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  • 1.
    Aryuwat, Pimwalunn
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Asp, Margareta
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Lövenmark [Åberg] [Engström], Annica
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Radabutr, Matanee
    Praboromarajchanok Institute, Boromarajonani College of Nursing Changwat Nonthaburi The Ministry of Public Health Nonthaburi Thailand.
    Holmgren, Jessica
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    An integrative review of resilience among nursing students in the context of nursing education2022In: Nursing Open, E-ISSN 2054-1058Article in journal (Refereed)
    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.

  • 2.
    Aryuwat, Pimwalunn
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Holmgren, Jessica
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Asp, Margareta
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Lövenmark [Åberg] [Engström], Annica
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Radabutr, Matanee
    Boromarajonani College of Nursing, Changwat Nonthaburi, Faculty of Nursing, Praboromarajchanok Institute, Nonthaburi 11000, Thailand.
    Sandborgh, Maria
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Factors Associated with Resilience among Thai Nursing Students in the Context of Clinical Education: A Cross-sectional Study2024In: Education Sciences, E-ISSN 2227-7102, Vol. 14, no 1, article id 78Article in journal (Refereed)
    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.

  • 3.
    Engström, Annica
    Mälardalen University, School of Education, Culture and Communication.
    Dimmornas bro: En berättelse om konstruktionen och iscensättandet av kliniska adjunkter2012Doctoral thesis, monograph (Other academic)
    Abstract [en]

    This dissertation is a study of a relatively new teacher function in nurse education, a teacher function that can be called clinical teacher, link lecturer, link teacher or lecturer involved in practice. The study departs from a constructivist perspective and the aim is to study the introduction, performance and regulation of this teacher function. The material consists of internationally and nationally published research 1978-2009, reports from the authorities, job ads for clinical teachers, job descriptions and contracts, archive material, evaluation studies, professional journals, texts on the Internet and 15 interviews with clinical teachers in Sweden. Using discourse analysis this material is studied in terms of interpretive repertoires, subject positions and ideological dilemmas. The primary focus of this dissertation concerns what problems the new teacher function is supposed to solve, how the problem should be solved, the effects of the chosen solutions and what´s staged, challenged and reproduced. Secondly, this dissertation highlights what categories of teachers are required and in demand for the new teacher function, how the teachers themselves manage their function and how the teacher function is maintained and challenged. The analysis identifies and highlights current interpretive repertoire, teachers possible subject positions and ideological dilemmas and how they are governed and challenged in the teaching function.

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  • 4.
    Engström (fd Åberg), Annica
    Mälardalen University, School of Health, Care and Social Welfare.
    Omvårdnad och pedagogik2001In: Tidsskrift for Akademiske Sygeplejersker FASID, ISSN 1901-8789, no 5, p. 51-67Article in journal (Other academic)
  • 5.
    Engström (fd Åberg), Annica
    Mälardalen University, School of Health, Care and Social Welfare.
    Utbildning, arbete & problembaserat lärande: Enkätundersökning av och intervjuer med sjuksköterskor som examinerats från sjuksköterskeprogrammet i Uppsala, efter införandet av utbildningsreformen 19932000Report (Refereed)
  • 6.
    Engström (fd Åberg), Annica
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Lindblad, Sverker
    Lundahl, Lisbeth
    Sweden: Statistical Indicators2001In: Statistical information and systems of reason on education and social inclusion and exclusion in international and national contexts: A report from the EGSIE project. / [ed] S. Lindblad and T. S. Popkewitz, Uppsala: Uppsala universitet, 2001, p. 265-286Chapter in book (Other academic)
  • 7.
    Engström (fd Åberg), Annica
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Petersen, Karin AnnaCallewaert, StafLindblad, SverkerSteensen, Jette
    The Network Society and The Demand of Educational Changes2003Collection (editor) (Other academic)
  • 8.
    Eriksson, H.
    et al.
    The Red Cross University College, Stockholm, Sweden.
    Christiansen, M.
    Karolinska Institutet, Stockholm, Sweden.
    Holmgren, Jessica
    Karolinska Institutet, Stockholm, Sweden.
    Engström, Annica
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Salzmann-Erikson, M.
    University of Gävle, Gävle, Sweden.
    Nursing under the skin: A netnographic study of metaphors and meanings in nursing tattoos2014In: Nursing Inquiry, ISSN 1320-7881, E-ISSN 1440-1800, Vol. 21, no 4, p. 318-326Article in journal (Refereed)
    Abstract [en]

    The aims of this study were to present themes in nursing motifs as depicted in tattoos and to describe how it reflects upon nursing in popular culture as well as within professional nursing culture. An archival and cross-sectional observational study was conducted online to search for images of nursing tattoos that were freely available, by utilizing the netnographic methodology. The 400 images were analyzed in a process that consisted of four analytical steps focusing on metaphors and meanings in the tattoos. The findings present four themes: angels of mercy and domination; hegemonic nursing technology; embodying the corps; and nurses within the belly of the monster. The tattoos serve as a mirror of popular culture and the professional culture of nurses and nursing practice within the context of body art. Body art policy statements have been included in nursing personnel dress code policies. Usually these policies prohibit tattoos that are sexist, symbolize sex or could contribute and reproduce racial oppression. The results show that the tattoos can be interpreted according to several layers of meanings in relation to such policies. We therefore stress that this is an area highly relevant for further analyses in nursing research.

  • 9.
    Hammar, Lena
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Lövenmark [Åberg] [Engström], Annica
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Swall, Anna
    Dalarna Univ, Falun, Dalarnas Lan, Sweden..
    CAREGIVER SINGING VERSUS MUSIC ACTIVITIES IN DEMENTIA CARE: DIFFERENT BENEFITS IN DIFFERENT OCCASIONS2022In: Innovation in Aging, E-ISSN 2399-5300, Vol. 6, p. 541-541Article in journal (Other academic)
  • 10.
    Höglander, Jessica
    et al.
    Mälardalen University, School of Health, Care and Social Welfare. Mälardalen university.
    Holmström, Inger K.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Lövenmark, Annica
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    van Dulmen, Sandra
    Netherlands Institute for Health Services Research (NIVEL), The Netherlands.
    Eide, Hilde
    Universitetet i Sørøst-Norge, Norway.
    J Sundler, Annelie
    Högskolan i Borås, Sweden.
    Nurse-patient communication: An integrative review for future direction in nursing research2021Conference paper (Refereed)
  • 11.
    Höglander, Jessica
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Holmström, Inger K.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Uppsala Univ, Dept Publ Hlth & Caring Sci, Uppsala, Sweden..
    Lövenmark [Åberg] [Engström], Annica
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Van Dulmen, Sandra
    Netherlands Inst Hlth Serv Res, Utrecht, Netherlands.;Radboud Univ Nijmegen Med Ctr, Radboud Inst Hlth Sci, Dept Primary & Commun Care, Nijmegen, Netherlands.;Univ Borås, Fac Caring Sci, Work Life & Social Welf, Borås, Sweden..
    Eide, Hilde
    Univ South Eastern Norway, Fac Hlth & Social Sci, Ctr Hlth & Technol, Drammen, Norway..
    Sundler, Annelie J.
    Univ Borås, Fac Caring Sci, Work Life & Social Welf, Borås, Sweden..
    Registered nurse-patient communication research: An integrative review for future directions in nursing research2023In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648Article, review/survey (Refereed)
    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.

  • 12.
    Höglander, Jessica
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Holmström, Inger
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Lövenmark [Åberg] [Engström], Annica
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    van Dulmen, Sandra
    NIVEL Netherlands Inst Hlth Serv Res, Utrecht, Netherlands .
    Eide, Hilde
    Univ South Eastern Norway, Porsgrunn, Norway.
    Sundler, Annelie
    Univ Boras, Boras, Sweden .
    Nurse-patient communication: An integrative review for future direction in nursing research.2023In: Patient Education and Counseling, ISSN 0738-3991, E-ISSN 1873-5134, Vol. 109, p. 69-69Article in journal (Refereed)
  • 13.
    Johansson-Pajala, Rose-Marie
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Alam, Moudud
    Dalarna University, Sweden.
    Gusdal, Annelie K
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    von Heideken Wågert, Petra
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Lövenmark [Åberg] [Engström], Annica
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Boström, Anne-Marie
    Karolinska Institutet, Sweden; Karolinska sjukhuset, Sweden; Stockholms sjukhem, Sweden.
    Hammar, Lena Marmstål
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Division of Nursing, Department of Neurobiology, Care Science and Society Karolinska Institute, Stockholm, Sweden; School of Health and Welfare, Dalarna University, Falun, Sweden.
    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 study2022In: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 22, no 1, article id 927Article in journal (Refereed)
    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.

  • 14.
    Lövenmark, Annica
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    How Children of Parents With Dementia Can Make Their Subject Positions Understandable and Meaningful2020In: Qualitative Health Research, ISSN 1049-7323, E-ISSN 1552-7557, Vol. 30, no 5, p. 704-716Article in journal (Refereed)
    Abstract [en]

    The families of people diagnosed with dementia are commonly first-in-line caregivers. This can have a considerable effect on their lives, health, and relationships. However, few studies have focused on the children in such families. Therefore, the aim of this study was to describe how children, in their own narratives, construct themselves as subjects growing up and caring for a parent with dementia. The study applies discourse analysis. The findings show three subject positions: parent to your parent(s), orphan with parents, and time traveler stuck in time. There is a need to support these children, both as children and as young adults. More knowledge is necessary regarding the kind of support they might want or need. For health care professionals, it is important to know that it might not always be easy to ask for information or support as a child caring for a sick parent.

  • 15.
    Lövenmark, Annica
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Stier, Jonas
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Blomberg, Helena
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Diskurser om pandemin och vaccinering i svensk nyhetsmedia2022In: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 2, p. 178-190Article in journal (Refereed)
    Abstract [sv]

    I denna studie identifieras vilka diskurser som dominerat talutrymmet i svensk nyhetsmedia när det gäller pandemin och vaccinering. Data från Mediaarkivet analyserades utifrån hur språket används för att forma diskurser och samhällets medborgare. Nyhetsmedia använder retoriska resurser som väcker känslor; rädsla, solidaritet och ansvar. De identifierande diskurserna; Kriget mot världens osynliga fiende, I solidaritetens namn, I förnuftets kölvatten och Mot en ny värld? innehåller även metaforer som retoriska resurser med en dominans av krigsmetaforer. De medborgare som hävdar att de kan tänka och agera förnuftigt på egen hand, utan att styras av rädsla och rådande diskurser, framställs som obildade och egoistiska och får sällan talutrymme inom traditionell nyhetsmedia. De oönskade rösterna tystas och förpassas till alternativa kanaler och plattformar med allvarliga konsekvenser för åsiktsfrihet och det demokratiska samtalet i samhället.

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  • 16.
    Lövenmark [Åberg] [Engström], Annica
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Hur kan vi förstå och använda kunskap - historisk beskrivning2022In: Pedagogik för sjuksköterskor: Pedagogiska perspektiv och handledning i VFU / [ed] Sandberg, H., Studentlitteratur AB, 2022, 2:1, p. 45-66Chapter in book (Refereed)
  • 17.
    Lövenmark [Åberg] [Engström], Annica
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Kunskap – hur vi kan förstå och använda den2017In: Pedagogik för sjuksköterskor / [ed] Sandberg, H., Studentlitteratur AB, 2017, 1Chapter in book (Refereed)
  • 18.
    Lövenmark [Åberg] [Engström], Annica
    Mälardalen University, School of Health, Care and Social Welfare.
    Språkets betydelse för skapandet av kunskap och verklighet2014In: Vårdvetenskap och postmodernitet: en introduktion / [ed] Eriksson, H., Lund: Studentlitteratur AB, 2014, 1, p. 49-81Chapter in book (Refereed)
  • 19.
    Lövenmark [Åberg] [Engström], Annica
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Blomberg, Helena
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Diskursanalys2023In: 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)
  • 20.
    Lövenmark [Åberg] [Engström], Annica
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Marmstål Hammar, Lena
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Karolinska Inst, Dept Neurobiol Care Sci & Soc, Div Nursing, Stockholm, Sweden.;Dalarna Univ, Sch Hlth & Welf, Falun, Sweden..
    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 Sweden2024In: BMC Geriatrics, E-ISSN 1471-2318, Vol. 24, no 1, article id 135Article in journal (Refereed)
    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.

  • 21.
    Lövenmark [Åberg] [Engström], Annica
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Stier, Jonas
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Blomberg, Helena
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Mälardalen University, Sweden.
    The establishing of subject positions in Swedish news media discourses during the first year of the COVID-19 pandemic2023In: Media Culture and Society, ISSN 0163-4437, E-ISSN 1460-3675Article in journal (Refereed)
    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.

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  • 22.
    Marmstål Hammar, Lena
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Division of Nursing, Department of Neurobiology, Care Science and Society Karolinska Institute, Stockholm, Sweden; School of Health and Welfare, Dalarna University, Falun, Sweden.
    Alam, Moudud
    School of Information and Engineering/Statistics, Dalarna University, Falun, Sweden.
    Eklund, Caroline
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Boström, Anne-Marie
    Division of Nursing, Department of Neurobiology, Care Science and Society Karolinska Institute, Stockholm, Sweden; Theme Inflammation and Aging, Karolinska University Hospital, Huddinge, Sweden; R&D unit, Stockholms Sjukhem, Stockholm, Sweden.
    Lövenmark, Annica
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    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 study2023In: BMC Health Services Research, E-ISSN 1472-6963, Vol. 23, no 1, article id 1312Article in journal (Refereed)
    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.

  • 23.
    Marmstål Hammar, Lena
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Dalarna Univ, Sch Hlth & Welf, Falun, Sweden..
    Lövenmark [Åberg] [Engström], Annica
    Mälardalen University, School of Health, Care and Social Welfare.
    Swall, Anna
    Dalarna Univ, Sch Hlth & Welf, Falun, Sweden..
    The benefits of caregiver singing and receptive music in dementia care: a qualitative study of professional caregivers' experiences2024In: Arts and Health, ISSN 1753-3015, E-ISSN 1753-3023Article in journal (Refereed)
    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.

  • 24.
    Åberg [Engström], Annica
    Mälardalen University, School of Health, Care and Social Welfare.
    Det gäller att hitta guldkornen!: En sjuksköterskas berättelse om vägen till yrket2000In: Berättelser om yrken: En antologi från ett seminarium: Utbildning-profession-praktik / [ed] Heyman Ingrid; Pérez Prieto, Héctor, Uppsala: Uppsala universitet, 2000, p. 96-108Chapter in book (Other academic)
  • 25.
    Åberg [Engström], Annica
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Faria, Emma Karolina
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Kjellström, Amanda Henrietta
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Mattebo, Magdalena
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Professional strategies that address the whole family's physical and emotional needs after a caesarean section2020In: European journal of contraception & reproductive health care, ISSN 1362-5187, E-ISSN 1473-0782, Vol. 25, no 3, p. 199-205Article in journal (Refereed)
    Abstract [en]

    Objectives: The purpose of the study was to contribute to knowledge about how midwives manage the separation between mother and child after a caesarean section and how they try to manage the difficulties they encounter. Methods: Data were collected from 12 interviews and subjected to inductive qualitative content analysis. Results: The findings showed the importance of enabling midwives to reflect on their daily work and indicated that the partner's role and participation after a caesarean section should receive greater focus and be part of routine care. Collaboration between the surgical and maternity wards could be improved by drawing up written guidelines to establish local routines. Together with national guidelines on minimising separation after a caesarean section, these suggestions could lead to more equal delivery of care for families.

  • 26.
    Åberg [Engström], Annica
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Summer Meranius, Martina
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Marmstål Hammar, Lena
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Högskolan Dalarna.
    That mr. Alzheimer… you never know what he’s up to, but what about me? A discourse analysis of how Swedish spouse caregivers can make their subject positions understandable and meaningful2018In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 13, no 1, p. 1748-2631, article id ZQHW 1554025Article in journal (Refereed)
    Abstract [en]

    The spouses of people suffering from dementia are commonly first-in-line caregivers. This canhave a considerable effect on their own lives, health and marriages. Several studies havefocused on spouses’experiences, but very few have focused in any depth on their descrip-tions of themselves as subjects. Therefore, the aim of this study is to describe how spousecaregivers can express themselves when living with and caring for their partners withdementia. The study has a qualitative approach with a discourse analysis design and usesanalytical tools such as rhetoric, subject positions and categorization. The results reveal threesubject positions: as an actor, as a parent and as a survivor. The results show that as spousesstruggle with external and internal clashes as subjects, they therefore need to develop copingstrategies. They also experience pronounced loneliness and a risk to their own health. There isthus a need to support these spouses as individuals in their differing and changing needs.

    Download full text (pdf)
    That mr. Alzheimer ... you never know what he ’s up to, but what about me? A discourse analysis of how Swedish spouse caregivers can make their subject positions understandable and meaningful
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