Differences in Home-Care Services in Finland for Older Adults between 2012 and 2019 - A Developmental Evaluation Study

Sanerma, Päivi; Paavilainen, Eija; Åstedt‐Kurki, Päivi

doi:10.1080/01621424.2022.2091500

Cited by 4 publications

(6 citation statements)

References 24 publications

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“…The use of safety technology has increased in home care, and technological solutions can promote client safety in home care. 47 However, the results of our study indicate the need to ensure that the individual needs of the home care client are taken into account when selecting a safety or assistive device. In addition, it is important regularly ensure the functional condition of the devices.…”

Section: Discussionmentioning

confidence: 87%

“…For example, fear of conflicts, lack of technological knowledge and limited time are barriers to incident reporting. 33,49 These challenges may also be reflected in the number and content of incident reports used in this study. However, incident reports include valuable information on the view of social- and health care staff on the occurrence of accidents.…”

Section: Discussionmentioning

confidence: 99%

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Identification of Contributing Factors of Falls and Non-Fall Accidents Among Home Care Clients: A Retrospective Study Using Incident Reports

Kiljunen

Kankkunen

Välimäki

2022

Home Health Care Management & Practice

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To prevent falls and other accidents among home care clients, it is essential to gather high-quality information on the factors contributing to the accidents. Incident reporting systems are used in home care units to generate information for risk management. This study aimed to explore the contributing factors of falls and non-fall accidents among home care clients and to evaluate the accuracy of the information on contributing factors gained from the incident reporting system. An existing dataset was used—safety incident reports concerning accidents involving home care clients. The incident reports (n = 323) were stored in the social- and health care organization’s incident reporting database from 2018 to 2020. The free-text narratives describing factors contributing to the event’s occurrence were analyzed using inductive content analysis, and the frequencies of the main category codes were recorded. The results were then compared with the frontline managers’ analyses of the narratives, where the managers used the classification of contributing factors provided by the system. According to incident reports, intrinsic (person-specific), behavior-related and extrinsic (environment-related) factors contributed to accidents among home care clients. Intrinsic and behavior-related factors were reported more often than extrinsic factors. The classified information on contributing factors did not correspond in all respects to the descriptions in the incident reports. To ensure high-quality information for safety management, incident reporting tools must be appropriate for use in the home care context. Both the reporter of an adverse event and the individual responsible for analyzing the report play essential roles in identifying contributing factors of accidents.

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Section: Discussionmentioning

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Identification of Contributing Factors of Falls and Non-Fall Accidents Among Home Care Clients: A Retrospective Study Using Incident Reports

Kiljunen

Kankkunen

Välimäki

2022

Home Health Care Management & Practice

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“…välittömään asiakkaan hoivaan ja kohtaamiseen [4,5]. Digitaalisilla palveluilla on parannettu iäkkäiden kotona asumisen mahdollisuuksia [6,7]. Artikkelissa tutkitaan hyvinvointialueen ikääntyvien palveluissa työskentelevien asiakastietojärjestelmän ja teknologisten välineiden käyttöä sekä osaamista.…”

Section: Johdantounclassified

“…Tietojen käyttö korostuu digitaalisen terveydenhuollon ja hyvinvointipalveluiden määritelmissä [10] ja ikääntyvien palveluissa käytetään lisäksi erilaisia teknologisia ratkaisuja itsenäisen selviytymisen tukemiseen [11,6]. Toimivat ratkaisut sekä henkilöstön osaaminen ovat digitalisaation hyödyntämisen ja laadukkaan tiedontuotannon edellytyksiä [7,12]. Tutkimusten mukaan työntekijät sosiaali-ja terveydenhuollossa kokevat tiedonhallintavalmiudet hyväksi [11,[13][14][15].…”

Section: Johdantounclassified

Digimentoroinnilla konkreettisiin muutoksiin ikääntyvien palveluissa

Kivekäs,

Kinnunen,

Ikonen

et al. 2024

FinJeHeW

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Sosiaali- ja terveydenhuollon palvelujen järjestämisvastuu on siirtynyt hyvinvointialueille ja muutoksessa hyvinvointialueilta odotetaan rohkeaa uudistamista. Digitalisaation hyödyntäminen ikäihmisten palveluissa on luonut mahdollisuuden toiminnan tehostumiseen ja digitaalisilla palveluilla on parannettu iäkkäiden kotona asumisen mahdollisuuksia. Digivalmiuksien ja toimintatapojen kehittäminen vanhuspalveluissa -hankkeessa (VaDigi) lähdettiin kehittämään mallia, jolla lisätään digiosaamista ikääntyneiden palveluiden työyhteisöissä. Tämän artikkelin tarkoituksena on arvioida hankkeessa kehitetyn mallin mahdollisuuksia kuvata työntekijöiden digiosaamisen vahvistamisessa. Käänteinen mentorointi -menetelmällä vahvistettiin henkilökunnan osallisuutta muutoksen toteutukseen. Tutkimuksen kohteena oli yhden hyvinvointialueen ikääntyvien palveluja tuottavat työyhteisöt. Arviointi perustuu kyselyllä koottuun aineistoon sekä fokusryhmähaastatteluiden ja työpajatyöskentelyn aineistoihin. Kyselytutkimus tavoitti 184 työntekijää 14 kunnasta. Digimentorointi tavoitti yli sata työntekijää seitsemässä työyksikössä. Opiskelijoiden (n = 14) ryhmähaastattelut ja työyksiköiden (n = 5) työpajatyöskentelyn aineisto analysointiin laadullisesti. Tutkimus tuotti tietoa käänteisen mentorointimallin kokemuksista ja menetelmän mahdollisuuksista konkretisoida sosiaali- ja terveydenhuollon ammattilaisten vahvaksi arvioimaa tietojärjestelmien käyttöosaamista muutoksiksi työyhteisöissä. Kyselyyn vastanneet arvioivat tietojärjestelmien osaamisensa paremmaksi kuin teknologiaosaamisensa. Hanke vahvisti opiskelijoiden valmiuksia tietojen oikeaan käsittelyyn sosiaali- ja terveydenhuollon palveluissa. Mentorointi tuotti konkreettisia muutoksia tietosuojan ja tietoturvan toteutukseen ikääntyneiden palveluyksiköissä. Tutkimusta käänteisestä mentoroinnista osallistavana menetelmänä tulee jatkaa.

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“…Even if home care is a priority in Finland, and there have been some efforts aiming to increase the number of personnel and attract more personnel, the number of care staff has not increased accordingly [ 10 ]. Furthermore, commitment and sufficiency of personnel was noted as problem in a study assessing the evolution of home care services in Finland [ 11 ]. Also globally nursing staff shortages have been found to be particularly problematic in the home care sector, where difficulties in attracting and retaining qualified professionals have been reported [ 12 , 13 ].…”

Section: Introductionmentioning

confidence: 99%

Job demand and job resource factors explaining stress and job satisfaction among home care nurses – a mixed-methods sequential explanatory study

Kaihlanen,

Ruotsalainen,

Väisänen

et al. 2023

BMC Nurs

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Background Increasing home care has been seen as a way to respond to the growing care needs of the aging population. To secure a sufficient number of nurses to provide home care, it is essential to identify and take into account the factors related to their well-being and job satisfaction. This study examined associations of both objective and subjective job demands and resources with stress and job satisfaction among nurses working in home care. Methods This study used a mixed-methods sequential explanatory design. First, quantitative data was collected with a survey, followed by a qualitative survey with open-ended questions. Linear regression analyses and qualitative content analysis with an inductive approach were used to analyze the quantitative and qualitative data, respectively. Joint display in a form of a table was used to integrate the results. Results Of the objectively measured job demands and resources, higher proportion of direct care time and higher number of interruptions were associated with higher stress in the fully adjusted models. Of the subjective measures, higher time pressure, role conflicts and disruptions were associated with higher stress. Higher time pressure, role conflicts, and disruptions in the workday were associated with lower job satisfaction, whereas higher care continuity and having more autonomy were associated with higher job satisfaction. The results of the qualitative study, in which the nurses described their experiences of their working week, partly explained and confirmed the results of the quantitative study but were also contradictory in some respects. Conclusions Many demands, both subjectively experienced and objectively measured in terms of work organization, may undermine home care nurses’ well-being and enjoyment at work. A severe nursing shortage combined with a growing number of clients is the reality of home care, significantly increasing the risk of burnout and turnover among employees. Strategies must be developed urgently to ensure sufficient personnel in home care. For example, investments should be made in opportunities for autonomous planning of work, and promotion of good cooperation and functionality of work teams.

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Differences in Home-Care Services in Finland for Older Adults between 2012 and 2019 - A Developmental Evaluation Study

Cited by 4 publications

References 24 publications

Identification of Contributing Factors of Falls and Non-Fall Accidents Among Home Care Clients: A Retrospective Study Using Incident Reports

Identification of Contributing Factors of Falls and Non-Fall Accidents Among Home Care Clients: A Retrospective Study Using Incident Reports

Digimentoroinnilla konkreettisiin muutoksiin ikääntyvien palveluissa

Job demand and job resource factors explaining stress and job satisfaction among home care nurses – a mixed-methods sequential explanatory study

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