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Sundler, Annelie JohanssonORCID iD iconorcid.org/0000-0002-9194-3244
Alternative names
Publications (10 of 54) Show all publications
Gustafsson, T., Sundler, A. J., Lindberg, E. & Maurin Söderholm, H. (2019). ACTION: A Person-centred Communication Intervention Targeting Nurse Assistants in Home Care for Older Persons. In: : . Paper presented at Sustainable Caring for Health and Wellbeing, Vasa, Finland, 1-3 October, 2019..
Open this publication in new window or tab >>ACTION: A Person-centred Communication Intervention Targeting Nurse Assistants in Home Care for Older Persons
2019 (English)Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

Background: The aging population and the number of older persons living at home are increasing. Some have extensive needs for care, which leads to increased demands on professionals in home care settings. Professionals’ need to have sufficient competency to promote health and wellbeing among older persons. For sustainable care, there is a need for efficient educational efforts in the home care context. Person-centred communication may increase the quality of care and improve older persons independence.

Aim: To develop, test and evaluate a web based educational intervention on person-centred communication targeting nurse assistants (NA) in home care setting.

Method: A stepwise web based education, consisting of eight modules, was developed and tested. The education was evaluated using both quantitative and qualitative data.

Results: In all, 23 NAs participated in the education. The majority of the NAs (n=21) participated in five or more modules. Overall, the education was experienced as feasible and accessible. Challenges emerged during the time of the intervention, such as time constrains, technical problems, and participants´ engagement.

Conclusion: The web-based education was found to be a feasible way to offer education to home care staff, although successful implementation requires adaptations to the current context. Engagement from managers, especially considering the NAs motivation to complete the education is important for accomplishment by participants.

Implications: This study can contribute to the knowledge regarding how to develop, test and evaluate an educational intervention, and considerations found to be important during the implementation process for success.

National Category
Health Sciences
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-21861 (URN)
Conference
Sustainable Caring for Health and Wellbeing, Vasa, Finland, 1-3 October, 2019.
Available from: 2019-10-16 Created: 2019-10-16 Last updated: 2019-10-17Bibliographically approved
Östman, M., Bäck-Pettersson, S., Sandvik, A.-H. & Sundler, A. J. (2019). Continuity of care as experienced by next of kin in patients with chronic heart failure. In: : . Paper presented at The International Association of Gerontology and Geriatrics European Region Congress(IAGG-ER 2019), Gothenburg, Sweden 22-25 May, 2019..
Open this publication in new window or tab >>Continuity of care as experienced by next of kin in patients with chronic heart failure
2019 (English)Conference paper, Poster (with or without abstract) (Refereed)
National Category
Nursing
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-21211 (URN)
Conference
The International Association of Gerontology and Geriatrics European Region Congress(IAGG-ER 2019), Gothenburg, Sweden 22-25 May, 2019.
Available from: 2019-09-03 Created: 2019-09-03 Last updated: 2019-09-12Bibliographically approved
Olander, A., Andersson, H., Sundler, A. J., Bremer, A., Ljungström, L. & Andersson Hagiwara, M. (2019). Prehospital characteristics among patientswith sepsis: a comparison between patients with or without adverse outcome. BMC Emergency Medicine, Article ID 19:43.
Open this publication in new window or tab >>Prehospital characteristics among patientswith sepsis: a comparison between patients with or without adverse outcome
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2019 (English)In: BMC Emergency Medicine, ISSN 1471-227X, E-ISSN 1471-227X, article id 19:43Article in journal (Refereed) Published
Abstract [en]

Background: The prehospital care of patients with sepsis are commonly performed by the emergency medical services. These patients may be critically ill and have high in-hospital mortality rates. Unfortunately, few patients with sepsis are identified by the emergency medical services, which can lead to delayed treatment and a worse prognosis. Therefore, early identification of patients with sepsis is important, and more information about the prehospital characteristics that can be used to identify these patients is needed. Based on this lack of information, the objectives of this study were to investigate the prehospital characteristics that are identified while patients withseps is are being transported to the hospital by the emergency medical services, and to compare these values to those of the patients with and without adverse outcomes during their hospital stays.

Methods: This was a retrospective observational study. The patients’ electronic health records were reviewed and selected consecutively based on the following: retrospectively diagnosed with sepsis and transported to an emergency department by the emergency medical services. Data were collected on demographics, prehospital characteristics and adverse outcomes, defined as the in-hospital mortality or treatment in the intensive care unit, and analysed by independent sample t-test and chi-square. Sensitivity, specificity and likelihood ratio, of prehospital characteristics for predicting or development of adverse outcome were analysed.

Results: In total, 327 patients were included. Of these, 50 patients had adverse outcomes. When comparing patients with or without an adverse outcome, decreased oxygen saturation and body temperature, increased serumglucose level and altered mental status during prehospital care were found to be associated with an adverse outcome.

Conclusions: The findings suggests that patients having a decreased oxygen saturation and body temperature, increased serum glucose level and altered mental status during prehospital care are at risk of a poorer patient prognosis and adverse outcome. Recognizing these prehospital characteristics may help to identify patients with sepsis early and improve their long-term outcomes. However further research is required to predict limit values of saturation and serum glucose and to validate the use of prehospital characteristics for adverse outcome in patients with sepsis.

National Category
Infectious Medicine
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-21573 (URN)10.1186/s12873-019-0255-0 (DOI)
Available from: 2019-08-07 Created: 2019-08-07 Last updated: 2019-08-07Bibliographically approved
Sundler, A. J., Lindberg, E., Nilsson, C. & Palmér, L. (2019). Qualitative thematic analysis based on descriptive phenomenology.. Nursing open, 6(3), 733-739
Open this publication in new window or tab >>Qualitative thematic analysis based on descriptive phenomenology.
2019 (English)In: Nursing open, ISSN 2054-1058, Vol. 6, no 3, p. 733-739Article in journal (Refereed) Published
Abstract [en]

Aim: The aim of this paper was to discuss how to understand and undertake thematic analysis based on descriptive phenomenology. Methodological principles to guide the process of analysis are offered grounded on phenomenological philosophy. This is further discussed in relation to how scientific rigour and validity can be achieved.

Design: This is a discursive article on thematic analysis based on descriptive phenomenology.

Results: This paper takes thematic analysis based on a descriptive phenomenological tradition forward and provides a useful description on how to undertake the analysis. Ontological and epistemological foundations of descriptive phenomenology are outlined. Methodological principles are explained to guide the process of analysis, as well as help to understand validity and rigour. Researchers and students in nursing and midwifery conducting qualitative research need comprehensible and valid methods to analyse the meaning of lived experiences and organize data in meaningful ways.

Keywords
healthcare research, lifeworld, lived experiences, meanings, midwifery, nursing, phenomenology, qualitative, thematic analysis
National Category
Nursing
Identifiers
urn:nbn:se:hb:diva-21890 (URN)10.1002/nop2.275 (DOI)000476917700008 ()31367394 (PubMedID)2-s2.0-85069758075 (Scopus ID)
Available from: 2019-10-23 Created: 2019-10-23 Last updated: 2019-10-29Bibliographically approved
Gustafsson, T., Sundler, A. J., Lindberg, E. & Maurin Söderholm, H. (2019). The Development and Process Evaluation of the ACTION Study. A Person-centred Communication Intervention Targeting Nursing Staff in Home Care for Older Persons. In: : . Paper presented at International Association of Gerontology and Geriatrics European Region Congress(IAGG-ER).
Open this publication in new window or tab >>The Development and Process Evaluation of the ACTION Study. A Person-centred Communication Intervention Targeting Nursing Staff in Home Care for Older Persons
2019 (English)Conference paper, Poster (with or without abstract) (Refereed)
Abstract [en]

Background: Person-centred communication is important to assure the quality of home care services and to promote older persons independence and influence over their lives. Previous research indicates challenges regarding communication between professionals and home care recipients, and how to deliver efficient educational efforts in the home care context. Hitherto, research on design and implementation of this type of intervention is scarce.

Aims and objectives: To describe the development and process evaluation of an education intervention in person-centred communication for nursing staff (NS) in home care.

Method: The web-based education consisted of eight modules, including short video based lectures and movies, one group supervision, and reflective assignments. The content was based on previous research of health care communication and person-centred care. Data was collected from multiple sources (web analytics, interviews, evaluation forms, and field notes), before, during and after the implementation, and analysed by a combination of quantitative and qualitative approaches.

Results: In all, 23 NS participated in the education. Initial analysis indicate that a majority of the participants completed six or more modules. Overall, the content was experienced as relevant and interesting. The flexibility and accessibility of the web-based format was appreciated, as well as the mix of lectures, short movies, reflective assignments and group supervision. Challenges included developing content relevant to work teams with diverse competence levels and individual differences (e.g. age, language, motivation). Furthermore, time constrains and structure of work emerged as barriers for implementing the education, in some cases adding stress and fragmentation to NS´ work.

Conclusions: This type of intervention seems to be a feasible approach for flexible educations in person-centred communication for NS. Engagement and commitment from managers and team leaders may be key factors in succeeding, with impact on participants´ motivation to fulfil the education.

National Category
Health Sciences
Identifiers
urn:nbn:se:hb:diva-21862 (URN)
Conference
International Association of Gerontology and Geriatrics European Region Congress(IAGG-ER)
Available from: 2019-10-16 Created: 2019-10-16 Last updated: 2019-10-16Bibliographically approved
Sundler, A. J., Gustafsson, T., Lindberg, E., Maurin Söderholm, H. & Holmström, I. K. (2018). ACTION - A person-centred communication intervention in home care of older persons. In: : . Paper presented at The 16th International Conference on Communication in Healthcare (ICCH), Porto, Portugal, 1-4 September, 2018.
Open this publication in new window or tab >>ACTION - A person-centred communication intervention in home care of older persons
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2018 (English)Conference paper, Poster (with or without abstract) (Refereed)
National Category
Nursing
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-15148 (URN)
Conference
The 16th International Conference on Communication in Healthcare (ICCH), Porto, Portugal, 1-4 September, 2018
Projects
ACTION - A person-centred communication intervention
Available from: 2018-10-04 Created: 2018-10-04 Last updated: 2018-12-13Bibliographically approved
Sundler, A. J., Hjertberg, F., Keri, H. & Holmström, I. K. (2018). Attributes of person-centred communication. A Qualitative Exploration of communication with older persons during home healthcare visits. In: : . Paper presented at The Nordic Conference in Nursing Research, Oslo, 13-15 June, 2018.
Open this publication in new window or tab >>Attributes of person-centred communication. A Qualitative Exploration of communication with older persons during home healthcare visits
2018 (English)Conference paper, Oral presentation with published abstract (Refereed)
National Category
Nursing
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-15150 (URN)
Conference
The Nordic Conference in Nursing Research, Oslo, 13-15 June, 2018
Projects
Personcentrerad kommunikation med äldre vårdtagare (PC-COM)
Available from: 2018-10-04 Created: 2018-10-04 Last updated: 2018-10-05Bibliographically approved
Skoglund, K., Holmström, I., Sundler, A. J. & Hammar Marmstål, L. (2018). Communication skills nursing education. In: : . Paper presented at The Nordic Conference in Nursing Research, Oslo, 13-15 June, 2018..
Open this publication in new window or tab >>Communication skills nursing education
2018 (English)Conference paper, Poster (with or without abstract) (Refereed)
National Category
Nursing
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-15151 (URN)
Conference
The Nordic Conference in Nursing Research, Oslo, 13-15 June, 2018.
Available from: 2018-10-04 Created: 2018-10-04 Last updated: 2018-10-09Bibliographically approved
Höglander, J., Sundler, A. J., Spreeuwenberg, P., Holmström, I. K., Eide, H., van Dulmen, S. & Håkansson Eklund, J. (2018). Female gender explains emotional communication in home care. In: : . Paper presented at The 16th International Conference on Communication in Healthcare (ICCH), Porto, 1-4 September, 2018..
Open this publication in new window or tab >>Female gender explains emotional communication in home care
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2018 (English)Conference paper, Oral presentation with published abstract (Refereed)
National Category
Nursing
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-15147 (URN)
Conference
The 16th International Conference on Communication in Healthcare (ICCH), Porto, 1-4 September, 2018.
Available from: 2018-10-04 Created: 2018-10-04 Last updated: 2018-10-09Bibliographically approved
Sundler, A. J., Johansson, E., Johansson, L. & Hedén, L. E. (2018). Incidents reported by nurse anesthetists in the operating room. Journal of Interprofessional Care
Open this publication in new window or tab >>Incidents reported by nurse anesthetists in the operating room
2018 (English)In: Journal of Interprofessional Care, ISSN 1356-1820, E-ISSN 1469-9567Article in journal (Refereed) Published
Abstract [en]

The quality of health care and patient safety in the operating room is a major concern for nurse anaesthetists. However, few studies have focused on the experiences of nurse anaesthetists’ and their contributions to safety in this setting. Therefore, this study aims to explore the content and frequency of incidents reported by nurse anaesthetists in the operating room and the risks involved in these incidents. A retrospective study with a descriptive design was conduct. Data were gathered concerning 220 incidents reported by nurse anaesthetists from 2012 to 2015 in operating rooms at a middle-sized hospital in Sweden. These were analysed with a method for qualitative and quantitative content analysis. The findings are presented in five categories: communication and teamwork; routines and guidelines; patient care; nurses’ work environment; devices, materials and technologies. In 184 (73%) of the incidents, there was either a risk of harm or there was an actual harm to patients or nurses. Of all incidents only 23 (10%) had harmed patients or nurses. Few of these incidents involved patient harm (= 6), while a greater number involved harm to nurses (= 17). The findings reveal lack of communication and interprofessional teamwork as the two most common areas for the reported incidents, followed by problems related to lack of compliance with guidelines and routines. The findings suggest that strategies are needed to improve these areas. Patient safety reporting systems may be important to identify risk in preventing patients and health care professionals from being harmed. In addition, the findings indicate that the nurses sought to prevent harm to patients rather than to themselves. Consequently, increased attention to the work environments of nurses, and most likely other professionals, in the operating room may be needed to prevent health care professionals from being harmed.

Keywords
incidents, patient safety, quality improvement, nurses, operating room, content analysis
National Category
Nursing
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-15143 (URN)10.1080/13561820.2018.1500452 (DOI)30040519 (PubMedID)2-s2.0-85050536779 (Scopus ID)
Available from: 2018-10-04 Created: 2018-10-04 Last updated: 2018-10-05Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-9194-3244

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