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Sundler, Annelie JohanssonORCID iD iconorcid.org/0000-0002-9194-3244
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Publications (10 of 35) Show all publications
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
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. 20-24Article 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. © 2019 Elsevier Ltd

Place, publisher, year, edition, pages
Elsevier, 2019
Keywords
Clinical practice, Community health care, Graduate nursing education, Learning, Preceptorship, Primary health care, Specialist nurse education, Supervision, article, clinical education, community care, content analysis, controlled study, convenience sample, cross-sectional study, human, human experiment, nursing education, nursing student, outcome assessment, questionnaire, registered nurse, satisfaction, statistical analysis, Sweden, work experience
National Category
Learning Pedagogy Nursing
Research subject
Woman, Child and Family (WomFam)
Identifiers
urn:nbn:se:his:diva-16911 (URN)10.1016/j.nedt.2019.05.009 (DOI)000473377700004 ()31085423 (PubMedID)2-s2.0-85065447098 (Scopus ID)
Available from: 2019-05-23 Created: 2019-05-23 Last updated: 2019-11-13Bibliographically approved
Sundler, A. J., Wilhsson, M., Darcy, L. & Larsson, M. (2019). School nurses recognition of maltreatment of schoolchildren. In: : . Paper presented at School Nurses International Conference (SNI 2019), 22-26 July 2019, Stockholm, Sweden (pp. 26-26).
Open this publication in new window or tab >>School nurses recognition of maltreatment of schoolchildren
2019 (English)Conference paper, Poster (with or without abstract) (Other academic)
Abstract [en]

Background

Human rights incorporate children and maltreatment against children is a violation of children's fundamental human rights. The Children's Convention states that children should be protected from all forms of physical and mental violence, as well as neglect and sexual abuse. Long-term effects of child maltreatment influence children’s health and academic achievement. School nurses are responsible for the identification of school age children at risk of or subjected to maltreatment, thus enforcing children’s rights.

Aim

The aim was to explore school nurses experiences of recognizing maltreatment against children.

Method

A questionnaire survey with a descriptive design was conducted. A convenience sample of 233 school nurses attending the Swedish school nursing conference in 2018 answered the questionnaire. The questionnaire contained nine questions of child maltreatment, regarding domestic violence, sexual abuse and honor related violence.

Result

The vast majority of school nurses, 96%, reported experiences of child maltreatment within the family. Approximately half of them, 54 %, had experiences of honor related violence to the child and 57% had experiences of child sexual abuse. Experiences of a child admitting sexual abuse in the past year were less common, 14%, but only 8 % of the nurses had made a mandatory report regarding sexual abuse during that time. Overall, the number of nurses mandatorily reporting child maltreatment is less than the number suspecting the same. 

Conclusion

The findings indicate that experiences of child maltreatment among school nurses are common. However, not all suspected cases, particularly in relation to child sexual abuse, were reported. More research is needed to further explore mandatory reporting and why all suspected cases are not reported.

National Category
Nursing
Research subject
Woman, Child and Family (WomFam)
Identifiers
urn:nbn:se:his:diva-17562 (URN)
Conference
School Nurses International Conference (SNI 2019), 22-26 July 2019, Stockholm, Sweden
Available from: 2019-08-21 Created: 2019-08-21 Last updated: 2019-09-02Bibliographically approved
Sundler, A. J., Whilson, M., Darcy, L. & Larsson, M. (2019). Swedish School Nurses’ Experiences of Child Abuse. Journal of School Nursing
Open this publication in new window or tab >>Swedish School Nurses’ Experiences of Child Abuse
2019 (English)In: Journal of School Nursing, ISSN 1059-8405, E-ISSN 1546-8364Article in journal (Refereed) Epub ahead of print
Abstract [en]

Child abuse recognition and the protection of children is a global concern. In Sweden, the role of the school nurse (SN) is to promote schoolchildren’s health and development and to identify and prevent harm. The aim of this study was to describe Swedish SN experiences of suspecting, identifying, and reporting child abuse and to compare them with respect to (a) years of experience as SN, (b) age of SN, and (c) pupil population size. A descriptive design was used. Two-hundred and thirty-three SNs completed a survey detailing their experiences. Most SNs (96%) reported having suspected a child suffering from physical or psychological abuse. Approximately half of them reported occurrences of honor-related violence (54%) and of child sexual abuse (57%). SNs with less nursing experience reported significantly less recognition and reporting of child abuse. The findings indicate that experiences of child abuse are common. Thus, it is vital that SNs have the necessary competency and support to identify and report suspected child abuse. 

Place, publisher, year, edition, pages
Sage Publications, 2019
Keywords
abuse, child maltreatment, health promotion, honor-based violence, neglect, prevention, school nurse, sexual abuse, article, case report, child, child sexual abuse, clinical article, emotional abuse, female, human, male, physical abuse, population size, school health nursing
National Category
Nursing
Research subject
Woman, Child and Family (WomFam)
Identifiers
urn:nbn:se:his:diva-17517 (URN)10.1177/1059840519863843 (DOI)000478310500001 ()31311406 (PubMedID)2-s2.0-85069878938 (Scopus ID)
Available from: 2019-08-12 Created: 2019-08-12 Last updated: 2019-11-11Bibliographically approved
Thorstensson, S., Blomgren, C., Sundler, A. J. & Larsson, M. (2018). To break the weight gain: A qualitative study on the experience of school nurses working with overweight children in elementary school. Journal of Clinical Nursing, 27(1-2), e251-e258
Open this publication in new window or tab >>To break the weight gain: A qualitative study on the experience of school nurses working with overweight children in elementary school
2018 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 27, no 1-2, p. e251-e258Article in journal (Refereed) Published
Abstract [en]

Aims and objectives: To describe the experiences of school nurses working with overweight schoolchildren. 

Background: School nurses play an important role in health promotion of overweight children. Lifestyle changes and interventions to address being overweight can improve health outcomes and decrease the risk for future health problems. 

Design: A descriptive and qualitative design with a phenomenological approach was used. Data were gathered through interviews with school nurses working with overweight schoolchildren in Swedish elementary school; the data were subsequently analysed for meanings. 

Results:Working with overweight children was perceived as demanding and challenging by the school nurses who found conversations on this topic emotionally loaded and complex. In addition, the school nurses needed to be sensitive and supportive to succeed in their support for a healthier everyday life for the schoolchildren. It was stated as important to find ways to break the child ’s weight gain and to cooperate with the parents in this work. The children ’s decrease in weight was experienced to be more successful when making small, step-by-step changes together with the child and his or her parents.

Conclusions: This study concludes that health talks about being overweight may be a challenge for school nurses. Strategies used to manage and succeed in this work included engaging in motivational conversations, working step by step and cooperating with the child’s parents. Furthermore, the nurses experienced that they needed to provide emotional support for overweight children during school time. 

Relevance to clinical practice: The school nurses’ health promotion needs to focus on how to break weight gain in overweight children. In this work, the nurses’ sensitiveness seems pivotal. Further research is needed on school nurses’ work with health promotion and support of overweight children concerning how to perform efficient communication and cooperation with the children and their parents.

Place, publisher, year, edition, pages
Wiley-Blackwell Publishing Inc., 2018
Keywords
children, health promotion, nursing, obesity, pupils, qualitative
National Category
Nursing
Research subject
Woman, Child and Family (WomFam)
Identifiers
urn:nbn:se:his:diva-14559 (URN)10.1111/jocn.13924 (DOI)000418871000051 ()28618072 (PubMedID)2-s2.0-85034256950 (Scopus ID)
Available from: 2017-12-06 Created: 2017-12-06 Last updated: 2019-02-28Bibliographically approved
Björk, M., Sundler, A. J., Hallström, I. & Hammarlund, K. (2016). Like being covered in a wet and dark blanket: Parents' lived experiences of losing a child to cancer. European Journal of Oncology Nursing, 25, 40-45
Open this publication in new window or tab >>Like being covered in a wet and dark blanket: Parents' lived experiences of losing a child to cancer
2016 (English)In: European Journal of Oncology Nursing, ISSN 1462-3889, E-ISSN 1532-2122, Vol. 25, p. 40-45Article in journal (Refereed) Published
Abstract [en]

Purpose: The aim of this study was to illuminate parents' lived experiences of losing a child to cancer. Method: Interviews and a narrative about parents' experiences of losing a child to cancer were gathered from six parents of children whom had participated in a longitudinal study across the child's illness trajectory. The analysis of the data was inspired by van Manen's hermeneutic phenomenological approach. Results: One essential theme emerged: Like being covered in a wet and dark blanket, as well as six related themes: Feeling conflicting emotions, Preparing for the moment of death, Continuing parenting after death, Recollecting and sharing memories, Working through the sorrow and New perspectives in life. Conclusion: There is a need for good palliative care. If not, there is a risk that the parent will perseverate and blame themselves for not being a good parent during the suffering child's last time in life. Meetings with the parents six months and two years after the child's death might facilitate healing through the grief process. 

Place, publisher, year, edition, pages
Elsevier, 2016
Keywords
Parents, Paediatric cancer, Palliative care, Death, Lived experience, Nursing
National Category
Nursing
Research subject
Woman, Child and Family (WomFam)
Identifiers
urn:nbn:se:his:diva-13269 (URN)10.1016/j.ejon.2016.08.007 (DOI)000389172500006 ()27865251 (PubMedID)2-s2.0-84988644276 (Scopus ID)
Available from: 2016-12-29 Created: 2016-12-29 Last updated: 2019-11-25Bibliographically 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
Place, publisher, year, edition, pages
John Wiley & Sons, 2016
Keywords
clinicalgroup supervision, newly graduated nurses, occupational stress, workplace
National Category
Nursing
Research subject
Medical sciences
Identifiers
urn:nbn:se:his:diva-10758 (URN)10.1111/jonm.12274 (DOI)000368263600021 ()25421164 (PubMedID)2-s2.0-84956505898 (Scopus ID)
Available from: 2015-03-18 Created: 2015-03-18 Last updated: 2017-12-04Bibliographically approved
Hafskjold, L., Sundler, A. J., 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. © 2015, BMJ Publishing Group. All rights reserved

Place, publisher, year, edition, pages
BMJ Publishing Group, 2015
National Category
Nursing
Identifiers
urn:nbn:se:his:diva-10839 (URN)10.1136/bmjopen-2015-007864 (DOI)000354705000127 ()25877282 (PubMedID)2-s2.0-84929157536 (Scopus ID)
Available from: 2015-04-15 Created: 2015-04-15 Last updated: 2017-12-04Bibliographically approved
Larsson, M., Sundler, A. J., Ekebergh, M. & Björk, 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]

Background

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.

Objectives

The aim of this study was to illuminate parents’ experiences of supporting the health and well-being of their adolescent girls.

Methods

A descriptive design with a phenomenological approach including interviews, individually or in group with ten mothers and five fathers was conducted.

Results

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.

Conclusions

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.

Place, publisher, year, edition, pages
Springer, 2015
National Category
Nursing
Research subject
Health and Caring Sciences, Nursing; Woman, Child and Family (WomFam)
Identifiers
urn:nbn:se:his:diva-10340 (URN)10.1007/s10566-014-9287-5 (DOI)000352791800006 ()2-s2.0-84939981631 (Scopus ID)
Available from: 2014-11-25 Created: 2014-12-04 Last updated: 2019-09-25Bibliographically approved
Svanström, R. & Sundler, A. J. (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
Research subject
Medical sciences
Identifiers
urn:nbn:se:his:diva-8615 (URN)10.1177/1471301213494510 (DOI)000351709500001 ()24339094 (PubMedID)2-s2.0-84925234307 (Scopus ID)
Available from: 2013-11-04 Created: 2013-11-04 Last updated: 2019-02-19Bibliographically approved
Gustafsson, M., Kullén Engström, A., Ohlsson, U., Sundler, A. J. & Bisholt, B. (2015). Nurse teacher models in clinical education from the perspective of student nurses: A mixed method study. Nurse Education Today, 35(12), 1289-1294
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. 1289-1294Article 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.

Place, publisher, year, edition, pages
Elsevier, 2015
Keywords
Clinical education, Mixed methods, Nurse teacher, Nursing education, Student nurse, Triangulation
National Category
Nursing
Research subject
Medical sciences
Identifiers
urn:nbn:se:his:diva-10835 (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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