1. Helsinki Metropolia University of Applied Sciences
The Client-Centeredness of Nursing Students and The Support Received to it Through Education. Students´ view.
Ly Kalam-Salminen PhD, RN, Principal Lecturer, Metropolia UAS, Finland
Olga Ruonala, Nursing Student Metropolia UAS, Finland
Leo Tuominen, Nursing Student Metropolia UAS, Finland
Ilme Aro, MNSc, Lecturer, University of Tartu
Pirkko Routasalo, PhD, RN, Professor, University of Tartu
18/11/18
Helsinki Metropolia University of Applied Sciences

2. Helsinki Metropolia University of Applied Sciences
Background:
Client-/patient-centeredness is a widely-applied and appreciated term.
The general idea and thinking behind the term is to refocus on the client and to respond to their specific and unique individual needs and wishes.
The activity and involvement of the client/patient in their care is also strongly advocated.
18/11/18
Helsinki Metropolia University of Applied Sciences

3. Significance of Client-centeredness:
Client-centeredness has a positive connection to
Client satisfaction
Commitment to care
Empowerment of both - Client and Caretaker
Improved overall cost-efficiency
Quality of nursing care
18/11/18
Helsinki Metropolia University of Applied Sciences

4. Helsinki Metropolia University of Applied Sciences
Background
Research on the current level of client-centeredness of nurses is insufficient.
Patient/client-centeredness in adult intensive care, elderly care and health education – project launched to adress this issue.
This presentation represents the health education partakers in the project.
Participants
Metropolia UAS
Central Ostrobothnia UAS
University of Tartu
Tallinna Tervishoiu Kõrgkool (Tallinn Health Care College)
Tartu Tervishoiu Kõrgkool (Tartu Health Care College)
18/11/18
Helsinki Metropolia University of Applied Sciences

5. Helsinki Metropolia University of Applied Sciences
Aim:
The aim of this presentation is to describe and compare the client-centeredness of graduating nursing students of two Finnish Universities of Applied Science and the support they received to it during their education.
18/11/18
Helsinki Metropolia University of Applied Sciences

6. Helsinki Metropolia University of Applied Sciences
Research questions:
How client-centered were the graduating nursing students?
How has the provided theoretical education supported the client-centeredness of the students?
How has the provided practical education(eg. work placement) supported the client-centeredness of the students?
What were the differences between the two UAS in client-centeredness and support?
18/11/18
Helsinki Metropolia University of Applied Sciences

7. Research methods: Sample
The data was collected in 2009 from the graduating nursing students (N = 195) of two Finnish Universities of Applied Sciences.
All students graduated as Registered Nurses, with some specializing in Midwifery, Public Health and Emergency Care.
18/11/18
Helsinki Metropolia University of Applied Sciences

8. Helsinki Metropolia University of Applied Sciences
Data collecting
The data was collected using a structured questionnaire including 19 backround variables and 46 research variables (statements).
The questionnaire was split into segments, each concerning a different aspect of client-centredness:
Value Base of Client-centeredness (6 statements)
Maintaining a Client-centered Atmosphere (8 statements)
Personal Key Abilities and Skills (14 statements)
Equality in the Patient-Caretaker Relationship (18 statements)
18/11/18
Helsinki Metropolia University of Applied Sciences

9. Helsinki Metropolia University of Applied Sciences
Data collecting
Each statement was to be assessed in three categories:
Current client-centeredness
Support from theoretical education
Support from practical education
The respondent was to choose a numerical value between 1(poor) and 5(excellent) that best reflected their assessment in each category
18/11/18
Helsinki Metropolia University of Applied Sciences

10. Helsinki Metropolia University of Applied Sciences
Data analysis
The data was statistically analyzed using the SPSS program.
Frequencies, standard deviations and mean averages have been used as indicators of client-centeredness and received support. The results are depicted using bar diagrams.
The correlation between client-centeredness and received support was tested using Spearman’s rho.
The differences between the two UAS were tested using the Mann-Whitney U Test.
18/11/18
Helsinki Metropolia University of Applied Sciences

11. Helsinki Metropolia University of Applied Sciences
Results:
Overall Current client-centeredness of Finnish Students
Students´ client-centeredness
Mean SD
Value Base of Client-centeredness
4,49
0,45
Maintaining a Client-centred atmosphere
4,20
Equality in the Patient-Caretaker Relationship
4,25
0,43
Personal Key Abilities and Skills
3,95
18/11/18
Helsinki Metropolia University of Applied Sciences

12. Helsinki Metropolia University of Applied Sciences
Differences between OB UAS and Metropolia UAS in Current client-centeredness
P-values ,01 no sign ,02 0,00
Asymp. Sig. (2-tailed)
18/11/18
Helsinki Metropolia University of Applied Sciences

13. Overall Support from Theoretical Education
Support provided by theoretical education
Mean SD
Correlation to Client-centeredness
P-value
Value Base of Client-centeredness
4,20
0,59
0,436
0,00
Maintaining a Client-centred atmosphere
3,76
0,64
0,522
Equality in the Patient-Caretaker Relationship
3,26
0,71
0,575
Personal Key Abilities and Skills
3,91
0,65
0,593
18/11/18
Helsinki Metropolia University of Applied Sciences

14. Helsinki Metropolia University of Applied Sciences
Differences between OB UAS and Metropolia UAS in Support from Theoretical Education
P-values ,47 0, , ,05
Asymp. Sig. (2-tailed)
18/11/18
Helsinki Metropolia University of Applied Sciences

15. Overall Support from Practical Education
Support provided by practical education
Mean SD
Correlation to Client-centeredness
P-value
Value Base of Client-centeredness
4,05
0,58
0,531
0,00
Maintaining a Client-centred atmosphere
3,84
0,59
0,576
Equality in the Patient-Caretaker Relationship
3,89
0,53
0,622
Personal Key Abilities and Skills
3,97
0,511
18/11/18
Helsinki Metropolia University of Applied Sciences

16. Helsinki Metropolia University of Applied Sciences
Differences between OB UAS and Metropolia UAS in Support from Practical Education
P-values no sign. no sign , ,22
Asymp. Sig. (2-tailed)
18/11/18
Helsinki Metropolia University of Applied Sciences

17. Helsinki Metropolia University of Applied Sciences
Conclusions:
On the whole, the students from the two Finnish UAS assessed themselves as being quite client-centered
Practical education was generally considered to provide slightly better support to client-centeredness than theoretical education.
Value Base of Client-centeredness was supported better by theoretical studies than practical education, but had the best support in both categories of education.
Equality in the Patient-Caretaker relationship received the weakest support, through theoretical education.
Students from Ostrobothnia UAS assessed themselves to be more client-centered AND that they received better support to it.
18/11/18
Helsinki Metropolia University of Applied Sciences

18. Helsinki Metropolia University of Applied Sciences
Discussion:
Educational resources should be focused on the areas in which students were found to be least client-centered
More specifically, students assessed themselves to be the least client-centered concerning the following statements in the segment Personal Key Abilities and Skills:
“I am able to use nursing equipment and technical appliances required in client care” (Mean 2,86)
“I know how to use information technology required in client care” (Mean 2,56)
“I develop my technical skills whenever I lack them” (Mean 2,83)
18/11/18
Helsinki Metropolia University of Applied Sciences

19. Helsinki Metropolia University of Applied Sciences
Discussion:
Further research is required to uncover the specific factors that produced the difference between the two UAS.
The differences between the two UAS in client-centeredness and received support give indication of the advantages of co-operation and mutual sharing of the practices found to be effective.
18/11/18
Helsinki Metropolia University of Applied Sciences

20. Helsinki Metropolia University of Applied Sciences
Thank you for your time!
18/11/18
Helsinki Metropolia University of Applied Sciences