Dalarna University's logo and link to the university's website

du.sePublications
Change search
Link to record
Permanent link

Direct link
Publications (10 of 20) Show all publications
Swall, A., Marmstål Hammar, L. & Boström, A.-M. (2024). Listen to the voices of nurses: the role of community chief nurses and registered nurses in the provision of care for older people in Sweden during the COVID-19 pandemic - a cross-sectional study. BMC Geriatrics, 24(1), Article ID 127.
Open this publication in new window or tab >>Listen to the voices of nurses: the role of community chief nurses and registered nurses in the provision of care for older people in Sweden during the COVID-19 pandemic - a cross-sectional study
2024 (English)In: BMC Geriatrics, E-ISSN 1471-2318, Vol. 24, no 1, article id 127Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: During the pandemic in Sweden, the aim was to protect older people, especially those among them who were sick, frail and vulnerable in residential care facilities. A ban was put on visits at all residential care facilities in March 2020 to prevent the spread of infection among the older people. This study aims to describe the experiences of Community Chief Nurses and Registered Nurses who provided medical and nursing care for older people in residential care facilities and home care during the first wave of the COVID-19 pandemic, and to examine factors associated with the quality of care.

METHODS: The study has a mixed method cross-sectional design (STROBE). Data were collected using a web-based survey that comprised two questionnaires, for Community Chief Nurses and Registered Nurses developed for the study. Data were analysed using descriptive statistics and logistic regression models, as well as qualitative content analyses.

RESULTS: The majority of Community Chief Nurses reported adequate opportunities to work with management to handle the COVID-19 pandemic. The Registered Nurses reported that the quality of care, as well as the person's safety, was negatively affected during the pandemic. Factors associated with good care were as follows: information-sharing; ability to comply with hygiene practices; competence in how to care for older persons with COVID-19; a physician at bedside assessing their health; and support from frontline managers.

CONCLUSION: The study highlights crucial facets that care organizations must address to enhance their readiness for future pandemics or disasters, ensuring the security and well-being of the older people.

Keywords
COVID-19, Community chief nurse, Medical care, Nursing care, Older people, Pandemic, Registered nurse
National Category
Nursing Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:du-47990 (URN)10.1186/s12877-023-04652-0 (DOI)001155348800002 ()38308241 (PubMedID)
Available from: 2024-02-08 Created: 2024-02-08 Last updated: 2024-07-04Bibliographically approved
Marmstål Hammar, L., Lövenmark, 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]

BACKGROUND: For 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.

METHOD: The data comprised three focus group interviews with 12 professional caregivers in dementia care, analysed using qualitative content analysis.

RESULTS: the analysis resulted in two themes: "CS increases interaction and builds companionship" and "Receptive music soothes, awakens memories and reflects the person's self".

CONCLUSION: Both 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.

Keywords
Caregiver singing, dementia care, focus group interviews, qualitative content analysis, receptive music
National Category
Nursing
Identifiers
urn:nbn:se:du-48147 (URN)10.1080/17533015.2024.2320248 (DOI)001170047900001 ()38389120 (PubMedID)
Available from: 2024-02-28 Created: 2024-02-28 Last updated: 2024-03-14Bibliographically approved
Roos, C., Swall, A., Marmstål Hammar, L., Boström, A.-M. & Skytt, B. (2023). Promoting the person-centred aspects of dignity and well-being: learning from older persons’ experiences of living in residential care facilities. Working with Older People, 27(3), 219-229
Open this publication in new window or tab >>Promoting the person-centred aspects of dignity and well-being: learning from older persons’ experiences of living in residential care facilities
Show others...
2023 (English)In: Working with Older People, ISSN 1366-3666, E-ISSN 2042-8790, Vol. 27, no 3, p. 219-229Article in journal (Refereed) Published
Abstract [en]

Purpose – Dignity and well-being are key aspects of the legislation and policies that regulate care of olderpersons worldwide. In addition, care of older persons should be person-centred. Dignity and well-being aredescribed as results of person-centred care (PCC). The purpose of this study was to gain an understanding ofimportant aspects for older persons to experience dignity and well-being in residential care facilities (RCFs).

Design/methodology/approach – This study had a qualitative approach, and individual semi-structuredinterviews were conducted with 20 older persons living in RCFs. Data were analysed using inductive contentanalysis.

Findings – To experience dignity and well-being older persons emphasized the importance ofpreserving their identity. To do this, it was important to be able to manage daily life, to gain support andinfluence and to belong to a social context. However, the findings indicate a need for improvements.

Practical implications – Insights into older persons’ experiences of important aspects for experiencingdignity and well-being in RCFs can be used by first-line managers and registered nurses when designingimprovement strategies to promote PCC.

Originality/value – Dignity and well-being are described as results of PCC. The findings provide anunderstanding of what older persons perceive as important for experiencing dignity and well-being inRCFs. The findings are useful when designing improvement strategies to promote PCC.

Place, publisher, year, edition, pages
Emerald Group Publishing Limited, 2023
Keywords
Care, Dignity, Older persons, Person-centred care, Person-centred practice framework, Residential care facility, Well-being, Residential care
National Category
Nursing
Identifiers
urn:nbn:se:du-42824 (URN)10.1108/wwop-08-2022-0034 (DOI)2-s2.0-85137680136 (Scopus ID)
Note

Tidigare version, i manusform, med titeln “'I want to be treated like I still matter': older persons' perceptions and experiences regarding important aspects of experiencing dignity and well-being in residential care facilities" inkluderad som paper i doktorsavhandling "Promoting dignity and well-being in residential care facilities: Older persons’ perceptions and experiences of important aspects and associated factors" (http://urn.kb.se/resolve?urn=urn:nbn:se:du-39632)

Available from: 2022-10-13 Created: 2022-10-13 Last updated: 2023-09-18Bibliographically approved
Roos, C., Alam, M., Swall, A., Boström, A.-M. & Marmstål Hammar, L. (2022). Factors associated with older persons’ perceptions of dignity and well-being over a three-year period: A retrospective national study in residential care facilities. BMC Geriatrics, 22(1), Article ID 515.
Open this publication in new window or tab >>Factors associated with older persons’ perceptions of dignity and well-being over a three-year period: A retrospective national study in residential care facilities
Show others...
2022 (English)In: BMC Geriatrics, E-ISSN 1471-2318, Vol. 22, no 1, article id 515Article in journal (Refereed) Published
Abstract [en]

Background: Dignity and well-being are central concepts in the care of older people, 65 years and older, world‑wide. The person-centred practice framework identifes dignity and well-being as person-centred outcomes. Older persons living in residential care facilities, residents, have described that they sometimes lack a sense of dignity and well-being, and there is a need to understand which modifable factors to target to improve this. The aim of this study was to examine the associations between perceptions of dignity and wellbeing and the independent variables of the attitudes of staf, the indoor-outdoor-mealtime environments, and individual factors for residents over a three-year period.

Methods: A national retrospective longitudinal mixed cohort study was conducted in all residential care facilities within 290 municipalities in Sweden. All residents aged 65 years and older in 2016, 2017 and 2018 were invited to responded to a survey; including questions regarding self-rated health and mobility, the attitudes of staf, the indooroutdoor-mealtime environments, safety, and social activities. Data regarding age, sex and diagnosed dementia/pre‑scribed medication for dementia were collected from two national databases. Descriptive statistics and ordinal logistic regression models were used to analyse the data.

Results: A total of 13 763 (2016), 13 251 (2017) and 12 620 (2018) residents answered the survey. Most of them (69%) were women and the median age was 88 years. The odds for satisfaction with dignity did not difer over the three-year period, but the odds for satisfaction with well-being decreased over time. Residents who rated their health as good, who were not diagnosed with dementia/had no prescribed medication for dementia, who had not experienced disrespectful attitudes of staf and who found the indoor-outdoor-mealtime environments to be pleasant had higher odds of being satisfed with aspects of dignity and well-being over the three-year period.

Conclusions: The person-centred practice framework, which targets the attitudes of staf and the care environment, can be used as a theoretical framework when designing improvement strategies to promote dignity and well-being. Registered nurses, due to their core competencies, focusing on person-centred care and quality improvement work, should be given an active role as facilitators in such improvement strategies.

Keywords
Dignity, Long‑term care, Older persons, Person‑centred care, Person‑centred practice framework, Residential care facilities, Well‑being
National Category
Nursing
Identifiers
urn:nbn:se:du-41706 (URN)10.1186/s12877-022-03205-1 (DOI)000815083800002 ()35739497 (PubMedID)2-s2.0-85132572700 (Scopus ID)
Funder
Dalarna University
Available from: 2022-06-23 Created: 2022-06-23 Last updated: 2024-07-04Bibliographically approved
Roos, C., Alam, M., Swall, A., Boström, A. & Marmstål Hammar, L. (2022). Factors associated with perceptions of dignity and well‐being among older people living in residential care facilities in Sweden. A national cross‐sectional study. Health & Social Care in the Community, 30(5), e2350-e2364
Open this publication in new window or tab >>Factors associated with perceptions of dignity and well‐being among older people living in residential care facilities in Sweden. A national cross‐sectional study
Show others...
2022 (English)In: Health & Social Care in the Community, ISSN 0966-0410, E-ISSN 1365-2524, Vol. 30, no 5, p. e2350-e2364Article in journal (Refereed) Published
Abstract [en]

The care of older people living in residential care facilities (RCFs) should promote dignity and well-being, but research shows that these aspects are lacking in such facilities. To promote dignity and well-being, it is important to understand which associated factors to target. The aim of this study was to examine the associations between perceived dignity and well-being and factors related to the attitudes of staff, the care environment and individual issues among older people living in RCFs. A national retrospective cross-sectional study was conducted in all RCFs for older people within 290 municipalities in Sweden. All older people 65 years and older (n = 71,696) living in RCFs in 2018 were invited to respond to the survey. The response rate was 49%. The survey included the following areas: self-rated health, indoor-outdoor-mealtime environment, performance of care, attitudes of staff, safety, social activities, availability of staff and care in its entirety. Data were supplemented with additional data from two national databases regarding age, sex and diagnosed dementia. Descriptive statistics and ordinal logistic regression models were used to analyse the data. Respondents who had experienced disrespectful treatment, those who did not thrive in the indoor-outdoor-mealtime environment, those who rated their health as poor and those with dementia had higher odds of being dissatisfied with dignity and well-being. To promote dignity and well-being, there is a need to improve the prerequisites of staff regarding respectful attitudes and to improve the care environment. The person-centred practice framework can be used as a theoretical framework for improvements, as it targets the prerequisites of staff and the care environment. As dignity and well-being are central values in the care of older people worldwide, the results of this study can be generalised to other care settings for older people in countries outside of Sweden.

Keywords
care environment; dignity; older people; person-centred care; person-centred practice framework; residential care facility; well-being
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:du-39056 (URN)10.1111/hsc.13674 (DOI)000727785800001 ()34877717 (PubMedID)2-s2.0-85120697563 (Scopus ID)
Available from: 2021-12-15 Created: 2021-12-15 Last updated: 2023-03-17Bibliographically approved
Marmstål Hammar, L., Alam, M., Olsen, M., Swall, A. & Boström, A.-M. -. (2021). Being Treated With Respect and Dignity?: Perceptions of Home Care Service Among Persons With Dementia. Journal of the American Medical Directors Association (3), 656-662
Open this publication in new window or tab >>Being Treated With Respect and Dignity?: Perceptions of Home Care Service Among Persons With Dementia
Show others...
2021 (English)In: Journal of the American Medical Directors Association, ISSN 1525-8610, E-ISSN 1538-9375, no 3, p. 656-662Article in journal (Refereed) Published
National Category
Nursing
Identifiers
urn:nbn:se:du-34947 (URN)10.1016/j.jamda.2020.07.002 (DOI)000632251700036 ()32839126 (PubMedID)2-s2.0-85089751681 (Scopus ID)
Available from: 2020-09-04 Created: 2020-09-04 Last updated: 2023-04-14Bibliographically approved
Nordin, S., Swall, A., Anåker, A., von Koch, L. & Elf, M. (2021). Does the physical environment matter? - A qualitative study of healthcare professionals' experiences of newly built stroke units.. International Journal of Qualitative Studies on Health and Well-being, 16(1), Article ID 1917880.
Open this publication in new window or tab >>Does the physical environment matter? - A qualitative study of healthcare professionals' experiences of newly built stroke units.
Show others...
2021 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 16, no 1, article id 1917880Article in journal (Refereed) Published
Abstract [en]

Purpose: Organized care in specialist stroke units is fundamental for achieving better outcomes for persons with stroke. Although the importance of the physical environment for health and well-being is well recognized, research regarding how environmental features can influence stroke care is limited. The aim was to elucidate healthcare professionals' experiences of the physical environment in newly built stroke units with respect to stroke care.Methods: Healthcare professionals (n = 42) representing eight professions participated in semi-structured, face-to-face interviews. Qualitative content analysis was used.Results: The physical environment both facilitated and restricted the professionals' ability to provide stroke care. Five categories were identified: "Working towards patient engagement in single rooms", "Hampered rehabilitation in an environment not always adapted to patients' difficulties", "Addressing patients' psychosocial needs in the environment", "Ensuring patient safety by using the environment in accordance with individual needs", and "Collaboration and task fulfilment-a challenge due to care unit design".Conclusions: The healthcare professionals viewed the physical environment mainly in relation to stroke patients' specific needs, and several environmental features were considered poorly adapted to meet these needs. The physical environment is essential to high-quality care; thus, the process of planning and designing stroke units should be based on existing evidence.

Keywords
Evidence-based design, interviews, multi-professional, nursing, physical healthcare environment, rehabilitation, stroke
National Category
Nursing
Identifiers
urn:nbn:se:du-37827 (URN)10.1080/17482631.2021.1917880 (DOI)000671447900001 ()34240677 (PubMedID)2-s2.0-85109653297 (Scopus ID)
Available from: 2021-08-04 Created: 2021-08-04 Last updated: 2023-04-14Bibliographically approved
Craftman, Å., Swall, A., Båkman, K., Grundberg, Å. & Hagelin, C. L. (2020). Caring for older people with dementia reliving past trauma. Nursing Ethics, 27(2), 621-633
Open this publication in new window or tab >>Caring for older people with dementia reliving past trauma
Show others...
2020 (English)In: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989, Vol. 27, no 2, p. 621-633Article in journal (Refereed) Published
National Category
Nursing
Research subject
Research Profiles 2009-2020, Health and Welfare
Identifiers
urn:nbn:se:du-30698 (URN)10.1177/0969733019864152 (DOI)000484196300001 ()2-s2.0-85071636070 (Scopus ID)
Available from: 2019-09-17 Created: 2019-09-17 Last updated: 2021-11-12Bibliographically approved
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
Research Profiles 2009-2020, Health and Welfare
Identifiers
urn:nbn:se:du-32351 (URN)10.1080/17482631.2020.1735092 (DOI)000521503900001 ()32212959 (PubMedID)2-s2.0-85082486278 (Scopus ID)
Available from: 2020-03-31 Created: 2020-03-31 Last updated: 2021-11-12
Swall, A., Williams, C. & Marmstål Hammar, L. (2020). The value of “us”: Expressions of togetherness in couples where one spouse has dementia. International Journal of Older People Nursing, 15(2), 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
2020 (English)In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 15, no 2, article id e12299Article in journal (Refereed) Published
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, 2020
Keywords
caring, communication, couples, dementia, nursing
National Category
Nursing
Research subject
Research Profiles 2009-2020, 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: 2021-11-12
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-8069-9402

Search in DiVA

Show all publications