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.
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.
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.
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.
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.
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.