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Habiliteringsplanering - begripligt, hanterbart och meningsfullt: Förbättringsarbete för att öka familjernas delaktighet i habiliteringsplanering
Jönköping University, School of Health and Welfare, HHJ, Quality Improvement and Leadership in Health and Welfare.
2018 (Swedish)Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesisAlternative title
Habilitation planning - comprehensible, manageable and meaningful : An improvement project to increase families' participation in Habilitation planning (English)
Abstract [sv]

Bakgrund: Arbetssättet habiliteringsplanering omfattar centrala aspekter inom dagens hälso- och sjukvård, såsom personcentrerad vård, delaktighet, delat beslutsfattande, co-production och individuell planering. Därmed representerar arbetssättet ett synsätt som kombinerar patientens kunskaper och erfarenheter med hälso- och sjukvårdspersonalens professionella kunnande för att skapa god vård. 

 

Syfte: Ett förbättringsarbete genomfördes vid en habiliteringsenhet, med syfte att öka familjernas upplevda delaktighet i habiliteringsplaneringen. I studien utforskades medarbetarnas erfarenheter av arbetssättet habiliteringsplanering.

 

Metod: Ett lokalt förbättringsarbete kring habiliteringsplanering genomfördes enligt strukturen i Nolans förbättringsmodell. Studien var en fallstudie med datainsamling genom fokusgruppsintervjuer och en kvalitativ innehållsanalys med abduktiv ansats. Analysen kopplades till espoused theory och theory-in-use.

 

Resultat: Alla de nio tillfrågade föräldrarna upplevde sig delaktiga i sitt barns habiliteringsplanering och andelen habiliteringsplaneringar med bedömd god kvalitet vid journalgranskning steg från 14 till 19%. Studiens resultat påvisade stora gap mellan espoused theory och theory-in-use, bland annat gällande teamarbetet.

 

Slutsats: För att habiliteringsplanering ska kunna bli ett arbetssätt som verkligen tillför värde till patienterna behöver gapet minskas mellan espoused theory och theory-in-use. För att kunna arbeta med detta inom ramen för förbättringskunskap behöver användbara mått utvecklas.

Abstract [en]

Background: The work process of Habilitation planning embraces several central aspects in healthcare today, such as person centered care, participation, shared decision-making, co-production and individual planning. The work process represents a view that combines the patient’s knowledge and experience with the clinician’s professional knowledge, to create good care. 

 

Aim: An improvement project was conducted at a habilitation center, aiming to increase families’ perceived participation in Habilitation planning. The aim of the study was to explore the co-workers’ experiences of Habilitation planning.

 

Method: A local improvement project was conducted based on the Improvement model. A case study with focus group interviews and a qualitative content analysis was performed. The analysis was connected to espoused theory and theory-in-use.

 

Result: All nine parents asked, perceived themselves as involved and the percentage of Habilitation planning judged as being of good quality increased from 14 to 19%. The study results showed great gaps between espoused theory and theory-in-use, e.g. for team work.

 

Conclusion: To make Habilitation planning a work process really adding value to the patients, the gap between espoused theory and theory-in-use needs to decrease. Addressing this with improvement knowledge requires useful measurements.

Place, publisher, year, edition, pages
2018. , p. 33
Keywords [en]
espoused theory, individual planning, participation, qualitative content analysis, theory-in-use
Keywords [sv]
delaktighet, espoused theory, individuell planering, kvalitativ innehållsanalys, theory-in-use
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:hj:diva-40681ISRN: JU-HHJ-KVA-2-20180079OAI: oai:DiVA.org:hj-40681DiVA, id: diva2:1225364
Subject / course
HHJ, Quality improvement and leadership in health and welfare services
Supervisors
Examiners
Available from: 2018-08-16 Created: 2018-06-26 Last updated: 2018-08-16Bibliographically approved

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