  [PDF]
Hege Sj?lie,Bengt Karlsson,Per-Einar Binder
Nursing Research and Practice , 2013, DOI: 10.1155/2013/265247
Abstract: The purpose of this paper is to explore whether and how workers in a crisis resolution home treatment (CRHT) team experience the relationship between their personal history and professional role. This paper is based on 13 in-depth interviews with health professionals working in CRHT. The interviews were analysed using a hermeneutic-phenomenological approach. Participants expressed that there is a relationship between their personal history and professional role, and three themes are highlighted as particularly important in, namely experiences related to the participants as individuals, work-related experiences and family-related experiences. The participants write meaning into the relationship between their personal history and professional role. By relating and exploring their own life stories in the interviews, they work on forming meaning and identity. 1. Introduction Crisis resolution home treatment (CRHT) is a work approach that may put high emotional, relational, and professional demands on the team members. It challenges some traditional professional roles within the mental health care field by moving crisis resolution away from in-patient care and into the patients’ home. In most western countries, the services for people with mental health problems have gone through major changes over the last decades [1–3]. Norway, like many other western countries, is experiencing a rapid transition from traditional institutional care to an expansion into community-based mental health care for people with mental health problems [4]. CRHT team workers’ experience of their personal background and how they think it may contribute to their interest and motivation for their work roles as professionals is relatively little explored. The following research question will be explored and discussed. How do CRHT team members experience possible relations between their personal histories and professional roles? A professional role consists of experiences based on working background, education, career [5–9], and personal experiences [5, 7]. At the same time, the construction of a personal self is closely related to one’s history, family background, and life experiences, including the narrative organization of everyday life and specific events that are memorable to them [10, 11]. If and how a professional role as a CRHT team member and the experience of one’s personal self may be interrelated is an interesting question. The aim of this paper is to gain a deeper understanding by exploring how the team members reflect upon the experiences of their own personal histories and
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