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Marmstål Hammar, LenaORCID iD iconorcid.org/0000-0003-2511-9502
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Publications (10 of 39) Show all publications
Ramsten, C., Martin, L., Dag, M. & Marmstål Hammar, L. (2019). A balance of social inclusion and risks: Staff perceptions of information and communication technology in the daily life of young adults with mild to moderate intellectual disability in a social care context. Journal of Policy and Practice in Intellectual Disabilities, 16(3), 171-179
Open this publication in new window or tab >>A balance of social inclusion and risks: Staff perceptions of information and communication technology in the daily life of young adults with mild to moderate intellectual disability in a social care context
2019 (English)In: Journal of Policy and Practice in Intellectual Disabilities, ISSN 1741-1122, E-ISSN 1741-1130, Vol. 16, no 3, p. 171-179Article in journal (Refereed) Published
Abstract [en]

Information and communication technology (ICT) has increased in importance and facilitates participation in several life areas throughout society. However, young adults with mild to moderate intellectual disability make less use ICT than the general population. Disability services staff play a central role in supporting and enabling service users in daily life, and their perceptions of ICT are important to their role in service provision. The aim of the study is to describe staff perceptions of the role of ICT and how it affects daily life in young adults with mild to moderate intellectual disability living in residential homes. Focus group interviews and individual interviews were conducted with staff working in residential homes in which young adults with mild to moderate intellectual disability live. All materials were transcribed verbatim and analyzed using latent content analysis. Staff perceived ICT and, more specifically, the Internet as being supportive of both daily life and social relationships of these young adults, but they also viewed ICT as posing social risks. Perceptions of and support for ICT were related to staff perceptions about what is appropriate and manageable in relation to an individual resident's functioning level. Staff members also considered the views of parents about appropriate content when providing support. Staff in residential homes for young adults with mild to moderate intellectual disability use their implicit moral judgment about the use of ICT by residents. Their enablement of and support for ICT are not primarily based on the service user's wishes or interests. This finding implies a risk that the organization of a conflict-free service provision is a higher priority than service users' participation in social life.

Keywords
information and communication technology, intellectual disabilities, moral work, participation, social care
National Category
Nursing Occupational Therapy Social Work
Research subject
Health and Welfare
Identifiers
urn:nbn:se:du-29665 (URN)10.1111/jppi.12278 (DOI)000487831200003 ()2-s2.0-85062493953 (Scopus ID)
Available from: 2019-03-18 Created: 2019-03-18 Last updated: 2019-11-25Bibliographically approved
Marmstål Hammar, L., Williams, C. L., Meranius, M. S. & McKee, K. (2019). Being 'alone' striving for belonging and adaption in a new reality: The experiences of spouse carers of persons with dementia. Dementia, Article ID 1471301219879343.
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
2019 (English)In: Dementia, ISSN 1471-3012, E-ISSN 1741-2684, article id 1471301219879343Article in journal (Refereed) Epub ahead of print
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.

Keywords
dementia, experience, marriage, persons with dementia, qualitative content analysis, spouse carer, support
National Category
Nursing
Research subject
Health and Welfare
Identifiers
urn:nbn:se:du-31006 (URN)10.1177/1471301219879343 (DOI)000489393300001 ()31583888 (PubMedID)2-s2.0-85074599068 (Scopus ID)
Available from: 2019-10-21 Created: 2019-10-21 Last updated: 2019-12-06Bibliographically approved
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
Show others...
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.

Keywords
Jefferson Scale of Physician Empathy, empathy, nursing education, nursing student, patient–nurse relationship
National Category
Nursing
Research subject
Health and Welfare
Identifiers
urn:nbn:se:du-30597 (URN)10.1002/nop2.280 (DOI)31367422 (PubMedID)2-s2.0-85069773206 (Scopus ID)
Available from: 2019-08-06 Created: 2019-08-06 Last updated: 2019-08-12Bibliographically approved
Marmstål Hammar, L., Williams, C., Meranius, S. & McKee, K. (2018). Extended support to increase quality of life in spouse caregivers of older persons with dementia. A pilot study. In: : . Paper presented at American Geriatrics Society 2018 Annual General Meeting, Orlando, 3-5 May 2018.
Open this publication in new window or tab >>Extended support to increase quality of life in spouse caregivers of older persons with dementia. A pilot study
2018 (English)Conference paper, Oral presentation with published abstract (Refereed)
National Category
Health Sciences
Research subject
Health and Welfare
Identifiers
urn:nbn:se:du-27530 (URN)
Conference
American Geriatrics Society 2018 Annual General Meeting, Orlando, 3-5 May 2018
Available from: 2018-04-25 Created: 2018-04-25 Last updated: 2018-04-25Bibliographically approved
Ramsten, C., Martin, L., Dag, M. & Marmstål Hammar, L. (2018). Information and communication technology use in daily life among young adults with mild to moderate intellectual disability. Journal of Intellectual Disabilities
Open this publication in new window or tab >>Information and communication technology use in daily life among young adults with mild to moderate intellectual disability
2018 (English)In: Journal of Intellectual Disabilities, ISSN 1744-6295, E-ISSN 1744-6309Article in journal (Refereed) Epub ahead of print
Abstract [en]

BACKGROUND:

Information and communication technology (ICT) increases participation in life activities, and young adults are frequent users. Young adults with intellectual disability (ID) do not use ICT as much as their peers, and little is known about how ICT is used by young adults with ID. This study describes the use of ICT from the perspective of young adults with mild to moderate ID in a municipal social care context.

METHOD:

Semi-structured interviews were used to collect information from 11 young adults with mild-to-moderate ID living in residential care and analysed using a content analysis.

RESULTS:

ICT was used for family relationships, daily support, interactions based on interests and amusement, and as support for offline activities. Family members were important providers of support for ICT use.

CONCLUSION:

Young adults with mild-to-moderate ID use ICT in their daily life. The social care context needs to be further investigated due to its influence on the young adults' access to ICT and need of support.

Keywords
information and communication technology; intellectual disability; social care; young adults
National Category
Health Sciences
Research subject
Health and Welfare
Identifiers
urn:nbn:se:du-27776 (URN)10.1177/1744629518784351 (DOI)30010467 (PubMedID)
Available from: 2018-06-08 Created: 2018-06-08 Last updated: 2018-07-20Bibliographically approved
Craftman Gransjöm, Å., Swall, A. & Marmstål Hammar, L. (2018). Outcomes of education in using music and caregivers singing as a tool to person centered care when working with persons with dementia. In: : . Paper presented at American Geriatrics Society 2018 Annual General Meeting, Orlando, 3-5 May 2018.
Open this publication in new window or tab >>Outcomes of education in using music and caregivers singing as a tool to person centered care when working with persons with dementia
2018 (English)Conference paper, Oral presentation with published abstract (Refereed)
National Category
Health Sciences
Research subject
Health and Welfare
Identifiers
urn:nbn:se:du-27529 (URN)
Conference
American Geriatrics Society 2018 Annual General Meeting, Orlando, 3-5 May 2018
Available from: 2018-04-25 Created: 2018-04-25 Last updated: 2018-04-25Bibliographically approved
Williams, C. L., Newman, D. & Marmstål Hammar, L. (2018). Preliminary study of a communication intervention for family caregivers and spouses with dementia. International Journal of Geriatric Psychiatry, 33(2), E343-E349
Open this publication in new window or tab >>Preliminary study of a communication intervention for family caregivers and spouses with dementia
2018 (English)In: International Journal of Geriatric Psychiatry, ISSN 0885-6230, E-ISSN 1099-1166, Vol. 33, no 2, p. E343-E349Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: This study was to designed to examine the feasibility and preliminary outcomes of CARE: Caring About Relationships and Emotions, a 10-week, home-based, intervention to support married couples affected by dementia.

METHODS: Fifteen older couples participated in a single group repeated measures feasibility study. Weekly, video-recorded conversations over 10 weeks were used to rate communication using the Verbal/Nonverbal Interaction Scale for caregivers and care receivers.

RESULTS: Accounting for mental status of care recipients, the ratio of social to unsocial communication showed a significant improvement across sessions-an average of 4.46 points per session [β = 4.46, t(10) = 1.96, p = .039]. Spouse caregiver (CG) communication showed a significant decrease in the number of disabling communications with approximately .65 decreased comments per session [β = 0.654, t(11) = -2.61, p = .024].

CONCLUSIONS: At home dyadic, relationship-focused psychoeducational intervention to improve communication in spouses affected by dementia has the potential to improve communication outcomes. Creative ways of working with couples are needed to help them sustain their relationships and maintain their health.

Keywords
Alzheimer's disease, communication, dementia, family caregivers, spouse
National Category
Health Sciences
Research subject
Health and Welfare
Identifiers
urn:nbn:se:du-26543 (URN)10.1002/gps.4816 (DOI)000422754300036 ()29105129 (PubMedID)2-s2.0-85032917494 (Scopus ID)
Available from: 2017-11-13 Created: 2017-11-13 Last updated: 2018-02-02Bibliographically approved
Skoglund, K., Holmström, I., Johansson Sundler, A. & Marmstål Hammar, L. (2018). Previous work experience and age do not affect final semester nursing student self-efficacy in communication skills. In: : . Paper presented at Nordic Conference in Nursing Research, Oslo, 13-15 June 2018.
Open this publication in new window or tab >>Previous work experience and age do not affect final semester nursing student self-efficacy in communication skills
2018 (English)Conference paper, Oral presentation with published abstract (Refereed)
National Category
Health Sciences
Research subject
Health and Welfare
Identifiers
urn:nbn:se:du-27531 (URN)
Conference
Nordic Conference in Nursing Research, Oslo, 13-15 June 2018
Available from: 2018-04-25 Created: 2018-04-25 Last updated: 2018-04-25Bibliographically approved
Skoglund, K., Holmström, I. K., Sundler, A. J. & Marmstål Hammar, L. (2018). Previous work experience and age do not affect final semester nursing student self-efficacy in communication skills. Nurse Education Today, 68, 182-187
Open this publication in new window or tab >>Previous work experience and age do not affect final semester nursing student self-efficacy in communication skills
2018 (English)In: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 68, p. 182-187Article in journal (Refereed) Published
Abstract [en]

Background

With the continuing increase in the older population, being able to communicate with the elderly is one of the many important skills in caring for older people. Therefore, student nurses need support during education to be prepared with the necessary communication skills to meet these demands.

Objective

The aim of this study was to describe the development of communication skills during nursing education.

Design

A quantitative descriptive and comparative study.

Settings

The nursing programme at a university in an urban area of Sweden.

Participants

Student nurses in the first and third year in a nursing programme in Sweden in 2015.

Methods

Data were collected with a self-efficacy questionnaire and analysed with descriptive and comparative statistics.

Results

The student nurses in the final semester had a higher self-rated ability to communicate with older people than students in the second semester of the education year. There was also a difference in self efficacy between students with or without former experience of health care work or work in care with older persons in the second semester. However, these differences were not seen in the final semester. The age of the students did not affect the self-efficacy rate in either semester.

Conclusions

Student nurses in the present study scored themselves relatively highly, while student nurses in previous studies expressed a need for more communication skills training. Further studies with observations of student nurses' actual communicative skills in clinical and simulations settings are needed, to pinpoint weak spots and targets for such an education.

Place, publisher, year, edition, pages
Elsevier, 2018
Keywords
Communication, Caring, Nurse education, Self-efficacy, Questionnaire, Care of older persons
National Category
Health Sciences
Research subject
Health and Welfare
Identifiers
urn:nbn:se:du-27777 (URN)10.1016/j.nedt.2018.05.017 (DOI)000442056100031 ()29945098 (PubMedID)2-s2.0-85048858577 (Scopus ID)
Available from: 2018-06-08 Created: 2018-06-08 Last updated: 2018-09-06Bibliographically approved
Lovenmark, A., Meranius, M. S. & Marmstål Hammar, L. (2018). That Mr. Alzheimer ... you never know what he's up to, but what about me?: A discourse analysis of how Swedish spouse cargivers can make their subject positions understandable and meaningful. International Journal of Qualitative Studies on Health and Well-being, 13(1), Article ID 1554025.
Open this publication in new window or tab >>That Mr. Alzheimer ... you never know what he's up to, but what about me?: A discourse analysis of how Swedish spouse cargivers can make their subject positions understandable and meaningful
2018 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 13, no 1, article id 1554025Article in journal (Refereed) Published
Abstract [en]

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

Place, publisher, year, edition, pages
Taylor & Francis, 2018
Keywords
Alzheimer's, caregiving, discourse analysis, dementia, experience, interviews, subject positions, spouses, qualitative
National Category
Health Sciences
Research subject
Health and Welfare
Identifiers
urn:nbn:se:du-29225 (URN)10.1080/17482631.2018.1554025 (DOI)000453030700001 ()30704369 (PubMedID)2-s2.0-85058576525 (Scopus ID)
Note

Open Access APC beslut 23/2018

Available from: 2018-12-29 Created: 2018-12-29 Last updated: 2019-02-05Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0003-2511-9502

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