InCareS

InCareS Individuality of Care, Services and environment to support self-management and independent living of older people
The aim of this study is to identify and develop individually tailored care and services for older people to enhance their self-management and independent living.

Principal investigator
Professor Riitta Suhonen, PhD, RN, Director of Nursing (part-time)
University of Turku, Department of Nursing Science
riisuh@utu.fi, +358-50-3042150, +358-2-3338417

This study includes six work packages:

Precursors for self-management and independent living
Older individuals in acute care
Nurse collaboration
Individualised care environment supporting self-management and independence
International Older People in Institutional Care
Implementation of individualised care

This study provides knowledge about the care environment of older people, home, acute and institutional care and individualisation of care and care environment for older people to support their self-management and independence. Expected are a broad view on quality of care and care environment and a realistic view of what is happening currently in the care settings for older people from different perspectives, nationally and internationally.

This information assists in developing tailored, individualised care and services maintaining self-management for older people, preventing “institutionalization”, improving health care and nursing care processes and promoting positive outcomes for both patients and staff harmonizing care pathways nationally and internationally from the older people’s point of view in different care contexts and enhance possibilities for workforce mobility in the Europe. The results can be applied to:

give a realistic view to general public about care settings of older people
the evaluation of care quality and health care quality improvement
the development of clinical nursing care and care environments both nationally and internationally
developing and advancing patient outcomes
nursing education
advancing scientific knowledge base in older people nursing science.

Individual and focus group interviews, questionnaire surveys, register information, photos and observation will be used for data collection. This study includes 11 different sub-data: 1800 older people (service users) and 1500 care providers from different care environments for older people will be recruited nationally and internationally. The international cross-cultural comparative study WP5 includes participants from Finland, Cyprus, Greece, Spain, Sweden and England, both older people (N=900) and their care providers (N=900) and investigates their perceptions of individualization and its outcomes in physical, social and symbolic environment.

Principal investigator
Professor Riitta Suhonen, PhD, RN, Director of Nursing (part-time)
University of Turku, Department of Nursing Science
riisuh@utu.fi, +358-50-3042150, +358-2-3338417

Research team members
Laura Viikari, MD, PhD, docent, Geriatrics, University of Turku and Turku City Hospital
Maija Hupli, PhD, post doc researcher, University of Turku, Department of Nursing Science
Minna Stolt, MNSc, PhD, Researcher, post doc researcher
Sini Eloranta PhD, Post doc researcher, clinical teacher

Pasi Liljeberg, PhD, adjunct professor, Dept of Information Technology (WP4).
Tomi Westerlund PhD, senior research fellow, Dept of Information Technology (WP4).

Researchers

Doctoral candidates
Terhi Lemetti: Collaboration between hospital and primary health care nurses on older people nursing care – Developing and testing a theoretical model.

Kristiina Toivonen: Supporting spirituality as a part of symbolic environment of older adults with memory disorder in the nursing care

Johanna Ritvanen: person-centered transitional care of older patients with multiple illnesses – Effects to person-centeredness after changing nursing practice.

Masters
Kaisu Mäkelä, Teija Leino, Suvi Sundgren, Anniina Kaskinoro

Miikkola M, Lantta T, Suhonen R & Stolt M. 2019. Challenges of foot self-care in older people: a qualitative focus-group study. Journal of Foot and Ankle Research. (accepted)

Lemetti T, Voutilainen P, Stolt M, Eloranta S & Suhonen R. 2019. Older patients’ experiences of nurse-to-nurse collaboration between hospital and primary healthcare in the care chain for older people nursing care. Scandinavian Journal of Caring Sciences 2019 Jan 10. doi: 10.1111/scs.12653

Suhonen R, Karppinen T, Rodrigues-Martin B & Stolt M. 2019. Nurse managers’ perceptions of care environment: supporting older people’s ability to function in nursing homes. Journal of Nursing Management 00, xx-xx. doi: 10.1111/jonm.12695.

Rodriguez-Martín B, Martín-Martín R & Suhonen R. 2019. Individualized Care Scale-patient: A Spanish validation study. Nursing Ethics. doi:10.1177/0969733018769351

Salmi R, Tolvanen M, Suhonen R, Lahti S & Närhi T. 2018. Knowledge, perceived skills and activities of nursing staff to support oral home care among older domiciliary care clients. Scandinavian Journal of Caring Sciences 32(4), 1342-1347.DOI: 10.1111/scs.12579

Vesa NM, Stolt M, Koskenniemi J & Suhonen R. 2018. Läheisen rooli kuntoutumisprosessissa. Gerontologia 32(3), 163-179.

Zhao FF, Suhonen R, Katajisto J & Leino-Kilpi H. 2018. The association of diabetes-related self-care activities with perceived stress, anxiety and fatigue: a cross-sectional study. Patient Adherence and Preference 2018:12:1677-1686. doi: https://doi.org/10.2147/PPA.S169826.

Koskenniemi J, Leino-Kilpi H, Puukka P, Stolt M & Suhonen R. 2018. Being respected by nurses: measuring older patients’ perceptions. International Journal of Older People Nursing 2018 Sep;13(3):e12197. doi: 10.1111/opn.12197

Toivonen K, Charalambous A & Suhonen R. 2018. Supporting spirituality in the care of older people living with dementia: a hermeneutic phenomenological inquiry into nurses’ experiences. Scandinavian Journal of Caring Sciences 32(2), 880-888. doi: 10.1111/scs.12519

Suhonen R, Charalambous A, Berg A, Katajisto J, Lemonidou C, Patiraki E, Sjövall K, Stolt M & Radwin L. 2018. Hospitalized cancer patients’ perceptions of individualized nursing care in four European countries. European Journal of Cancer Care 27, e12525. doi: 10.11.1111/ecc.12525

Suhonen R, Stolt M, Berg A, Katajisto J, Lemonidou C, Patiraki E, Sjövall K, Charalambous A. 2018. Cancer patients’ perceptions of quality of care attributes – associations with age, perceived health status, gender and education. Journal of Clinical Nursing 27(1-2), 306-316. doi: 10.1111/jocn.13902.DOI: 10.1111/jocn.13902

Lemetti T, Voutilainen P, Stolt M, Eloranta S, Suhonen R. 2017. An enquiry into nurse-to-nurse collaboration within the older people care chain as part of integrated care: a qualitative study. International Journal of Integrated Care 17(1):5, 1-11. doi.org/10.5334/ijic.2418

Ylönen M, Viljamaa J, Isoaho H, Junttila K, Leino-Kilpi H & Suhonen R. 2017. Internet -based learning program to increase nurses’ knowledge level about venous leg ulcer care in home healthcare. Journal of Clinical Nursing 26(21-22), 3646-3657. doi: 10.1111/jocn.13736

Adam C, Patiraki E, Lemonidou C,Radwin L, Charalambous A, Charalambous M, Berg A, Sjövall K, Katajisto J, Stolt M & Suhonen R. 2017. Quality of nursing care as perceived by cancer patients: A cross-sectional survey in four European countries. Journal of B.U.ON: The Official Journal of Balkan Union of Oncology 22(3), 777-782.

Stolt M, Charalambous A, Radwin L, Adam C, Katajisto J, Lemonidou C, Patiraki E, Sjövall K, Suhonen R. 2016. Measuring Trust in Nurses – Psychometric properties of the Trust in Nurses Scale in four countries. European Journal of Oncology Nursing 25(1), 46-54. doi: 10.1016/j.ejon.2016.09.006

Suhonen R, Charalambous A, Berg A, Katajisto J, Lemonidou C, Patiraki E, Sjövall K & Stolt M. 2016. Syöpää sairastavien potilaiden arvioima hoidon laatu – iäkkäiden ja työikäisten potilaiden vertailu kansainvälisessä aineistossa. Hoitotiede 28(4), 335-347.

Charalambous A, Radwin L, Berg A, Sjövall K, Patiraki E, Lemonidou C, Katajisto J, Suhonen R. 2016. An international study of hospitalized cancer patients’ health status, nursing care quality, perceived individuality in care and trust in nurses: A path analysis. International Journal of Nursing Studies 61(1), 176-186. http://dx.doi.org/10.1016/j.ijnurstu.2016.06.013

Giebel C, Sutcliffe C, Verbeek H, Zabalegui A, Soto-Martin M, Hallberg IR, Saks K, Renom-Guiteras A, Suhonen R, & Challis D. 2016. Depressive symptomatology and associated factors in dementia in Europe: home care versus long-term care. International Psychogeriatrics 28(4), 621-630. doi:10.1017/S1041610215002100

Rodriguez-Martín B, Stolt M, Katajisto J & Suhonen R. 2016. Nurses’ characteristics and organizational factors associated with their assessments of individualized care in care institutions for older people. Scandinavian Journal of Caring Sciences 30(2), 250-259. doi: 10.1111/ scs. 12235

Tuominen L, Leino-Kilpi H & Suhonen R. 2016. Older people’s experiences of their own free will in and its actualisation, promoters and barriers in nursing homes. Nursing Ethics 23(1), 22-35. 10.1177/0969733014557119

Ahlqvist A, Nyfors H & Suhonen R. 2016. Factors associated with older people’s independent living from the point of view of health and functional capacity: A register-based study. Nursing Open 3 (2), 79-89. doi: 10.1002/nop2.39

Lemetti T, Stolt M, Rickard N & Suhonen R. 2015. Collaboration between hospital and primary health care nurses in adult care: a literature review. International Nursing Review 62(2), 248-66.

Toivonen K, Stolt M & Suhonen R. 2015. Nursing support of the spiritual needs of older adults living with Dementia. A narrative literature review. Holistic Nursing Practice 29 (5), 303-312.

2018

Kontulainen-Mäntymäki Merja	Yksilöllinen hoito psykiatrisessa hoitotyössä – Asiakkaan näkökulma. Individualised care in psychiatric care – Clients’ perspective.
Sundgren Suvi	Geronteknologian käyttöön liittyvät eettiset kysymykset ikääntyneiden koti-hoidossa. Ethical issues related to the use of gerontechnology in the care of community-dwelling older people
Kaskinoro Anniina	Kotona asuvien ikääntyneiden kokemuksia hoitotyössä tapahtuvasta kohtaamisesta päivystyksen toimintaympäristössä. Experiences of nurse-patient encounters in the emergency care by home-dwelling older people

2017

Antila, Satu	Laitoksissa asuvien iäkkäiden yksilöllinen suun hoito – suuhygienistin näkökulma
Leino, Teija	Sydämen vajaatoiminnan itsehoito ikääntyneillä ja kognitiivisen toimintakyvyn yhteys itsehoitoon
Mäkelä, Kaisu-Leena	Sydämen vajaatoimintaa sairastavien ikääntyneiden terveydenlukutaito ja sen mittaaminen Assessment and measurement of health literacy among elderly with congestive heart failure (CHF)
Määttänen, Tiina	“Asiakkaan palvelutarpeen arviointi kotihoidossa” – käsiteanalyysi hybridisen mallin mukaan “Client’s Service Needs Assessment in Home Care” – a concept analysis with the hybrid model
Virtanen, Hanna-Kaisa	Kansalaisten näkemykset omaishoidon kehittämisestä sekä ikääntyneiden kotona asumisen tukemiseksi tehtävistä toimista The views of citizens about how to develop informal care and how to support elderly people living at home

2016

Grönvall, Anu	Terveysneuvontaan osallistuneiden 70-vuotiaiden elämänlaadun muutos vuoden seuranta-aikana Changes in quality of life among 70-year-olds participating in health care guidance over a one-year follow-up period
Hanhilampi, Nina	Muistipotilaan tarkoituksenmukaisen hoitopaikan määrittäminen Balance of Care -menetelmällä Determining the appropriate place of care with Balance of Care approach for people with dementia
Henriksson, Riitta	Kotona asuvien 70-vuotiaiden terveyden ja toimintakyvyn kehityssuunnat Trends in Health and Functioning in 70-Year-Olds
Kostamo, Sanna	Psykososiaalisten haittojen ja mielialan yhteys ikäkuuloon – potilaan näkökulma Connection between age-related hearing loss, psychosocial problems and mood – Patient’s perspective
Tattari, Mervi	Kotona asuvien ikääntyvien kokemukset fyysisen toimintakykynsä säilyttämisestä How older people living at home experience maintaining their physical functioning
Vesa, Niina-Marika	Läheisen rooli ja tuen tarve iäkkään kotiutuessa arviointi- ja kuntoutusosastolta The role of next of kin and the need for support when the elderly is discharged from rehabilitation department to home

2015

Karppinen, Tiina	Ikääntyneen toimintakykyä tukeva hoitoympäristö osastonhoitajien näkökulmasta Care environment supporting older residents’ ability to function from nurse managers’ perspective
Lepistö, Minna	Kotona asuvan muistipotilaan läheisen sosiaali- ja terveyspalvelujen käyttö The use of social and healthcare services by informal caregiver of people with memory disorder living at home
Lintula, Anni	Kotihoidossa olevien muistipotilaiden sosiaali- ja terveyspalveluiden käyttö The social and health services used by people with memory disorders in home care
Salminen, Marjo	Kotona toteutettu sijaishoito aikuisen omaishoitajan ja aikuisen omaishoidettavan kokemana Experiences of respite care at home by an adult caregiver and an adult care recipient
Toivonen, Kristiina	Potilaana ihminen – hermeneuttis-fenomenologinen tutkimus hengellisyydestä ikääntyneiden muistisairaiden hoitotyössä Human as a patient – A hermeneutic phenomenological inquiry into the spirituality in the nursing care of older adults with dementia

– 2014

Astola-Pöllanen, Riia	Toimintakyky ja yksilöllinen hoito – ympärivuorokautisessa hoidossa olevan iäkkään näkökulma Function ability and individualized care – the older peoples’ point of views in long-term care
Kenttälä, Sanna	Kokemuksia muistipoliklinikan toiminnasta – Alzheimerin tautia sairastavan potilaan omaisen näkökulma Experiences of the Work of a Memory Polyclinic – A Point of View of a Relative of a Patient with Alzheimer’s
Lemetti, Terhi	Sairaanhoitajien välinen yhteistyö ikääntyvän potilaan hoidossa – Erikoissairaanhoidon ja perusterveydenhuollon sairaanhoitajien näkökulma Collaboration between nurses on older people nursing care – Hospital and primary health care nurses’ point of views
Miikkola, Maija	Jalkojen omahoito ja sen toteuttamiseen liittyvät tekijät – Ikääntyneiden näkökulma Foot Self-care and Factors Associating It – The View of Older People
Paimensalo-Karell, Irmeli	Hiljainen tieto pääomaksi ikääntyneiden hoitotyössä – hoitohenkilöstön kokemuksia Tacit knowledge for capital equity in the elderly care described by Nursing Staff
Pihlaja, Sari	Iäkkään kokemus kuntouttavasta lyhytaikaishoidosta ja sen merkityksestä toimintakykyyn ja elämänlaatuun Older people’s experiences of rehabilitative short-term care and its meaning to functional ability and quality of life
Ahlqvist, Anette	Kotona asuvien ikääntyneiden itsenäinen selviytyminen mitä 75-vuotiaiden ennaltaehkäisevät terveystarkastukset paljastavat Independently living elderly’s coping in everyday life what do preventive health care examinations reveal

InCareS

Research group

Publications (2019-)

Publications (-2018)

Earlier studies (2017-)

Earlier studies (2014-2016)

Earlier studies (-2014)

Härkätien kuntayhtymä