Association of somatic comorbidity and treatment adherence in patients with psychotic disorder.

Background: Increased risk for somatic comorbidity in individuals with schizophrenia has been well established. In addition, psychiatric patients with somatic illnesses are more likely to have more psychiatric readmissions. Increased burden of treatment related to chronic somatic comorbidities may be associated with lower adherence to psychiatric medication.

Combinations of Parent-Related Risk Factors Explaining Family Violence Toward Children and Spouse.

The purpose of the study was to investigate parent-related risk factor combinations that explain family violence (FV), which refers to intimate partner violence and child maltreatment (CM). The data were collected from parents with a 4-year-old child using a nationwide retrospective cross-sectional survey conducted in Finland (FinChildren) ( = 10,737). The research questions were as follows: (a) How are parent-related risk factors associated with FV against children and the spouse? (b) How does the accumulation of parent-related risk factors within three risk factor clusters explain FV? Analyses were carried out using cross-tabulations with χ tests, an exploratory factor analysis (EFA), and binary logistic regression analyses.

Parental Worries, Child Maltreatment Risk and Empowerment: How Are They Noticed in Child and Family Services?

Parental empowerment has been related to their well-being and self-efficacy. Learning more about the signs describing child maltreatment risk are crucial for the welfare of children and families. The aim of this study was to assess the risk of child maltreatment (CM) and related worrying factors of parents and associations between the CM risk, worries and parental empowerment.

Psychological and physical abuse towards four-year-old children as reported by their parents: A national Finnish survey.

Background: In Finnish society, child maltreatment is a health and social problem with harmful consequences. Identifying families at risk may help preventing child maltreatment recurrence.

Objective: The aim of this nationwide retrospective cross-sectional study was to describe the child- and family-related risk factors associated with physical and psychological abuse experienced by 4-year-old children.

Identification of Child and Youth Maltreatment as Experienced by Prehospital Emergency Care Providers.

This mixed method study explores 200 prehospital emergency care providers' experiences of identifying child and youth maltreatment. The data were collected in Finland in 2019-2020 using an online survey tool and analysed using SPSS statistics and inductive content analysis. Respondents had encountered signs of physical and psychosocial maltreatment, and family challenges, contexts, and economic and social problems indicative of maltreatment.

Daily functioning and symptom factors contributing to attitudes toward antipsychotic treatment and treatment adherence in outpatients with schizophrenia spectrum disorders.

Background: Poor adherence and negative attitudes to treatment are common clinical problems when treating psychotic disorders. This study investigated how schizophrenia core symptoms and daily functioning affect treatment adherence and attitudes toward antipsychotic medication and to compare patients using clozapine or other antipsychotics.

Method: A cross-sectional study with data from 275 patients diagnosed with schizophrenia spectrum disorder.

Professionals' views on patient involvement in acute psychiatric wards: A qualitative study.

Purpose: To examine multiprofessionals' views on patient involvement in acute psychiatric wards.

Design And Methods: The study was conducted in four hospital districts in Finland. The data were collected between December 2016 and March 2017 by means of four focus group interviews and analyzed with inductive content analysis.

Importance of congruence between communicating and executing implementation programmes: a qualitative study of focus group interviews.

Background: The Ostrobothnia Depression Programme (ODP) in Finland was intended to implement two evidence-based brief psychotherapy interventions, namely motivational interview and behavioural activation, in several regional psychiatric teams. A simultaneous effectiveness study was conducted. Considerable tension was encountered between these two arms, causing resistance to change.

Lesbian and bisexual women's experiences of health care: "Do not say, 'husband', say, 'spouse'".

Aims And Objectives: To describe the experiences and wishes of lesbian and bisexual women concerning health care in Finland.

Background: Sexual orientation is a personal aspect of identity and also an important aspect of holistic health care. Lesbian and bisexual women have unmet health needs.

What is important for the sustained implementation of evidence-based brief psychotherapy interventions in psychiatric care? A quantitative evaluation of a real-world programme.

Purpose: Behavioural activation and motivational interviewing, both evidence-based treatments (EBTs), were implemented in secondary psychiatric care. This longitudinal evaluation of a real-world programme focused on the penetration of EBT adoption and its associations with therapist-related and perceived intervention-related variables. The implementation plan was also compared to sub-processes of Normalization Process Theory.

Genetic Variants in SGLT1, Glucose Tolerance, and Cardiometabolic Risk.

Background: Loss-of-function mutations in the SGLT1 (sodium/glucose co-transporter-1) gene result in a rare glucose/galactose malabsorption disorder and neonatal death if untreated. In the general population, variants related to intestinal glucose absorption remain uncharacterized.

Objectives: The goal of this study was to identify functional SGLT1 gene variants and characterize their clinical consequences.

Psychological and physical violence towards children with disabilities in Finland and Sweden.

This article describes psychological aggression and physical violence by Swedish and Finnish mothers ( N = 3420) towards their 0- to 12-year-old children with disabilities ( N = 286) by comparing such behaviour with the mothers of children without disabilities ( N = 3134). The survey data are based on representative samples from Finland and Sweden of mothers' reports of their behaviour towards their child in conflict situations. Mothers of children with disabilities reported more psychological aggression towards their child than did mothers of children without disabilities.

Challenges and factors likely to promote coping as anticipated by nurses preparing for a merger of intensive and intermediate care units.

Objective: To describe challenges and factors that support coping as anticipated by nursing staff preparing for a merger of intensive and intermediate care units.

Research Methodology: The method of empathy-based stories was employed to collect data from staff. The stories (n=20) were analysed using inductive content analysis.

The Relationship of Workplace Culture With Nursing-Sensitive Organizational Factors.

Objective: The aim of this study is to explore the relations of workplace culture on nursing-sensitive organizational factors.

Background: The need for standardized and valid measures for nursing-sensitive organizational outcomes has already been recognized in the literature.

Methods: A cross-sectional questionnaire survey of 21 inpatient acute care units in 9 organizations at the municipal primary healthcare level was conducted.

Early assessment of implementing evidence-based brief therapy interventions among secondary service psychiatric therapists.

This implementation study was part of the Ostrobothnia Depression Study, in Finland, which covered implementation of motivational interviewing (MI) and behavioral activation (BA) within regional public psychiatric secondary care. It aimed to evaluate the mid-term progress of implementation and related factors. Altogether, 80 therapists had been educated through the implementation program by the point of the mid-term evaluation.

Changes in glucose metabolism in people with different glucose metabolism disorders at baseline: follow-up results of a Finnish national diabetes prevention programme.

Aim: To examine changes in glucose metabolism (fasting and 2-h glucose) during follow-up in people with impaired fasting glucose in comparison with changes in people with isolated impaired glucose tolerance, people with impaired fasting glucose and impaired glucose tolerance combined and people with screening-detected Type 2 diabetes at baseline, among those who participated in a diabetes prevention programme conducted in Finland.

Methods: A total of 10 149 people at high risk of Type 2 diabetes took part in baseline examination. Of 5351 individuals with follow-up ≥ 9 months, 1727 had impaired glucose metabolism at baseline and completed at least one lifestyle intervention visit.

Influence of workplace culture on nursing-sensitive nurse outcomes in municipal primary health care.

Aim: To explore the influence of workplace culture on sickness absences, overtime work and occupational injuries in municipal primary health care.

Background: The need to improve nursing sensitive outcomes has been highlighted. Therefore, an adequate understanding of the influence of workplace culture on nursing-sensitive nurse outcomes is essential for nurse managers to meet the requirements of improving nursing outcomes.

Nurse entrepreneurs' well-being at work and associated factors.

Aims And Objectives: This study describes the well-being at work of nurse entrepreneurs and owner-managers of social care companies in Finland from the vantage point of health and working capacity, general coping and job satisfaction and identifies factors associated with well-being.

Background: In recent years, increasing numbers of nurses have been starting up in business in the social care sector. As yet, there has been only limited research into their well-being at work.

Six-year follow-up and predictors of urgency-associated urinary incontinence and bowel symptoms among the oldest old: a population-based study.

Urinary urgency with incontinence, and fecal incontinence and constipation were followed up over a 6-year period in 398 subjects aged 70 years and over at baseline. Age- and gender-adjusted and multivariate Cox proportional hazard models were used to examine the associations of urinary urgency and fecal incontinence and constipation with mortality, and logistic regression models to determine predictors of incident symptoms among the survivors. The proportion of incident cases of urinary urgency with incontinence, fecal incontinence and constipation in the 252 survivors were 17% (n=46), 9% (n=34) and 13% (n=36), respectively.

Association of urgency symptoms with self-rated health, mood and functioning in an older population.

Background And Aims: Lower urinary tract symptoms (LUTS) with comorbidities are common in old age. The aim here was to investigate the associations of urgency symptoms with self-rated health, mood and functioning in a random older population adjusted for comorbid conditions.

Methods: A population-based cross-sectional survey was made involving 343 people (159 men and 184 women) aged 70 years and over.

Health problems associated with lower urinary tract symptoms in older women. A population-based survey.

Objective: To identify health problems associated with lower urinary tract symptoms (LUTS) in an older female population.

Design: Population-based cross-sectional survey.

Setting: Third wave for the Tampere Longitudinal Study on Ageing (TamELSA) in 1999-2000.

Finnish nurses' attitudes towards nursing research and related factors.

This study was concerned with Finnish nurses' attitudes to nursing research and with the associations of different background factors with these attitudes. The data were collected with a purpose-designed, structured questionnaire. The study was carried out in one central hospital, one central university hospital and 10 community health centres in Finland.

Finnish nurses' views on their research activities.

The purpose of the study reported here was to describe Finnish nurses' research and publication activities, as well as their views on the availability and utilization of research results in nursing practice. The data were collected using a structured questionnaire in which obstacles to the utilization of research results were measured with a previously developed instrument. A total of 400 nurses from community health centres, a central hospital and a central university hospital took part.