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Marmstål Hammar, LenaORCID iD iconorcid.org/0000-0003-2511-9502
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Publications (10 of 41) Show all publications
Swall, A., Marmstål Hammar, L. & Gransjön Craftman, Å. (2020). Like a bridge over troubled water: a qualitative study of professional caregiver singing and music as a way to enable person-centred care for persons with dementia. International Journal of Qualitative Studies on Health and Well-being, 15(1), Article ID 1735092.
Open this publication in new window or tab >>Like a bridge over troubled water: a qualitative study of professional caregiver singing and music as a way to enable person-centred care for persons with dementia
2020 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 15, no 1, article id 1735092Article in journal (Refereed) Published
Abstract [en]

Purpose: To describe the perspectives of caregivers in terms of using singing and music in their everyday work, and of their effect on care and interaction with the person with dementia.Methods: A qualitative design was used, consisting of group discussions with professional caregivers from three nursing homes in a medium-sized city in a rural area of Sweden.Results: The results demonstrate that caregiver singing and music can be powerful and useful in the care of and in communication with persons with dementia. Music, for example, can be used to facilitate socialization as it opens up for discussion, while caregiver singing was preferable when it came to the facilitation of care situations and interaction.Conclusions: Singing and music can be powerful and useful tools in the care of and in communication with persons with dementia. Regardless of whether singing or music is used, the most important factor is that a person-centred approach is adopted so as to make the music a facilitative tool. Caregiver singing and music are ways to connect with the person with dementia and an understanding of their use can contribute to dementia research. This in turn can increase awareness of the possible ways to strengthen the partnership between caregivers and persons with dementia.

Keywords
Caregiver singing, communication, dementia care, music, person-centred care, qualitative method
National Category
Health Sciences
Research subject
Health and Welfare
Identifiers
urn:nbn:se:du-32351 (URN)10.1080/17482631.2020.1735092 (DOI)32212959 (PubMedID)
Available from: 2020-03-31 Created: 2020-03-31 Last updated: 2020-03-31
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)000476917700036 ()31367422 (PubMedID)2-s2.0-85069773206 (Scopus ID)
Available from: 2019-08-06 Created: 2019-08-06 Last updated: 2020-03-03Bibliographically approved
Swall, A., Williams, C. & Marmstål Hammar, L. (2019). The value of “us”: Expressions of togetherness in couples where one spouse has dementia. International Journal of Older People Nursing, Article ID e12299.
Open this publication in new window or tab >>The value of “us”: Expressions of togetherness in couples where one spouse has dementia
2019 (English)In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, article id e12299Article in journal (Refereed) Epub ahead of print
Abstract [en]

Background Living with dementia involves both illness and health, and self-care and care from others. As most persons with dementia live in their own homes, dementia affects not only the person with the disease, but also family, commonly the partner. Research shows that spousal carers feel as though they are losing their partners since they can no longer share thoughts, feelings and experiences as a couple. Aim The aim of the study was to describe the sense of togetherness of the spouses when one spouse has dementia. Method The sample consists of 18 recorded conversations between 15 persons with dementia and their spouses. The filmed conversations were transcribed verbatim and then analysed using qualitative content analysis. Findings One overarching theme arose: Dementia preserved and challenged the value of ?us.? It can be challenging for a couple in which one partner has dementia to preserve a sense of togetherness and to have the relationship they wish for. Conclusion Based on our results, we suggest that practitioners should help couples to strengthen their bond as a couple so as to maintain a sense of well-being. Future studies should examine couplehood under differing conditions, such as long- versus short-term relationships. Prior relationship quality may also be a factor that influences the sense of couplehood following a serious health challenge, such as dementia. Implication for practice When spouses were able to live together, their relationship was enriched at many levels. Their love for each other strengthened them as a unit ? as an ?us? ? where togetherness seemed to be strong. Future studies need to examine whether the sense of couplehood varies depending on the length of the relationship (i.e., a relationship of many years or a relatively new relationship).

Place, publisher, year, edition, pages
John Wiley & Sons, 2019
Keywords
caring, communication, couples, dementia, nursing
National Category
Nursing
Research subject
Health and Welfare
Identifiers
urn:nbn:se:du-31590 (URN)10.1111/opn.12299 (DOI)000504766300001 ()31886633 (PubMedID)2-s2.0-85077853315 (Scopus ID)
Available from: 2020-01-03 Created: 2020-01-03 Last updated: 2020-02-03
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
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0003-2511-9502

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