Publications by authors named "Marja Kaunonen"

Aims: This study describes nurse leaders' experiences of nursing leadership in Finland towards Magnet hospital culture.

Design: This is a qualitative descriptive study.

Methods: The data from nurse leaders (n = 9) were collected in face-to-face or online interviews in June and August 2023 in Finland and analysed using an inductive content analysis approach.

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The aim of this study was to describe the childhood experiences of polio patients after the isolation phase of the disease in post-war Finland in the 1950s and 1960s. Qualitative empirical research was conducted. Interview material was gathered through theme-based written interviews, and the data were analyzed using reflective thematic analysis.

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Aim: To explore public health nurses' competence (namely knowledge, skills, and attitudes) in relation to long-term breastfeeding and their experience of the need for additional training on the subject.

Design: The study design was quantitative, descriptive, and cross-sectional.

Sample: Public health nurses (n = 270).

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Continuing bond manifesting as unexplainable experiences reflects bereaved´s attempts to restore connection with the deceased. As an experience unaligned with a person's overall schemas of meaning unexplainable experiences are a source of anxiety that individuals aim to alleviate by attribution thinking. This study describes how bereaved aim to explain unexplainable experiences related to the death of their loved ones.

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Background: Although research interest in fear of childbirth has increased, interventions targeting especially multiparas with fear of childbirth have been overlooked, although untreated fear can cause serious adverse effects on the mother and the whole family. Thus MOTIVE (Multiparas overcoming Childbirth Fear Through Intervention and Empowerment), an intervention for pregnant multiparas with fear of childbirth, was designed.

Methods: This is a protocol of a single-arm non-randomized feasibility study of the MOTIVE trial with a mixed-methods design.

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Background: Health professionals need adequate competence to support breastfeeding beyond infancy. There is no established instrument to measure health professionals' competence regarding long-term breastfeeding. To respond to this shortcoming, the Long-Term Breastfeeding Competence Scale (LBCS) was developed.

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Introduction: A family history is impacting the individual's risk perception. The objective of this systematic review was to describe inherited risk perceptions of type 2 diabetes from the citizen's viewpoint. The aim was to summarize and increase understanding so that the increased knowledge could be used effectively in type 2 diabetes risk communication in health care.

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Background: Breastfeeding up to two years and beyond supports the health and neurobiological development of a child. Nevertheless, mothers experience criticism from health professionals towards breastfeeding beyond 12 months. Competence related to breastfeeding counselling is defined as minimum knowledge, skills and attitudes that all health professionals should have to protect, promote and support breastfeeding.

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Article Synopsis
  • The study looked at the childhood experiences of polio patients in Finland during the 1950s and 1960s, showing how the disease affected their early lives.
  • The main theme was "shattered childhood," focusing on how kids felt betrayed by their own bodies and isolated from others due to the illness.
  • The research shows that these experiences during the acute phase of polio were traumatic and highlights the need for better care for kids with serious illnesses.
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This scoping review aims to provide a better understanding about the fall-related interventions, and the conditions which stand out as effective in decreasing fall risks of older people at home. A total of 28 peer-reviewed papers were included when they reported interventions with an incidence of falls or fall-risk as a primary outcome for older people, focusing on the home environment, from 8 databases. Qualitative examination was complemented by quantitative risk ratio analysis where it was feasible.

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Introduction: The global nursing workforce is predominantly female, with a large proportion working in the 45-55 age group. Menopause is a transition for all women, and; therefore needs recognition as it can impact work performance and consequently staff turnover.

Background: Women will go through the menopause, but not all women are affected.

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Background: This study was conducted to assess structural and psychological empowerment among learners enrolled in a continuing leadership education program. Although the number of nurse leadership development interventions has increased, there is little evidence on how they influence leaders' empowerment.

Method: A longitudinal study was employed, with learners ( = 85) enrolled in a continuing leadership education program as the participants.

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Objective: This study describes factors helping pregnant multiparas cope with their fear of birth and aims to contribute insight into measures that could be taken to support and develop care for multiparas with fear of birth.

Methods: Purposive sampling was used for collecting data from closed discussion forums. An electronic questionnaire included structured background questions and qualitative open-ended questions related to the factors multiparas had found helped them cope with their fear of birth.

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Aim: There is far little evidence available on nursing managers' experiences during this global crisis. This systematic review aimed to provide the first comprehensive summary of the findings of published studies describing data concerning nursing managers' experiences of the COVID-19 outbreak.

Design: Studies published between January 2019 and the end of December 2021 were retrieved from CINAHL, Medline and PubMed databases.

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Background: The Baby-Friendly Hospital Initiative suggests that in-hospital supplementation should be avoided unless medically indicated. The supporting evidence is contradictory, as nonexperimental studies have shown an association between supplementation and decreased breastfeeding rates, whereas trials have failed to do so. The aim of this study was to investigate whether in-hospital supplementation is associated with exclusive breastfeeding to the age of 5 months and any breastfeeding to the age of 12 months in full-term, normal-weight singleton infants.

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Aims And Objectives: The aim of this quasi-experimental longitudinal intervention study was to investigate new graduate nurses' professional competence development after preceptors' participation in an education intervention.

Background: New graduate registered nurses are expected to be competent in many areas of nursing. Expectations that are sometimes unrealistic may cause a sense of inadequacy and stress, and this may in turn prevent them from fully deploying their competencies.

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Objective: The objective of the systematic review is to identify, critically appraise, and synthesize the best available qualitative evidence on parent and carer experiences of health care professionals' communication about childhood obesity.

Introduction: Parents and carers play a key role in a child's environment and healthy development, which is why they can find it confronting to discuss their child's weight. This review will provide an insight into the experiences of parents and carers with health care professionals' communication about their child's overweight or obesity.

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Article Synopsis
  • Child maltreatment (CM) is a well-studied issue, yet there is a lack of effective tools for assessing CM risks in families.
  • The study discusses the development of the Family Needs Checklist (FNC), an evidence-based mobile application designed for primary prevention that involves literature review, risk factor identification, and input from a multidisciplinary team.
  • The FNC serves as a self-referral tool for parents or caregivers, featuring risk factors related to parents, families, and children, alongside resources and recommendations for protective support services.
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  • This study examines the effects of a prostate cancer diagnosis on marital relationships and health-related quality of life (HRQoL) in couples during the first year following diagnosis.
  • The research involved 350 couples from five Finnish hospitals, focusing on the experiences of both patients and their spouses through surveys.
  • The findings showed that while spouses experienced significant changes in their marital relationships, patients did not, highlighting the importance of providing tailored support to spouses to improve their well-being.
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Background: In nursing, empowerment may be deemed one's potential to gain power, achieve goals and promote one's skills to advance positive changes in the working environment, or decentralization of authority. Empowerment is associated with nurses' and nurse leaders' satisfaction, performance and organizational commitment, as well as burnout, emotional exhaustion and intentions to leave the profession. Research on nurse empowerment in relation to continuing education is sparse.

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Aim: To describe hospital staff's experiences of management actions to promote their mental well-being during the COVID-19 pandemic. Mental well-being was examined on the basis of four entities: level of anxiety, support and encouragement from the manager, and the opportunity to discuss concerns about COVID-19 with the manager.

Background: The workload of COVID-19 affects the mental well-being of staff.

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Aim: The main aim of the study was to investigate the effects of a nurse-led lifestyle-related risk factor modification intervention on multiple lifestyle behaviours among coronary artery disease patients over six months.

Design: A pre-test post-test control group design was conducted in a single clinical centre in Nepal.

Methods: A total of 224 eligible patients were randomly assigned to either the usual care group or the intervention group at baseline.

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Community paramedicine (CP) has extended the role of paramedics and the main goal is to provide non-emergency care, which reduces the visits to emergency departments. The aim of this study was to describe the Finnish CP and examine the factors that were involved in CNPs' decision-making processes. The study was based on data from 450 consecutive CP patient records from three hospital districts.

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