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Lövenmark [Åberg] [Engström], AnnicaORCID iD iconorcid.org/0000-0001-8557-8714
Alternative names
Publications (10 of 26) Show all publications
Lövenmark [Åberg] [Engström], A. & Marmstål Hammar, L. (2024). Being used for the greater good while fighting on the frontline: care staff's experiences of working with older people during the COVID-19 pandemic in Sweden. BMC Geriatrics, 24(1), Article ID 135.
Open this publication in new window or tab >>Being used for the greater good while fighting on the frontline: care staff's experiences of working with older people during the COVID-19 pandemic in Sweden
2024 (English)In: BMC Geriatrics, E-ISSN 1471-2318, Vol. 24, no 1, article id 135Article in journal (Refereed) Published
Abstract [en]

BakgroundWorldwide, older people were more severely affected during the COVID-19 pandemic than others. In Sweden, those living in residential care facilities had the highest mortality rate, followed by those receiving home care services. The Swedish and international literature on the working environment for assistant nurses and care aides during the pandemic shows an increase in stress, anxiety, depression and post-traumatic stress syndromes. Care organisations were badly prepared to prevent the virus from spreading and to protect the staff from stress. In order to be better prepared for possible future pandemics, the health and well-being of the staff, the care of older people and the experiences of the staff both during and after a pandemic are important aspects to take into account. Therefore, this study aims to describe the experiences of assistant nurses and care aides working in the care of older people during the COVID-19 pandemic in Sweden, their working conditions and the impact all this had on their lives.MethodologyThe study has a qualitative, descriptive design. The data was collected in four focus group interviews with 21 participants and analysed using qualitative content analysis.ResultsThe results revealed the theme, Being used for the greater good while fighting on the frontline, which was then divided into three categories: portrayed as a risk for older people, not being valued and being burnt out. The worsening working conditions that the pandemic contributed to resulted in a high degree of stress and risk of burnout, with staff members both wanting to and actually leaving their employment. After the pandemic they felt forgotten again and left to cope in an even worse situation than before.ConclusionsThe pandemic had a major effect on assistant nurses and care aides in terms of their working environment and their private lives. To be better prepared for future pandemics or disasters, organisations with responsibility for the care of older people will need to ensure that their staff have the necessary competencies and that there is adequate staffing in place. This also means that adequate government funding and multiple interventions will be needed.

Place, publisher, year, edition, pages
BMC, 2024
Keywords
Assistant nurse, Care aide, Geriatric care, Working conditions, Occupational health, Residential facilities, Home care service, COVID-19
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-66084 (URN)10.1186/s12877-023-04644-0 (DOI)001158376600003 ()38321402 (PubMedID)2-s2.0-85184547084 (Scopus ID)
Available from: 2024-02-20 Created: 2024-02-20 Last updated: 2024-02-20Bibliographically approved
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
Marmstål Hammar, L., Lövenmark [Åberg] [Engström], A. & Swall, A. (2024). The benefits of caregiver singing and receptive music in dementia care: a qualitative study of professional caregivers' experiences. Arts and Health
Open this publication in new window or tab >>The benefits of caregiver singing and receptive music in dementia care: a qualitative study of professional caregivers' experiences
2024 (English)In: Arts and Health, ISSN 1753-3015, E-ISSN 1753-3023Article in journal (Refereed) Epub ahead of print
Abstract [en]

BackgroundFor persons with dementia, receptive music may reduce negative expressions and increase positive ones. Caregiver singing (CS) is an intervention aimed at facilitating care situations and involves caregivers singing for or together with persons with dementia during care activities. In the literature, CS is commonly addressed as a music activity rather than a care intervention. The aim was to describe caregivers' experiences of the reactions of persons with dementia when using CS and receptive music in dementia care.MethodThe data comprised three focus group interviews with 12 professional caregivers in dementia care, analysed using qualitative content analysis.Resultsthe analysis resulted in two themes: "CS increases interaction and builds companionship" and "Receptive music soothes, awakens memories and reflects the person's self".ConclusionBoth CS and receptive music was shown to have positive influences, and while the results were sometimes intertwined, CS was shown to better facilitate problematic care situations.

Place, publisher, year, edition, pages
ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD, 2024
Keywords
Caregiver singing, dementia care, focus group interviews, receptive music, qualitative content analysis
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-66238 (URN)10.1080/17533015.2024.2320248 (DOI)001170047900001 ()38389120 (PubMedID)2-s2.0-85186432770 (Scopus ID)
Available from: 2024-03-13 Created: 2024-03-13 Last updated: 2024-03-13Bibliographically approved
Marmstål Hammar, L., Alam, M., Eklund, C., Boström, A.-M. & Lövenmark, A. (2023). Clarity and adaptability of instructions preventing the spread of the COVID-19 virus and its association with individual and organisational factors regarding the psychosocial work environment: a cross-sectional study. BMC Health Services Research, 23(1), Article ID 1312.
Open this publication in new window or tab >>Clarity and adaptability of instructions preventing the spread of the COVID-19 virus and its association with individual and organisational factors regarding the psychosocial work environment: a cross-sectional study
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2023 (English)In: BMC Health Services Research, E-ISSN 1472-6963, Vol. 23, no 1, article id 1312Article in journal (Refereed) Published
Abstract [en]

 Background:  In Sweden, older people in residential care had the highest mortality rates, followed by those who received home care, during the coronavirus disease 2019 (COVID-19) pandemic. Staff working in the care of older people assumed responsibility for preventing the spread of the virus despite lacking the prerequisites and training. This study aimed to investigate the psychosocial work environment during the COVID-19 pandemic among staff in the care of older people and examine the factors associated with staff's perceptions of the clarity of instructions and the ability to follow them.

 Methods:  A cross-sectional study design was employed using a web survey. The staff's perceptions of their psychosocial environment were analysed using descriptive statistics. The association between organisational and individual factors, as well as the degree of clarity of the instructions and the staff's ability to follow them, were assessed using multivariate (ordinal) regression analysis.

 Results:  The main findings show that perceptions of the clarity and adaptability of the instructions were primarily correlated with organisational factors, as higher responses (positive) for the subscales focusing on role clarity, support and encouragement in leadership at work were associated with the belief that the instructions were clear. Similarly, those indicating high job demands and high individual learning demands were less likely to report that the instructions were clear. Regarding adaptability, high scores for demands on learning and psychological demands were correlated with lower adaptability, while high scores for role clarity, encouraging leadership and social support, were associated with higher adaptability.

 Conclusions:  High job demands and individual learning demands were demonstrated to decrease the staff's understanding and adoption of instructions. These findings are significant on an organisational level since the work environment must be prepared for potential future pandemics to promote quality improvement and generally increase patient safety and staff health.

Keywords
COVID-19, Care aide geriatric nursing, Home care service, Nursing assistant, Occupational health, Residential facilities, Work conditionsCOVID-19, Care aide geriatric nursing, Home care service, Nursing assistant, Occupational health, Residential facilities, Work conditions
National Category
Nursing
Identifiers
urn:nbn:se:mdh:diva-64903 (URN)10.1186/s12913-023-10320-1 (DOI)001107670600001 ()38017458 (PubMedID)2-s2.0-85178076918 (Scopus ID)
Funder
Mälardalen University
Available from: 2023-11-30 Created: 2023-11-30 Last updated: 2024-01-23Bibliographically approved
Lövenmark [Åberg] [Engström], A. & Blomberg, H. (2023). Diskursanalys (3ed.). In: Henricson, M. (Ed.), Vetenskaplig teori och metod: från idé till examination inom vård- och hälsovetenskap (pp. 423-434). Studentlitteratur AB
Open this publication in new window or tab >>Diskursanalys
2023 (Swedish)In: Vetenskaplig teori och metod: från idé till examination inom vård- och hälsovetenskap / [ed] Henricson, M., Studentlitteratur AB, 2023, 3, p. 423-434Chapter in book (Refereed)
Place, publisher, year, edition, pages
Studentlitteratur AB, 2023 Edition: 3
National Category
Nursing
Identifiers
urn:nbn:se:mdh:diva-64892 (URN)9789144161389 (ISBN)
Available from: 2023-11-29 Created: 2023-11-29 Last updated: 2023-12-06Bibliographically approved
Höglander, J., Holmström, I., Lövenmark [Åberg] [Engström], A., van Dulmen, S., Eide, H. & Sundler, A. (2023). Nurse-patient communication: An integrative review for future direction in nursing research.. Patient Education and Counseling, 109, 69-69
Open this publication in new window or tab >>Nurse-patient communication: An integrative review for future direction in nursing research.
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2023 (English)In: Patient Education and Counseling, ISSN 0738-3991, E-ISSN 1873-5134, Vol. 109, p. 69-69Article in journal (Refereed) Published
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-64498 (URN)10.1016/j.pec.2022.10.163 (DOI)001040817800151 ()
Available from: 2023-10-11 Created: 2023-10-11 Last updated: 2023-10-11Bibliographically approved
Höglander, J., Holmström, I. K., Lövenmark [Åberg] [Engström], A., Van Dulmen, S., Eide, H. & Sundler, A. J. (2023). Registered nurse-patient communication research: An integrative review for future directions in nursing research. Journal of Advanced Nursing
Open this publication in new window or tab >>Registered nurse-patient communication research: An integrative review for future directions in nursing research
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2023 (English)In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648Article, review/survey (Refereed) Published
Abstract [en]

AimTo explore communication research in nursing by investigating the theoretical approaches, methods, content and perspectives in research on real-time registered nurse (RN)-patient communication. DesignAn integrative review of real-time communication between RNs and patients. Data SourcesEmpirical research papers were searched in PubMed, CINAHL Plus and Medline. The results from the database searches were supplemented with results from manual searches in reference lists. Review MethodsA total of 1369 articles published between January 1996 and December 2021 were screened, which resulted in the inclusion of 52 articles. ResultsThe integration of various theories, such as nursing or communication theories, is weak in most of the included studies. RN-patient communication appears to influence relationship building. Even when nurses strive to meet patients' needs, they often focus primarily on nursing routines and physical care. The topic of the communication varies depending on the situation and different communication styles are used. When a patient-centred approach is adopted, the interpersonal communication becomes quite symmetrical, with complementary roles of nurses and patients. Within a more asymmetric communication context, nurses dominate communication, choose topics and function as instructors. How the nurses communicated subsequently influenced the patients' communication styles and strategies. ConclusionCommunication is multifaceted, contains different strategies and is important for building trust and facilitating patient-centred care. The importance of RNs' communication for interaction and relationship-building seems to be well established within research, but few studies focused on patients' communication with RNs. ImpactThis integrative review gives an overview of the width and depth of observational studies on RN-patient communication research. The variety of studies indicates that this area is a less well-grounded field of research. Future research is warranted to support nurses in their communication, especially regarding the exploration of patients' communication and desired communication skills in nurse-patient interactions. Patient or Public ContributionNo patient or public contribution was included in this integrative review.

Place, publisher, year, edition, pages
WILEY, 2023
Keywords
communication, integrative review, interaction, patient, registered nurse
National Category
Nursing
Identifiers
urn:nbn:se:mdh:diva-61418 (URN)10.1111/jan.15548 (DOI)000899674900001 ()36534429 (PubMedID)2-s2.0-85144256181 (Scopus ID)
Available from: 2023-01-04 Created: 2023-01-04 Last updated: 2024-01-09Bibliographically approved
Lövenmark [Åberg] [Engström], A., Stier, J. & Blomberg, H. (2023). The establishing of subject positions in Swedish news media discourses during the first year of the COVID-19 pandemic. Media Culture and Society
Open this publication in new window or tab >>The establishing of subject positions in Swedish news media discourses during the first year of the COVID-19 pandemic
2023 (English)In: Media Culture and Society, ISSN 0163-4437, E-ISSN 1460-3675Article in journal (Refereed) Published
Abstract [en]

The COVID-19 pandemic has dominated the global media since 2020. To a large extent, it isvia the news media that the public has learned about the risks, levels of danger, governmentalregulations and mandatory actions. This article highlights the subject positions constructedby the Swedish news media from January 2020 to February 2021 in reports about thepandemic. The result shows that citizens can be active-passive or solitary solidarity, thesepositions appeal to individual accountability, thus potentially shaping and fostering citizensin line with the Swedish government’s wider response to the pandemic. The news media’simages are of self-regulated citizens who govern and discipline themselves and othersaccording to the current discourses, all of which simultaneously evoke fear, togethernessand hope. The ideological dilemmas for citizens are whether to be active-passive or, ifnecessary, switch to the solitary solidarity subject position.

Keywords
discourse analysis, ideological dilemma, news media, pandemic, subject position, Sweden
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Public Health Sciences
Identifiers
urn:nbn:se:mdh:diva-61935 (URN)10.1177/01634437221147636 (DOI)000913898000001 ()2-s2.0-85146600265 (Scopus ID)
Available from: 2023-02-17 Created: 2023-02-17 Last updated: 2024-01-09Bibliographically 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
Johansson-Pajala, R.-M., Alam, M., Gusdal, A. K., von Heideken Wågert, P., Lövenmark [Åberg] [Engström], A., Boström, A.-M. & Hammar, L. M. (2022). Anxiety and loneliness among older people living in residential care facilities or receiving home care services in Sweden during the COVID-19 pandemic: a national cross-sectional study. BMC Geriatrics, 22(1), Article ID 927.
Open this publication in new window or tab >>Anxiety and loneliness among older people living in residential care facilities or receiving home care services in Sweden during the COVID-19 pandemic: a national cross-sectional study
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2022 (English)In: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 22, no 1, article id 927Article in journal (Refereed) Published
Abstract [en]

Background: Older people were subjected to significant restrictions on physical contacts with others during the COVID-19 pandemic. Social distancing impacts older people’s experiences of anxiety and loneliness. Despite a large body of research on the pandemic, there is little research on its effects on older people in residential care facilities (RCF) and in home care services (HCS), who are the frailest of the older population. We aimed to investigate the effect of the first wave of the COVID-19 pandemic in March-May 2020 on experiences of anxiety and loneliness among older people living in RCF or receiving HCS and the impact of the progression of the pandemic on these experiences.

Methods: A retrospective cross-sectional design using data from the national user satisfaction survey (March − May 2020) by the Swedish National Board of Health and Welfare. Survey responses were retrieved from 27,872 older people in RCF (mean age 87 years) and 82,834 older people receiving HCS (mean age 84 years). Proportional-odds (cumulative logit) model was used to estimate the degree of association between dependent and independent variables.

Results: Loneliness and anxiety were more prevalent among the older persons living in RCF (loneliness: 69%, anxiety: 63%) than those receiving HCS (53% and 47%, respectively). Proportional odds models revealed that among the RCF and HCS respondents, the cumulative odds ratio of experiencing higher degree of anxiety increased by 1.06% and 1.04%, respectively, and loneliness by 1.13% and 1.16%, respectively, for 1% increase in the COVID-19 infection rate. Poor self-rated health was the most influential factor for anxiety in both RCF and HCS. Living alone (with HCS) was the most influential factor affecting loneliness. Experiences of disrespect from staff were more strongly associated with anxiety and loneliness in RCF than in HCS.

Conclusion: Older people in RCF or receiving HCS experienced increasing levels of anxiety and loneliness as the first wave of the pandemic progressed. Older people’ mental and social wellbeing should be recognized to a greater extent, such as by providing opportunities for social activities. Better preparedness for future similar events is needed, where restrictions on social interaction are balanced against the public health directives.

Keywords
Aged, Community health services, COVID-19, Emotions, Residential facilities, Social isolation
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:mdh:diva-61101 (URN)10.1186/s12877-022-03544-z (DOI)000914898600001 ()36456904 (PubMedID)2-s2.0-85143163763 (Scopus ID)
Funder
Mälardalen University
Available from: 2022-12-02 Created: 2022-12-02 Last updated: 2023-03-30Bibliographically approved
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ORCID iD: ORCID iD iconorcid.org/0000-0001-8557-8714

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