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Sundler, Annelie JohanssonORCID iD iconorcid.org/0000-0002-9194-3244
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Publications (10 of 33) Show all publications
Skoglund, K., Holmström, I. K., Sundler, A. J. & Hammar, 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
Abstract [en]

Background: With the continuing increase in the older population, being able to communicate with the elderly is one of the many important skills in caring for older people. Therefore, student nurses need support during education to be prepared with the necessary communication skills to meet these demands. Objective: The aim of this study was to describe the development of communication skills during nursing education. Design: A quantitative descriptive and comparative study. Settings: The nursing programme at a university in an urban area of Sweden. Participants: Student nurses in the first and third year in a nursing programme in Sweden in 2015. Methods: Data were collected with a self-efficacy questionnaire and analysed with descriptive and comparative statistics. Results: The student nurses in the final semester had a higher self-rated ability to communicate with older people than students in the second semester of the education year. There was also a difference in self efficacy between students with or without former experience of health care work or work in care with older persons in the second semester. However, these differences were not seen in the final semester. The age of the students did not affect the self-efficacy rate in either semester. Conclusions: Student nurses in the present study scored themselves relatively highly, while student nurses in previous studies expressed a need for more communication skills training. Further studies with observations of student nurses’ actual communicative skills in clinical and simulations settings are needed, to pinpoint weak spots and targets for such an education. 

Place, publisher, year, edition, pages
Churchill Livingstone, 2018
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-40192 (URN)10.1016/j.nedt.2018.05.017 (DOI)000442056100031 ()29945098 (PubMedID)2-s2.0-85048858577 (Scopus ID)
Available from: 2018-07-05 Created: 2018-07-05 Last updated: 2018-10-16Bibliographically approved
Holmström, I. K., Krantz, A., Karacagil, L. & Sundler, A. J. (2017). Frequent callers in primary health care - a qualitative study with a nursing perspective. Journal of Advanced Nursing, 73(3), 622-632
Open this publication in new window or tab >>Frequent callers in primary health care - a qualitative study with a nursing perspective
2017 (English)In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 73, no 3, p. 622-632Article in journal (Refereed) Published
Abstract [en]

Aim. To: (a) describe how telephone nurses define a frequent caller; and (b) describe their experiences with calls from frequent callers to primary healthcare centres. Background. Telephone nursing has been noted to be a cost-effective method to enhance access to and use of health care. Some patients use these services extensively and are called 'frequent callers'. Little is known about this group of callers, the reasons behind these calls and telephone nurses' experiences and strategies to manage the calls. Design. Descriptive design with a qualitative inductive approach. Methods. Interviews were conducted with ten telephone nurses in Sweden in 2015. Qualitative content analysis was conducted. Results. A main theme was established, called 'Balancing between the experienced and assessed needs', which described the telephone nurses' experiences with calls made by frequent callers to primary healthcare centres and was further described in five categories with 15 subcategories. The categories described telephone nurses' definitions of frequent callers, telephone nurses' views of the underlying reasons for the calls, challenges related to frequent callers, experiences with an increased work load and strategies used to manage and help frequent callers. Conclusion. Frequent callers were commonly encountered by telephone nurses' in this study. Their calls were experienced as complex and demanding to manage. The findings point to needs for guidelines and routines to improve the care of frequent callers. In addition, support and training in communication skills to encounter this group of callers in an optimal and safe way may be required.

Place, publisher, year, edition, pages
WILEY, 2017
Keywords
content analysis, experiences, frequent callers, primary health care, qualitative methods, telephone nursing
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-35353 (URN)10.1111/jan.13153 (DOI)000399292400009 ()27650484 (PubMedID)2-s2.0-84995466542 (Scopus ID)
Available from: 2017-05-19 Created: 2017-05-19 Last updated: 2017-05-19Bibliographically approved
Arkkukangas, M., Sundler, A. J., Söderlund, A., Eriksson, S. & Johansson, A.-C. (2017). Older persons' experiences of a home-based exercise program with behavioral change support. Physiotherapy Theory and Practice, 33(12), 905-913
Open this publication in new window or tab >>Older persons' experiences of a home-based exercise program with behavioral change support
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2017 (English)In: Physiotherapy Theory and Practice, ISSN 0959-3985, E-ISSN 1532-5040, Vol. 33, no 12, p. 905-913Article in journal (Refereed) Published
Abstract [en]

Background: It is a challenge to promote exercise among older persons. Knowledge is needed regarding the maintenance of exercise aiming at preventing falls and promoting health and well-being in older persons. Purpose: This descriptive study used a qualitative inductive approach to describe older persons' experiences of a fall-preventive, home-based exercise program with support for behavioral change. Methods: Semi-structured interviews were conducted with 12 elderly persons aged 75years or older, and a qualitative content analysis was performed. Results: Four categories emerged: facilitators of performing exercise in everyday life, the importance of support, perceived gains from exercise, and the existential aspects of exercise. Conclusion: With support from physiotherapists (PTs), home-based exercise can be adapted to individual circumstances in a meaningful way. Including exercises in everyday life and daily routines could support the experience of being stronger, result in better physical functioning, and give hope for an extended active life in old age.

Place, publisher, year, edition, pages
TAYLOR & FRANCIS INC, 2017
Keywords
Community-living, motivational interviewing, older persons, Otago exercise program
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-37405 (URN)10.1080/09593985.2017.1359869 (DOI)000416020200002 ()28812402 (PubMedID)2-s2.0-85027534558 (Scopus ID)
Available from: 2017-12-07 Created: 2017-12-07 Last updated: 2018-01-23Bibliographically approved
Sundler, A. J., Hoglander, J., Håkansson Eklund, J., Eide, H. & Holmström, I. K. (2017). Older persons' expressions of emotional cues and concerns during home care visits. Application of the Verona coding definitions of emotional sequences (VR-CoDES) in home care. Patient Education and Counseling, 100(2), 276-282
Open this publication in new window or tab >>Older persons' expressions of emotional cues and concerns during home care visits. Application of the Verona coding definitions of emotional sequences (VR-CoDES) in home care
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2017 (English)In: Patient Education and Counseling, ISSN 0738-3991, E-ISSN 1873-5134, Vol. 100, no 2, p. 276-282Article in journal (Refereed) Published
Abstract [en]

Objective: This study aims to a) explore to what extent older persons express emotional cues and concerns during home care visits; b) describe what cues and concerns these older persons expressed, and c) explore who initiated these cues and concerns. Methods: A descriptive and cross-sectional study was conducted. Data consisted of 188 audio recorded home care visits with older persons and registered nurses or nurse assistants, coded with the Verona coding definitions on emotional sequences (VR-CoDES). Results: Emotional expressions of cues and concerns occurred in 95 (51%) of the 188 recorded home care visits. Most frequent were implicit expressions of cues (n = 292) rather than explicit concerns (n = 24). Utterances with hints to hidden concerns (63,9%, n = 202) were most prevalent, followed by vague or unspecific expressions of emotional worries (15,8%, n = 50). Most of these were elicited by the nursing staff (63%, n = 200). Conclusion: Emotional needs expressed by the older persons receiving home care were mainly communicated implicitly. To be attentive to such vaguely expressed emotions may demand nursing staff to be sensitive and open. Practice implications: The VR-CoDES can be applied on audio recorded home care visits to analyse verbal and emotional communication, and may allow comparative research. (C) 2016 Elsevier Ireland Ltd. All rights reserved.

Place, publisher, year, edition, pages
ELSEVIER IRELAND LTD, 2017
Keywords
Patient-provider communication, Concern, Cue, Home care, Nursing
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-35123 (URN)10.1016/j.pec.2016.09.009 (DOI)000396886000013 ()27692492 (PubMedID)2-s2.0-84999029525 (Scopus ID)
Available from: 2017-04-06 Created: 2017-04-06 Last updated: 2017-11-29Bibliographically approved
Holmström, I. K., Nokkoudenmaki, M.-B., Zukancic, S. & Sundler, A. J. (2016). It is important that they care: older persons' experiences of telephone advice nursing. Journal of Clinical Nursing, 25(11-12), 1644-1653
Open this publication in new window or tab >>It is important that they care: older persons' experiences of telephone advice nursing
2016 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 25, no 11-12, p. 1644-1653Article in journal (Refereed) Published
Abstract [en]

Aims and objectivesThe aim of the study was to explore older persons' experiences of telephone advice nursing at primary healthcare centres. BackgroundTelephone advice nursing is expanding worldwide, and the older population is increasing. Little is known about older persons' experiences of telephone advice nursing provided by primary healthcare. DesignThis study has a descriptive design with a qualitative inductive approach. MethodsData were collected via interviews with a purposive sample of 10 older persons in 2014. The data were analysed using qualitative content analysis. ResultsThe older persons' experiences were described in two themes: the patient-friendly aspects of telephone advice nursing and the patient-unfriendly aspects of telephone advice nursing. The themes can be understood as two sides of the same coin; the differences point to both the advantages and disadvantages of the service and are further illuminated through seven subthemes. ConclusionsThis study contributes to increased awareness of the advantages and disadvantages of the telephone advice nursing system as experienced by older persons. To be the focus of attention during calls was highlighted as important; and clear communication was deemed crucial. When the communication between the nurse and the older persons was perceived as good and the perspective of the caller was the focus, an experience of safety and satisfaction was described. Older persons had great confidence in the telephone nurses' competence and perceived their ability to access the service as mostly good, even if it was sometimes difficult to use the service. Relevance to clinical practiceThe communicative competence of telephone nurses is essential when providing telephone advice nursing to older persons. In addition, a person-centred approach is important to provide optimal care in telephone advice nursing.

Keywords
clinical decision-making, communication, nursing, older persons, patient experiences, qualitative methods, telenursing
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-31682 (URN)10.1111/jocn.13173 (DOI)000375866200016 ()26961337 (PubMedID)2-s2.0-84960460385 (Scopus ID)
Available from: 2016-06-02 Created: 2016-06-02 Last updated: 2018-10-16Bibliographically approved
Blomberg, K., Isaksson, A.-K., Allvin, R., Bisholt, B., Ewertsson, M., Kullén Engström, A., . . . Gustafsson, M. (2016). Work stress among newly graduated nurses in relation to workplace and clinical group supervision. Journal of Nursing Management, 24(1), 80-87
Open this publication in new window or tab >>Work stress among newly graduated nurses in relation to workplace and clinical group supervision
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2016 (English)In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 24, no 1, p. 80-87Article in journal (Refereed) Published
Abstract [en]

AIM: The aim was to investigate occupational stress among newly graduated nurses in relation to the workplace and clinical group supervision.

BACKGROUND: Being a newly graduated nurse is particularly stressful. What remains unclear is whether the workplace and clinical group supervision affect the stress.

METHOD: A cross-sectional comparative study was performed in 2012. Data were collected by means of a numerical scale measuring occupational stress, questions about workplace and clinical group supervision. One hundred and thirteen nurses who had recently graduated from three Swedish universities were included in the study.

RESULTS: The stress was high among the newly graduated nurses but it differed significantly between workplaces, surgical departments generating the most stress. Nurses who had received clinical group supervision reported significantly less stress. The stress between workplaces remained significant also when participation in clinical group supervision was taken into account.

CONCLUSIONS: Newly graduated nurses experience great stress and need support, especially those in surgical departments. Nurses participating in clinical group supervision reported significantly less stress.

IMPLICATIONS FOR NURSING MANAGEMENT: It is important to develop strategies that help to adapt the work situation so as to give nurses the necessary support. Clinical group supervision should be considered as an option for reducing stress.

National Category
Nursing
Identifiers
urn:nbn:se:mdh:diva-27824 (URN)10.1111/jonm.12274 (DOI)25421164 (PubMedID)2-s2.0-84956505898 (Scopus ID)
Available from: 2015-04-15 Created: 2015-04-15 Last updated: 2017-12-04Bibliographically approved
Hafskjold, L., Sundler, A., Holmström, I. K., Sundling, V., Van Dulmen, S. & Eide, H. (2015). A cross-sectional study on person-centred communication in the care of older people: the COMHOME study protocol. BMJ Open, 5(4), Article ID e007864.
Open this publication in new window or tab >>A cross-sectional study on person-centred communication in the care of older people: the COMHOME study protocol
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2015 (English)In: BMJ Open, ISSN 2044-6055, E-ISSN 2044-6055, Vol. 5, no 4, article id e007864Article in journal (Refereed) Published
Abstract [en]

Introduction: This paper presents an international cross-sectional study on person-centred communication with older people receiving healthcare (COMHOME). Person-centred care relies on effective communication, but few studies have explored this with a specific focus on older people. The main aim of the COMHOME study is to generate knowledge on person-centred communication with older people (>65 years) in home healthcare services, radiographic and optometric practice. Methods and analysis: This study will explore the communication between care providers and older persons in home care services. Home healthcare visits will be audiorecorded (n=500) in Norway, the Netherlands and Sweden. Analyses will be performed with the Verona Coding Definitions for Emotional Sequences (VR-CoDES), the Roter Interaction Analysis System (RIAS) and qualitative methods. The content of the communication, communicative challenging situations as well as empathy, power distance, decision-making, preservation of dignity and respect will be explored. In Norway, an additional 100 encounters, 50 in optometric practice (video recorded) and 50 in radiographic practice (audiorecorded), will be analysed. Furthermore, healthcare providers' self-reported communication skills, empathy, mindfulness and emotional intelligence in relation to observed person-centred communication skills will be assessed using well-established standardised instruments. Ethics and dissemination: Depending on national legislation, approval of either the central ethical committees (eg, nation or university), the national data protection officials or the local ethical committees (eg, units of home healthcare) was obtained. Study findings will be disseminated widely through peer-reviewed publications and conference presentations. The research findings will add knowledge to improve services provided to this vulnerable group of patients. Additionally, the findings will underpin a training programme for healthcare students and care providers focusing on communication with older people. 

National Category
Health Care Service and Management, Health Policy and Services and Health Economy Nursing
Identifiers
urn:nbn:se:mdh:diva-28035 (URN)10.1136/bmjopen-2015-007864 (DOI)000354705000127 ()2-s2.0-84929157536 (Scopus ID)
Available from: 2015-05-28 Created: 2015-05-28 Last updated: 2017-12-04Bibliographically approved
Larsson, M., Sundler Johansson, A., Ekebergh, M. & Bjork, M. (2015). Altering the Parenting Role: Parents' Experience of Supporting the Health and Well-Being of Their Adolescent Girls. Child and Youth Care Forum, 44(3), 419-432
Open this publication in new window or tab >>Altering the Parenting Role: Parents' Experience of Supporting the Health and Well-Being of Their Adolescent Girls
2015 (English)In: Child and Youth Care Forum, ISSN 1053-1890, E-ISSN 1573-3319, Vol. 44, no 3, p. 419-432Article in journal (Refereed) Published
Abstract [en]

In research the relationships between parents and their adolescent daughters have been viewed from problem oriented perspectives, usually exploring negative effects and health-related problems. Health and well-being are complex phenomena and knowledge is needed on how parents can support the health and well-being of their daughter. The aim of this study was to illuminate parents' experiences of supporting the health and well-being of their adolescent girls. A descriptive design with a phenomenological approach including interviews, individually or in group with ten mothers and five fathers was conducted. Supporting the health and well-being of adolescent girls was experienced as challenging. The parents needed to altering the parenting role: from being the one who had previously set the limits they needed to rethink and be available for support. In this process interplay, communication and trust were important to support the health and well-being of the girls in an efficient way. This meaning was further illuminated by four constituents: Balancing the need for control, maintaining a trusting relationship, interplay to facilitate their daughters' transition to independence, and an ambiguous parenting role. This study highlights the importance of parents being involved in the everyday life of their adolescent daughter to support her health and well-being. The parents' ability to contribute to the health and well-being of their girl seemed in this study dependent on their ability to communicate and alter the parenting role with sensitivity to the lifeworld of the adolescent girl.

National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-27950 (URN)10.1007/s10566-014-9287-5 (DOI)000352791800006 ()2-s2.0-84939981631 (Scopus ID)
Available from: 2015-05-07 Created: 2015-05-07 Last updated: 2017-12-04Bibliographically approved
Svanström, R. & Johansson Sundler, A. (2015). Gradually losing one’s foothold: A fragmented existence when living alone with dementia. Dementia, 14(2), 145-163
Open this publication in new window or tab >>Gradually losing one’s foothold: A fragmented existence when living alone with dementia
2015 (English)In: Dementia, ISSN 1471-3012, E-ISSN 1741-2684, Vol. 14, no 2, p. 145-163Article in journal (Refereed) Published
Abstract [en]

The number of persons with dementia who lives at home for a longer period of time after diagnosis is increasing. Even if the literature in the dementia field is growing, there is a need for more knowledge about everyday life of persons with a dementia disease; particularly the lived perspective of persons who live alone. The aim of this study was to elucidate the phenomenon of living alone with dementia and having a manifest care need. This phenomenological study was carried out from a reflective lifeworld approach. The data material in the study consisted of field notes from 32 visits and transcriptions from 11 tape-recorded conversations with six participants. The results reveal that the person with dementia who lives alone ends up in a vague existence where they cannot survive alone. The person’s level of activity comes to a halt and body movement becomes slower. Daily life becomes more difficult to manage and the person’s earlier natural way of relating to the world and the people around them is gradually lost. This is followed by a loneliness and forgetfulness that cloud the meaning of life. This study highlights the importance of the patient’s perspective needed to better understand the inner life of a person who suffers from dementia. This understanding is important in the organization of help and care as well as for caregivers to better understand these individuals and their needs.

Place, publisher, year, edition, pages
Sage Publications, 2015
National Category
Medical and Health Sciences Health Sciences
Research subject
Medical sciences
Identifiers
urn:nbn:se:mdh:diva-24295 (URN)10.1177/1471301213494510 (DOI)2-s2.0-84925234307 (Scopus ID)
Available from: 2013-11-04 Created: 2014-01-24 Last updated: 2017-10-25Bibliographically approved
Gustafsson, M., Kullén Engström, A., Ohlsson, U., Sundler Johansson, A. & Bisholt, B. (2015). Nurse teacher models in clinical education from the perspective of student nurses - A mixed method study.. Nurse Education Today, 35(12), 1286-1294
Open this publication in new window or tab >>Nurse teacher models in clinical education from the perspective of student nurses - A mixed method study.
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2015 (English)In: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 35, no 12, p. 1286-1294Article in journal (Refereed) Published
Abstract [en]

OBJECTIVES: The aim was to describe and compare the clinical teacher's role in different models of clinical practice from the perspective of student nurses.

DESIGN AND SETTINGS: The study took place in collaboration with two Swedish universities that applied different educational models in clinical practice. A mixed method approach was used. The quantitative part had a comparative design and the qualitative part had a descriptive design.

PARTICIPANTS: The study group consisted of 114 student nurses (response rate 87%). Fifty-three of them had met clinical teachers employed at the university and not participating in the daily clinical work (University Nurse Teachers, UNTs), whilst 61 had met clinical teachers dividing their time between teaching and nursing (Clinical Nurse Teachers, CNTs). Eight students participated in the qualitative part of the study.

METHODS: A questionnaire including the CLES+T scale was used to ascertain the students' perception of the clinical teacher's role, complemented by interviews directed towards an enrichment of this perception.

RESULTS: Students meeting CNTs agreed more strongly than those meeting UNTs that the teacher had the ability to help them integrate theory and practice. Whilst spontaneous meetings between students and CNTs occurred, students mostly met UNTs in seminars. Students meeting UNTs felt alone but did appreciate having someone outside the clinical environment to provide support if they did not get along with their preceptor.

CONCLUSIONS: In the case of UNTs, it is important that they keep their knowledge of clinical issues updated and visit the clinical placement not only for seminars but also to give students emotional support. In the case of CNTs, it is important that they are members of the faculty at the university, take part in the planning of the clinical courses and are able to explain the learning goals to the students.

National Category
Nursing
Identifiers
urn:nbn:se:mdh:diva-27825 (URN)10.1016/j.nedt.2015.03.008 (DOI)000365372700025 ()25846197 (PubMedID)2-s2.0-84946490890 (Scopus ID)
Available from: 2015-04-15 Created: 2015-04-15 Last updated: 2017-12-04Bibliographically approved
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ORCID iD: ORCID iD iconorcid.org/0000-0002-9194-3244

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