Publications by authors named "Arja Isola"

The aim of this study was to explore nursing staffs' perceptions of the physical and psychological care needs of elderly residents, their views on the relative importance of these needs and their perceived ability to meet them. The literature reveals that the quality of elder care in nursing homes should comprise both physical and psychosocial care. Despite this, the nursing staffs' perceptions of the physical and psychosocial care provision have not often been researched.

View Article and Find Full Text PDF

Background: Medication administration is an important task of registered nurses. According to previous studies, nurses lack theoretical knowledge and drug calculation skills and knowledge-based mistakes do occur in clinical practice. Finnish health care organizations started to develop a systematic verification processes for medication competence at the end of the last decade.

View Article and Find Full Text PDF

Aims And Objectives: The aim of this study was to describe the treatment of older people with dementia in surgical wards from the viewpoints of the patients and their close relatives.

Background: Little is known about the impact of the increasing number of older people with dementia on the treatment of patients in acute care.

Design: A qualitative, descriptive design was used.

View Article and Find Full Text PDF

Aims And Objectives: The aim of this study is to describe the care of older people with dementia in surgical wards from the viewpoint of the nursing staff and physicians.

Background: There has been little research on the impact of the increasing number of older people with dementia in surgical wards and the preparedness of multi-professional staff caring for them.

Design: A qualitative, descriptive design was used.

View Article and Find Full Text PDF

Aims And Objectives: To describe the safety incidents involving confused and forgetful older patients in a specialised care setting entered in the HaiPro reporting system.

Background: About 10% of patients experience a safety incident during hospitalisation, which causes or could cause them harm. The possibility of a safety incident during hospitalisation increases significantly with age.

View Article and Find Full Text PDF

The aim is to describe the development of a middle-range theory by using an inductive-deductive approach. A theory of well-being supporting physical environment of home-dwelling elderly is used as an example. The inductive-deductive theory development process is described through four different phases: (1) the creations of concepts were described inductively through concept synthesis, (2) relationships between the concepts were examined to set up a hypothetical model, (3) hypotheses were set up to verify the concepts and to test hypothetical models, and (4) the verification and presentation of the theory.

View Article and Find Full Text PDF

The experiences of receiving a diagnosis of dementia from the viewpoint of people with dementia and their family members were explored in this study. Purposive sampling was used to recruit people with newly-diagnosed dementia (n = 8) and their family members (n = 8) from a university hospital's memory clinic in northern Finland. Data were collected using low-structured interviews, and analyzed using the stages of grounded theory.

View Article and Find Full Text PDF

The purpose of this study was to explore nurse managers' perceptions related to their leadership styles, knowledge, and their skills in these areas in health centre wards in Finland. The data were collected from nurse managers (n = 252) in health centre hospitals in Finland using a structured questionnaire (response rate 63%). Six leadership styles-visionary, coaching, affiliate, democratic, commanding, and isolating-were reflected on.

View Article and Find Full Text PDF

Purpose: Little is known about children sleeping outdoors in a northern winter climate, although it is a common practice in northern countries. The article describes the cultural meaning of this child care practice from the viewpoint of mothers.

Design: Explorative descriptive study design was adopted and unstructured interviews were processed by qualitative content analysis.

View Article and Find Full Text PDF

Objective: This article reports a study to measure diabetes-dependent quality of life (QOL) in older Slovenian patients with diabetes mellitus type 2 (DMT2).

Methods: A cross-sectional study of older (age ≥ 65 years) patients with DMT2 at outpatient diabetic centers was conducted in all regions in Slovenia. The Audit of Diabetes-Dependent Quality of Life questionnaire was carried out between January and May 2012.

View Article and Find Full Text PDF

Nurse managers who can observe their own behaviour and its effects on employees can adjust to a better leadership style. The intention of this study was to explore nurses' and supervisors' perceptions of nurse managers' leadership styles. Open-ended interviews were conducted with 11 nurses and 10 superiors.

View Article and Find Full Text PDF

Aims And Objectives: To investigate deficiencies in the institutional elder care that is being offered to residents of nursing homes in Slovenia.

Background: Public criticism of the provision of elder care in nursing homes is growing all over the world, including in Slovenia. Many studies on this issue have been conducted, but seldom have assessed different viewpoints simultaneously.

View Article and Find Full Text PDF

Caring for older persons is both rewarding and consuming. Work with older people in Finland has been shown to be more burdensome than in the other Nordic countries. The aim of this study was to try out a Finnish version of the Stress of Conscience Questionnaire (SCQ) and explore stress of conscience in staff caring for older persons in Finland.

View Article and Find Full Text PDF

This article is based on a qualitative longitudinal study that followed the subjective experiences of both people living with dementia and their family members during the early stages of the illness. The purpose of this article is to describe and reflect on the ethical and methodological issues that occurred during data collection. The article focuses on the situation of the person with dementia and the family member and the role of the researcher when conducting the research interviews.

View Article and Find Full Text PDF

Background: Previous studies have shown that dance can bring out the strength and resources of persons with dementia.

Purpose: To describe for later evaluation how older persons with dementia experience dance performances in a nursing home.

Design: Four dance performances, based on the recollections the older persons had of different seasons, were arranged in one nursing home.

View Article and Find Full Text PDF

Aim: The aim was to describe gerontological rehabilitation nursing in an acute hospital setting from nursing staff's points of view.

Background: In the model of gerontological rehabilitation nursing, older people are active operators in their own rehabilitation process. It is the task of nursing staff, together with the patient, their relatives and a multiprofessional team, to support the patient's commitment to the rehabilitation goal.

View Article and Find Full Text PDF

Objectives: The purpose of this study was to construct a theory on an environment that would support the well-being of home-dwelling elderly people in northern Finland.

Study Design: The study was carried out according to the phases of theory formulation using both qualitative and quantitative methods.

Methods: The data of the first phase consisted of focused interviews (n=39) with home-dwelling elderly people over the age of 65 years.

View Article and Find Full Text PDF

It is a common practice in Northern countries that children aged about 2 weeks to 2 years take their daytime sleep outdoors in prams in winter. The aim was to evaluate the thermal insulation of clothing of infants sleeping outdoors in winter. Clothing data of infants aged 3.

View Article and Find Full Text PDF

Aims And Objectives: To describe the perceptions of nursing staff on the use of physical restraints in institutional care of older people.

Background: Physical restraint of older people is a common practice in institutional care in many countries, including Finland. As the nursing staff plays a major role in deciding on physically restraining older patient and in the care the patient receives, new research information is needed on the nursing staff's attitudes towards the use of physical restraints.

View Article and Find Full Text PDF

Aim: The aim of the study is to describe the relationships among thermal environment, skin temperatures and infants' daytime outdoor sleep duration in northern winter conditions.

Methods: This study is a cross-over observational study. Skin temperatures of three-month-old infants were recorded from seven skin sites continuously throughout outdoor (n = 34) and indoor sleep (n = 33) in the families' homes.

View Article and Find Full Text PDF

The purpose of this qualitative study was to describe the use of physical restraint and the perspectives of elderly patients and their family members on the use of physical restraint in long-term institutional care. Data were collected in three elderly care units through participant observation and theme interviews. The results revealed that in addition to traditional means of restraint, such as restraint belts and raising the sides of the bed, the nursing staff used indirect methods of restraint as well.

View Article and Find Full Text PDF

Aim: The purpose of the present study was to explore nurse managers' perceptions of their leadership styles and factors influencing it.

Background: It is a challenge for nurse managers to retain nurses in hospitals and to ensure a high quality of care in nursing practice. Leadership style is an important part of leadership.

View Article and Find Full Text PDF

Aims And Objectives: The aim of the study was to map nursing staff's individual, communal and alternative modes of action in situations where they used physical restraint of older people in Finland.

Background: The use of physical restraint in institutional care of older people involves modes of action that are linked to the personalities and modes of operation of individual nurses or to communal modes of operation mutually agreed on in the workplace. Nurse's individual modes of operation are linked to consideration towards older people when using physical restraint.

View Article and Find Full Text PDF

Objectives: The purpose of this study was to describe parents' opinions about their children sleeping outdoors during the Finnish winter and the prevalence of this practice in the city of Oulu.

Study Design: A cross-sectional study using a questionnaire.

Methods: Data were collected using a questionnaire compiled for the purpose of giving us a window into this childcare practice in northern Finland.

View Article and Find Full Text PDF

Aims: The aim of this paper was to report on the quality of institutional nursing of older people as evaluated by nursing staff in 2001 and to compare the responses with those obtained in 1998.

Background: The healthcare division of one Finnish city authorised an outside survey of long-term geriatric care in the hospitals providing such care in 1998. Based on the results, recommendations concerning the development of care of older people were issued.

View Article and Find Full Text PDF