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Page: 1 Creating integrated person-centred care in different settings (Forskerprosjekt - HELSEVEL) Application Number: ES592788 Project Number: -1 Applicant Project Owner Institution / company (Norwegian HØGSKOLEN I OSLO OG AKERSHUS (HIOA) SENTER FOR VEL name) Faculty Institute Department Address Postboks 4 St. Olavs plass Postal code 0130 City OSLO Country Norway E-mail [email protected] Website Enterprise number 974747715 eAdministration Project administrator First name Bjørn Last name Hvinden Date of birth 061249 Personal number Gender Male Position/title Instituttdirektør Phone E-mail [email protected] ✔ The application has been approved by the Confirmation Project Owner Page: 2 Creating integrated person-centred care in different settings (Forskerprosjekt - HELSEVEL) Application Number: ES592788 Project Number: -1 Project manager First name Mia Last name Vabø Date of birth 030158 Personal number ********** Gender Female Institution / company (Norwegian Høgskolen i Oslo og Akershus name) Faculty Senter for velferds og arbeidsforskning Institute NOVA Department Address Stensberggaten 26 Postal code 0131 City Oslo Country Norway Position/title Research professor Academic degree phd Preferred language Bokmål Phone ++47025489 E-mail [email protected] Project info Project title Project title Creating integrated person-centred care in different settings Primary and secondary objectives of the project The primary objective of the CONTEXT project is to increase knowledge Primary and secondary objectives about the conceptualization, implementation, and practice of integrated person-centred care in Norwegian and Danish elderly care. A particular Page: 3 Creating integrated person-centred care in different settings (Forskerprosjekt - HELSEVEL) Application Number: ES592788 Project Number: -1 focus is how contextual conditions such as disciplinary traditions, leadership styles or modes of governance can hinder or facilitate the realization of integrated person-centred care. Ultimately, the objective is to produce useable knowledge for care providers, care service managers, and care policy makers. Secondary objectives are: a) to establish arenas for knowledge sharing between researchers, local practitioners, and policy makers; b) to contribute to enhance inter-disciplinary learning in professional educations; c) to build on and continue to develop Nordic research collaborations and international comparative research on care services; and d) to provide an example of the analytic utility of combining qualitative case studies and survey data. Project summary The movement towards integrated person-centred care has shown some positive effects, research indicates however that outcomes are highly context-specific. Success depends for instance on whether care organizations are able to influence the mindset of the staff, use economic incentives effectively, and modify the way work is organized. The implication, motivating this project, is that new research should address how settings and contexts which enhance people-centred care can be created. A mixed-method design is utilized. Qualitative analysis of care systems is integrated with quantitative analyses of survey data. The major part of the project consists of case studies of six local care systems which differ in national contexts (four Norwegian, two Danish study sites), type of community (urban/rural), and administrative style (more or less inspired by New Public Management). The overall issue is why interventions aiming at integrated person-centred care succeed in some settings, but fail in others. Project summary The analyses will explore initiatives aiming at a) making older people more self-reliant (e.g., home care reablement); b) improving integration between health services and elderly care; c) making staff-client relations more collaborative; and d) establishing collaborations between the care organization and local volunteers. Contextual preconditions for successful outcomes, in terms of aspects both of the care organizations and the surrounding environments, will be identified. The main technique of the case studies is a site switching approach drawing on the skills of a multi-disciplinary research team of academics and practitioners. Qualitative data from case studies will be linked to statistical analyses of a large Nordic survey among staff in elderly care conducted in 2005 (N=5,000) and 2015 (N=8,000). Survey findings will assist in determining how typical are the case-study work organizations, while the case studies will enhance interpretations of survey findings. Page: 4 Creating integrated person-centred care in different settings (Forskerprosjekt - HELSEVEL) Application Number: ES592788 Project Number: -1 Funding scheme Supplementary info from applicant Programme / activity HELSEVEL Application type Forskerprosjekt Topics Other relevant programmes/ activities/projects Sociology, anthropology, political science, health sciences, social work Discipline(s) nursing, medicine If applying for additional funding, specify project number Have any related applications been submitted to the Research Council No and/or any other public funding scheme If yes, please provide further information Progress plan Project period From date 20180301 To date 20211231 Main activities and milestones in the project period (year and quarter) Milestones throughout the project From To A kick-off planning meeting 2018 2 2018 3 Making contacts, informing municipalities 2018 2 2019 3 Project planning /advertisment phd 2018 2 2018 4 A doctoral student is employed 2018 3 2018 3 Page: 5 Creating integrated person-centred care in different settings (Forskerprosjekt - HELSEVEL) Application Number: ES592788 Project Number: -1 Agreements are made with 4 municipalities 2018 3 2019 3 Data collection completed in two municipaliti 2018 3 2019 1 First meeting with HIOA interdisc. group 2018 3 2018 4 The post-doc researcher is employed 2018 3 2018 4 At least threer journal articles submitted 2019 1 2019 4 Site visit 3+ 4 completed 2019 1 2019 3 Writing up 2019 1 2021 3 Dialogue seminar with stakeholders etc 2019 3 2019 4 Agreements with municipality 5 + 6 2019 4 2020 4 Planning meeting with team/stakeholders 2019 4 2019 4 At least 4 new articles submitted 2020 1 2020 4 Second meeting with HIOA interdisc. group 2020 2 2020 3 Two last (Norwegian) site-visits completed 2020 2 2020 4 Nordic workshop/paper based 2020 3 2020 4 Planning the dialogue conference 2021 2 2021 3 Third seminar with HIOA interdisciplin 2021 2 2021 3 Dialog conference for stakeholders 2021 3 2021 3 Dissemination of project results Knowledge sharing is a core aim for the CONTEXT-project. Knowledge will be shared continuously through the research process. The project will create a web page for dissemination of results and will organize several workshops and conferences: (1) By the end of 2020 we will arrange a scientific workshops. Key national and international researchers from different academic disciplines will contribute by acting as discussants and peer reviewers of draft papers. Dissemination plan (2) We will organize three workshops for teaching staff /students participating in the Working Well group ? a group established at HIOA to discuss interdisciplinary working and interdisciplinary learning in elder care. This group is an arena for knowledge sharing based on oral presentation from the case studies as well as draft papers from researchers, teaching staff and students. (3) By the end of 2019 we will organize a dialogue seminar for stakeholders. Based on previous experience we will organize the seminar in line with a two Page: 6 Creating integrated person-centred care in different settings (Forskerprosjekt - HELSEVEL) Application Number: ES592788 Project Number: -1 step model. The first part about knowledge sharing (what do we know) and the second part knowledge translation (what can we do about it). (4) A closing conference will be organized, based on a combination of oral presentations from the research team and dialogue groups. Scientific publications Papers from academic team members will be published in peer-reviewed journals. All our publications will use the contextualist approach as a frame of reference, but single publications may relate to many different scientific topics. Accordingly, several categories of scientific journals are relevant such as journals of social policy, public administration, social work, health care management, social gerontology etc. We have estimated that the project team will publish: 3 articles on topics based on the NORDCARE data (Drange, Elstad, and Vabø) 4 articles on topics related to public governance, health care management and leadership (Vabø, Rostgård, Graf, Romøren, post doc fellow) 3 articles on the micro politics of human service work (e.g. ( Vabø, Øye, Norvoll, post doc) 3 articles on caring relations and gerontology (Øye, Norvoll Rostgård) 1 article on comparative methods (Vabø, Norvoll) 1 doctoral thesis 2-3 master thesis and/or journal articles based on a small grant for students/teachers Publications for a wider audience The CONTEXT-project will publish policy briefs on the web site and will invite co-researchers i.e practitioners from municipalities, teaching staff /students from HIOA and representatives from senior organizations? to take part in dissemination of result by giving speeches and publish in professional journals, newspapers and booklets. Researchers will be encouraged to act as co-authors. Based on the realist evaluation approach we will publish a report from