Electronic health records (EHRs) are an elementary part of the work registered nurses (RNs) in healthcare. RNs largest group healthcare workers, and their experiences with EHRs informatics competence play a crucial role fluent workflow. The present study examined EHR usability factors nurses' related to self-reported time pressure psychological distress.A nationwide survey was conducted for working-age 2017. sample included 3607 (5% men) Finland. association age, sex, employment sector,...

Constantly changing and difficult-to-use information systems have arisen as a significant source of stress in physicians' work. Physicians reported several usability problems, system failures, lack integration between the experienced that poorly support documentation retrieval patient data. This has kept rising 21st century, it seems may also affect well-being.This study aimed to examine associations (1) variables (perceived benefits, technical for feedback, user-friendliness), (2) number...

We aimed to study the prevalence of cardiovascular disease (CVD) risk factors among 11,000 inhabitants in Northern Helsinki, and identify high-risk individuals area direct them local primary-health-care-centred CVD-risk-factor prevention programme.We conducted a computer-assisted telephone interview (CATI), descriptive survey primary care unit searching for CVD within population under its responsibility. Six hundred sixty-seven aged 18-65 years out 1000 randomly chosen were interviewed using...

Background: Screening tools to identify persons with high cardiovascular risk exist, but less is known about their validity in different population groups. The aim of this article compare the sensitivity and specificity three disease scores ability detect high-risk individuals daily practice. Methods: charts based on Framingham Risk Function, SCORE (CVD) Score were analysed using a large factor survey database Finland. For end-points 10-year follow-up true positive, false negative cases...

Evaluation of the effect a quality improvement programme on cardiovascular disease (CVD) risk factor recording and levels in controlled study at two primary health care centres serving 26,000 inhabitants Northern Helsinki.From random sample patient records from 1995 (n=1,066), 1996 (n=1,042), 1997 (n=1,040) frequency CVD was measured changes mean total cholesterol, blood glucose, pressure, body weight were monitored during follow up period. The intervention (1995-1996) consisted lectures...

In clinical practice guidelines, the quality of available evidence is graded according to its reliability and quality. This study aimed evaluate research evidence, using levels in summaries 64 Finnish national evidence-based Current Care guidelines.Descriptive assessment.Electronic web-based guidelines Finland.The proportions with different (A-D).The had a total 2419 summaries. Of these, 532 (22.0%) were level A, 891 (36.8%) B, 808 (33.4%) C, 188 (7.8%) D. Most--that is, 81% C D dealt...

Potilastietojärjestelmien toimivuus on terveydenhuollon ammattilaisten työn sujuvuuden kannalta tärkeää. Tutkimme fokusryhmähaastattelujen avulla työprosesseja, tietojärjestelmien käyttökokemuksia ja stressaavuutta, sekä niiden vaikutuksia työhyvinvointiin. Haastattelujen analyysi toteutettiin käyttäen sisällön analyysiä.
 Tekniset ongelmat kuten käyttökatkokset hitaus, moniin järjestelmiin vaadittava kirjautuminen monien järjestelmien yhtäaikaiskäyttö aiheuttivat ammattilaisille...

Interprofessional care may provide some answers to the challenge of scarce healthcare resources, through utilization expertise various professionals improve evidence-based care. This was a two-year programme in primary care, where doctor and nurse pairs acted as intrinsic facilitators creating implementing local guidelines encouraging multiprofessional teamwork. The effect implementation studied by auditing professional opinion change, blood pressure, serum lipid HbA1C levels. After one...

Antihypertensive drug choices and treatment levels are not in accordance with the existing guidelines. We aimed to assess impact of a guideline implementation intervention on antihypertensive prescribing. In this controlled before after study, effects multifaceted (education, audit feedback, local care pathway) quality programme was evaluated. The carried out health centre between 2002 2003. From each unit (n = 31), doctor-nurse pair trained act as peer facilitators intervention. All drugs...

A clear process for selecting and adopting clinical practice guidelines in the new topic areas is needed. The aim of this study to design develop a practical tool assess guideline topics that have been suggested organization responsible producing guidelines.We carried out an iterative development, feasibility validation prioritization tool. setting included producer tax-funded health care system. In first stage participants were researchers, members Current Care Board experts from...

Objective. To describe the adoption of national Hypertension Guideline in primary care and to evaluate consistency views health centre senior executives on guideline's impact clinical practices treatment hypertension their centres. Design. A cross-sectional telephone survey. Setting. All municipal centres Finland. Subjects. Health where both head physician nursing officer responded. Main outcome measures. Agreement as recommended Guideline. Results. Data were available from 143 Finland...

Aims School health care offers a natural setting for childhood obesity interventions. Earlier studies reveal inadequate screening and treatment in primary care. However, longitudinal unselected populations are lacking. We aimed to examine how school nurses physicians identified obesity, diagnosed it offered interventions over school. compared the results with Finnish recommendations. Methods From our cohort of 2000 sixth graders (aged 12–14), 172 were obese at least once during manually...

School health care is crucial for obesity prevention. Data on constancy of childhood are still scarce, but highly necessary risk evaluation. We examined from electronic records (EHRs) the continuity during primary school and searched social behavioural characteristics associated with obesity. From randomly selected 2000 Finnish sixth graders (aged 12–14), we identified 402 'ever overweight' 172 obese' children who were overweight or obese at least once since their first grade. These cohort...

For targeted prevention and treatment of childhood obesity, primary health care needs methods to identify children potentially developing obesity. The objectives this study were examine transitions across weight categories their association with psychosocial family- school-related factors, data on which retrieved from records. This longitudinal cohort comprised 507 Finnish overweight, identified a random sample 2000 sixth graders in Helsinki 2013. We applied Markov multistate models analyze...

We aimed to identify groups of primary school children with similar overweight development, reveal age-related patterns development in the resulting and analyse overweight-related healthcare interventions.This retrospective longitudinal register study utilised electronic health records from six years. From a random sample 2000 sixth graders, we derived cohort 508 meeting criteria for at least once during school. investigated how many different (latent classes) weight would emerge by applying...

<h3>Objective</h3> To approximate the workload of blood pressure (BP) measurements and lifestyle counselling in primary healthcare when related guidelines are followed. evaluate impact facilitated guideline implementation with respect to workloads. <h3>Design</h3> Modelling study after cross-sectional audit process. <h3>Setting</h3> Thirty-one municipal health stations. <h3>Intervention</h3> Intrinsic facilitation hypertension guideline. <h3>Main outcome measures</h3> Number level (normal...

<sec> <title>BACKGROUND</title> Constantly changing and difficult-to-use information systems have arisen as a significant source of stress in physicians’ work. Physicians reported several usability problems, system failures, lack integration between the experienced that poorly support documentation retrieval patient data. This has kept rising 21st century, it seems may also affect well-being. </sec> <title>OBJECTIVE</title> study aimed to examine associations (1) variables (perceived...