Pia Liljamo

Pia Liljamo
Oulu University Hospital · Administration centre

PdD

About

28
Publications
3,642
Reads
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169
Citations
Citations since 2016
20 Research Items
160 Citations
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2016201720182019202020212022051015202530
2016201720182019202020212022051015202530
Introduction
Pia Liljamo, PhD in Health and Human Services Informatics. research interests are in nursing terminologies, structured nursing documentation in EPR systems, patient data re-using in secondary purposes, e.g.in measuring nursing intensity or patient acuity. Digitalisation and eHealth services are my topics also.I have used inter-rater reliability test, analyzed parallel classifications with different statistical method and used Delphi-method to cross-mapp different classifications.
Additional affiliations
June 2012 - October 2018
University of Eastern Finland
Position
  • PhD Student
March 1994 - November 2015
Oulu University Hospital
Position
  • Special planning officer
Education
June 2012 - November 2018
University of Eastern Finland
Field of study
  • Health and human services informatics

Publications

Publications (28)
Article
Full-text available
Background Standardized nursing terminology is a prerequisite for describing nursing care processes and generating knowledge for decision-making and management. The structure of the Finnish Care Classification (FinCC) facilitates documentation of nationally agreed core nursing data: nursing diagnoses, interventions, and outcomes. Purpose To analyz...
Chapter
Full-text available
This chapter describes milestones in the development of electronic health record systems, aiming to highlight the possibilities of interdisciplinary records to advance nursing care. Nursing data is a central element in the electronic documentation of patient care, and the use structures and terminologies facilitate safe and secure information proce...
Chapter
Full-text available
A digital care pathway is a secure digital service channel for patients in a care relationship with a specialized health care hospital in Finland. It is part of the Health Village portal built in co-operation with the Virtual Hospital project by five Finnish university hospitals led by Helsinki University Hospital. Health Village services make heal...
Chapter
Full-text available
In Finland, the nationally unified and standardized nursing documentation model comprises the nursing process model and the Finnish Care Classification (FinCC). The aim of the study was to assess how well the further developed FinCC complies with actual nursing practices and how pragmatic and understandable it is. An e-questionnaire based on the re...
Conference Paper
Full-text available
The purpose of this study was to find out what kind of information and help the customers asked through the anonymous health counseling chat service from the professionals and how the professionals responded to the customers needs for information.
Article
Full-text available
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...
Chapter
Objectives: Describe examples of milestones in nursing practice toward the achievement of high-quality care. Discuss the importance of evidence-based nursing informatics innovations. Highlight the importance of high-quality health data. Describes examples of the development, use, and reuse of structured nursing data. Describe patients' new roles as...
Article
Full-text available
Pain management, assessment and documentation is a crucial part of patient care. However, several studies show flaws in pain management processes. Documentation is not unified or even sufficient. The aim of this study was to describe how patient pain management has been recorded using the nursing diagnoses and nursing interventions of a standardize...
Article
Full-text available
Citizens are ready and willing to use various kinds of e-health services and Web-based portals. The purpose of this study was to describe the experiences of patients who underwent an arrhythmia procedure of the guidance they received as well as their needs and expectations for a future digital care path. The goal for the future is to utilize the re...
Article
Full-text available
The Finnish national eHealth and eSocial strategy emphasizes citizens’ active role in promoting their own well-being by improving information management and implementing self-management and online services. In the Emergency Hub, part of the Finnish online health portal (Health Village), an eTriage Service is being developed by ICT experts and healt...
Article
The purpose of this study was to assess the project management of a national health information technology project focused on developing digital health care services. An e-questionnaire was sent at the end of the development project, and 93 experts (18%) from five university hospitals responded. The questionnaire was based on the Common Assessment...
Article
Healthcare professionals play a key role in supporting self-care among patients and clients. Their attitudes and behaviors may influence a patient's capacity to use electronic services (e-services) and may increase patients' trust toward a technical solution. The technology acceptance model explains information systems use and the important variabl...
Article
Patient-care data from the electronic health record systems are increasingly in demand for re-use in administration and resource planning. Nursing documentation with coded concepts is expected to produce more reliable data, fulfilling better requirements for re-use. The aim was to ascertain what kind of relation exist between coded nursing diagnose...
Thesis
Full-text available
A national strategy emphasizes the accessibility of client- and patient-specific data generated in healthcare services, the development of secondary use of the data and its usability for the benefit of service provision, society and citizens in different areas of use. A lot of data is generated during the different phases of patient care; however,...
Article
Full-text available
Since 2012 nursing specialty certificate in Nursing Informatics (NI) have been available for members of the Finnish Nurses Association (FNA). The applicant must be a RN and a member of FNA. The evaluation is based on a portfolio which the applicant must draw up as a proof of the accomplishments in her/his post-degree career in three categories: wor...
Article
Aims: The aim of this study was to measure the inter-rater reliability of the Oulu Patient Classification and to discuss existing methods of reliability testing. Background: The Oulu Patient Classification, part of the RAFAELA® System, has been developed to assist nursing managers with the proper allocation of nursing resources. Due to the incre...
Article
Background: Various classification schemes have been used for clinical and administrative purposes, but their concepts have seldom been cross-mapped. Cross-mapping is a formal method that can be used for examining existing classifications' validity. Aim: The aim was to cross-map two nursing classifications - the Finnish Classification of Nursing...
Article
Full-text available
Growing use of information and communication technology (ICT) demands have caused a need for nursing to strengthen the knowledge, skills and competences related to ICT in health (eHealth) and define its versatile roles. The Finnish Nurses Association (FNA) named a group of eHealth experts from various professional fields that are closely connected...
Article
Full-text available
The Oulu University Hospital's staffing management project sought information on the number of nursing staff in relation to treatment days and visits, using existing indicators to describe the activities involved. The retrospective data obtained was compared to human resources and the personnel structure. On this basis an optimal number of staff wa...
Technical Report
Full-text available
A key issue when organising social welfare and health care services in the future will be to affect staff availability and competence. In structures undergoing reorganisation, this will entail anticipation of resource needs and the appropriate staffing of current human resources. The aim of the Northern Ostrobothnia Hospital District's staffing pro...
Conference Paper
Full-text available
The need of nursing informatics expertise in social and health care environments Nursing Informatics (NI) has been a nursing specialty already for decades. However, the global diffusion of NI as a specialty is still in its infancy. In many countries recent developments in electronic health records (EHR) have strengthened also the importance of nurs...
Article
Full-text available
The structure of the Finnish nursing documentation model is based on the decision-making process and a standardized nursing terminology: Finnish Care Classification (FinCC). Nearly 20,000 nurses use the FinCC although not all healthcare organizations utilize it. Development projects for the common national nursing documentation framework have been...
Article
Full-text available
The study aims to describe the impacts of different data structuring methods used in nursing records or care plans. This systematic review examines what kinds of structuring methods have been evaluated and the effects of data structures on healthcare input, processes and outcomes in previous studies. Retrieval from 15 databases yielded 143 papers....
Article
Full-text available
The purpose of this paper is to describe the process of cross-mapping and validating the Finnish Care Classification, FinCC and the Oulu Patient Classification, OPC measurement tool for patient care intensity. The process will be carried out with two expert panels. This will result a cross-mapped classification system to use be used in every electr...
Article
Full-text available
The structure of nursing documentation in Finland is based on the nursing process model and nursing diagnosis, interventions and outcomes are documented using a standardized nursing terminology. Patient related information is produced and stored in an electronic form at multiple sites. Patient care intensity classification is one of the essential p...
Article
The role of a nurse informatician is not yet common in health care settings in Finland although electronic patient records have been in use since 1980's. A web-based survey instrument was compiled based on the surveys conducted by HIMSS in spring 2009. The aim was to find out what kind of positions nurses have in nursing informatics in the Finnish...

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