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Asp, Margareta, professorORCID iD iconorcid.org/0000-0002-3307-6779
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Publications (10 of 59) Show all publications
Aryuwat, P., Holmgren, J., Asp, M., Lövenmark [Åberg] [Engström], A., Radabutr, M. & Sandborgh, M. (2024). Factors Associated with Resilience among Thai Nursing Students in the Context of Clinical Education: A Cross-sectional Study. Education Sciences, 14(1), Article ID 78.
Open this publication in new window or tab >>Factors Associated with Resilience among Thai Nursing Students in the Context of Clinical Education: A Cross-sectional Study
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2024 (English)In: Education Sciences, E-ISSN 2227-7102, Vol. 14, no 1, article id 78Article in journal (Refereed) Published
Abstract [en]

Resilience aids nursing students in dealing with adversities during their nursing education. This study examined the relationship between nursing students’ resilience and relevant variables in the context of clinical education. Methods: A cross-sectional study was conducted to collect data from 319 undergraduate nursing students in Northeast Thailand. The Connor–Davidson Resilience Scale, the Multidimensional Scale of Perceived Social Support, the Learning Experience Scale or the Personal Responsibility Orientation to Self-Direction in Learning Scale, and the Stressors in Nursing Students scale were administered. A multiple regression analysis was performed for factors presumed to be associated with resilience. Results reported that Thai nursing students’ average resilience score was 71.79 ± 16.33. Multiple regression analysis indicated factors associated with resilience, in which social support (β = 0.354, p < 0.001, 95%CI: 0.240 to 0.469) and self-directed learning (β = 0.787, p < 0.001, 95%CI: 0.606 to 0.968) showed a positive association, while stress (β = −0.083, p = 0.025, 95%CI: −0.083 to −0.006) had a negative association. The final model accounted for 43.4% of the variance in the resilience score. In conclusion, self-directed learning, social support, and perceived stress among nursing students during clinical education are associated with their resilience.

National Category
Nursing
Identifiers
urn:nbn:se:mdh:diva-65290 (URN)10.3390/educsci14010078 (DOI)001151835400001 ()2-s2.0-85183179593 (Scopus ID)
Available from: 2024-01-09 Created: 2024-01-09 Last updated: 2024-02-07Bibliographically approved
Hjalmarsson, A., Östlund, G., Asp, M., Kerstis, B. & Holmberg, M. (2023). Balancing power: Ambulance personnel's lived experience of older persons' participation in care in the presence of municipal care personnel. Scandinavian Journal of Caring Sciences
Open this publication in new window or tab >>Balancing power: Ambulance personnel's lived experience of older persons' participation in care in the presence of municipal care personnel
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2023 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712Article in journal (Refereed) Published
Abstract [en]

Background: Patient participation is considered to promote well-being and is, therefore, central in care contexts. Care-dependent older persons living at home constitute a vulnerable population with increased ambulance care needs. Care transfers risk challenging participation in care, a challenge that can be accentuated in situations involving acute illness.Aim: To illuminate meanings of older persons' participation in ambulance care in the presence of municipal care personnel from the perspective of ambulance personnel.Method: A phenomenological hermeneutical method was used to analyse transcripts of narrative interviews with 11 ambulance personnel.Results: The ambulance personnel's lived experience of older persons' participation includes passive and active dimensions and involves a balancing act between an exercise of power that impedes participation and equalisation of power that empowers participation. The main theme 'Balancing dignity in relation to manipulating the body' included the themes Providing a safe haven and Complying with bodily expressions, which means shouldering responsibility for existential well-being and being guided by reactions. The main theme 'Balancing influence in relation to perceived health risks' included the themes Agreeing on a common perspective, Directing decision-making mandate, and Sharing responsibility for well-being, which means shouldering responsibility for health focusing on risks. Influence is conditional and includes performance requirements for both the older person and municipal care personnel.Conclusion: Care-dependent older persons' participation in care from the perspective of ambulance personnel means recognising passive and active dimensions involving human dignity, the ability to influence care, and optimising care efforts through collaboration. This study provides a deepened understanding of the balancing of power involved in ambulance care determining participation, where power is equalised or exercised depending on personal engagement, health risks, and available care options. The knowledge provided holds the potential to improve ambulance care to benefit older persons in critical life situations.

National Category
Nursing
Identifiers
urn:nbn:se:mdh:diva-62178 (URN)10.1111/scs.13162 (DOI)000947937400001 ()36908069 (PubMedID)2-s2.0-85150591793 (Scopus ID)
Available from: 2023-04-05 Created: 2023-04-05 Last updated: 2024-01-09Bibliographically approved
Hjalmarsson, A., Östlund, G., Asp, M., Kerstis, B. & Holmberg, M. (2023). Entrusting life to professionals: A phenomenological hermeneutical study of older persons' participation in prehospital emergency care involving municipal home care and ambulance services. Scandinavian Journal of Caring Sciences
Open this publication in new window or tab >>Entrusting life to professionals: A phenomenological hermeneutical study of older persons' participation in prehospital emergency care involving municipal home care and ambulance services
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2023 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712Article in journal (Refereed) Epub ahead of print
Abstract [en]

Background: Participation in care is considered to promote safe and qualitative care. Care-dependent older persons ageing in place have increased emergency care needs, which initiate inter-organisational collaboration involving municipal home care and ambulance services. Previous research concludes that uncertainties exist regarding what participation in care means in clinical practice, which necessitates the need to illuminate the phenomenon for older persons in critical life situations.

Aim: This study aimed to illuminate meanings of participation in prehospital emergency care from the perspective of care-dependent older persons experiencing acute illness at home.

Design: This study has a qualitative design with a lifeworld approach.

Method: A phenomenological hermeneutical method was used to analyse transcribed telephone interviews with eleven care-dependent persons aged 70–93 years.

Results: Care-dependent older persons' participation in prehospital emergency care means ‘Entrusting life to professional caregivers’ when being in helpless solitude and existentially unsafe, which emphasises a deepened interpersonal dependence. Meanings of participation in care from the perspective of older persons involve Being reassured in togetherness, Being pliant in trust of emergency expertise, Being enabled through the agency of professional caregivers, and Encountering readiness in the emergency care chain.

Conclusion: Care-dependent older persons' participation in prehospital emergency care is existential and involves interpersonal dependence. Togetherness brings reassurance, safety and opportunity for emotional rest while accessing the professional caregivers' power, competence and abilities which provide opportunities for existence and movement towards well-being and continued living.

Implications for practice: Prehospital emergency care from the perspective of care-dependent older persons transcends organisational boundaries and includes the municipal mobile safety alarm service. The involved municipal and regional organisations need to provide support by implementing lifeworld-led care models and care alternatives that enable professionals to recognise the existential dimension of participation in care.

Place, publisher, year, edition, pages
John Wiley and Sons Inc, 2023
Keywords
ambulance services, home care services, mobile safety alarm, older persons, participation in care, phenomenological hermeneutical method, prehospital emergency care
National Category
Nursing
Identifiers
urn:nbn:se:mdh:diva-64750 (URN)10.1111/scs.13223 (DOI)001095083000001 ()2-s2.0-85175615979 (Scopus ID)
Available from: 2023-11-15 Created: 2023-11-15 Last updated: 2024-01-24Bibliographically approved
Beyermann, A., Asp, M., Godskesen, T. & Söderman, M. (2023). Nurses’ challenges when supporting the family of patients with ALS in specialized palliative home care: A qualitative study. International Journal of Qualitative Studies on Health and Well-being, 18(1), Article ID 2238984.
Open this publication in new window or tab >>Nurses’ challenges when supporting the family of patients with ALS in specialized palliative home care: A qualitative study
2023 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 18, no 1, article id 2238984Article in journal (Refereed) Published
Abstract [en]

Purpose: Being a family member to someone who has amyotrophic lateral sclerosis (ALS) is demanding and often requires sacrificing a lot. Family members can experience fatigue, anxiety, guilt and need support. The aim was to explore registered nurses’ (RNs’) experiences of providing support to the families of patients with ALS within specialized palliative home care (SPHC).

Methods: A qualitative explorative design. Interviews were conducted with RNs (n = 11) from five SPHCs in Sweden and analysed using qualitative content analysis.

Results: The results emerged in the following categories:”To support in an increasingly difficult everyday life”, based on the sub-categories: “Creating a trusting relationship”, “Balancing between the needs of patients and their families”, and “Sharing knowledge about dying to the families”;”To support in emotionally challenging situations”, based on the sub-categories: “Harbouring family members’ difficult feelings”, “Providing support even though the situation is unpleasant” and “Being able to give support by receiving confirmation and support from others”.

Conclusions: RNs working in SPHC have an important role in providing support in several ways to the families of patients with ALS, through facilitating their everyday life and giving emotional support when needed, based on the needs of both patients and the families.

Keywords
ALS, caregivers, family, home care nursing, nurses experience, palliative care, qualitative, relatives
National Category
Nursing
Research subject
Care Sciences
Identifiers
urn:nbn:se:mdh:diva-64038 (URN)10.1080/17482631.2023.2238984 (DOI)001032784700001 ()37490576 (PubMedID)2-s2.0-85165631253 (Scopus ID)
Available from: 2023-08-17 Created: 2023-08-17 Last updated: 2023-12-04Bibliographically approved
Källestedt, M.-L. -., Asp, M., Letterstål, A. & Widarsson, M. (2023). When caring becomes an art - how clinical gaze are perceived to be developed. International Journal of Qualitative Studies on Health and Well-being, 18(1), Article ID 2156659.
Open this publication in new window or tab >>When caring becomes an art - how clinical gaze are perceived to be developed
2023 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 18, no 1, article id 2156659Article in journal (Refereed) Published
Abstract [en]

PURPOSE: This qualitative study describes nurses' experiences and perceptions of how they develop the clinical gaze. METHODS: This qualitative study used an inductive approach and content analysis to assess the experiences of newly graduated nurses, nurse managers, and nursing teachers. Nineteen interviews were conducted. To achieve credibility, the study followed the guidelines of the Consolidated Criteria for Reporting Qualitative research (COREQ). RESULTS: Two themes emerged: nurses' personal abilities and the learning culture. Learning culture was considered the foundation of the development of the clinical gaze. The clinical gaze was found to be developed in relationships with patients and when learning together with colleagues, in which the opportunities for reflection are central. To develop the clinical gaze, structures for learning activities, such as reflection, communication exercises, and simulation, are needed so that they become a natural part of daily work. This can also be achieved through supervision and skills training both at university and in a care context. CONCLUSIONS: Prerequisites for the development of the clinical gaze include physical presence with the patient combined with learning activities such as conscious reflection with others in a safe learning culture.

Place, publisher, year, edition, pages
NLM (Medline), 2023
Keywords
Clinical gaze, clinical skills, education, health care, learning, patient safety, professional competence, reflection, exercise, human, qualitative research, university, Humans, Universities
National Category
Medical and Health Sciences Nursing
Identifiers
urn:nbn:se:mdh:diva-61355 (URN)10.1080/17482631.2022.2156659 (DOI)000895411300001 ()36482509 (PubMedID)2-s2.0-85143567479 (Scopus ID)
Available from: 2022-12-21 Created: 2022-12-21 Last updated: 2023-05-17Bibliographically approved
Hjalmarsson, A., Östlund, G., Asp, M., Kerstis, B. & Holmberg, M. (2022). A matter of participation?: A critical incident study of municipal care personnel in situations involving care-dependent older persons and emergency medical services. International Journal of Qualitative Studies on Health and Well-being, 17(1), Article ID 2082062.
Open this publication in new window or tab >>A matter of participation?: A critical incident study of municipal care personnel in situations involving care-dependent older persons and emergency medical services
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2022 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 17, no 1, article id 2082062Article in journal (Refereed) Published
Abstract [en]

Purpose This study aimed at describing municipal care personnel's experiences of and actions in situations when older persons need emergency medical services (EMS) at home. Methods An inductive descriptive design adhering to critical incident technique (CIT) was used. Data were collected through interviews and free text written questionnaires, analysed in accordance with CIT procedure. Results Experiences related to the main areas of Lifesaving competence and Collaborative care. Lifesaving competence involved having sufficient knowledge to guide older persons in emergencies without organizational support. The lack of care alternatives carries dependence on inter-organizational collaboration, as well as having to accept the collaborative conditions provided by the EMS. Actions meant Adjusting to situational needs and EMS authority, which involved safeguarding the person while being directed by the EMS. Conclusions Lack of organizational support, care alternatives, and structured collaboration jeopardize care-dependent older persons' health, and ability to influence care when emergency situations occur at home. Municipal care personnel's actions as the older person's representative support human agency, allowing older persons to become active participants in care despite acute suffering. This study underlines the importance of further developing welfare policies that facilitate and regulate inter-organizational responsibilities of health and social care to favour older people.

Place, publisher, year, edition, pages
Taylor & Francis, 2022
Keywords
Ambulance dispatch personnel, ambulance personnel, critical incident technique, emergency medical services, emergency situations, experiences, inter-organizational collaboration, municipal care personnel, municipal home care services, older persons
National Category
Nursing
Identifiers
urn:nbn:se:mdh:diva-59402 (URN)10.1080/17482631.2022.2082062 (DOI)000811326800001 ()35703409 (PubMedID)2-s2.0-85132078328 (Scopus ID)
Available from: 2022-06-29 Created: 2022-06-29 Last updated: 2023-04-17Bibliographically approved
Aryuwat, P., Asp, M., Lövenmark [Åberg] [Engström], A., Radabutr, M. & Holmgren, J. (2022). An integrative review of resilience among nursing students in the context of nursing education. Nursing Open
Open this publication in new window or tab >>An integrative review of resilience among nursing students in the context of nursing education
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2022 (English)In: Nursing Open, E-ISSN 2054-1058Article in journal (Refereed) Epub ahead of print
Abstract [en]

This integrative review aimed to examine empirical research on resilience among nursing students in the context of nursing education. Resilience helps nursing students handle challenges, such as changing learning styles and experiencing their first clinical practice.DesignAn integrative review.MethodsThe search terms focused on resilience and health in nursing students and nursing education. The database used in this review were CINAHL Plus, PubMed and MEDLINE. The Mixed Methods Appraisal Tool appraised the studies' quality.

ResultsThis study explored 52 records and revealed three current research focuses related to nursing students' resilience: (1) the concept and description of resilience, (2) the characteristics affecting resilience and (3) the mediating role of resilience in maintaining holistic health. Recommendations include adding a resilience topic to the nursing curriculum, providing resilience enhancement programs, examining the relationship between resilience and holistic health and exploring the influence of resilience about global health crises.

Public Contribution Resilience among nursing students plays a vital role in helping them to overcome adversities during their nursing education. Additionally, after graduation, nursing students can continue contributing to society as resilient Registered Nurses in the future.

National Category
Nursing
Identifiers
urn:nbn:se:mdh:diva-61384 (URN)10.1002/nop2.1559 (DOI)000901907100001 ()2-s2.0-85145037848 (Scopus ID)
Funder
Mälardalen University
Available from: 2022-12-30 Created: 2022-12-30 Last updated: 2023-02-23Bibliographically approved
Wiklund, L. & Asp, M. (2022). Från begrepp till handling (3ed.). In: Vårdvetenskapliga begrepp i teori och praktik: (pp. 21-26). Lund: Studentlitteratur AB
Open this publication in new window or tab >>Från begrepp till handling
2022 (Swedish)In: Vårdvetenskapliga begrepp i teori och praktik, Lund: Studentlitteratur AB, 2022, 3, p. 21-26Chapter in book (Other academic)
Place, publisher, year, edition, pages
Lund: Studentlitteratur AB, 2022 Edition: 3
National Category
Medical and Health Sciences
Research subject
Care Sciences
Identifiers
urn:nbn:se:mdh:diva-58294 (URN)978-91-44-13955-5 (ISBN)
Available from: 2022-05-24 Created: 2022-05-24 Last updated: 2022-06-21Bibliographically approved
Letterstål, A., Kallestedt, M. L., Widarsson, M. & Asp, M. (2022). Nursing Faculties' Perceptions of Integrating Theory and Practice to Develop Professional Competence. Journal of Nursing Education, 61(5), 236-241
Open this publication in new window or tab >>Nursing Faculties' Perceptions of Integrating Theory and Practice to Develop Professional Competence
2022 (English)In: Journal of Nursing Education, ISSN 0148-4834, E-ISSN 1938-2421, Vol. 61, no 5, p. 236-241Article in journal (Refereed) Published
Abstract [en]

Background: Nursing faculties??? perceptions influence nursing education. This article describes how nursing faculty perceive nursing students??? development of professional competence by integrating theory and practice, and by examining how this context influences this integration. Method: With a phenomenographic approach, interviews were conducted with nine participants and analyzed into qualitatively different categories of description. Results: The integration of theoretical and practical knowledge is perceived as a challenge or as naturally intertwined in the entire education, focusing mainly on individual prerequisites for learning. Perceptions of a common mission create coherence for students. Evident learning structures are needed, and there is a perceived discrepancy between nurses??? competence and expectations in health care. Conclusion: If the theory and practice gap could be perceived as a driving force for continuous learning, it could become an incentive for closer collaboration by creating structures for competence development that include individuals, teams, and organizations. [J Nurs Educ. 2022;61(5):236-241.]

Keywords
NURSES, CARE, GAP, PHENOMENOGRAPHY, PHILOSOPHY, SIMULATION
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-58621 (URN)10.3928/01484834-20220303-05 (DOI)000799036500003 ()35522761 (PubMedID)2-s2.0-85146782858 (Scopus ID)
Available from: 2022-06-08 Created: 2022-06-08 Last updated: 2023-04-12Bibliographically approved
Wiklund, L. & Asp, M. (Eds.). (2022). Vårdvetenskapliga begrepp i  teori och praktik (3ed.). Lund: Studentlitteratur AB
Open this publication in new window or tab >>Vårdvetenskapliga begrepp i  teori och praktik
2022 (Swedish)Collection (editor) (Other academic)
Abstract [sv]

En vetenskap och dess teorier byggs upp av begrepp som på olika sätt relaterar till varandra och beskriver vetenskapens sätt att se på den egna verksamheten. Tillsammans formar begreppen en syn på verkligheten som kan te sig mer eller mindre abstrakt, samtidigt som abstraktionsnivån också bidrar till att teorier kan ha såväl djup som omfång. Boken introducerar varför begreppsutveckling är viktigt inom vårdvetenskap, ett par metoder för begreppsutveckling samt hur reflektion och forskning om begrepp kan bidra till att vårdandet evidensbaseras. I huvuddelen av boken beskriver forskare från Sverige, Finland och Norge övergripande begrepp som exempelvis hälsa, miljö och personcentrerad vård, samt mer avgränsade begrepp som vila, vårdande kommunikation och tröst. Boken vänder sig till studerande i sjuksköterskeprogrammet och olika specialistsjuksköterskeprogram, men passar också andra yrkesgrupper i vårdande verksamheter och de som är intresserade av att förstå mer om vårdvetenskap i allmänhet, och om dess begrepp och språkanvändning i synnerhet

Place, publisher, year, edition, pages
Lund: Studentlitteratur AB, 2022. p. 447 Edition: 3
National Category
Medical and Health Sciences Health Sciences
Research subject
Care Sciences
Identifiers
urn:nbn:se:mdh:diva-58293 (URN)978-91-44-13955-5 (ISBN)9789144161372 (ISBN)
Available from: 2022-05-24 Created: 2022-05-24 Last updated: 2022-06-21Bibliographically approved
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ORCID iD: ORCID iD iconorcid.org/0000-0002-3307-6779

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