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Summer Meranius, MartinaORCID iD iconorcid.org/0000-0002-0407-9831
Publications (10 of 31) Show all publications
Johansson, M. F., McKee, K. J., Dahlberg, L., Summer Meranius, M., Williams, C. L. & Marmstål Hammar, L. (2022). Negative Impact and Positive Value of Caregiving in Spouse Carers of Persons with Dementia in Sweden. International Journal of Environmental Research and Public Health, 19(3), Article ID 1788.
Open this publication in new window or tab >>Negative Impact and Positive Value of Caregiving in Spouse Carers of Persons with Dementia in Sweden
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2022 (English)In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 19, no 3, article id 1788Article in journal (Refereed) Published
Abstract [en]

(1) Background: Spouse carers of persons with dementia (PwD) are particularly vulnerable to negative outcomes of care, yet research rarely focuses on their caregiving situation. This study explores factors associated with the positive value and negative impact of caregiving in spouse car-ers of PwD in Sweden. (2) Methods: The study was a cross-sectional questionnaire-based survey, with a convenience sample of spouse carers of PwD (n = 163). The questionnaire addressed: care situation, carer stress, health and social well-being, relationship quality and quality of support, and contained measures of positive value and negative impact of caregiving. (3) Results: Hierarchical regression models explained 63.4% variance in positive value and 63.2% variance in negative impact of caregiving. Three variables were significant in the model of positive value: mutuality, change in emotional closeness following dementia and quality of support. Six variables were significant in the model of negative impact: years in relationship, years as carer, behavioural stress, self-rated health, emotional loneliness and change in physical intimacy following dementia. (4) Conclusions: Support to spouse carers of PwD should address the carer–care-recipient relationship quality, although different aspects of the relationship should be addressed if both the positive value of caregiving is to be enhanced and the negative impact reduced. 

Place, publisher, year, edition, pages
MDPI, 2022
Keywords
Caregiving, Dementia, Negative impact, Older adults, Positive value, Relationship, Spouse carers, Support
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-60318 (URN)10.3390/ijerph19031788 (DOI)000757392000001 ()2-s2.0-85123958362 (Scopus ID)
Available from: 2022-10-21 Created: 2022-10-21 Last updated: 2022-10-26Bibliographically approved
Pavedahl, V., Muntlin, Å., Summer Meranius, M., von Thiele Schwarz, U. & Holmström, I. (2022). Prioritizing and meeting life-threateningly ill patients' fundamental care needs in the emergency room: An interview study with registered nurses. Journal of Advanced Nursing, 78(7), 2165-2174
Open this publication in new window or tab >>Prioritizing and meeting life-threateningly ill patients' fundamental care needs in the emergency room: An interview study with registered nurses
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2022 (English)In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 78, no 7, p. 2165-2174Article in journal (Refereed) Published
Abstract [en]

Aim To explore how registered nurses in the emergency room describe their work approach and prerequisites for meeting life-threateningly ill patients' care needs from the perspective of a person-centred fundamental care framework. Design A descriptive, qualitative interview study. Method Individual interviews were carried out with 14 registered nurses with experience of working in an emergency room in Sweden, during 2019. Data were analysed using thematic analysis, according to Braun and Clarke. The COREQ checklist was used for reporting the findings. Results Three themes were identified: Task-oriented nursing care based on structured guidelines and checklists; Fundamental care not being promoted or prioritized in the emergency room; and The organization and responsibilities for providing person-centred fundamental care are unclear. Results showed that registered nurses structure their work approach based on prevailing organizational prerequisites as well as personal ones. Meeting patients' fundamental care needs was not always prioritized; their physical needs were met to a greater extent than their relational and psychosocial needs. Registered nurses did not prioritize fundamental care when the organization did not. Conclusion From the registered nurses' perspective, they structured their work based on the prevailing conditions for meeting patients' fundamental care needs. The organizational structure does not clearly state that fundamental care should be performed in the emergency room, and the registered nurses' work approach there for meeting patients' fundamental care needs is not adapted to provide patients with person-centred care. Impact To date, little is known about registered nurses' work approach and prerequisites in meeting life-threateningly ill patients' fundamental care needs in the emergency room. Our findings indicate that the organizational structure is pivotal in supporting registered nurses to provide person-centred fundamental care. The knowledge from this study can be used in emergency care settings to facilitate person-centred fundamental care and thereby avoid fundamental care being missed.

Place, publisher, year, edition, pages
John Wiley & Sons, 2022
Keywords
emergency nursing, emergency room, fundamentals of care, interview study, person-centred care, PERCEPTIONS
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-57622 (URN)10.1111/jan.15172 (DOI)000763102200001 ()2-s2.0-85124513937 (Scopus ID)
Available from: 2022-03-16 Created: 2022-03-16 Last updated: 2023-10-09Bibliographically approved
Johansson, M. F., McKee, K. J., Dahlberg, L., Williams, C. L., Summer Meranius, M., Hanson, E., . . . Marmstål Hammar, L. (2021). A comparison of spouse and non-spouse carers of people with dementia: a descriptive analysis of Swedish national survey data. BMC Geriatrics, 21(1), Article ID 338.
Open this publication in new window or tab >>A comparison of spouse and non-spouse carers of people with dementia: a descriptive analysis of Swedish national survey data
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2021 (English)In: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 21, no 1, article id 338Article in journal (Refereed) Published
Abstract [en]

Background: Being an informal carer of a person with dementia (PwD) can have a negative effect on the carer's health and quality of life, and spouse carers have been found to be especially vulnerable. Yet relatively little is known about the care provided and support received by spouse carers. This study compares spouse carers to other informal carers of PwDs regarding their care provision, the support received and the psychosocial impact of care.

Methods: The study was a cross-sectional questionnaire-based survey of a stratified random sample of the Swedish population aged 18 or over. The questionnaire explored how much care the respondent provided, the support received, and the psychosocial impact of providing care. Of 30,009 people sampled, 11,168 (37.7%) responded, of whom 330 (2.95%) were informal carers of a PwD.ResultsIn comparison to non-spouse carers, spouse carers provided more care more frequently, did so with less support from family or the local authority, while more frequently experiencing negative impacts on their social life and psychological and physical health. Spouse carers also received more carer support and more frequently experienced a closeness in their relationship with the care-recipient.

Conclusions: Spouse carers of PwD differed from non-spouse carers on virtually all aspects of their care situation. Policy and practice must be more sensitive to how the carer-care-recipient relationship shapes the experience of care, so that support is based on an understanding of the individual carer's actual needs and preferences rather than on preconceptions drawn from a generalised support model.

Place, publisher, year, edition, pages
BMC, 2021
Keywords
Informal carer, Spouse carer, Dementia, Care provision, Population study, Sweden
National Category
Nursing
Identifiers
urn:nbn:se:mdh:diva-55359 (URN)10.1186/s12877-021-02264-0 (DOI)000660608300001 ()34078292 (PubMedID)2-s2.0-85107220762 (Scopus ID)
Available from: 2021-07-01 Created: 2021-07-01 Last updated: 2022-10-26Bibliographically approved
Marmstål Hammar, L., Williams, C. L., Summer Meranius, M. & McKee, K. (2021). Being ‘alone’ striving for belonging and adaption in a new reality: The experiences of spouse carers of persons with dementia. Dementia, 20(1), 273-290
Open this publication in new window or tab >>Being ‘alone’ striving for belonging and adaption in a new reality: The experiences of spouse carers of persons with dementia
2021 (English)In: Dementia, ISSN 1471-3012, E-ISSN 1741-2684, Vol. 20, no 1, p. 273-290Article in journal (Refereed) Published
Abstract [en]

Background and aim

Spouse carers of a person with dementia report feeling lonely and trapped in their role, lacking support and having no time to take care of their own health. In Sweden, the support available for family carers is not specialised to meet the needs of spouse carers of people with dementia. The aim of the study described in this paper was to explore spouse carers’ experiences of caring for a partner with dementia, their everyday life as a couple and their support needs.

Methods

Nine spouse carers of a partner with dementia living at home were recruited through a memory clinic and a dementia organisation. Semi-structured interviews were conducted with the participants, focusing on their experiences of providing care, their support needs in relation to their caring situation, their personal well-being and their marital relationship. The interviews were transcribed and underwent qualitative content analysis.

Results

The analysis resulted in one overall theme Being ‘alone’ striving for belonging and adaption in a new reality, synthesized from four sub-themes: (1) Being in an unknown country; (2) Longing for a place for me and us; (3) Being a carer first and a person second; and (4) Being alone in a relationship.

Conclusions

The training of care professionals regarding the unique needs of spouse carers of people with dementia needs improvement, with education, in particular, focusing on their need to be considered as a person separate from being a carer and on the significance of the couple’s relationship for their mutual well-being.

Place, publisher, year, edition, pages
Sage Publications, 2021
Keywords
spouse carer, dementia, persons with dementia, marriage, support, experience, qualitative content analysis
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-45514 (URN)10.1177/1471301219879343 (DOI)000489393300001 ()31583888 (PubMedID)2-s2.0-85074599068 (Scopus ID)
Available from: 2019-10-10 Created: 2019-10-10 Last updated: 2023-03-30Bibliographically approved
Pavedahl, V., Holmström, I., Summer Meranius, M., von Thiele Schwarz, U. & Muntlin, Å. (2021). Fundamentals of care in the emergency room – An ethnographic observational study. International Emergency Nursing, 58, Article ID 101050.
Open this publication in new window or tab >>Fundamentals of care in the emergency room – An ethnographic observational study
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2021 (English)In: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 58, article id 101050Article in journal (Refereed) Published
Abstract [en]

Background: There is a strong biomedical focus within emergency care. However, while failure to meet patients’ fundamental care needs has severe consequences for the patient, there is limited knowledge on how nursing care is provided in emergency rooms and the related implications for patients. Aim: This study aims to explore how fundamental care needs of critically ill patients are met in emergency rooms. Methods: Non-participant observations at an emergency department in Sweden included 108 observations and field notes (150 h). Data were analysed using descriptive statistics. Results: Observations showed that registered nurses (RN) identified patients’ fundamental care needs and provided nursing care. However, the RNs’ focus on the patient decreased over time. When the RN communicated with the patient, the patients’ physical needs were met to a greater extent. The organisational structure and physical environment of emergency rooms limit RNs’ ability to meet patients’ fundamental care needs. Conclusion: Not all patients had their fundamental care needs optimally met. This study highlights the importance of RNs working in an integrated manner; an RN working bedside is crucial for establishing a patient–nurse relationship to meet the patient's physical, psychosocial, and relational needs. 

Place, publisher, year, edition, pages
Elsevier, 2021
Keywords
Emergency nursing, Emergency service, Ethnographic, Fundamentals of care, Hospital, Observational study, Person-centred care, adult, article, controlled study, critically ill patient, emergency health service, emergency ward, female, human, male, nursing care, organizational structure, registered nurse, Sweden
National Category
Health Sciences Nursing
Identifiers
urn:nbn:se:mdh:diva-55967 (URN)10.1016/j.ienj.2021.101050 (DOI)000702838400010 ()34520964 (PubMedID)2-s2.0-85114789399 (Scopus ID)
Available from: 2021-09-23 Created: 2021-09-23 Last updated: 2023-10-09Bibliographically approved
Håkansson Eklund, J. & Summer Meranius, M. (2021). Toward a consensus on the nature of empathy: A review of reviews. Patient Education and Counseling, 104(2), 300-307
Open this publication in new window or tab >>Toward a consensus on the nature of empathy: A review of reviews
2021 (English)In: Patient Education and Counseling, ISSN 0738-3991, E-ISSN 1873-5134, Vol. 104, no 2, p. 300-307Article in journal (Refereed) Published
Abstract [en]

Objective

The objective was to provide a synthesis of already synthesized literature on empathy in order to identify similarities and differences among conceptualizations.

Methods

A review of reviews was conducted to locate synthesized literature published between January 1980 and December 2019. Two authors screened and extracted data, and quality-appraised the sources. A total of 52 articles deemed relevant to this overview were synthesized using thematic analysis.

Results

The analysis resulted in four themes found in most empathy conceptualizations. In empathy, the empathizer (1) understands, (2) feels, and (3) shares another person’s world (4) with self-other differentiation.

Conclusions

Most writings about empathy begin by claiming that there is far from a consensus on how empathy should be defined. This article shows a developing consensus among neuroscientists, psychologists, medical scientists, nursing scientists, philosophers, and others that empathy involves understanding, feeling, sharing, and self-other differentiation.

Practice implications

A clarification of the content of empathy may assist practitioners and researchers in avoiding confusion regarding the meaning of the concept, as well as in developing and measuring the relevant aspects of the concept.

Place, publisher, year, edition, pages
Elsevier, 2021
Keywords
Empathy, Concept analysis, Feeling, Understanding, Literature review
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-51576 (URN)10.1016/j.pec.2020.08.022 (DOI)000614149200012 ()32888755 (PubMedID)2-s2.0-85090057596 (Scopus ID)
Available from: 2020-10-19 Created: 2020-10-19 Last updated: 2022-09-02Bibliographically approved
Summer Meranius, M., Holmström, I., Håkansson, J., Breitholtz, A., Moniri, F., Skogevall, S., . . . Rasoal, D. (2020). Paradoxes of person‐centred care: A discussion paper. Nursing Open, 7(5), 1321-1329
Open this publication in new window or tab >>Paradoxes of person‐centred care: A discussion paper
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2020 (English)In: Nursing Open, E-ISSN 2054-1058, Vol. 7, no 5, p. 1321-1329Article, review/survey (Refereed) Published
Abstract [en]

AIM: Previous research has mainly focused on the advantages of PCC and less on its disadvantages. Hence, there is a need to further explore the recent research regard-ing PCC from both sides. Therefore, the aim of this paper is to elucidate the advan-tages and disadvantages of PCC.

DESIGN: Discussion paper.

METHODS: We searched relevant literature published January 2000–March 2018 in PubMed, Medline, CHINAL, Scopus and Web of Science.

RESULTS: The results showed that PCC can contribute to improved health and well-being, improved mutual interaction in relationships, improved cost-effectiveness and im-proved work environment, while the disadvantages can involve increased personal and financial costs, exclusion of certain groups, increased personal and financial costs, exclu-sion of staff's personhood and unfairness due to empathy. An analysis of the existing literature on PCC showed paradoxes, which call for further investigation.

Keywords
clinical practice, concept, evidence, healthcare, person-centred care
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-48639 (URN)10.1002/nop2.520 (DOI)000539141600001 ()32802352 (PubMedID)2-s2.0-85086160592 (Scopus ID)
Available from: 2020-06-11 Created: 2020-06-11 Last updated: 2020-11-20Bibliographically approved
Håkansson Eklund, J., Holmström, I. K., Kumlin, T., Kaminsky, E., Skoglund, K., Höglander, J., . . . Summer Meranius, M. (2019). "Same same or different?" A review of reviews of person-centered and patient-centered care. Patient Education and Counseling, 102(1), 3-11
Open this publication in new window or tab >>"Same same or different?" A review of reviews of person-centered and patient-centered care
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2019 (English)In: Patient Education and Counseling, ISSN 0738-3991, E-ISSN 1873-5134, Vol. 102, no 1, p. 3-11Article, review/survey (Refereed) Published
Abstract [en]

Objective: To provide a synthesis of already synthesized literature on person-centered care and patient-centered care in order to identify similarities and differences between the two concepts. Methods: A synthesis of reviews was conducted to locate synthesized literature published between January 2000 and March 2017. A total of 21 articles deemed relevant to this overview were synthesized using a thematic analysis. Results: The analysis resulted in nine themes present in person-centered as well as in patient-centered care: (1) empathy, (2), respect (3), engagement, (4), relationship, (5) communication, (6) shared decision-making, (7) holistic focus, (8), individualized focus, and (9) coordinated care. The analysis also revealed that the goal of person-centered care is a meaningful life while the goal of patient-centered care is a functional life. Conclusions: While there are a number of similarities between the two concepts, the goals for person-centered and patient-centered care differ. The similarities are at the surface and there are important differences when the concepts are regarded in light of their different goals. Practice implications: Clarification of the concepts may assist practitioners to develop the relevant aspects of care. Person-centered care broadens and extends the perspective of patient-centered care by considering the whole life of the patient.

Place, publisher, year, edition, pages
ELSEVIER IRELAND LTD, 2019
Keywords
Patient-centered, Person-centered, Literature review, Concept analysis, Care
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-41771 (URN)10.1016/j.pec.2018.08.029 (DOI)000452381100002 ()30201221 (PubMedID)2-s2.0-85052965545 (Scopus ID)
Available from: 2018-12-20 Created: 2018-12-20 Last updated: 2020-10-29Bibliographically approved
Håkansson Eklund, J., Holmström, I. K., Kumlin, T., Kaminsky, E., Skoglund, K., Höglander, J., . . . Summer Meranius, M. (2019). "Same same or different?" A review of reviews of person-centered and patient-centred care. In: Royal college of Nursing, Sheffield, UK: . Paper presented at Royal college of Nursing, Sheffield, UK.
Open this publication in new window or tab >>"Same same or different?" A review of reviews of person-centered and patient-centred care
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2019 (English)In: Royal college of Nursing, Sheffield, UK, 2019Conference paper, Oral presentation with published abstract (Refereed)
National Category
Nursing
Identifiers
urn:nbn:se:mdh:diva-45437 (URN)
Conference
Royal college of Nursing, Sheffield, UK
Available from: 2019-10-07 Created: 2019-10-07 Last updated: 2020-10-22Bibliographically approved
Falk Johansson, M., Marmstål Hammar, L. & Summer Meranius, M. (2019). Viktigt att anhörigvårdarna får stöd efter unika behov. Dagens samhälle, 19 september
Open this publication in new window or tab >>Viktigt att anhörigvårdarna får stöd efter unika behov
2019 (Swedish)In: Dagens samhälle, ISSN 1652-6511, Vol. 19 septemberArticle in journal (Other (popular science, discussion, etc.)) Published
National Category
Social Sciences
Research subject
Social Work
Identifiers
urn:nbn:se:mdh:diva-45634 (URN)
Available from: 2019-10-22 Created: 2019-10-22 Last updated: 2019-12-18Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-0407-9831

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