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  • 1.
    Berglund, Mia
    et al.
    Högskolan i Skövde, Institutionen för vård och natur.
    Westin, Lars
    Högskolan i Skövde, Institutionen för vård och natur.
    Svanström, Rune
    Högskolan i Skövde, Institutionen för vård och natur.
    Johansson Sundler, Annelie
    Högskolan i Skövde, Institutionen för vård och natur.
    Suffering caused by care - Patients' experiences from hospital settings2012Ingår i: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 7, artikel-id 18688Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Suffering and well-being are significant aspects of human existence; in particular, suffering and well-being are important aspects of patients’ experiences following diseases. Increased knowledge about existential dimensions of illness and healthcare experiences may be needed in order to improve care and reduce unnecessary suffering. Therefore, the aim of this paper is to illuminate the phenomenon of suffering experienced in relation to healthcare needs among patients in hospital settings in Sweden. In this study, we used a reflective lifeworld approach. The data were analysed with a focus on meanings. The results describe the essential meaning of the phenomenon of suffering in relation to healthcare needs. The patients were suffering during care-giving when they felt distrusted or mistreated and when their perspective on illness and health was overlooked. Suffering was found to arise due to healthcare actions that neglected a holistic and patient-centred approach to care. Unfortunately, healthcare experiences that cause patients to suffer seem to be something one needs to endure without being critical. The phenomenon can be described as having four constituents: to be mistreated; to struggle for one’s healthcare needs and autonomy; to feel powerless; and to feel fragmented and objectified. The study concludes that there are problems associated with patients experiencing suffering at the hands of healthcare providers, even if this suffering may not have been caused deliberately to the patient. Consequently, conscious improvements are needed to lessen the suffering caused by care-giving, as are strategies that promote more patient-centred care and patient participation.

  • 2.
    Bisholt, Birgitta
    et al.
    Department of Health Sciences, Karlstad University, Sweden.
    Ohlsson, Ulla
    School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Kullén Engström, Agneta
    School of Health, University of Borås, Borås, Sweden.
    Johansson Sundler, Annelie
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande.
    Gustafsson, Margareta
    School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Nursing students' assessment of the learning environment in different clinical settings2014Ingår i: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 14, nr 3, s. 304-310Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Introduction: Nursing students perform their clinical practice in different types of clinical settings. The clinical learning environment is important for students to be able to achieve desired learning outcomes. Knowledge is lacking about the learning environment in different clinical settings. Aim: The aim was to compare the learning environment in different clinical settings from the perspective of the nursing students. Design: A cross-sectional study with comparative design was conducted. Method: Data was collected from 185 nursing students at three universities by means of a questionnaire involving the Clinical Learning Environment, Supervision and Nurse Teacher (CLES + T) evaluation scale. An open-ended question was added in order to ascertain reasons for dissatisfaction with the clinical placement. Results: The nursing students' satisfaction with the placement did not differ between clinical settings. However, those with clinical placement in hospital departments agreed more strongly that sufficient meaningful learning situations occurred and that learning situations were multi-dimensional. Some students reported that the character of the clinical setting made it difficult to achieve the learning objectives. Conclusion: In the planning of the clinical placement, attention must be paid to whether the setting offers the student a meaningful learning situation where the appropriate learning outcome may be achieved. © 2013 Elsevier Ltd. All rights reserved.

  • 3.
    Björk, Maria
    et al.
    Högskolan i Skövde, Institutionen för vård och natur.
    Johansson Sundler, Annelie
    Högskolan i Skövde, Institutionen för vård och natur.
    Hammarlund, Kina
    Högskolan i Skövde, Institutionen för vård och natur.
    Hallström, Inger
    Lund University, Department of Health Sciences, Lund, Sweden.
    Living an everyday life shaded with traces from the cancer trajectory – families' lived experiences in a six year follow up2012Ingår i: Pediatric Blood & Cancer, ISSN 1545-5009, E-ISSN 1545-5017, Vol. 59, nr 6, s. 1130-1130Artikel i tidskrift (Refereegranskat)
  • 4.
    Björk, Maria
    et al.
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande. CHILD Research Group, Department of Nursing Science, School of Health Sciences, Jönköping University, Jönköping, Sweden.
    Sundler, Annelie J.
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande. Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Borås, Sweden.
    Hallström, Inger
    Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden.
    Hammarlund, Kina
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande.
    Like being covered in a wet and dark blanket: Parents' lived experiences of losing a child to cancer2016Ingår i: European Journal of Oncology Nursing, ISSN 1462-3889, E-ISSN 1532-2122, Vol. 25, s. 40-45Artikel i tidskrift (Refereegranskat)
    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. 

  • 5.
    Blom, Helen
    et al.
    Department of Intensive Care Unit, Skaraborg Hospital, Skövde, Sweden.
    Gustavsson, Christina
    Department of Intensive Care Unit, Skaraborg Hospital, Skövde, Sweden.
    Johansson Sundler, Annelie
    Högskolan i Skövde, Institutionen för vård och natur.
    Participation and support in intensive care as experienced by close relatives of patients: A phenomenological study2013Ingår i: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 29, nr 1, s. 1-8Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim: The aim of this study was to explore participation and support as experienced by close relatives of patients at an intensive care unit (ICU).

    Method: This study used the phenomenological approach as developed by Dahlberg et al. (2008) as a method for reflective lifeworld research. Seven close relatives of critically ill patients cared for at an ICU were interviewed. The data were analysed with a focus on meanings.

    Results: Being allowed to participate in the care of critically ill patients at an ICU is impor-tant for close relatives to the patients. Their experiences can be described as having four constituents: participation in the care of and being close to the patient; confidence in the care the patient receives; support needed for involvement in caregiving; and vulnerability.

    Conclusion: Participation with and support from health-care professionals are important for the relatives’ well-being and their ability to contribute to the patients’ care. Health-care profes-sionals, especially critical care nurses, need to create an atmosphere that invites relatives to participate in the care provided at an ICU.

  • 6.
    Blomberg, Karin
    et al.
    School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Bisholt, Birgitta
    Department of Nursing, Karlstad University, Karlstad, Sweden.
    Kullén Engström, Agneta
    School of Health, University of Borås, Borås, Sweden.
    Ohlsson, Ulla
    School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Johansson Sundler, Annelie
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande.
    Gustafsson, Margareta
    School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Swedish nursing students' experience of stress during clinical practice in relation to clinical setting characteristics and the organisation of the clinical education2014Ingår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 23, nr 15-16, s. 2264-2271Artikel i tidskrift (Refereegranskat)
  • 7.
    Blomberg, Karin
    et al.
    School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Isaksson, Ann-Kristin
    School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Allvin, Renée
    School of Health and Medical Sciences, Örebro University, Örebro, Sweden / Clinical Skills Centre, Örebro University Hospital, Örebro, Sweden.
    Bisholt, Birgitta
    Department of Nursing, Karlstad University, Karlstad, Sweden.
    Ewertsson, Mona
    School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Kullén Engström, Agneta
    School of Health, University of Borås, Borås, Sweden.
    Ohlsson, Ulla
    School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Sundler, Annelie Johansson
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande.
    Gustafsson, Margareta
    School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Work stress among newly graduated nurses in relation to workplace and clinical group supervision2016Ingår i: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 24, nr 1, s. 80-87Artikel i tidskrift (Refereegranskat)
  • 8.
    Gustafsson, Margareta
    et al.
    School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Kullén Engström, Agneta
    School of Health, University of Borås, Sweden.
    Ohlsson, Ulla
    School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Sundler, Annelie Johansson
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande. School of Health, Care and Social Welfare, Mälardalens University, Västerås, Sweden.
    Bisholt, Birgitta
    Department of Nursing, Karlstad University, Karlstad, Sweden.
    Nurse teacher models in clinical education from the perspective of student nurses: A mixed method study2015Ingår i: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 35, nr 12, s. 1289-1294Artikel i tidskrift (Refereegranskat)
    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.

  • 9.
    Hafskjold, Linda
    et al.
    Faculty of Health Sciences, Buskerud and Vestfold University College, Drammen, Norway.
    Sundler, Annelie Johansson
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande. School of Health, Care and Social Welfare, Mälardalen University, Västerås, Sweden.
    Holmström, Inger K.
    School of Health, Care and Social Welfare, Mälardalen University, Västerås, Sweden / Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Sundling, Vibeke
    Faculty of Health Sciences, Buskerud and Vestfold University College, Drammen, Norway.
    van Dulmen, Sandra
    Faculty of Health Sciences, Buskerud and Vestfold University College, Drammen, Norway / NIVEL (Netherlands Institute for Health Services Research), Utrecht, The Netherlands / Department of Primary and Community Care, Radboud University Medical Center, Nijmegen, The Netherlands.
    Eide, Hilde
    Faculty of Health Sciences, Buskerud and Vestfold University College, Drammen, Norway.
    A cross-sectional study on person-centred communication in the care of older people: The COMHOME study protocol2015Ingår i: BMJ Open, ISSN 2044-6055, E-ISSN 2044-6055, Vol. 5, nr 4, artikel-id e007864Artikel i tidskrift (Refereegranskat)
    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

  • 10.
    Hammarlund, Kina
    et al.
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande.
    Andersson, Emilie
    Home healthcare, Falköping Municipality, Falköping, Sweden.
    Tenenbaum, Hanna
    Primary healthcare, Vara, Sweden.
    Sundler, Annelie Johansson
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande. Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Borås, Sweden.
    We are also interested in how fathers feel: a qualitative exploration of child health center nurses' recognition of postnatal depression in fathers2015Ingår i: BMC Pregnancy and Childbirth, ISSN 1471-2393, E-ISSN 1471-2393, Vol. 15, artikel-id 290Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: To become a parent is an emotionally life-changing experience. Paternal depression during the postnatal period has been associated with emotional and behavioral problems in children. The condition has predominantly been related to mothers, and the recognition of paternal postnatal depression (PND) has been paid less attention to. PND in fathers may be difficult to detect. However, nurses in pediatric services meet a lot of fathers and are in a position to detect a father who is suffering from PND. Therefore, the aim of this study was (a) to explore Child Health Center nurses' experiences of observing depression in fathers during the postnatal period; and (b) to explore hindrances of observing these fathers.

    METHODS: A qualitative descriptive study was conducted. Ten nurses were interviewed in 2014. A thematic data analysis was performed and data were analyzed for meaning.

    RESULTS: Paternal PND was experienced as being vague and difficult to detect. Experiences of fathers with such problems were limited, and it was hard to grasp the health status of the fathers, something which was further complicated when routines were lacking or when gender attitudes influenced the daily work of the nurses.

    CONCLUSION: This study contributes to an increased awareness of hindrances to the recognition of PND in fathers. The importance to detect all signals of paternal health status in fathers suffering from PND needs to be acknowledged. Overall, more attention needs to be paid to PND in fathers where a part of the solution for this is that they are screened just like the mothers.

  • 11.
    Henoch, Ingela
    et al.
    Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg.
    Browall, Maria
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande.
    Melin-Johansson, Christina
    Department of Health Sciences, Mid Sweden University, Östersund.
    Danielson, Ella
    Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg / Department of Health Sciences, Mid Sweden University, Östersund.
    Udo, Camilla
    Department of Health Sciences, Mid Sweden University, Östersund.
    Johansson Sundler, Annelie
    Högskolan i Skövde, Institutionen för hälsa och lärande.
    Björk, Maria
    Högskolan i Skövde, Institutionen för hälsa och lärande.
    Ek, Kristina
    Högskolan i Skövde, Institutionen för hälsa och lärande.
    Hammarlund, Kina
    Högskolan i Skövde, Institutionen för hälsa och lärande.
    Bergh, Ingrid
    Högskolan i Skövde, Institutionen för hälsa och lärande.
    Strang, Susann
    Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg / Angered Local Hospital, Gothenburg, Sweden.
    The Swedish version of the Frommelt attitude toward care of the dying scale: Aspects of validity and factors influencing nurses' and nursing students' attitudes2014Ingår i: Cancer Nursing, ISSN 0162-220X, E-ISSN 1538-9804, Vol. 37, nr 1, s. E1-E11Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: Nurses' attitudes toward caring for dying persons need to be explored. The Frommelt Attitude Toward Care of the Dying (FATCOD) scale has not previously been used in Swedish language. OBJECTIVES: The objectives of this study were to compare FATCOD scores among Swedish nurses and nursing students with those from other languages, to explore the existence of 2 subscales, and to evaluate influences of experiences on attitudes toward care of dying patients. METHODS: A descriptive, cross-sectional, and predictive design was used. The FATCOD scores of Swedish nurses from hospice, oncology, surgery clinics, and palliative home care and nursing students were compared with published scores from the United States, Israel, and Japan. Descriptive statistics, t tests, and factor and regression analyses were used. RESULTS: The sample consisted of 213 persons: 71 registered nurses, 42 enrolled nurses, and 100 nursing students. Swedish FATCOD mean scores did not differ from published means from the United States and Israel, but were significantly more positive than Japanese means. In line with Japanese studies, factor analyses yielded a 2-factor solution. Total FATCOD and subscales had low Cronbach α's. Hospice and palliative team nurses were more positive than oncology and surgery nurses to care for dying patients. CONCLUSIONS: Although our results suggest that the Swedish FATCOD may comprise 2 distinct scales, the total scale may be the most adequate and applicable for use in Sweden. Professional experience was associated with nurses' attitudes toward caring for dying patients. IMPLICATION FOR PRACTICE: Care culture might influence nurses' attitudes toward caring for dying patients; the benefits of education need to be explored.

  • 12.
    Johansson, Annelie
    et al.
    Department of Cardiology, KSS Skövde, Sweden / Växjö universitet, Fakulteten för humaniora och samhällsvetenskap, Institutionen för vårdvetenskap och socialt arbete.
    Dahlberg, Karin
    Växjö universitet, Fakulteten för humaniora och samhällsvetenskap, Institutionen för vårdvetenskap och socialt arbete.
    Ekebergh, Margaretha
    Växjö universitet, Fakulteten för humaniora och samhällsvetenskap, Institutionen för vårdvetenskap och socialt arbete.
    Living with experiences following a myocardial infarction2003Ingår i: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 2, nr 3, s. 229-236Artikel i tidskrift (Refereegranskat)
  • 13.
    Johansson Sundler, Annelie
    Högskolan i Skövde, Institutionen för vård och natur.
    Konsten att hitta balans i tillvaron: Kvinnors hjärtinfarkt - en osäker resa mot hälsa2009Ingår i: Omvårdaren, ISSN 0280-4123, nr 2, s. 24-29Artikel i tidskrift (Övrig (populärvetenskap, debatt, mm))
  • 14.
    Johansson Sundler, Annelie
    Högskolan i Skövde, Institutionen för vård och natur.
    Kvinnors hjärtinfarkt - en osäker resa mot hälsa2009Ingår i: Hälsan i centrum, ISSN 0348-5455, nr 2, s. 14-16Artikel i tidskrift (Övrig (populärvetenskap, debatt, mm))
  • 15.
    Johansson Sundler, Annelie
    Högskolan i Skövde, Institutionen för vård och natur.
    Mitt hjärta, mitt liv: Kvinnors osäkra resa mot hälsa efter en hjärtinfarkt2008Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
    Abstract [en]

    The thesis describes the phenomenon women’s health and illness experiences following a myocardial infarction (MI). The purpose of the thesis is to explore women’s experiences of their care and health processes, as well as their experiences of body, lifeworld and meaningful relationships related to the illness. A reflective lifeworld approach, based on phenomenological philosophy, is used. The thesis is comprised of four studies; three are based on interviews with a total of 26 women following an MI, followed by a fourth, theoretical, study.

    The first study explores women’s experiences of care and health processes following an MI, with a particular focus on well-being and participation (I). The findings show that an MI is an event that suddenly interrupts the ordinary life of the women. Participation is a sense of being involved in their own health and care processes, which may also encourage them to take responsibility for health promoting activities in a healthy and meaningful way.

    The second study explores women’s lifeworld experience of their bodies and lives following an MI (II). This study finds that an MI, as a major event in the women’s lives, influences and restricts their everyday activities over a long period of time. Following the illness, they live with an existential uncertainty about their life and the heart, and this feeling entails suffering for them.

    The third study explores the meaning of close relationships and sexuality to women’s health and well-being following an MI (III). The mmeaning of close relationships appears to be vitally intertwined with their long-term health process; both health processes and relationships are affected after an MI. The suffering following an MI can be compared to taking a fall, where meaningful close relationships can function as a safety net that catches the women in their fall.

    The fourth study is a concept development aimed at elucidating the meaning of the concepts uncertainty, control, secure and risk in relation to the thesis phenomenon and the findings of the empirical interview studies (IV). The existential uncertainty is an important matter in the women’s health processes. In these processes the concepts control, secure and risk play a central role. Women who have suffered an MI want to be as safe as possible in order to live well. The analysis illuminates a paradox, that the women’s ambition to achieve greater safety may lead them into an even greater experience of uncertainty.

    The conclusion is that women’s experiences of health and illness can be described as a journey characterized by existential uncertainty. The women’s lives go through different existential phases following an MI, which is a major event. They are not prepared for the reactions that this event causes and are in need of support and guidance to manage their illness experiences. If acknowledged and well met, the significance and meaning of the women’s reactions and experiences can give impetus and energy to their health processes.

  • 16.
    Johansson Sundler, Annelie
    Högskolan i Skövde, Institutionen för vård och natur.
    Omvårdnad vid hjärtsjukdom2010Ingår i: Specifik omvårdnad / [ed] B. Kamp Nielsen, Norstedts Förlag, 2010, s. 146-163Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 17.
    Johansson Sundler, Annelie
    et al.
    Högskolan i Skövde, Institutionen för vård och natur. Växjö universitet.
    Berglund, Mia
    Högskolan i Skövde, Institutionen för vård och natur. Växjö universitet.
    Summer Meranius, Martina
    Växjö universitet / Mälardalens högskola.
    Thurang, Anna
    eroendecentrum Stockholm / Växjö universitet.
    Rusner, Marie
    Södra Älvsborgs Sjukhus, Borås / Högskolan i Borås / Växjö universitet.
    Nilsson, Christina
    Sahlgrenska Universitetssjukhuset, Göteborg / Högskolan i Borås / Växjö universitet.
    Karlsson, Ann-Christin
    Blekinge tekniska högskola / Växjö universitet.
    Pettersson, Bengt-Olof
    Växjö universitet.
    Bremer, Anders
    Högskolan i Borås / Växjö universitet.
    Varför vårdvetenskap?2008Ingår i: Vårdvetenskapliga vägskäl / [ed] Maria Berglund, Annelie Johansson Sundler, Åsa Roxberg, Växjö: Växjö universitet , 2008, s. 49-59Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 18.
    Johansson Sundler, Annelie
    et al.
    Växjö universitet, Fakulteten för humaniora och samhällsvetenskap, Institutionen för vårdvetenskap och socialt arbete.
    Dahlberg, Karin
    Ekenstam, Claes
    Hjärtats osäkerhet: Begreppsutredning på livsvärldsteoretisk grundArtikel i tidskrift (Refereegranskat)
  • 19.
    Johansson Sundler, Annelie
    et al.
    Högskolan i Skövde, Institutionen för vård och natur.
    Dahlberg, Karin
    School of Health Sciences and Social Work, Växjö University, Växjö, Sweden.
    Ekenstam, Claes
    Växjö University, Sweden and University of Gothenburg, Sweden.
    The Meaning of Close Relationships and Sexuality: Women's Well-Being Following a Myocardial Infarction2009Ingår i: Qualitative Health Research, ISSN 1049-7323, E-ISSN 1552-7557, Vol. 19, nr 3, s. 375-387Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Relationships and sexuality following heart attack (MI) have been studied; nevertheless, little is known about the meaning of social support and relationships to health and well-being after an MI. To our knowledge, no qualitative studies have further investigated the phenomenon. In this study we explore the meaning of close relationships and sexuality to women's health and well-being following MI. Ten women were interviewed using a reflective lifeworld approach and phenomenological epistemology. The meaning of women's close relationships following an MI appears to be closely intertwined with their long-term health process; both health processes and the relationships are affected. Suffering after an MI can be compared to taking a fall in that close relationships can become a safety net. Close relationships and sexuality are integrated into their lived bodies, and in that way have profound influence in their lifeworld experiences. Not all close relationships are intimate; however, all close and meaningful relationships can provide power and strength to the women's health processes. At the same time, these relationships also appear to drain energy and cause suffering.

  • 20.
    Johansson Sundler, Annelie
    et al.
    Högskolan i Skövde, Institutionen för vård och natur. Mälardalen university, Sweden.
    Svanström, Rune
    Högskolan i Skövde, Institutionen för vård och natur.
    Hjärtats osäkerhet - en begreppsanalys2013Ingår i: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 33, nr 4, s. 42-47Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of this study was to elucidate the meaning and dimensions of the concepts uncertain, control, secure and risk. The results from the concept determination were discussed in relation to the phenomenon of women’s health and illness experiences following a myocardial infarction (MI). A method of concept determination was used. The findings disclose the complexity of the women’s existential uncertainty that was experienced by women following an MI. This uncertainty is an important matter in relation to the women’s health processes and to their well-being. In these processes the concepts control, secure and risk play a central role. Western culture of today seems to be characterized by a search for greater safety. Lifestyle disorders, such as an MI, seems to make people more aware of specific risk factors that may be avoided. Women who have suffered an MI want to be as safe as possible in order to not fall ill again, but live well. The women’s ambition to achieve greater safety may lead them to feel even greater uncertainty. It is a challenging act for healthcare professionals to balance their support, to give information and to care for patients with acute coronary syndromes.

  • 21.
    Larsson, Margaretha
    et al.
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande. Linnæus University, Växjö, Sweden.
    Björk, Maria
    Högskolan i Skövde, Institutionen för hälsa och lärande. CHILD Research Group, Department of Nursing Science, School of Health Sciences, Jönköping University, Jönköping, Sweden.
    Ekebergh, Margaretha
    Linnæus University, Växjö, Sweden.
    Johansson Sundler, Annelie
    Högskolan i Skövde, Institutionen för hälsa och lärande.
    Striving to Make a Positive Difference: School Nurses’ Experiences of Promoting the Health and Well-Being of Adolescent Girls2014Ingår i: Journal of School Nursing, ISSN 1059-8405, E-ISSN 1546-8364, Vol. 30, nr 5, s. 358-365Artikel i tidskrift (Refereegranskat)
    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.

  • 22.
    Larsson, Margaretha
    et al.
    Högskolan i Skövde, Institutionen för vård och natur. Linnæus University, Växjö, Sweden.
    Johansson Sundler, Annelie
    Högskolan i Skövde, Institutionen för vård och natur.
    Ekebergh, Margaretha
    Linnæus University, Växjö, Sweden.
    Beyond Self-Rated Health: The Adolescent Girl's Lived Experience of Health in Sweden2013Ingår i: Journal of School Nursing, ISSN 1059-8405, E-ISSN 1546-8364, Vol. 29, nr 1, s. 71-79Artikel i tidskrift (Refereegranskat)
    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.

  • 23.
    Larsson, Margaretha
    et al.
    Högskolan i Skövde, Institutionen för vård och natur.
    Johansson Sundler, Annelie
    Högskolan i Skövde, Institutionen för vård och natur.
    Ekebergh, Margaretha
    Linnæus University.
    The influence of living conditions on adolescent girls' health2012Ingår i: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 7, s. 19059-Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Adolescence is described by the Swedish National Board of Health and Welfare as the healthiest period in life. However, adolescent girls differ in that they self-report that their health decreases with age. The aim of this hermeneutical study was to describe the meaning of living conditions in relation to adolescent girls' health. Guided by principles of reflective lifeworld research, 15 interviews with adolescent girls were analysed. The result section consists of four narratives with their existential interpretations illustrating different ways of approaching living conditions and their meaning for health and wellbeing. The narratives are: Approaching everyday life in a balanced way-feeling harmonious; approaching everyday life with ambiguity-feeling confused; approaching everyday life as an intellectual project-striving for control; approaching everyday life as a struggle-feeling forlorn. In addition, a comprehensive understanding was developed by using the lifeworld dimensions: lived body, lived room, lived time, and lived relations. These dimensions may deepen the understanding of important parts of those living conditions which are meaningful for the girls' health and well-being. By using the dimensions, complex living conditions have been explored and the meaning of different parts clarified. The girls' thoughts and feelings are often ambiguous and sometimes contradictory, depending on the situation. The health of adolescent girls needs to be understood against the background of their experiences of living conditions. One way to support their health and well-being seems to be to supply them with forums where they can talk about their living conditions.

  • 24.
    Larsson, Margaretha
    et al.
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande. Faculty of Health and Life Sciences, Linnaeus University of Växjö, Växjö, Sweden.
    Sundler, Annelie Johansson
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande. School of Health, Care and Social Welfare, Mälardalens University, Västerås, Sweden.
    Ekebergh, Margaretha
    Faculty of Health and Life Sciences, Linnaeus University of Växjö, Växjö, Sweden.
    Björk, Maria
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande. The Research Group CHILD, Jönköping University, Jönköping, Sweden.
    Altering the Parenting Role: Parents' Experience of Supporting the Health and Well-Being of Their Adolescent Girls2015Ingår i: Child and Youth Care Forum, ISSN 1053-1890, E-ISSN 1573-3319, Vol. 44, nr 3, s. 419-432Artikel i tidskrift (Refereegranskat)
    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.

  • 25.
    Peilot, Birgitta
    et al.
    Sahlgrenska Academy at the University of Gothenburg, Sahlgrenska University Hospital, Gothenburg, Sweden.
    Andréll, Paulin
    Sahlgrenska Academy at the University of Gothenburg, Sahlgrenska University Hospital, Gothenburg, Sweden.
    Samuelsson, Anita
    Health Centre, Landvetter, Sweden.
    Mannheimer, Clas
    Sahlgrenska Academy at the University of Gothenburg, Sahlgrenska University Hospital, Gothenburg, Sweden.
    Frodi, Ann
    University of Wisconsin, Iowa, Michigan, Rochester, NY, USA.
    Sundler, Annelie J.
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande. School of Health, Care and Social Welfare, Mälardalen University, Eskilstuna, Sweden.
    Time to gain trust and change: - experiences of attachment and mindfulness-based cognitive therapy among patients with chronic pain and psychiatric co-morbidity2014Ingår i: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 9, artikel-id 24420Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The treatment of patients with chronic pain disorders is complex. In the rehabilitation of these patients, coping with chronic pain is seen as important. The aim of this study was to explore the meaning of attachment and mindfulness-based cognitive therapy (CT) among patients with chronic pain and psychiatric co-morbidity. A phenomenological approach within a lifeworld perspective was used. In total, 10 patients were interviewed after completion of 7- to 13-month therapy. The findings reveal that the therapy and the process of interaction with the therapist were meaningful for the patients’ well-being and for a better management of pain. During the therapy, the patients were able to initiate a movement of change. Thus, CT with focus on attachment and mindfulness seems to be of value for these patients. The therapy used in this study was adjusted to the patients’ special needs, and a trained psychotherapist with a special knowledge of patients with chronic pain might be required.

  • 26.
    Sundler, Annelie Johansson
    et al.
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande.
    Björk, Maria
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande.
    Bisholt, Birgitta
    Department of Health Sciences, Karlstad University, Karlstad, Sweden.
    Ohlsson, Ulla
    School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Kullén Engström, Agneta
    School of Health, University of Borås, Borås, Sweden.
    Gustafsson, Margareta
    School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Student nurses' experiences of the clinical learning environment in relation to the organization of supervision: A questionnaire survey2014Ingår i: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 34, nr 4, s. 661-666Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim: The aim was to investigate student nurses' experiences of the clinical learning environment in relation to how the supervision was organized. Background: The clinical environment plays an essential part in student nurses' learning. Even though different models for supervision have been previously set forth, it has been stressed that there is a need both of further empirical studies on the role of preceptorship in undergraduate nursing education and of studies comparing different models. Method: A cross-sectional study with comparative design was carried out with a mixed method approach. Data were collected from student nurses in the final term of the nursing programme at three universities in Sweden by means of a questionnaire. Results: In general the students had positive experiences of the clinical learning environment with respect to pedagogical atmosphere, leadership style of the ward manager, premises of nursing, supervisory relationship, and role of the nurse preceptor and nurse teacher. However, there were significant differences in their ratings of the supervisory relationship (p < 0.001) and the pedagogical atmosphere (p 0.025) depending on how the supervision was organized. Students who had the same preceptor all the time were more satisfied with the supervisory relationship than were those who had different preceptors each day. Students' comments on the supervision confirmed the significance of the preceptor and the supervisory relationship. Conclusion: The organization of the supervision was of significance with regard to the pedagogical atmosphere and the students' relation to preceptors. Students with the same preceptor throughout were more positive concerning the supervisory relationship and the pedagogical atmosphere.

  • 27.
    Sundler, Annelie Johansson
    et al.
    Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Sweden.
    Blomberg, Karin
    Faculty of Medicine and Health, School of Health Sciences, Örebro University, Sweden.
    Bisholt, Birgitta
    Faculty of Health, Science and Technology, Department of Health Sciences, Karlstad University, Sweden.
    Eklund, Anna
    Faculty of Health, Science and Technology, Department of Health Sciences, Karlstad University, Sweden.
    Windahl, Jenny
    Faculty of Medicine and Health, School of Health Sciences, Örebro University, Sweden.
    Larsson, Margaretha
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande.
    Experiences of supervision during clinical education among specialised nursing students in Sweden: A cross-sectional study2019Ingår i: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 79, s. 20-24Artikel i tidskrift (Refereegranskat)
    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

  • 28.
    Sundler, Annelie Johansson
    et al.
    Högskolan i Skövde, Institutionen för vård och natur.
    Hallström, Inger
    Lund University, Lund, Sweden.
    Hammarlund, Kina
    Högskolan i Skövde, Institutionen för vård och natur.
    Björk, Maria
    Högskolan i Skövde, Institutionen för vård och natur.
    Living an Everyday Life Through a Child's Cancer Trajectory: Families' Lived Experiences 7 Years After Diagnosis2013Ingår i: Journal of Pediatric Oncology Nursing, ISSN 1043-4542, E-ISSN 1532-8457, Vol. 30, nr 6, s. 293-300Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of this study was to illuminate the lived experiences of families where a child had survived 7 years from a diagnosis of childhood cancer. This article describes one part of an inductive and longitudinal research project that included 17 families. Four families whose child was diagnosed with cancer 7 years previously were interviewed using a hermeneutical phenomenological approach. The families lived experience was described in one essential theme, "Living an everyday life through the child's cancer trajectory," further illuminated in 3 related themes: "Leaving the disease behind yet feeling its presence," "Being the same yet always different," and "Feeling stronger yet vulnerable." The results suggest that family members feel vulnerable even if a long period of time has passed since completion of treatment. To varied degrees they still may need support. When moving forward in life, the family members are helped if they can reconcile their memories and experiences derived from the childhood cancer trajectory. © 2013 by Association of Pediatric Hematology/Oncology Nurses.

  • 29.
    Sundler, Annelie Johansson
    et al.
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande. School of Health, Care and Social Welfare, Mälardalens University, Västerås, Sweden.
    Pettersson, Annika
    Department of Radiology, Skaraborg Hospital, Skövde, Sweden.
    Berglund, Mia
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande.
    Undergraduate nursing students' experiences when examining nursing skills in clinical simulation laboratories with high-fidelity patient simulators: A phenomenological research study2015Ingår i: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 35, nr 12, s. 1257-1261Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Simulation has become a widely used and established pedagogy for teaching clinical nursing skills. Nevertheless, the evidence in favour of this pedagogical approach is weak, and more knowledge is needed in support of its use. The aim of this study was (a) to explore the experiences of undergraduate nursing students when examining knowledge, skills and competences in clinical simulation laboratories with high-fidelity patient simulators and (b) to analyse these students' learning experiences during the examination. A phenomenological approach was used, and qualitative interviews were conducted among 23 second-year undergraduate nursing students-17 women and 6 men. The findings revealed that, irrespective of whether they passed or failed the examination, it was experienced as a valuable assessment of the students' knowledge and skills. Even if the students felt that the examination was challenging, they described it as a learning opportunity. In the examination, the students were able to integrate theory with practice, and earlier established knowledge was scrutinised when reflecting on the scenarios. The examination added aspects to the students' learning that prepared them for the real world of nursing in a safe environment without risking patient safety. The study findings suggest that examinations in clinical simulation laboratories can be a useful teaching strategy in nursing education. The use of high-fidelity patient simulators made the examination authentic. The reflections and feedback on the scenario were described as significant for the students' learning. Undergraduate nursing students can improve their knowledge, understanding, competence and skills when such examinations are performed in the manner used in this study.

  • 30.
    Sundler, Annelie Johansson
    et al.
    Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Sweden.
    Whilson, Marie
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande.
    Darcy, Laura
    Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Sweden.
    Larsson, Margaretha
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande.
    Swedish School Nurses’ Experiences of Child Abuse2019Ingår i: Journal of School Nursing, ISSN 1059-8405, E-ISSN 1546-8364Artikel i tidskrift (Refereegranskat)
    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. 

  • 31.
    Sundler, Annelie Johansson
    et al.
    University of Borås.
    Wilhsson, Marie
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande.
    Darcy, Laura
    University of Borås.
    Larsson, Margaretha
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande.
    School nurses recognition of maltreatment of schoolchildren2019Konferensbidrag (Övrigt vetenskapligt)
    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.

  • 32.
    Svanström, Rune
    et al.
    Högskolan i Skövde, Institutionen för vård och natur.
    Johansson Sundler, Annelie
    Högskolan i Skövde, Institutionen för vård och natur. School of Health, Care and Social Welfare, Mälardalen University, Eskilstuna, Sweden.
    Berglund, Mia
    Högskolan i Skövde, Institutionen för vård och natur.
    Westin, Lars
    Högskolan i Skövde, Institutionen för vård och natur.
    Suffering caused by care - elderly patients’ experiences in community care2013Ingår i: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 8, nr 1, artikel-id 20603Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Growing old involves many changes in life and implies an increased risks of illness and different forms of disabilities. Life may change in a radical way when a person gets a disease like dementia or moves to a nursing home due to disabilities or needs. In both cases, it often leads to an increased dependency on care where the patient becomes exposed and vulnerable and thereby at a higher risk for experiencing different forms of suffering.

    Aim: The aim of this study was to elucidate and gain a deeper understanding of elderly patients’ experiences of suffering in relation to community care in nursing homes and home care services.

    Materials and methods: A lifeworld hermeneutical approach was used. Phenomenological interviews and conversations with an open approach were conducted and analysed with a focus on meanings.

    Findings: The findings were presented in four main themes; an absence of the other in care, an absence of dialogues, a sense of alienation and a sense of insecurity. The findings in this study revealed that persons who were cared for in nursing homes and home care services sometimes were exposed to an unnecessary suffering. The suffering sometimes was caused by various caring actions, that is, unnecessary suffering. The suffering caused by care that aroused was due to caregiver’s inability to be present, to show their face, and truly meet the patient.

    Conclusion: Suffering from care increased the elderly patients’ feelings of insecurity, loneliness, and alienation; this seemed to be the foundation for patients’ experiences of being outside a human community. There was a lack of knowledge and understanding about the patient’s lifeworld.

  • 33.
    Svanström, Rune
    et al.
    Högskolan i Skövde, Institutionen för hälsa och lärande. Skaraborg-institute, Skövde, Sweden.
    Sundler, Annelie Johansson
    Högskolan i Skövde, Institutionen för hälsa och lärande.
    Gradually losing one’s foothold – a fragmented existence when living alone with dementia2015Ingår i: Dementia, ISSN 1471-3012, E-ISSN 1741-2684, Vol. 14, nr 2, s. 145-163Artikel i tidskrift (Refereegranskat)
    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.

  • 34.
    Thorstensson, Stina
    et al.
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande.
    Blomgren, Carola
    Neighborhood Management North, Borås, Sweden.
    Sundler, Annelie J.
    University of Borås, Borås, Sweden.
    Larsson, Margaretha
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande.
    To break the weight gain: A qualitative study on the experience of school nurses working with overweight children in elementary school2018Ingår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 27, nr 1-2, s. e251-e258Artikel i tidskrift (Refereegranskat)
    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.

  • 35.
    Westin, Lars
    et al.
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande.
    Sundler, Annelie Johansson
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande. School of Health, Care and Social Welfare, Mälardalens University, Västerås, Sweden.
    Berglund, Mia
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande.
    Students' experiences of learning in relation to didactic strategies during the first year of a nursing programme: a qualitative study2015Ingår i: BMC Medical Education, ISSN 1472-6920, E-ISSN 1472-6920, Vol. 15, artikel-id 49Artikel, forskningsöversikt (Refereegranskat)
    Abstract [en]

    In university undergraduate nursing programmes, didactic strategies that enable students to learn nursing skills, solve problems and develop reflective and critical thinking and practice are needed. The aim of this study was to explore how different didactic strategies support nursing students’ experiences of learning during the first year of a reconstructed nursing curriculum.

    Methods

    This study employed a qualitative approach. The data were gathered through written narratives that were analysed using qualitative content analysis.

    Results

    Nursing students’ experiences of learning through different didactic strategies, were evident in the text. These perspectives were organised into the following themes: To focus on the patient perspective and paying more attention to others, Learning from discussions and reflections on one’s own learning, Training for the professional role and becoming more courage, and Gaining insights into nursing and increasing one’s self-awareness. The education increased the students’ self-awareness, which helped them to pay greater attention to patients and their relative. During the learning process, the students became more courageous, reflected and discovered their shortcomings.

    Conclusion

    Stated didactic strategies supported a broad base of knowledge on nursing and the professional role of nurses. Educators are challenged to strengthen meaningful learning in nursing and to facilitate the progression of nursing programmes.

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