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Leppäkoski T, Vuorenmaa M, Paavilainen E. Combinations of Parent-Related Risk Factors Explaining Family Violence Toward Children and Spouse. J Interpers Violence 2024; 39:1421-1447. [PMID: 37937746 PMCID: PMC10913339 DOI: 10.1177/08862605231208421] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/09/2023]
Abstract
The purpose of the study was to investigate parent-related risk factor combinations that explain family violence (FV), which refers to intimate partner violence and child maltreatment (CM). The data were collected from parents with a 4-year-old child using a nationwide retrospective cross-sectional survey conducted in Finland (FinChildren) (N = 10,737). The research questions were as follows: (a) How are parent-related risk factors associated with FV against children and the spouse? (b) How does the accumulation of parent-related risk factors within three risk factor clusters explain FV? Analyses were carried out using cross-tabulations with χ2 tests, an exploratory factor analysis (EFA), and binary logistic regression analyses. The risk factor clusters built based on the EFA were as follows: parental well-being, parent's childhood adversities, and parent's health. Our results indicated that even a single risk factor predicted the likelihood of FV. In the well-being risk factor cluster, the odds for the occurrence of FV in parents with one well-being risk factor were double (odds ratios [OR] = 2.21; confidence intervals [CI]: [1.99, 2.45]) and in parents with at least four risk factors was six times (OR = 6.05; CI: [4.48, 8.18]) compared to those with no risk factor. We concluded that (a) the more different risk factors parents had, the more likely they were to report FV and (b) the accumulation of risk factors for well-being contributes most to the occurrence of the risk of FV. As a result, we emphasize the importance of identifying families with concurrent risk factors. However, any individual concerns must be addressed with parents and they must be supported in coping with their everyday life.
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Affiliation(s)
- Tuija Leppäkoski
- Tampere University, Finland
- South Ostrobothnia Hospital District, City of Seinäjoki, Finland
| | - Maaret Vuorenmaa
- Finnish Institute for Health and Welfare (THL), City of Helsinki, Finland
| | - Eija Paavilainen
- Tampere University, Finland
- South Ostrobothnia Hospital District, City of Seinäjoki, Finland
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2
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Nurmi E, Rantanen A, Paavilainen E, Haapamäki J, Helminen M. A quality assessment of inflammatory bowel disease nursing care in Finland: a nationwide cross-sectional descriptive study. Scand J Gastroenterol 2024; 59:164-168. [PMID: 37899608 DOI: 10.1080/00365521.2023.2276654] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/24/2023] [Accepted: 10/20/2023] [Indexed: 10/31/2023]
Abstract
OBJECTIVES OF THE ARTICLE Inflammatory bowel disease (IBD) nursing has been identified as a crucial component in the IBD service delivery. This article aims to provide a comprehensive overview of the state of IBD nursing care in Finland, and to identify areas that would benefit from further research. MATERIALS AND METHODS Tertiary IBD outpatient clinics nationwide were invited to participate in a cross-sectional descriptive study conducted using an electronic survey. The quality of IBD nursing services was assessed using the Nursing Care Quality in IBD (NCQ-IBD) evaluation tool. RESULTS Of the 34 identified clinics, 27 participated (79.4%) in the study. The NCQ-IBD tool classifies the clinics in four categories, where A indicates the highest level of quality, and D the lowest. In this study, 26 clinics (96.3%) were classified at level C, and one clinic (3.7%) at level D. Nursing responsibilities in IBD management and informing the patients were at a high level of quality, whereas nursing research in IBD was at a low level. An IBD database (i.e. clinical IBD registry) was in use only in 10 clinics. Although training in the clinical aspects of IBD was readily available, there was a lack of training plans for IBD, and clinics seldom held an annual review of the IBD nursing activities and outcomes. There were very few clinics using structured indices and questionnaires, and only 16 clinics (59.3%) applied a written IBD protocol. CONCLUSION In the Finnish IBD nursing service, as measured with the NCQ-IBD tool, several areas for future improvement were identified.
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Affiliation(s)
| | | | - Eija Paavilainen
- Tampere University, Finland
- Etelä-Pohjanmaa Hospital District, Finland
| | | | - Mika Helminen
- Tays Research Services, Tampere University Hospital and Faculty of Social Sciences, Health Sciences, Tampere University, Finland
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Toivo J, Tulivuo N, Kanzaki M, Koivisto AM, Kylmä J, Paavilainen E. First-Time Parents' Bonding with Their Baby: A Longitudinal Study on Finnish Parents during the First Eight Months of Parenthood. Children (Basel) 2023; 10:1806. [PMID: 38002897 PMCID: PMC10670067 DOI: 10.3390/children10111806] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/13/2023] [Revised: 11/02/2023] [Accepted: 11/07/2023] [Indexed: 11/26/2023]
Abstract
Early positive bonding between parents and babies promotes the development of parenting skills and parents' sensitivity to their infant's needs. Positive bonding has been suggested to decrease the risk of maltreatment. There is less research into the differences between primiparae's and their spouses' bonding with their baby and changes in the parent-to-infant bonding during the first year of the baby's life. The aim of this study was to describe bonding with one's baby and related differences and changes within first-time parents. The data were collected from nine maternal health clinics in 2019-2021 in one city in Finland. The Mother-to-Infant Bonding Scale (MIBS) and the Edinburgh Postnatal Depression Scale (EPDS) were used. The data were collected during pregnancy (T1) and when the baby was aged 1-2 months (T2) and 6-8 months (T3). The questionnaire was completed separately by the primiparae (n = 81 at T1) and their spouses (n = 79 at T1). The findings demonstrated that both parents had positive feelings for their baby. The primiparae's and their spouses' MIBS scores were relatively low at T2 and T3. The change between time points or the difference in the parents' bonding was not statistically significant when examining MIBS total scores. The present study identified a positive weak-to-moderate correlation between the MIBS and EPDS. This association was highlighted in the group of primiparae. The results of this study can be used to develop maternity and child health clinic services, and to promote parents' equal growth in parenthood.
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Affiliation(s)
- Jessica Toivo
- Unit of Health Sciences, Nursing Science, Faculty of Social Sciences, Tampere University, 33014 Tampere, Finland; (J.T.); (N.T.)
| | - Noora Tulivuo
- Unit of Health Sciences, Nursing Science, Faculty of Social Sciences, Tampere University, 33014 Tampere, Finland; (J.T.); (N.T.)
| | - Mitsuko Kanzaki
- Faculty of Nursing, Kyoto Tachibana University, Kyoto 607-8175, Japan;
| | - Anna-Maija Koivisto
- Unit of Health Sciences, Faculty of Social Sciences, Tampere University, Kalevantie 4, 33014 Tampere, Finland;
| | - Jari Kylmä
- Unit of Health Sciences, Nursing Science, Faculty of Social Sciences, Tampere University, 33014 Tampere, Finland; (J.T.); (N.T.)
| | - Eija Paavilainen
- Unit of Health Sciences, Nursing Science, Faculty of Social Sciences, Tampere University, 33014 Tampere, Finland; (J.T.); (N.T.)
- Etelä-Pohjanmaa Welfare County, 60220 Seinäjoki, Finland
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Laaksonen M, Airikkala E, Halkoaho A, Paavilainen E. A Scoping Review: Do instruments measuring genomic competence in nursing incorporate ethics? Nurs Open 2023. [PMID: 37221954 DOI: 10.1002/nop2.1805] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2022] [Revised: 03/22/2023] [Accepted: 04/27/2023] [Indexed: 05/25/2023] Open
Abstract
AIM To explore the instruments used in measuring genomic competence in nursing. The objective was to understand how ethical issues are reflected in the instruments. DESIGN A scoping review. METHODS A systematically conducted scoping review was conducted by using CINAHL Complete and Medline databases covering the years from January 2010 to January 2022. Two authors inspected potentially eligible papers and assessed their quality independently using the critical appraisal tools of Joanna Briggs Institute. Twenty-five articles were eligible including 19 different instruments. Included articles answered the research question: "How ethical issues are reflected in instruments measuring genomic competence in nursing?" The inductive thematic analysis was used in this review. RESULTS Descriptions of ethical themes were unstructured in the scoped articles and instruments. Not all genomic competence instruments covered ethical aspects. Only three studies asked direct questions by using the word ethics or its derivates, including confidentiality in solving ethical problems, familiarity with the ethical aspects of genetic counselling and ability to identify ethical issues. Thirteen articles included ethics-related themes encompassing knowledge, skills, concerns, advantages and disadvantages.
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Affiliation(s)
- Mari Laaksonen
- Faculty of Social Sciences, Health Sciences Unit, Etelä-Pohjanmaa Hospital district, Tampere University, Tampere, Finland
| | - Elisa Airikkala
- Faculty of Social Sciences, Health Sciences Unit, Etelä-Pohjanmaa Hospital district, Tampere University, Tampere, Finland
| | - Arja Halkoaho
- Tampere University of Applied Sciences, Tampere, Finland
| | - Eija Paavilainen
- Faculty of Social Sciences, Health Sciences Unit, Etelä-Pohjanmaa Hospital district, Tampere University, Tampere, Finland
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Sorsa M, Bryngeirsdottir HS, Paavilainen E. "Going Forward Like a Grandmother in the Snow": Personal Survival Strategies, Motherhood, and Nature as Resources for Mothers Who Have Experienced Intimate Partner Violence. Int J Environ Res Public Health 2023; 20:5389. [PMID: 37048003 PMCID: PMC10094109 DOI: 10.3390/ijerph20075389] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 02/06/2023] [Revised: 03/14/2023] [Accepted: 03/15/2023] [Indexed: 06/19/2023]
Abstract
After suffering interpersonal violence (IPV), women survivors can access various interdisciplinary services and programmes to guide their recovery. Nevertheless, many vulnerable women postpone seeking help, sometimes indefinitely. Motherhood especially complicates help-seeking because mothers often want to protect both the perpetrator and their children. Understanding women's resilience, resources, and capacities in surviving IPV, however, could guide the development of helpful services that women actually access. Thus, in our study, we sought to explore the agency, resources, and reinforcing survival experiences of survivors of IPV. Our data, gathered in Finland during the COVID-19 pandemic, consisted of 12 narratives of mothers told in Clinical Ethnographic Narrative Interviews that were subsequently subjected to thematic analysis. Five themes describing personal resources, motherhood, and nature were identified under the overarching metaphor of "going forward like a grandmother in the snow". Recognising the agency, resources, capacities, and coping mechanisms of women who have suffered IPV can help in developing professional outreach programmes, promoting women's early access to useful resources, and, in turn, helping them to stop the possible intergenerational transmission of violence.
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Affiliation(s)
- Minna Sorsa
- Child Psychiatry, Tampere University Hospital, Wellbeing Area of Pirkanmaa, 33520 Tampere, Finland
- Health Sciences Unit, Faculty of Social Sciences, Tampere University, 33014 Tampere, Finland
| | - Hulda S. Bryngeirsdottir
- School of Health, Business and Natural Sciences, University of Akureyri, Solborg v/Nordurslod, 600 Akureyri, Iceland;
| | - Eija Paavilainen
- Health Sciences Unit, Faculty of Social Sciences, Tampere University, 33014 Tampere, Finland
- Etelä-Pohjanmaa Hospital District, 60220 Seinäjoki, Finland
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Appleton JV, Bekaert S, Hucker J, Zlatkute G, Paavilainen E, Schecke H, Specka M, Scherbaum N, Jouet E, Zabłocka-Żytka L, Woźniak-Prus M, Czabała JC, Kluczyńska S, Bachi B, Bartoli F, Carrà G, Cioni RM, Crocamo C, Rantanen HE, Kaunonen M, Nieminen I, Roe L, Keenan K, Viganò G, Baldacchino A. A Pan-European Review of Good Practices in Early Intervention Safeguarding Practice with Children, Young People and Families: Evidence Gathering to Inform a Multi-disciplinary Training Programme (the ERICA Project) in Preventing Child Abuse and Neglect in Seven European Countries. Int J Child Maltreat 2022; 6:119-130. [PMID: 36405490 PMCID: PMC9665033 DOI: 10.1007/s42448-022-00132-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Accepted: 10/09/2022] [Indexed: 06/16/2023]
Abstract
Child maltreatment has detrimental social and health effects for individuals, families and communities. The ERICA project is a pan-European training programme that equips non-specialist threshold practitioners with knowledge and skills to prevent and detect child maltreatment. This paper describes and presents the findings of a rapid review of good practice examples across seven participating countries including local services, programmes and risk assessment tools used in the detection and prevention of child maltreatment in the family. Learning was applied to the development of the generic training project. A template for mapping the good practice examples was collaboratively developed by the seven participating partner countries. A descriptive data analysis was undertaken organised by an a priori analysis framework. Examples were organised into three areas: programmes tackling child abuse and neglect, local practices in assessment and referral, risk assessment tools. Key findings were identified using a thematic approach. Seventy-two good practice examples were identified and categorised according to area, subcategory and number. A typology was developed as follows: legislative frameworks, child health promotion programmes, national guidance on child maltreatment, local practice guidance, risk assessment tools, local support services, early intervention programmes, telephone or internet-based support services, COVID-19 related good practices. Improved integration of guidance into practice and professional training in child development were highlighted as overarching needs. The impact of COVID-19 on safeguarding issues was apparent. The ERICA training programme formally responded to the learning identified in this international good practice review.
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Affiliation(s)
- J. V. Appleton
- Oxford, UK
- Formerly Oxford Institute of Nursing, Midwifery and Allied Health Research (OxINMAHR), Faculty of Health and Life Sciences, Oxford Brookes University, Oxford, UK
| | - S. Bekaert
- Oxford School of Nursing and Midwifery, Faculty of Health and Life Sciences, Oxford Brookes University, Oxford, UK
| | - J. Hucker
- Oxford School of Nursing and Midwifery, Faculty of Health and Life Sciences, Oxford Brookes University, Oxford, UK
| | - G. Zlatkute
- School of Medicine, University of St Andrews, St Andrews, UK
| | - E. Paavilainen
- Faculty of Social Sciences/Health Sciences Unit, Etelä-Pohjanmaa Hospital District, Tampere University, Tampere, Finland
| | - H. Schecke
- LVR-Hospital Essen, Department of Addictive Behaviour and Addiction Medicine, Medical Faculty, University of Duisburg-Essen, Essen, Germany
| | - M. Specka
- LVR-Hospital Essen, Department of Addictive Behaviour and Addiction Medicine, Medical Faculty, University of Duisburg-Essen, Essen, Germany
| | - N. Scherbaum
- LVR-Hospital Essen, Department of Addictive Behaviour and Addiction Medicine, Medical Faculty, University of Duisburg-Essen, Essen, Germany
| | - E. Jouet
- Laboratoire de Recherche en Santé Mentale, Et Sciences Humaines Et Sociales, Groupe Hospitalier Universitaire Paris Psychiatrie & Neurosciences (GHU- PARIS), Paris, France
| | - L. Zabłocka-Żytka
- Department of Psychology, The Maria Grzegorzewska University, Warsaw, Poland
| | - M. Woźniak-Prus
- Department of Psychology, University of Warsaw, Warsaw, Poland
| | - J. Cz. Czabała
- Department of Psychology, The Maria Grzegorzewska University, Warsaw, Poland
| | - S. Kluczyńska
- Department of Psychology, The Maria Grzegorzewska University, Warsaw, Poland
| | - B. Bachi
- Department of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy
| | - F. Bartoli
- Department of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy
| | - G. Carrà
- Department of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy
| | - R. M. Cioni
- Department of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy
| | - C. Crocamo
- Department of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy
| | - H. E. Rantanen
- Faculty of Social Sciences/Health Sciences Unit, Etelä-Pohjanmaa Hospital District, Tampere University, Tampere, Finland
| | - M. Kaunonen
- Faculty of Social Sciences/Health Sciences Unit, Etelä-Pohjanmaa Hospital District, Tampere University, Tampere, Finland
- Faculty of Social Sciences/Health Sciences Unit, Pirkanmaa Hospital District, Tampere University, Tampere, Finland
| | - I. Nieminen
- Faculty of Social Sciences/Health Sciences Unit, Etelä-Pohjanmaa Hospital District, Tampere University, Tampere, Finland
| | - L. Roe
- School of Medicine, University of St Andrews, St Andrews, UK
| | - K. Keenan
- School of Geography and Sustainable Development, University of St Andrews, St Andrews, UK
| | - G. Viganò
- Synergia S.R.L. and Department of Decision Sciences, Università L. Bocconi, Milan, Italy
| | - A. Baldacchino
- School of Medicine, University of St Andrews, St Andrews, UK
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Rantanen H, Nieminen I, Kaunonen M, Jouet E, Zabłocka-Żytka L, Viganò G, Crocamo C, Schecke H, Zlatkute G, Paavilainen E. Family Needs Checklist: Development of a Mobile Application for Parents with Children to Assess the Risk for Child Maltreatment. Int J Environ Res Public Health 2022; 19:ijerph19169810. [PMID: 36011439 PMCID: PMC9408053 DOI: 10.3390/ijerph19169810] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/23/2022] [Revised: 07/26/2022] [Accepted: 08/02/2022] [Indexed: 05/12/2023]
Abstract
Child maltreatment (CM) has been enormously studied. However, a preventive practice still requires comprehensive and effective instruments to assess the risks for CM in a family context. The aim of this study is to describe the development process of an evidence-based CM risk assessment instrument (Family Needs Checklist, FNC) for primary prevention online utilization. This article reports the development process of the checklist and its mobile application, consisting of a systematic literature review, identification of known risk factors using the content analysis method, and generation of the checklist, including a multidisciplinary group in the design and feedback. As a result, a comprehensive and compact checklist was developed to be used by parents or caregivers as a self-referral instrument with an option to be used with professionals as a basis for joint conversations. The FNC consists of parental, family-, and child-related risk factors. Based on the international evidence, the online application consists of knowledge about different CM types, information about risk factors and protective factors as well as recommendations and guidance to support services. The FNC is based on robust evidence on known risk factors causing CM in families. It can be used for primary prevention utilization in the general population.
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Affiliation(s)
- Heidi Rantanen
- Health Sciences Unit, Faculty of Social Sciences, Tampere University, Arvo Ylpön katu 34, 33520 Tampere, Finland
- Pirkanmaa Hospital District, Tampere University Hospital, Elämänaukio 2, 33520 Tampere, Finland
- Correspondence: (H.R.); (E.P.)
| | - Irja Nieminen
- Health Sciences Unit, Faculty of Social Sciences, Tampere University, Arvo Ylpön katu 34, 33520 Tampere, Finland
- School of Health Sciences, Tampere University of Applied Sciences, Kuntokatu 3, 33520 Tampere, Finland
| | - Marja Kaunonen
- Health Sciences Unit, Faculty of Social Sciences, Tampere University, Arvo Ylpön katu 34, 33520 Tampere, Finland
- Pirkanmaa Hospital District, Tampere University Hospital, Elämänaukio 2, 33520 Tampere, Finland
| | - Emmanuelle Jouet
- Mental Health and Social Sciences Research Laboratory, Groupement Hospitalier Universitaire, Psychiatrie & Neurosciences (GHU-PARIS), 258 Rue Marcaret, Bât N, 2ème étage, 75018 Paris, France
| | - Lidia Zabłocka-Żytka
- Institute of Psychology, The Maria Grzegorzewska University, Szczęśliwicka 40, 02-353 Warszawa, Poland
| | - Giovanni Viganò
- Synergia s.r.l., Via Molino delle Armi 19, 20123 Milan, Italy
| | - Cristina Crocamo
- Department of Medicine and Surgery, University of Milano-Biocca, Via Cadore 48, 20900 Monza, Italy
| | - Henrike Schecke
- Department of Addictive Behaviour and Addictive Medicine, LVR-Hospital Essen, University of Duisburg-Essen, Virchocstrasse 174, 45147 Essen, Germany
| | - Giedre Zlatkute
- School of Medicine, University of St Andrews, N Haugh, St Andrews KY16 9TF, UK
| | - Eija Paavilainen
- Health Sciences Unit, Faculty of Social Sciences, Tampere University, Arvo Ylpön katu 34, 33520 Tampere, Finland
- Etelä-Pohjanmaa Hospital District, 60220 Seinäjoki, Finland
- Correspondence: (H.R.); (E.P.)
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8
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Kangas S, Rintala T, Hannula P, Jämsen E, Kannisto R, Paavilainen E, Jaatinen P. The impact of interprofessional education on students' current and desired competence in diabetes care. Nurs Open 2022; 10:264-277. [PMID: 35880420 PMCID: PMC9748052 DOI: 10.1002/nop2.1301] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2022] [Revised: 06/23/2022] [Accepted: 07/05/2022] [Indexed: 01/04/2023] Open
Abstract
AIM To explore the impact of interprofessional education (IPE) on undergraduate nursing and medical students' knowledge, competence and targeted competence in diabetes care. DESIGN Mixed methods design. METHODS A voluntary IPE course of diabetes management was organized for nursing (n = 15) and medical (n = 15) students, who performed a diabetes knowledge test and self-evaluation of diabetes competence before and after the course and were compared with non-participating students. The participating students' focus-group interviews were analysed using inductive content analysis. RESULTS The IPE course improved nursing students' diabetes knowledge and self-evaluated competence among nursing and medical students. The baseline differences in self-evaluated competence between the groups disappeared. The non-participating students evaluated their competence higher than the participants, though they scored lower or equally in the knowledge test. In conclusion, IPE showed potential in increasing students' self-evaluated competence, motivation to learn more and nursing students' diabetes knowledge, offering better prospects for future interprofessional diabetes management.
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Affiliation(s)
- Sanna Kangas
- Department of Internal MedicineTampere University HospitalTampereFinland,Faculty of Medicine and Health TechnologyTampere UniversityTampereFinland
| | | | - Päivi Hannula
- Department of Internal MedicineTampere University HospitalTampereFinland,Faculty of Medicine and Health TechnologyTampere UniversityTampereFinland
| | - Esa Jämsen
- Faculty of Medicine and Health TechnologyTampere UniversityTampereFinland,Department of GeriatricsTampere University HospitalTampereFinland
| | - Ritva Kannisto
- Department of Internal MedicineTampere University HospitalTampereFinland,School of MedicineUniversity of TampereTampereFinland
| | - Eija Paavilainen
- Department of Health Sciences, Faculty of Social SciencesTampere UniversityTampereFinland,The Hospital District of South OstrobothniaSeinäjokiFinland
| | - Pia Jaatinen
- Department of Internal MedicineTampere University HospitalTampereFinland,Faculty of Medicine and Health TechnologyTampere UniversityTampereFinland,Division of Internal MedicineSeinäjoki Central HospitalSeinäjokiFinland
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9
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Sanerma P, Paavilainen E, Åstedt-Kurki P. Differences in Home-Care Services in Finland for Older Adults between 2012 and 2019 - A Developmental Evaluation Study. Home Health Care Serv Q 2022; 41:341-356. [PMID: 35748493 DOI: 10.1080/01621424.2022.2091500] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
This study aimed to evaluate differences in client-centered approaches to home-care services for older adults from the perspectives of nurses and service managers in Finland. The research method used developmental evaluation. Developmental activities for client-centered services were implemented in three home-care organizations between 2012 and 2019. Home care nurses and service managers were interviewed individually and in groups at the beginning and end of the development process. Then, four categories of differences enabling operating models in client-centered care were identified: modernized client-centered service patterns, comprehensive service coordination, digital service environments technology utilization, and changing human resources. This study found a positive trend in adopting a client-centered approach and technology in home care services. In the implementation of home care practices, innovations for client-centered implementation of homecare should consider the renewal of service models, development of case management, and development and utilization of technology in homecare operating environments.
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Affiliation(s)
- Päivi Sanerma
- Faculty of social sciences, nursing science, University of Tampere, Tampere, Finland.,Hamk Smart Research Unit, Hamk University of Applied Sciences, Hämeenlinna, Finland
| | - Eija Paavilainen
- Faculty of social sciences, nursing science, University of Tampere, Tampere, Finland
| | - Päivi Åstedt-Kurki
- Faculty of social sciences, nursing science, University of Tampere, Tampere, Finland
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10
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Lepistö SJ, Ellonen N, Rantanen HE, Vuorenmaa MK, Helminen MT, Paavilainen E. Parental Worries, Child Maltreatment Risk and Empowerment: How Are They Noticed in Child and Family Services? Children 2022; 9:children9020269. [PMID: 35204989 PMCID: PMC8870057 DOI: 10.3390/children9020269] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 12/18/2021] [Revised: 02/02/2022] [Accepted: 02/14/2022] [Indexed: 11/16/2022]
Abstract
Parental empowerment has been related to their well-being and self-efficacy. Learning more about the signs describing child maltreatment risk are crucial for the welfare of children and families. The aim of this study was to assess the risk of child maltreatment (CM) and related worrying factors of parents and associations between the CM risk, worries and parental empowerment. The study is based on self-report surveys administered to parents in primary health care and hospital settings. The risk of CM and related worrying factors were measured by the Brief Child Abuse Potential Inventory (BCAP) from 453 parents. Family empowerment was measured by The Generic Family Empowerment Scale (G-FES). Parents expressed worries such as loneliness and distress (20%), feelings of persecution (9%), family conflict (17%), rigidity (21%) and financial insecurity (4%). The BCAP found 27 parents with increased risk. Parents with CM risk expressed more empowerment in connection to services for their child and family. It is crucial to discuss worries in child and family services before they raise the risk level. Tools such as the BCAP are useful in systematically identifying the child maltreatment risk and parental worries under discussion, offering possibilities for preventing child maltreatment and increasing well-being of children.
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Affiliation(s)
- Sari Johanna Lepistö
- Faculty of Social Sciences, Nursing Sciences, Tampere University, 33520 Tampere, Finland;
- Correspondence: ; Tel.: +358-50-911-3289
| | - Noora Ellonen
- Faculty of Social Sciences, Tampere University, 33014 Tampere, Finland;
| | | | | | - Mika Tapio Helminen
- Tays Reseach Services, Tampere University Hospital, 33520 Tampere, Finland;
- Faculty of Social Sciences, Health Sciences, Tampere University, 33520 Tampere, Finland;
| | - Eija Paavilainen
- Faculty of Social Sciences, Health Sciences, Tampere University, 33520 Tampere, Finland;
- South Ostrobothnia Hospital District, 60220 Seinäjoki, Finland
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Salminen-Tuomaala M, Tiainen J, Paavilainen E. Identification of Child and Youth Maltreatment as Experienced by Prehospital Emergency Care Providers. Issues Ment Health Nurs 2021; 42:1064-1072. [PMID: 33979250 DOI: 10.1080/01612840.2021.1913682] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
This mixed method study explores 200 prehospital emergency care providers' experiences of identifying child and youth maltreatment. The data were collected in Finland in 2019-2020 using an online survey tool and analysed using SPSS statistics and inductive content analysis. Respondents had encountered signs of physical and psychosocial maltreatment, and family challenges, contexts, and economic and social problems indicative of maltreatment. It is important for the early intervention and prevention of long-term mental health problems that prehospital emergency care providers receive continuing education on the identification of child maltreatment.
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Affiliation(s)
- Mari Salminen-Tuomaala
- School of Health Care and Social Work, Seinäjoki University of Applied Sciences, Seinäjoki, Finland
| | - Juha Tiainen
- Kuusiokunnat Federation of Municipalities in Social and Health Services, Seinäjoki, Finland
| | - Eija Paavilainen
- Faculty of Social Sciences, Health Sciences Unit, South Ostrobothnia Hospital District, Tampere University, Tampere, Finland
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12
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Rasku T, Helminen M, Kaunonen M, Thyer E, Paavilainen E, Joronen K. A Retrospective Review of Patient Records and Factors Associated with Decisions Made by Community Nurse-Paramedics' in Finland. Nurs Rep 2021; 11:690-701. [PMID: 34968343 PMCID: PMC8608054 DOI: 10.3390/nursrep11030065] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2021] [Revised: 08/27/2021] [Accepted: 08/30/2021] [Indexed: 11/23/2022] Open
Abstract
Community paramedicine (CP) has extended the role of paramedics and the main goal is to provide non-emergency care, which reduces the visits to emergency departments. The aim of this study was to describe the Finnish CP and examine the factors that were involved in CNPs' decision-making processes. The study was based on data from 450 consecutive CP patient records from three hospital districts. A more detailed analysis was carried out on 339 cases in patients' homes and elderly care homes, and the data analysis included multivariate logistic regression to examine the impact of variables on the CNPs' decisions. These patients' most common health issues were general weakness (15.9%) and fever (10.6%), and over half (58.7%) could remain at home after the CP visit. There were five independent factors associated with the CNPs' decisions of the patient's care continuum: the hospital district, if the patient could walk, whether the troponin test was performed, a physician was consulted, and the nature of the task. CP units played a valuable role in non-emergency care. Understanding the factors associated with CNP decision-making can increase the safety and effectiveness of reducing hospital visits, by providing patient care at home, or in elderly care facilities.
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Affiliation(s)
- Tuija Rasku
- Faculty of Social Sciences, Health Sciences, Tampere University, Kuntokatu 3, 33520 Tampere, Finland; (M.H.); (M.K.); (E.P.)
| | - Mika Helminen
- Faculty of Social Sciences, Health Sciences, Tampere University, Kuntokatu 3, 33520 Tampere, Finland; (M.H.); (M.K.); (E.P.)
- Tays Research Services, Tampere University Hospital, 33520 Tampere, Finland
| | - Marja Kaunonen
- Faculty of Social Sciences, Health Sciences, Tampere University, Kuntokatu 3, 33520 Tampere, Finland; (M.H.); (M.K.); (E.P.)
- General Administration, Pirkanmaa Hospital District, Tampere University, 33014 Tampere, Finland
| | - Elizabeth Thyer
- Dean’s Unit School of Health Sciences, Western Sydney University, Locked Bag 1797, Penrith, NSW 2750, Australia;
| | - Eija Paavilainen
- Faculty of Social Sciences, Health Sciences, Tampere University, Kuntokatu 3, 33520 Tampere, Finland; (M.H.); (M.K.); (E.P.)
- General Administration, The Hospital District of South Ostrobothnia, 60220 Seinäjoki, Finland
| | - Katja Joronen
- Department of Nursing Science, University of Turku, Joukahaisenkatu 3-5, 20520 Turku, Finland;
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13
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Leppäkoski T, Vuorenmaa M, Paavilainen E. Psychological and physical abuse towards four-year-old children as reported by their parents: A national Finnish survey. Child Abuse Negl 2021; 118:105127. [PMID: 34139384 DOI: 10.1016/j.chiabu.2021.105127] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/27/2020] [Revised: 05/11/2021] [Accepted: 05/17/2021] [Indexed: 06/12/2023]
Abstract
BACKGROUND In Finnish society, child maltreatment is a health and social problem with harmful consequences. Identifying families at risk may help preventing child maltreatment recurrence. OBJECTIVE The aim of this nationwide retrospective cross-sectional study was to describe the child- and family-related risk factors associated with physical and psychological abuse experienced by 4-year-old children. METHODS This study analyzed nationwide survey data collected by the Finnish Institute for Health and Welfare. Overall, 17,009 parents (46%) visiting at a child health clinic filled out the survey consent form. For 8720 children, one or both parents completed the questionnaire (24%). Analyses were carried out using χ2 tests and binary logistic regression. RESULTS Of the 4-year-olds, 44% had experienced at least one form of psychological abuse and 14% physical abuse. These forms of violence co-occurred in 25% of the reported cases (p < 001). Intimate partner violence (IPV) and child maltreatment co-occurred in 19.6% of psychological abuse (p < .001) and 22.5% of physical abuse cases (p < .001). Parents exposed to IPV was the risk factor most likely to predict an increased risk for both psychological abuse (OR 4.01, CI 3.41-4.72; p < .001), and physical abuse (OR 2.19, CI 1.81-2.64; p < .001). Approving of hair-pulling or pinching the child (i.e., using corporal punishment) was most likely to predict an increased risk of physical abuse (OR 13.70, CI 11.69-16.06; p < .001). CONCLUSIONS The findings emphasize the importance of preventing all forms of child maltreatment by identifying families at risk and supporting parenthood according to families' needs.
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Affiliation(s)
- Tuija Leppäkoski
- Dept of Health Sciences, Faculty of Social Sciences, Tampere University, Finland.
| | - Maaret Vuorenmaa
- Finnish Institute for Health and Welfare (THL), City of Helsinki, Finland.
| | - Eija Paavilainen
- Dept of Health Sciences, Faculty of Social Sciences, Tampere University, Finland; South Ostrobothnia Hospital District, Finland.
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14
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Salminen-Tuomaala M, Tiainen J, Mikkola R, Paavilainen E. Identification of Elder Abuse through Out-of-Hospital Emergency Care Providers. Res Theory Nurs Pract 2021; 35:RTNP-D-20-00074. [PMID: 34140415 DOI: 10.1891/rtnp-d-20-00074] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
BACKGROUND AND PURPOSE Elder abuse, neglect, and exploitation are under-detected and under-reported. The purpose of this qualitative study was to describe out-ofhospital emergency care providers' experiences of identifying elder abuse. METHODS Individual theme interviews were conducted with nine prehospital emergency care providers and three community paramedics in spring 2019. The transcribed data were analyzed using inductive content analysis. RESULTS Although the short duration of care contacts made the identification of elder abuse challenging, the emergency care providers detected indicators of physical, psychological and social abuse, unethical action, material exploitation, and self-neglect/self-abuse. The professionals based their observations on patient and family interviews, on clues in the home environment, on caregiving quality combined with the patient's medical history, and on physical signs, which were the easiest to identify. IMPLICATIONS FOR PRACTICE The identification of elder abuse may be improved by multiprofessional collaboration, by increased attention given to risk groups and common indicators of abuse, and by adoption or creation of screening tools to assist detection and reporting. Training on the detection of elder abuse should be included in nursing and social work curricula and in the continuing professional development of emergency care providers.
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Affiliation(s)
- Mari Salminen-Tuomaala
- School of Health Care and Social Work, Seinäjoki University of Applied Sciences, Seinäjoki, South Ostrobothnia, Finland
| | - Juha Tiainen
- General Manager of a Federation of Municipalities, Kuusiokuntien sosiaali- ja terveyskuntayhtymä, Alavus, Finland
| | - Riitta Mikkola
- Department of Health Sciences, Faculty of Social Sciences, Tampere University, Tampere, Finland
| | - Eija Paavilainen
- Department of Health Sciences, Faculty of Social Sciences, Tampere University, Tampere, Finland
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15
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Siltanen H, Aine T, Huhtala H, Kaunonen M, Paavilainen E. The information needs of people with COPD-The holistic approach with special reference to gender and time since diagnosis. Nurs Open 2021; 8:2498-2508. [PMID: 33755324 PMCID: PMC8363367 DOI: 10.1002/nop2.773] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2020] [Revised: 12/07/2020] [Accepted: 12/18/2020] [Indexed: 12/12/2022] Open
Abstract
Aims The aim of this study was to determine what kinds of unmet information needs people with COPD have and whether there are differences in information needs between genders or based on the time since COPD diagnosis. Design A descriptive cross‐sectional study. Methods Data on people with COPD (N = 169) were collected from a two‐part questionnaire distributed via website. On the first part, information needs concerning the medical aspects of self‐management were measured by the Lung Information Needs Questionnaire (LINQ). On the second part, which was developed specifically for this study, a more holistic view of self‐management counselling was sought. Statistical methods were used to analyse the data. Results The respondents had wide‐ranging information needs in many areas of COPD self‐management. The most often reported areas of unmet information needs included exacerbations, diet, fatigue, stress and anxiety, palliative care and sexual life. The information needs varied by gender and time since COPD diagnosis.
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Affiliation(s)
- Hannele Siltanen
- Department of Health Sciences, Faculty of Social Sciences, Tampere University, Tampere, Finland
| | - Tiina Aine
- Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland
| | - Heini Huhtala
- Department of Health Sciences, Faculty of Social Sciences, Tampere University, Tampere, Finland
| | - Marja Kaunonen
- Department of Health Sciences, Faculty of Social Sciences, Tampere University, Tampere, Finland.,Pirkanmaa Hospital District, Tampere, Finland
| | - Eija Paavilainen
- Department of Health Sciences, Faculty of Social Sciences, Tampere University, Tampere, Finland.,Etelä-Pohjanmaa Hospital District, Seinäjoki, Finland
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16
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Kangas S, Jaatinen P, Metso S, Paavilainen E, Rintala TM. Students' perceptions of interprofessional collaboration on the care of diabetes: A qualitative study. Nurse Educ Pract 2021; 53:103023. [PMID: 33894489 DOI: 10.1016/j.nepr.2021.103023] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2021] [Revised: 02/22/2021] [Accepted: 03/08/2021] [Indexed: 11/27/2022]
Abstract
Interprofessional education can promote healthcare professionals' competence to work in interprofessional collaboration, which is essential for the quality and safety of care. An interprofessional approach is particularly important in complex, chronic diseases like diabetes. This qualitative study evaluated changes in medical and nursing students' perceptions of interprofessional collaboration, induced by a novel interprofessional education course on diabetes care with practical elements. Data from focus-group interviews of 30 students before and after the course were analyzed by using inductive and deductive content analysis. The students' perceptions were illustrated as Elements of Collaborative Care (e.g. Quality of professional care relationship) and Elements of Interprofessional Collaboration (e.g. Importance of communication and Valuation of collaboration). The post-course interviews added one subcategory (Need of resources) to the pre-course perceptions, and there was improvement in ten areas of self-perceived competence in performing or understanding interprofessional collaboration on diabetes care. The course improved the students' self-perceived competence and confidence in interprofessional collaboration on the care of patients with diabetes, and their understanding of interprofessional collaboration changed towards a more patient-centred and holistic perspective. The findings support further implementation of IPE with practical elements in future health professionals' education.
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Affiliation(s)
- Sanna Kangas
- Tampere University Hospital, Department of Internal Medicine, Tampere, Finland; Tampere University, Faculty of Medicine and Health Technology, Tampere, Finland.
| | - Pia Jaatinen
- Tampere University Hospital, Department of Internal Medicine, Tampere, Finland; Tampere University, Faculty of Medicine and Health Technology, Tampere, Finland; Seinäjoki Central Hospital, Division of Internal Medicine, Seinäjoki, Finland.
| | - Saara Metso
- Tampere University, Faculty of Medicine and Health Technology, Tampere, Finland; Unit of Endocrinology, Tampere University Hospital, Department of Internal Medicine, Tampere, Finland.
| | - Eija Paavilainen
- Tampere University, Dept of Health Sciences, Faculty of Social Sciences, Tampere, Finland; Etelä-Pohjanmaa Hospital District, Seinäjoki, Finland.
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17
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Lindfors K, Kaunonen M, Huhtala H, Paavilainen E. Newly graduated nurses' evaluation of the received orientation and their perceptions of the clinical environment: An intervention study. Scand J Caring Sci 2021; 36:59-70. [PMID: 33522636 DOI: 10.1111/scs.12963] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2020] [Revised: 12/10/2020] [Accepted: 01/12/2021] [Indexed: 12/01/2022]
Abstract
BACKGROUND New graduate nurses (NGN) are the future of healthcare organizations where a shortage of nurses will soon be reality. The transition from a student to a registered nurse can be a demanding and challenging time, and in order to retain new graduate nurses, the transition should be as smooth as possible. AIM The aim of this study was to examine preceptors' education intervention's impact on NGNs' orientation period and their clinical learning environment from NGNs' point of view. MATERIAL AND METHODS This survey was a part of a longitudinal quasi-experimental intervention study. Participating units were randomized into intervention group and control group. The intervention group's preceptors (n=174)were provided a face-to-face education about orientation. RESULTS NGNs (n=72) were relatively satisfied with the received orientation. However, intervention group was more discontented with their orientation experiences than the control group. The control group's NGNs had longer orientation periods and more feedback discussions. They were also more satisfied with their preceptor's orientation skills and their working environment was more responsive. DISCUSSION Even though the impact of the intervention was inconclusive, this study provided us important information about NGNs' first steps towards the nursing profession by giving us clear improvement targets. We need a culture of feedback, individualized orientation and understanding that orientation should be our common interest. Investing in orientation is investing for the future. CONCLUSION This study indicated that the increase in knowledge did not translate into everyday practice. This finding will hopefully give rise to discussion within organizations on how to utilize employees' gained knowledge more effectively.
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Affiliation(s)
- Kirsi Lindfors
- The Department of Children and Adolescents, Helsinki University Hospital, Tampere University, Tampere, Finland
| | - Marja Kaunonen
- Faculty of Social Sciences, Tampere University, Tampere, Finland.,General Administration Pirkanmaa Hospital District, Tampere, Finland
| | - Heini Huhtala
- Faculty of Social Sciences, Tampere University, Tampere, Finland
| | - Eija Paavilainen
- Faculty of Social Sciences, Tampere University, Tampere, Finland.,Etelä-Pohjanmaa Hospital District, Seinäjoki, Finland
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Abstract
OBJECTIVE To describe and synthesize client-centered care and service in home care for older persons. METHODS The study was an integrative review using the guidelines for literature reviews by the Joanna Briggs Institute. The research process followed the Whittemore and Knafl framework and PRISMA toolkit in the selection of eligible articles. The CINAHL, Medline, Scopus, Web of Science and Social Sciences abstracts were searched for articles published between January 2007 and May 2020 according to previously designed search strategies. In total, 24 articles were deemed relevant for an analysis using a thematic analysis. RESULTS The analysis resulted in four themes with sub-themes which revealed that client-centered care and service in home care consist of: 1) Clients' involvement in their own care; self-care, decision-making, satisfactory daily life, 2) Family members' and care partners' participation in care; family members' and care partners' commitment to care, family members' and care partners' competence in care, 3) Communication and co-operation; communication models, empowerment, partnership, and 4) Evidence-based service competence; delivery and organization of services, implementation of services, versatile clinical skills, quality outcomes and personnel wellbeing. CONCLUSIONS According to the results, achieving client-centered care and service in home care requires the realization of all of the above aspects. The practice of nursing must better identify all dimensions of client-centered care and take these into account in the delivery of home care services. KEY POINTS Client-centeredness is a fundamental value and the basis of nursing and care in home care provided for older persons This paper: deepens and structures the concept of client-centered care in the context of home care. assists professionals to understand the factors behind client-centered care within the home care environment. provides deeper understanding of the roles of the older person, family members, and the service system in developing client-centered services in home care for older persons.
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Affiliation(s)
- Päivi Sanerma
- Department of Health Sciences, Faculty of Social sciences, University of Tampere, Tampere, Finland
- Hamk Smart Reseach Unit, Hamk University of Applied Sciences, Hämeenlinna, Finland
- CONTACT Päivi Sanerma ; Department of Health Sciences, Faculty of Social Sciences, University of Tampere, 100, Tampere, PL, 33014, Finland; Hamk Smart Reseach Unit, Hamk University of Applied Sciences, 230, Hämeenlinna, PL, 13100, Finland
| | - Sari Miettinen
- Hamk Smart Reseach Unit, Hamk University of Applied Sciences, Hämeenlinna, Finland
- Information Services Unit, Research Unit, The Social Insurance Institution of Finland, Helsinki, Finland
| | - Eija Paavilainen
- Department of Health Sciences, Faculty of Social sciences, University of Tampere, Tampere, Finland
| | - Päivi Åstedt-Kurki
- Department of Health Sciences, Faculty of Social sciences, University of Tampere, Tampere, Finland
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Siltanen H, Jylhä V, Holopainen A, Paavilainen E. Family members' experiences and expectations of self-management counseling while caring for a person with chronic obstructive pulmonary disease: a systematic review of qualitative evidence. ACTA ACUST UNITED AC 2020; 17:2214-2247. [PMID: 31567526 DOI: 10.11124/jbisrir-d-19-00056] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
Abstract
OBJECTIVE The objective of this review was to identify and synthesize existing evidence on the experiences and expectations of self-management counseling of adult family members who are informal caregivers of a person with chronic obstructive pulmonary disease (COPD) in the context of inpatient or outpatient care. INTRODUCTION Chronic obstructive pulmonary disease is the fourth leading cause of mortality and morbidity worldwide. It is a progressive, lifelong and unpredictable disease. As the disease progresses, both the people with COPD and their family members require information and practical skills to manage the disease. The role of family members is particularly important at the advanced stage of COPD. This systematic review examined family members' experiences and expectations of self-management counseling. INCLUSION CRITERIA This review considered qualitative studies that investigated adult (older than18 years) family members' experiences or expectations of COPD self-management counseling in the context of inpatient or outpatient care. "Family member" refers to a person who is an informal caregiver because of his or her relationship to the person with COPD. METHODS A three-step search strategy was utilized in this review. The search strategy aimed to find published and unpublished studies in English and Finnish. The databases MEDLINE, CINAHL, PsycINFO, Scopus and the Finnish medical bibliographic database, Medic, were searched. The search was conducted in December 2015 and updated in September 2018. Titles and abstracts were screened by two independent reviewers for the review's inclusion criteria. Eligible studies were then critically appraised by two independent reviewers for methodological quality. The findings and illustrations of the findings were extracted and assigned a level of credibility. The qualitative research findings were pooled using the JBI method of meta-aggregation. RESULTS Ten papers were selected for inclusion in this review. These studies were published from 2002 to 2017. The quality of all included studies was at least moderate. Each study had a total score between 7 and 10 on the JBI Critical Appraisal Checklist for Qualitative Research. The following four synthesized findings were aggregated from nine categories and 39 study findings: i) Family members' experiences with unresponsive behavior from health professionals, ii) Family members' experiences of unmet needs in self-management counseling, iii) Family members' information needs concerning COPD management, and iv) Family members' information needs concerning coping strategies. CONCLUSIONS The synthesized findings indicate that family members are frustrated by the shortcomings of self-management counseling. They also feel unprepared for and uncertain about their caring role. They need more information about COPD and coping strategies for COPD. Counseling is essential to high-quality care and should be offered to family members caring for a loved one at any stage of COPD.
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Affiliation(s)
- Hannele Siltanen
- Department of Health Sciences, Faculty of Social Sciences, Tampere University, Tampere, Finland.,Nursing Research Foundation, Helsinki, Finland.,Finnish Centre for Evidence-Based Health Care: a Joanna Briggs Institute Affiliated Group
| | - Virpi Jylhä
- Finnish Centre for Evidence-Based Health Care: a Joanna Briggs Institute Affiliated Group.,Department of Health and Social Management, University of Eastern Finland, Kuopio, Finland
| | - Arja Holopainen
- Nursing Research Foundation, Helsinki, Finland.,Finnish Centre for Evidence-Based Health Care: a Joanna Briggs Institute Affiliated Group
| | - Eija Paavilainen
- Department of Health Sciences, Faculty of Social Sciences, Tampere University, Tampere, Finland.,Etelä-Pohjanmaa Hospital District, Seinäjoki, Finland
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20
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Hisasue T, Kruse M, Raitanen J, Paavilainen E, Rissanen P. Quality of life, psychological distress and violence among women in close relationships: a population-based study in Finland. BMC Womens Health 2020; 20:85. [PMID: 32345270 PMCID: PMC7189464 DOI: 10.1186/s12905-020-00950-6] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/10/2019] [Accepted: 04/14/2020] [Indexed: 11/10/2022]
Abstract
BACKGROUND The aim of this study was to examine associations between exposure to violence, quality of life, and psychological distress. Women aged 19-54 years who had been exposed to violence by someone in a close relationship were compared with women unexposed to violence in Finland. We also aimed to investigate associations between different forms of violence (physical, sexual, emotional, or any combination of these) with quality of life and psychological distress. METHODS We selected a sample of 22,398 women who had returned self-completed questionnaires from a Finnish population-based health survey between 2013 and 2016. Exposure to violence during the past year was assessed through specific questions from the survey. The EUROHIS-QOL 8-item index was used to measure quality of life, and ordinary least square regressions were fitted. The mental health inventory (MHI-5) was used to measure psychological distress. We investigated associations with multivariate logistic regression analysis. RESULTS Among women in Finland, the prevalence of exposure to violence in any type of close relationship during the past year was 7.6%. Women who had been exposed to violence had significantly worse scores of the EUROHIS-QOL 8-item index, and psychological distress was significantly worse (p < 0.001), compared with unexposed women. Strong associations were found between combinations of violence and both quality of life (coefficient - 0.51, p < 0.001) and mental health (odds ratio 4.16, 95% confidence interval 3.44-5.03). Compared with women who had been exposed to violence by a stranger, women who had been exposed to violence by someone in a close relationship had significantly lower quality-of-life scores (p < 0.001). CONCLUSIONS This study found that experience of close relationship violence had a negative influence on both quality of life and psychological distress among women in the general Finnish population. Comparison with victims of violence by strangers shows that some of the lower quality-of-life scores among victims are driven by the perpetrator and victim being in a close relationship. Preventive policies in primary care settings aimed at screening and educating young people should be considered as an early form of intervention to reduce the negative mental health consequences of violence.
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Affiliation(s)
- Tomomi Hisasue
- Faculty of Social Sciences (Health Sciences), Tampere University, FI-33014, Tampere, Finland. .,Finnish Institute for Health and Welfare, P.O. Box 30, FI-00271, Helsinki, Finland.
| | - Marie Kruse
- Danish Centre for Health Economics, University of Southern Denmark, J. B. Winsløwsvej 9B, 1, DK-5000, Odense C, Denmark
| | - Jani Raitanen
- Faculty of Social Sciences (Health Sciences), Tampere University, FI-33014, Tampere, Finland.,UKK Institute for Health Promotion Research, P.O. Box 30, 33501, Tampere, Finland
| | - Eija Paavilainen
- Faculty of Social Sciences (Health Sciences), Tampere University, FI-33014, Tampere, Finland.,Southern Ostrobothnia Hospital District, Hanneksenrinne 7, 60220, Seinäjoki, Finland
| | - Pekka Rissanen
- Finnish Institute for Health and Welfare, P.O. Box 30, FI-00271, Helsinki, Finland
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21
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Abstract
Objective: To find out how regularly the contents of patient education regarded as essential for COPD patients' self-management are provided by healthcare professionals in specialised healthcare (SHC) and primary healthcare (PHC) in Finland.Design: A cross-sectional study based on an e-questionnaire with 42 items on the content of self-management education of COPD patients.Setting: The study sample included all public SHC units with pulmonary outpatient clinics (n = 29) and nine out of 160 health centres in Finland.Subjects: 83 doctors and 162 nurses.Main outcome measures: The respondents' answers on how regularly they included the contents regarded as essential for COPD patients' self-management in their education of COPD patients.Results: COPD patients were educated regularly on medical issues regarding COPD treatment, such as smoking cessation, exercise and pharmacological treatment. However, issues vital for coping with the disease, such as psychological well-being, stress management or fatigue, were often ignored. Patient education in SHC seemed to be more systematic than education in PHC. The education provided by the asthma/COPD nurses (n = 70) was more systematic than the education provided by the other nurses (n = 84).Conclusion: Healthcare professionals' continuous education should cover not only the medical but also the psychosocial aspects of coping with COPD. The role of doctors and nurses should be considered to ensure that there is no gap in COPD patients' education. Training asthma/COPD nurses and promoting specialised nurse-led asthma/COPD clinics in primary care could be beneficial while improving practices of patient education that enhance patients' ability to cope with the disease.KEY POINTSIssues vital for coping with chronic obstructive pulmonary disease (COPD), such as psychological well-being, stress and fatigue, are irregularly included in self-management education both in primary and specialised healthcare.Patient education provided by asthma/COPD nurses is more regular than patient education provided by other nurses.The distribution of work between doctors and nurses should be considered to ensure that there is no gap in COPD patients' education.
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Affiliation(s)
- Hannele Siltanen
- Department of Health Sciences, Faculty of Social Sciences, Tampere University, Tampere, Finland;
- Nursing Research Foundation, Helsinki, Finland;
- The Finnish Centre for Evidence-Based Health Care: A Joanna Briggs Institute Affiliated Group, Helsinki, Finland;
- CONTACT Hannele Siltanen Department of Health Sciences, Faculty of Social Sciences, Tampere University, Tampere, Finland
| | - Tiina Aine
- Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland;
| | - Heini Huhtala
- Department of Health Sciences, Faculty of Social Sciences, Tampere University, Tampere, Finland;
| | - Marja Kaunonen
- Department of Health Sciences, Faculty of Social Sciences, Tampere University, Tampere, Finland;
- Pirkanmaa Hospital District, Tampere, Finland;
| | - Tuula Vasankari
- Division of Medicine, Department of Pulmonary Disease and Clinical Allergology, University of Turku, Turku, Finland;
- Finnish Lung Health Association (FILHA), Helsinki, Finland;
| | - Eija Paavilainen
- Department of Health Sciences, Faculty of Social Sciences, Tampere University, Tampere, Finland;
- Etelä-Pohjanmaa Hospital District, Seinäjoki, Finland
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22
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Sanerma P, Paavilainen E, Åstedt-Kurki P. Home care services for older persons. The views of older persons and family members: A realistic evaluation. Int J Older People Nurs 2019; 15:e12281. [PMID: 31621204 DOI: 10.1111/opn.12281] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2019] [Revised: 08/24/2019] [Accepted: 09/16/2019] [Indexed: 11/30/2022]
Abstract
AIMS AND OBJECTIVES The aim of the present study was to evaluate client-centred care in older persons' home care services from the perspective of older persons and family members. The following research questions were addressed: How do home care older persons and family members perceive client-centered care in their home care services? What kind of social mechanisms are realized when home care services are implemented? BACKGROUND Several older persons are dependent on home care services for their continued living at home. The fundamental value and best practice of home care is the client-centred care in services. METHOD The research method was realistic evaluation. Six families with six older person clients of home care and seven family members were interviewed. In the present study, the interview contained three themes (1) content and services of the home care, (2) activities and practices of the home care and (3) development of client centredness in home care. Research data were analysed with deductive content analysis. RESULTS Home care service should be based on analysis of older person's individual life situation. Social mechanisms such as interaction, participation, trust and adaptation are realised in implementation of home care services. The most significant outcomes of client-centred service were timely availability of services, safe care relationship and continuity of care, ability to influence on own services and appropriate price of services. Significant factors in quality of service were unhurriedness, kindness and competence of professionals. IMPLICATION FOR PRACTICE Social mechanisms, such as participation, trust, adaptation and interaction, should be taken in account in care relationship in home care. Client centredness and methods for evaluating it should be defined in practical work. Client-centeredness competence should also be included in all stages of professional education of home care.
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Affiliation(s)
- Päivi Sanerma
- Faculty of Social Sciences, Nursing Science, University of Tampere, Tampere, Finland
| | - Eija Paavilainen
- Faculty of Social Sciences, Nursing Science, University of Tampere, Tampere, Finland
| | - Päivi Åstedt-Kurki
- Faculty of Social Sciences, Nursing Science, University of Tampere, Tampere, Finland
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Soinio JII, Paavilainen E, Kylmä JPO. Lesbian and bisexual women’s experiences of health care: “Do not say, ‘husband’, say, ‘spouse’”. J Clin Nurs 2019; 29:94-106. [DOI: 10.1111/jocn.15062] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2019] [Revised: 08/13/2019] [Accepted: 09/03/2019] [Indexed: 11/30/2022]
Affiliation(s)
| | - Eija Paavilainen
- Faculty of Social Sciences Nursing Science Tampere University Tampere Finland
- South Ostrobothnia Hospital District Seinäjoki Finland
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24
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Bradbury-Jones C, Appleton JV, Clark M, Paavilainen E. A Profile of Gender-Based Violence Research in Europe: Findings From a Focused Mapping Review and Synthesis. Trauma Violence Abuse 2019; 20:470-483. [PMID: 29334031 DOI: 10.1177/1524838017719234] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
This article reports the findings from a new form of review: a focused mapping review and synthesis. The aim was to create a contemporary, snapshot profile of the nature and scope of gender-based violence (GBV) studies conducted in Europe. GBV is one of the most prevalent human rights violations in the world affecting mainly women and girls. The policy context of GBV in Europe has gathered momentum in recent years, but we do not have a clear picture of how this relates to research activity. Thirteen journals were purposively selected on their likelihood to publish GBV research. All articles published in these journals during 2015 and meeting our inclusion criteria were retrieved. Data were extracted according to (1) types of methodologies used, (2) geographical location of research, and (3) patterns of research activity/interest. Thirty-two articles met the inclusion criteria. Many titles and abstracts were not explicit about the gendered nature of the research which made retrieval and analysis difficult. A range of methodologies were reported, with single-country research conducted more than international collaborations. Intimate partner violence and sexual abuse attracted most research interest. No studies explored female genital mutilation/cutting and only one investigated early and forced marriage. The findings have implications regarding GBV research in Europe, and we explore them in relation to relevant European policy. Researchers can help raise the profile of the gendered nature of most violence-related research by being explicit about this in their publications. Increasing opportunities for cross-national research will help address the global nature of GBV. Tackling GBV requires synergy of empirical evidence and policy to drive the agenda.
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Affiliation(s)
- Caroline Bradbury-Jones
- 1 College of Medical and Dental Sciences, University of Birmingham, Birmingham, United Kingdom
| | - Jane V Appleton
- 2 Faculty of Health and Life Sciences, Oxford Brookes University, Oxford, United Kingdom
| | - Maria Clark
- 1 College of Medical and Dental Sciences, University of Birmingham, Birmingham, United Kingdom
| | - Eija Paavilainen
- 3 School of Health Sciences, University of Tampere, Tampere, Finland
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Aho H, Koivisto A, Paavilainen E, Joronen K. The relationship between peer relations, self-rated health and smoking behaviour in secondary vocational schools. Nurs Open 2019; 6:754-764. [PMID: 31367397 PMCID: PMC6650760 DOI: 10.1002/nop2.260] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2018] [Revised: 10/01/2018] [Accepted: 10/16/2018] [Indexed: 11/20/2022] Open
Abstract
AIMS To examine the association between peer relations, self-rated health and smoking behaviour in vocational school setting. BACKGROUND Smoking in adolescence causes health and socioeconomic inequality in adulthood. There is evidence that smokers are physically less active, have lower academic aspirations and perceive poorer health than non-smokers. METHOD The study was conducted in spring 2013 and involved 34,776 vocational students who took part in the School Health Promotion Study in Finland. The associations between adolescent smoking habits and peer relations and smokers' self-rated health were studied adjusting for the respondents' age, parental education and family type. RESULTS A substantial proportion of the respondents, 37% of the girls and 36% of the boys, reported smoking daily, 15% of the girls and 14% boys smoked occasionally with a further 15% of the girls and 13% of the boys stating that they were ex-smokers. Of the girls, 33% and 38% of the boys were non-smokers. Adjusted multinomial regression revealed that having a close friend or friends predicted smoking among girls and boys. Additionally, the adjusted model indicated that being a bully and/or a bully + bully-victim was associated with smoking behaviour in boys only. Boys and girls who rated their health as moderate or poor were more often daily smokers; in girls, this was also the case in occasional smokers. CONCLUSION Smoking prevention aimed at vocational schools should take into consideration the norms and expectations related to peer relations which strongly influence adolescents' smoking habits.
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Affiliation(s)
- Hanna Aho
- Faculty of Social Science, Health SciencesUniversity of TampereTampereFinland
- Department of Musclosceletal DiseasesTampere University HospitalTampereFinland
- Tampere University of Applied SciencesTampereFinland
| | - Anna‐Maija Koivisto
- Faculty of Social Science, Health SciencesUniversity of TampereTampereFinland
| | - Eija Paavilainen
- Faculty of Social Science, Health SciencesUniversity of TampereTampereFinland
| | - Katja Joronen
- Faculty of Social Science, Health SciencesUniversity of TampereTampereFinland
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Kivelä S, Leppäkoski T, Helminen M, Paavilainen E. Continuation of domestic violence and changes in the assessment of family functioning, health, and social support in Finland. Health Care Women Int 2019; 40:1283-1297. [PMID: 31246155 DOI: 10.1080/07399332.2019.1615917] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
Our aim in this comparison study was to describe the continuation of domestic violence and to assess changes in the association among family functioning, health, and social support for participants who have or have not experienced violence for the years 2012 and 2015. We collected the data using a family functioning, health, and social support (FAFHES) questionnaire. We collected the baseline questionnaires (N = 188) from patients who visited a Finnish central hospital and mailed the follow-up survey (N = 71). The prevalence of violence remained constant. However, the violence varied and changed. Our findings should encourage health care professionals to better identify and intervene in violence.
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Affiliation(s)
- Salla Kivelä
- Department of Nursing Science, Tampere University, Tampere, Finland
| | - Tuija Leppäkoski
- Department of Nursing Science, Tampere University, Tampere, Finland.,The Hospital District of South Ostrobothnia, Seinäjoki, Finland
| | - Mika Helminen
- Department of Health Sciences, Tampere University, Tampere, Finland.,Research, Development and Innovation Centre, Tampere University Hospital, Tampere, Finland
| | - Eija Paavilainen
- Department of Nursing Science, Tampere University, Tampere, Finland.,The Hospital District of South Ostrobothnia, Seinäjoki, Finland
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Abstract
Objective: The purpose of this research was to analyze psychometric information in the Brief Child Abuse Potential Inventory (BCAP) in a Finnish general population sample. Design: A self-report survey of parents in a primary health care setting and a hospital setting was used to evaluate the use of the BCAP. Setting: The study population consisted of parents who were visiting one of the following contexts: a primary maternity health care clinic, a child health care clinic, and the maternity outpatient clinic, various pediatric outpatient clinics, the general pediatric ward, the pediatric surgical ward, or the neonatal intensive care unit in a hospital setting. Subjects: The BCAP was given to parents at the 30-34th week of pregnancy, when the child was 5 months old or all parents depending on the context. The BCAP was delivered to 759 parents. The final size of the sample was 453 respondents. Main outcome measure: The BCAP, which consisted of 25 items to screen child abuse potential and nine items for evaluation of respondent validity. Results: The internal consistency of the Abuse Risk Scale was good (.770), and the validity scales worked well. The factor structure mirrors with the original factors structure. Conclusion: The psychometric properties of the BCAP reported in the analysis suggest that the BCAP could be a valid instrument to detect child abuse potential in the general population in Finnish health care settings. However, among Finnish respondents there is very little variation in some parts of the measure, which suggests that further research should assess the validity of the instrument in representative samples. Further analysis is also needed to evaluate the correct classification rate of the BCAP. Key points Identification of families at risk of child maltreatment requires valid tools to recognize risk within the general population, as part of child and family needs and risk assessments in family services. The BCAP is valid, reliable, and useful in bringing parental worries under discussion in child and family services. Results of this study can be used for a more systematic and valid child maltreatment risk assessment for identifying families who need help managing their everyday lives.
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Affiliation(s)
- Noora Ellonen
- Institute of Criminology and Legal Policy, Department of Social Research, University of Helsinki, Helsinki, Finland;
- CONTACT Noora Ellonen Institute of Criminology and Legal Policy, Department of Social Research, University of Helsinki, P.O. Box 24 (Unioninkatu 40), FI-00014, Helsinki, Finland
| | - Heidi Rantanen
- Faculty of Social Sciences, University of Tampere, Tampere, Finland;
- Tampere University Hospital, Tampere, Finland;
| | - Sari Lepistö
- Faculty of Social Sciences, University of Tampere, Tampere, Finland;
- Tampere University Hospital, Tampere, Finland;
| | - Mika Helminen
- Faculty of Social Sciences, University of Tampere, Tampere, Finland;
- Tampere University Hospital, Tampere, Finland;
| | - Eija Paavilainen
- Faculty of Social Sciences, University of Tampere, Tampere, Finland;
- Southern Ostrobothnia Hospital District, Seinäjoki, Finland
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28
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Väkiparta L, Suominen T, Paavilainen E, Kylmä J. Using interventions to reduce seclusion and mechanical restraint use in adult psychiatric units: an integrative review. Scand J Caring Sci 2019; 33:765-778. [PMID: 31058332 DOI: 10.1111/scs.12701] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2018] [Accepted: 03/24/2019] [Indexed: 11/28/2022]
Abstract
The aim of this integrative review was to describe interventions aimed at reducing seclusion and mechanical restraint use in adult psychiatric inpatient units and their possible outcomes. CINAHL, MEDLINE, PsycINFO and Medic databases were searched for studies published between 2008 and 2017. Based on electronic and manual searches, 28 studies were included, and quality appraisal was carried out. Data were analysed using inductive content analysis. Interventions to proactively address seclusion were environmental interventions, staff training, treatment planning, use of information and risk assessment. Interventions to respond to seclusion risk were patient involvement, family involvement, meaningful activities, sensory modulation and interventions to manage patient agitation. Interventions to proactively address mechanical restraint were mechanical restraint regulations, a therapeutic atmosphere, staff training, treatment planning and review of mechanical restraint risks. Interventions to respond to mechanical restraint risks included patient involvement, therapeutic activities, sensory modulation and interventions to manage agitation. Outcomes related to both seclusion and mechanical restraint reduction interventions were varied, with several interventions resulting in both reduced and unchanged or increased use. Outcomes were also reported for combinations of several interventions in the form of reduction programmes for both seclusion and mechanical restraint. Much of the research focused on implementing several interventions simultaneously, making it difficult to distinguish outcomes. Further research is suggested on the effectiveness of interventions and the contexts they are implemented in.
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Affiliation(s)
- Laura Väkiparta
- Health Sciences, Faculty of Social Sciences, Tampere University, Tampere, Finland
| | - Tarja Suominen
- Health Sciences, Faculty of Social Sciences, Tampere University, Tampere, Finland
| | - Eija Paavilainen
- Health Sciences, Faculty of Social Sciences, Tampere University, Tampere, Finland
| | - Jari Kylmä
- Health Sciences, Faculty of Social Sciences, Tampere University, Tampere, Finland
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Keiski P, Helminen M, Lindroos M, Kommeri H, Paavilainen E. Female-perpetrated family violence—Effectiveness of a psychodynamic group intervention. Health Care Women Int 2019; 40:328-344. [DOI: 10.1080/07399332.2018.1548622] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- Pia Keiski
- University of Tampere, Tampere, Finland
- School of Health Care, Tampere University of Applied Sciences, Tampere, Finland
| | - Mika Helminen
- University of Tampere, Tampere, Finland
- Science Center, Tampere University Hospital, Tampere, Finland
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30
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Abstract
OBJECTIVE The purpose of this research was to analyze psychometric information in the Brief Child Abuse Potential Inventory (BCAP) in a Finnish general population sample. DESIGN A self-report survey of parents in a primary health care setting and a hospital setting was used to evaluate the use of the BCAP. SETTING The study population consisted of parents who were visiting one of the following contexts: a primary maternity health care clinic, a child health care clinic, and the maternity outpatient clinic, various pediatric outpatient clinics, the general pediatric ward, the pediatric surgical ward, or the neonatal intensive care unit in a hospital setting. SUBJECTS The BCAP was given to parents at the 30-34th week of pregnancy, when the child was 5 months old or all parents depending on the context. The BCAP was delivered to 759 parents. The final size of the sample was 453 respondents. MAIN OUTCOME MEASURE The BCAP, which consisted of 25 items to screen child abuse potential and nine items for evaluation of respondent validity. RESULTS The internal consistency of the Abuse Risk Scale was good (.770), and the validity scales worked well. The factor structure mirrors with the original factors structure. CONCLUSION The psychometric properties of the BCAP reported in the analysis suggest that the BCAP could be a valid instrument to detect child abuse potential in the general population in Finnish health care settings. However, among Finnish respondents there is very little variation in some parts of the measure, which suggests that further research should assess the validity of the instrument in representative samples. Further analysis is also needed to evaluate the correct classification rate of the BCAP. Key points Identification of families at risk of child maltreatment requires valid tools to recognize risk within the general population, as part of child and family needs and risk assessments in family services. 1. The BCAP is valid, reliable, and useful in bringing parental worries under discussion in child and family services. 2. Results of this study can be used for a more systematic and valid child maltreatment risk assessment for identifying families who need help managing their everyday lives.
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Affiliation(s)
- Noora Ellonen
- Institute of Criminology and Legal Policy, Faculty of Social Sciences, University of Helsinki, Helsinki, Finland
- CONTACT Noora Ellonen Institute of Criminology and Legal Policy, Faculty of Social Sciences, University of Helsinki, P.O. Box 24 (Unioninkatu 40), Helsinki, FI00014, Finland
| | - Heidi Rantanen
- Faculty of Social Sciences, Tampere University, Tampere, Finland
- Tampere University Hospital, Tampere, Finland
| | - Sari Lepistö
- Faculty of Social Sciences, Tampere University, Tampere, Finland
- Tampere University Hospital, Tampere, Finland
| | - Mika Helminen
- Faculty of Social Sciences, Tampere University, Tampere, Finland
- Tampere University Hospital, Tampere, Finland
| | - Eija Paavilainen
- Faculty of Social Sciences, Tampere University, Tampere, Finland
- Southern Ostrobothnia Hospital District, Seinäjoki, Finland
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Aho H, Koivisto AM, Paavilainen E, Joronen K. Parental involvement and adolescent smoking in vocational setting in Finland. Health Promot Int 2019; 33:846-857. [PMID: 28549167 DOI: 10.1093/heapro/dax027] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
The present study examined whether parental involvement in their adolescents' lives is associated with adolescent smoking in a vocational school setting when controlling for socioeconomic background and parental smoking. The study was conducted in spring 2013 and involved 34 776 Finnish vocational school students (mean age 17.6 years). The data were analyzed using multinomial regression. The results showed that lower parental involvement was significantly associated with adolescent daily smoking in both genders and with occasional smoking in girls. Parental daily smoking predicted adolescent daily smoking, and this association was also seen for those adolescents whose mother and father had quitted smoking. Furthermore, our results indicate that mothers' smoking may be more influential on adolescents' smoking than fathers' smoking. Multivariate analysis showed that living in a nuclear family or alternately with both parents in two homes decreased daily smoking in both genders compared to living in other family arrangements.
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Affiliation(s)
- Hanna Aho
- Faculty of Social Science, Health Sciences, University of Tampere, Tampere, Finland.,Department of Musclosceletal Diseases, Tampere University Hospital, Tampere, Finland.,Tampere Univesity of Applyed Sciences, Tampere, Finland
| | - Anna-Maija Koivisto
- Faculty of Social Science, Health Sciences, University of Tampere, Tampere, Finland
| | - Eija Paavilainen
- Faculty of Social Science, Health Sciences, University of Tampere, Tampere, Finland
| | - Katja Joronen
- Faculty of Social Science, Health Sciences, University of Tampere, Tampere, Finland
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32
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Mikkola R, Huhtala H, Paavilainen E. Development of a coping model for work-related fear among staff working in emergency department in Finland - study for nursing and medical staff. Scand J Caring Sci 2019; 33:651-660. [PMID: 30735261 DOI: 10.1111/scs.12658] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2017] [Accepted: 01/03/2019] [Indexed: 11/28/2022]
Abstract
The emergency department is a workplace where the staff regularly encounter new challenges and factors that can cause fear. The aim of this study was to describe coping with work-related fear among emergency department staff. The study explains the current coping methods of emergency department staff and the requirement for support as well as the availability of support. A coping model for work-related fear was also developed and will be presented. The study was conducted using a survey developed specifically for this study, which included the Brief COPE Inventory. The study was conducted in 16 hospitals (N = 544) among the doctors, nurses, practical nurses, and orderlies of the emergency departments. The results were analysed using statistical methods such as frequencies, cross-tabulation, principal component analysis and binary logistic regression analysis. All values of p < 0.05 were considered statistically significant. The results showed that nearly all of the emergency department personnel had experienced work-related fear. Most of the respondents to the survey would have wanted more support, professional help, preventive action and more resources for the emergency department. The emergency department staff had used several coping methods to cope with fear. The most commonly used coping methods were problem-focused coping and social support. Based on the results of the study, it is possible to increase the availability of coping methods and further develop the existing coping methods.
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Affiliation(s)
- Riitta Mikkola
- Faculty of Social Sciences, Tampere University, Tampere, Finland
| | - Heini Huhtala
- Faculty of Social Sciences, Tampere University, Tampere, Finland
| | - Eija Paavilainen
- Faculty of Social Sciences, Tampere University, Tampere, Finland
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33
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Rasku T, Kaunonen M, Thyer E, Paavilainen E, Joronen K. The core components of Community Paramedicine – integrated care in primary care setting: a scoping review. Scand J Caring Sci 2019; 33:508-521. [DOI: 10.1111/scs.12659] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2018] [Accepted: 01/08/2019] [Indexed: 01/17/2023]
Affiliation(s)
- Tuija Rasku
- School of Health Care and Social Services University of Applied Sciences Tampere Finland
- Faculty of Social Sciences University of Tampere Tampere Finland
| | - Marja Kaunonen
- Faculty of Social Sciences University of Tampere Tampere Finland
| | - Elizabeth Thyer
- School of Science & Health University of Western Sydney Penrith Australia
| | - Eija Paavilainen
- Faculty of Social Sciences University of Tampere Tampere Finland
| | - Katja Joronen
- Faculty of Social Sciences University of Tampere Tampere Finland
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Koivula T, Ellonen N, Janson S, Jernbro C, Huhtala H, Paavilainen E. Psychological and physical violence towards children with disabilities in Finland and Sweden. J Child Health Care 2018; 22:317-331. [PMID: 29415561 DOI: 10.1177/1367493518757379] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
This article describes psychological aggression and physical violence by Swedish and Finnish mothers ( N = 3420) towards their 0- to 12-year-old children with disabilities ( N = 286) by comparing such behaviour with the mothers of children without disabilities ( N = 3134). The survey data are based on representative samples from Finland and Sweden of mothers' reports of their behaviour towards their child in conflict situations. Mothers of children with disabilities reported more psychological aggression towards their child than did mothers of children without disabilities. Mothers used psychological aggression, especially towards children with neurological/psychological disabilities. However, the only significant difference regarding physical violence was repetitive use of mild physical violence. Overall, the analysis suggests that children with neurological/psychological disabilities are more exposed to both psychological and physical violence than children without disabilities or children with somatic/developmental disabilities.
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Affiliation(s)
- Tanja Koivula
- 1 The Foundation for Disabled Children and Youth, Finland
| | - Noora Ellonen
- 2 Faculty of Social Sciences, University of Tampere, Tampere, Finland
| | - Staffan Janson
- 3 Faculty of Health, Science and Technology, Karlstad University, Karlstad, Sweden
| | - Carolina Jernbro
- 3 Faculty of Health, Science and Technology, Karlstad University, Karlstad, Sweden
| | - Heini Huhtala
- 2 Faculty of Social Sciences, University of Tampere, Tampere, Finland
| | - Eija Paavilainen
- 2 Faculty of Social Sciences, University of Tampere, Tampere, Finland.,4 South Ostrobothnia Hospital District, Seinäjoki, Finland
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Salminen-Tuomaala M, Mikkola R, Paavilainen E, Leikkola P. Emergency patients' and family members' experiences of encountering care providers and receiving care in nonconveyance situations. Scand J Caring Sci 2018; 32:1371-1378. [PMID: 30113717 DOI: 10.1111/scs.12582] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2018] [Accepted: 03/20/2018] [Indexed: 11/29/2022]
Abstract
BACKGROUND Not much research has been conducted on emergency patients' and family members' experiences of encountering care providers and receiving care in nonconveyance situations. This knowledge is required to develop the quality and safety of emergency care. AIM The aim of the study was to describe patients' and family members' experiences concerning encounters with emergency care providers and the patient's care in nonconveyance situations. METHODS The study is a descriptive, cross-sectional survey carried out using quantitative methods. Statistical data were analysed using SPSS Statistics for Windows. The responses to an open question were analysed using inductive content analysis. RESULTS Patients and family members found that emergency care providers had acted in a professional and friendly manner. They would have expected more psychological support. Family members were less satisfied with the emergency care than patients, especially as regards psychological support and the amount of time given to the patient. CONCLUSIONS Emergency care providers should take the whole family's situation into consideration and seek to promote the family's coping by providing comprehensible counselling and support.
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Affiliation(s)
- Mari Salminen-Tuomaala
- School of Health Care and Social Work, Seinäjoki University of Applied Sciences, Seinäjoki, Finland
| | - Riitta Mikkola
- School of Nursing Science, Faculty of Social Sciences/Health Sciences, University of Tampere, Tampere, Finland
| | - Eija Paavilainen
- School of Nursing Science, Faculty of Social Sciences/Health Sciences, University of Tampere, Tampere, Finland.,The Hospital District of South Ostrobothnia, Seinäjoki, Finland
| | - Päivi Leikkola
- The Hospital District of South Ostrobothnia, Seinäjoki, Finland
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Paavilainen E, Mikkola R, Salminen-Tuomaala M, Leikkola P. Encountering and counselling patients and family members in out-of-hospital emergency care in non-conveyance situations: Follow-up study in Finland. Emerg Care J 2018. [DOI: 10.4081/ecj.2018.7468] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Rather little is known about emergency care in out-of-hospital settings, for example in patients’ homes, where acute situations often emerge and require rapid action from those present. Research evidence concerning the issue is crucial for the development of emergency care services and for responding to patients’ and professionals’ needs. This study aims to describe how out-of-hospital emergency staff experience encountering and counselling patients and their family members and making non-conveyance decisions after having attended an educational intervention dealing with these issues. Data were collected by electronic questionnaires sent to all out-of-hospital emergency staff members (N=238) of a hospital district in Finland in 2014 and in 2016. Data were mainly analyzed using statistical methods. The educational intervention did not affect respondents’ self-perceived encountering and counselling skills much, although some positive development was observed. The educational intervention had some positive effect on emergency care providers’ encountering and counselling skills. Especially the attention given to family members in care situations increased. The training appears to be in the right direction, but it must be continued. The continuously increasing knowledge of patients’ and family members’ care and counselling experiences also helps staff to understand situations from client perspective, bringing a new dimension to emergency care services.
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Keiski P, Flinck A, Kaunonen M, Paavilainen E. Childhood experiences of female family-violence perpetrators. Perspect Psychiatr Care 2018; 54:251-257. [PMID: 28714060 DOI: 10.1111/ppc.12231] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/16/2016] [Revised: 06/05/2017] [Accepted: 06/18/2017] [Indexed: 11/27/2022] Open
Abstract
PURPOSE To explore the childhood experiences of women who have perpetrated family-violence and voluntarily sought help. DESIGN AND METHODS The qualitative design includes in-depth, unstructured individual interviews with 19 women who have perpetrated family-violence. FINDINGS The categories of maltreatment exposure, parental capability, and a role of the sensitive, good girl are identified and described in this article. PRACTICE IMPLICATIONS The findings provide guidance for nurses who encounter families at risk of female family-violence perpetration and for those developing preventive interventions for female family-violence perpetrators whose family-of-origin issues are essential in processing issues of self.
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Affiliation(s)
- Pia Keiski
- Faculty of Social Sciences, Health Sciences, University of Tampere, Tampere, Finland.,School of Health Care, Tampere University of Applied Sciences, Tampere, Finland
| | - Aune Flinck
- Faculty of Social Sciences, Health Sciences, University of Tampere, Tampere, Finland.,National Institute for Health and Welfare, Helsinki, Finland
| | - Marja Kaunonen
- Faculty of Social Sciences, Health Sciences, University of Tampere, Tampere, Finland
| | - Eija Paavilainen
- Faculty of Social Sciences, Health Sciences, University of Tampere, Tampere, Finland
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Niiyama H, Kontkanen I, Paavilainen E, Kamibeppu K. A comparison of personality maturity among Japanese youth and Finnish young adult students: a cross-sectional study using Erikson psychosocial stage inventory and sense of coherence scale. International Journal of Adolescence and Youth 2018. [DOI: 10.1080/02673843.2018.1435418] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
Affiliation(s)
- Hiroe Niiyama
- School of Integrated Health Sciences, Tokyo University, Tokyo, Japan
| | - Irene Kontkanen
- Faculty of Nursing, Laurea University of Applied Sciences, Espoo, Finland
| | - Eija Paavilainen
- School of Health Sciences, University of Tampere, Tampere, Finland
| | - Kiyoko Kamibeppu
- School of Integrated Health Sciences, Tokyo University, Tokyo, Japan
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39
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Askola R, Nikkonen M, Paavilainen E, Soininen P, Putkonen H, Louheranta O. Forensic Psychiatric Patients' Perspectives on Their Care: A Narrative View. Perspect Psychiatr Care 2018; 54:64-73. [PMID: 27901274 DOI: 10.1111/ppc.12201] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/10/2016] [Revised: 10/16/2016] [Accepted: 11/05/2016] [Indexed: 11/29/2022] Open
Abstract
PURPOSE The purpose of this study is to describe forensic psychiatric patients' experiences of and perspectives on forensic psychiatric treatment. DESIGN AND METHODS Eight forensic psychiatric patients were interviewed, and the resultant research material was analyzed by narrative analysis. FINDINGS Patients' narratives contain different themes telling different things and the personnel need to pay attention to these. PRACTICE IMPLICATIONS The findings of the present study should direct the forensic psychiatric personnel's attention to the notion that forensic psychiatric patients' experiences of their treatment can improve the quality of patient-centered care and reduce bureaucracy.
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Affiliation(s)
- Riitta Askola
- Riitta Askola, MNSc, RN, is Nurse Manager, Psychiatry Center, Helsinki University Hospital, Helsinki, Finland.,PhD student, Department of Nursing Science, School of Health Sciences, University of Tampere, Tampere, Finland
| | - Merja Nikkonen
- Merja Nikkonen, PhD, is Adjunct Professor, Department of Nursing Science, School of Health Sciences, University of Tampere, Tampere, Finland
| | - Eija Paavilainen
- Eija Paavilainen, PhD, is Professor, Department of Nursing Science, School of Health Sciences, University of Tampere, Tampere, Finland
| | - Päivi Soininen
- Päivi Soininen, PhD, MhSC, RN, is Nursing Director, Helsinki University Hospital, Helsinki, Finland
| | - Hanna Putkonen
- Hanna Putkonen, PhD, is Senior Researcher, Vanha Vaasa Hospital, Vaasa, Finland
| | - Olavi Louheranta
- Olavi Louheranta, ThM, PhD, is Supervisor, Niuvanniemi Hospital, Niuvankuja, Kuopio, Finland
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40
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Kivelä S, Leppäkoski T, Helminen M, Paavilainen E. A cross-sectional descriptive study of the family functioning, health and social support of hospital patients with family violence backgrounds. Scand J Caring Sci 2017; 32:1083-1092. [DOI: 10.1111/scs.12554] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2017] [Accepted: 11/29/2017] [Indexed: 12/15/2022]
Affiliation(s)
- Salla Kivelä
- Faculty of Social Sciences (Nursing Science); University of Tampere; Tampere Finland
| | - Tuija Leppäkoski
- Faculty of Social Sciences (Nursing Science); University of Tampere; Tampere Finland
- The Hospital District of South Ostrobothnia; Seinäjoki Finland
| | - Mika Helminen
- Faculty of Social Sciences (Health Sciences); University of Tampere; Tampere Finland
- Science Center; Tampere University Hospital; Tampere Finland
| | - Eija Paavilainen
- Faculty of Social Sciences (Nursing Science); University of Tampere; Tampere Finland
- The Hospital District of South Ostrobothnia; Seinäjoki Finland
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41
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Demidenko J, Routasalo P, Helminen M, Paavilainen E, Suominen T. Family functioning evaluated by family members of older patients and nurses in emergency departments. Scand J Caring Sci 2017; 32:1064-1073. [PMID: 29227534 DOI: 10.1111/scs.12552] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2017] [Accepted: 11/17/2017] [Indexed: 01/03/2023]
Abstract
The functioning of families in emergency departments (EDs) encompasses the level at which the families of older patients perform as a whole during the ED stay. Currently, little is known about how the families of older patients function in EDs. In this study, family functioning included the subareas of family strengths, structural factors and relationships both inside and outside the family. The study aimed to describe family functioning in EDs as evaluated by both the family members (n = 111) of older patients and nurses (n = 93). The data were collected from four Estonian hospitals, and the scale used was the Family Functioning, Health and Social Support scale. The results showed that both the family members and nurses evaluated family functioning and all its subareas as being moderate. Family structural factors were found to be associated with the family members' social status. The scores in the subareas were higher when older patients had received help from family members before the ED visit. The family members and nurses differed significantly in the scores they gave for family functioning in general and for all the subareas. No association was found between family functioning as rated by nurses and the families' demographic characteristics. These results suggest that nurses should pay more attention to family functioning in general and to the structural factors within the family, including internal relationships, while older patients are in the ED. Comprehensive knowledge about how families function during an ED stay may help nurses to better meet the needs of older patients and their families and help them to prepare families to provide aftercare at home. Our findings support the idea that healthcare organisation and delivery should be more family centred.
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Affiliation(s)
- Jekaterina Demidenko
- Faculty of Social Sciences, Health Sciences, University of Tampere, Tampere, Finland
| | | | - Mika Helminen
- Faculty of Social Sciences, Health Sciences, University of Tampere and Pirkanmaa Hospital District, Science Center, Tampere, Finland
| | - Eija Paavilainen
- Faculty of Social Sciences, Health Sciences, University of Tampere, Etelä-Pohjanmaa Hospital District, Tampere, Finland
| | - Tarja Suominen
- Faculty of Social Sciences, Health Sciences, University of Tampere, Tampere, Finland
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Ikonen R, Paavilainen E, Helminen M, Kaunonen M. Preterm infants’ mothers’ initiation and frequency of breast milk expression and exclusive use of mother's breast milk in neonatal intensive care units. J Clin Nurs 2017; 27:e551-e558. [DOI: 10.1111/jocn.14093] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/19/2017] [Indexed: 11/29/2022]
Affiliation(s)
- Riikka Ikonen
- Faculty of Social Sciences University of Tampere Tampere Finland
| | - Eija Paavilainen
- Faculty of Social Sciences University of Tampere Tampere Finland
- Etelä‐Pohjanmaa Hospital District Tampere Finland
| | - Mika Helminen
- Faculty of Social Sciences University of Tampere Tampere Finland
- Science Center Pirkanmaa Hospital District Tampere Finland
| | - Marja Kaunonen
- Faculty of Social Sciences University of Tampere Tampere Finland
- General Administration Pirkanmaa Hospital District Tampere Finland
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Affiliation(s)
- Nina Hahtela
- At the University of Tampere, School of Health Sciences, Finland, Nina Hahtela is a student; Eija Paavilainen is a professor; Mika Helminen is a biostatistician; and Tarja Suominen is a professor. Brendan McCormack is a professor at Queen Margaret University, School of Health Sciences, Musselburgh, East Lothian, United Kingdom; Diane Doran is professor emeritus at the University of Toronto, Lawrence S. Bloomberg Faculty of Nursing, Canada; and Paul Slater is a lecturer at the Institute of Nursing and Health Research, University of Ulster, Newtownabbey, Belfast, Northern Ireland
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Haapa T, Suominen T, Paavilainen E, Kylmä J. Experiences of living with a sexually transmitted disease: an integrative review. Scand J Caring Sci 2017; 32:999-1011. [PMID: 29193238 DOI: 10.1111/scs.12549] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2017] [Accepted: 11/05/2017] [Indexed: 11/29/2022]
Abstract
PURPOSE This integrative review describes experiences related to living with a sexually transmitted disease (STD). DESIGN The data search was conducted using the CINAHL, MEDLINE (Ovid), PsycINFO and PubMed databases between the years 2000 and 2016. A manual search was also used. The retrieved data consisted of 33 original articles which were analysed using deductive and inductive content analysis. RESULTS Based on the results, an infected person has a need for information about STDs and experiences emotions such as a loss of purity and control over his/her body. In addition, the ego of the infected person is wounded due to the infection. Concerns about the results of treatments, suffering side effects, and experiences of unprofessional behaviour by nursing staff are related to the treatment of an STD. Having an STD in everyday life means coping with a changing condition, but there are resources that can provide support. The quality of life can also be negatively affected by an STD, and a future with an STD can manifest different hopes and concerns. In relation to other people, an STD has a marked effect, especially concerning sexual relations. The person's sex life can fade away; however, it may remain as an enjoyable experience. The infected person may also adopt safer sexual behaviours or continue with a risk-taking behaviour. CONCLUSION The results of this review can be used in the development of nursing practices, as well as be used in the prevention of STDs.
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Affiliation(s)
- Toni Haapa
- Nursing Science, Faculty of Social Sciences, University of Tampere, Tampere, Finland.,Hospital District of Helsinki and Uusimaa, Helsinki University Hospital, Helsinki, Finland
| | - Tarja Suominen
- Nursing Science, Faculty of Social Sciences, University of Tampere, Tampere, Finland
| | - Eija Paavilainen
- Nursing Science, Faculty of Social Sciences, University of Tampere, Tampere, Finland
| | - Jari Kylmä
- Nursing Science, Faculty of Social Sciences, University of Tampere, Tampere, Finland
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Lindfors K, Meretoja R, Kaunonen M, Paavilainen E. Preceptors’ perceptions of the elements of a successful and an unsuccessful orientation period for newly graduated nurses. J Nurs Manag 2017; 26:256-262. [DOI: 10.1111/jonm.12541] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/15/2017] [Indexed: 11/27/2022]
Affiliation(s)
- Kirsi Lindfors
- The Department of Children and Adolescents; Helsinki University Hospital; Helsinki Finland
- University of Tampere; Tampere Finland
| | - Riitta Meretoja
- Group Administration; Helsinki University Hospital; Helsinki Finland
| | - Marja Kaunonen
- Faculty of Social Sciences; University of Tampere and Pirkanmaa Hospital District; General Administration; Tampere Finland
| | - Eija Paavilainen
- Faculty of Social Sciences; University of Tampere, Etelä-Pohjanmaa Hospital District; Tampere Finland
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46
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Askola R, Louheranta O, Soininen P, Putkonen H, Åstedt-Kurki P, Paavilainen E. The Offense as Perceived by the Parents of Forensic Psychiatric Patients. Issues Ment Health Nurs 2017; 38:705-711. [PMID: 28613093 DOI: 10.1080/01612840.2017.1326993] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
This study aims to describe the views of forensic psychiatric patients' parents, and especially how they feel about the patient's offense. The data analyzed was collected by interviews with forensic psychiatric patients' parents and analyzed by inductive content analysis. The findings suggest that the offense committed has a significant effect on the lives of parents of forensic psychiatric patients and in many ways these people felt like a marginalized group even though they were frequently a major resource for their child who had been taken into forensic psychiatric care. The parents of a forensic psychiatric patient have a prominent role in the life of the patient and this role and the parents' coping should also be supported by the forensic psychiatric treatment system.
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Affiliation(s)
- Riitta Askola
- a Helsinki University Hospital, Psychiatry Center , Helsinki , Finland ; University of Tampere , School of Health Sciences, Nursing Science , Tampere , Finland
| | | | | | | | - Päivi Åstedt-Kurki
- e University of Tampere , School of Health Sciences, Nursing Science , Tampere , Finland
| | - Eija Paavilainen
- e University of Tampere , School of Health Sciences, Nursing Science , Tampere , Finland
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Abstract
AIMS Familicide is a multiple-victim homicide incident in which the killer's spouse and one or more children are slain. A systematic review was conducted to reveal the background factors of western homicide perpetrators. METHODS The systematic search was performed in the Arto, Medic, Cinahl, Medline, EBSCOhost Academic Search Premier and Social Services abstracts databases. The keywords were familicide, family homicide, familicide-suicide, filicide-suicide, extended suicide, child, murder, family, filicide and infanticide. The searches revealed 4139 references from the databases. The references were filtered and 32 peer-reviewed research articles revealed in years 2004-2014 were selected as data. The articles were analysed using inductive content analysis, by finding all possible background factors related to homicide. RESULTS The factors were described as percentages of the range. The background factors of familicide perpetrators were categorised as follows: perpetrators who had committed homicide of a child and intimate partner and possibly committed suicide; a father had who killed a child; a mother who had killed a child; a father who had committed a filicide-suicide; and a mother who had committed a filicide-suicide. CONCLUSIONS Psychological instability, violence and crime were found in all these categories of familicides. Perpetrators who had committed a suicide in addition to the familicide had more often been diagnosed with depression, but they sought treatment for mental health problems less often and had violence and self-destructiveness less often in their background than in other familicide categories. Social and healthcare professionals should be more sensitive to emerging family problems and be prepared for intervention.
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Mikkola R, Paavilainen E, Salminen-Tuomaala M, Leikkola P. Out-of-hospital emergency care providers' work and challenges in a changing care environment. Scand J Caring Sci 2017; 32:253-260. [PMID: 28524371 DOI: 10.1111/scs.12456] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2016] [Accepted: 02/10/2017] [Indexed: 11/28/2022]
Abstract
Acutely ill patients are often treated on site instead of being transported to hospital, so wide-ranging professional competence is required from staff. The aim of this study was to describe and produce new information about out-of-hospital emergency care providers' competence, skills and willingness to engage in self-development activities, and to uncover challenges experienced by care providers in the midst of changing work practices. A quantitative questionnaire was sent to out-of-hospital emergency care providers (N = 142, response rate 53%) of one Finnish hospital district. Data were analysed using spss for Windows 22 software. Almost all respondents found their work interesting and their ability to work independently sufficient. The majority found the work meaningful. Almost 20% felt that work was dominated by constant rush, and 40%, more than half of 25-year-olds but <10% of over 45-years-olds, found the work physically straining. The majority indicated that they had a sufficient theoretical-practical basis to perform their regular duties, and more than one-third felt that they had sufficient skills to deal with multiple patient or disaster situations. Over 20% stated that they were unsure about performing new or infrequent procedures. A number of factors experienced as challenging were revealed. The results provide a basis for improving care providers' initial and further training.
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Affiliation(s)
- Riitta Mikkola
- School of Health Sciences, University of Tampere, Tampere, Finland
| | - Eija Paavilainen
- School of Health Sciences, University of Tampere, Finland/ Hospital District of South Ostrobothnia, Finland
| | - Mari Salminen-Tuomaala
- School of Health Care and Social Work, Seinäjoki University of Applied Sciences, Seinäjoki, Finland
| | - Päivi Leikkola
- School of Health Sciences, University of Tampere, Tampere, Finland.,The Hospital District of South Ostrobothnia, Seinäjoki, Finland
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Paavilainen E, Mikkola R, Salminen-Tuomaala M, Leikkola P. Counseling patients and family members in out-of-hospital emergency situations: a survey for emergency staff. BMC Nurs 2017; 16:11. [PMID: 28250716 PMCID: PMC5324227 DOI: 10.1186/s12912-017-0205-7] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2016] [Accepted: 02/16/2017] [Indexed: 11/19/2022] Open
Abstract
Background Not much is known about emergency care delivered in patients’ homes or other out-of-hospital settings. This study aims to describe out-of-hospital emergency staff’s experiences of encountering and counseling patients and their family members. Methods A descriptive cross-sectional design was applied. Data were collected from a hospital district in Finland from emergency care staff via an electronic survey questionnaire specifically developed for this purpose (N = 125, N = 142 reponse rate 59%, response rate 53%) and analyzed using descriptive statistics. Results Respondents succeeded in encountering (up to 3.88/4) and counseling (up to 3.89/4) patients and family members. Challenges were related to introducing themselves to family members (3.20/4), to interacting with patients from different cultures (3.38/4) and to allowing family members to be present in care situations (2.29/4). Providing emotional support (2.56/4), especially to family members, and confirming (3.16/4) and ensuring continuity of care instructions (3.00/4) were found to be challenging. Conclusions High-level counseling in acute out-of-hospital situations demands that care providers can put themselves into the patient’s and family’s situation, ensure follow-up care and provide care instructions to both patients and families. The presence and participation of family members is essential in acute care situations outside hospital contexts. Ensuring that these contents are included and practiced during basic and continuing emergency care education for nurses and other emergency staff is crucial for developing counseling practices.
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Affiliation(s)
- Eija Paavilainen
- School of Health Sciences, University of Tampere/ Hospital District of South Ostrobothnia, 33014 Tampere, Finland
| | - Riitta Mikkola
- School of Health Sciences, University of Tampere, Tampere, Finland
| | - Mari Salminen-Tuomaala
- School of Health Care and Social Work, Seinäjoki University of Applied Sciences, Seinäjoki, Finland
| | - Päivi Leikkola
- Hospital District of South Ostrobothnia, Seinäjoki, Finland
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Mikkola R, Huhtala H, Paavilainen E. Work-related fear and the threats of fear among emergency department nursing staff and physicians in Finland. J Clin Nurs 2017; 26:2953-2963. [DOI: 10.1111/jocn.13633] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/27/2016] [Indexed: 11/27/2022]
Affiliation(s)
- Riitta Mikkola
- Tampere School of Health Sciences; University of Tampere; Tampere Finland
| | - Heini Huhtala
- Tampere School of Health Sciences; University of Tampere; Tampere Finland
| | - Eija Paavilainen
- Tampere School of Health Sciences; University of Tampere; Tampere Finland
- Etelä-Pohjanmaa Hospital District; Seinäjoki Finland
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