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Culturally diverse nursing students in Finland: some experiences.

https://arctichealth.org/en/permalink/ahliterature119549
Source
Int J Nurs Educ Scholarsh. 2012;9
Publication Type
Article
Date
2012
Author
Marianne Pitkajarvi
Elina Eriksson
Pertti Kekki
Kaisu Pitkala
Author Affiliation
University of Helsinki, Finland. marianne.pitkajarvi@metropolia.fi
Source
Int J Nurs Educ Scholarsh. 2012;9
Date
2012
Language
English
Publication Type
Article
Keywords
Adult
Attitude to Health - ethnology
Clinical Competence
Communication Barriers
Cultural Characteristics
Cultural Diversity
Education, Nursing, Baccalaureate - methods
Female
Finland
Humans
Interprofessional Relations
Male
Nursing Education Research
Questionnaires
Students, Nursing - psychology
Young Adult
Abstract
Around the world, student populations are internationalizing and diversifying. The purpose of this study was to research culturally and linguistically diverse nursing students' experiences in Finland. The data were collected from 27 students in four polytechnics through focus group interviews. The findings highlight the importance of concreteness in theoretical instruction. In clinical settings, language barriers and negative attitudes towards students and their cultural background lead to social and professional isolation. The findings suggest that development of culturally sensitive pedagogy requires further investigation with strong research designs. Intensified language instruction for those who need it is essential. Strategies that increase cultural competence and promote appreciation of cultural diversity in health care settings should be developed.
PubMed ID
23091280 View in PubMed
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Health, utilisation of health services, 'core' information, and reasons for non-participation: a triangulation study amongst non-respondents.

https://arctichealth.org/en/permalink/ahliterature154196
Source
J Clin Nurs. 2008 Nov;17(22):2972-8
Publication Type
Article
Date
Nov-2008
Author
Anita Näslindh-Ylispangar
Marja Sihvonen
Pertti Kekki
Author Affiliation
Department of General Practice and Primary Health Care, University of Helsinki, Helsinki, Finland. anita.ylispangar@kolumbus.fi
Source
J Clin Nurs. 2008 Nov;17(22):2972-8
Date
Nov-2008
Language
English
Publication Type
Article
Keywords
Finland
Health Services - utilization
Humans
Male
Middle Aged
Public health nursing
Reproducibility of Results
Abstract
To explore health, use of health services, 'core' information and reasons for non-participation amongst males.
Gender may provide an explanation for non-participation in the healthcare system. A growing body of research suggests that males are less likely than females to seek help from health professionals for their problems. The current research had its beginnings with the low response rate in a prior voluntary survey and health examination for Finnish males born in 1961.
Data triangulation among 28 non-respondent middle-aged males in Helsinki was used.
The methods involved structured and in-depth interviews and health measurements to explore the views of these males concerning their health-related behaviours and use of health services.
Non-respondent males seldom used healthcare services. Despite clinical risk factors (e.g. obesity and blood pressure) and various symptoms, males perceived their health status as good. Work was widely experienced as excessively demanding, causing insomnia and other stress symptoms. Males expressed sensitive messages when a session was ending and when the participant was close to the door and leaving the room. This 'core' information included major causes of concern, anxiety, fears and loneliness.
This triangulation study showed that by using an in-depth interview as one research strategy, more sensitive 'feminist' expressions in health and ill-health were got by men. The results emphasise a male's self-perception of his masculinity that may have relevance to the health experience of the male population.
Nurses and physicians need to pay special attention to the requirements of gender-specific healthcare to be most effective in the delivery of healthcare to males.
PubMed ID
19012767 View in PubMed
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Performance of two measures of general health-related quality of life, the EQ-5D and the RAND-36 among critically ill patients.

https://arctichealth.org/en/permalink/ahliterature176609
Source
Intensive Care Med. 2004 Dec;30(12):2245-52
Publication Type
Article
Date
Dec-2004
Author
Anne Kaarlola
Ville Pettilä
Pertti Kekki
Author Affiliation
Department of Anaesthesiology and Intensive Care Medicine, Meilahti Hospital, Helsinki University Central Hospital, P.O. Box 340, 00029, Finland. anne.kaarlola@hus.fi
Source
Intensive Care Med. 2004 Dec;30(12):2245-52
Date
Dec-2004
Language
English
Publication Type
Article
Keywords
APACHE
Adolescent
Adult
Aged
Aged, 80 and over
Cross-Sectional Studies
Female
Finland
Health status
Hospital Mortality
Humans
Intensive Care Units
Length of Stay
Male
Mental health
Middle Aged
Quality of Life
Questionnaires
Time Factors
Abstract
To compare two health-related quality of life measures, the preference-based EQ-5D with five questions and the profile-based RAND-36 with 36 questions, in previous critically ill patients.
Prospective observational study.
A ten-bed medical-surgical intensive care unit (ICU) in a tertiary care university hospital.
Of the 2,709 critically ill patients, treated during the years 1995-2000, the 1,099 patients of the 1,443 still alive who returned both mailed measures were included in the study.
None.
The EQ-5D and the RAND-36 correlated well (P
PubMed ID
15650867 View in PubMed
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Re-hospitalizations after myocardial infarction on Prince Edward Island: analysis of the reasons.

https://arctichealth.org/en/permalink/ahliterature185775
Source
Can J Cardiovasc Nurs. 2003;13(1):16-20
Publication Type
Article
Date
2003
Author
Kim A Robertson
Katia Kayhko
Pertti Kekki
Source
Can J Cardiovasc Nurs. 2003;13(1):16-20
Date
2003
Language
English
Publication Type
Article
Keywords
Aged
Cause of Death
Cross-Sectional Studies
Female
Humans
Hypertension - complications
Incidence
Length of Stay - statistics & numerical data
Male
Myocardial Infarction - epidemiology - etiology - psychology - rehabilitation
Needs Assessment
Obesity - complications
Patient Education as Topic
Patient Readmission - statistics & numerical data
Prince Edward Island - epidemiology
Risk factors
Smoking - adverse effects
Abstract
In the province of Prince Edward Island (PEI), which has a small homogeneous population of approximately 140,000 people, cardiovascular disease is the leading cause of death accounting for 37% of the total deaths. Next to Newfoundland, this province ranks second highest in Canada for its incidence of cardiovascular disease. This high incidence of cardiovascular disease in this population has been attributed to smoking, physical inactivity, hypertension and obesity. In examining provincial comparisons across Canada, PEI has the highest proportion of physically inactive adults at 68%. PEI has the second highest proportion of adults, 15 years and older, who are daily or occasional smokers at 65% and who have high blood pressure at 12%. PEI has the third highest proportion of adults who are overweight. At the Queen Elizabeth Hospital in Charlottetown, PEI, where the researcher has conducted her study, during the period of January 1997 and December 1997, 192 patients were admitted with the diagnosis of acute myocardial infarction (AMI). The average length of stay in hospital for these patients was 10.3 days. This is high compared to the national average of 6.6 days in hospital. During a one year period, 111 of these 192 patients were re-admitted to hospital with a related cardiovascular diagnosis. This equates to a 57.8% readmission rate for post MI patients. These re-hospitalizations are both costly to health care and disruptive to the quality of life of the individual and his or her family. There is evidence that a portion, approximately 50% of these re-hospitalizations, are due mainly to psychosocial factors and not to unavoidable clinical reasons. A cross-sectional design representing this one year period was used in a chart audit with an analysis done to determine factors associated with re-hospitalization of post MI patients. This article will offer insight regarding the results of this analysis as well as future recommendations for patients being discharged home follow an AMI. The significance of the research lies in its collection of data focusing on behaviors and attitudes around cardiovascular risk factor modification which will enable effective planning and evaluation of health promotion programs, policies, and legislation.
PubMed ID
12703101 View in PubMed
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The relationship between school-based smoking policies and prevention programs on smoking behavior among grade 12 students in Prince Edward Island: a multilevel analysis.

https://arctichealth.org/en/permalink/ahliterature164991
Source
Prev Med. 2007 Apr;44(4):317-22
Publication Type
Article
Date
Apr-2007
Author
Donna A Murnaghan
Marja Sihvonen
Scott T Leatherdale
Pertti Kekki
Author Affiliation
School of Nursing, University Prince Edward Island, Charlottetown, Prince Edward Island, Canada. dmurnaghan@upei.ca
Source
Prev Med. 2007 Apr;44(4):317-22
Date
Apr-2007
Language
English
Publication Type
Article
Keywords
Adolescent
Adolescent Behavior
Cohort Studies
Cross-Sectional Studies
Female
Health promotion
Humans
Male
Odds Ratio
Organizational Policy
Prince Edward Island - epidemiology
Program Evaluation
Regression Analysis
Risk assessment
Risk-Taking
Schools - organization & administration
Smoking - epidemiology - prevention & control
Abstract
To examine how school-based smoking policies and prevention programs are associated with occasional and regular smoking among a cohort of grade 12 students in Prince Edward Island, Canada, between 1999 and 2001.
Data from the Tobacco Module of the School Health Action, Planning and Evaluation System (SHAPES) collected from 3,965 grade 12 students in 10 high schools were examined using multi-level regression analysis.
Attending a school with smoking prevention programming was associated with a decreased risk of being an occasional smoker (OR 0.42, 95% CI: 0.18, 0.97). School-based policies banning smoking on school property were associated with a small increased risk of occasional smoking (OR 1.06, 95% CI: 0.67, 1.68) among some students. The combination of both policies and programs was not associated with either occasional or regular smoking.
This preliminary evidence suggests that tailored school-based prevention programming may be effective at reducing smoking uptake; however, school smoking policies and the combination of programs and policies were relatively ineffective. These findings suggest that a new approach to school-based tobacco use prevention may be required.
PubMed ID
17320943 View in PubMed
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Self-rated health and risk factors for metabolic syndrome among middle-aged men.

https://arctichealth.org/en/permalink/ahliterature171433
Source
Public Health Nurs. 2005 Nov-Dec;22(6):515-22
Publication Type
Article
Author
Anita Näslindh-Ylispangar
Marja Sihvonen
Hannu Vanhanen
Pertti Kekki
Author Affiliation
Department of General Practice and Primary Health Care, University of Helsinki, Kauriintie 3G49, 00740 Helsinki 74, Finland. anita.ylispangar@kolumbus.fi
Source
Public Health Nurs. 2005 Nov-Dec;22(6):515-22
Language
English
Publication Type
Article
Keywords
Cross-Sectional Studies
Finland
Health Knowledge, Attitudes, Practice
Health status
Humans
Life Style
Male
Metabolic Syndrome X - prevention & control
Middle Aged
Public health nursing
Risk factors
Abstract
To examine lifestyle and clinical risk factors for metabolic syndrome (MBO) and compare their significance between levels of self-rated health among middle-aged men.
A cross-sectional baseline study.
273 men, aged 40, living in Helsinki, Finland.
Postal questionnaires and health examinations by public health nurses were used in data collection. Statistical differences between groups of self-rated health and risk factors were analyzed by chi-square tests.
Of all the respondents, 55% rated their health as good and 45% as average. Two thirds were overweight or obese, and 35% had waist-hip ratio more than 100 cm. Approximately 43% had diastolic blood pressure greater than 90 mmHg. Over half of the men smoked daily, and 28% used alcohol excessively.
The men in this sample were found to be at high risk of developing MBO. The results underscore the importance of understanding the contradiction that exists between subjective and objective health ratings. Public health nurses are in a key position to educate men on how to use simple measurements to objectively assess their risk factors and, thus, potentially reduce their risk of developing diabetes, heart attack, or stroke.
PubMed ID
16371072 View in PubMed
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Teachers' experiences of English-language-taught degree programs within health care sector of Finnish polytechnics.

https://arctichealth.org/en/permalink/ahliterature139126
Source
Nurse Educ Today. 2011 Aug;31(6):553-7
Publication Type
Article
Date
Aug-2011
Author
Marianne Pitkajarvi
Elina Eriksson
Pertti Kekki
Author Affiliation
University of Helsinki, Faculty of Medicine, Department of General Practice and Primary Health Care, Korpimaa 6 b 11, 02300 Espoo, Finland. mzpitkaj@mappi.helsinki.fi
Source
Nurse Educ Today. 2011 Aug;31(6):553-7
Date
Aug-2011
Language
English
Publication Type
Article
Keywords
Attitude of Health Personnel
Education, Nursing, Baccalaureate - methods - organization & administration
Faculty, Nursing
Finland
Focus Groups
Health Care Sector
Humans
Language
Nursing Evaluation Research
Qualitative Research
Teaching - methods
Abstract
The purpose of this study was to research teachers' experiences of the English-Language-Taught Degree Programs in the health care sector of Finnish polytechnics. More specifically, the focus was on teachers' experiences of teaching methods and clinical practice. The data were collected from eighteen teachers in six polytechnics through focus group interviews. Content analysis was used to analyse the data. The results suggested that despite the positive interaction between students and teachers, choosing appropriate teaching methods provided a challenge for teachers, due to cultural diversity of students as well as to the use of a foreign language in tuition. Due to students' language-related difficulties, clinical practice was found to be the biggest challenge in the educational process. Staffs' attitudes were perceived to be significant for students' clinical experience. Further research using stronger designs is needed.
PubMed ID
21095046 View in PubMed
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7 records – page 1 of 1.