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Sundler, Annelie JohanssonORCID iD iconorcid.org/0000-0002-9194-3244
Alternative names
Publications (10 of 63) 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 Nursing
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: 2019-12-27Bibliographically approved
Sundler, A. J., Hjertberg, F., Keri, H. & Holmström, I. K. (2019). Attributes of person-centred communication: A qualitative exploration of communication with older persons in home health care.. International Journal of Older People Nursing, Article ID e12284.
Open this publication in new window or tab >>Attributes of person-centred communication: A qualitative exploration of communication with older persons in home health care.
2019 (English)In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, article id e12284Article in journal (Refereed) Epub ahead of print
Abstract [en]

BACKGROUND: Previous research points to challenges related to the home healthcare of older persons and to the complexity of communication. Although person-centred care has been advocated widely, there remains a need for in-depth knowledge on how to enable person-centred and supportive communication in the care of older persons.

AIM: The aim of this study was to explore attributes of person-centred communication between nurses and older persons being cared for in their home.

METHODS: A descriptive study with a qualitative approach was conducted. A data set from the COMHOME-study consisting of 77 audio-recorded home healthcare visits between registered nurses and older persons was analysed with a method for qualitative thematic analysis.

RESULTS: The findings indicate that the attributes of person-centred communication comprise recognising, inviting and involving older persons. To facilitate this form of communication, attentiveness and responsiveness on the part of RNs seemed significant. Person-centred communication was facilitated when the RNs used verbal expressions to emphasise and acknowledge the older persons' views and were attentive to their emotions and expressions.

CONCLUSION: The nurses' attentiveness and responsiveness seems important for person-centred communication with older persons. Communication skills are needed to recognise, invite and involve older persons in their care and to support their health and well-being. Implication for practice The importance of communication which facilitate a person-centred approach by nurses should be acknowledged when caring for older persons and included in education and training.

Keywords
communication, home healthcare, nursing, older persons, person-centred, qualitative
National Category
Nursing
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-22312 (URN)10.1111/opn.12284 (DOI)000494120600001 ()31642182 (PubMedID)2-s2.0-85074600808 (Scopus ID)
Available from: 2019-12-20 Created: 2019-12-20 Last updated: 2020-01-07Bibliographically approved
Östman, M., Bäck-Pettersson, S., Sandvik, A.-H. & Sundler, A. J. (2019). "Being in good hands": next of kin's perceptions of continuity of care in patients with heart failure. BMC Geriatrics, 19(375)
Open this publication in new window or tab >>"Being in good hands": next of kin's perceptions of continuity of care in patients with heart failure
2019 (English)In: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 19, no 375Article in journal (Refereed) Published
Abstract [en]

Background

Heart failure (HF) is a chronic condition with a variety of diverse symptoms. Patients with HF are usually elderly with multimorbidity, which are both multifaceted and challenging. Being a next of kin to patients with HF is described as a complex task consisting of managing care and treatment, monitoring illness and being an emotional support, while also being able to navigate the healthcare system especially in long-term contact. However, few studies have investigated next of kin’s perceptions of continuity of care in connection with HF. The present study aimed to describe continuity of care as perceived by the next of kin who care for patients with HF.

Methods

This study used a qualitative descriptive design. Semi-structured interviews were conducted with the next of kin (n = 15) of patients with HF to obtain their perceptions of continuity of care. A phenomenographic analysis method was used to capture the participants’ perceptions of the phenomenon.

Results

The analysis reveals that the next of kin perceive that support from healthcare professionals was strongly associated with experiences of continuity of care. Four categories reveal the next of kin’s perceptions of continuity of care: Want to be involved without being in charge; A desire to be in control without acting as the driving force in the care situation; A need for sustainability without being overlooked; and Focusing on making life meaningful while being preoccupied with caregiving activities.

Conclusions

Next of kin perceive continuity of care, when they have access to care and treatment and when caregivers collaborate, regardless of healthcare is given by primary care, municipalities or specialist clinics. A sense of “being in good hands” sums up the need for continuous support, shared decision-making and seamless transitions between caregivers. It seems important that healthcare organisations safeguard effective and collaborative models. Moreover, professionals need to plan and perform healthcare in collaboration with patients and next of kin.

Keywords
Continuity of care, Heart failure, Next of kin, Phenomenography, Qualitative research
National Category
Nursing
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-22367 (URN)10.1186/s12877-019-1390-x (DOI)
Available from: 2020-01-07 Created: 2020-01-07 Last updated: 2020-01-08Bibliographically 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
Sundler, A. J. (2019). Conversations on existential issues and concerns of older persons in home care.. In: : . Paper presented at the International Association of Gerontology and Geriatrics European Region Congress 2019 (IAGG-ER), in Gothenburg, May 23-25, 2019..
Open this publication in new window or tab >>Conversations on existential issues and concerns of older persons in home care.
2019 (English)Conference paper, Oral presentation only (Refereed)
National Category
Nursing
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-22313 (URN)
Conference
the International Association of Gerontology and Geriatrics European Region Congress 2019 (IAGG-ER), in Gothenburg, May 23-25, 2019.
Available from: 2019-12-20 Created: 2019-12-20 Last updated: 2020-01-07Bibliographically approved
Gustafsson, T., Sundler, A. J., Lindberg, E. & Maurin Söderholm, H. (2019). Development and process evaluation of an educational intervention on communication targeting nurse assistants in home care. In: : . Paper presented at Advances in Health Care Sciences Conferences.
Open this publication in new window or tab >>Development and process evaluation of an educational intervention on communication targeting nurse assistants in home care
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.

Aim

The aim was to describe the development and process evaluation of a web-based education intervention in person-centred communication for nurse assistants (NA) in home care.

Method

The intervention consisted of a step-wise education, with eight modules that included short video based lectures and movies, one group supervision, and reflective assignments. The content was based on previous research on health care communication and person-centred care. Data were collected from multiple sources before, during and after the implementation, and analysed by a combination of quantitative and qualitative approaches.

Results

A complex intervention was conducted to improve the communication competency wanted for person-centred care. The intervention was offered to 23 nurse assistants (NA). Of those, 91% (n=21) participated, in total or in parts, in five or more modules. The findings address participants’ experiences of expectations and worries before the intervention, experiences from the implementation process, and their experiences from taking part of the intervention. During the implementation changes were made according to local circumstances. Overall, the education was experienced as feasible. The web-based design was found to be accessible and the content relevant.

Conclusion

From this study, it can be concluded that the key features for successful implementation of the intervention was the format, educational content, and technical facilities provided. In addition to this, participant involvement, resources and constructive practical circumstances for NAs to participate in the intervention are crucial.

National Category
Nursing
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-22335 (URN)
Conference
Advances in Health Care Sciences Conferences
Available from: 2019-12-27 Created: 2019-12-27 Last updated: 2020-01-07Bibliographically approved
Höglander, J., Sundler, A. J., Spreeuwenberg, P., Holmström, I. K., Eide, H., van Dulmen, S. & Eklund, J. H. (2019). Emotional communication with older people: A cross-sectional study of home care.. Nursing and Health Sciences, 21(3), 382-389
Open this publication in new window or tab >>Emotional communication with older people: A cross-sectional study of home care.
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2019 (English)In: Nursing and Health Sciences, ISSN 1441-0745, E-ISSN 1442-2018, Vol. 21, no 3, p. 382-389Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to explore the influence of characteristics of nurses and older people on emotional communication in home care settings. A generalized, linear, mixed model was used to analyze 188 audio-recorded home care visits coded with Verona Coding Definitions of Emotional Sequences. The results showed that most emotional distress was expressed by older females or with female nurses. The elicitation of an expression of emotional distress was influenced by the nurses' native language and profession. Older women aged 65-84 years were given the most space for emotional expression. We found that emotional communication was primarily influenced by sex for nurses and older people, with an impact on the frequency of expressions of and responses to emotional distress. Expressions of emotional distress by older males were less common and could risk being missed in communication. The results have implications for students' and health professionals' education in increasing their knowledge of and attentiveness to the impacts of their and others' characteristics and stereotypes on emotional communication with older people.

Keywords
Sweden, communication, emotional distress, home care, nurse, older people
National Category
Nursing
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-22307 (URN)10.1111/nhs.12611 (DOI)000486246900015 ()30957364 (PubMedID)2-s2.0-85063993689 (Scopus ID)
Projects
Vårdande, Hälsa och Lärande (VHäL)
Available from: 2019-12-20 Created: 2019-12-20 Last updated: 2020-01-07Bibliographically 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.
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2019 (English)In: Nursing open, 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
Människan i vården
Identifiers
urn:nbn:se:hb:diva-22311 (URN)10.1002/nop2.280 (DOI)000476917700036 ()31367422 (PubMedID)2-s2.0-85069773206 (Scopus ID)
Available from: 2019-12-20 Created: 2019-12-20 Last updated: 2020-01-07Bibliographically approved
Sundler, A. J., Blomberg, K., Bisholt, B., Eklund, A., Windahl, J. & Larsson, M. (2019). Experiences of supervision during clinical education among specialised nursing students in Sweden: A cross-sectional study.. Nurse Education Today, 79, 20-24, Article ID S0260-6917(19)30697-5.
Open this publication in new window or tab >>Experiences of supervision during clinical education among specialised nursing students in Sweden: A cross-sectional study.
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2019 (English)In: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 79, p. 20-24, article id S0260-6917(19)30697-5Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: The importance of the clinical learning environment in nurse education has gained increasing attention over the last decades. However, there is a lack of research on the learning environment, its significance and meaning in specialist nurse education.

OBJECTIVE: The objectives of the study were to investigate specialised nursing students' experiences of supervision during clinical practice and to compare students who were satisfied with the supervision with those who were dissatisfied with respect to a) organisation of supervision and number of preceptors, as well as time allocated by preceptors for b) supervision, c) reflection, d) discussion of intended learning outcomes, and e) assessments of students' performance by preceptors.

DESIGN: This study used a cross-sectional design.

SAMPLE AND SETTINGS: A convenience sample of specialised nursing students was derived from five Swedish universities in the years 2016 and 2017.

METHODS: Data were collected using a questionnaire. Statistical analyses and a qualitative conventional content analysis were performed.

RESULTS: While almost all specialised nursing students reported that there had been time for discussion on their performance assessment, almost half of the students reported not getting time for supervision, or time for reflections and discussions on intended learning outcomes with the preceptor. Students reporting having time allocated for supervision by preceptors were found to be more satisfied with supervision. It was described as important that the preceptor(s) acknowledged the students previous work experiences. Even though being a registered nurse, reflections and feedback were described as valuable for the students learning. Several preceptors were described as positive allowing a broader picture and different views regarding working as a specialist nurse.

CONCLUSIONS: This study indicates that supervision, in terms of discussions and reflections, of specialised nursing students is significant for learning experiences and satisfaction during clinical placement.

Keywords
Clinical practice, Community health care, Graduate nursing education, Learning, Preceptorship, Primary health care, Specialist nurse education, Supervision
National Category
Nursing
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-22308 (URN)10.1016/j.nedt.2019.05.009 (DOI)000473377700004 ()31085423 (PubMedID)2-s2.0-85065447098 (Scopus ID)
Projects
Vårdande, Hälsa och Lärande (VHäL)
Available from: 2019-12-20 Created: 2019-12-20 Last updated: 2020-01-07Bibliographically 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)000479221700001 ()2-s2.0-85070479554 (Scopus ID)
Available from: 2019-08-07 Created: 2019-08-07 Last updated: 2020-01-29Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-9194-3244

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