Helvi Kyngäs

• PhD, Dr, Professor
• Head of Department at University of Oulu

The significance of rehabilitation-promoting nursing care is emphasized in aging Finland. According to studies, rehabilitation-promoting nursing care enhances the functional capacity of the elderly. The Elderly Services Act obliges municipalities to create a plan to support the elderly population, emphasizing home care and rehabilitation measures....

The significance of rehabilitation-promoting nursing care is emphasized in aging Finland. According to studies, rehabilitation-promoting nursing care enhances the functional capacity of the elderly. The Elderly Services Act obliges municipalities to create a plan to support the elderly population, emphasizing living at home and rehabilitative measu...

Aims: The study's aims were to (1) assess family members' perceptions of the quality of the counselling they received while visiting a loved one in an adult ICU and (2) identify factors that influence family members' perceptions of counselling quality. Design: A cross-sectional survey of visiting family members of adult ICU patients. Methods:...

Aim: This study aimed to describe visual performance and the need for vision care services among Finnish older people receiving home care. We evaluated the applicability of the Resident Assessment Instrument of Home Care (RAI HC) in identifying visual impairment (VI) and the need for vision care services among older people. Design: A descriptive...

Runsas palvelutarve aiheuttaa haasteita sekä asiakkaille itselleen että terveyspalvelujärjestelmälle asiakkaiden pyrkiessä saamaan tarpeitaan vastaavaa hoitoa. Vuorovaikutus on tärkeää asiakkaan ja terveydenhuollon ammattihenkilöiden kohtaamisissa. Tutkimuksen tarkoituksena oli vertailla lyhyt- ja pitkäaikaisesti paljon terveyspalveluja tarvitsevie...

Patient counselling is a key function in nursing. High-quality counselling promotes adherence to treatment and reduces complications. The purpose of the study was to describe the quality of counselling experienced by total knee arthroplasty patients following surgery. The study was a descriptive cross-sectional study. The data were collected from p...

Background: Intensive care professionals (ICPs) have a key role in counselling adult intensive care unit (ICU) patients and their family members. The counselling provided to ICU patients and their family members can be described based on the content, implementation, benefits, and resources. Aims: The study had two specific aims: first, to assess...

Background: Nurses have an essential role in providing high-quality palliative care to patients and their families. Hence, they require adequate palliative care education. However, there is only limited insight into how fnal-year nursing students perceive palliative care education in undergraduate nursing programs. This study aimed to describe n...

Background: To evaluate how effective preparatory interventions for paediatric day surgery are at reducing parents' anxiety and stress and children's pain and fear. Methods: A systematic review was conducted according to Joanna Briggs Institute (JBI) guidelines and reported using the PRISMA 2020 checklist. PubMed, CINAHL (EBSCO), Scopus, Medic a...

Aims: To identify associations between perceived health and treatment adherence six years after percutaneous coronary intervention. Design: A non-experimental descriptive long-term follow-up study. Methods: Baseline data (n = 416) were collected in 2013, with follow-up data collected in 2019 (n = 154), using the EuroQoL scale, EuroQoL visual a...

Older people are present in a variety of nursing settings and have distinct care needs. Evidence about the competencies required is crucial when developing the profession. The aim of the study was to describe competence areas relevant in gerontological nursing. A qualitative, descriptive study design was used with 27 participants included. Finnish...

Aim: The aim of the study was to explore the adherence to self-management of patients with multimorbidity, identify associated factors, and determine explanatory factors of their adherence to self-management in terms of the Theory of Adherence of People with Chronic Disease. Background: Adherence to self-management is essential for successful ca...

The role of geriatric nurses is essential in preventing oral health problems of older people with impaired daily functioning. Nurses have reported low self-efficacy with regard to oral health care practices and wish to receive more information on the topic. The main aim of this pilot study was to develop an instrument to measure the self-efficacy b...

Aim The study aimed to describe and explain the self-assessed gerontological nursing competence levels of Finnish nursing students and factors relating to it. Design A cross-sectional study design, reported by The Strengthening the Reporting of Observational studies in Epidemiology guidelines. Methods Data were collected with the GeroNursingCom i...

Aim The purpose of the study was to identify and describe the characteristic profiles of evidence-based practice competence of educators in the social, health and rehabilitation sectors and to establish relevant background factors. Design This study was carried out as a descriptive cross-sectional study. Methods Data were collected from social, h...

Background Patient participation is essential for achieving high‐quality care and positive outcomes, especially among patients with multimorbidity, which is a major challenge for health care due to high prevalence, care complexity and impact on patients' lives. Objective To explore the patient participation related to their own care among patients...

Background Dementia causes behavioural changes in people that often lead to earlier placement in a nursing home. Staff can find these behavioural changes challenging and require specific competencies to support and care of people living with dementia. However, there is little information regarding the competencies nurses require in dementia care. T...

Background: According to previous studies, the natural environment positively influences well-being, including that of adolescent girls. However, knowledge is lacking on what motivates adolescent girls to spend time in nature. A secondary analysis of qualitative data was conducted employing three preexisting sets of interview data that had formed...

This study describes the self-estimated functional ability of older adults with visual impairments (VI) living at home prior to and after 24 months of individual low vision rehabilitation (LVR) according to the International Classification of Functioning, Disability and Health (ICF) framework. The LVR was carried out according to regular standard o...

Background: Emergency care clinicians are expected to use the latest research evidence in practice. However, emergency nurses do not always consistently implement evidence-based practice (EBP). An educational intervention on EBP was implemented to promote emergency nurses' use of EBP, and the effectiveness of it was evaluated. Aims: This study a...

Accessible summary What is known on the subject? • There is a scarcity of studies concerning violence in psychiatric outpatient settings in the 2010s in spite of the deinstitutionalization of psychiatric services. • Previous research on violence in psychiatric outpatient settings has failed to consider the association between the psychological co...

Aims: The aim of this study was to evaluate the effects of nurse-led health coaching on adherence to health regimens and lifestyle factors among frequent attenders in primary health care. Methods: One hundred and ten patients were enrolled in the quasi-experimental study. The experimental group (n = 52) received nurse-led health coaching and the...

Aim To develop and psychometrically test an instrument – GeroNursingCom – that measures gerontological nursing competence of nursing students. Design An instrument development guided by COSMIN guidelines. Method The development and testing of the GeroNursingCom instrument proceeded according to four distinct phases: (a) establishing a theoretical...

Rather than measure demographic factors such as socioeconomics, the aim of this study was to examine the lived experience of frequent attenders by synthesizing findings on their encounters with healthcare personnel. The Scopus, CINAHL, PsycARTICLES, and PubMed (Medline) databases were searched in May 2020 in order to screen studies by title and abs...

The ongoing change from traditional pedagogy to digital collaborative learning requires a new mode of teaching, learning, and educators’ responsibilities. For competence in digitally mediated teaching, educators need understanding of how to provide appropriate digital environment to learn collectively and individually. The aim of this study was to...

The aim of this study was to describe the well-being supportive home environment of elderly people (n = 37) with visual impairment (VI) and its relationship with health-related quality of life (HRQoL). Data were collected during home visits six (6) months after the commencement of individual low vision rehabilitation (LVR) process. A structured wel...

Purpose: To describe the feasibility and clinical utility of the Finnish FLACC scale when assessing children's pain in a Pediatric Intensive Care Unit (PICU). Design and methods: A non-experimental, descriptive cross-sectional study design was used to describe the feasibility and clinical utility in a Finnish PICU between May and August 2018. Th...

Background Frequent attendance is largely a temporary phenomenon, but only few previous studies have made a distinction between long‐term frequent attenders (FAs) and short‐term FAs. Aims The aim of this study is to compare the characteristics of middle‐aged long‐term FAs and short‐term FAs. Methods Data from a large Northern Finland Birth Cohort...

Aims To investigate the well-being at work and analyze relevant predictors of it among nurses working in psychiatric outpatient settings including following specific objectives 1) describe the current state of well-being at work among psychiatric nurses; and 2) examine how background characteristics and exposure to violence predict well-being at wo...

Background Palliative care exists in diverse healthcare settings. Nurses play a crucial role in its provision. Different levels of palliative care provision and education have been recognized in the literature. Therefore, nurses need a set of various competencies to provide high-quality palliative care. Aims To systematically synthesize the empiri...

Objectives This study aimed to examine Oral Health‐related Quality of Life (OHRQoL) among patients with cleft lip with or without palate (CLP) at their final scheduled follow‐up visit at the age of 18 years. Another aim was to investigate the motivation to attend multiple follow‐up appointments and the satisfaction with care given by the cleft team...

Aims: To identify current best evidence on the types of interventions that have been developed to improve job satisfaction among nurses and on the effectiveness of these interventions. Design: The systematic review is a quantitative systematic review and meta-analysis following a profile-likelihood random-effects model. Data sources: CINAHL, M...

Objective: To evaluate the effects of the nurse-led health coaching on health-related quality of life and clinical health outcomes among frequent attenders in primary healthcare. Methods: A quasi-experimental study design. A total of 110 patients were enrolled in the study. The experimental group (n = 52) received nurse-led health coaching and t...

This chapter aims to explain nursing theory development, including theory testing, and provide several relevant examples of the process. One reason why researchers carry out scientific work is to develop theories. A wide array of theories are developed in the field of nursing science, with the abstraction level varying based on the aim. Some of nur...

This chapter aims to present criteria for trustworthiness. Qualitative researchers commonly have different opinions about which criteria are the best for evaluating trustworthiness. However, the current consensus is that credibility, transferability, dependability, confirmability, and authenticity are the five most relevant terms for determining th...

This chapter aims to describe how an instrument can be developed from the results of content analysis in the context of nursing science. This chapter presents a chronological description of the instrument development process, starting with content analysis of qualitative data, then covering instrument development, during which the concepts identifi...

This chapter aims to present the philosophical background of mixed methods approaches, demonstrate how they are used in the context of nursing science, and provide examples of how content analysis can be applied in this research approach. Mixed methods approaches are relevant to nursing science as they allow researchers to gain insight into little-...

This chapter presents a general overview of qualitative research. Scholars can employ diverse quantitative and qualitative research designs to investigate a phenomenon of interest. However, thorough descriptions of these methods are beyond the scope of this book. Rather, the aim is to provide a general picture of qualitative research and an accurat...

This chapter describes deductive content analysis and how it can be applied to the field of nursing science. Deductive content analysis is not commonly used, but is nevertheless beneficial for testing concepts, categories, theories or any conceptual structure in a new context. Deductive content analysis is similar to inductive content analysis in t...

This chapter explains how to perform inductive content analysis, a method that is commonly used in qualitative studies to analyse data. This method can be applied to open or half-structured data. Inductive content analysis utilises the process of abstraction to reduce and group data so that researchers can answer the study questions using concepts,...

This chapter aims to describe how theories developed in the context of nursing science can be empirically tested. This chapter provides a definition for theory testing, and describes the process of statistically testing a theory and highlights several limitations of theory testing.

This book provides principles on content analysis and its application into development of nursing theory. It offers clear guidance to students, lecturers and researchers to gain a deeper understanding of the method of content analysis, its implementation into their own research and criteria of trustworthiness evaluation. The book is written in user...

Background Adherence to treatment is a crucial factor in preventing the progression of coronary heart disease. More evidence of the predictors of long-term adherence is needed. Aims The purpose of this study was to identify the predictive factors of adherence to treatment six years after percutaneous coronary intervention. Methods Baseline data (...

Development of educators' and students' global competence in higher education is increasingly important due to internationalization. Internationalization significantly influences healthcare education through an increase in the mobility of students. When conducting clinical practice in healthcare education, culturally and linguistically diverse heal...

Aim: To test the hypothetical model of adherence to treatment among patients with coronary disease after percutaneous coronary intervention. Design: A descriptive, explanatory, cross-sectional survey. Methods: The study was conducted in 2013 with 416 patients in five hospitals in Finland. The adherence of patients with chronic disease instrume...

Objectives: The aim of this systematic review was to evaluate the effectiveness of educational interventions in digital collaborative learning implemented in nursing education. Design: A systematic literature review of randomised controlled trials (RCTs) was carried out in accordance with Joanna Briggs Institute (JBI) and Centre for Reviews and...

Collaborative digital learning is becoming increasingly popular in higher education. However, the use of collaborative digital learning does risk placing too big a responsibility on the learner and reducing face-to-face interaction with the educator. The aim of this quasi-experimental study was to evaluate the effects of a digital educational inter...

Background: Adherence to treatment is essential to prevent the progression of coronary heart disease (CHD), which is the most common cause of death among women. Coronary heart disease in women has special characteristics: the conventional risk factors are more harmful to women than men, accumulation of risk factors is common, and women have nontra...

Background: According to previous studies, gender-related differences have been found in relation to the experience of well-being. There are also research results indicating that environment and seasonal variation have an influence on the well-being. Aim: The aim of the study was to describe how adolescent girls living in northern Finland experi...

Aim: This study aims to understand the concerns of nurses when making MET calls which did not fulfil the vital sign criteria, and the MET nurses subsequent responses to these calls. Methods: This was a retrospective report-based study. Research material included nursing reports and MET forms related to MET calls made due to nurses' concern. Indu...

The aim of study was to describe the health problems and nursing activities in intensive care for children.

Aims and objectives To identify key areas of competence for digitalization in healthcare settings, describe healthcare professionals’ competencies in these areas, and identify factors related to their competence Background Digitalization requires changes in healthcare practices, policies and actions to revise job expectations and workflows. The as...

Growing numbers of older people relocate to senior housing, when their physical or mental performance declines. The relocation is known to be one of the most stressful events in the life of older people and affect their mental and physical well-being. More information about the relationships between mental and physical parameters is required. We ex...

Background: Although many people know that a healthy lifestyle prevents chronic diseases and improves the quality of life, the best way to invite people from rural areas to take part in health check-ups is still unclear. The aim of this study was to examine the lifestyle and health condition of people from the Carinthia regions in Slovenia.Methods:...

Earlier studies have explored post-identification experiences of male BRCA1/2 mutation carriers, but more detailed knowledge of both their experiences and effects of identification as a carrier on their lives is required to improve genetic counseling. Thus, the aim of this study was to acquire deeper and broader insights into their experiences. Qua...

Aim and objectives: To identify the predictors of adherence in patients with coronary heart disease after a percutaneous coronary intervention. Background: Adherence is a key factor in preventing the progression of coronary heart disease. Design: An analytical multi-hospital survey study. Methods: A survey of 416 post-percutaneous coronary i...

Background and objective: When FAs with chronic disease and various needs are able to keep up their psychological and physical wellbeing, perform daily activities and maintain control of their life, they are able to live an active life and take care of themselves longer, and this has an impact on their quality of life. The role of community matron...

Objective To identify associations between lifestyle counselling quality and adherence to lifestyle changes during the 12-month period after discharge. Setting Neurology unit. Subjects Stroke and transient ischaemic attack (TIA) patients (n = 98). Design Longitudinal explorative study that utilized data initially collected for quasi-experimental...

Increasing numbers of older people relocate into senior housing when their physical performance declines. The change in social environment is known to affect their wellbeing, providing both challenges and opportunities, but more information on the relations between social and physical parameters is required. Thus, we elicited perceptions of the soc...

Background: The number of overweight and obese children and adolescents has increased worldwide. Obese children and adolescents need counseling interventions, including technology-based methods, to help them manage their weight by changing their lifestyles. Objective: To describe technology-based counseling interventions in supporting obese or o...

Increasing number of older people is moving to senior housing, when no longer able to live independently in their home. Low physical performance is critical to maintaining residents independence in senior housing. Senior housing means living communities for elderly people which are managed by privat elderly care organisations and offers supporting...

Background: Previous studies of genetic counseling (GC) for male BRCA1/2 mutation carriers have focused on their level of satisfaction with the GC and its content. The aim of this study was to examine the GC experiences of male BRCA1/2 mutation carriers, and their suggestions for improving GC, more broadly.Methods: Data were collected by themed int...

Background and objective: Frequent attender is the largest group to whom health care resources are allocated. Therefore potential interventions should be targeted at this group. Nurse-based case management considers frequent attenders’ (FAs’) needs for care as a whole and thus may reduce the use of other health services operators’ resources. The ob...

Objective: The aim of this study was to describe Chronic Obstructive Pulmonary Disease (COPD) patients’ adherence to care and to identify quality of counseling in tertiary care. The objective was to improve the quality of care of COPD patients and receive baseline information factors which improve their adherence to care. Background: It has been re...

Background: Implementation of evidence-based oral care protocols, nurse education programmes and assessment tools may reduce the risk of developing ventilator-associated pneumonia by increasing critical care nurses' knowledge and skills in adhering to current oral care recommendations. Aims: To evaluate the longitudinal effects of single-dose si...

Background. Valid and reliable methods to measure nurses’ well-being at work are needed. Well-being at work refers to a positive viewpoint and experience in a work context. Aim. The aim of this study is to test the psychometric properties of Nurses’ well-being at work –scale (NWB). Method. The scale (NWB) was tested in a Finnish hospital (N=233) us...

Introduction: Since a history of stroke or transient ischaemic attack is a major risk factor for a recurrent event, lifestyle counselling during the hospital phase is an essential component of treatment and may increase the probability of lifestyle change. Aims and objectives: To study the effect of risk factor-targeted lifestyle counselling int...

Background: To evaluate how critical nurses' knowledge of and adherence to current care hand hygiene (HH) guidelines differ between randomly allocated intervention and control groups before and after simulation education in both a simulation setting and clinical practice during a 2-year follow-up period. It was hypothesized that intervention group...

Background. To evaluate the longitudinal effects of single-dose simulation education with structured debriefing and verbal feedback on critical care nurses’ endotracheal suctioning knowledge and skills. Material and methods: A prospective, parallel, randomized controlled trial with repeated measurements was conducted in a 22-bed adult mixed medical...

Background: Young nurses' intent to leave the nursing profession is a recognized problem. Ensuring well-being at work is one method to support nurses' continuance in the profession. Aim: To identify factors that promote the well-being at work of graduating nursing students. Design: The data were collected from nursing students (n = 16) during...

Background: Critical care nurses' knowledge and skills in adhering to evidence-based guidelines for avoiding complications associated with intubation and mechanical ventilation are currently limited. We hypothesized that single simulation education session would lead to a long-lasting higher level of skills among critical care nurses. Material an...

Objectives: The aim of the study was to describe adherence to health regimens and the factors associated with it among adult frequent attenders (FAs). Design: This was a cross-sectional study. The study sample consisted of 462 healthcare FAs in 7 municipal health centres in northern Finland. An FA is a person who has had 8 or more outpatient vis...

Well-being is a complex concept that includes elements of inequality due to socio-economics, living environment or gender. Every person also encounters unique situations and has different experiences of well-being. This qualitative study aims to describe what issues promote and hinder the well-being of girls aged 13–16 in Northern Finland. A total...

Wellbeing is complex, holistic, and subjectively perceived. Issues such as gender, age, and environment seem to affect it. Therefore, the aim of this qualitative study was to describe the meaning of seasonal changes, nature, and animals towards 13–16-year-old girls’ wellbeing in Northern Finland. In the spring of 2014, through purposive sampling, a...

Objectives: Telemedicine in intensive care (tele-ICU) involves the use of information technologies to deliver care instructions from a command center to remote hospitals. To ensure acceptance and usability, clinicians should participate early in the design. This study surveyed clinical professionals to identify and rank important functions for a t...

Aims and objectives: The aim of this study was to investigate the effects of a nurse training intervention on the assessment of patients' care needs in telephone triage at an emergency unit. The objective of this study was to generate information about nurse training that can be utilized when developing telephone triage and health care education....

The purpose of this study was to describe nursing students' experiences of empathy of nursing teachers with the emphasis on how experiencing empathy from their teachers influences students, their learning and professional development. This research was a qualitative descriptive study conducted through face-to-face interviews with nursing students....

There is little written about the quality of genetic counseling for men with the BRCA1/2 mutation. The purpose of this study was to describe the quality of genetic counseling and connected factors according to Finnish male BRCA1/2 mutation carriers' (n = 35) perspectives and reasons for seeking genetic counseling. Data were collected from the Depar...

To test the Theory of Adherence of People with Chronic Disease with regard to adherence to treatment among patients with coronary heart disease after a percutaneous coronary intervention. Increased knowledge of the concept of adherence is needed for the development of nursing interventions and nursing guidelines for patients with coronary heart dis...

AimsTo examine the effects of physical activity and exercise interventions on body mass index, subsequent physical activity and psychological symptoms for overweight and obese adolescents (12-18 years).Background Overweight and obesity have increased among adolescents globally and physical activity has decreased. Healthcare systems face challenges...

Aims and objectivesTo describe and explain the lifestyle habits of hospital-admitted stroke patients by identifying relationships between the different lifestyle habits and by examining associations between them and clinical measurements.Background Stroke is associated with several risk factors that are closely intertwined. However, lifestyle facto...

. The aim was to evaluate the effects of a 12-week, Facebook-delivered lifestyle counselling intervention, with or without physical activity self-monitoring, on physical activity and body mass index (BMI) in overweight and obese 13–16-year-old adolescents. Methods . Three-arm randomized controlled trial. Participants ( n = 46 ) were randomly assi...

Background Although adherence to somatic treatment has been studied extensively, adherence to mental health treatment has not. In this study, the term treatment adherence is used to refer to adherence to medication regimes and other non-pharmacological recommended treatments as part of mental health and psychiatric care. Knowledge of factors connec...