Digitaalisuus ja esineiden Internet (IoT) edellyttävät rakennemuutoksen yhteiskunnassamme. Rakennemuutos näkyy hoitoalalla muuttuvana työnkuvana ja teknologian käytön lisääntymisenä. Sosiaali- ja terveydenhuollon ammattilaisten osaaminen on jatkuvassa muutoksessa. Osaamistarpeisiin vaikuttavat ammattien tietoperustasta nousevat sisäiset ja ammattien toimintaympäristöissä tapahtuvat lyhyen ja pitkän aikavälin muutokset. Sosiaali- ja terveydenhuollon palvelurakenneuudistukseen sisältyvä asiakkaan ja potilaan valinnanvapaus sekä palveluiden tarjoajien ja toteuttajien monimuotoistuminen luovat ulkoisia odotuksia ammatilliselle osaamiselle. Tässä artikkelissa Unified Theory of Acceptance and Use of Technology -mallin tekijöiden avulla koottiin tietoa hoitajien ja opiskelijoiden asenteista teknologiaa kohtaan kotihoidon kontekstissa. Lisäksi koottiin tietoa odotuksista ja hyödyistä, joita hyvinvointiteknologian odotetaan tuovan iäkkäiden henkilöiden arkeen kotona ja kotihoidon asiakkaina. Tutkimuksessa etsittiin vastausta kysymykseen: Miten sosiaali- ja terveydenhuollon opiskelijat ja ammattilaiset asennoituvat hyvinvointiteknologian käyttöön kotihoidossa? Aineistonkeruu toteutettiin WelTech-hankkeen (Hyvinvointiteknologian koulutustuote: käyttöönoton ja käytön koulutus) koulutuksien yhteydessä. Hankkeessa kehitettiin ja toteutettiin koulutuskokonaisuuksia sosiaali- ja terveydenhuollossa työskentelevälle hoitohenkilöstölle ja alan opiskelijoille. Tuloksissa nähdään myönteinen asenne hyvinvointiteknologia kohtaa, vaikka työpaikoilla ei vastaajien mielestä ole kannustettu hyvinvointiteknologian käyttöön. Vastaajat arvioivat hyvinvointiteknologian tulevaisuudessa tehostavan työtä, vaikka konkreettisempien vaikutusten, esimerkiksi virheiden vähenemiseen tai laadun kehittymiseen sen ei arvioitu vaikuttavan. Vastausten perusteella sosiaali- ja terveydenhuollon työyksiköissä tulee entistä selkeämmin tukea hyvinvointiteknologian mahdollisuuksien käyttöönottoa tai kehittämistä.

In the time of urban growth, people should be at the heart of development, too often they are forgotten. However, growth poses also a great possibility. Cities can transform into open innovation Living Labs, places to experiment and co-create with creative ideas to improve people’s health and wellbeing. Open innovation Living Lab is one-step for city towards smart and healthy society. This requires bold political choices, strategic level approach, open-minded governance and new operational models. The City of Kuopio has taken this opportunity into action together with Kuopio University Hospital. Living Lab operates as an authentic co-creation environment to enable collaboration between citizens, industry, academia and public sector (Quadruple Helix Open Innovation model). This was implemented through primary health care services bringing together community and citizens´ homes for co-creation of new solutions, which helps people, live longer in their homes and increase the quality of life. The elderly and their close relatives have been enthusiastically involved in the services. Participation opportunities and the feeling of social cohesion have increased. Critical success factors are support from strategic level, well-coordinated services, governance, a broad customer base and solutions made from the genuine need. Collaboration between all stakeholders has made it possible to provide better products and services that can improve health and wellbeing of the community in all sectors of life. At the same time, it promotes citizens’ participation and supports co-creation of new ideas arising from the community and the growth of healthy city.

Life expectancy is increasing in most countries and older people are living longer and they want to stay in their familiar home environment as long as possible (de Bruin et al., 2018;Eurostat, 2020). At the same time, the increasing burden of chronic illness, due to the ageing global population, poses a significant challenge for home-care professionals (OECD/European Union, 2020; Sherman et al., 2012). This paper uses the term home-care professionals to refer to practical nurses, registered nurses and public health nurses who are working in home care and nursing homes. In Finland, a practical nurse is someone who has completed a vocational qualification and levelfive training in social and health care, according to the European Qualifications Framework (EQF). They need to acquire 180 European Credit Transfer and Accumulation System (ECTS) credits, which each takes 27 hr. Practical nurses working in home care have specialised

Health and wellness technology is a growing industry. It has been recognised importance to support health technology companies through new procedures. Collaboration between healthcare professionals and companies facilitates the development of customer-centric and patient-safe products and services.In Finland the City of Kuopio and Kuopio University Hospital (KUH) launched Living Lab to enable companies to develop products and services in an authentic healthcare environment to facilitate development of new innovations. Living Lab is a project funded by the European Regional Development Fund and the Regional Council of Northern Savo. The project started in spring 2016 and runs until June 2018. The aim is to enable continuation of Living Lab as a permanent service.Living Lab has two operating platforms. The City of Kuopio platform provides companies with the opportunity to develop and test solutions that are suitable for primary health care. The KUH platform concerns specialised medical care and provides innovation development, testing and clinical research for devices and applications.The patient safety aspect is present throughout all phases of Living Lab processes. Every product is evaluated by professionals before testing. The intention is to identify all possible risks to patient safety and information security in order to support the research and development (R and D) process and ensure that a product or solution meets all safety regulations and requirements (including usability).During test runs and clinical trials, the usability of a product or solution, its realisation and the experimental effects are evaluated and reported. Companies can use the test results to further develop their innovations so that they will eventually offer a patient-safe product on the market.Companies have shown growing interest in the capabilities of authentic testing platforms with healthcare professionals and patients. Living Lab may lead to an increase in the volume and quality of new patient-safe health technology.