Outi Kanste- Professor
- Professor in Health Management Science at University of Oulu
Outi Kanste
- Professor
- Professor in Health Management Science at University of Oulu
Sustainable and human-centered leadership and management, services and organizations in digitized and modern healthcare
About
125
Publications
93,487
Reads
How we measure 'reads'
A 'read' is counted each time someone views a publication summary (such as the title, abstract, and list of authors), clicks on a figure, or views or downloads the full-text. Learn more
5,275
Citations
Introduction
My research interests are management and leadership in health and social care, leadership in digital services, multidisciplinary collaboration and leadership, leading evidence-based health care, patient-centeredness, frequent attenders and staff wellbeing. My methodological expertise relies strongly on quantitative research methods, content analysis and systematic reviews. I lead the ArcticHealthManagement research group and supervise doctoral candidates and master students.
Current institution
Additional affiliations
January 2018 - present
September 1997 - December 2006
August 2011 - present
Publications
Publications (125)
Tutkimuksen tarkoituksena oli kuvata hoitotyön lähiesihenkilöiden kokemuksia tunneälyjohtamisesta sosiaali- ja terveysalan monikulttuurisissa työyhteisöissä. Aineisto kerättiin teemahaastatteluilla hoitotyön lähiesihenkilöiltä (n=14). Aineisto kerättiin loka-joulukuussa 2021 kahdesta julkisesta ja yhdestä yksityisestä sosiaali- ja terveysalan organ...
Aim
To identify and integrate the best evidence on nurses' perceptions of organisational attractiveness and related factors in health care.
Design
A mixed methods systematic review.
Methods
The review followed the Joanna Briggs Institute Mixed Methods Systematic Review methodology and a convergent segregated approach which involved separate quali...
Background: Around the world services for families with children are being organised into family
centres which aim to increase parental empowerment. Parental empowerment can be seen to manifest at
three levels: the individual level in the family itself, in a specific service situation, and in the wider system
of services.
Aim: To describe the r...
Sosiaali- ja terveydenhuollon palvelujen ja rakenteen uudistus pyrkii rajoittamaan kustannusten kasvua ja edistämään palveluihin pääsyä. Sosiaali- ja terveydenhuollon palveluita kehitetään yhä asiakaslähtöisimmiksi, oikea-aikaisimmiksi, vaikuttavammiksi ja tehokkaammiksi digitalisaatiota hyödyntäen. Muutokset vaikuttavat etenkin terveydenhuollon ty...
Background. New evidence on the digital competencies of healthcare leaders can provide essential knowledge for building training for the leaders to ensure high-quality patient care. Objective. The aim of this mixed-methods systematic review was to identify the current best evidence from qualitative, quantitative, and mixed-methods studies on health...
Kainuu Social Welfare and Health Care Joint Authority’s and municipalities’ administration actors’ experiences of collaboration during COVID-19 pandemic in integrated social and health services This qualitative descriptive study aimed to describe social and healthcare and municipalities’ administration actors’ experiences of collaboration during CO...
Background
Widespread challenges to mental well-being among nurses and healthcare professionals threaten the productivity and quality of healthcare. Digital solutions may prove to effectively support nurses’ and healthcare professionals’ mental well-being.
Aim
To synthesise evidence regarding the effectiveness of digital solutions in improving nur...
Aim
To describe health and social care managers' self‐assessed competence in knowledge management and the factors associated with management competence.
Background
It has been shown that the performance of an organization is as good as the competence of its managers, so health and social care managers' competence in knowledge management should be...
Aim
The study aimed to compare long‐ and short‐term frequent attenders' ( FAs ) perceptions of patient‐centredness and to assess the equivalence of the factor structure of patient‐centred primary care ( PCPC) instrument for long‐ and short‐term FAs .
Methods
A cross‐sectional survey of long‐term ( n = 234) and short‐term ( n = 261) FAs within the...
Aim
To describe the crisis management competencies needed in a hospital setting during the COVID‐19 pandemic from the perspective of nurse leaders.
Background
The COVID‐19 pandemic generated many challenges for nurse leaders in hospitals, and management competencies are highlighted. However, there is little evidence available about nurse leaders'...
Tulevaisuuden sosiaali- ja terveyskeskus -ohjelmassa kehitetään voimakkaasti kotihoitoa. Tämän tutkimuksen tarkoituksena oli kuvailla säännöllisen kotihoidon asiakkaaksi siirtyneiden ikäihmisten sosiaali- ja terveyspalvelujen käyttöä ennen kotihoidon asiakkuutta sekä tunnistaa asiakassegmenttejä. Lisäksi tarkasteltiin mahdollisia eroja säännöllisee...
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...
Purpose
To explore Finnish experts' perceptions of the forms of digital healthcare that are anticipated to be the most utilised in healthcare in the medium-term future (year 2035) and anticipated healthcare workforce impacts those forms will have.
Design/methodology/approach
A total of 17 experts representing relevant interest groups participated...
Digitalisaatiolla pyritään vastaamaan terveydenhuollon haasteisiin, kuten resurssien riittävyyteen ja kustannusten nousuun. Digitalisaatio edellyttää innovatiivisia ja systemaattisia muutoksia organisaatiossa sekä erityisesti huomion kiinnittämistä työhyvinvoinnin edistämiseen, jotta työn mahdollisesti lisääntyviä kuormitustekijöitä voidaan tunnist...
Tutkimuksen tarkoituksena oli kuvata sosiaali- ja terveysalan lähiesihenkilöiden kokemuksia hoitotyön varahenkilöstöstä henkilöstövoimavarojen johtamisen näkökulmasta. Aineisto kerättiin teemahaastatteluina kahden sosiaali- ja terveysalan kuntayhtymän perusterveydenhuollon ja erikoissairaanhoidon lähiesihenkilöiltä (n=18) maalis-huhtikuussa 2022. A...
RAI-järjestelmää (Resident Assessment Instrument) ja sen tuottamaa tietoa voidaan hyödyntää ikääntyneiden kotihoidon johtamisessa ja päätöksenteon tukena. Poikkileikkausasetelmassa toteutetussa kyselytutkimuksessa kuvattiin johtajien näkemyksiä yksikkönsä hoitajien RAI-osaamisesta, RAI-arvioinnin tekemiseen liittyvistä käytänteistä sekä toiminnan s...
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...
Aim
To describe health and social care managers' perceptions of the factors affecting the competence of managers in knowledge management.
Design
A qualitative descriptive study.
Methods
A semi‐structured interview was conducted with 15 managers from three public health and social care organizations in Finland. Data were collected in the spring of...
Aim
The aim was to explore implementation leadership of the Resident Assessment Instrument in healthcare services for older people from the perspective of specialists.
Design
A qualitative descriptive design was used.
Methods
Thematic interviews with 21 specialists were conducted between April 2022 and June 2022 in eight health and social, one ed...
Aim
To describe managers' and professionals' views on the management of digital competence sharing in health care.
Design
A qualitative descriptive study.
Methods
Managers (n = 22) and professionals (n = 12) from two public primary, one public special and one private health care organization in Finland participated in semi‐structured individual i...
Purpose
The purpose of this study is to identify and synthesise the best evidence on health-care leaders’ and professionals’ experiences and perceptions of compassionate leadership.
Design/methodology/approach
A mixed-methods systematic review was conducted in accordance with the Joanna Briggs Institute methodology for mixed-methods systematic rev...
Tutkimuksen tarkoituksena on kuvata johtajien näkemyksiä teknologian hyödyntämiseen liittyvästä yksityisyydensuojasta, tietoturvasta ja -suojasta, niihin liittyvistä haasteista ja ratkaisuista sekä teknologisten ratkaisujen hankkimatta jättämiseen liittyvistä tekijöistä ikääntyneiden kotipalveluissa.
Tutkimus on poikkileikkausasetelmassa tehty sur...
Purpose:
Coronavirus disease (COVID-19) has challenged leadership in hospitals worldwide. The experiences of leadership during the pandemic changed leadership significantly. This study aims to describe nurse leaders’ perceptions of what future leadership in hospital settings in the post-pandemic era needs to be like.
Design/methodology/approach:
A...
Aims
To explore registered nurses' cultural orientation competence profiles for providing culturally and linguistically diverse (CALD) nurses with orientation in the hospital setting, and to identify which factors are associated with cultural orientation competence profiles.
Design
A descriptive, explorative cross‐sectional study.
Methods
Data we...
Background:
The importance of work engagement has been emphasised due to the increasing demand for health- and social care and the shortage of skilled labour. Improving organisational and managerial factors is important when enhancing professionals' work engagement. The association between management and work engagement has only been established i...
Aim:
To describe nurse leaders' experiences of how culturally and linguistically diverse registered nurses integrate into healthcare settings.
Design:
A qualitative descriptive study design.
Participants:
A total of 13 nurse leaders were recruited from four primary and specialized healthcare organizations in Finland.
Methods:
Data were colle...
Aim:
Work dissatisfaction, burnout and workforce shortage are major problems in healthcare globally, all of which are associated with QWL. Previous studies have found that the QWL of healthcare professionals is moderate or low. The aim was to describe the quality of working life (QWL) of employees working in public healthcare and describe the asso...
Aim(s):
To describe nurse leaders' perceptions of culturally and linguistically diverse (CALD) nurses' competence-based management.
Design:
A descriptive qualitative study of the competence-based management of CALD nurses, from the perspectives of nurse leaders in three primary and specialised medical care organisations. This study followed the...
Purpose:
This paper aims to synthesize health-care leaders' experiences of the competencies required for crisis management.
Design/methodology/approach:
The systematic review followed the joanna briggs institute (JBI) guidance for systematic reviews of qualitative evidence. The search strategy included free text words and medical subject heading...
Background:
Patient-centred care (PCC) has been proposed as an appropriate approach for addressing current shifts in healthcare needs. Although the importance of PCC is generally recognised, PCC is poorly understood by patients in the hospital settings.
Objectives:
To identify patients' experiences of PCC in hospital settings.
Methodological de...
https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=391583
Due to the rapid digitalization of healthcare, it is important to strengthen professionals’ digital competence, particularly to support older professionals to stay in work until retirement age. People of different ages have different digital competencies. Younger generations are ‘digital natives’ who have learned to use digital devices fluently fro...
Koronaviruksen leviäminen Suomeen vuonna 2020 joudutti jo käynnissä olevaa terveyspalveluiden digitalisointia. Digitalisaation leviäminen on nostanut riskiä eriarvoisuuden lisääntymiseen eri potilasryhmissä. Tämän haastattelututkimuksen tarkoituksena oli kuvata paljon palveluita tarvitsevien asiakkaiden kokemuksia terveydenhuollon etäpalveluiden ma...
https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42021226578.
Terveydenhuollossa on käytössä entistä enemmän potilaiden omahoitoa tukevia sähköisiä terveyspalveluja, jotka mahdollistavat aktiivisen osallistumisen omaan hoitoon. Omahoitopalvelujen lisääntyessä uudet sähköiset terveydenhuollon palvelut ovat myös osa ammattilaisten arkea, mikä vaikuttaa työhön ja työn sisältöön muuttaen ammattilaisten toimintapr...
Aim
To describe hospital nurse leaders' experiences with digital technologies.
Design
A qualitative descriptive study.
Methods
Semi‐structured focus group interviews in one university‐affiliated hospital in Finland. Data were collected from October to November 2021 and analysed using content analysis an e‐leadership framework.
Results
A total of...
Purpose
The purpose of this study is to describe primary health-care managers’ perceptions of management competencies at different management levels in digital health services using the management competency assessment program as a framework.
Design/methodology/approach
A secondary analysis study involving 21 semi-structured individual interviews...
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...
Aim:
To define and clarify the concept of leadership in the context of digital health services using Walker's and Avant's concept analysis model.
Background:
Conceptualizing leadership in the context of digital health services is needed to deliver higher quality services and advance research.
Method:
Searches were conducted of MEDLINE (Ovid),...
Aim:
This work aims to describe competence management in telemedicine from the perspective of health and social care frontline leaders.
Background:
The increasing use of services in health and social care is a challenging aspect of modern telemedicine; it requires staff to develop relevant professional competence and good telemedicine practices....
Background:
The improvement of hand hygiene compliance (HHC) is critical to preventing healthcare-associated infections (HCAIs). The present study explored how direct observation and feedback influences HHC among nurses and doctors in surgical and medical wards, and whether these actions impact HCAI incidence.
Methods:
In this longitudinal obser...
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...
Aims:
To identify current evidence on healthcare managers' competence in knowledge management.
Background:
Although successful knowledge management improves the quality of care and performance of healthcare organizations, there is limited evidence on healthcare managers' competence in knowledge management Evaluation A scoping review was conducte...
Background
In Finland, care plans at long-term care facilities (LTCF) for the older persons should be based on information from Resident Assessment Instrument (RAI) assessments and the principles of structured data. Hence, managers are responsible for ensuring that the RAI system is used to a satisfactory extent, the provided information is used in...
Online symptom checkers (SCs) are eHealth solutions that offer healthcare organizations the possibility to empower their patients to independently assess their symptoms. The successful implementation of eHealth solutions, such as SCs, requires a supportive organizational culture and leadership. However, there is limited knowledge about the factors...
Purpose
The degree of remote working has increased in the health-care sector, but remote leadership in health-care contexts has not been systematically studied. Thus, the purpose of this review was to map existing literature and research themes of remote leadership in health care and identify potential research gaps to guide future studies.
Design...
Purpose
The purpose of this study was to translate and culturally adapt the Family Centered Care Assessment Scale (FCCAS) to evaluate family-centered care in the context of Finnish pediatric nursing.
Design and methods
The translation and cultural adaptation were done according guidelines of International Society for Pharmacoeconomics and Outcomes...
Objective:
The objective of the review is to identify, critically appraise, and synthesize the best available evidence on adult patients' experiences of patient-professional communication in patient portals.
Introduction:
Alongside face-to-face communication, patient portals can improve care quality and patients' self-management of chronic disea...
Koronaviruspandemian aiheuttama kriisitilanne on muokannut työkulttuuria terveydenhuollossa, jossa on turvauduttu yhä voimakkaammin digitaalisiin ratkaisuihin koronaviruksen leviämisen ehkäisemiseksi. Koronaviruspandemian vaikutuksia digitaaliseen työkulttuuriin ja sen johtamiseen on tutkittu vähän ja tietoa tarvitaan muun muassa terveydenhuollon o...
A comprehensive description of the factors associated with job satisfaction among occupational therapy practitioners is needed to promote their work well-being. This systematic review aimed to describe occupational therapy practitioners’ job satisfaction and the related intra-, inter-, and extra-personal factors. Original peer-reviewed studies publ...
The study’s aim was to describe how customer value creation is reflected in the development of digital health services. To this end, we used discourse analysis to evaluate documentation from the ODA (Self-Treatment and Digital Value Services) project, which provides national-scale digital health services.
Three main discourses emerged: 1) a discou...
The increasing use of e-health (electronic health) services is changing the way the assessment of need for treatment is implemented in secondary care emergency departments. The assessment of need for treatment refers to the professional's assessment of a patient's need for emergency care. As the use of e-health services increases, the individuals m...
Background: The popularity of web-based patient-professional communication over patient portals is constantly increasing. Good patient-professional communication is a prerequisite for high-quality care and patient centeredness. Understanding health care professionals’ experiences of web-based patient-professional communication is important as they...
Background
Hospital managers play an essential role in implementing strategies to promote good hand hygiene (HH) among health care workers. We investigated the managers’ views on their roles, challenges and developmental ideas in promoting good HH practice.
Methods
A descriptive cross-sectional study with an online survey of both medical and nursi...
Background
Due to the rapid digitalization of health care, leadership is becoming more complex. Leadership in digital health services is a term that has been used in the literature with various meanings. Conceptualization of leadership in digital health services is needed to deliver higher quality digital health services, update existing leadership...
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...
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...
Purpose
The purpose of this study is to review research on hospital-based shared governance (SG), focussing on its core elements.
Design/methodology/approach
A scoping review was conducted by searching the Medline (Ovid), CINAHL (EBSCO), Medic, ABI/INFORM Collection (ProQuest) and SveMed+ databases using SG and related concepts in hospital setting...
Objective:
To determine changes in hand-hygiene compliance after the introduction of direct observation of hand-hygiene practice for doctors and nurses, and evaluate the relationship between the changes and the incidence of health-care-associated infections.
Methods:
We conducted an internal audit survey in a tertiary-care hospital in Finland fr...
BACKGROUND
The popularity of online patient-professional communication over patient portals is constantly increasing. Good patient-professional communication is a prerequisite for high-quality care and patient-centeredness. Understanding healthcare professionals’ experiences of online patient-professional communication is important since they play...
Sosiodemografisten tekijöiden on todettu olevan yhteydessä nuorten palvelujen saatavuuteen ja kokemuksiin palveluista. Tutkimuksen tarkoituksena oli kuvata sukupuolen, kouluasteen, sosioekomisen aseman, kuntaryhmityksen ja syntyperän yhteyttä nuorten kokemaan tyydyttymättömään palvelutarpeeseen kouluterveydenhoitajan palvelujen näkökulmasta. Tutkim...
Despite major investment, health information technology (HIT) implementation often tends to fail. One of the reasons for HIT implementation failure is poor leadership in healthcare organisations, and thus, more research is needed on leaders’ roles in HIT implementation. The aim of the review was to identify the role of healthcare leaders in HIT imp...
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...
Introduction and aim: Several countries have developed children and family services towards more integrated people-centred care based on involvement of families as partners in care and early intervention strategy. The aim was to find out what kind of integrated family services are in those selected OECD countries where integrated services have been...
Kansainväliset lapsen ja vammaisten henkilöiden oikeuksia koskevat yleissopimukset velvoittavat parantamaan toimintarajoitteisten nuorten mahdollisuuksia saada palveluja yhdenvertaisesti. Tässä tutkimuksessa tarkasteltiin nuorten tuen ja avun tarvetta ja saantia terveydenhoitajalta ja lääkäriltä toimintarajoitteisilla ja muilla nuorilla sekä erityi...
Artikkelissa kuvataan naisyrittäjien työhyvinvointia ja sen yhteyksiä työhyvinvointia ja liiketoimintaa tukevien palvelujen käyttöön. Tukipalveluina tarkastellaan työterveyshuolto- ja kuntoutuspalveluita sekä Elinkeino-, liikenne- ja ympäristökeskuksen (ELY) tarjoamia koulutusrahoitus-, konsultointi- ja neuvontapalveluita. Tutkimusaineisto (n=128)...
Tutkimuksessa selvitetään, miten lasten ja nuorten terveyttä, hyvinvointia, kasvua ja
oppimista edistäviä palveluja on järjestetty sosiaali-, terveys- ja opetustoimen yhteistyönä 11 eri maassa. Aineisto koottiin kirjallisuudesta, verkkosivuilta ja sähköisellä kyselyllä valtionhallinnon asiantuntijoilta eri maissa. Tarkastelu tehtiin kahdesta näköku...
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...
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...
The study explored how collaboration management is connected with employee views of work and skills in the health care, social welfare, and education sectors that provide services for children and families in municipalities. Collaboration management in children and family services involves increasing awareness of services, organizing agreed collabo...
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...
