NewsMeSH: a new classifier designed to annotate health news with MeSH headings

Motivation In the age of big data, the amount of scientific information available online dwarfs the ability of current tools to support researchers in locating and securing access to the necessary materials. Well-structured open data and the smart systems that make the appropriate use of it are invaluable and can help health researchers and professionals to find the appropriate information by, e.g., configuring the monitoring of information or refining a specific query on a disease. Methods We present an automated text classifier approach based on the MEDLINE/MeSH thesaurus, trained on the manual annotation of more than 26 million expert-annotated scientific abstracts. The classifier was developed tailor-fit to the public health and health research domain experts, in the light of their specific challenges and needs. We have applied the proposed methodology on three specific health domains: the Coronavirus, Mental Health and Diabetes, considering the pertinence of the first, and the known relations with the other two health topics. Results A classifier is trained on the MEDLINE dataset that can automatically annotate text, such as scientific articles, news articles or medical reports with relevant concepts from the MeSH thesaurus. Conclusions The proposed text classifier shows promising results in the evaluation of health-related news. The application of the developed classifier enables the exploration of news and extraction of health-related insights, based on the MeSH thesaurus, through a similar workflow as in the usage of PubMed, with which most health researchers are familiar

Aikuispsykiatrinen hoitotieteellinen tutkimus Suomessa vuosina 2000–2015:kuvaileva kirjallisuuskatsaus

Tutkimuksen tarkoituksena oli kuvailla Suomessa 2000-luvulla tehtyä aikuispsykiatrisen hoitotyön hoitotieteellistä tutkimusta sekä aikuispsykiatrisen hoitotyön kehittämishaasteita ja jatkotutkimusaiheita. Lisäksi kuvailtiin suomalaisen aikuispsykiatrisen hoitotyön hoitotieteellisen tutkimuksen painopisteet sekä sen tämän hetkinen tilanne. Tutkimusmenetelmänä käytettiin kuvailevaa kirjallisuuskatsausta. Aineistona käytettiin Suomessa vuosina 2000–2015 julkaistuja hoitotieteellisiä tutkimusartikkeleita, väitöskirjoja sekä hoitotieteen pro gradu- tutkielmia ja lisensiaattitutkimuksia (n=78). Tutkimusaineisto analysoitiin käyttämällä induktiivista sisällönanalyysiä soveltuvin osin. Analyysin tuloksena muodostui yhteensä 29 pääkategoriaa, joista 5 kuvasi aikuispsykiatrisen hoitotyön hoitotieteellisen tutkimuksen aiheita, 12 tutkimusten tuloksia, 5 tutkimuksissa esitettyjä kehittämishaasteita ja 7 tutkimuksissa esitettyjä jatkotutkimushaasteita. Tutkimustuloksissa aikuispsykiatrista hoitotyötä koskevan tutkimuksen metodologinen painopiste oli laadullisissa tutkimusotteissa ja -menetelmissä. Julkaisufoorumina yleisin oli pro gradu -tutkielma. Tutkimusaiheina painottuivat käytännön toimintatapojen sekä pakkotoimenpiteiden ja väkivaltaisuuden tutkimus. Psykiatrista hoitotyötä oli kuvattu runsaasti psyykkisen sairauden sekä henkilökunnan työolojen näkökulmista. Kehittämishaasteita oli nimetty eniten psykiatrisen hoitotyön interventioiden ja käytännön toimintatapojen tasolla. Interventioihin kohdistuvissa haasteissa painottuivat eristämishoidon ja väkivaltaisuuden hoidon sekä perhekeskeisen psykiatrisen hoitotyön kehittäminen. Jatkotutkimusaiheina korostuivat käytännön hoitotyön lisätutkimus hoidon ja hoidon vaikuttavuuden näkökulmista. Jatkossa tutkimusta tulisi kohdistaa määrällisten tutkimusten ja kirjallisuuskatsausten tekemiseen sekä interventioiden vaikuttavuuden arviointiin ja lisätä aikuispsykiatrisen hoitotyön hoitotieteellisen tutkimuksen näkyvyyttä kotimaisissa julkaisuissa.The purpose of the study was to describe Finnish nursing research, development challenges of nursing practice and further research suggestions within adult psychiatry in the 21st century. Focuses of Finnish nursing research within adult psychiatry and the current situation of adult psychiatric nursing were also described in this study. Descriptive literature review was used as research method. Research articles, Doctoral Theses, Pro Gradu Theses and Licentiate Theses published in Finland during 2000–2015 were used as data. Data consisted of 78 original publications. The data analyzed by using inductive content analysis as method’s applicable parts. The result of analysis consisted of 29 head categories: 5 head categories described subjects, 12 described findings, 5 described development challenges and 7 described suggestions for further research. According to the results, the methodological focus in publications was in qualitative research methods. Most common publication format was Pro Gradu Thesis. Focus of the subjects was in adult psychiatric nursing practice and in violence and coercive measure. The most of the findings described mental illness and personnel working conditions in context of psychiatric nursing. The most of the development challenges were on the field of psychiatric nursing interventions and practical procedures. Seclusion, violence and family-oriented nursing were emphasized in nursing interventions. The emphases of further research suggestions were in nursing and effectiveness of nursing interventions. In the future the nursing research on adult psychiatry should focus on quantitative research and systematic literature reviews and evaluation of effectiveness. The visibility of nursing research on adult psychiatry should be increased among national publications of nursing science

Hypoteettinen malli työssä kohdatun väkivallan ja työhyvinvoinnin välisestä yhteydestä aikuispsykiatrisessa avohoidossa

Abstract The purpose of this study was to develop a hypothetical model to describe the association between workplace violence and occupational well-being and issues related to these. The purpose was also to develop an instrument to assess the incidence of violence in psychiatric nursing. The study included three phases: (I) the development of an instrument, (II) empirical cross-sectional research and (III) the development of the hypothetical model. The empirical data was collected by the developed VIA-Q instrument and the Nordic Questionnaire for Monitoring the Age Diverse Workforce (QPSNordic-ADW) instrument from nurses working in Finnish psychiatric outpatient settings in psychiatric specialized medical care. In phase I, the structure of the developed instrument was based on a systematic literature review, which indicated that violence in psychiatric outpatient settings is a complex phenomenon. In phase II, the empirical research revealed that nurses (n = 181) faced most often psychological violence from patients, but also internal violence and harassment were reported. As consequences of psychological violence, nurses reported fatigue, feelings of violated integrity, anxiety, and depression. Occupational well-being was evaluated as mainly good. Nurses were most critical of interaction between the immediate superior and gained support. Organizational values were evaluated as contradictory against nurses’ own values. The consequences of psychological violence were influenced by individual background characteristics. The violence faced, especially harassment, was related to many psychological symptoms. Working experience was related to the consequences of violence and the evaluated occupational well-being. In phase III, the developed hypothetical model was based on the results of this study, previous research, and the literature. The main concepts of the hypothetical model were background factors, violence, symptoms, and occupational well-being. This study provides knowledge about the incidence of violence and occupational well-being in psychiatric outpatient settings. The results of this study can be exploited when developing interventions to increase nurses’ occupational well-being or interventions to decrease workplace violence. The hypothetical model provides a perspective to investigate a complex phenomenon.Tiivistelmä Tämän tutkimuksen tarkoituksena oli rakentaa hypoteettinen malli kuvaamaan työssä kohdatun väkivallan ja työhyvinvoinnin välistä yhteyttä sekä näihin yhteydessä olevia tekijöitä. Lisäksi tarkoituksena oli kehittää ja validoida mittari väkivallan ilmenemisen arviointiin psykiatrisessa hoitotyössä. Tutkimus koostui kolmesta vaiheesta: I mittarin kehittäminen, II empiirinen poikkileikkaustutkimus ja III hypoteettisen mallin rakentaminen. Empiirinen tutkimusaineisto kerättiin psykiatrisen erikoissairaanhoidon avohoidossa työskenteleviltä sairaanhoitajilta tutkimuksessa kehitetyllä VIA-Q-mittarilla sekä Nordic Questionnaire for Monitoring the Age Diverse Workforce (QPSNordic-ADW) -mittarilla. Vaiheessa I kehitetyn mittarin sisältö perustuu systemaattiseen kirjallisuuskatsaukseen, joka osoitti väkivallan psykiatrisessa avohoidossa olevan kompleksinen ilmiö. Vaiheen II empiirinen tutkimus osoitti, että sairaanhoitajat (n = 181) kohtaavat työssään useimmiten potilaiden taholta tulevaa psyykkistä väkivaltaa mutta myös työyhteisön sisäistä väkivaltaa ja häirintää. Psyykkisen väkivallan seurauksina raportoitiin uupumusta, tunteita henkilökohtaisen koskemattomuuden loukkaamisesta, ahdistuneisuutta ja masennusta. Työhyvinvointi arvioitiin pääosin hyväksi, ja suurin kritiikki kohdistui vuorovaikutukseen lähijohtajan kanssa ja lähijohtajalta saadun tuen puutteeseen sekä organisaation tapaan huolehtia työntekijöiden työhyvinvoinnista. Organisaation arvot arvioitiin jossain määrin ristiriitaisiksi omien arvojen kanssa. Väkivallan kohtaamisesta aiheutuvat psyykkiset oireet muodostuivat yksilöllisesti erilaisten taustatekijöiden vaikutuksesta. Kohdatusta väkivallasta erityisesti häirintä oli yhteydessä useisiin erilaisiin psyykkisiin oireisiin. Lisäksi työkokemus oli yhteydessä kohdatusta väkivallasta aiheutuneisiin seurauksiin ja arvioituun työhyvinvointiin. Vaiheessa III rakennettiin tutkimuksen tulosten, aiemman tutkimuksen ja kirjallisuuden perusteella hypoteettinen malli. Sen pääkäsitteet ovat taustatekijät, väkivalta, oireet ja työhyvinvointi. Tutkimus tuottaa uutta tietoa väkivallan ilmenemisestä ja työhyvinvoinnista psykiatrisessa avohoidossa. Tutkimuksesta saatua tietoa voidaan hyödyntää sairaanhoitajien työhyvinvoinnin lisäämiseen sekä väkivallan vähentämiseen tähtäävien interventioiden kehittämisessä. Hypoteettinen malli mahdollistaa kompleksisen ilmiön tarkastelun

Challenges of current regulation of AI-based healthcare technology (AIHT) and potential consequences of the European AI act proposal

Abstract The utilization of artificial intelligence (AI) in healthcare has been steadily increasing, but the regulation of AI is challenging. Inspired by the recently proposed European AI regulation, we conducted a case study among Finnish healthcare stakeholders to identify challenges that current regulation of AI-based healthcare technology (AIHT) poses to development of AIHT, and what the potential consequences of the recently proposed European AI regulation would be for AIHT development. One of the main challenges we identified is the already existing ambiguity arising from several regulations that AIHT are subject to. More importantly, we found that this ambiguity would even increase through a European AI regulation. Another important finding is that the European AI Act might hamper innovation in AIHT and decelerate the development of AIHT. Our main contribution is to the recent information systems research opening on regulation of technology

Quality of working life of employees in public healthcare organization in Finland:a cross-sectional study

Abstract 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 association between QWL and background variables. Design: This study had a quantitative cross-sectional survey design. Methods: Data was collected from the employees of a Finnish healthcare organization in autumn 2021 using an online questionnaire (n = 837). Convenience sampling was used in the selection of the healthcare organization. The study was reported according to STROBE guidelines. Results: The QWL was moderate, and the mean QWL index calculated from the questionnaire responses was 0.524. The QWL index was lowest in healthcare professionals and highest in upper management, with some dissatisfaction towards leadership noted

Co-creation:an approach to developing digitalized mental healthcare

Abstract Mental health problems are increasing worldwide and a need for the development of digital mental health services has been noticed globally. A variety of novel technologies are currently being introduced in mental health services. The development process of health services should be done in collaboration with end-users and companies: it is crucial to develop health services with end-users and companies, because the resources of public healthcare are limited and the services are complex. A cocreation is a prominent facilitator of digital transformation, and it increases acceptability and user-friendliness. Especially, there are concrete benefits of co-creation models for stakeholders when developing needs-based products and services for healthcare. The aim of this article is to introduce the use of the co-creation process throughout the development of dynamic treatment monitoring solutions for mental health issues, and to present the preliminary results of a pilot test. Based on the results of the pilot test, the co-creation process improved the solution, and healthcare professionals were willing to use it. The solution increased the sensibleness of their work. In addition, digitalization enabled individual follow-up between care visits. Results tentatively point towards the usefulness and benefits of a data-driven monitoring system for mental health treatment

Background characteristics and exposure to violence predict well-being at work among psychiatric outpatient nurses

Abstract Aims: To investigate the well-being at work and analyze relevant predictors of it among nurses working in psychiatric outpatient settings including following specific objectives 1) describe the current state of well-being at work among psychiatric nurses; and 2) examine how background characteristics and exposure to violence predict well-being at work. Design: A cross-sectional survey design. Methods: Two-staged sampling was used to select participants from psychiatric outpatient units. Data were collected with printed Nordic Questionnaire for Monitoring the Age Diverse Workforce (QPSNordic-ADW) and Violence Incidence Assessment (VIA-Q) questionnaire from January 2019 to June 2019. Descriptive statistics were performed to summarize the collected data and binary logistic regression was used to identify predictors related to the well-being at work. Results: The respondents (n = 181) generally evaluated well-being at work quite positively but were more critical towards interaction with their immediate superior, organizational culture, interaction between work and private life, and organizational commitment. Working experience in psychiatric nursing and experiences of harassment were identified as strong predictors of well-being at work. Conclusions: The management of healthcare organizations should discuss nursing ethics and morale more, as well as pay attention to the ethical environment to prevent moral distress among nurses. Several weaknesses seem to exist especially in the management of psychiatric outpatient units which influence nurses’ well-being at work. Identification of these can help organizations to develop management and implement interventions to increase nurses’ well-being at work. Conversations about the managerial culture and collegial climate should also arise at the organizational and unit levels

Occurrence of workplace violence and the psychological consequences of it among nurses working in psychiatric outpatient settings

Abstract Introduction: There is a scarcity of studies concerning violence and its consequences in psychiatric outpatient setting. Aim: This study aimed to explore the occurrence of workplace violence and the psychological consequences of exposure to violence among nurses working in psychiatric outpatient settings. Method: Research followed a cross‐sectional survey design. Data were collected with the VIA‐Q instrument. Results: During the 12 months prior to the study, nurses (n = 181) had most often experienced psychological violence, with fatigue being the most common consequence. Harassment most often caused feelings of violated integrity, whereas physical violence most often caused insomnia. Significant relationships between exposure to violence and psychological consequences were identified. Discussion: Workplace violence can manifest in a broad array of psychological symptoms and be harmful for nurses in psychiatric outpatient settings. It is important to discuss the subject of workplace violence and its place in the nursing curriculum and to reflect on how nurses are educated and trained to face violence in psychiatric nursing. Implications for Practice: De‐escalation interventions should be implemented in psychiatric outpatient settings. Organizations should take steps to abolish internal violence. Nurses need appropriate education in order to prepare them to manage workplace violence

Parent support programmes for families who are immigrants:a scoping review

Abstract Parental support is of paramount importance in the promotion of positive parenting, strengthening parenthood and protecting children from disadvantages due to immigration experiences. The aim was to describe what is known about parent support programmes targeted to families who are immigrants. Electronic databases and the grey literature were systematically and comprehensively searched with no time/language restrictions. JBI approach and PRISMA-ScR were used to guide the review. N = 88 articles were sourced. Interventions were targeted to improve parental practices, skills and family wellbeing, usually through group-based methods. Most interventions included components of positive parenting and family communication. Identifying the needs of the target group and cultural tailoring were reported to be highly important in gaining acceptability, promoting engagement and producing benefits. Parent support programmes for families who are immigrants potentially improve positive parental practices and families’ wellbeing. There are many applicable and effective interventions to be exploited

Associations between digital gaming behavior and physical activity among Finnish vocational students

Abstract Digital gaming is considered to be a major sedentary lifestyle among youth. The time spent on digital gaming may also affect the physical behavior of young adults. Objective: This study aimed to investigate the associations between various characteristics of digital gaming behavior (i.e., gaming time, device, and game type) and participation in physical activity among Finnish vocational students. Materials and methods: The research employed a cross-sectional survey design. The analyzed sample consisted of 773 students (455 males, 318 females) from eight vocational school units in Northern Finland who regularly played digital games. Data were collected via an online self-reported questionnaire, which included questions concerning average weekly time spent on digital gaming, preferred device, favorite types of games, and physical activity. Results: The students spent an average of two hours each day playing digital games. Males preferred to play using personal computers (PCs), whereas mobile gaming was more popular among females. Shooter (42.4%) and entertainment (64.2%) games were the most popular game types among males and females, respectively. The results revealed that male gender and PC gaming were both positively related to physical inactivity among vocational school students. A preference toward sport games was inversely related with physical inactivity. Conclusion: The presented findings can be utilized to develop interventions that target the prevention of sedentary behavior among vocational students. Further longitudinal studies will be required to reliably assess the relationship between digital gaming and physical activity