Publications by authors named "Jaana Koskenniemi"

Objective: To assess risk factors and factors associated with nonachievement of the treatment target levels among 75-year-old Finns with type 2 diabetes (T2D).

Design: Cross-sectional study.

Setting: Outpatient.

View Article and Find Full Text PDF

Background: In the Finnish policy on older people preventive activities, which maintain functional capacity and independent living, are emphasized. The Turku Senior Health Clinic, aimed at maintaining independent coping of all home-dwelling 75-year-old citizens in the city of Turku, was founded in the beginning of 2020. The aim of this paper is to describe design and protocol of the Turku Senior Health Clinic Study (TSHeC) and provide results of the non-response analysis.

View Article and Find Full Text PDF

Background: Dialysis patients' experience of safety can be seen positively connected with their wellbeing and successful outcomes of their treatment and care. Therefore, it is necessary to identify the factors promoting and weakening the safety experiences and create a basis for empowering interventions.

Objectives: Analyse patients' experiences of safety with dialysis and the factors promoting and weakening their safety.

View Article and Find Full Text PDF

Aims And Objectives: To investigate older hospital patients' perceptions of respect in a patient-nurse relationship and its associated factors.

Background: To be cared for with respect is fundamental to ethical nursing care. However, respect has seldom been a main topic of nursing research, and few of these studies have assessed older patients' perceptions of being respected by nurses alongside associated factors.

View Article and Find Full Text PDF

Background: As a fundamental human right in healthcare, informational privacy creates the foundation for patient's safety and the quality of care. However, its realization can be a challenge in prehospital emergency care, considering the nature of the work.

Objectives: To describe patient's informational privacy, its realization, and the factors related to the realization in prehospital emergency care from the perspective of paramedics.

View Article and Find Full Text PDF

Aim And Objective: To investigate older patients' perceptions of respect in hospital nursing care and to test a newly developed instrument measuring the phenomenon.

Background: Respect manifests itself in the older patient-nurse relationship in terms of nurses being with and doing for the patient. Empirical studies investigating respect from the older patients' perspective are rare.

View Article and Find Full Text PDF

Aim: To describe the associations between positive and negative reactions of informal caregivers of people with dementia and health outcomes across eight European Countries.

Background: Caring for someone with dementia may have implications for the caregiver's own health and for the care recipient. These consequences could be associated with caregivers' reactions to the process of care.

View Article and Find Full Text PDF

Background: Respect is fundamental to ethical nursing practice. However, respect in the care of older people is seldom investigated from the perspective of patients and their next of kin.

Aim: To describe the manifestation of respect in the care of older patients in long-term care settings from the perspective of older patients with memory disorders and their next of kin.

View Article and Find Full Text PDF

Aims: To explore the perceptions of informal caregivers and healthcare professionals regarding potential reasons for the institutionalization of older persons with dementia in eight European countries.

Background: Healthcare professionals may have an important role in facilitating informal caregivers' decision-making regarding institutionalization. Little is known about the perceptions of informal caregivers and healthcare professionals prior to institutionalization.

View Article and Find Full Text PDF

Rationale: People have a fundamental right to know about care and services within health care. This right is also important for persons with memory disorders (PwMD) and their significant others (SO) for empowering them to manage with difficult situations at home and in institution.

Aim: This study explores the self-assessed level of received knowledge about care and services of the SOs of PwMDs and the understandability of that knowledge.

View Article and Find Full Text PDF

The aim of this study was to describe the experiences of older patients and their next of kin with regards to respect in the care given in an acute hospital. The data were collected using tape-recorded interviews (10 patients and 10 next of kin) and analysed via inductive content analysis. Based on the analysis, the concept of respect can be defined by the actions taken by nurses (polite behaviour, the patience to listen, reassurance, response to information needs, assistance in basic needs, provision of pain relief, response to wishes and time management) and next of kin (support, assistance and advocacy) and by factors related to the environment (appreciation of older people in society, management of health-care organizations, the nursing culture, the flow of information and patient placement).

View Article and Find Full Text PDF