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R Raatikainen

Publications and source records attributed to R Raatikainen.

14 recordsLinked to original sources
PubMed1997

Nursing care as a calling.

A calling is a deep desire to devote oneself to serving people according to the high values of the task or profession. The aim of this study is to clarify the relationship between a calling experience and professional knowledge, nursing action and motivation. The data were collected from all the registered nurses (n = 179) at five hospitals. The response was 70%. The nurses who were committed to their profession and experienced their job as a calling, had a good knowledge about the ill feeling and maladjustment of their patients and were also good sources of support for their patients. They understood the importance of family ties and offered support to their patients' families. They were aware of the needs of dying patients and their concern with spiritual questions, and satisfied these needs well. It was characteristic for them to collaborate closely within a team, to experience the content of their work as enriching and to possess proficient professional abilities. They were therefore excellent in supporting both the individual patient and his or her family. They had a deep understanding of the whole process of patient care. According to these results the calling experience is not in conflict with professional principles.

Career Choice↗
PubMed1996

[Power or its absence in nursing].

Power is required to obtain professional goals. The aim of this study is to clarify the significance of power and the lack of it in the opinions of nurses and in prevailing nursing practice. The power of the nurse was measured by the nurse's own assessment of her/his capability to improve the quality of nursing care. The data were collected from all the registered nurses (n = 179) of five hospitals. The response was 70%. The powerful nurses had more knowledge, were better motivated, implemented policies more often, acted consciously towards nursing goals and collaborated better than the powerless nurses. The results demonstrated that nurses who had enough power possessed both wider and deeper cognitive and moral dimensions and had better skills in human interaction than did the powerless nurses.

Adult↗
PubMed1994

Power or the lack of it in nursing care.

Power is required to obtain professional goals. The aim of this study is to clarify the significance of power and the lack of it in the opinions of nurses and in prevailing nursing practice. The power of the nurse was measured by the nurse's own assessment of her/his capability to improve the quality of nursing care. The data were collected from all the registered nurses (n = 179) of five hospitals. The response was 70%. The powerful nurses had more knowledge, were better motivated, implemented policies more often, acted consciously towards nursing goals and collaborated better than the powerless nurses. The results demonstrated that nurses who had enough power possessed both wider and deeper cognitive and moral dimensions and had better skills in human interaction than did the powerless nurses.

Adult↗
PubMed1993

Finnish nursing homes: client well-being & staff development.

This study concerned the changes in the physical and mental problems experienced by patients before and after a staff education program on an experimental ward in a Finnish nursing home. It was difficult to conclude, on the basis of significant differences, whether the development program decreased the problems of patients. The findings, however, demonstrated that the patients on the experimental ward were significantly less anxious and dissatisfied after the program. It can be difficult to demonstrate significant differences in the outcome of "old" and "new" nursing practices, but changes may occur in many areas that the elderly can experience qualitatively but which cannot be expressed quantitatively.

Aged↗
PubMed1992

Subsistence insecurity and ill feeling in domiciliary care.

The purpose of this study was to analyse the relationship between the feeling of subsistence security and well feeling. For the study 129 patients in Helsinki domiciliary care were interviewed. Relationships between subsistence security and well feeling have been demonstrated by chi-square test. According to the findings physical, mental and social well feeling decreased when financial difficulties increased. Experienced improvement in health was less for those patients who had financial difficulties than for those who had not. The subsistence security was the main predictor of the variances of the sumvariables 'physical well-ill feeling' and 'mental and social well-ill feeling'. It can be suggested that for indigent people in domiciliary care it is not sufficient that a variety of services is available. It is therefore an important task of the nurses to strengthen the indigent patients' ability to utilize the different opportunities available in order to improve their well feeling and ability to cope at home.

Anxiety↗
PubMed1991

Social support, participation and collaboration of relatives in domiciliary care.

This article is based on material from two domiciliary care studies which were carried out in two large towns in southern Finland. The patients in domiciliary care received a considerable amount of both practical and mental or social support from their relatives. Support received from relatives correlated with patients' well-being. Patients who had more difficulties with physical daily activities received more help from relatives than patients who had less difficulties. Therefore, the help from relatives was necessary for continuing home care, especially for those whose physical condition was poor. The participation of relatives in the patient's care, particularly when they were able to collaborate with domiciliary care providers, improved the quality of patient care and enhanced the security and satisfaction of the patient.

Activities of Daily Living↗
PubMed1991

Self-activeness and the need for help in domiciliary care.

The data in this paper are based on interviews of domiciliary care patients in Helsinki, Finland. The aim of the study was to compare self-active patients' (65) and non-self-active patients' (61) need for help and the help they received. The findings demonstrated that patients who had, to some extent, a 'better' background, received support from their relatives, assessed themselves as physically and especially mentally healthier and were socially stronger, were also more often self-active than patients, who had a 'poorer' background, received little support and felt more ill. The non-self-active patients received help with some physical activities more often but not with mental and social problems. The self-active patients co-operated better with the care providers and considered the quality of care to be higher than did the non-self-active patients.

Activities of Daily Living↗
PubMed1991

Dissatisfaction and insecurity of patients in domiciliary care.

This paper is based on material from two domiciliary care studies undertaken in Finland. The purpose of this paper is to clarify on one hand the patient factors which relate to dissatisfaction and insecurity and on the other hand the significance of dissatisfaction and insecurity in patient care. The data were collected by interviewing patients (Helsinki: 129, Espoo: 215), by devising a care plan in Espoo and directing a questionnaire to the domiciliary care providers (Helsinki: 202, Espoo: 64). About one in 10 of the patients was dissatisfied and insecure. Correlation between dissatisfaction and insecurity was high (Helsinki: r = 0.63***, Espoo: r = 0.53***). The dissatisfaction was associated more with external factors, which appeared as a behaviour perceived by others. The quality of human relationships in care was the main predicting factor of the variance of dissatisfaction. Insecurity again was linked more with internal factors. The main factor which predicted the variance of insecurity was the quality of human relationships in care but also the well-planned goal-oriented care. A dissatisfied patient who actually feels insecure, can be perceived as being unco-operative, non-compliant and unpopular by care providers.

Aged↗
PubMed1989

Values and ethical principles in nursing.

In this paper I explore what kind of values enter into the different dimensions of the human being and how the principles of freedom, brotherhood and equality relate to the well-being of man, and further how technology, bureaucracy and specialization may curtail the observance of humaneness in nursing care. I also discuss the compatibility or incompatibility of values in nursing and the increasingly scientific nature of nursing. Respect for freedom is a condition for personal growth and development; recognition of the value of brotherhood is a condition for social participation; and equality a condition for meeting physical needs. However, these values are linked together and form a whole. The scientific nature of nursing contributes to the clarification of values in nursing. My doctoral dissertation, 'Self-care and nursing', on which this paper is based, deals with values and principles in nursing.

Beneficence↗