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Marmstål Hammar, LenaORCID iD iconorcid.org/0000-0003-2511-9502
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Publications (10 of 23) Show all publications
Håkansson Eklund, J., Holmström, I. K., Ollén Lindqvist, A., Sundler, A. J., Hochwälder, J. & Marmstål Hammar, L. (2019). Empathy levels among nursing students: A comparative cross-sectional study. Nursing Open, 6(3), 983-989
Open this publication in new window or tab >>Empathy levels among nursing students: A comparative cross-sectional study
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2019 (English)In: Nursing Open, E-ISSN 2054-1058, Vol. 6, no 3, p. 983-989Article in journal (Refereed) Published
Abstract [en]

Aim: Empathy is a crucial component of the nurse–patient relationship, but knowledge is lacking as to when empathy develops during nursing education. The aim of the present study was to compare empathy levels at different stages of undergraduate nursing education and different master's nursing programmes. Design: The design was a comparative cross-sectional study. Methods: A total of 329 participants in Sweden, comprised of nursing students in their second and sixth semesters in an undergraduate nursing programme as well as master's nursing students, rated their own empathy using the Jefferson Scale of Physician Empathy. Results: Students in their sixth semester in an undergraduate nursing programme expressed more empathy than did students in their second semester and master's nursing students. Among the five master's programmes, public-health nursing students expressed the most empathy and intensive-care nursing students the least. 

Place, publisher, year, edition, pages
Wiley-Blackwell Publishing Ltd, 2019
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-44968 (URN)10.1002/nop2.280 (DOI)000467003100009 ()31367422 (PubMedID)2-s2.0-85069773206 (Scopus ID)
Available from: 2019-08-08 Created: 2019-08-08 Last updated: 2019-08-15Bibliographically approved
Ramsten, C., Marmstål Hammar, L., Martin, L. & Goransson, K. (2017). ICT and Intellectual Disability: A Survey of Organizational Support at the Municipal Level in Sweden. JARID: Journal of applied research in intellectual disabilities, 30(4), 705-713
Open this publication in new window or tab >>ICT and Intellectual Disability: A Survey of Organizational Support at the Municipal Level in Sweden
2017 (English)In: JARID: Journal of applied research in intellectual disabilities, ISSN 1360-2322, E-ISSN 1468-3148, Vol. 30, no 4, p. 705-713Article in journal (Refereed) Published
Abstract [en]

Young adults today have grown up in a society where information and communication technology (ICT) support empowerment and social participation. Young adults with mild-to-moderate intellectual disability are at risk for marginalization by the digital divide. The aim was to map and describe how municipal organizations in Sweden organize support in terms of policy and strategies to enable the use of ICT in social care for adults with a mild-to-moderate intellectual disability. MethodsA quantitative, cross-sectional survey including all municipalities in Sweden (n=290) was conducted (response rate: 51%, n=147). Descriptive statistics were used. Results: Findings indicate a lack of organizational support for staff as well as for young adults with mild-to-moderate intellectual disability. Conclusion: Municipalities request more knowledge about strategies for making ICT available. Despite the lack of comprehensive strategies for ICT, some Swedish municipalities have taken the initiative in this area.

Place, publisher, year, edition, pages
WILEY, 2017
Keywords
health and social policy, information and communication technology (ICT), intellectual disability, social care, young adults
National Category
Social Work
Identifiers
urn:nbn:se:mdh:diva-35892 (URN)10.1111/jar.12265 (DOI)000402816500012 ()27271152 (PubMedID)2-s2.0-84973547923 (Scopus ID)
Available from: 2017-06-22 Created: 2017-06-22 Last updated: 2018-09-12Bibliographically approved
Marmstål Hammar, L., Holmström, I. K., Skoglund, K., Summer Meranius, M. & Sundler, A. J. (2017). The care of and communication with older people from the perspective of student nurses. A mixed method study. Nurse Education Today, 52, 1-6
Open this publication in new window or tab >>The care of and communication with older people from the perspective of student nurses. A mixed method study
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2017 (English)In: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 52, p. 1-6Article in journal (Refereed) Published
Abstract [en]

Background Undergraduate nurse education needs to prepare student nurses to meet the demands and to have the necessary communication skills for caring for an increasing older population. The challenges involve how best to support and empower student nurses to learn the communication skills needed to care for older people. Objective The aim of this study was to investigate student nurses' views on the care of and communication with older people. Design A descriptive study with a mixed-method approach was conducted. Methods Quantitative and qualitative data were collected from a questionnaire completed by third-year Swedish student nurses in 2015. Results The student nurses reported positive attitudes to the care of and communication with older people. The findings focus on the central aspects related to relationship building, techniques for communication and external prerequisites. Conclusions Despite positive attitudes, student nurses had a limited view of communication with older people. Educators need to increase student nurses' capacity to communicate effectively with older people. Educational interventions to improve and evaluate the communication competency of nurses and student nurses are needed.

Keywords
Caring, Communication, Education, Mixed-method approach, Nursing
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-34983 (URN)10.1016/j.nedt.2017.02.002 (DOI)000400216200001 ()28214663 (PubMedID)2-s2.0-85013156178 (Scopus ID)
Available from: 2017-03-06 Created: 2017-03-06 Last updated: 2019-06-18Bibliographically approved
Marmstål Hammar, L., Swall, A. & Summer Meranius, M. (2016). Ethical aspects of caregivers' experience with persons with dementia at mealtimes. Nursing Ethics, 23(6), 624-635
Open this publication in new window or tab >>Ethical aspects of caregivers' experience with persons with dementia at mealtimes
2016 (English)In: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989, Vol. 23, no 6, p. 624-635Article in journal (Refereed) Published
Abstract [en]

Background:

Persons with dementia are at risk of malnutrition and thus in need of assistance during mealtimes. Research suggest interventions for caregivers to learn how to facilitate mealtimes and eating, while other suggest a working environment enabling the encounter needed to provide high-quality care. However, the phenomenon of caring for this unique population needs to be elucidated from several perspectives before suggesting suitable implications that ensure their optimal health.

OBJECTIVES: 

To illustrate the meanings within caregivers' experiences of caring for persons with dementia during mealtime situations. We also measured weight and food intake among individuals with dementia to explain better the phenomenon of caring for them during mealtimes.

METHODS: 

Mixed method including focus group interviews with seven caregivers analyzed using phenomenological hermeneutics. In addition, for nine persons with dementia, weight and food intake were collected and descriptive statistics were calculated.

ETHICAL CONSIDERATIONS: 

Ethical review was obtained from an ethics committee, and all caregivers signed a consent form after being informed on the issue of research ethics. Relatives for persons with dementia were informed and signed the consent. In addition, throughout the study, the persons' expressions were observed aiming to respect their vulnerability, integrity, and dignity.

FINDINGS: 

One theme emerged from interviews (struggling between having the knowledge and not the opportunity), which was built upon three subthemes (being engaged and trying; feeling abandoned and insufficient; being concerned and feeling guilty). Seven of nine persons with dementia lost a minimum of 1.3 kg of weight and ate a maximum of 49.7% of the food served.

CONCLUSION: 

Caregivers struggle because they have knowledge about how to provide high-quality care but are unable to provide this care due to organizational structures. The weight loss and insufficient eating among the persons with dementia may support this conclusion. Sufficient time for adequate care should be provided.

Keywords
Caregivers; dementia; ethical aspects; focus group interviews; malnutrition; mealtime; mixed method; phenomenological hermeneutics
National Category
Health Sciences
Research subject
Care Sciences
Identifiers
urn:nbn:se:mdh:diva-29908 (URN)10.1177/0969733015580812 (DOI)000383016600003 ()25977521 (PubMedID)2-s2.0-84987719438 (Scopus ID)
Available from: 2015-12-11 Created: 2015-12-11 Last updated: 2018-10-16Bibliographically approved
Summer Meranius, M. & Marmstål Hammar, L. (2016). How does the healthcare system affect medication self-management among older adults with multimorbidity?. Scandinavian Journal of Caring Sciences, 30(1), 91-98
Open this publication in new window or tab >>How does the healthcare system affect medication self-management among older adults with multimorbidity?
2016 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 30, no 1, p. 91-98Article in journal (Refereed) Published
Abstract [en]

Individuals with multimorbidity commonly have several concurrent prescriptions and experience healthcare obstacles related to managing different diagnoses and medications. This study aimed to provide a deeper understanding of how older adults with multimorbidity experience medication self-management and how this is affected by the healthcare system. The National Board of Research Ethics approved the study, and 20 older adults with multimorbidity participated in in-depth interviews that were analysed using a hermeneutic approach. Three levels of interpretation emerged. At the first level, lack of participation in healthcare communication hinders adherence and safety, and feeling abandoned to self-care leads to health risk-taking. At the second level, the healthcare organisation is seen as an obstacle to medication self-management. The overall interpretation was a system of repairing ‘parts’ but not enabling the experience of health. This study shows that the healthcare system is able to treat and relieve an individual's symptoms, but seems unable to help them achieve and promote good health, or to provide the support they need to function in everyday life.

National Category
Health Sciences
Research subject
Care Sciences
Identifiers
urn:nbn:se:mdh:diva-29909 (URN)10.1111/scs.12225 (DOI)000371477400010 ()25919419 (PubMedID)2-s2.0-84959112316 (Scopus ID)
Available from: 2015-12-11 Created: 2015-12-11 Last updated: 2018-10-16Bibliographically approved
Summer Meranius, M. & Marmstål Hammar, L. (2015). HOW DOES THE HEALTH-CARE SYSTEM AFFECT MEDICATION SELF-MANAGEMENT AMONG OLDER ADULTS WITH MULTIMORBIDITY?. The Gerontologist, 55, 254-254
Open this publication in new window or tab >>HOW DOES THE HEALTH-CARE SYSTEM AFFECT MEDICATION SELF-MANAGEMENT AMONG OLDER ADULTS WITH MULTIMORBIDITY?
2015 (English)In: The Gerontologist, ISSN 0016-9013, E-ISSN 1758-5341, Vol. 55, p. 254-254Article in journal (Refereed) Published
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-32000 (URN)000374222701369 ()
Available from: 2016-06-16 Created: 2016-06-16 Last updated: 2019-06-26Bibliographically approved
Craftman, A. G., Westerbotn, M., von Strauss, E., Hilleras, P. & Marmstal Hammar, L. (2015). Older people's experience of utilisation and administration of medicines in a health- and social care context. Scandinavian Journal of Caring Sciences, 29(4), 760-768
Open this publication in new window or tab >>Older people's experience of utilisation and administration of medicines in a health- and social care context
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2015 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 29, no 4, p. 760-768Article in journal (Refereed) Published
Abstract [en]

Background: People living at home who lack ability to manage their medicine are entitled to assistance to improve adherence provided by a home care assistant employed by social care. Aim: The aim was to describe how older people with chronic diseases, living at home, experience the use and assistance of administration of medicines in the context of social care. Design: A qualitative descriptive study. Methods: Ten participants (age 65+) living at home were interviewed in the participants' own homes. Latent content analysis was used. Findings: The assistance eases daily life with regard to practical matters and increases adherence to a medicine regimen. There were mixed feelings about being dependent on assistance; it interferes with self-sufficiency at a time of health transition. Participants were balancing empowerment and a dubious perception of the home care assistants' knowledge of medicine and safety. Physicians' and district nurses' professional knowledge was a safety guarantee for the medicine process. Conclusions: Assistance eases daily life and medicine regimen adherence. Dependence on assistance may affect self-sufficiency. Perceived safety varied relating to home care assistants' knowledge of medicine. Relevance to Clinical Practice: A well-functioning medicine assistance is crucial to enable older people to remain at home. A person-centred approach to health-and social care delivery is efficient and improve outcome for the recipient of care.

National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-30990 (URN)10.1111/scs.12207 (DOI)000368345900017 ()25648845 (PubMedID)2-s2.0-84958864265 (Scopus ID)
Available from: 2016-02-11 Created: 2016-02-11 Last updated: 2018-10-16Bibliographically approved
Widarsson, M., Engström, G., Tydén, T., Lundberg, P. & Marmstål Hammar, L. (2015). 'Paddling upstream': Fathers' involvement during pregnancy as described by expectant fathers and mothers. Journal of Clinical Nursing, 24(7-8), 1059-1068
Open this publication in new window or tab >>'Paddling upstream': Fathers' involvement during pregnancy as described by expectant fathers and mothers
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2015 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 24, no 7-8, p. 1059-1068Article in journal (Refereed) Published
Abstract [en]

Aims and objectives: To describe the perspectives of expectant mothers and fathers on fathers' involvement during pregnancy. Background: Becoming a father is a major life event and paternal involvement during pregnancy has a positive influence on the family. However, research into both expectant mothers' and fathers' perspectives on fathers' involvement during pregnancy is relatively scarce. Design: A descriptive qualitative study was used. Methods: Thirty expectant parents (20 women and 10 men) were interviewed either as part of one of four focus groups or in an individual interview. Qualitative content analysis was performed on the interview transcripts. Results: A theme of 'Paddling upstream' emerged as an expression of the latent content of the interviews concerning perspectives on fathers' involvement. Five sub-themes described the manifest content: trying to participate, trying to be understanding, trying to learn, trying to be a calming influence and trying to find a balanced life. Expectant parents suggested several ways to improve fathers' involvement and to meet parents' need for shared involvement. Conclusion: Expectant mothers and fathers wanted the father to be more involved in the pregnancy. Although fathers attempted different strategies, they did not always perceive what was expected of them and encountered many barriers as they tried to navigate through this unique experience. The best support for the father was the mother. Expectant parents wanted their healthcare to include the father more thoroughly and to focus on the whole family. Relevance to clinical practice: Prenatal care professionals can overcome barriers that prevent paternal involvement. Although fathers are not able to engage in the pregnancy on the same level as the mother, we suggest that their specific needs also be recognised through an increased awareness of gender norms in healthcare.

Keywords
Antenatal care, Content analysis, Expectant fathers, Expectant mothers, Involvement, Prenatal care
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-27786 (URN)10.1111/jocn.12784 (DOI)000351633800017 ()25662781 (PubMedID)2-s2.0-84925279630 (Scopus ID)
Available from: 2015-04-02 Created: 2015-04-02 Last updated: 2018-11-14Bibliographically approved
Gransjön Craftman, A., Marmstål Hammar, L., von Strauss, E., Hillerås, P. & Westerbotn, M. (2015). Unlicensed personnel administering medications to older persons living at home: A challenge for social and care services. International Journal of Older People Nursing, 10(3), 201-210
Open this publication in new window or tab >>Unlicensed personnel administering medications to older persons living at home: A challenge for social and care services
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2015 (English)In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 10, no 3, p. 201-210Article in journal (Refereed) Published
Abstract [en]

Background: Administration of medication to care recipients is delegated to home-care assistants working in the municipal social care, alongside responsibility for providing personal assistance for older people. Home-care assistants have practical administration skills, but lack formal medical knowledge. Aim: The aim of this study was to explore how home-care assistants perceive administration of medication to older people living at home, as delegated to them in the context of social care. Methods: Four focus groups consisting of 19 home-care assistants were conducted. Data were analysed using qualitative content analysis. Results: According to home-care assistants, health and social care depends on delegation arrangements to function effectively, but in the first place it relieves a burden for district nurses. Even when the delegation had expired, administration of medication continued, placing the statutes of regulation in a subordinate position. There was low awareness among home-care assistants about the content of the statutes of delegation. Accepting delegation to administer medications has become an implicit prerequisite for social care work in the municipality. Conclusions: Accepting the delegation to administer medication was inevitable and routine. In practice, the regulating statute is made subordinate and consequently patient safety can be threatened. The organisation of health and social care relies on the delegation arrangement to meet the needs of a growing number of older home-care recipients. Implications for practice: This is a crucial task which management within both the healthcare professions and municipal social care needs to address, to bridge the gap between statutes and practice, to create arenas for mutual collaboration in the care recipients' best interest and to ensure patient safety. 

National Category
Medical Engineering
Identifiers
urn:nbn:se:mdh:diva-28793 (URN)10.1111/opn.12073 (DOI)000359834100006 ()25515934 (PubMedID)2-s2.0-84939542915 (Scopus ID)
Available from: 2015-08-28 Created: 2015-08-28 Last updated: 2019-06-18Bibliographically approved
Hammar Marmstål, L. (2014). The impact of caregivers’ singing on expressions of resistance and communication during morning care situations in persons with dementia. In: : . Paper presented at Gerontological Society of America meeting in Washington,2014 (pp. 41-42). , suppl. 2
Open this publication in new window or tab >>The impact of caregivers’ singing on expressions of resistance and communication during morning care situations in persons with dementia
2014 (English)Conference paper, Poster (with or without abstract) (Other academic)
Abstract [en]

The impact of caregivers’ singing on expressions of emotion and communication during morning care situations in persons with dementia

 

 

The number of persons with dementia (PWD) is increasing rapidly worldwide. Emotions and communication difficulties are common and non-pharmacological interventions should be considered.  The inclusion criteria were diagnosed with severe dementia, living at nursing homes and a Mini–Mental State Examination (MMSE) score > 12. Music Therapeutic Caregiving (MTC), when a caregiver sings for or together with the PWD was conducted during morning care. Baseline and intervention sessions were videotaped during eight weeks. The PWDs’ expressions of resistant behavior were significantly reduced under the intervention situation[Gabriella2] . A significant (P=.000) reduction was observed for the unsociable nonverbal variable Does not respond to question. MTC significantly (P=.01) increased the mean score for the sociable nonverbal variable – Calm –Relaxed. For sociable verbal communication, significant differences were observed for the variables Use coherent communication (P=.012), Use relevant communication (P=.009), Responds to questions (P=.000), Humming (P=.004) and Singing (P=.000).

Keywords
dementia, singing, resistance, emotions
National Category
Medical and Health Sciences Health Sciences
Research subject
Care Sciences
Identifiers
urn:nbn:se:mdh:diva-26699 (URN)000346337500208 ()
Conference
Gerontological Society of America meeting in Washington,2014
Available from: 2014-11-28 Created: 2014-11-28 Last updated: 2015-03-12Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0003-2511-9502

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