Background: Immigrants have a higher risk of developing chronic diseases than the general population, but there is a lack of knowledge about appropriate counseling models to promote their health. This study aimed to explore Asian and Russian immigrants’ perspectives in Finland on healthy lifestyle and healthy lifestyle counseling to improve the quality of the counseling in primary health care services to prevent type 2 diabetes and other chronic diseases. Methods: We conducted a qualitative study using semi-structured questions for eight focus groups. The participants were 46 adult immigrants (21 Asian and 25 Russian) living legally in Finland. Interviews were transcribed verbatim, coded, and analyzed using deductive content analysis. Results: We identified three themes regarding healthy lifestyle: (1) limited knowledge on different dimensions of healthy lifestyle, (2) understanding the impact of culture and community on healthy living, and (3) changing the lifestyle to live healthier after immigration. Moreover, we found three themes regarding healthy lifestyle counseling: (1) shortcomings in health care for providing healthy lifestyle counseling, such as lack of educational materials and miscommunication, (2) influential individual factors for using healthy lifestyle counseling, such as stress, and (3) positive outcomes of healthy lifestyle counseling. Conclusion: Developing a culturally tailored healthy lifestyle counseling program for the enhancement of immigrants’ knowledge regarding healthy lifestyle with consideration of cultural and linguistic aspects is recommended for preventing chronic diseases among immigrants.
Background. The severity of the disease and the anxiety caused by working with a patient in a critical situation increase the need of supporting both families and nurses. Objectives. To evaluate the effect of implementing a supportive-educational programme for nurses on the family nursing practice, family satisfaction and family perceived support in the intensive care unit. Material and methods. A non-randomised intervention study was performed on 90 patients' family members and 72 intensive care unit nurses. The supportive-educational programme included a 6-hour face-to-face workshop for nurse managers to create a supportive work environment for nurses and a one-month online educational programme for nurses. The Family Nursing Practice Scale was completed by the nurses. The Family Satisfaction-ICU scale and ICE-Family Perceived Support Questionnaire were completed by the family members on the third and tenth day after the patient's hospitalisation. Results. A statistically significant difference was found between the mean score of family nursing practice before (Mean = 26.36, SD ± 4.9) and after the intervention (Mean = 20.66, SD ± 6.6). The mean score of family satisfaction on day 10 showed a statistically significant difference between the groups (intervention Mean = 73.97, SD ± 9.18, control group Mean = 92.15, SD ± 10.25). The mean score of the family perceived support was significantly different in both groups on the third day of hospitalisation (intervention Mean = 45.15, SD ± 9.18 and control group Mean = 48.4, SD ± 4.98) and on the tenth day of hospitalisation (intervention Mean = 43.84, SD ± 6.48 and control group Mean = 53, SD ± 4.29). Conclusions. simultaneous support and training of nurses working in the intensive care unit can increase the desired outcomes related to the patient's family by improving their performance in relation to the family.
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