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Psychiatric nursing care experiences of immigrant patients: A Focused ethnographic study.

https://arctichealth.org/en/permalink/ahliterature299905
Source
Int J Ment Health Nurs. 2019 Feb; 28(1):117-127
Publication Type
Journal Article
Date
Feb-2019
Author
Susanna Kallakorpi
Kaisa Haatainen
Päivi Kankkunen
Author Affiliation
Hospital District of Helsinki and Uusimaa, Helsinki, Finland.
Source
Int J Ment Health Nurs. 2019 Feb; 28(1):117-127
Date
Feb-2019
Language
English
Publication Type
Journal Article
Keywords
Adult
Anthropology, Cultural
Culture
Emigrants and Immigrants - psychology
Female
Finland
Humans
Interviews as Topic
Male
Mental Disorders - ethnology - nursing - therapy
Psychiatric Nursing
Refugees - psychology
Abstract
This study aimed to describe the psychiatric nursing care experiences of immigrant patients. The incidence of mental health problems is higher and the use of mental health services is lower among immigrants, especially refugees, compared with the majority of the population. The study uses a qualitative research approach, with an emphasis on focused ethnography research methods. The participants were immigrant patients (N = 14) residing in adult psychiatric wards of certain hospitals (N = 3) selected for the study. A majority of the participants were refugees or asylum seekers. A total of 21 in-depth interviews were conducted. The experiences of these immigrant patients, both in their home countries and in their country of residence, had had an adverse effect on their mental health, with past traumatic experiences being the most central factor. Their symptoms included depression, anxiety, somatization, and psychosis. The findings show that the categories of factors that helped promote recovery among immigrant patients were nursing, medical treatment, care environment, and the patients' own methods. Based on the findings, a systematic evaluation of traumatic experiences is recommended for immigrants from countries with a history of war and/or political violence. Healthcare providers should also consider the importance of cultural desire in psychiatric nursing for the recovery of patients.
PubMed ID
29883019 View in PubMed
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Wrong-patient incidents during medication administrations.

https://arctichealth.org/en/permalink/ahliterature293062
Source
J Clin Nurs. 2018 Feb; 27(3-4):715-724
Publication Type
Journal Article
Multicenter Study
Date
Feb-2018
Author
Marja Härkänen
Maijaterttu Tiainen
Kaisa Haatainen
Author Affiliation
Department of Nursing Science, University of Eastern Finland, Kuopio, Finland.
Source
J Clin Nurs. 2018 Feb; 27(3-4):715-724
Date
Feb-2018
Language
English
Publication Type
Journal Article
Multicenter Study
Keywords
Female
Finland
Hospitals - statistics & numerical data
Humans
Male
Medication Errors - nursing - prevention & control - statistics & numerical data
Nursing Staff, Hospital - education
Patient Safety
Qualitative Research
Risk Management - methods
Workload
Abstract
To describe the factors pertaining to medication being administered to the wrong patient and to describe how patient identification is mentioned in wrong-patient incident reports.
Although patient identification has been given high priority to improve patient safety, patient misidentifications occur, and wrong-patient incidents are common.
A descriptive content analysis.
Incident reports related to medication administration (n = 1,012) were collected from two hospitals in Finland between 1 January 2013-31 December 2014. Of those, only incidents involving wrong-patient medication administration (n = 103) were included in this study.
Wrong-patient incidents occurred due for many reasons, including nurse-related factors (such as tiredness, a lack of skills or negligence) but also system-related factors (such as rushing or heavy workloads). In 77% (n = 79) of wrong-patient incident reports, the process of identifying of the patient was not described at all.
There is need to pay more attention to and increase training in correct identification processes to prevent wrong-patient incidents, and it is important to adjust system factors to support nurses.
Active patient identification procedures, double-checking and verification at each stage of the medication process should be implemented. More attention should also be paid to organisational factors, such as division of work, rushing and workload, as well as to correct communication. The active participation of nurses in handling incidents could increase risk awareness and facilitate useful protection actions.
PubMed ID
28815817 View in PubMed
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From challenges to advanced practice registered nursing role development: Qualitative interview study.

https://arctichealth.org/en/permalink/ahliterature280740
Source
Int J Nurs Pract. 2015 Dec;21(6):896-903
Publication Type
Article
Date
Dec-2015
Author
Krista Jokiniemi
Kaisa Haatainen
Anna-Maija Pietilä
Source
Int J Nurs Pract. 2015 Dec;21(6):896-903
Date
Dec-2015
Language
English
Publication Type
Article
Keywords
Advanced Practice Nursing
Finland
Humans
Nurse's Role
Qualitative Research
Abstract
The aim of this study is to describe the factors hindering and facilitating the implementation of the advanced practice registered nurses role at Finnish university hospitals, and to examine the implications for its future development. A descriptive qualitative approach, using thematic individual interviews, was conducted in 2011 with a sample of 11 advanced practice registered nurses. The data were analysed using qualitative content analysis. The advanced practice registered nurses role barriers had an impact on the role development needs. In turn, the facilitating factors helped encounter the challenges of the role, therefore having an impact on both the current role achievement, as well as contributing to the future role development. The factors hindering and facilitating the advanced practice registered nurses role need to be acknowledged to support the role implementation and planning of the future of the role.
PubMed ID
24754703 View in PubMed
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Hospital mortality and optimality of nursing workload: A study on the predictive validity of the RAFAELA Nursing Intensity and Staffing system.

https://arctichealth.org/en/permalink/ahliterature284009
Source
Int J Nurs Stud. 2016 Aug;60:46-53
Publication Type
Article
Date
Aug-2016
Author
Jaana K Junttila
Aija Koivu
Lisbeth Fagerström
Kaisa Haatainen
Pirkko Nykänen
Source
Int J Nurs Stud. 2016 Aug;60:46-53
Date
Aug-2016
Language
English
Publication Type
Article
Keywords
Cross-Sectional Studies
Finland
Hospital Mortality
Humans
Nursing Staff, Hospital
Personnel Staffing and Scheduling
Retrospective Studies
Workload
Abstract
Patient classification systems have been developed to manage workloads by estimating the need for nursing resources through the identification and quantification of individual patients' care needs. There is in use a diverse variety of patient classification systems. Most of them lack validity and reliability testing and evidence of the relationship to nursing outcomes.
Predictive validity of the RAFAELA system was tested by examining whether hospital mortality can be predicted by the optimality of nursing workload.
In this cross-sectional retrospective observational study, monthly mortality statistics and reports of daily registrations from the RAFAELA system were gathered from 34 inpatient units of two acute care hospitals in 2012 and 2013 (n=732). The association of hospital mortality with the chosen predictors (hospital, average daily patient to nurse ratio, average daily nursing workload and average daily workload optimality) was examined by negative binomial regression analyses.
Compared to the incidence rate of death in the months of overstaffing when average daily nursing workload was below the optimal level, the incidence rate was nearly fivefold when average daily nursing workload was at the optimal level (IRR 4.79, 95% CI 1.57-14.67, p=0.006) and 13-fold in the months of understaffing when average daily nursing workload was above the optimal level (IRR 12.97, 95% CI 2.86-58.88, p=0.001).
Hospital mortality can be predicted by the RAFAELA system. This study rendered additional confirmation for the predictive validity of this patient classification system. In future, larger studies with a wider variety of nurse sensitive outcomes and multiple risk adjustments are needed. Future research should also focus on other important criteria for an adequate nursing workforce management tool such as simplicity, efficiency and acceptability.
PubMed ID
27297367 View in PubMed
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Trigger Development for the Improvement of Neurological Patient Care.

https://arctichealth.org/en/permalink/ahliterature271125
Source
Stud Health Technol Inform. 2015;216:1116
Publication Type
Article
Date
2015

Factors associated with pathological dissociation in the general population.

https://arctichealth.org/en/permalink/ahliterature175040
Source
Aust N Z J Psychiatry. 2005 May;39(5):387-94
Publication Type
Article
Date
May-2005
Author
Päivi Maaranen
Antti Tanskanen
Kirsi Honkalampi
Kaisa Haatainen
Jukka Hintikka
Heimo Viinamäki
Author Affiliation
Department of Psychiatry, Kuopio University Hospital, Kuopio, Finland. paivi.maaranen@kuh.fi
Source
Aust N Z J Psychiatry. 2005 May;39(5):387-94
Date
May-2005
Language
English
Publication Type
Article
Keywords
Adult
Affective Symptoms - epidemiology
Demography
Depression - epidemiology
Dissociative Disorders - diagnosis - epidemiology
Factor Analysis, Statistical
Female
Finland - epidemiology
Humans
Male
Middle Aged
Population Surveillance - methods
Prevalence
Prospective Studies
Questionnaires
Suicide, Attempted - statistics & numerical data
Abstract
This study assessed the prevalence of pathological dissociation in the general population, and the relationship between pathological dissociation and sociodemographic and several psychiatric variables.
The stratified population sample consisted of 2001 subjects. The study questionnaires included the Dissociative Experiences Scale, the Dissociative Experiences Scale-Taxon, the Toronto Alexithymia Scale, the Beck Depression Inventory, and sociodemographic background.
The prevalence of pathological dissociation (DES-T >/= 20) was 3.4% in the general population and did not differ significantly between genders. Men scored higher than women in the amnesia subscale, and women in the absorption and imaginative involvement subscale. The relationship between pathological dissociation, alexithymia, depression and suicidality was strong. The likelihood of pathological dissociation was nearly nine-fold higher among depressive subjects, more than seven-fold higher among alexithymic subjects, and more than four-fold higher among suicidal subjects than among the others. Frequent alcohol consumption also associated significantly with pathological dissociation.
A significant relationship between pathological dissociation, depression, alexithymia, and suicidality was found in the general population. The importance of these factors should be examined in a prospective study design to determine causality.
PubMed ID
15860027 View in PubMed
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Somatoform dissociation and adverse childhood experiences in the general population.

https://arctichealth.org/en/permalink/ahliterature180250
Source
J Nerv Ment Dis. 2004 May;192(5):337-42
Publication Type
Article
Date
May-2004
Author
Päivi Maaranen
Antti Tanskanen
Kaisa Haatainen
Heli Koivumaa-Honkanen
Jukka Hintikka
Heimo Viinamäki
Author Affiliation
Department of Psychiatry, Kuopio University Hospital, Kuopio, Finland.
Source
J Nerv Ment Dis. 2004 May;192(5):337-42
Date
May-2004
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Aged
Child
Child Abuse - psychology - statistics & numerical data
Comorbidity
Dissociative Disorders - diagnosis - epidemiology - psychology
Domestic Violence - psychology - statistics & numerical data
Family Health
Female
Finland - epidemiology
Health Surveys
Humans
Life Change Events
Male
Middle Aged
Personality Inventory
Prevalence
Questionnaires
Risk
Sex Factors
Somatoform Disorders - diagnosis - epidemiology - psychology
Substance-Related Disorders - diagnosis - epidemiology - psychology
Abstract
Childhood trauma has been associated with psychological dissociation, but there is evidence that trauma may also result in somatoform dissociation. We performed a general population study with 1739 subjects, using the Somatoform Dissociation Questionnaire, measures of adverse childhood experiences, and sociodemographic background. The prevalence of high somatoform dissociation (Somatoform Dissociation Questionnaire >or=30) was 9.4% in the Finnish general population. Unemployment, a reduced working ability, and a poor financial situation were associated with high somatoform dissociation. Of the adverse childhood experiences, high somatoform dissociation was strongly linked to physical punishment but not associated with domestic violence, including sexual and physical abuse. The odds of high somatoform dissociation were also increased among men by a poor relationship between their parents, and among women by alcohol abuse in their childhood home. We found a strong, graded relationship between an increasing number of adverse childhood experiences and high somatoform dissociation.
PubMed ID
15126887 View in PubMed
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Functionality of Triggers for Epilepsy Patients Assessed by Text and Data Mining of Medical and Nursing Records.

https://arctichealth.org/en/permalink/ahliterature281933
Source
Stud Health Technol Inform. 2016;225:128-32
Publication Type
Article
Date
2016
Author
Eija Kivekäs
Ulla-Mari Kinnunen
Pekka Paananen
Reetta Kälviäinen
Kaisa Haatainen
Kaija Saranto
Source
Stud Health Technol Inform. 2016;225:128-32
Date
2016
Language
English
Publication Type
Article
Keywords
Causality
Data Mining - methods
Decision Support Systems, Clinical - organization & administration
Electronic Health Records - statistics & numerical data
Epilepsy - diagnosis - epidemiology - prevention & control
Finland - epidemiology
Humans
Machine Learning
Medical Errors - prevention & control - statistics & numerical data
Natural Language Processing
Nursing Records - statistics & numerical data
Patient Safety
Prognosis
Reproducibility of Results
Risk Assessment - methods
Sensitivity and specificity
Terminology as Topic
Abstract
A trigger is a powerful tool for identifying adverse events to measure the level of any kind of harm caused in patient care. Studies with epilepsy patients have illustrated that using triggers as a methodology with data mining may increase patient well-being. The purpose of this study is to test the functionality and validity of the previously defined triggers to describe the status of epilepsy patient's well-being. In both medical and nursing data, the triggers described patients' well-being comprehensively. The narratives showed that there was overlapping in triggers. The preliminary results of triggers encourage us to develop some reminders to the documentation of epilepsy patient well-being. These provide healthcare professionals with further and more detailed information when necessary.
PubMed ID
27332176 View in PubMed
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Recovery from depression: a two-year follow-up study of general population subjects.

https://arctichealth.org/en/permalink/ahliterature170802
Source
Int J Soc Psychiatry. 2006 Jan;52(1):19-28
Publication Type
Article
Date
Jan-2006
Author
Heimo Viinamäki
Antti Tanskanen
Kirsi Honkalampi
Heli Koivumaa-Honkanen
Risto Antikainen
Kaisa Haatainen
Jukka Hintikka
Author Affiliation
Kuopio University Hospital and University of Kuopio, Department of Psychiatry, Finland. heimo.viinamaki@kuh.fi
Source
Int J Soc Psychiatry. 2006 Jan;52(1):19-28
Date
Jan-2006
Language
English
Publication Type
Article
Keywords
Adult
Alcohol Drinking - psychology
Depressive Disorder - epidemiology - psychology - therapy
Female
Finland - epidemiology
Follow-Up Studies
Health status
Humans
Male
Middle Aged
Personal Satisfaction
Population Surveillance
Poverty - psychology
Quality of Life
Smoking - psychology
Abstract
The recovery from depression and factors associated with it are not well known in the general population.
To conduct a two-year follow-up of general population subjects and investigate their recovery from depression.
Individuals who were assessed as suffering from depression on the basis of Beck Depression Inventory (BDI) scores were monitored for two years.
Sixty-five per cent were still depressed after two years of follow-up. Negative life events had occurred more often in those who had remained depressed than in the others. Logistic regression analysis revealed that a high initial BDI score and a worsening of a subject's economic situation during the follow-up period were associated with failure to recover. Lack of use of health services was associated with non-recovery.
Depression may be more chronic in the general population than previously has been thought.
PubMed ID
16463592 View in PubMed
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The relationship between psychological and somatoform dissociation in the general population.

https://arctichealth.org/en/permalink/ahliterature172549
Source
J Nerv Ment Dis. 2005 Oct;193(10):690-2
Publication Type
Article
Date
Oct-2005
Author
Päivi Maaranen
Antti Tanskanen
Kaisa Haatainen
Kirsi Honkalampi
Heli Koivumaa-Honkanen
Jukka Hintikka
Heimo Viinamäki
Author Affiliation
Department of Psychiatry, Kuopio University Hospital, Kuopio, Finland.
Source
J Nerv Ment Dis. 2005 Oct;193(10):690-2
Date
Oct-2005
Language
English
Publication Type
Article
Keywords
Adult
Comorbidity
Cross-Sectional Studies
Depressive Disorder - diagnosis - epidemiology - psychology
Diagnosis, Differential
Dissociative Disorders - diagnosis - epidemiology - psychology
Female
Finland - epidemiology
Health status
Humans
Male
Middle Aged
Personality Inventory
Psychiatric Status Rating Scales
Questionnaires
Social Support
Somatoform Disorders - diagnosis - epidemiology - psychology
Suicide - psychology
Work Capacity Evaluation
Abstract
We assessed psychological and somatoform dissociation and their relationships in the general population. The study questionnaires included the Dissociative Experiences Scale, the Somatoform Dissociation Questionnaire, the Beck Depression Inventory, and background characteristics. Four study groups were formed: subjects with low dissociation scores (N = 1334), with high psychological dissociation (N = 93), with high somatoform dissociation (N = 93), and with high psychological and somatoform dissociation (N = 65). Those with high psychological and somatoform dissociation differed clearly from the other groups. They had depressive symptoms, suicidal ideation, a reduced working ability, a poor financial situation, poor general health, and inadequate social support more frequently than subjects in the other groups. Thus, a considerable amount of ill health was recorded in this group.
PubMed ID
16208166 View in PubMed
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19 records – page 1 of 2.