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Sundler, Annelie JohanssonORCID iD iconorcid.org/0000-0002-9194-3244
Alternative names
Publications (10 of 51) Show all publications
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., 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
Andersson, E., Bohlin, L., Herlitz, J., Sundler, A. J., Fekete, Z. & Andersson Hagiwara, M. (2018). Prehospital Identification of Patients with a Final Hospital Diagnosis of Stroke.. Prehospital and Disaster Medicine, 1-8
Open this publication in new window or tab >>Prehospital Identification of Patients with a Final Hospital Diagnosis of Stroke.
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2018 (English)In: Prehospital and Disaster Medicine, ISSN 1049-023X, E-ISSN 1945-1938, p. 1-8Article in journal (Refereed) Epub ahead of print
Abstract [en]

Introduction the early phase of stroke, minutes are critical. Since the majority of patients with stroke are transported by the Emergency Medical Service (EMS), the early handling and decision making by the EMS clinician is important. Problem The study aim was to evaluate the frequency of a documented suspicion of stroke by the EMS nurse, and to investigate differences in the clinical signs of stroke and clinical assessment in the prehospital setting among patients with regard to if there was a documented suspicion of stroke on EMS arrival or not, in patients with a final hospital diagnosis of stroke.

METHODS: The study had a retrospective observational design. Data were collected from reports on patients who were transported by the EMS and had a final diagnosis of stroke at a single hospital in western Sweden (630 beds) in 2015. The data sources were hospital and prehospital medical journals.

RESULTS: In total, 454 patients were included. Among them, the EMS clinician suspected stroke in 52%. The findings and documentation on patients with a suspected stroke differed from the remaining patients as follows: a) More frequently documented symptoms from the face, legs/arms, and speech; b) More frequently assessments of neurology, face, arms/legs, speech, and eyes; c) More frequently addressed the major complaint with regard to time and place of onset, duration, localization, and radiation; d) Less frequently documented symptoms of headache, vertigo, and nausea; and e) More frequently had an electrocardiogram (ECG) recorded and plasma glucose sampled. In addition to the 52% of patients who had a documented initial suspicion of stroke, seven percent of the patients had an initial suspicion of transitory ischemic attack (TIA) by the EMS clinician, and a neurologist was approached in another 10%.

CONCLUSION: Among 454 patients with a final diagnosis of stroke who were transported by the EMS, an initial suspicion of stroke was not documented in one-half of the cases. These patients differed from those in whom a suspicion of stroke was documented in terms of limited clinical signs of stroke, a less extensive clinical assessment, and fewer clinical investigations. Andersson E , Bohlin L , Herlitz J , Sundler AJ , Fekete Z , Andersson Hagiwara M . Prehospital identification of patients with a final hospital diagnosis of stroke.

Keywords
CT computer tomography, ECG electrocardiogram, EMS Emergency Medical Service, ESS emergency signs and symptoms, TIA transitory ischemic attack, rt-PA recombinant tissue plasminogen activator, EMS, assessment, prehospital, stroke
National Category
Nursing
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-13413 (URN)10.1017/S1049023X17007178 (DOI)000428764900011 ()29317012 (PubMedID)2-s2.0-85044339157 (Scopus ID)
Available from: 2018-01-12 Created: 2018-01-12 Last updated: 2018-12-07Bibliographically approved
Skoglund, K., Holmström, I. K., Sundler, A. J. & Hammar Marmstål, 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
National Category
Nursing
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-15144 (URN)10.1016/j.nedt.2018.05.017 (DOI)2-s2.0-85048858577 (Scopus ID)
Available from: 2018-10-04 Created: 2018-10-04 Last updated: 2018-12-07Bibliographically approved
Sundler, A. J., Lindberg, E., Nilsson, C. & Palmér, L. (2018). Qualitative thematic analysis – based on phenomenology. In: : . Paper presented at The Nordic Conference in Nursing Research, Oslo, 13-15 June, 2018.
Open this publication in new window or tab >>Qualitative thematic analysis – based on phenomenology
2018 (English)Conference paper, Poster (with or without abstract) (Refereed)
Keywords
Thematic analysis, phenomenology
National Category
Nursing
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-15021 (URN)
Conference
The Nordic Conference in Nursing Research, Oslo, 13-15 June, 2018
Available from: 2018-08-24 Created: 2018-08-24 Last updated: 2018-09-06Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-9194-3244

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