Miia M Jansson

• Adjunct professor (Ph.D)
• Senior Researcher at University of Oulu

Aim To describe nurses' experiences of the quality of family‐centred patient counselling in paediatric delirium. Design A qualitative descriptive study. Methods Semi‐structured interviews were conducted with 10 PICU nurses with experience in managing paediatric patients at high risk of developing delirium. The data were analysed inductively. Res...

Introduction: Cerebrovascular diseases, such as transient ischaemic attack and stroke, are mainly caused by behavioural and metabolic risk factors. Effective patient counselling can address these risk factors and reduce the burden of stroke. Methods: We aimed to describe the facilitators, barriers and possible solutions to improve the quality of...

BACKGROUND By 2035, over half of the global population may be obese, driving significant health and economic burdens. Although lifestyle modification is a preferred approach to weight management, it requires substantial support to be effective. OBJECTIVE This study aimed to test the effectiveness of a 12-weeks standalone self-regulation weight los...

Background Cerebrovascular diseases (CVDs) are a major and potentially increasing burden to public health. Digital health interventions (DHIs) could support access to and provision of high-quality health care (eg, outcomes, safety, and satisfaction), but the design and development of digital solutions and technologies lack the assessment of user ne...

Background Current blood glucose monitoring (BGM) methods are often invasive and require repetitive pricking of a finger to obtain blood samples, predisposing individuals to pain, discomfort, and infection. Noninvasive blood glucose monitoring (NIBGM) is ideal for minimizing discomfort, reducing the risk of infection, and increasing convenience. O...

Background While digital health and social services offer promising solutions, they often overlook the perspectives and needs of older adults. This study aims to comprehensively investigate the preferences of older adults regarding the use and development of digital health and social services. Methods The survey spanned from 19 March to 31 March 2...

Purpose The aim of this study was to describe nurses' experiences of the prerequisites for implementing family-centered care to prevent pediatric delirium. Design The research employed a qualitative, descriptive study design. Methods A total of 10 nurses working in the pediatric intensive care unit at 1 university hospital participated in the stu...

Background To successfully design, develop, implement, and deliver digital health services that provide value, they should be cocreated with patients. However, occasionally, the value may also be codestructed. In the field of health care, the concepts of value cocreation and codestruction still need to be better established within emerging digital...

BACKGROUND To successfully design, develop, implement, and deliver digital health services that provide value, they should be cocreated with patients. However, occasionally, the value may also be codestructed. In the field of health care, the concepts of value cocreation and codestruction still need to be better established within emerging digital...

BACKGROUND Current blood glucose monitoring (BGM) methods are often invasive and require repetitive pricking of a finger to obtain blood samples, predisposing individuals to pain, discomfort and infection. Non-invasive blood glucose monitoring (NIBGMS) is ideal in minimising discomfort, reducing the risk of infection, and increasing convenience. O...

Background Evidence‐based healthcare (EBHC) enables consistent and effective healthcare that prioritises patient safety. The competencies of advanced practice nurses (APNs) are essential for implementing EBHC because their professional duties include promoting EBHC. Aim To identify, critically appraise, and synthesise the best available evidence c...

Aim: To describe patients' experiences of the quality of counselling to develop new digital counselling solutions for patients with cerebrovascular disease. Design: A descriptive, qualitative approach. Methods: Semi-structured in-person interviews were conducted among 22 patients diagnosed with acute cerebrovascular disease and treated as inpa...

Aims and Objectives To identify and synthesise nurses' experiences of competence in lifestyle counselling with adult patients in healthcare settings. Background Modifiable lifestyle risk behaviours contribute to an increased prevalence of chronic diseases worldwide. Lifestyle counselling is part of nurses' role which enables them to make a signifi...

Aim(s) To understand patients' and healthcare professionals' experiences to improve care in and across different domains of the cerebrovascular disease pathway. Design A qualitative descriptive study. Methods Semi‐structured in‐person interviews were conducted among 22 patients diagnosed with acute cerebrovascular disease and 26 healthcare profes...

End-users’ involvement is crucial to develop human-centered solutions; patient acceptance and endorsement by clinicians will be achieved when the features of digital solutions align with their needs and expectations. The aim of the study was to develop the overall concept of digital solution to increase transparency, foster patient adherence, and i...

Aim To identify evidence on frontline nurse leaders' competences in evidence‐based healthcare (EBHC) and the instruments measuring these competences. Design A scoping review. Data Sources The search was conducted in June 2021 and complemented in June 2022. The CINAHL, ProQuest, Medline (Ovid), Scopus, Web of Science databases and MedNar along wit...

Digital counselling may improve patients’ health outcomes, when eHealth solutions are accessible and tailored to the patients’ needs, which is especially important for people with chronic and long-term conditions such as knee osteoarthritis. This study aims to identify patients’ eHealth needs to improve the quality of digital counselling in a prima...

Mobile health solutions for patient support have been proposed as promising and safe alternatives to usual care in adults undergoing primary total hip and knee arthroplasty. Studies of such applications, however, have produced conflicting results and only moderate- to low-quality evidence. This study aims to evaluate the short-term effects of a dig...

BACKGROUND Cerebrovascular diseases (CVDs) are a major and potentially increasing burden to public health. Digital health interventions (DHIs) could support access to and provision of high-quality health care (eg, outcomes, safety, and satisfaction), but the design and development of digital solutions and technologies lack the assessment of user ne...

Background Ventilator-associated pneumonia (VAP) represents a common hospital-acquired infection among mechanically ventilated patients. We summarized evidence concerning ventilator care bundles to prevent VAP. Methods A systematic review and meta-analysis were performed. Randomized controlled trials and controlled observational studies of adults...

Purpose: The current literature related to patient safety of interorganizational health information is fragmented. This study aims to identify interorganizational health information exchange-related patient safety incidents occurring in the emergency department, emergency medical services, and home care. The research also aimed to describe the cau...

The aim of this systematic review of randomized controlled trials (RCTs) was to evaluate the effectiveness of game-based solutions in patients with total knee arthroplasty or total hip arthroplasty. The systematic review was performed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Studies publi...

Background Artificial intelligence (AI) and machine learning are transforming the optimization of clinical and patient workflows in healthcare. There is a need for research to specify clinical requirements for AI-enhanced care pathway planning and scheduling systems to improve human–AI interaction in machine learning applications. The aim of this s...

https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42021226578.

Digital transformation has disrupted various healthcare domains, yet we are just starting to witness the enrollment of digital solutions enabled by technologies such as artificial intelligence and machine learning. Stroke is one of the leading causes of death and permanent disability globally. Research evidence suggests a need for newer technology-...

The Covid situation has increased the usage of multisided digital platforms. For companies, this has become a business opportunity. Data usage on platforms requires that platform companies co-create services for common customers. In this case, the target is not to make the same value proposition but rather to use the resources such as data, knowled...

Aim: The use of gameful design for supporting health-related behaviours has been one of the major trends in health technology. An opportunity to increase engagement and motivation in a given health behaviour and the possibility of reaching improved outcomes through continued or consistent behaviour could be provided by gamification. This study aim...

Purpose Despite major progress made in improving the health and well-being of millions of people, more efforts are needed for investment in 21st century health care. However, public hospital waiting lists continue to grow. At the same time, there has been increased investment in e-health and digital interventions to enhance population health and re...

Purpose Existing expert systems have not improved the diagnostic accuracy of ventilator-associated pneumonia (VAP). The aim of this systematic literature review was to review and summarize state-of-the-art prediction models detecting or predicting VAP from exhaled breath, patient reports and demographic and clinical characteristics. Methods Both d...

Introduction Clinical information systems (CISs) used in intensive care units (ICU) integrate large amounts of patient data every minute, and from multiple systems and devices. Intensive care requires efficient use of information technology to acquire, synchronize, integrate, and analyze data in order to make quick decisions and implement intervent...

BACKGROUND Knee osteoarthritis is a degenerative joint disease that is increasing globally. Digital patient counseling is a promising but seldom researched approach to help patients get the right information at the right time for promoting a more active in their own care. OBJECTIVE To describe the experiences of counseling and perceptions of digit...

Objective: This systematic review aimed to identify, critically appraise, and synthesize the best available literature on registered nurses' and medical doctors' experiences of patient safety in health information exchange (HIE) during interorganizational care transitions. Methods: The review was conducted according to the JBI methodology for sy...

Vibrational spectroscopic techniques, namely Fourier transform infrared (FTIR) and Raman spectroscopy, are based on the study of molecular vibrations, and they are complementary techniques to each other. This review provides an overview of the vibrational spectroscopic techniques applied in microbiology during the past decade. In addition, future a...

Background There is scarce evidence verifying the impact of neuraminidase inhibitors (NAIs) in reducing influenza complications. The aim was to evaluate the available evidence from randomized-controlled trials (RCT) regarding the efficacy and safety of NAIs in reducing influenza complications. Methods A systematic search of the literature was perf...

Background: During the past decades, epidemiologic data of independent predictors of multiple organ failure (MOF), incidence, and mortality have changed. The aim of the study was to assess the potential changes in the incidence and outcomes of MOF during one decade (2008-2017) . In addition, resource utilization was taken into account. Methods:...

Background: The parents of hospitalized children are often dissatisfied with waiting times, fasting, discharge criteria, postoperative pain relief, and postoperative guidance. Parents’ experiences help care providers to provide effective, family-centered care that responds to parents’ needs throughout the day surgery pathway. Objective: The objecti...

Background: The parents of hospitalized children are often dissatisfied with waiting times, fasting, discharge criteria, postoperative pain relief, and postoperative guidance. Parents’ experiences help care providers to provide effective, family-centered care that responds to parents’ needs throughout the day surgery pathway. Objective: The object...

Aims To determine whether nurse staffing and nursing workload are associated with multiple organ failure and mortality. Design A cross‐sectional study. Methods This study was conducted in a single tertiary‐level teaching hospital during 2008–2017. The association between nurse staffing, nursing workload and prognosis was determined using daily nu...

Introduction As the number of patients undergoing primary lower-limb joint replacement has risen continuously, hospital-based healthcare resources have become limited. Delivery of any ongoing rehabilitation needs to adapt to this trend. This systematic literature aimed to examine the effects and safety of telerehabilitation in patients with lower-l...

Aim: To describe a randomized controlled trial protocol that will evaluate the effectiveness of a digital patient journey solution in improving the outcomes of patients undergoing total hip and knee arthroplasty. Background: There is an urgent need for novel technologies to ensure sustainability, improve patient experience and empower patients i...

Aims and objectives To identify opportunities for gamification in the elective primary fast‐track total hip and knee arthroplasty journey in order to support patients’ health‐related behavior. Background Gamification provides an opportunity to increase engagement in a given health behavior and, eventually, the possibility of reaching improved outc...

Background: As the number of patients with orthopaedic conditions has risen continuously, hospital-based healthcare resources have become limited. Delivery of additional services is needed to adapt to this trend. Purpose: The purpose of this study was to describe the current literature of computer- and telephone-delivered interventions on patien...

Aims and objectives: To explore how satisfied patients are with the process of treatment and care, and to identify the experiences that patients perceive during elective primary fast-track total hip and knee arthroplasty journey. Background: Greater satisfaction with care has predicted better quality of recovery, and patient experience has been...

Background: Fast-track and outpatient arthroplasty methodologies combine evidence-based clinical features with organizational optimization resulting in a streamlined pathway from admission to discharge and beyond. This qualitative study explored perceived problems of healthcare professionals during fast-track hip and knee arthroplasty. Methods:...

Aims and objectives: This study examined the lived experience of healthcare professionals providing care for patients with total hip and knee arthroplasty. The aim of this study is to understand healthcare professionals' proposed eHealth needs in elective primary fast-track hip and knee arthroplasty journey. Background: There is little evidence...

In this paper, we define resource complementarity as the service platform operators’ and hospitals’ ability to match their resources to support the creation of value not only for a single actor but for the whole health service ecosystem.

Background Considerable discrepancies have been observed in the implementation of strategies to liberate patients from mechanical ventilation. The aim of this study was to describe critical care nurses’ knowledge of and self-reported and documented adherence to lung-protective ventilation, daily sedation interruption, and daily assessment of readi...

Background. Nurse understaffing and increased nursing workload have been associated with increased risk of adverse patient outcomes and even mortality. Aim. To determine whether nurse staffing and nursing workload are associated with ventilator-associated pneumonia and mortality. Methods. This prospective, observational cohort study was conducted...

Hoitoon liittyvien infektioiden torjunta on tärkeä osa potilasturvallisuutta. Se on myös taloudellisesti kannattavaa toimintaa, sillä torjuttavista infektioista aiheutuu merkittäviä kustannuksia. Hoitoa ja hoivaa annetaan yhä useammin myös kotona, ja hoito onkin ketjuuntunut erikoissairaanhoidon, perusterveydenhuollon, sosiaalihuollon ja kodin yhte...

Background: Although evidence-based practices are known to improve the quality of care, making it cost-efficient and improving clinical results, barriers to transferring research into clinical practice have hindered this process. Aims: To evaluate critical care nurses' knowledge of, adherence to, and barriers toward institution-specific ventilat...

Background: Numerous national safety organizations have recommended the use of a Medical Emergency Team (MET) system to improve hospital safety. However, there is little evidence regarding the effectiveness of the educational approaches used to train METs. Objective: To evaluate how effective educational interventions are at improving the performan...

BACKGROUND In 2013, the Centers for Disease Control and Prevention released a novel surveillance concept called the “ventilator-associated event,” which focused surveillance on objective measures of complications among patients that underwent invasive ventilations. OBJECTIVE To evaluate the concordance and possible differences in efficacy (ie, dis...

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: 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: 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...

Tehostettu suunhoito vähentää hoitoon liittyvien infektioiden esiintyvyyttä ja kuolleisuutta sekä lyhentää hengityslaitehoidon kestoa sekä tehohoitoaikaa. Tutkimusten mukaan nykyiset suunhoitokäytänteet eivät vastaa näyttöön perustuvia hoitosuosituksia. Kehitysprojektin tarkoituksena oli kehittää näyttöön perustuva tehostettu suunhoitoprotokolla...

Alahengitysteiden puhdistaminen altistaa invasiivisesti ventiloidun potilaan hengitys- ja verenkierto muutoksille, infektioille, barotraumalle, bronkospasmille sekä atelektaaseille. Tutkimusten mukaan nykyiset alahengitysteiden puhdistamiskäytänteet eivät vastaa näyttöön perustuvia hoitosuosituksia. Kehitysprojektin tarkoituksena oli päivittää ala...

Although evidence-based oral care protocols exist, their adoption, implementation and evaluation are frequently inconsistent. The knowledge and skills of critical care nurses in adhering to current oral care recommendations also remain inadequate. The aim of the study was to develop and implement an evidence-based oral care protocol to ensure consi...

The knowledge and skills of critical care nurses in adhering to current best-practice endotracheal suctioning (ETS) guidelines remains limited. Significant discrepancies have been observed in infection control practices before and after ETS events. The aim of the study was to develop and implement an evidence-based endotracheal suctioning guideline...

Alahengitysteiden imeminen on varsin yleinen invasiivinen toimenpide, jota käytetään intuboiduilla ja trakeostomoiduilla aikuis- ja lapsipotilailla hengitystie-eritteiden poistamiseksi, hapetuksen parantamiseksi sekä atelektaasien ennaltaehkäisyksi. Siitä huolimatta alahengitysteiden imeminen altistaa invasiivisesti ventiloidun potilaan mm. limakal...

Tehostettu suunhoito vähentää suuperäisten infektioiden esiintyvyyttä sekä lyhentää hengityslaite- ja tehohoitoaikaa. Tutkimusten mukaan vallalla olevat suunhoitokäytänteet eivät vastaa nykyisiä näyttöön perustuvia hoitosuosituksia. Kehittämishanke toteutettiin yhden yliopistollisen sairaalan erityisvastuualueella vuosien 2012–2015 aikana. Hankkeen...

Alahengitysteiden puhdistaminen altistaa invasiivisesti ventiloidun aikuispotilaan respiratorisille ja hemodynaamisille muutoksille, infektioille, barotraumalle, bronkospasmille sekä atelektaaseille. Kehittämishankkeen tarkoituksena oli päivittää ja yhtenäistää tehohoitoa vaativien invasiivisesti ventiloitujen aikuispotilaiden alahengitysteiden puh...

Professional practice in critical care settings is characterized by the application of relevant theories, research and evidence-based guidelines to clinical practice. However, critical care nurses’ knowledge and skills in adhering to evidence-based protocols and guidelines for avoiding ventilator-associated pneumonia are inadequate. The aim of the...

There is a current lack of valid and reliable instruments that can be used to examine critical care nurses' knowledge and skills in adhering to ventilator bundles. The aim of this study was to develop and psychometrically test a ventilator bundle questionnaire (VBQ) and ventilator bundle observation schedule (VBOS). The VBQ and VBOS consisted of a...

Background Knowledge among critical care nurses and their adherence to evidence-based guidelines for preventing ventilator-associated pneumonia is reported to be low. The aim of our study was to evaluate the effectiveness of human patient simulation (HPS) education in the nursing management of patients requiring mechanical ventilation. Methods A p...