Annelie J Sundler- Doctor of Caring Science
- Professor at University of Borås
Annelie J Sundler
- Doctor of Caring Science
- Professor at University of Borås
About
101
Publications
33,023
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Citations
Introduction
Annelie J Sundler is professor in caring science at the Faculty of Caring Science, Work Life and Social Welfare, University of Borås.
Annelie has a clinical nursing background. Her research focus on individual´s exposure and vulnerability in relation to health problems and person centered-care. She has conducted research on care of older people, child and school health, child abuse, human right to health, mental health and well-being, communication, patient safety and educational research.
Current institution
Additional affiliations
January 2007 - December 2015
May 1999 - December 2008
Skaraborgs Sjukhus, Skövde
Position
- Registered nurse
September 2013 - December 2015
School of Health, Care and Social Welfare
Position
- PostDoc Position
Publications
Publications (101)
Aim:
To: (a) describe how telephone nurses define a frequent caller; and (b) describe their experiences with calls from frequent callers to primary healthcare centres.
Background:
Telephone nursing has been noted to be a cost-effective method to enhance access to and use of health care. Some patients use these services extensively and are called...
Purpose
This study aims to identify and summarize existing qualitative empirical research on children’s experiences of living with their mental ill-health.
Methods
A scoping review with a systematic search of the databases PubMed, CINAHL, and PsychINFO was conducted. The search generated 9,864 studies, which were screened by title, abstract, and f...
Effective antiretroviral therapy has extended the life expectancy of people living with HIV and in Western countries, with 50% of individuals in Western countries now aged 50 or older. The aim was to review empirical research on adults who are 60 years or older on their experiences of living with HIV and their healthcare needs. A scoping review wit...
Aim
To explore the healthcare experiences and needs of older adults living with HIV in Sweden.
Design
A phenomenological study using qualitative thematic analysis.
Methods
Data were gathered through semistructured qualitative interviews and analysed using thematic analysis. A purposive sample of individuals ageing and living with HIV was recruite...
Background
It has been suggested that the university environment, to improve students’ health status and educational outcomes, should be based on a health promoting approach. More knowledge is needed about health promoting resources and lifestyle factors that may be of value for students in higher education and their future work-life balance. The a...
Background
To effectively utilize available healthcare resources, integrated care models are recommended. According to such model’s, registered nurses have the potential to increase patient access to health care services and alleviate organizational workload. Studies on acute home consultation assessments by registered nurses are sparse. The aim wa...
Purpose
The number of people living and ageing with HIV is increasing. Insight into their well-being is lacking. The present study was conducted to explore needs, psychosocial issues and experiences of ageing in older adults living with human immunodeficiency virus (HIV) in Sweden.
Methods
A qualitative approach was employed. Semi-structured inter...
Objective
The aim was to explore whether occupational balance is associated with health, health-promoting resources, healthy lifestyle and social study factors among students during higher education within healthcare and social work.
Design
The study has a multicentre repeated cross-sectional design. Data were collected via a self-reported, web-ba...
Background
A major challenge for primary care is to set priorities and balance demands with available resources. The registered nurses in this study are practice nurses working in primary care offices, playing a large role in initial assessments. The overall objective of this research is to investigate practices of communication and decision-making...
Background
A major challenge for primary care is to set priorities and balance demands with available resources. The registered nurses in this study are practice nurses working in primary care offices, playing a large role in initial assessments. The overall objective of this research is to investigate practices of communication and decision-making...
Purpose
To illuminate the meaning of social relationships and health concerns as experienced by adolescents and young people during the COVID-19 pandemic.
Methods
A longitudinal qualitative study was conducted. Data reported from 172 adolescents and young people aged 12–24 years in five countries; Chile, South Africa, Sweden, the United Kingdom an...
Problem:
Little is known about issues of patient-reported problems, in particular within psychiatric services for children with mental ill health. Child and family complaints related to child mental health services can be analyzed and discussed in light of the universal human right to health and healthcare. Therefore, the aim of this study was to...
Background
Knowledge about the onset of sepsis is limited among patients and their families, which makes early recognition of sepsis difficult. Previous studies argue that their stories are important to recognising sepsis and reduced suffering and mortality.
Design
A descriptive design with a qualitative approach was used.
Methods
In total, 29 pa...
Aim:
To explore nursing assistants' (NAs') experiences of developing communication skills while participating in an educational intervention on person-centred communication.
Design:
A descriptive qualitative study was conducted.
Methods:
Data were collected from interviews and written assignments before, during and after an educational interve...
Background
In this study, the focus is on how to support the competence development needed for nursing assistants in home care. Home care services for older persons can be challenging concerning the nature of the interpersonal interaction and communication needed to care for and respond to the diverse needs of older people who seek to live well in...
Introduction:
The early recognition of patients with sepsis is difficult and the initial assessment outside of hospitals is challenging for ambulance clinicians (ACs). Indicators that ACs can use to recognize sepsis early are beneficial for patient outcomes. Research suggests that elevated point-of-care (POC) plasma glucose and serum lactate level...
To examine whether children experience less fear or pain using a child‐centered intervention and if there were differences between the intervention group and the control group regarding heart rate, time required for the procedure, success rate for the cannula insertion, and patient satisfaction. A controlled single‐center case study of observationa...
Aim
To explore communication research in nursing by investigating the theoretical approaches, methods, content and perspectives in research on real‐time registered nurse (RN)–patient communication.
Design
An integrative review of real‐time communication between RNs and patients.
Data Sources
Empirical research papers were searched in PubMed, CINA...
Aim:
To explore the feasibility of evaluating a novel educational intervention on person-centered communication for nursing assistants (NAs) in home care.
Design:
A feasibility study with pre- and post-assessments.
Methods:
Feasibility was assessed pre- and post-intervention, including evaluation of data collection procedures, completion rates...
Aim:
To describe and compare the clinical learning environment in community-based home care and primary health care in postgraduate district nursing students' education.
Design:
Cross-sectional study design.
Methods:
A convenience sample of postgraduate district nursing students was derived from five Swedish universities in 2016 and 2017.
Res...
Background
Educational environments are considered important in strengthening students’ health status and knowledge, which are associated with good educational outcomes. It has been suggested to establish healthy universities based on a salutogenic approach – namely, health promotion. The aim of this study was to describe health-promoting resources...
The improvement of mental healthcare services requires patients’ experiences to identify problems and possible deficits in care. In this study, we explored the nature and meaning of formal patient complaints about mental healthcare services in one region of Sweden using a descriptive design with a qualitative approach. A systematic random sample of...
Background: Educational environments are considered important for strengthening students’ health status and knowledge, which is associated with good educational outcomes. It has been suggested to establish healthy universities based on a salutogenic approach—namely, health promotion. The aim of this study was to describe health-promoting resources...
Objective
This study explores children’s expressions of emotional cues and concerns during needle procedures, nurses’ responses and findings in relation to children’s age and sex.
Methods
Twenty-six children aged 6 to 12 years were video recorded during a preoperative needle procedure. Emotional communication was analysed using Verona Coding Defin...
Background
The initial care of patients with sepsis is commonly performed by ambulance clinicians (ACs). Early identification, care and treatment are vital for patients with sepsis to avoid adverse outcomes. However, knowledge about how patients with sepsis are assessed in ambulance services (AS) by AC is limited. Therefore, the aim of this study w...
Background
There is currently a strong emphasis on person-centred care (PCC) and communication; however, little research has been conducted on how to implement person-centred communication in home care settings. Therefore, the ACTION (A person-centred CommunicaTION) programme, which is a web-based education programme focusing on person-centred comm...
Aims and Objectives
This study aimed to describe nurses’ experiences of continuity of care for patients with heart failure.
Background
Heart failure is a life‐influencing condition that causes varying care needs over time with risks of fragmentation. Nurses play an important role in caring for patients with heart failure. However, nurses’ experien...
Background:
Communication is a cornerstone in nursing and aims at both information exchange and relationship building. To date, little is known about the naturally occurring communication between older persons and nurses in home care. Communication might heal through different pathways and a patient- or person-centered communication could be impor...
Denna rapport handlar om klagomål på vård för personer med psykisk ohälsa. Analysen utgår från 153 anmälningar till patientnämnderna i Västra Götaland från första halvåret 2017. Anmälningarna har gjorts av patienter och närstående från tre typer av vård: primärvård, specialistpsykiatrisk vård för vuxna och specialistpsykiatrisk vård för barn och un...
Background
Children often report both fear and pain in conjunction with clinical care and treatment. Interventions developed in the field have still not been sufficient to prevent and relieve children's fear and pain. More knowledge, from children’s own perspectives, is needed about how they deal with their experiences.
Aim
To explore child‐identi...
Objective
Given the free movement of workers across countries, knowledge regarding communication differences between countries is imperative. In this study, we explored and compared the supportive responses of nursing staff to older persons’ emotions in home care in Norway and Sweden.
Methods
The study had an observational, cross-sectional, compar...
Background
This study focuses on patient complaints from a human rights perspective. Despite the UN Convention on Human Rights being widely recognized, it has not previously been examined in relation to patients’ complaints on health care. A human rights perspective and the right to the highest attainable standard of health are a major sustainabili...
Background:
The World Health Organization has highlighted the importance of health promotion for health service providers in order to ensure sustainable working life for individuals involved in providing health services. Such sustainability begins when students are preparing to manage their own future health and welfare in working life. It has bee...
Background
Heart failure (HF) is a chronic condition with a variety of diverse symptoms. Patients with HF are usually elderly with multimorbidity, which are both multifaceted and challenging. Being a next of kin to patients with HF is described as a complex task consisting of managing care and treatment, monitoring illness and being an emotional su...
Background:
Heart failure (HF) is a chronic condition with a variety of diverse symptoms. Patients with HF are usually elderly with multimorbidity, which are both multifaceted and challenging. Being a next of kin to patients with HF is described as a complex task consisting of managing care and treatment, monitoring illness and being an emotional...
Background A rapidly ageing population challenges the health care system in general and home care services in particular. Communication is a cornerstone of person-centred care. However, little research has been conducted on how to improve communication between health care professionals and older persons in home care contexts, despite research showi...
Background Heart failure (HF) is a chronic condition with a variety of diverse symptoms. Patients with HF are usually elderly with multimorbidity, which are both multifaceted and challenging. Being a next of kin to patients with HF is described as a complex task consisting of managing care and treatment, monitoring illness and being an emotional su...
Background Heart failure (HF) is a chronic condition with a variety of diverse symptoms. Patients with HF are usually elderly with multimorbidity, which are both multifaceted and challenging. Being a next of kin to patients with HF is described as a complex task consisting of managing care and treatment, monitoring illness and being an emotional su...
Background:
Previous research points to challenges related to the home healthcare of older persons and to the complexity of communication. Although person-centred care has been advocated widely, there remains a need for in-depth knowledge on how to enable person-centred and supportive communication in the care of older persons.
Aim:
The aim of t...
Background:
The prehospital care of patients with sepsis are commonly performed by the emergency medical services. These patients may be critically ill and have high in-hospital mortality rates. Unfortunately, few patients with sepsis are identified by the emergency medical services, which can lead to delayed treatment and a worse prognosis. There...
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 r...
Background Heart failure (HF) is a chronic condition with a variety of diverse symptoms. Patients with HF are usually elderly with multimorbidity, which are both multifaceted and challenging. Being a next of kin to patients with HF is described as a complex task consisting of managing care and treatment, monitoring illness and being an emotional su...
Aim
Empathy is a crucial component of the nurse–patient relationship, but knowledge is lacking as to when empathy develops during nursing education. The aim of the present study was to compare empathy levels at different stages of undergraduate nursing education and different master's nursing programmes.
Design
The design was a comparative cross‐s...
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 student...
Aim
The aim of this paper was to discuss how to understand and undertake thematic analysis based on descriptive phenomenology. Methodological principles to guide the process of analysis are offered grounded on phenomenological philosophy. This is further discussed in relation to how scientific rigour and validity can be achieved.
Design
This is a...
The aim of this study was to explore the influence of characteristics of nurses and older people on emotional communication in home care settings. A generalized, linear, mixed model was used to analyze 188 audio‐recorded home care visits coded with Verona Coding Definitions of Emotional Sequences. The results showed that most emotional distress was...
Objectives:
The aim of this pilot study was to describe vulnerability and resilience and possible subgroups in patients with chronic work related musculoskeletal pain in occupational healthcare. A second aim was to evaluate a patient-centered approach.
Methods:
This study was based on consecutive patients with chronic pain, seen by the same phys...
Objective:
The aim of this study was to explore the nature, potential usefulness and meaning of complaints lodged by patients and their relatives.
Design:
A retrospective, descriptive design was used.
Setting:
The study was based on a sample of formal patient complaints made through a patient complaint reporting system for publicly funded heal...
Objective:
To provide a synthesis of already synthesized literature on person-centered care and patient-centered care in order to identify similarities and differences between the two concepts.
Methods:
A synthesis of reviews was conducted to locate synthesized literature published between January 2000 and March 2017. A total of 21 articles deem...
The quality of health care and patient safety in the operating room is a major concern for nurse anaesthetists. However, few studies have focused on the experiences of nurse anaesthetists’ and their contributions to safety in this setting. Therefore, this study aims to explore the content and frequency of incidents reported by nurse anaesthetists i...
Background:
With the continuing increase in the older population, being able to communicate with the elderly is one of the many important skills in caring for older people. Therefore, student nurses need support during education to be prepared with the necessary communication skills to meet these demands.
Objective:
The aim of this study was to...
Methods:
The study had a retrospective observational design. Data were collected from reports on patients who were transported by the EMS and had a final diagnosis of stroke at a single hospital in western Sweden (630 beds) in 2015. The data sources were hospital and prehospital medical journals.
Results:
In total, 454 patients were included. Am...
Background:
It is a challenge to promote exercise among older persons. Knowledge is needed regarding the maintenance of exercise aiming at preventing falls and promoting health and well-being in older persons.
Purpose:
This descriptive study used a qualitative inductive approach to describe older persons' experiences of a fall-preventive, home-b...
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.
Desig...
Aim:
This study aims to explore nurse assistants' and registered nurses' responses to older persons' expressions of emotional needs during home care visits.
Background:
Communication is a central aspect of care. Older persons might express different emotions and needs during home care visits and such expressions can be challenging to respond to....
Aims and objectives:
To describe the characteristics of communication practice in home care visits between older people (over 65 years old) and nurse assistants (NAs) and to discuss the findings from a person-centered perspective.
Background:
The older population is increasing worldwide, along with the need for health care services in the person...
The findings of this study indicate that patients' rights are vague. The right to healthcare seems to fail to accomplish its objectives. Access to healthcare was found to not be in accordance with the human rights, and a lack of clarity did undermine the patients’ right. Hence, there is a need for future improvements, particularly regarding quality...
Objectives:
The aim of this study was to compare student nurses' communication self-efficacy, empathy, and mindfulness across two countries, and to analyse the relationship between these qualities.
Methods:
The study had a cross-sectional design. Data was collected from final year student nurses in Norway and Sweden. Communication self-efficacy,...
Background:
Undergraduate nurse education needs to prepare student nurses to meet the demands and to have the necessary communication skills for caring for an increasing older population. The challenges involve how best to support and empower student nurses to learn the communication skills needed to care for older people.
Objective:
The aim of...
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...
Objective:
This study aims to a) explore to what extent older persons express emotional cues and concerns during home care visits; b) describe what cues and concerns these older persons expressed, and c) explore who initiated these cues and concerns.
Methods:
A descriptive and cross-sectional study was conducted. Data consisted of 188 audio reco...
Aim:
To explore communicative challenges in encounters between nurse assistants and older persons during home care visits.
Background:
The older population is increasing worldwide. Currently, there is a shift in care for older people from institutional care to home care. Providing home care in a person's home involves several challenges, includi...
Aims and objectivesThe aim of the study was to explore older persons' experiences of telephone advice nursing at primary healthcare centres. Background
Telephone advice nursing is expanding worldwide, and the older population is increasing. Little is known about older persons' experiences of telephone advice nursing provided by primary healthcare....
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...
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...
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 perso...
The aim was to describe and compare the clinical teacher's role in different models of clinical practice from the perspective of student nurses.
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...
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 rec...
Abstract
Dementia
0(0) 1–19 ! The Author(s) 2013 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav DOI: 10.1177/1471301213494510 dem.sagepub.com
Abstract
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...
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.
Obje...
AimThe aim was to investigate occupational stress among newly graduated nurses in relation to the workplace and clinical group supervision.Background
Being a newly graduated nurse is particularly stressful. What remains unclear is whether the workplace and clinical group supervision affect the stress.MethodA cross-sectional comparative study was pe...
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...
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 approa...
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.
The aim was to compare the learning environment in different clinic...
To describe nursing students' experience of stress during clinical practice and evaluate the risk of stress in relation to the clinical setting characteristics and the organisation of the clinical education.
Stress during clinical practice is well documented, but there is a lack of knowledge concerning whether the clinical setting characteristics a...
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...
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 be...
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 disc...
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 aris...
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 a...
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 exp...
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 princip...
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...
In this article, the researchers explore women's experiences of care and health process following a myocardial infarction (MI), with a particular focus on their experiences of well-being and participation. The phenomenon is illuminated from the approach of reflective lifeworld research, and in order to obtain expressions of the women's lived experi...
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 sexual...
In this article, the researchers explore women's experiences of care and health process following a myocardial infarction (MI), with a particular focus on their experiences of well-being and participation. The phenomenon is illuminated from the approach of reflective lifeworld research, and in order to obtain expressions of the women's lived experi...
