Helena Leino-Kilpi

Helena Leino-Kilpi
University of Turku | UTU · Department of Nursing Science

RN, MEd, PhD

About

582
Publications
153,540
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12,093
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Introduction
I am a professor and chair in nursing science in Department of Nursing Science, University of Turku, Finland. My research is international and in the field of health care ethics, nursing education, and clinical nursing (incl patient education) and I have published more than 500 scientific, referee-based publications. I am a fellow of European Academy of Nursing Science, American Academy of Nursing, Academia Europea and Visiting professor in Trinity College, Dublin.

Publications

Publications (582)
Article
Full-text available
Background A nurse educator has an important role in promoting students’ learning and professional development as well as in offering high quality nursing education. Objectives To describe the competence of nurse educators and explore its connection with the self-evaluated competence of graduating nurse students. Design A cross-sectional survey d...
Article
Background Moral courage as a part of nurses’ moral competence has gained increasing interest as a means to strengthen nurses acting on their moral decisions and offering alleviation to their moral distress. To measure and assess nurses’ moral courage, the development of culturally and internationally validated instruments is needed. Objective The...
Article
Moral courage and understanding its meaning are essential when nurses face ethical conflicts in their practice. This integrative review aimed to explore moral courage in nursing and possible associated individual and organizational factors. Database search in January 2020 resulted in 1308 citations of which twenty‐five scientific articles were sele...
Article
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Background: Multiple sclerosis (MS) often affects ambulation and the function of the lower limbs. However, little is known about how much research has been conducted on lower extremity health in patients with MS. Objective: To analyse empirical studies and their evidence on lower extremity health in patients with MS, in order to identify the nee...
Article
Background Evidence is lacking on the differences between hospitalisation of people with dementia living in nursing homes and those living in the community. The objectives of this study were: 1) to describe the frequency of hospital admission among people with dementia in eight European countries living in nursing homes or in the community, 2) to e...
Article
Full-text available
Aim To analyse graduating nursing students’ self‐assessed competence level in Europe at graduation, at the beginning of nursing career. Design An international cross‐sectional evaluative design. Methods Data were collected in February 2018–July 2019 from graduating nursing students in 10 European countries. Competence was assessed with a validate...
Article
Full-text available
Background Moral courage is defined as courage to act according to one’s own ethical values and principles even at the risk of negative consequences for the individual. In a complex nursing practice, ethical considerations are integral. Moral courage is needed throughout nurses’ career. Aim To analyse graduating nursing students’ moral courage and...
Article
Background Consistent practice, an agreed clinical practice based on evidence, has been considered as a base for effective provision of quality and safety of care. As a result, patients have an equal quality of care regardless of the organisation or worker. However, despite the international guidelines, pressure ulcer prevention practices vary in l...
Article
Objective This study aimed to describe and compare the group-level findings from 2005–2006 and 2015–2016 regarding students’ and patients’ views of the nursing student-patient relationship and associated factors. Methods The data were in both cases collected using Student-Patient Relationship Scales. The data were analysed statistically. Results...
Article
Background The clinical observations made by critical care nurses are vital for maintaining patient safety and making appropriate decisions in the care of patients who are critically ill. Evaluating the reliability of observations and applying analytical thinking are essential elements of patient observation. Previous studies of critical care nurs...
Article
Purpose: In patient education, there is a need for valid and reliable instruments to assess and tailor empowering educational activities. In this study, we summarize the process of producing two parallel instruments for analyzing hospital patients' expectations (Expected Knowledge of Hospital Patients, EKhp) and received knowledge (Received Knowle...
Article
Purpose: The interprofessional collaboration is a key practice for providing cancer care. However, the realization of collaboration requires effective leadership and administrative support. In this study, the aim was to analyze healthcare professionals' perceptions of leadership and administrative support (strategic and management) in interprofess...
Article
Aims and objectives To explore the informational privacy of patients in prehospital emergency care based on the existing literature. Background Informational privacy, a central value in health care, is strongly connected to patients' safety and quality of care. However, its realisation faces challenges in the unique context of prehospital emergenc...
Article
Background: The importance of competence assessment in anaesthesia nursing education has increased since nurse educators and anaesthesia care employers have identified the gap between nursing education and nursing practice. In order to ensure nursing students' preparedness for entry into anaesthesia nursing practice, it is necessary to measure whe...
Article
Methods: This was a pre/post-observational study examining patients' emotions before and during elective knee or hip replacement surgery for osteoarthritis in seven European Union countries to identify factors related to better emotional status at discharge. Instruments: In addition to demographic data, information was collected on quality of li...
Article
The aim of this descriptive study was to analyze the relationship between the sufficiency and usefulness of patient education from the perspective of people with chronic kidney disease. The goal was to discover whether both sufficiency and usefulness need to be analyzed in the quality evaluation of patient education. Patients undergoing predialysis...
Article
Aims and objectives To describe the nursing student‐patient relationship in terms of three types of relationships – mechanistic, authoritative and facilitative – and analyze the factors related to the type of relationship. Background As future professionals, nursing students have a central role in facilitating patient autonomy while working in par...
Preprint
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Background: Multiple factors that influence the learning experience of nursing students while they are in clinical training have been identified. Nevertheless, there is no evidence on what is the optimum time a nursing student should remain in the different practice settings for achieving the required competencies nor how this duration of the place...
Article
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Background: Patients have the right to equal, respectful treatment. Nowadays, one third of patient complaints concern health care staff's behavior towards patients. Ethically safe care requires ethical competence, which has been addressed as a core competence in physiotherapy. It has been defined in terms of character strength, ethical awareness,...
Article
Full-text available
The growing emphasis on learning with and from patients has shifted the focus from education and healthcare professionals to the student–patient relationship. The relationship between student and patient, with a supportive preceptor as a resource, can influence the progression and development of an authentic person-centred approach to care among st...
Poster
Objective of this study was to evaluate psychometrics of the EKhp and the RKhp with international data to enable international use of the instruments.
Article
Full-text available
Background: Nurses form the largest professional group in health care, and they spend most of their working day on their feet. From the perspective of work well-being, healthy feet are important to tolerate the physical demands of nursing work. However, little is known about how nurses' foot self-care practices can be promoted with computerised in...
Preprint
Full-text available
Background Hospitalisation is a critical moment for people with dementia and a major challenge for health care systems. The aims of this study were 1) to describe the frequency of hospital transfer among people with dementia from eight European countries, 2) to examine the factors associated with hospital transfer and 3) to evaluate the costs relat...
Preprint
Background: Evidence is lacking on the differences between hospitalisation of people with dementia living in nursing homes and those living in the community. The objectives of this study were: 1) to describe the frequency of hospital admission among people with dementia in eight European countries living in nursing homes or in the community, 2) to...
Preprint
Background: Evidence is lacking on the differences between hospitalisation of people with dementia living in nursing homes and those living in the community. The objectives of this study were: 1) to describe the frequency of hospital admission among people with dementia in eight European countries living in nursing homes or in the community, 2) to...
Preprint
Background Evidence is lacking for differences between hospitalisation of people with dementia living in nursing homes and those living in the community. The objectives of this study were: 1) to describe the frequency of hospital admission among people with dementia in eight European countries living in nursing homes or in the community, 2) to exam...
Article
Objectives: This study aimed to investigate the occurrence of suicidal ideation and associated factors in older persons with dementia living at home in eight European countries, and its association with quality of life. Furthermore, changes in suicidal ideation over time were investigated. Methods: This cohort study (n = 1,223) was part of the Euro...
Article
Full-text available
Objective: Assessing the level of competence of nurses in anaesthesia care is important not only in ensuring the quality of anaesthesia care, but also in developing a competence-based nursing education programme. This study aimed to assess Finnish nurses’ competence in anaesthesia nursing and to describe factors associated with it. This study will...
Article
During nursing education, nursing students are required to develop their competence to be able to fulfill their duties safely as Registered Nurses. The aims of this study were to explore 1) nursing students' self-assessed competence levels during education 2) the relationship with competence and frequency at which competencies are utilized in clini...
Article
Aim: To explore the visibility of nursing in policy documents concerning healthcare priorities in the Nordic countries. Background: Nurses at all levels in healthcare organizations set priorities on a daily basis. Such prioritization entails allocation of scarce public resources with implications for patients, nurses, and society. Although prior...
Article
Full-text available
Missed care, defined as any aspect of patient care that is omitted or delayed, is receiving increasing attention. It is primarily caused by the imbalance between patients' nursing care needs and the resources available, making it an ethical issue that challenges nurses' professional and moral values. In this scoping review, conducted using the five...
Article
Background Nurses encounter complex ethical dilemmas in everyday nursing care. It is important for nurses to have moral courage to act in these situations which threaten patients’ safety or their good care. However, there is lack of research of moral courage. Purpose This study describes nurses’ experiences of care situations demanding moral coura...
Article
Objective: The purpose of this study is to describe the pre-requisites and realisation of interprofessional collaboration as perceived by healthcare professionals working in the cancer care setting and to produce knowledge to support the development of collaborative practices. Methods: This study employed a descriptive survey design. The data we...
Article
Objective: The purpose of this systematic review was to identify generic instruments measuring patient empowerment and related concepts and analyse the main content and psychometric properties of these instruments. Methods: A systematic search was conducted using empowerment and related concepts (enablement, activation, engagement, perceived con...
Article
Purpose: The purpose of this study was to explore comprehensively expectations of patients with colorectal cancer towards nursing care in the chemotherapy context. Methods: A purposive sample of patients with colorectal cancer (n = 15) was interviewed individually at the outpatient clinic in one university hospital chemotherapy unit. The data we...
Article
Aim: To summarise nurse managers' perceptions of newly graduated nurses' (NGNs) competence and connected factors. Background: Nurse managers recruiting staff are responsible for employing competent nurses to ensure quality care and professional standards. Knowledge of managers' perceptions about the competence of NGNs is needed to understand the...
Article
Background The present and future health care is increasingly complex work environment. Cancer care setting has been identified as a challenging work environment in relation to occupational well-being and safety. Work empowerment is associated with job satisfaction, commitment and intention to stay at work. Another determinant is the multiprofessio...
Article
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Αdolescents face mental health problems and still their mental health needs are often neglected. Empowerment provides adolescents with the skills to impact their own lives and communities in general. The aim of the study is to examine the validity and reliability of the Finnish version of the Youth Efficacy/Empowerment Scale - Mental Health (YES-MH...
Article
Background: Dialysis patients' experience of safety can be seen positively connected with their wellbeing and successful outcomes of their treatment and care. Therefore, it is necessary to identify the factors promoting and weakening the safety experiences and create a basis for empowering interventions. Objectives: Analyse patients' experiences...
Article
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Aim: The aim of this review was to identify and summarize the required competences of nursing PhD students and postdoctoral researchers to pursue a successful researcher career and to compare these competences with the existing competence frameworks. Design: Scoping review. Methods: PubMed, CINAHL, SocIndex, PsycInfo, Eric, EMBASE, Academic Se...
Article
Full-text available
Aim: This study aimed to explore how social support (external factor), optimism (internal factor) and their interaction associated with diabetes-related self-care activities (DRSCA) over 3 months among people with type 2 diabetes mellitus (T2DM). Design: Both questionnaire-based and telephone-based survey were used. The data were collected face...
Article
Background: Previous research has revealed nurses' knowledge gaps in venous leg ulcer (VLU) nursing care, and continuing education is needed. The closer nurses' perceived knowledge is to their evidence-based theoretical knowledge, the better possibilities they have to conduct evidence-based VLU nursing care. Objectives: To assess the congruence...
Article
Aims and objectives: To investigate older hospital patients' perceptions of respect in a patient-nurse relationship and its associated factors. Background: To be cared for with respect is fundamental to ethical nursing care. However, respect has seldom been a main topic of nursing research, and few of these studies have assessed older patients'...
Article
Full-text available
Worldwide there is growing understanding of the importance of interprofessional collaboration in providing well-functioning healthcare. However, little is known about how interprofessional collaboration can be measured between different health-care professionals. In this review, we aim to fill this gap, by identifying and analyzing the existing ins...
Article
Background Privacy is one of the key principles in health care and requires understanding of the cultural aspects of patients’ privacy. In Western cultures privacy is focused on the individual, however, in some non-Western cultures, privacy is linked to the collectivism of the community or religion. Objectives The objective of this study is to des...
Article
Full-text available
Objectives The study aimed to examine the diabetes-related self-care activities (DRSCA) in association with positive health consisting of resilience, subjective well-being (SWB) and disease-related quality of life (DRQoL), and the associations of background information with resilience, SWB and DRQoL. Design A cross-sectional study. Methods A conv...
Article
Background: Spine surgery patients have difficulty comprehending the patient education aimed at preparing for surgery. Purpose: To assess the effect of a specific preoperative education approach (Knowledge Test Feedback Intervention, KTFI) on patients' verbal and visual understanding of their surgery. Methods: In this randomized controlled tri...
Article
Full-text available
Background: Nurse managers encounter a wide range of ethical problems related to patients, staff, the organisation and themselves. However, little is known about the methods they use to try to solve these problems. In this study, our goal is to fill this knowledge gap by investigating the ethical problems encountered by nurse managers, the frequen...
Chapter
In this chapter the state of nursing science in Finland is introduced. First, we describe briefly the early years of the new discipline of nursing science in Finland. After that, we focus on the development steps of nursing science, and then we outline the main characteristics of the discipline of nursing science. Finally, we describe the developme...
Chapter
In this chapter, the nursing education and nurse education research in Finland are introduced. First, the system and the structure of the nursing education and postgraduate education are described. Furthermore, the meaning of the educational outcomes of the development and research projects focusing on education and use in the educational and clini...
Article
Background A mobile cooperation intervention was developed to facilitate the cooperation of nursing students with nurse teacher and to improve the students' clinical learning outcomes. The intervention consisted of training in a mobile application's functionality and its use during clinical practicum cooperation procedures. Objectives To describe...
Article
Background: As a fundamental human right in healthcare, informational privacy creates the foundation for patient's safety and the quality of care. However, its realization can be a challenge in prehospital emergency care, considering the nature of the work. Objectives: To describe patient's informational privacy, its realization, and the factors...
Article
Full-text available
Objectives This study aims to analyse the relationship between patient education and the quality of surgical nursing care as perceived by patients. The background of the study lies in the importance of a patient-centred approach for both patient education and quality evaluation. Design This was a cross-sectional descriptive correlational study wit...
Article
Patient safety, as a contemporary health care concern, must remain a priority for nurse educators. This on-line consultation, carried out within the RANCARE COST Action project, determined to establish how patient safety teaching is incorporated into pre-registration education of nurses across 27 countries. How nursing is regulated within countries...
Article
Background: Patient-centeredness is emphasized in both health policies and practice, calling for reliable instruments for the evaluation of the quality of nursing care. Purpose: The purpose was to analyze the psychometric properties of the Good Nursing Care Scale (GNCS) in a sample of surgical patients and nurses. Methods: An explorative cross...
Article
Aim(s) To describe healthcare professionals’ experiences of observed wrongdoing and potential whistleblowing acts regarding it. The main goal is to strengthen the whistleblowing process described based on the existing literature and to make it more visible for future research. Design A descriptive cross‐sectional survey. Methods Data were collect...
Article
The aim was to assess research utilization competence of nurses’ working in university hospitals and factors related to it. (Journal: Tutkiva Hoitotyö 17(1), pp. 3-11.) (in Finnish)
Article
Background: Nurse managers (NMs) lead the biggest personnel group in health care-nurses. They have various responsibilities in clarifying an organization's values to their staff and overseeing and supporting continuous upholding of ethical standards and nurses' ethical competence. Purpose: The purpose of the study was to investigate the frequenc...
Article
Background Observing a patient's clinical condition is an important responsibility of critical care nurses and an essential component of their competence. Critical care nurses' patient observation skills contribute to patient safety and quality of care. These observation skills have not been assessed or measured previously. Aim The aim of this stu...
Chapter
The purpose of this chapter is to describe the nature and implementation of individualised nursing care among surgical patients. The nature of this care is operational, the patient-professional contact is short and the emphasis is on supporting recovery and self-management by educational activities. In this chapter, we first describe the nature of...
Book
This book explores the leading role played by nursing science in the European Nordic countries. Recognized leaders in nursing research from Denmark, Finland, Iceland, Norway and Sweden, reflect on the leadership of nurses, the societal developments and the state of nursing science in their country, and the successes and remaining challenges nurses...
Article
Aims and objectives To explore nursing interventions used among patients with cancer and summarise the results of their effectiveness. The ultimate goal was to improve the quality of care and provide best evidence for clinicians to refer to while developing effective nursing interventions. Background Nursing interventions refer to actions that nur...
Article
Aims and objectives To explore the effectiveness of interventions aimed at pressure ulcer (PU) prevention in long‐term older people care facilities (LOPC). Background Pressure ulcers cause suffering for patients and constitute a major financial burden. Although most PUs could be prevented, their number has remained high. To avoid unnecessary suffe...
Article
Full-text available
Purpose: This study provides an overview of the self-defined skills and practices of European orthopedic nurses in empowering patient education. Nurses themselves have highlighted the necessity to enhance their own skills, but possibilities for further education have been limited. Methods: The data ( n = 317 nurses) from a structured survey were co...
Article
Aims and objectives The aim was to identify and analyze the ethical issues in the care of patients with stroke (PwS). The goal was to understand the nature of the existing knowledge on the topic and to identify whether there are ethical issues specific to the care of PwS. Background Stroke is a disease with possible multiple effects on the patient...
Article
Full-text available
Background: Moral courage is required at all levels of nursing. However, there is a need for development of instruments to measure nurses' moral courage. Objectives: The objective of this study is to develop a scale to measure nurses' self-assessed moral courage, to evaluate the scale's psychometric properties, and to briefly describe the curren...
Article
Full-text available
Purpose Many people with type 2 diabetes (T2DM) do not sustain sufficient diabetes-related self-care activities (DRSCA) in their daily lives. To provide additional information about the positive influence of DRSCA, this study was conducted to examine whether DRSCA were associated with reduced perceived stress, anxiety, and fatigue among people with...
Article
Background: The majority of care-dependent persons living in nursing homes have mobility impairment affecting the physical, psychological, and social aspects of the persons' lives. Therefore, nursing staff needs competence to provide good mobility enhancing care. Aim: This study assesses the self-reported and observed competence of nursing home...
Article
Aim: To evaluate behavioural and educational interventions used to improve self-care in adult periodontitis patients in comparison with conventional instruction. Methods: A systematic electronic search of empirical studies that were published up to June 2017 using the MEDLINE database was performed. The reference lists of all of the included studie...
Article
Full-text available
Aim The aim of this study was to examine the extent and nature of the available research literature on healthcare professionals’ ethical competence and to summarize the research findings in this field. Design A scoping review guided by Arksey and O'Malleys methodological framework was conducted. Methods Six databases including Pubmed/Medline, CIN...
Article
Full-text available
Background: To assess the quality of life of people with dementia, measures are required for self-rating by the person with dementia, and for proxy rating by others. The Quality of Life in Alzheimer's Disease scale (QoL-AD) is available in two versions, QoL-AD-SR (self-rating) and QoL-AD-PR (proxy rating). The aim of our study was to analyse the i...
Article
Longitudinal studies of caregiver burden when caring for persons with dementia living at home are sparse. The aim of the study was to identify factors associated with caregiver burden and predicting increased burden related to caregivers, persons with dementia and formal care. Data were collected through interviews with 1223 caregivers in eight Eur...
Conference Paper
Background and Purpose: Including patients’ perspectives across the continuum of nursing education is important to develop the patient-centred orientation new graduates need. Educational research produces the evidence-base for degree programmes to enable this development. The purpose of this presentation is to illuminate the results of educational...