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Ikääntyneiden kaltoinkohtelu ja heidän hoitonsa laiminlyöminen on globaali ongelma, joka on huolestuttavasti lisääntynyt viime vuosina. Tämän tutkimuksen tarkoituksena oli kuvata sairaalan ulkopuolisen ensihoidon työntekijöiden kokemuksia ikääntyneiden kaltoinkohtelun ilmenemisestä. Tavoitteena oli tuottaa tietoa kaltoinkohdeltujen ikääntyneiden hoitotyön kehittämiseksi. Tutkimusaineisto kerättiin Webropol-kyselynä yhden sairaanhoitopiirin ensihoitajilta sekä Suomen Ensihoitoalan Liiton kautta Suomessa toimivilta ensihoitoalan ammattilaisilta 1.11.2019–29.2.2020. Tutkimuskyselyyn osallistui 200 henkilöä. Kvalitatiivinen tutkimusaineisto analysoitiin induktiivisella sisällönanalyysillä ja kvantitatiivinen tutkimusaineisto SPSS for Windows 22 -ohjelmalla. Yli puolet (56 %) vastaajista oli kohdannut melko tai erittäin paljon ikääntyneiden kaltoinkohtelua ensihoitotehtävien yhteydessä. Ikääntyneiden kaltoinkohtelu ilmenee tutkimustulosten mukaan monimuotoisena. Ensihoitajien tunnistama ikääntyneiden kaltoinkohtelu on psykososiaalista, fyysistä, taloudellista ja teknologista. Lisäksi se ilmenee laiminlyönteinä perustarpeiden ja asumisolosuhteiden huomioimisessa sekä voinnin seuraamisessa ja sairauksien hoidossa. Kaltoinkohtelijana tai hoidon ja huolenpidon laiminlyöjänä on joko iäkkään ihmisen läheinen, usein omaishoitaja tai muu perheenjäsen, tai kotihoidon tai kotisairaanhoidon ammattilainen. Experiences of elder abuse in out-of-hospital emergency care Elder abuse and neglect are a global problem, which has increased alarmingly in recent years. The purpose of this study was to describe out-of-hospital emergency care providers’ experiences of elder abuse identification and forms of abuse, and the aim was to produce knowledge that can be used to develop care services for abused older people. The research data were generated between 1 January 2019 and 29 February 2020 with emergency care providers of one hospital district and with members of the Finnish Association of Paramedics and A & E Nursing Professionals across Finland using the Webropol survey tool. The study involved 200 participants. Qualitative data were analysed by inductive content analysis, while quantitative data were analysed using SPSS for Windows 22. More than half (56%) of the emergency care providers had encountered rather much or very much elder abuse in the context of emergency responses. According to the results, they had witnessed various forms of elder abuse. The abuse identified by the emergency care providers included psychosocial, physical, economic, and technological abuse. In addition, it involved neglecting the older people’s basic needs, and failing to attend to their living conditions, to observe their condition, and to care for their illnesses. The abuse and neglect of care and nursing needs was carried out by either persons close to the old person, often a family caregiver or other family member, or by home care or home nursing professionals.

Nurses caring for critically ill patients need compassionate attention and support, especially during exceptional times. The aim of this study was to provide a trustworthy description of nurses' experiences and expectations for compassionate leadership and compassion at a central hospital in Finland. The study was conducted during the early stage of the coronavirus 2019 pandemic.The voluntary nature and anonymity of the survey were stressed in the cover letter, to make sure that participants did not perceive any undue influence caused by participating in the study.The participants were 50 intensive care and emergency nurses of a central hospital. An online survey tool with open questions was used to collect data on the meaning of compassion and on nurses' experiences and expectations of compassion and compassionate leadership. Inductive content analysis was used to analyse the data.The nurses reported a great variety of positive experiences of compassion, although the emphasis in this study seemed to be on the absence of compassion, especially in regard to leadership. The nurses expected individual attention and genuine physical and psychological presence from their immediate supervisors.One researcher analysed the data, which can cause some bias in the qualitative analysis.Immediate supervisors express compassion by being physically present and by fostering an open dialogue. Compassion received from leaders and colleagues may be reproduced in patient contacts, which can increase patients' confidence and psychological safety. Participatory and simulation-based learning methods, which involve shared reflection, are recommended for compassionate leadership skills.

The aim of this study is to investigate how intensive and emergency nurses rated the adequacy of compassionate leadership during the early stages of the Covid-19 pandemic.The pandemic has resulted in nurses' increased stress and need for compassion from leaders. Compassionate leadership is here defined as a number of leadership practices based on altruistic values and emotional intelligence.This is a quantitative descriptive cross-sectional study based on a questionnaire for 50 intensive and emergency care nurses in a central hospital in Finland.The pandemic had increased nurses' need for compassion, but their needs for support had not been met and their strengths and competence appreciated sufficiently. They agreed that compassionate leadership could be developed through experience and personal development rather than through education.Compassionate leadership is a process that involves a number of leadership practices based on altruistic values and emotional intelligence and benefits from recognition and use of employee strengths. Leaders and employees could benefit from simulation-based learning, work supervision and discussion led by external facilitators.Compassionate leadership involves approachability, genuine presence and listening, which could be developed through work-based learning combined with reflection.

Objective: This qualitative study provides up-to-date knowledge about today’s nursing students’ views and experiences of factors that can increase or decrease the attractiveness of nursing and presents students’ ideas for improving the nursing profession.Methods: Data were collected from 168 nursing students at the University of Applied Sciences in Finland through an online survey in March 2022. Inductive content analysis was used to analyze the data.Results: According to the students, the attractiveness of nursing is decreased because nursing is not adequately appreciated, the resources and salary do not match the workload, the working atmosphere can be detrimental to psychological well-being, and there is frequently little support from nurse leaders. Factors that could increase the profession’s attractiveness involve advancing nursing’s role at the level of individuals, organizations, and society; meaningfulness of nursing duties, influencing one’s work; better working conditions and well-being at work; development of nursing leadership; and work and career advancement. Students suggest promoting marketing and the appreciation of nursing, developing leadership and the theoretical and practical competence of supervisors, promoting nurses’ daily coping and well-being at work, and raising salaries.Conclusions: The status and image of nursing must be addressed at the level of individuals, organizations, and society, both nationally and internationally. Nurses themselves must appreciate their profession and feel that they have a possibility to advance their careers.