Authors:Jarmo Alametsä Pages: 342– - 342– Abstract: The purpose of this work is to study the suitability of the CAT S60 smartphone with built-in thermal camera to be used in self and home care to detect the risk level of wound appearance in advance. The purpose was to clarify different conditions where thermal imaging might act as a resource in detecting changes in limb circulation before visual signs even occur. The purpose is to detect early incipient tissue damage in foot usually occur in diabetic patients. Thermal images were acquired from voluntary domesticated elderly people. Thermal pictures from limbs of 3 persons were studied in order to find thermal differences indicating possible changes in limb circulation. Noteworthy thermal differences between limbs were found in elderly people. A smartphone having built-in thermal camera enables to detect plantar and limb thermal differences with a sufficient accuracy. This may support home monitoring for elderly people and thus reduce foot ulcers and possible foot amputations due to earlier detection and identification of harmful changes in limb circulation. Earlier detection of circulatory insufficiency via thermal imaging makes possible for nurses to intervene and enable medical assistance. PubDate: 2022-12-23 DOI: 10.23996/fjhw.115224 Issue No:Vol. 14, No. 4 (2022)
Authors:Tiina Blek, Tytti Solankallio-Vahteri Pages: 352– - 352– Abstract: This study is part of a broader study on the cybersecurity competence, training needs and personnel’s views of data security of the own organization. The study was conducted between autumn 2020 and spring 2021. This article reports the results of nursing staff. The research question was: How do nursing staff working in healthcare organizations assess their information and cybersecurity competence' The research data was collected using a structured questionnaire. The discretionary sample was designed in cooperation with two hospital districts and one primary health care organization. Each target organization defined the target group(s) and who and how the survey link would be shared. According to the researchers' estimate, the target group included approximately 3500 respondents, of which 383 answered the survey. There were 194 respondents in nursing positions. The data was analyzed using the data analysis tools of the Webropol survey program. Open-ended responses were used as direct quotes to illustrate the results. The concept of cybersecurity was familiar to 80% of respondents. The majority of respondents (74%) believe that they have sufficient information and cybersecurity skills to perform their duties. Most inadequate skills were reported from respondents belonging to the age group of 50-64 years (p<0.01). According to their own estimates, 83% of respondents know how to act in the event of an information system failure. Respondents in the youngest age group (under 30 years old) reported the most uncertainty regarding how to act in a disruption (p<0.01). Nine per cent of the respondents would give their passwords by phone to the information administration and 14 per cent would hand it over by phone to the authority. Sixteen per cent of the respondents considered it possible to transfer the patient's data by e-mail to a place of further treatment, and eight per cent thought that the student could use their supervisor's usernames. Nine per cent of the respondents said that they had used a co-worker's username. Awareness of the possibility of a cyberattack and its impact on patient information systems, medical and remote monitoring devices should be part of the basic competence of everyone in the field. More contents related to information and cyber security are needed for the nursing education curriculum and continuing education of nursing. The current competence is deficient, and the subject area is not sufficiently considered in nursing education. PubDate: 2022-12-23 DOI: 10.23996/fjhw.115829 Issue No:Vol. 14, No. 4 (2022)
Authors:Mira Hammarén, Erika Jarva, Kristina Mikkonen, Maria Kääriäinen, Outi Kanste Pages: 364– - 364– Abstract: Due to the rapid digitalization of healthcare, it is important to strengthen professionals’ digital competence, particularly to support older professionals to stay in work until retirement age. People of different ages have different digital competencies. Younger generations are ‘digital natives’ who have learned to use digital devices fluently from a young age, while older generations have had to learn to use them in adulthood. The increasing number of new technologies causes in some cases stress, especially for more older healthcare workers. Intergenerational learning methods for developing digital competence may offer a way to narrow digital competence gaps in healthcare. The aim of this scoping review was to identify current evidence regarding intergenerational learning methods for developing digital competence, and their outcomes. The results can be used to help develop methods for intergenerational digital competence development and improve healthcare professionals’ digital competence. A scoping review was conducted across four databases (Scopus, CINAHL, Web of Science, ProQuest) without time limits. The search produced 2905 references, of which 23 studies are included in the review. Thematic analysis was used to analyze these studies’ results. The results showed that a key method for intergenerational digital competence development is reverse mentoring, where a less experienced person serves as a mentor to a more experienced one. Intergenerational digital competence development methods can be done one-on-one or in groups, in classes or on digital platforms. The outcomes of these methods illustrated that they promote mutual learning, increase the digital competence of older adults and the work life skills of young mentors, and narrow the gap between generations. Using such methods, it is possible to make better use of each generation’s expertise. Intergenerational learning could suggest ways of narrowing the digital gap and enhancing intergenerational communication. Healthcare could benefit from implementing intergenerational learning methods for developing digital competence, increasing the digital competence of healthcare professionals, and narrowing the gap between generations. PubDate: 2022-12-23 DOI: 10.23996/fjhw.122044 Issue No:Vol. 14, No. 4 (2022)
Authors:Hanna-Leena Huttunen, Pertti Seppänen, Raija Halonen Pages: 380– - 380– Abstract: This study analysed how migraine patients assume to improve their daily life if wearable sensors provide them pre-warnings of approaching or impending migraine attacks. The study analysed the use of new technology in identifying pre-symptoms in migraine patients using the Technology Acceptance Model (TAM) focusing on the assumed usefulness of a wearable device. The study added understanding of getting migraine patients to accept smart technology to support their own treatments. The results were drawn from a sample of altogether 582 migraine patients with or without an aura. The difference between migraine with aura and without aura is that migraine with aura precedes physical symptoms like visual disturbances, numbness, and difficulty in speech, while there are no pre-symptoms in migraine without aura. The assumed wearable device (WBAN) notifies, however, the bio-signals of an oncoming migraine attack. Due to current achievements with available digitalised tools to monitor health and wellbeing, also self-care is benefiting. Pre-migraine symptoms are among the biggest challenges in identifying migraine. Noting this, our study addressed the value of wearable sensors in early recognition of migraine attacks. PubDate: 2022-12-23 DOI: 10.23996/fjhw.111575 Issue No:Vol. 14, No. 4 (2022)
Authors:Krista Korpela, Jukka Korpela, Veli Matti Virolainen, Heidi Huuskonen, Jani Kanerva Pages: 392– - 392– Abstract: Public social and health care organizations everywhere are facing challenges caused by an aging population, declining birth rates, and urbanization. To address these challenges, innovative operating models and flexible IT solutions supporting collaboration between public-sector organizations are required. Our paper introduces an example of a progressive collaboration model between the Rescue Department of South Karelia (EKP) and South Karelia social and health care district (Eksote), which are frontrunners in the synergy-producing cooperation of rescue board services at the rescue department level with social and health services. The purpose of our qualitative case study is to investigate how Eksote and EKP could further strengthen their public-public partnership (PuP) to improve regional risk management by jointly planning and executing preventive actions and services. The main objectives are to: 1) understand the reasoning behind and the success factors of a public-public partnership; 2) investigate how a joint customer and process management system could support the partnership between a social and health care organization and a rescue department; and 3) identify ways to improve the public-public partnership between a social and health care organization and a rescue department. This study builds on the existing literature on public-public partnerships by incorporating a customer and process management system into the partnership between a social and health care organization and a rescue department. The empirical data were collected via 16 semi-structured interviews conducted between June 2020 and April 2021. The results indicate that the public sector must determine new and innovative ways of working together to overcome the challenges prevalent in the current operational environment. To support collaborative actions and processes between social and health care organizations and rescue departments, actions are needed on national, regional, organizational, and professional levels. As the public sector is facing similar challenges everywhere, the results can be utilized in Finland and in the international setting. PubDate: 2022-12-23 DOI: 10.23996/fjhw.121260 Issue No:Vol. 14, No. 4 (2022)
Authors:Raija Koskinen, Kristiina Helminen, Arja Koski, Mikko Malkavaara, Päivi Sanerma, Päivi Sihvo Pages: 405– - 405– Abstract: The ethical operational model developed in SotePeda 24/7 project in 2018-2020 has since its launch been used in continuous learning in social and health care. The model was developed to work as a tool in identification of ethical issues in the digitising operational environment of social and health care, as well as to support ethical evaluation and decision-making. When the ethical operational model is embraced, it results into internalizing the reflective process of the model and increases the ability to face ethical dilemmas in the mode of modus operandi indicating socio-culturally established ways of engaging and of doing things. Our aim in this study is to evaluate the experiences gained of the implementation of the ethical operational model in continuous learning in social and health care. As research methods we apply qualitative evaluation: program theory-based and systems approach. As material of the study, we address the experiences gained from the practical use of the model. Additionally, we scrutinize the ethical operational model as an artefact, as co-constructed object, and make use of the multifaceted data from the time of developing the model. The results of our study indicate that when the ethical operational model has been systematically used in continuous learning, the experiences have been overall positive, increasing awareness and ethical competence of the participants. From the point of view of its systemic impact, the scrutiny of the ethical operational model as an artefact, indicates that the focal constituents embedded enable even those new to the model to engage in it and to develop the content further via reflection. We conclude that the ethical operational model has found its way in active use as means of continuous learning in social and health care. The model may gradually become infused in digital era practices and be vitally present in action as modus operandi. PubDate: 2022-12-23 DOI: 10.23996/fjhw.113414 Issue No:Vol. 14, No. 4 (2022)
Authors:Vuokko Rajala, Elina Laukka, Lotta Virtanen, Tarja Heponiemi, Outi Kanste, Anu Kaihlanen Pages: 418– - 418– Abstract: The COVID-19 pandemic reached Finland in 2020 which further expedited the digitalization of healthcare services. The expansion of digitalization in healthcare has increased the risk of inequality for some patient groups. The aim of this interview study was to describe the experiences of the frequent users of healthcare services about the possibilities provided by telemedicine services in advancing health and well-being during the COVID-19 pandemic. Knowledge gained from the study can be utilized in the development of telemedicine services and their management as well as professionals’ training. The research was carried out as a qualitative interview study and data consisted of semi-structured interviews of frequent users of healthcare services (n=30). Interviewees were selected via random sampling from a healthcare register of a medium-sized city. Interviews were conducted by phone between February and May of 2021 and transcribed materials were further analyzed using inductive content analysis. Content analysis resulted in 4 main categories and 9 categories. Frequent users of the services brought up possibilities provided by telemedicine services in advancing health and well-being such as self-care opportunities and advancement of healthcare using telemedicine services. Interviewees’ experiences described the following factors for the accessibility of telemedicine services: ease-of-use of telemedicine services and measures to enhance accessibility. Know-how related factors consisted of knowledge or illness-related challenges, programs’ accessibility issues, and lack of training and guidance for telemedicine services. Personal preference-related factors included personal reasons and usage cases that required physical presence. As a conclusion it can be noted that the accessibility and usability of telemedicine services and frequent healthcare users’ digital proficiency affects the usage of telemedicine services. Telemedicine services should be developed to be more accessible and be available in diverse methods for those with proficiency to use them, especially the availability of remote doctor’s appointments was considered important. Physical services should also still be offered for those in need of them. PubDate: 2022-12-23 DOI: 10.23996/fjhw.120790 Issue No:Vol. 14, No. 4 (2022)
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