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Salo, Finland

Eloranta S.,Welfare Division | Arve S.,Welfare Division | Arve S.,University of Turku | Isoaho H.,Statcon Ltd | And 3 more authors.
International Journal of Nursing Practice | Year: 2014

The aim of the study was to explore how far the perceptions of care of nurses in Finland take into account the preferences of the older patient and the patient's family members and to evaluate related background factors. The data were collected by questionnaire with nurses (n=167) working in a geriatric hospital. The questionnaire contained items about shared decision-making, attitudes to nursing patients, assessment of patients' functional ability and need for care, goal-setting, evaluation of outcomes and discharge planning. This study showed that taking into account the preferences of the patient and the patient's family members regarding the patient's care was challenging for the nurses in practice. About one-third of the nurses reported making the decisions on a patient's care themselves and not respecting patient autonomy in situations where patients are not able to assess their own situation. In addition, the nurses reported asking for the views of patients less frequently than those of family members when assessing and setting patient care goals. In practice, nurses need to be aware of this, during the transition from routine-centred care to patient-centred care. © 2013 Wiley Publishing Asia Pty Ltd.

Salonen A.H.,University of Tampere | Kaunonen M.,University of Tampere | Astedt-Kurki P.,University of Tampere | Jarvenpaa A.-L.,Hospital District of Helsinki and Uusimaa | And 2 more authors.
Journal of Clinical Nursing | Year: 2010

Aims: To compare mothers' and fathers' parenting satisfaction; to identify factors contributing to their parenting satisfaction; and to evaluate the effect of these factors. Background: Parenting satisfaction is important for parents' motivation to care, nurture and interact with their child. Parenting is influenced by attributes of parent, infant and the environment. However, more research is needed to understand the contributing factors. Design: Parenting satisfaction and several parent, infant and environment attributes were measured at hospital or in one week of discharge. A total of 2600 questionnaires were handed out to a convenience sample of Finnish speaking parents in two hospitals during the winter of 2006. Multiple-birth and early-discharge parents receiving support at home were excluded. Responses were received from 863 mothers (66%) and 525 fathers (40%). Methods: Comparisons were made by percentages and means. Significances were determined by GEE models and One Way anova tests. Pearson's and Spearman's correlations were used to determine correlations and multiple regression analysis to clarify the effect size. Results: Mothers were more satisfied than fathers with their parenting. Self-concept, depressive symptoms, infant centrality, state of mind on discharge and perception of infant contributed most to parenting satisfaction. Family functioning, health and advice from personnel were major contributory factors as well. Conclusion: Hospital practices and social support from personnel did not correlate with parenting satisfaction. More research is recommended to evaluate them, since they had an effect when combined with other attributes. Relevance to clinical practice: Our results will help professionals understand the experiences, resources and challenges faced by parents. Family-oriented care and sound advice have the potential to offer the most supportive environment for both parents. If professionals can identify mothers who are afraid, concerned or insecure during pregnancy, they can also offer them extra support before the child is born. © 2010 The Authors. Journal compilation © 2010 Blackwell Publishing Ltd.

Salminen M.,University of Turku | Vire J.,University of Turku | Viikari L.,University of Turku | Vahlberg T.,University of Turku | And 5 more authors.
Aging Clinical and Experimental Research | Year: 2016

Background: Identification of predictive factors on institutionalization provides the basis for the development and application of preadmission assessment. There is a lack of evidence for predictors of institutionalization for older people. Aims: To examine the effect of predictive factors on institutionalization in home-dwelling 70-year-old people. Methods: The data were collected in 1991 by the clinical examinations, a postal questionnaire and an interview from the residents of Turku, Finland, born in 1920 (n = 1032). Institutionalization was defined as entry into a nursing home or sheltered housing at any time during a 22-year follow-up. Results: A rate of institutionalization was 22.0 %. In multivariable Cox regression analysis, impaired cognitive function (MMSE 18–26) (hazard ratio 1.37, confidence interval 1.17–1.62), low BMI (<25 kg/m2) (1.60, 1.29–2.00), having several falls during the previous year (1.87, 1.21–2.87), and not having anyone who helps when needed (1.21, 1.01–1.46) remained significant predictors of institutionalization. In addition, high BMI (≥30 kg/m2) (compared with BMI 25–29.9 kg/m2) (1.28, 1.02–1.61) significantly predicted institutionalization in multivariable analyses. Conclusions: We conclude that impaired cognitive function, frequent falling, low and high BMI and lack of help when needed predicted institutionalization during the 22-year follow-up. In order to reduce or postpone institutionalization, interventions should target risk factors, such as physical limitations and falling. Also community-based services according to the needs and functional ability of the home-dwelling older people should be developed. © 2016 Springer International Publishing Switzerland

Eloranta S.,Turku City Hospital | Eloranta S.,The Age Institute | Arve S.,Turku City Hospital | Arve S.,University of Turku | And 6 more authors.
Archives of Gerontology and Geriatrics | Year: 2012

Background: Positive life orientation (PLO) is considered an important dimension of successful aging. Aim: To investigate how self-reported PLO changed among home-dwelling people from age 70 to 80 and 85 years. Study design: A prospective, population-based 15-year follow-up study of the age cohort of 70-year-olds living in the city of Turku, Finland. Subjects and methods: The data were collected in 1991 by a postal questionnaire that was sent to all residents of Turku, Finland, born in 1920 (N= 1530). Follow-ups using the same procedure were conducted in 2001 and 2006. PLO was assessed with the following items: life satisfaction, feeling needed, having plans for the future, having zest for life, feeling depressed, and suffering from loneliness. We created a PLO score from the answers to these questions, where 1 represented the best PLO and 0 the poorest. Results: At baseline, the participants showed rather high levels of positive life orientation (PLO total score 0.83). PLO declined markedly after the 70-year-old participants reached the age of 80 and 85 years (p< .001). However, depressive feelings remained quite stable. The decrease was similar among men and women except for the items suffering from loneliness and feeling needed. At age 70 and 80 years women suffered more from loneliness than men, while men experienced feeling needed more than women. Conclusions: Positive life orientation declines during old age, especially from age 70 to 80 years. Thereafter the decline is less steep except for changes in future plans and feeling needed. © 2012 Elsevier Ireland Ltd.

Wuorela M.,University of Turku | Isoaho H.,Statcon Ltd | Arve S.,University of Turku | Lehtonen A.,University of Turku | And 2 more authors.
European Geriatric Medicine | Year: 2016

Background: Little is known about long-term consequences of recurrent urinary tract infections although 60% of women develop urinary tract infection during their lifetime and 20-40% of them have a recurrence. Objective: To study the role of recurrent urinary tract infections in mortality or development of kidney dysfunction or hypertension in women. Design: Retrospective analysis of prospective, population-based 20-year follow-up study. Setting: Community. Subjects: A birth cohort of 764 older females living in the defined geographical area in Southwestern Finland who were 70 years old at baseline. Methods: The participants were examined and interviewed to assess health history, health behaviors, cardiovascular risk factors, morbidity and physical, social and psychocognitive functioning at the age of 70, 80, 85 and 90 years between 1991-2011. Results: Recurrent urinary tract infections in females were not associated with increased mortality, development of hypertension or kidney dysfunction. Urinary incontinence predisposed females to receive antimicrobial treatment for recurrent urinary tract infections. Conclusions: The results indicate that recurrent urinary tract infection in females is a benign disease in the absence of abnormalities of the urinary tract even in the older population. © 2016 Elsevier Masson SAS and European Union Geriatric Medicine Society.

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