Factors affecting speech-language pathologists' language assessment procedures and tools - challenges and future directions in Sweden.

National surveys of speech-language pathologists' (SLP) practices play an important role in professional development, and previous research show that many challenges faced by the profession are similar across the globe. This study aims to describe Swedish SLP assessment practices, examine factors that may affect this practice, and discuss the results in the light of international studies. Data from 584 SLPs were collected through an online questionnaire with multiple choice and open-ended questions.

Detecting sepsis from photoplethysmography: strategies for dataset preparation.

Sepsis is one of the most frequent causes of death in Intensive Care Units, and its prognosis greatly depend on timeliness of diagnosis. MIMIC-III database is a frequent source of data for developing method for automatic sepsis detection. However, the heterogeneity of data jeopardize the feasibility of the task.

Structural and psychological empowerment of students obtaining continuing leadership education in Finland-a national survey.

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.

Conceptual framework for a comprehensive competence in managing challenging behaviour: The views of trained instructors.

WHAT IS KNOWN ON THE SUBJECT?: There is body of knowledge available about the harms associated with restrictive interventions used in behaviour management, service users' perceptions of the use of restraints, and staff competence in behaviour management. The staff perspective has been studied in terms of staff exposure, responses to and prevention of aggression, staff-related factors associated with service user aggression, and staff attitudes and perceptions towards violence. The definitions of competence in behaviour management provided in training interventions are fragmented and based on unilateral measurements.

Patient safety and staff competence in managing challenging behavior based on feedback from former psychiatric patients.

Purpose: This study aimed to describe the perceptions and lived experiences of former psychiatric patients of their own and/or co-patients' behavior that nursing staff has regarded as challenging and that has resulted in behavior management.

Design And Methods: An explorative-descriptive qualitative design with video vignettes, semistructured interviews, and abductive content analysis.

Findings: Many reasons for different kinds of patient behavior that were considered challenging by staff were identified.

Older people nursing in care homes: An examination of nursing professionals' self-assessed competence and its predictors.

Background: The need for older people nursing expertise is increasing, and every effort is required to ensure that personnel taking care of older people are capable of providing high-quality care.

Aims: To explore care home nursing professionals' self-rated competence in older people nursing and to identify predictors of this competence.

Design: A cross-sectional survey design.

An Integrative Review of Interventions for Enhancing Leadership in the Implementation of Evidence-Based Nursing.

Background: The most common barriers to evidence-based nursing (EBN) are related to nurse leadership and to organizational characteristics. Scientific evidence is needed regarding interventions that support nurse leadership.

Aims: The aim was to gather, assess, and synthesize the current empirical evidence regarding interventions for enhancing nursing leadership in EBN implementation.

Patient participation in patient safety-An exploration of promoting factors.

Aims: To study how internal medicine patients experienced patient safety during their recent periods of care and to identify explanatory factors for patient participation.

Background: Patient participation is recognized as one of the main factors promoting quality and safety and the identification of effective interventions that encourage safe care.

Methods: A cross-sectional survey of patients (n = 462) in the internal medicine wards (n = 18) of all five Finnish university hospitals.

Patient-reported experiences of patient safety incidents need to be utilized more systematically in promoting safe care.

Objective: To analyze patient safety incidents (PSIs) reported by patients and their use in Finnish healthcare organizations.

Study Design: Cross-sectional study.

Setting: About 15 Finnish healthcare organizations ranging from specialized hospital care to home care, outpatient and inpatient clinics, and geographically diverse areas of Finland.

Family members' expectations regarding nurses' competence in care homes: a qualitative interview study.

Background: Structural and cultural changes in the care of older people have influenced nursing practice, creating a need to identify current competency requirements for nurses working in care homes. Family members have an important role in ensuring the well-being of older people living in care homes, and family members' can provide valuable information about competence requirements.

Aim: To explore the expectations of the care home residents' family members regarding the competence of nurses in care homes for older people.

Increasing value-adding patient care by applying a modified TCAB program.

Purpose The purpose of this study is to evaluate a development process aimed at increasing registered nurses' (RNs) working time use in value-adding patient care by applying a modified Transforming Care at the Bedside (TCAB) program at inpatient units of two tertiary hospitals. Design/methodology/approach Basic data for the development process were collected on RNs' working time use via external observation in 2011 (RNs = 113). Nursing work was redesigned and implemented by 12 multi-professional teams during 2012-2013.

A quantitative systematic review of the effects of training interventions on enhancing the competence of nursing staff in managing challenging patient behaviour.

Aims: This systematic quantitative review identifies and summarizes the current knowledge and effects of training interventions for managing patients' challenging behaviour.

Background: Challenging behaviour is an acknowledged worldwide healthcare problem and its management can have a huge impact on quality of care. Evidence-based training interventions that focus on managing challenging behaviour are needed, but few tools for the systematic evaluation of these interventions are currently offered.

Competence for older people nursing in care and nursing homes: An integrative review.

Background: People living in care and nursing homes are vulnerable individuals with complex needs; therefore, a wide array of nursing competence is needed to ensure their well-being. When developing the quality of care in these units, it is essential to know what type of competence is required for older people nursing.

Aims And Objectives: The aim of this integrative review was to identify the competence needed for older people nursing in licensed practical nurses' and registered nurses' work in care and nursing homes.

Improving the quality of registered nurses' working time use data.

Aims And Objectives: To examine the advantages and disadvantages of external observation and self-reporting methods in investigating registered nurses' working time use in order to improve the quality of working time use data.

Background: External observation and self-reporting methods are the most widely used approaches for studying nurses' working time use in observational work sampling studies, but there is scarce information of the data collection procedures and results in the same research context and in the same study.

Design: A cross-sectional quantitative study with a structured data collection instrument developed for this study.

Patient participation in patient safety still missing: Patient safety experts' views.

The aim of this study was to elicit patient safety experts' views of patient participation in promoting patient safety. Data were collected between September and December in 2014 via an electronic semi-structured questionnaire and interviews with Finnish patient safety experts (n = 21), then analysed using inductive content analysis. Patient safety experts regarded patients as having a crucial role in promoting patient safety.

The relationship between nurse staffing and length of stay in acute-care: a one-year time-series data.

Aim: To examine the relationship between nurse staffing and patient length of stay in an acute-care hospital over a 1-year period.

Background: Although there has been prior research on the relationship between nurse staffing and length of stay in acute-care hospitals, there is a need for more information on how nurse staffing is related to length of stay longitudinally.

Methods: Retrospective time-series registry data from 20 acute-care inpatient units of a Finnish university hospital as a monthly time series in 2008 were analysed by linear mixed models.

Learning to ensure patient safety in clinical settings: comparing Finnish and British nursing students' perceptions.

Aims And Objectives: To explore and compare Finnish and British nursing students' perceptions of their learning about patient safety in clinical settings.

Background: Patient safety culture and practices in different health care organisations and clinical units varies, posing challenges for nursing students' learning about patient safety during their clinical placements. Patient safety as a growing international concern has challenged health care professionals globally requiring a comprehensive review.

Learning Patient Safety in Academic Settings: A Comparative Study of Finnish and British Nursing Students' Perceptions.

Background: Globalization of health care demands nursing education programs that equip students with evidence-based patient safety competences in the global context. Nursing students' entrance into clinical placements requires professional readiness. Thus, evidence-based learning activities about patient safety must be provided in academic settings prior to students' clinical placements.

Non-linear relationships between nurse staffing and patients' length of stay in acute care units: Bayesian dependence modelling.

Aims: This study sought to analyse relationships between nurse staffing and patients' length of stay in acute care units and to determine whether non-linear relationships exist between variables.

Background: Healthcare systems are complex and it could be assumed that they comprise non-linear associations. However, current planning and evaluation of nurse staffing are based primary on linear reasoning.

Nurses' working time use - how value adding it is?

Aim: To investigate registered nurses' (RN) and licensed practical nurses' (LPN) working time use in adult inpatient units.

Background: There is only scarce information about value-adding patient care. Nursing care can be divided into three major categories: value-adding care (direct care, indirect care, patient documentation), necessary activities (indirect work, unit-related work) and non-value-adding work (personal time, miscellaneous work).

Changes in Transformational Leadership and Empirical Quality Outcomes in a Finnish Hospital over a Two-Year Period: A Longitudinal Study.

This paper describes the changes in transformational leadership and quality outcomes that occurred between 2008 and 2011 in a Finnish university hospital that is aiming to meet the Magnet standards. Measurements were conducted in 2008-2009 and subsequently in 2010-2011 by surveying nursing staff and patients. Nursing staff were surveyed using web-based surveys to collect data on transformational leadership (n 1 = 499, n 2 = 498) and patient safety culture (n 1 = 234, n 2 = 512) and using both postal and web-based surveys to gather information on job satisfaction (n 1 = 1176, n 2 = 779).

Safety as experienced by patients themselves: a Finnish survey of the most recent period of care.

We examined patients' experiences of patient safety and participation in promoting safe care during their most recent care period. A survey of patients (N = 175) revealed that treatment, medication, and device safety were mostly experienced as very good or excellent, but responses varied by age and experience. Patients ages 66-75 were most critical of treatment and medication safety.

Registered nurses' experiences of rewarding in a Finnish University Hospital - an interview study.

Aims: The purpose was to describe Finnish registered nurses' experiences of rewarding. The aim was to gather detailed information on the rewarding of nurses to help nurse managers and leaders to update existing reward strategy and to develop an effective reward system.

Background: Rewarding has been found positively to influence nurses' occupational well-being and commitment to their work, and the attractiveness of the health care field.