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  1. Artikel ; Online: Machine learning models for the early prediction of ventilator-associated pneumonia: Author's reply.

    Jansson, Miia

    European journal of internal medicine

    2024  Band 123, Seite(n) 144–145

    Mesh-Begriff(e) Humans ; Pneumonia, Ventilator-Associated/diagnosis ; Machine Learning
    Sprache Englisch
    Erscheinungsdatum 2024-03-07
    Erscheinungsland Netherlands
    Dokumenttyp Letter
    ZDB-ID 1038679-8
    ISSN 1879-0828 ; 0953-6205
    ISSN (online) 1879-0828
    ISSN 0953-6205
    DOI 10.1016/j.ejim.2024.02.030
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  2. Artikel ; Online: Konferenssit

    Pia Liljamo / Miia Jansson

    Finnish Journal of eHealth and eWelfare, Vol 15, Iss

    2023  Band 4

    Schlagwörter Computer applications to medicine. Medical informatics ; R858-859.7 ; Public aspects of medicine ; RA1-1270
    Sprache Englisch
    Erscheinungsdatum 2023-12-01T00:00:00Z
    Verlag Finnish Social and Health Informatics Association
    Dokumenttyp Artikel ; Online
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  3. Artikel ; Online: Tiedotukset ja konferenssit

    Pia Liljamo / Miia Jansson

    Finnish Journal of eHealth and eWelfare, Vol 15, Iss

    2023  Band 3

    Schlagwörter Computer applications to medicine. Medical informatics ; R858-859.7 ; Public aspects of medicine ; RA1-1270
    Sprache Englisch
    Erscheinungsdatum 2023-09-01T00:00:00Z
    Verlag Finnish Social and Health Informatics Association
    Dokumenttyp Artikel ; Online
    Datenquelle BASE - Bielefeld Academic Search Engine (Lebenswissenschaftliche Auswahl)

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  4. Artikel ; Online: Arkkitehtuurista uusien innovaatioiden kehittämiseen ja testaukseen – käyttäjäkokemukset keskiössä

    Pia Liljamo / Miia Jansson

    Finnish Journal of eHealth and eWelfare, Vol 15, Iss

    2023  Band 4

    Schlagwörter Computer applications to medicine. Medical informatics ; R858-859.7 ; Public aspects of medicine ; RA1-1270
    Sprache Englisch
    Erscheinungsdatum 2023-12-01T00:00:00Z
    Verlag Finnish Social and Health Informatics Association
    Dokumenttyp Artikel ; Online
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  5. Artikel ; Online: Patient experiences on the quality of cerebrovascular diseases counselling using digital solutions in hospital-A qualitative research study.

    Myllykangas, Kirsi / Härkönen, Henna / Kääriäinen, Maria / Kärppä, Mikko / Jansson, Miia

    Journal of clinical nursing

    2024  Band 33, Heft 6, Seite(n) 2259–2273

    Abstract: 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 ... ...

    Abstract 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 inpatients at a single university hospital in Finland between September 2021 and February 2022. Data were analysed using deductive and inductive content analysis.
    Results: The identified facilitators, barriers and possible solutions for the development of new digital counselling solutions were deductively categorized into five main categories: (1) background factors, (2) resources, (3) implementation, (4) sufficiency, and (5) effects and 12 generic categories. Patients with cerebrovascular diseases worry about symptoms affecting their ability to receive information and valued a supportive atmosphere. Staff should have more time for counselling and use motivational digital counselling solutions in plain language, moderate length and with multimedia content. Patients desired reminders, easy search functions and possibilities for two-way communication.
    Conclusion: New digital counselling solutions could be beneficial in supporting the patients' knowledge, emotions and adherence. For the success of such solutions, patients' special needs concerning different levels of cognitive impairment need to be considered.
    Impact: The results of this study may benefit healthcare organizations in the development of digital counselling solutions that meet the patients' needs.
    Reporting method: We have adhered to relevant EQUATOR guidelines with the COREQ reporting method.
    Patient or public contribution: Patients were involved as the study population.
    Mesh-Begriff(e) Humans ; Qualitative Research ; Cerebrovascular Disorders/psychology ; Female ; Middle Aged ; Male ; Aged ; Finland ; Counseling/methods ; Counseling/standards ; Aged, 80 and over ; Adult ; Patient Satisfaction
    Sprache Englisch
    Erscheinungsdatum 2024-02-27
    Erscheinungsland England
    Dokumenttyp Journal Article
    ZDB-ID 1159483-4
    ISSN 1365-2702 ; 0962-1067 ; 1752-9816
    ISSN (online) 1365-2702
    ISSN 0962-1067 ; 1752-9816
    DOI 10.1111/jocn.17025
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  6. Artikel ; Online: Effectiveness of Game-Based Solutions in Patients with Total Hip and Knee Arthroplasty: A Systematic Review of Randomized Controlled Trials.

    Jansson, Miia M / Koivisto, Jonna

    Games for health journal

    2022  Band 12, Heft 1, Seite(n) 25–33

    Abstract: 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 ... ...

    Abstract 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 published prior May 2022 were identified from MEDLINE Ovid, Scopus, EBSCO Databases, Web of Science, and PubMed. The Joanna Briggs Institute Critical Appraisal Checklist for RCTs was used to evaluate the quality of the relevant studies published. A narrative synthesis was used to report the results while effect sizes were estimated for different outcomes. A total of 350 records were identified, and 5 RCTs were selected. Most of the game-based solutions were exergames to support rehabilitation. The findings indicate that game-based solutions have potential to induce positive impact on functional and cognitive performance; however, due to the low number of studies and moderate/weak quality of existing research, the area still lacks assertive evidence. Future research should pay attention to the methodological aspects to provide reliable information on the use of game-based solutions in the given context.
    Mesh-Begriff(e) Humans ; Arthroplasty, Replacement, Knee ; Randomized Controlled Trials as Topic ; Arthroplasty, Replacement, Hip/methods
    Sprache Englisch
    Erscheinungsdatum 2022-12-28
    Erscheinungsland United States
    Dokumenttyp Systematic Review ; Journal Article
    ZDB-ID 2650543-5
    ISSN 2161-7856 ; 2161-783X
    ISSN (online) 2161-7856
    ISSN 2161-783X
    DOI 10.1089/g4h.2022.0101
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  7. Artikel ; Online: Towards digital counselling in primary care management of symptomatic knee osteoarthritis

    Miia Jansson / Maria Kääriäinen / Gillian Vesty / Minna Pikkarainen

    Finnish Journal of eHealth and eWelfare, Vol 15, Iss

    a qualitative descriptive study in Finnish primary care

    2023  Band 3

    Abstract: 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 ... ...

    Abstract 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 primary care management of symptomatic knee osteoarthritis. A qualitative study was used to collect patients’ eHealth needs through semi-structured interviews in a single outpatient clinic in Finland between August 2020 and November 2020. The data was analyzed using both deductive and inductive content analysis approaches. The study was reported in accordance with the Consolidated Criteria for Reporting Qualitative research checklist to improve the transparency of the study. Analysis of the data revealed five main categories to be considered when implementing digital counselling in patients with symptomatic knee osteoarthritis: background factors (functional impairments, health literacy, digital literacy, cost-related access barriers), resources (digital methods and materials), sufficiency (knee osteoarthritis-related knowledge and skills), implementation (simplicity, trust, patient-centeredness), and benefits (self-care capabilities, confidence). According to our findings, both health and digital literacy seems to be important contributors to the adoption of digital counselling in a primary care management of symptomatic knee osteoarthritis. New eHealth solutions should not replace the first visit in the outpatient clinic. Instead, the use of eHealth solutions should be based on the first visit, during which a trusting relationship between patients and healthcare providers is established. In future, the level of health and digital literacy in patients with symptomatic knee osteoarthritis should be taken account.
    Schlagwörter telemedicine ; health services ; primary health care ; counseling ; Computer applications to medicine. Medical informatics ; R858-859.7 ; Public aspects of medicine ; RA1-1270
    Thema/Rubrik (Code) 360
    Sprache Englisch
    Erscheinungsdatum 2023-09-01T00:00:00Z
    Verlag Finnish Social and Health Informatics Association
    Dokumenttyp Artikel ; Online
    Datenquelle BASE - Bielefeld Academic Search Engine (Lebenswissenschaftliche Auswahl)

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  8. Artikel ; Online: Challenges and needs in cerebrovascular disease pathway: A qualitative descriptive study from the patients' and healthcare professionals' perspectives.

    Härkönen, Henna / Myllykangas, Kirsi / Gomes, Julius / Immonen, Milla / Kärppä, Mikko / Hyvämäki, Piia / Jansson, Miia

    Journal of advanced nursing

    2024  

    Abstract: 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 ... ...

    Abstract 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 professionals taking care of them in a single tertiary-level hospital from August 2021 to March 2022. Data were analysed using deductive and inductive content analysis. The consolidated criteria for reporting qualitative research was used to ensure reliable reporting.
    Results: Overall, 19 generic and 79 sub-categories describing perceived challenges with 17 generic and 62 sub-categories describing perceived needs were identified related to primary prevention, organization of stroke services, management of acute stroke, secondary prevention, rehabilitation, evaluation of stroke outcome and quality assessment, and life after stroke.
    Conclusion: Several challenges and needs were identified in and across the different domains of the cerebrovascular disease pathway. There is a requirement for adequate resources, early initiation of treatment, early diagnostics and recanalization, dedicated rehabilitation services, long-term counselling and support, and impact evaluation of services to improve cerebrovascular disease care. Future research on caregivers', and clinical leadership experiences in and across the cerebrovascular disease pathway is needed to explore the provision of services.
    Implications for the profession and/or patient care: The results of this study can be applied by organizations, managers and research for developing and improving services in the cerebrovascular disease pathway.
    Impact: This study identified several patient-related, organizational and logistical needs and challenges, with suggestions for required actions, that can benefit the provision of effective, high-quality cerebrovascular disease care.
    Reporting method: We have adhered to relevant EQUATOR guidelines with the COREQ reporting method.
    Patient or public contribution: No patient or public involvement.
    Sprache Englisch
    Erscheinungsdatum 2024-01-12
    Erscheinungsland England
    Dokumenttyp Journal Article
    ZDB-ID 197634-5
    ISSN 1365-2648 ; 0309-2402
    ISSN (online) 1365-2648
    ISSN 0309-2402
    DOI 10.1111/jan.16055
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  9. Artikel ; Online: Identified gamification opportunities for digital patient journey solution during an arthroplasty journey: secondary analysis of patients' interviews.

    Jansson, Johanna / Laukka, Elina / Kanste, Outi / Koivisto, Jonna / Jansson, Miia

    Nursing open

    2022  Band 9, Heft 4, Seite(n) 2044–2053

    Abstract: 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 ... ...

    Abstract 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 aimed to identify gamification opportunities for digital patient journey solutions to increase patients' engagement and motivation for health-related behaviour during an arthroplasty journey.
    Design: A secondary analysis.
    Method: Semistructured interviews were performed among 20 elective primary total hip and knee arthroplasty patients in a single joint-replacement centre in Finland during autumn 2018. NVivo software was used for deductive content analysis. The study was conducted among 20 patients in a single joint replacement centre during 2018.
    Results: Several opportunities for gamification were identified for digital patient journey solutions, which could be used in advanced care to increase patients' engagement and motivation for health-related behaviour during the arthroplasty journey. These opportunities were identified related to five dimensions: accomplishment, challenge, guided, playfulness and social experience. Clear, scheduled, progressive and personalized goals with an activity tracking, real-time timespan visualization and social networking with peers, support networks and healthcare providers could be provided. Opportunities for competition and immersion were not identified.
    Mesh-Begriff(e) Arthroplasty, Replacement, Knee ; Elective Surgical Procedures ; Gamification ; Health Behavior ; Health Personnel ; Humans
    Sprache Englisch
    Erscheinungsdatum 2022-04-23
    Erscheinungsland United States
    Dokumenttyp Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2809556-X
    ISSN 2054-1058 ; 2054-1058
    ISSN (online) 2054-1058
    ISSN 2054-1058
    DOI 10.1002/nop2.1215
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  10. Artikel ; Online: Impact of digital services on healthcare and social welfare: An umbrella review.

    Härkönen, Henna / Lakoma, Sanna / Verho, Anastasiya / Torkki, Paulus / Leskelä, Riikka-Leena / Pennanen, Paula / Laukka, Elina / Jansson, Miia

    International journal of nursing studies

    2024  Band 152, Seite(n) 104692

    Abstract: Background: Digital services can be effective and cost-efficient options for treating non-communicable diseases, but generalizability is limited due to heterogeneous treatment effects. This umbrella review aims to evaluate the impact of digital services ...

    Abstract Background: Digital services can be effective and cost-efficient options for treating non-communicable diseases, but generalizability is limited due to heterogeneous treatment effects. This umbrella review aims to evaluate the impact of digital services on population health, costs, and patient and healthcare professional satisfaction, and to identify facilitators and barriers to using digital services in healthcare and social welfare.
    Methods: The protocol of the study was registered on the 4th of September 2022 to the International Prospective Register of Systematic Reviews, PROSPERO (CRD42022355635). The review was performed using the Centre for Reviews and Dissemination, Cochrane, Ovid Medline, Scopus, and Web of Science in June 2022. The methodological quality of the included reviews was assessed. The impact of digital services was categorized as no evidence, no dominance, and mixed and positive effect. Inductive content analysis was used to identify facilitators and barriers.
    Results: A total of 66 studies were included in the review, 64 % of which were evaluated as high quality. Studies on the impact of digital services in social welfare were not identified. Sixty-five percent of reviews evaluated the impact of digital services on population health with mixed effects; 21 % were on costs with mixed effects; 27 % were on patient satisfaction with positive effects; and 7.6 % were on healthcare professionals' satisfaction with mixed effects. Various features, allocation, end-user support, organized services, and service development facilitated the use of digital services. Correspondingly, barriers were related to service limitations, digital competency, funding- and service strategies, resources and change management.
    Conclusions: Compared to usual care, digital services had a mixed impact on population health and costs with high satisfaction in patients. Mixed healthcare professionals' satisfaction was associated with the use of digital services, and it was less studied. To ensure successful implementation and sustainability of digital services, attention must be paid to address barriers and supporting facilitators at all levels.
    Mesh-Begriff(e) Humans ; Systematic Reviews as Topic ; Health Facilities ; Health Personnel ; Patient Satisfaction ; Social Welfare
    Sprache Englisch
    Erscheinungsdatum 2024-01-10
    Erscheinungsland England
    Dokumenttyp Journal Article ; Review
    ZDB-ID 80148-3
    ISSN 1873-491X ; 0020-7489
    ISSN (online) 1873-491X
    ISSN 0020-7489
    DOI 10.1016/j.ijnurstu.2024.104692
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