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Article: Nurses' perceptions of desired support from their employer during the COVID-19 pandemic: a qualitative survey study.

Pellikka, Anu / Junttila, Kristiina / Laukkala, Tanja / Haapa, Toni

2024 Volume 23, Issue 1, Page(s) 128

Abstract: Background: Nurses play a crucial role in getting through the COVID-19 pandemic. However, the burden of the COVID-19 pandemic for nurses has been recognized, and thus, support for nurses is urgently needed. Support with various methods should help ... ...

Abstract	Background: Nurses play a crucial role in getting through the COVID-19 pandemic. However, the burden of the COVID-19 pandemic for nurses has been recognized, and thus, support for nurses is urgently needed. Support with various methods should help nurses' welfare and their ability to cope at work. Moreover, with appropriate support, it is possible to avoid anxiety, insomnia, or uncertainty caused by work. The aim of this study was to describe nurses' perceptions of desirable support from their employer during the COVID-19 pandemic. Methods: This qualitative survey study is a part of a follow-up study for the entire personnel of Helsinki University Hospital. This study focuses on one open-ended question answered by nurses (n = 579) at baseline of a follow-up study. Answers were analysed using qualitative content analysis with an inductive approach. Results: The findings reveal that various types of support desired from an employer. Qualitative content analysis raised six main categories, 39 categories, 167 sub-categories and 1235 codes from the original text. Main categories were as follows: Awarding personnel, Offering safety in working conditions, Showing appreciation to personnel, Offering a variety of support methods, Providing proper flow of information and Ensuring proper management in exceptional situations. Conclusions: This study provides a better understanding of nurses´ perspectives on support from their employer during the COVID-19 pandemic. Results of this study suggest that employers, for example, should award personnel, ensure that working conditions are safe, show more appreciation to personnel. Employers should also pay attention to offer a variety method of support and make sure that the information is provided with a proper flow. In exceptional situations is important to ensure proper management too. With appropriate support methods, employers can avoid a shortage of nurses and maintain nursing as an attractive profession in the future.
Language	English
Publishing date	2024-02-19
Publishing country	England
Document type	Journal Article
ZDB-ID	2091496-9
ISSN	1472-6955
ISSN	1472-6955
DOI	10.1186/s12912-024-01779-2
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Article ; Online: A Two-Week Vacation in the Tropics and Psychological Well-Being-An Observational Follow-Up Study.

Laukkala, Tanja / Rosenström, Tom / Kantele, Anu

International journal of environmental research and public health

2022 Volume 19, Issue 16

Abstract: Despite the vast annual number of international visitors to the tropics, surprisingly little data are available on the psychological well-being associated with the travels or with travelers’ diarrhoea (TD). We herein recruited participants of a ... ...

Abstract	Despite the vast annual number of international visitors to the tropics, surprisingly little data are available on the psychological well-being associated with the travels or with travelers’ diarrhoea (TD). We herein recruited participants of a vaccination trial, OEV-123, before their 12-day holiday in Benin, West Africa. We assessed the travelers’ psychological distress with a general health questionnaire (GHQ-12) and retrieved data on TD from the trial database. The GHQ-12 was completed before (wave 0), at return (wave 1), and 1-month after (wave 2) the trip. Of the 174 participants, 73% were women, with a mean age 40 years. Moreover, 24% reported psychological distress before traveling, 10% immediately after, and 16% 1-month after the trip (GHQ-12, 3 or more; 0−12 scoring). The findings showed that psychological well-being increased after the tropical holiday. The GHQ-12 middle wave sum score differed from the wave 0 (p < 0.001) and wave 2 (p = 0.008) sum scores, with travelers reporting highest levels of well-being on their return, with evidence of a lasting improvement. TD was experienced by 71%, and it had a negative impact on psychological well-being only if experienced after travel.
MeSH term(s)	Adult ; Diarrhea ; Dysentery ; Female ; Follow-Up Studies ; Humans ; Male ; Surveys and Questionnaires ; Travel
Language	English
Publishing date	2022-08-20
Publishing country	Switzerland
Document type	Journal Article ; Observational Study ; Research Support, Non-U.S. Gov't
ZDB-ID	2175195-X
ISSN	1660-4601 ; 1661-7827
ISSN (online)	1660-4601
ISSN	1661-7827
DOI	10.3390/ijerph191610381
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Article ; Online: International military operations and mental health--A review.

Kaikkonen, Noora M / Laukkala, Tanja

Nordic journal of psychiatry

2016 Volume 70, Issue 1, Page(s) 10–15

Abstract: Background: Volunteering in international military missions has been scrutinized for its effects on mental health. Different kinds of exposures to traumatic events are associated with a variety of mental disorders, mainly heightened rates of post- ... ...

Abstract	Background: Volunteering in international military missions has been scrutinized for its effects on mental health. Different kinds of exposures to traumatic events are associated with a variety of mental disorders, mainly heightened rates of post-traumatic stress disorder (PTSD) and alcohol abuse. Aims: Based on the literature we discuss risk and protective factors concerning the psychological well-being of soldiers attending to international military operations. Methods: A systematic literature search was carried out using relevant search terms to identify the articles for this review. Results and conclusions: The ability to recognize and treat acute stress reactions during deployments is important. Post-deployment psychosocial support and services have a role in lowering barriers to care, diminishing stigma and also in recognizing individuals who suffer from psychological distress or psychiatric symptoms, to connect them with appropriate care. Further investigation of gender differences and the role of stigmatization is warranted. Most of those participating in international military operations are repatriated without problems, but repeated exposure to combat situations and other stressors may affect mental health in various ways. Stigmatization is still a barrier to care.
MeSH term(s)	Combat Disorders/etiology ; Humans ; Mental Health ; Military Personnel/psychology ; Risk Factors ; Stereotyping ; Stress Disorders, Post-Traumatic/etiology ; Stress, Psychological/psychology
Language	English
Publishing date	2016
Publishing country	England
Document type	Journal Article ; Review
ZDB-ID	1104974-1
ISSN	1502-4725 ; 0803-9488 ; 0029-1455
ISSN (online)	1502-4725
ISSN	0803-9488 ; 0029-1455
DOI	10.3109/08039488.2015.1048718
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Article ; Online: Healthcare workers' heterogeneous mental-health responses to prolonging COVID-19 pandemic: a full year of monthly follow up in Finland.

Rosenström, Tom / Tuisku, Katinka / Suvisaari, Jaana / Pukkala, Eero / Junttila, Kristiina / Haravuori, Henna / Elovainio, Marko / Haapa, Toni / Jylhä, Pekka / Laukkala, Tanja

BMC psychiatry

2022 Volume 22, Issue 1, Page(s) 724

Abstract: Background: The COVID-19 pandemic strained healthcare workers but the individual challenges varied in relation to actual work and changes in work. We investigated changes in healthcare workers' mental health under prolonging COVID-19 pandemic conditions, ...

Abstract	Background: The COVID-19 pandemic strained healthcare workers but the individual challenges varied in relation to actual work and changes in work. We investigated changes in healthcare workers' mental health under prolonging COVID-19 pandemic conditions, and heterogeneity in the mental-health trajectories. Methods: A monthly survey over a full year was conducted for employees of the HUS Helsinki University Hospital (n = 4804) between 4th June 2020 to 28th May 2021. Pandemic-related potentially traumatic events (PTEs), work characteristics (e.g., contact to COVID-19 patients), local COVID-19 incidence, and demographic covariates were used to predict Mental Health Index-5 (MHI-5) and Insomnia Severity Index (ISI) in generalized multilevel and latent-class mixed model regressions. Results: Local COVID-19 log-incidence (odds ratio, OR = 1.21, with 95% CI = 1.10-1.60), directly caring for COVID-19 patients (OR = 1.33, CI = 1.10-1.60) and PTEs (OR = 4.57, CI = 3.85-5.43) were all independently associated with psychological distress, when (additionally) adjusting for age, sex, profession, and calendar time. Effects of COVID-19 incidence on mental health were dissociable from calendar time (i.e., evolved in time) whereas those on sleep were not. Latent mental-health trajectories were characterized by a large class of "stable mental health" (62% of employees) and minority classes for "early shock, improving" (14%) and "early resilience, deteriorating" mental health (24%). The minority classes, especially "early shock, improving", were more likely to live alone and be exposed to PTEs than the others. Conclusions: Healthcare workers faced changing and heterogeneous mental-health challenges as the COVID-19 pandemic prolonged. Adversity and mental ill-being may have accumulated in some employees, and factors like living arrangements may have played a role. Knowledge on employees' demographic and socioeconomic background, as well as further research on the factors affecting employees' resilience, may help in maintaining healthy and efficient workforce in the face of a prolonging pandemic.
MeSH term(s)	Humans ; Mental Health ; COVID-19/epidemiology ; Pandemics ; Follow-Up Studies ; Finland/epidemiology ; Health Personnel/psychology
Language	English
Publishing date	2022-11-19
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2050438-X
ISSN	1471-244X ; 1471-244X
ISSN (online)	1471-244X
ISSN	1471-244X
DOI	10.1186/s12888-022-04389-x
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Article ; Online: Parents' Use of Nonpharmacologic Methods to Manage Procedural Pain in Infants.

Pölkki, Tarja / Korhonen, Anne / Laukkala, Helena

Journal of obstetric, gynecologic, and neonatal nursing : JOGNN

2017 Volume 47, Issue 1, Page(s) 43–51

Abstract: Objective: To describe parents' use of nonpharmacologic methods to manage infant procedural pain in the NICU and determine the demographic factors related to such use.: Design: A cross-sectional and descriptive study design.: Setting: Level III ... ...

Abstract	Objective: To describe parents' use of nonpharmacologic methods to manage infant procedural pain in the NICU and determine the demographic factors related to such use. Design: A cross-sectional and descriptive study design. Setting: Level III and Level II NICUs (seven units) of four University Hospitals in Finland. Participants: Parents (N = 178) whose infants were treated in Finnish NICUs. Methods: Parents were asked to respond to a structured questionnaire during their infants' hospitalizations. We analyzed the data using the nonparametric Kruskal-Wallis one-way analysis of variance and Mann-Whitney U test. Results: Most parents reported that they used physical methods, such as touching, holding, and positioning, nearly always/always (86%, 76%, and 55%, respectively). However, less commonly used strategies included recorded music (2%), breastfeeding (2%), and non-nutritive sucking with oral sucrose (6%). Many characteristics of the infants, such as their gestational ages and their conditions, were significantly related to the implementation of nonpharmacologic methods. Conclusion: There is a clear need to extend parents' use of nonpharmacologic methods to manage their infants' procedural pain in the NICU. Because many methods were not considered as pain-relieving strategies, it is important to increase knowledge about the effectiveness of these interventions among parents and nurses.
MeSH term(s)	Adult ; Analysis of Variance ; Breast Feeding ; Conservative Treatment/methods ; Cross-Sectional Studies ; Female ; Finland ; Hospitals, University ; Humans ; Infant, Newborn ; Intensive Care Units, Neonatal/statistics & numerical data ; Intensive Care, Neonatal/methods ; Male ; Pain/epidemiology ; Pain/physiopathology ; Pain Management/methods ; Pain Measurement ; Parents/psychology ; Prognosis ; Qualitative Research ; Risk Assessment ; Statistics, Nonparametric ; Sucrose/administration & dosage
Chemical Substances	Sucrose (57-50-1)
Language	English
Publishing date	2017-11-20
Publishing country	United States
Document type	Journal Article ; Multicenter Study ; Research Support, Non-U.S. Gov't
ZDB-ID	193135-0
ISSN	1552-6909 ; 0884-2175 ; 0090-0311
ISSN (online)	1552-6909
ISSN	0884-2175 ; 0090-0311
DOI	10.1016/j.jogn.2017.10.005
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Article ; Online: Nurses' perceptions of pain assessment and management practices in neonates: a cross-sectional survey.

Pölkki, Tarja / Korhonen, Anne / Laukkala, Helena

Scandinavian journal of caring sciences

2017 Volume 32, Issue 2, Page(s) 725–733

Abstract: Aims: This study aimed to describe pain assessment and management practices for neonates based on nurses' perceptions in neonatal intensive care units (NICUs).: Design: A descriptive cross-sectional survey was conducted in Finland.: Methods: Of ... ...

Abstract	Aims: This study aimed to describe pain assessment and management practices for neonates based on nurses' perceptions in neonatal intensive care units (NICUs). Design: A descriptive cross-sectional survey was conducted in Finland. Methods: Of all nurses (N = 422) working in the NICUs in the country's five university hospitals, 294 responded to a questionnaire. The data were analysed by statistical methods. Results: Nurses agreed that pain assessment is important, but over half of them reported being able to assess pain in a reliable way without using pain assessment scales. Physiological parameters and changes in neonate's behaviour were reported as routinely observed, but many specific facial expressions indicative of pain were less often observed. Only a few pain assessment scales were known, and they were not routinely used in clinical practice. Most nurses reported using physical methods and giving oral sucrose along with non-nutritive sucking. Counselling parents to continue breastfeeding or guiding them to use skin-to-skin care or music was rarely reported as used to alleviate infants' pain. Conclusions: Educational interventions for nurses are needed to improve pain assessment and management practices in the NICUs. In addition, there is a need for national guidelines in order to ensure the equal treatment to all neonates.
MeSH term(s)	Adult ; Attitude of Health Personnel ; Critical Care Nursing/education ; Critical Care Nursing/standards ; Cross-Sectional Studies ; Female ; Finland ; Humans ; Infant, Newborn ; Male ; Middle Aged ; Neonatal Nursing/standards ; Nursing Staff, Hospital/psychology ; Pain/nursing ; Pain Management/methods ; Pain Measurement/methods ; Practice Guidelines as Topic ; Surveys and Questionnaires
Language	English
Publishing date	2017-08-22
Publishing country	Sweden
Document type	Journal Article
ZDB-ID	639217-9
ISSN	1471-6712 ; 0283-9318
ISSN (online)	1471-6712
ISSN	0283-9318
DOI	10.1111/scs.12503
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Article ; Online: COVID-19 Pandemic and Helsinki University Hospital Personnel Psychological Well-Being: Six-Month Follow-Up Results.

Laukkala, Tanja / Suvisaari, Jaana / Rosenström, Tom / Pukkala, Eero / Junttila, Kristiina / Haravuori, Henna / Tuisku, Katinka / Haapa, Toni / Jylhä, Pekka

International journal of environmental research and public health

2021 Volume 18, Issue 5

Abstract: The COVID-19 pandemic has caused an unequally distributed extra workload to hospital personnel and first reports have indicated that especially front-line health care personnel are psychologically challenged. A majority of the Finnish COVID-19 patients ... ...

Abstract	The COVID-19 pandemic has caused an unequally distributed extra workload to hospital personnel and first reports have indicated that especially front-line health care personnel are psychologically challenged. A majority of the Finnish COVID-19 patients are cared for in the Helsinki University Hospital district. The psychological distress of the Helsinki University Hospital personnel has been followed via an electronic survey monthly since June 2020. We report six-month follow-up results of a prospective 18-month cohort study. Individual variation explained much more of the total variance in psychological distress (68.5%, 95% CI 65.2-71.9%) and negative changes in sleep (75.6%, 95% CI 72.2-79.2%) than the study survey wave (1.6%, CI 0.5-5.5%; and 0.3%, CI 0.1-1.2%). Regional COVID-19 incidence rates correlated with the personnel's psychological distress. In adjusted multilevel generalized linear multiple regression models, potentially traumatic COVID-19 pandemic-related events (OR 6.54, 95% CI 5.00-8.56) and front-line COVID-19 work (OR 1.81, 95% CI 1.37-2.39) was associated with personnel psychological distress but age and gender was not. While vaccinations have been initiated, creating hope, continuous follow-up and psychosocial support is still needed for all hospital personnel.
MeSH term(s)	COVID-19 ; Cohort Studies ; Finland/epidemiology ; Follow-Up Studies ; Health Personnel ; Humans ; Pandemics ; Personnel, Hospital ; Prospective Studies ; SARS-CoV-2
Language	English
Publishing date	2021-03-04
Publishing country	Switzerland
Document type	Journal Article
ISSN	1660-4601
ISSN (online)	1660-4601
DOI	10.3390/ijerph18052524
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Article ; Online: Nurses' and Parents' Perceptions of Parental Guidance on Using Nonpharmacological Pain-Relieving Methods Among Neonates in the NICU.

Pölkki, Tarja / Laukkala, Helena / Korhonen, Anne

Pain management nursing : official journal of the American Society of Pain Management Nurses

2016 Volume 17, Issue 4, Page(s) 272–280

Abstract: Despite growing knowledge of parents' important role in their infants' pain management, the extent to which nurses in neonatal intensive care units (NICUs) provide guidance to parents on nonpharmacological methods is unclear. This study aimed to describe ...

Abstract	Despite growing knowledge of parents' important role in their infants' pain management, the extent to which nurses in neonatal intensive care units (NICUs) provide guidance to parents on nonpharmacological methods is unclear. This study aimed to describe and compare the perceptions of parental guidance in using nonpharmacological pain-relieving methods among neonates in NICUs from the viewpoints of nurses and parents, and to examine the participants' demographics related to the guidance. A cross-sectional, descriptive, correlational study using questionnaire surveys was conducted. Eight NICUs of 5 university hospitals in Finland. A total of 427 participants, including 294 nurses and 178 parents. The participants indicated that the methods of touching and holding were the most commonly introduced strategies in infants' pain alleviation, as they were given as an alternative "nearly always/always" (nurses 91%, 87% and parents 61%, 58%, respectively). In contrast, music and breast-feeding were the less commonly introduced nonpharmacological methods (nurses 11%, 6% and parents 1%, 6%, respectively). A significant difference (p < .001) was found between the parents' and nurses' perceptions of parental guidance; nurses reported providing more guidance about all nonpharmacological methods compared with parents. In addition, many demographic factors of the nurses, the parents, and their infants were related to the parental guidance. Our findings indicate that parental guidance should not be based on nurses' evaluations of their activities without taking into account parents' perspectives. When counseling parents to use nonpharmacological methods, neonatal nurses should actively interact with families and discuss parents' individual needs.
MeSH term(s)	Clinical Competence ; Female ; Finland ; Humans ; Infant, Newborn ; Intensive Care, Neonatal/methods ; Male ; Neonatal Nursing/methods ; Nurses, Neonatal/psychology ; Pain Management/methods ; Parent-Child Relations ; Parents/education ; Parents/psychology ; Professional-Family Relations ; Qualitative Research
Language	English
Publishing date	2016-08
Publishing country	United States
Document type	Journal Article
ZDB-ID	2213260-0
ISSN	1532-8635 ; 1524-9042
ISSN (online)	1532-8635
ISSN	1524-9042
DOI	10.1016/j.pmn.2016.04.002
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Article ; Online: Mothers' Perceptions of Labor Support.

Nikula, Pirkko / Laukkala, Helena / Pölkki, Tarja

MCN. The American journal of maternal child nursing

2015 Volume 40, Issue 6, Page(s) 373–380

Abstract: Purpose: The purpose of this study was to describe mothers' perceptions of labor support during childbirth.: Study design and methods: A cross-sectional, descriptive, correlational survey design was used. Data were collected using the Bryanton ... ...

Abstract	Purpose: The purpose of this study was to describe mothers' perceptions of labor support during childbirth. Study design and methods: A cross-sectional, descriptive, correlational survey design was used. Data were collected using the Bryanton Adaptation of Nursing Support in Labor Questionnaire (BANSILQ) completed by new mothers (n = 260) in the postnatal ward in a Finnish university hospital. Nonparametric methods were used for data analysis. Results: Mothers perceived emotional assistance to be most important. From the list of midwives' labor support behaviors provided in the survey, the following were considered most helpful: giving praise, treating on an individual basis, and answering questions truthfully and understandably. Clinical implications: Emotional, tangible, and informational labor support enhanced the mothers' birth experiences. Labor support should be provided when caring for every mother during childbirth. An evidence-based model of labor support should be used for nursing and midwifery education and clinical practice.
MeSH term(s)	Adolescent ; Adult ; Cross-Sectional Studies ; Delivery, Obstetric/nursing ; Delivery, Obstetric/psychology ; Female ; Humans ; Labor, Obstetric/psychology ; Midwifery ; Mothers/psychology ; Patient Satisfaction ; Pregnancy ; Surveys and Questionnaires ; Young Adult
Language	English
Publishing date	2015-11
Publishing country	United States
Document type	Journal Article
ZDB-ID	605601-5
ISSN	1539-0683 ; 0361-929X
ISSN (online)	1539-0683
ISSN	0361-929X
DOI	10.1097/NMC.0000000000000190
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Article ; Online: Personnel Well-Being in the Helsinki University Hospital during the COVID-19 Pandemic-A Prospective Cohort Study.

Haravuori, Henna / Junttila, Kristiina / Haapa, Toni / Tuisku, Katinka / Kujala, Anne / Rosenström, Tom / Suvisaari, Jaana / Pukkala, Eero / Laukkala, Tanja / Jylhä, Pekka

International journal of environmental research and public health

2020 Volume 17, Issue 21

Abstract: In March 2020, strict measures took place in Finland to limit the COVID-19 pandemic. Majority of Finnish COVID-19 patients have been located in southern Finland and consequently cared for at the Hospital District of Helsinki and Uusimaa (HUS) Helsinki ... ...

Abstract	In March 2020, strict measures took place in Finland to limit the COVID-19 pandemic. Majority of Finnish COVID-19 patients have been located in southern Finland and consequently cared for at the Hospital District of Helsinki and Uusimaa (HUS) Helsinki University Hospital. During the pandemic, HUS personnel's psychological symptoms are followed via an electronic survey, which also delivers information on psychosocial support services. In June 2020, the baseline survey was sent to 25,494 HUS employees, 4804 (19%) of whom answered; altogether, 62.4% of the respondents were nursing staff and 8.9% were medical doctors. While the follow-up continues for a year and a half, this report shares the sociodemographic characteristics of the respondents and the first results of psychological symptoms from our baseline survey. Out of those who were directly involved in the pandemic patient care, 43.4% reported potentially traumatic COVID-19 pandemic-related events (PTEs) vs. 21.8% among the others (
MeSH term(s)	Anxiety/etiology ; Anxiety/psychology ; Betacoronavirus ; COVID-19 ; Coronavirus Infections/epidemiology ; Coronavirus Infections/psychology ; Coronavirus Infections/transmission ; Depression/etiology ; Depression/psychology ; Female ; Finland/epidemiology ; Humans ; Male ; Medical Staff, Hospital/psychology ; Pandemics ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/psychology ; Pneumonia, Viral/transmission ; Prospective Studies ; SARS-CoV-2 ; Sleep Initiation and Maintenance Disorders ; Social Support ; Stress Disorders, Post-Traumatic ; Stress, Psychological/psychology ; Uncertainty ; Workload
Keywords	covid19
Language	English
Publishing date	2020-10-28
Publishing country	Switzerland
Document type	Journal Article
ISSN	1660-4601
ISSN (online)	1660-4601
DOI	10.3390/ijerph17217905
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