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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
Eriksson, I., Ek, K., Jansson, S., Sjöström, U. & Larsson, M. (2019). To feel emotional concern: A qualitative interview study to explore telephone nurses’ experiences of difficult calls. Nursing Open, 6(3), 842-848
Open this publication in new window or tab >>To feel emotional concern: A qualitative interview study to explore telephone nurses’ experiences of difficult calls
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2019 (English)In: Nursing Open, E-ISSN 2054-1058, Vol. 6, no 3, p. 842-848Article in journal (Refereed) Published
Abstract [en]

Aim: To describe telenurses’ experiences of difficult calls.

Design: A qualitative approach with a descriptive design was used to gain a deeper understanding of the telenurses’ experiences.

Methods: The data were collected in spring 2017 through semi-structured interviews with 19 telenurses at call centres and primary healthcare centres and were analysed with qualitative content analysis.

Results: Becoming emotionally concerned is central to the telenurse’s experiences of difficult calls. Difficult calls are accompanied by feelings such as inadequacy, uncertainty and anxiety, which can be described as emotional tension. Emotional tension refers to situations when the caller’s expressed emotions were conveyed to the telenurses and altered their state of mind. The telenurses stated that difficult calls that cause them to become anxious remain in their thoughts and go through their minds repeatedly, making a deep impression.

Place, publisher, year, edition, pages
Wiley-Blackwell, 2019
Keywords
call centre, communication, content analysis, primary health care, qualitative method, telephone advice, telephone nursing
National Category
Nursing
Research subject
Woman, Child and Family (WomFam); Wellbeing in long-term health problems (WeLHP)
Identifiers
urn:nbn:se:his:diva-17507 (URN)10.1002/nop2.264 (DOI)000476917700021 ()31367407 (PubMedID)2-s2.0-85069794188 (Scopus ID)
Available from: 2019-08-09 Created: 2019-08-09 Last updated: 2019-11-11Bibliographically approved
Thorstensson, S., Egnell, M. & Larsson, M. (2018). School nurses’ perceptions of using the physical environment of their office to support wellbeing. British Journal of School Nursing, 13(3), 128-135
Open this publication in new window or tab >>School nurses’ perceptions of using the physical environment of their office to support wellbeing
2018 (English)In: British Journal of School Nursing, ISSN 1752-2803, E-ISSN 2052-2827, Vol. 13, no 3, p. 128-135Article in journal (Refereed) Published
Abstract [en]

Background: The physical environment has an impact on wellbeing. School nurses can use this to promote students’ health. Aim: The aim of this study is to elucidate school nurses’ perceptions of using the physical environment at their office, as a tool in nursing. Method: A qualitative interview study was conducted with five Swedish school nurses, using semi-structured questions. Data were analysed using qualitative content analysis. Results: Three categories (offering a health environment for wellbeing, being present in the environment for the children and using the environment for health education) and six subcategories emerged during analysis. Conclusions: School nurses made their office a place for wellbeing by using it for health information, as a sanctuary and as an environment that supports children’s need for integrity. How the school nurses used their environment depended on their personality. Obstacles included people in the school who had little knowledge of what school nurses’ work consists of and also the difficulty of appearing available to the children.

Keywords
Health promotion, Caring, Children, School Health Service, Qualitative
National Category
Nursing
Research subject
Woman, Child and Family (WomFam)
Identifiers
urn:nbn:se:his:diva-16189 (URN)10.12968/bjsn.2018.13.3.128 (DOI)
Available from: 2018-09-12 Created: 2018-09-12 Last updated: 2018-10-23Bibliographically 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
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
Larsson, M., Björk, M., Ekebergh, M. & Johansson Sundler, A. (2014). Striving to Make a Positive Difference: School Nurses’ Experiences of Promoting the Health and Well-Being of Adolescent Girls. Journal of School Nursing, 30(5), 358-365
Open this publication in new window or tab >>Striving to Make a Positive Difference: School Nurses’ Experiences of Promoting the Health and Well-Being of Adolescent Girls
2014 (English)In: Journal of School Nursing, ISSN 1059-8405, E-ISSN 1546-8364, Vol. 30, no 5, p. 358-365Article in journal (Refereed) Published
Abstract [en]

In Sweden, school nurses are part of the School Health Service with the main objective of health promotion to support students’ health and attainment of educational goals. The aim in this phenomenological study was to illuminate the experiences of school nurses in promoting the health and well-being of adolescent girls. Seventeen school nurses were interviewed, both in groups and individually, to facilitate personal disclosure and expressions from their lived experiences. To achieve their goal of improving the health of adolescent girls, school nurses require flexibility in their approach and in endeavoring to make a positive difference they experience many challenges. This study concluded that school nurses can tactfully provide adolescent girls with knowledge and health guidance adjusted to individual needs and empowering the individual girl to participate in her own health process.

Place, publisher, year, edition, pages
Sage Publications, 2014
Keywords
teenage, youth, child, female, women, well-being, nursing
National Category
Health Sciences Nursing
Research subject
Medical sciences; Woman, Child and Family (WomFam)
Identifiers
urn:nbn:se:his:diva-8608 (URN)10.1177/1059840513505223 (DOI)000342234900008 ()24051582 (PubMedID)2-s2.0-84907140998 (Scopus ID)
Available from: 2013-10-31 Created: 2013-10-31 Last updated: 2019-09-13Bibliographically approved
Larsson, M. (2014). Tonårsflickors hälsa: att stödja och stärka. (Doctoral dissertation). Växjö, Kalmar: Linnaeus University Press
Open this publication in new window or tab >>Tonårsflickors hälsa: att stödja och stärka
2014 (Swedish)Doctoral thesis, comprehensive summary (Other academic)
Place, publisher, year, edition, pages
Växjö, Kalmar: Linnaeus University Press, 2014. p. 61
Series
Linnaeus University dissertations ; 177
National Category
Nursing
Research subject
Health and Caring Sciences, Nursing; Woman, Child and Family (WomFam)
Identifiers
urn:nbn:se:his:diva-10343 (URN)9789187427923 (ISBN)
Public defence
2014-06-10, Wicksell, Hus K, Växjö, 10:30 (Swedish)
Opponent
Supervisors
Available from: 2014-12-10 Created: 2014-12-04 Last updated: 2019-08-28Bibliographically approved
Larsson, M., Johansson Sundler, A. & Ekebergh, M. (2013). Beyond Self-Rated Health: The Adolescent Girl's Lived Experience of Health in Sweden. Journal of School Nursing, 29(1), 71-79
Open this publication in new window or tab >>Beyond Self-Rated Health: The Adolescent Girl's Lived Experience of Health in Sweden
2013 (English)In: Journal of School Nursing, ISSN 1059-8405, E-ISSN 1546-8364, Vol. 29, no 1, p. 71-79Article in journal (Refereed) Published
Abstract [en]

The aim of this phenomenological study was to describe the phenomenon of health as experienced by adolescent girls in Sweden. Fifteen adolescent girls were interviewed with a focus on what made them feel well in their everyday life. This study reveals that the adolescent girl’s health is a complex phenomenon interwoven with their lives. Health arises in meaningful contexts, in an adolescent girl’s relations to others as well as in her ability to manage her life. Health is shaped in their everyday life and can be understood as a mood of “being” well that involves actions and practices. The results show that it is important to meet these girls from an open approach in order to support and strengthen their health and well-being. The health of adolescent girls can be supported, and it is a challenge for professionals, particularly school nurses, who meet these girls in everydag life to improve their health.

Place, publisher, year, edition, pages
Sage Publications, 2013
Keywords
qualitative research, parent/family, high school, community, health/wellness, elementary
National Category
Health Sciences
Research subject
Medical sciences
Identifiers
urn:nbn:se:his:diva-6454 (URN)10.1177/1059840512446151 (DOI)000313823500008 ()22550164 (PubMedID)2-s2.0-84872559360 (Scopus ID)
Note

Online first version: jsn.sagepub.com/content/early/2012/04/30/1059840512446151

Available from: 2012-10-05 Created: 2012-10-05 Last updated: 2017-12-07Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-7368-953X

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