Arvo building, lecture hall F212, address: Arvo Ylpön katu 34
Doctoral defence of MMSc Sibylle Maja Frey
The field of science of the dissertation is Gerontology.
The opponent is professor Anna-Maija Pietilä (University of Eastern Finland). Professor Marja Jylhä acts as the custos.
The language of the dissertation defence is English.
Health promotion by nurses for older persons in hospitals
For many years, health promotion and its aim to enable people to control and improve their health situation, has been a recommended task throughout the different health professions. This dissertation describes the actual situation with regards to health promotion by nurses of older persons’ aged 65+ in acute hospitals in Switzerland. Described are the theoretical and practical expectations of health care experts with regards to nurses’ health promotion for older persons in acute hospitals. Furthermore, the clinical nurses’ experiences and the hospitalised older persons’ perceptions of the performed health promotion activities in the daily clinical life have been recorded. Additionally, older persons were asked to explain their needs and requirements concerning health promotion performed by nurses at the hospital. The objective of this study is to answer the question: do the competences of nurses’ health promotion, which are required by health care experts’, meet the older persons’ needs and do they correlate to the actual situation of the daily clinical work of nurses at the acute hospital setting.
The findings clearly indicated that there is a gap between the theory and the practise of nurses’ health promotion. If health promotion is to be an integrated part of professional nursing, as expected by the older persons and as required by the health care experts, the commitment to health promotion has to be improved and reinforced by all of the concerned parties. This is of upmost importance as the findings of this study clearly indicated that the daily clinical practice does not fulfil expectations. Specifically, there needs to be a clearly defined and agreed upon framework of nursing health promotion so that all the engaged parties, involved in the interprofessional collaboration know and understand what their objectives are; that they are able to discuss any issues or challenges and can be rewarded appropriately. Finally, it is essential that the nurses and older persons along with their families make shared decisions during the planning, performing and analysing of health promotion activities. This is an absolute requirement to improve the quality of health promotion and quality of health in general.
The dissertation is published in the publication series of Acta Universitatis Tamperensis; 2347, Tampere University Press, Tampere 2018. The dissertation is also published in the e-series Acta Electronica Universitatis Tamperensis; 1852, Tampere University Press 2018.