Meaningful learning experiences during continuing education process among Finnish physiotherapists - Grounded Theory

Yliopistosta työelämään : opintopolun työelämäorientaatiota tukemassa

Effectiveness of a workplace physical exercise intervention on the functioning, work ability, and subjective well-being of office workers : a cluster randomised controlled cross-over trial with a one-year follow-up

The main aim of this study was to investigate the feasibility and the effects of workplace physical exercise intervention on physical and psychosocial functioning, work ability, and general subjective well-being. Dose of exercise and other physical activity outside the intervention were controlled for (MET). The other aims were to investigate the changes in outcomes 12 months after the intervention baseline measurements and to investigate the relationships between the prerequisites of functioning, work ability and general well-being. Framework of the study was the International Classification of Functioning, Disability and Health (ICF).90 volunteer workers from four municipal administrative…

Etäteknologian vaikuttavuus liikunnallisessa kuntoutuksessa : järjestelmällinen kirjallisuuskatsaus ja meta-analyysi

Effectiveness of technology-based distance interventions promoting physical activity : Systematic review, meta-analysis and meta-regression

Objective: To determine the effectiveness of technology-based distance interventions for promoting physical activity, using systematic review and metaanalysis. Methods: A literature search of studies published between 2000 and 2015 was conducted in the following databases: CENTRAL, EMBASE, Ovid MEDLINE, CINAHL, PsycINFO, OTseeker, WOS and PEDro. Studies were selected according to the PICOS framework, as follows: P (population): adults; I (intervention): technology-based distance intervention for promoting physical activity; C (comparison) similar distance intervention without technology, O (outcomes) physical activity; S (study design) randomized controlled trial. Physical activity outcomes…

The Current State of Remote Physiotherapy in Finland : Cross-sectional Web-Based Questionnaire Study

Background The ongoing COVID-19 pandemic has required social, health, and rehabilitation organizations to implement remote physiotherapy (RP) as a part of physiotherapists’ daily practice. RP may improve access to physiotherapy as it delivers physiotherapy services to rehabilitees through information and communications technology. Even if RP has already been introduced in this century, physiotherapists’ opinion, amount of use, and form in daily practice have not been studied extensively. Objective This study aims to investigate physiotherapists’ opinions of the current state of RP in Finland. Methods A quantitative, cross-sectional, web-based questionnaire was sent to working-aged members …

Health and social care educators' ethical competence.

Background and purpose Educators’ ethical competence is of crucial importance for developing students’ ethical thinking. Previous studies describe educators’ ethical codes and principles. This article aims to widen the understanding of health- and social care educators’ ethical competence in relation to core values and ethos. Theoretical background and key concepts The study is based on the didactics of caring science and theoretically links the concepts ethos and competence. Methods Data material was collected from nine educational units for healthcare and social service in Finland. In total 16 semi-structured focus group interviews with 48 participants were conducted. The interviews were …

Etäteknologiaa hyödyntävän liikunnallisen kuntoutuksen merkitys sydänkuntoutujan valtaistumisessa

Effects of physiotherapy interventions on balance in multiple sclerosis: A systematic review and meta-analysis of randomized controlled trials

Objective: to determine the effects of physiotherapy inter ­ ventions on balance in people with multiple sclerosis. Data sources: A systematic literature search was conducted in Medline, cinahl, embase, PeDro, both electronically and by manual search up to March 2011. Study selection: Randomized controlled trials of physiothe­ rapy interventions in people with multiple sclerosis, with an outcome measure linked to the International Classifica­ tion of Functioning, Disability and Health (icF) category of “changing and maintaining body position”, were included. Data extraction: the quality of studies was determined by the van tulder criteria. Meta­analyses were performed in subgroups according…

Effectiveness of technology-based distance physical rehabilitation interventions on physical activity and walking in multiple sclerosis: a systematic review and meta-analysis of randomized controlled trials

Objective: To determine the effectiveness of technology-based distance physical rehabilitation interventions in multiple sclerosis (MS) on physical activity and walking. Data sources: A systematic literature search was conducted in seven databases from January 2000 to September 2016. Randomized controlled trials of technology-based distance physical rehabilitation interventions on physical activity and walking outcome measures were included. Methods: Methodological quality of the studies was determined and a meta-analysis was performed. In addition, a subanalysis of technologies and an additional analysis comparing to no treatment were conducted. Results: The meta-analysis consisted of 11 s…

Effectiveness of constraint-induced movement therapy on activity and participation after stroke: a systematic review and meta-analysis of randomized controlled trials

Objective: To examine the effect of constraint-induced movement therapy and modified constraint-induced movement therapy on activity and participation of patients with stroke (i.e. the effect of different treatment durations and frequency) by reviewing the results of randomized controlled trials. Data sources: A systematic literature search was conducted in MEDLINE, CINAHL, EMBASE, PEDro, OTSeeker, CENTRAL and by manual search. Review methods: Randomized controlled trials for patients over 18 years old with stroke and published in Finnish, Swedish, English or German were included. Studies were collected up to the first week in May 2011. The evidence was high, moderate, low or no evidence a…

Development and testing of an instrument (HeSoEduCo) for health and social care educators' competence in professional education

Abstract Background: Health and social care education is highly important for preparing future professionals for their future roles in sustainable health and social care. However, previous studies have emphasized that health and social care educators’ competence is complex and poorly defined. Thus, there is a clear need for a psychometrically validated instrument to enable clarification and assessment of the required skills. Objective: To develop and psychometrically validate an instrument (the HeSoEduCo) for assessing health and social care educators’ competence in higher and professional education. Design: Cross-sectional study. Methods: A HeSoEduCo instrument, with items inviting 1–4 Lik…

Remote technology as a tool for cardiac rehabilitation

Innovatiiviset etäkuntoutuspalvelut

Tutkimuksen tavoitteena oli tutkia ja kehittää etäteknologian käyttöä Kelan laitoskuntoutuksessa ja työhyvinvointipalveluna toteutetussa etäkuntoutuksessa. Kuntoutusryhminä olivat sydänkuntoutukseen osallistuneet, tuki- ja liikuntaelinsairauksia sairastavat ja ammatillisen työkyvyn tuen tarpeessa olevat asiakkaat. Ensimmäisenä tavoitteena oli arvioida eri kuntoutusmallien vaikuttavuutta asiakkaiden fyysiseen toimintakykyyn ja koettuun elämänlaatuun sekä etäteknologiaa hyödyntävän kuntoutuksen osallistumiseen. Toisena tavoitteen oli kartoittaa asiakkaiden ja henkilökunnan kokemuksia etäteknologiasta osana tavanomaista kuntoutusta ja etäkuntoutusta. Lisäksi tässä artikkelissa tarkastellaan tu…

Shared expertise in physiotherapy teacher education

The Effectiveness of Physical Activity-Promoting Web- and Mobile-Based Distance Weight Loss Interventions on Body Composition in Rehabilitation Settings : Systematic Review, Meta-analysis, and Meta-Regression Analysis

Background: Overweight and obesity are major problems worldwide, and they lead to an increased risk for several diseases. The use of technology in the treatment of obesity is promising, but in the existing literature, there is considerable uncertainty regarding its efficacy. In this review, we included web- and mobile-based weight loss interventions that were implemented remotely in rehabilitation settings. Objective: The aim of this systematic review is to study the effectiveness of physical activity-promoting web- and mobile-based distance weight loss interventions in rehabilitation settings on body composition in comparison with control groups that did not use technology. Methods: Studie…

Biopsychosocial Profiles of Patients With Cardiac Disease in Remote Rehabilitation Processes : Mixed Methods Grounded Theory Approach

Background: Digital development has caused rehabilitation services and rehabilitees to become increasingly interested in using technology as a part of rehabilitation. This study was based on a previously published study that categorized 4 groups of patients with cardiac disease based on different experiences and attitudes toward technology (e-usage groups): feeling outsider, being uninterested, reflecting benefit, and enthusiastic using. Objective: This study identifies differences in the biopsychosocial profiles of patients with cardiac disease in e-usage groups and deepen the understanding of these profiles in cardiac rehabilitation. Methods: Focus group interviews and measurements were c…

Effects of a workplace physical exercise intervention on the intensity of low back symptoms in office workers: A cluster randomized controlled cross-over design

Objectives. The purpose of the study was to examine the effects of a workplace physical exercise intervention on the intensity of low back symptoms. Methods. The study was a cluster randomized controlled trial with department (n = 4) as the unit of randomization. The subjects were office workers [(n = 36), mean age 47.1 (SD 8.4) years] who self-reported low back symptoms, which restricted their daily activities during the last 12 months. Low back symptoms were measured using the Borg CR10 scale. The cross-over design consisted of one intervention period of light resistance training and guidance and no training and no guidance of 15 weeks duration. Statistical analyses were based on linear m…

Sosiaali-, terveys- ja kuntoutusalan opettajien osaaminen ja sen kehittäminen

Johdanto: Sosiaali-, terveys- ja kuntoutusalan (soteku) toimintaympäristö on jatkuvasti muuttuva ja kehittyvä. Jotta pätevien opettajien saatavuus turvataan myös tulevaisuudessa, tarvitaan jatkuvaa terveystieteiden opettajakoulutuksen uudistamista ja systemaattista sosiaali-, terveys- ja kuntoutusalan opettajien osaamisen kehittämistä. Tarkoitus: TerOpe-hankkeen tarkoituksena oli kehittää valtakunnalliset ja kansainvälisesti vertailukelpoiset soteku-opettajien osaamisvaatimukset, ja luoda osaamisen kehittämisen malli opettajien suunnitelmalliselle, uran aikaiselle osaamisen kehittymiselle. Lisäksi hankkeessa kehitettiin digipedagogiikan verkko-opintojakso ja digitaalinen osaamisverkosto ala…

Factors explaining being present at work in the forest industry, case–control study

Objectives: The aim of the study was to examine factors explaining few sickness absence hours (=SAH) among forest industry employees. Methods: The source population consisted of 636 forest industry employees in Finland, of which 140 were used as cases (SAH ≤ 1.5% during the past 6.5 years). Controls (140) were randomly selected from the source population (SAH > 1.5%). The study data were collected via a questionnaire. The response rate was 65.4% (mean age 48.5 years, men 67%). Discriminant and log-linear analysis were used to examine the relationships between variables and study groups. Results: Workers are more likely to have few sickness absences when their overall subjective health condi…

Effects of a workplace physical exercise intervention on the intensity of headache and neck and shoulder symptoms and upper extremity muscular strength of office workers: A cluster randomized controlled cross-over trial

The purpose of the study was to examine the effects of a workplace physical exercise intervention on the perceived intensity of headache and the intensity of symptoms in the neck and shoulders, as well as on the extension and flexion strength of the upper extremities. The study was a cluster randomized controlled trial. The cross-over design consisted of physical exercise intervention (15 weeks) and no-intervention (15 weeks). The subjects (n=53) were office workers (mean age 46.6 (SD 8.4)) who reported headache (n=41) symptoms in the neck (n=37) or shoulders (n=41), which had restricted their daily activities during the last 12 months. Pain symptoms were measured using the Borg CR10 scale …

Exercise treatment effect modifiers in persistent low back pain: an individual participant data meta-analysis of 3514 participants from 27 randomised controlled trials

BackgroundLow back pain is one of the leading causes of disability worldwide. Exercise therapy is widely recommended to treat persistent non-specific low back pain. While evidence suggests exercise is, on average, moderately effective, there remains uncertainty about which individuals might benefit the most from exercise.MethodsIn parallel with a Cochrane review update, we requested individual participant data (IPD) from high-quality randomised clinical trials of adults with our two primary outcomes of interest, pain and functional limitations, and calculated global recovery. We compiled a master data set including baseline participant characteristics, exercise and comparison characteristic…

Health science student teachers' perceptions of teacher competence: A qualitative study.

Abstract Background Health science teacher competence is multifaceted and continuously changing according to national and international healthcare standards. Organizational restructuring and emphasis on cost effectiveness is changing the scope of health science teachers' practical work and their role in healthcare (worldwide). Aim This study aimed to describe student teachers' perceptions of the competencies needed to work as an educator in the healthcare field. Objective of study was to gain new knowledge which can be used in the development of teacher education programs in nursing science and to define a broader definition of the health science educators. Methods A qualitative study was c…

Ihmisarvoinen kuntoutus

Laaja-alaisesti ymmärretty kuntoutus kohdistuu sellaisiin fyysisiin, psyykkisiin, sosiaalisiin ja kognitiivisiin tekijöihin, joiden nähdään rajoittavan yksilöiden toimintakykyä. Kuntoutuksen kehittämiseen kohdistuu monista syistä sellaisia odotuksia, joita nykyisen kuntoutuksen tutkimuksen valtavirta ei täysimittaisesti tue. Tämä tutkimus keskittyy lähinnä terapeuttisten palvelujen vaikutusten tutkimiseen yhdellä toimivalla alalla (esimerkiksi fyysinen tai psyykkinen) ja usein vain yhdellä toimintarajoituksella (esimerkiksi tasapaino tai kävely). Tässä artikkelissa korostetaan tarvetta monialaiseen tieteidenväliseen tutkimukseen, koska myös kuntoutuksen tulisi olla monialaista ja moniammati…

The Added Value of Remote Technology in Cardiac Rehabilitation on Physical Function, Anthropometrics, and Quality of Life: Cluster Randomized Controlled Trial

Background Cardiovascular diseases (CVDs) cause most deaths globally and can reduce quality of life (QoL) of rehabilitees with cardiac disease. The risk factors of CVDs are physical inactivity and increased BMI. With physical activity, it is possible to prevent CVDs, improve QoL, and help maintain a healthy body mass. Current literature shows the possibilities of digitalization and advanced technology in supporting independent self-rehabilitation. However, the interpretation of the results is complicated owing to the studies’ high heterogeneity. In addition, the added value of this technology has not been studied well, especially in cardiac rehabilitation. Objective We aimed to examine the…

Social, health and rehabilitation sector educators’ competence in evidence-based practice : A cross-sectional study

Aim: The purpose of the study was to identify and describe the characteristic profiles of evidence-based practice competence of educators in the social, health and rehabilitation sectors and to establish relevant background factors. Design: This study was carried out as a descriptive cross-sectional study. Methods: Data were collected from social, health and rehabilitation sector educators working in the 21 Finnish universities of applied sciences and seven vocational colleges (n = 422; N = 2,330). A self-assessment instrument measuring evidence-based practice competence was used. Competence profiles were formed using a K-cluster grouping analysis. Results: Three distinct competence profile…

The competencies of physiotherapist teachers and the benefits of their education – Editorial

The operating environment in the social, health care and rehabilitation sector is continuously evolving. Physiotherapy is a part of the rehabilitation services, which is undergoing a major reform p...

Exercise treatment effect modifiers in persistent low back pain : an individual participant data meta-analysis of 3514 participants from 27 randomised controlled trials

Background: Low back pain is one of the leading causes of disability worldwide. Exercise therapy is widely recommended to treat persistent non-specific low back pain. While evidence suggests exercise is, on average, moderately effective, there remains uncertainty about which individuals might benefit the most from exercise. Methods: In parallel with a Cochrane review update, we requested individual participant data (IPD) from high-quality randomised clinical trials of adults with our two primary outcomes of interest, pain and functional limitations, and calculated global recovery. We compiled a master data set including baseline participant characteristics, exercise and comparison character…

Cardiac Rehabilitees' Technology Experiences Before Remote Rehabilitation : Qualitative Study Using a Grounded Theory Approach

Background: Even though technology is becoming increasingly common in rehabilitation programs, insufficient data are as yet available on rehabilitees’ perceptions and experiences. It is important to understand their abilities when using technology for remote rehabilitation. Objective: This is a qualitative study on technology experiences of persons affected by cardiovascular disease assessed before remote rehabilitation. The aim of the study was to explore rehabilitees’ experiences and attitudes toward technology before 12 months of remote rehabilitation. Methods: Qualitative interviews were conducted with 39 rehabilitees in four focus groups. The subjects were aged 34 to 77 years (average …

The effects of technology-utilising rehabilitation on rehabilitees' physical activity: a prospective cohort study

The aim of this study was to investigate the effects of technology-utilising rehabilitation on different intensities of physical activity (PA) and determine the explanatory factors of PA change. This was a prospective cohort study. Cardiac, musculoskeletal and vocational rehabilitees (N = 36) had 6 months of rehabilitation, which included guided training and counselling face-to-face as well as through distance technology. PA (total, light, moderate, vigorous) was measured by an activity tracker. Biopsychosocial questionnaires, waist circumference, PA measurements and m-coach activity were used to determine the factors that influence PA change. Technology-utilising rehabilitation improved li…

Effectiveness of Technology-Based Distance Physical Rehabilitation Interventions for Improving Physical Functioning in Stroke: A Systematic Review and Meta-analysis of Randomized Controlled Trials.

OBJECTIVE: To study the effectiveness of technology-based distance physical rehabilitation interventions on physical functioning in stroke. DATA SOURCES: A systematic literature search was conducted in 6 databases from January 2000 to May 2018. STUDY SELECTION: Inclusion criteria applied the patient, intervention, comparison, outcome, study design framework as follows: (P) stroke; (I) technology-based distance physical rehabilitation interventions; (C) any comparison without the use of technology; (O) physical functioning; (S) randomized controlled trials (RCTs). The search identified in total 693 studies, and the screening of 162 full-text studies revealed 13 eligible studies. DATA EXTRACT…

Effectiveness of Distance Technology in Promoting Physical Activity in Cardiovascular Disease Rehabilitation : Cluster Randomized Controlled Trial, A Pilot Study

BackgroundPhysical activity is beneficial for cardiovascular rehabilitation. Digitalization suggests using technology in the promotion of physical activity and lifestyle changes. The effectiveness of distance technology interventions has previously been found to be similar to that of conventional treatment, but the added value of the technology has not been frequently studied. ObjectiveThe aim of this pilot study was to investigate whether additional distance technology intervention is more effective in promoting physical activity than non-technology–based treatment in 12 months of cardiac rehabilitation. MethodsThe cardiovascular disease rehabilitation intervention consisted of three 5-day…

Continuing professional development among social‐ and health‐care educators

Future social‐ and health‐care educators will be required to have versatile competence in educating professionals that reflects both the constantly changing health‐care environment and delivery of high‐quality patient care. Continuing professional development can be defined as a process that aims to increase educators' competence and well‐being, along with the effectiveness of an organisation. This study aimed to describe educators' continuing professional development and clarify the contribution of continuing education. The research applied a qualitative approach as only limited information about social‐ and health‐care educators' professional development currently exists.’ Data were colle…

The core competences of Finnish physiotherapists in the light of research data

Competence areas of health science teachers - A systematic review of quantitative studies.

Abstract Background In the face of rapid digitalisation and ever-higher educational requirements for healthcare professionals, it is important that health science teachers possess the relevant core competences. The education of health science teachers varies internationally and there is no consensus about the minimum qualifications and experience they require. Objective The aim of this systematic review was to describe the health science teachers' competences and the factors related to it. Design Systematic review of original quantitative studies. Data sources Four databases were selected from which to retrieve original studies: Cinahl (Ebsco), PubMed, Medic, Eri (ProQuest). Review Methods …

Social, health care and rehabilitation educators' competence in professional education—Empirical testing of a model

The social and health care educator's role in educating future professionals need to be stronger emphasised and deserves international recognition. The purpose of this study was to develop and test an empirical model of social and health care educators' competence in higher and professional education. The presented research employed a cross-sectional study design. Data were collected using HeSoEduCo-instrument from 28 educational institutions in Finland. The model was empirically tested with confirmatory factor analysis through Structural Equation Modelling that applied the Full Imputation Maximum Likelihood estimator. A total of 422 social and health care educators participated in the stud…

Effects of a physical exercise intervention on subjective physical well-being, psychosocial functioning and general well-being among office workers: a cluster randomized-controlled cross-over design.

The purpose of the study was to examine the effects of a workplace physical exercise intervention on subjective physical well-being, psychosocial functioning and general well-being. The study was a cluster randomized-controlled trial with the department (n=4) as the unit of randomization. The subjects (n=90) were office workers [mean age 45.7 (SD 8.5) years]. Psychosocial functioning and well-being variables were measured by descriptive visual rating scales. The cross-over design consisted of one 15-week intervention period of light resistance training and guidance and another 15-week period of no training and no guidance. The statistical analysis was based on linear mixed models. The activ…

Qualitative study of social and healthcare educators’ perceptions of their competence in education

Competent educators are needed to ensure that social and healthcare professionals are effective and highly competent. However, there is too little evidence-based knowledge of current and required enhancements of educators' competences in this field. The aim of this study was to describe social and healthcare educators' perceptions of their competence in education. The study had a qualitative design, based on interviews with educators and rooted in critical realism. Forty-eight participants were recruited from seven universities of applied sciences and two vocational colleges in Finland, with the assistance of contact persons nominated by the institutions. The inclusion criterion for partici…

Musculoskeletal disorders and disability among forest industry workers in lower and higher sickness absence groups: a case-control study

Background: Musculoskeletal wellbeing and disorders and explanatory factors were investigated among forest industry employees. Methods: A new positive approach to maintenance of working ability focuses on being present at work. 140 individuals with low sickness absence (≤1.5% in hours during the past 6.5 years) and 140 controls with higher sickness absence (>1.5%), randomly selected from the source population (n = 636) in workplace clusters (n = 5), were studied. Questionnaire data on functioning, musculoskeletal disorders (MSD) and disability, work ability and wellbeing were collected (response rate 65%) during December 2012–January 2013. 183 employees (mean age 48.5; females 32%) particip…

Evidence for the effectiveness of walking training on walking and self-care after stroke: A systematic review and meta-analysis of randomized controlled trials

Objective: To examine the effect of randomized controlled trials of walking training on walking and self-care in patients with stroke. Data sources: MEDLINE, CINAHL, Embase, PEDro, OTSeeker, Central, and manual search to the end of August 2012. Study selection: English, Finnish, Swedish, or German language walking training randomized controlled trials for patients over 18 years of age with stroke. Data synthesis: The meta-analyses included 38 randomized controlled trials from 44 reports. There was high evidence that in the subacute stage of stroke, specific walking training resulted in improved walking speed and distance compared with traditional walking training of the same intensity. In t…

Qualitative study of social and healthcare educators’ perceptions of their competence in education

Competent educators are needed to ensure that social and healthcare professionals are effective and highly competent. However, there is too little evidence‐based knowledge of current and required enhancements of educators' competences in this field. The aim of this study was to describe social and healthcare educators’ perceptions of their competence in education. The study had a qualitative design, based on interviews with educators and rooted in critical realism. Forty‐eight participants were recruited from seven universities of applied sciences and two vocational colleges in Finland, with the assistance of contact persons nominated by the institutions. The inclusion criterion for partici…

Physical dose of therapeutic exercises in institutional neck rehabilitation

Objective: To determine the intensity and volume of therapeutic exercises during a standard 13-day inpatient neck rehabilitation course in relation to overall physical activity in rehabilitation and everyday life. Design: Cross-sectional study. Methods: Subjects (n=19; 16 women and 3 men; mean age 48.6 years, standard deviation (SD) 6.6) with chronic nonspecific neck pain were recruited from two inpatient neck rehabilitation courses. Intensity and volume of therapeutic exercises and physical activity were measured in metabolic equivalents (METs) with an objective measurement device and all-time recall questionnaire. Maximum oxygen uptake was determined in METs (METc) by direct maximal cycle…

Social and health care educators' perceptions of competence in digital pedagogy: A qualitative descriptive study

Abstract Background Digitalisation has made digital competence a necessity for those working in social and healthcare. A high degree of competence in digital pedagogy is required of educators to meet the challenge of educating future professionals who are themselves highly digitally competent. Objectives The aim of this study was to describe the perceptions of competence in digital pedagogy that educators in social and healthcare have. Design A qualitative descriptive study. Participants The participants were Finnish-speaking social and healthcare educators (n = 37) working at six Finnish universities of applied sciences (UAS). Methods Group interviews (n = 12) were conducted during spring …

Laaja-alainen ja monikerroksinen kuntoutuksen osaaminen

Tämä tutkimus liittyy 2014 Opetus- ja kulttuuriministeriön (OKM) ja ammattikorkeakoulujen käynnistämään korkeakouludialogiin OKM:n, sosiaali- ja terveysministeriön, Valviran, ammattikorkeakoulujen ja sidosryhmien välillä. Jyväskylän yliopiston terveystieteiden laitos teki OKM:n kanssa yhteistyössä tutkimukseen perustuvan selvityksen kuntoutuksen osaamisesta (2014–15). Tutkimus liittyi kuntoutusalan ammattikorkeakoulukoulutukseen, ja kuntoutusaloiksi oli määritelty apuvälinetekniikka, fysioterapia, jalkaterapia, kuntoutuksen ohjaaja, naprapatia, osteopatia ja toimintaterapia. Tutkimuksen tavoitteena oli selvittää työelämän, opettajien ja opiskelijoiden näkemyksiä kuntoutusalan koulutuksesta …

Sickness Absence at Work and Supporting Being Present At Work, Among Employees Working Different Shifts in the Forest Industry

Objective: Shift work has negative effects on employee overall health, including sleep disorder, depressive symptoms, and cardiovascular and metabolic diseases. The association between shift work and the prevalence of sickness absence has been less studied. This study investigated sickness absence among employees working different work shift schedules in the forest industry. Method: This descriptive cross-sectional study used employee (N=636) data from forest industry sick-leave registers. The study population (n=280; women n=90 and men=189) worked five different shifts. Each of the five shifts was analyzed separately for sickness absence rate and the results were compared using independent…

A Systematic Review and Metasynthesis of Qualitative Studies on the Competencies of Health and Rehabilitation Science Educators

Background. Health and rehabilitation science educators’ competence greatly influences students’ professional development in a changing world. To ensure the availability of qualified health and rehabilitation science educators in the future, there is a need for continuous reforms in this sector to develop the educators’ competence in this sector. Objective. The aim of this systematic review was to find new evidence on educators’ experiences of their competence in health and rehabilitation science higher education. Methods. The study was a systematic review of previous peer-reviewed qualitative studies. The inclusion criteria were planned according to PICo: health and rehabilitation science …

Enhancing social and health care educators’ competence in digital pedagogy: A pilot study of educational intervention

The purpose of this pilot study was to explore connection of an educational intervention on the competence of health care educators and educator candidates (n=11) in digital pedagogy as a part of national TerOpe project. An educational intervention, Basics of Digital Pedagogy was developed by the TerOpe project’s experts. The participating educators and educator candidates of the educational intervention were recruited from the universities and university of applied sciences, which were involved in TerOpe project. All the participants of the educational interventions were invited to take part in this study. The educational intervention was conducted during spring 2019. Pre- and post-tests w…

Health and Social Care Educators’ Competence in Digital Collaborative Learning : A Cross-Sectional Survey

The ongoing change from traditional pedagogy to digital collaborative learning requires a new mode of teaching, learning, and educators’ responsibilities. For competence in digitally mediated teaching, educators need understanding of how to provide appropriate digital environment to learn collectively and individually. The aim of this study was to describe and explore health and social care educators’ perceptions of their current level of competence in digital collaborative learning and identify distinct educators’ profiles. Data were collected via cross-sectional survey from educators in 21 universities of applied science and eight vocational colleges in Finland using an instrument coveri…

Health science student teachers’ perceptions of teacher competence:a qualitative study

Background. Health science teacher competence is multifaceted and continuously changing according to national and international healthcare standards. Organizational restructuring and emphasis on cost effectiveness is changing the scope of health science teachers' practical work and their role in healthcare (worldwide). Aim. This study aimed to describe student teachers' perceptions of the competencies needed to work as an educator in the healthcare field. Objective of study was to gain new knowledge which can be used in the development of teacher education programs in nursing science and to define a broader definition of the health science educators. Methods. A qualitative study was conduct…

Sosiaali-, terveys- ja kuntoutusalan opettajien digitaalinen osaaminen

Tiivistelmä Tutkimuksen tarkoituksena oli kuvata sosiaali-, terveys- ja kuntoutusalan (soteku) opettajien (n=388) digitaalista osaamista osana TerOpe-hanketta. Aineisto kerättiin DigCompEdu CheckIn Self-reflection Tool -itsearviointityökaluun perustuvalla mittarilla, joka sisälsi 21 (strukturoitua) väittämää ja yhden avoimen kysymyksen. DigCompEdu-viitekehyksen kuutta osa-aluetta (ammatillinen sitoutuminen, digitaaliset resurssit, opettaminen ja oppiminen, arviointi, oppijoiden voimaannuttaminen ja oppijoiden digitaalisen osaamisen tukeminen) käytettiin sekä määrällisen aineiston keskiarvomuuttujien muodostamisessa että laadullisen aineiston deduktiivis-induktiivisen analyysin runkona. Opet…

Effectiveness of physical activity promoting technology-based distance interventions compared to usual care. Systematic review, meta-analysis and meta-regression.

Introduction Technology has been thought to have strong potential for promoting physical activity, but the evidence has remained unclear. The aim of this study was to examine whether a technology-based distance intervention promoting physical activity is more effective than a physical activity intervention without the use of technology. This systematic review is registered in Prospero (CRD42016035831). Evidence acquisition A systematic literature search of studies published between January 2000 to December 2015 was conducted in CENTRAL, EMBASE, Ovid MEDLINE, CINAHL, PsycINFO, OT-Seeker, WOS and PEDro. Studies were selected by two independent authors applying the following PICOS criteria P) …

Continuing professional development among social‐ and health‐care educators

Future social- and health-care educators will be required to have versatile competence in educating professionals that reflects both the constantly changing health-care environment and delivery of high-quality patient care. Continuing professional development can be defined as a process that aims to increase educators' competence and well-being, along with the effectiveness of an organisation. This study aimed to describe educators' continuing professional development and clarify the contribution of continuing education. The research applied a qualitative approach as only limited information about social- and health-care educators' professional development currently exists.' Data were colle…

Digital Learning Interventions in Higher Education: A Scoping Review.

Abstract This scoping review was undertaken to synthesize and describe research related to digital learning interventions in higher education, focusing on technological outcomes. Five electronic databases were searched, and 86 articles were included in the review. The data related to positive and negative technological outcomes and authors’ suggestions were analyzed using inductive content analysis. The articles represented six disciplines across six continents and included quantitative (n = 65), qualitative (n = 3), and mixed-methods (n = 18) intervention studies. For positive technological outcomes, digital formats of learning were considered effective and participatory forms of learning …

Patients' experiences of the complex trust-building process within digital cardiac rehabilitation.

The development of digital solutions is becoming increasingly important in facing global challenges. Therefore, research on this topic is important in taking into account cardiac patients’ experiences of the rehabilitation process for the design of digital counseling solutions. The aim of the present qualitative study was to explore the different meanings that patients give to the rehabilitation process using a Glaserian grounded theory (GT) approach. Qualitative interviews were conducted with 30 participants from a rehabilitation center in Finland. The findings indicated a “complex trust-building process” core category comprising five categories of trust-building in rehabilitation: feeling…