Anne Liveng. community health promotion in welfare institutions samlet

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Anne Liveng. community health promotion in welfare institutions samlet

  1. 1. Community health promotion in welfare institutions Anne Liveng, Heidi Lene Andersen, Charlotte Beck Lau & Jesper Holm. Center for Health Promotion Research, Roskilde university.
  2. 2. Format of our presentations • Which challenges, wishes or changes in/for welfare institutions do the project address? • Our positions as researchers? • What does a health promotion discourse, practice and idea mean in the specific context? • Focus on community building among staff and/or “users”.
  3. 3. The concept of health promotion opens: • A space for articulation of holistic views on working life and everyday life, including staff and “users” – their interactions and relations. • A space for articulation of experiences from practice. • A point of connection of “street” and “state”. • An awareness of the potentials and resources of everyday life – a bottom linked perspective.
  4. 4. Health promotion in home based care for elderly people Anne Liveng, Center for Health Promotion Research, Roskilde university.
  5. 5. “Citizens with complex problems” • An empirical investigation with focus on vulnerable elderly receiving municipal home based care, and on how the home based care possibly can support these citizens. • Citizens with complex problems poses a challenge to home based care – administration and front workers, as they are difficult to help, sometimes resulting in media scandals. Isolation, aggression, alcoholism, psychiatric illnesses and dementia characterize this differentiated group. • The project applied a grounded, explorative approach, inspired from reflexive ethnography (Davies 1999), using interviews, observations and field notes.
  6. 6. To be a kind of human being – not a case • The citizens wished for recognizing relationships: implying to live as one has always done, to be respected as competent in own home, and to be identified through the life one had lived. • Home based care management invited staff to exchange experiences and a play group acted difficult situations with staff. • Community was build among staff. Teams discussed and agreed upon a health promoting way of meeting citizens.
  7. 7. Health promotion meant that: • Mutual agreement led to fewer conflicts with citizens, a feeling of mutual support and a higher satisfaction in work; citizens complained less. • Users where seen as persons with a life history and resources even if they were scarce. • Teams worked with “damage reduction” instead of ideals of “curing”. • NPM ways of organizing time and visits were changed; room for dialog and flexibility created.

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