A. Muniyappan, M. Sharmila, E. Priya, S. Sumithra, A. Biswas, Y. Yıldırım, M. Aphane, S. Moshokoa, H. Alshehri
{"title":"W-shaped chirp free and chirped bright, dark solitons for perturbed nonlinear Schrödinger equation in nonlinear optical fibers","authors":"A. Muniyappan, M. Sharmila, E. Priya, S. Sumithra, A. Biswas, Y. Yıldırım, M. Aphane, S. Moshokoa, H. Alshehri","doi":"10.3176/proc.2023.2.04","DOIUrl":"https://doi.org/10.3176/proc.2023.2.04","url":null,"abstract":"","PeriodicalId":54577,"journal":{"name":"Proceedings of the Estonian Academy of Sciences","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69934361","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
. The increasing prevalence of cancer and the decreasing number of oncology specialists in Europe’s workforce have led patients having to self-manage their conditions with the help of a health care professional. Ensuring cancer patients’ good understanding of molecular profiling data is crucial for their active participation in illness-related decisions. Although shared decision making improves patients’ knowledge and consideration of their needs, several difficulties remain in implementing shared decision making in cancer care. The objective of the research is to examine the relationship between sociodemographic aspects and knowledge of cancer-related topics and willingness to participate in cancer care. A cross-sectional study using a web-based questionnaire was conducted, including 1066 respondents among the population of Estonia. Logistic regression was used to answer research questions. There is a lack of knowledge and willingness of patients and their relatives to participate in shared decision making. Unlike in previous studies, higher readiness was observed among the ethnic minority and rural citizens. In addition to the factors previously identified, there is a need to consider a potential role of cultural and historical background of the health care system in determining the willingness and readiness of the general public to participate in shared decision making. These findings highlight the potential uniqueness of societies, in which paternalistic and autonomous approaches to patient care clash, and similar results may be found in other countries with a Soviet legacy. If there is a lack of readiness or willingness of a patient to participate, a physician should provide alternative means of support.
{"title":"Factors influencing participation in shared decision making in the oncological setting","authors":"B. Aasmäe, K. Lubi","doi":"10.3176/proc.2023.3.02","DOIUrl":"https://doi.org/10.3176/proc.2023.3.02","url":null,"abstract":". The increasing prevalence of cancer and the decreasing number of oncology specialists in Europe’s workforce have led patients having to self-manage their conditions with the help of a health care professional. Ensuring cancer patients’ good understanding of molecular profiling data is crucial for their active participation in illness-related decisions. Although shared decision making improves patients’ knowledge and consideration of their needs, several difficulties remain in implementing shared decision making in cancer care. The objective of the research is to examine the relationship between sociodemographic aspects and knowledge of cancer-related topics and willingness to participate in cancer care. A cross-sectional study using a web-based questionnaire was conducted, including 1066 respondents among the population of Estonia. Logistic regression was used to answer research questions. There is a lack of knowledge and willingness of patients and their relatives to participate in shared decision making. Unlike in previous studies, higher readiness was observed among the ethnic minority and rural citizens. In addition to the factors previously identified, there is a need to consider a potential role of cultural and historical background of the health care system in determining the willingness and readiness of the general public to participate in shared decision making. These findings highlight the potential uniqueness of societies, in which paternalistic and autonomous approaches to patient care clash, and similar results may be found in other countries with a Soviet legacy. If there is a lack of readiness or willingness of a patient to participate, a physician should provide alternative means of support.","PeriodicalId":54577,"journal":{"name":"Proceedings of the Estonian Academy of Sciences","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69934539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
K. Lubi, M. Varsamaa, L. Kala, A. Torop, K. Sildver, M. J. Rooden
. Person-centredness is claimed to be one of the aims of healthcare, placing the person at the centre of healthcare (services). However, individual responsibility is expected and stressed in the implementation with limited structural support. This has led to the situation where despite the availability of HPV vaccination as the most beneficial preventive method, the coverage for girls aged 12–14 is below the recommended (>70%) rate. The objective of the research was to analyse structural constraints experienced by parents and service providers of the target group of girls regarding HPV vaccination under the circumstances of a global pandemic. Qualitative methods were used, namely in-depth interviews (n = 18) with nurses and midwives and three focus group interviews (n = 13) with parents of girls aged 12–14 years, as well as thematic textual analysis with the combination of inductive and deductive analysis methods. The research was granted ethical permission. The results outline that for parents the main challenge is the ability to find relevant supportive information for decision-making. For nurses, the challenge is to find appropriate ways to counsel and support parents and girls. The study revealed the lack of a country-wide strategy as one of the weak links in supporting the continuation of necessary preventive activities despite the external situation. Also, the skills of counselling and development of innovative communicative and educational digital tools that are target group specific yet also country-and culture-specific should be improved, as this may lead to more person-centred healthcare service for cervical cancer prevention.
{"title":"Implementation of person-centredness under structural constraints: a case of HPV vaccination","authors":"K. Lubi, M. Varsamaa, L. Kala, A. Torop, K. Sildver, M. J. Rooden","doi":"10.3176/proc.2023.3.12","DOIUrl":"https://doi.org/10.3176/proc.2023.3.12","url":null,"abstract":". Person-centredness is claimed to be one of the aims of healthcare, placing the person at the centre of healthcare (services). However, individual responsibility is expected and stressed in the implementation with limited structural support. This has led to the situation where despite the availability of HPV vaccination as the most beneficial preventive method, the coverage for girls aged 12–14 is below the recommended (>70%) rate. The objective of the research was to analyse structural constraints experienced by parents and service providers of the target group of girls regarding HPV vaccination under the circumstances of a global pandemic. Qualitative methods were used, namely in-depth interviews (n = 18) with nurses and midwives and three focus group interviews (n = 13) with parents of girls aged 12–14 years, as well as thematic textual analysis with the combination of inductive and deductive analysis methods. The research was granted ethical permission. The results outline that for parents the main challenge is the ability to find relevant supportive information for decision-making. For nurses, the challenge is to find appropriate ways to counsel and support parents and girls. The study revealed the lack of a country-wide strategy as one of the weak links in supporting the continuation of necessary preventive activities despite the external situation. Also, the skills of counselling and development of innovative communicative and educational digital tools that are target group specific yet also country-and culture-specific should be improved, as this may lead to more person-centred healthcare service for cervical cancer prevention.","PeriodicalId":54577,"journal":{"name":"Proceedings of the Estonian Academy of Sciences","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69934552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
. The most common rheumatological disease in children is juvenile idiopathic arthritis (JIA). At the beginning of the disease, the predominant emotions of the parents are growing anxiety, fear, confusion and denial of the disease. In Estonia, parents of children suffering from JIA do not receive enough support and information about their child’s health problem or social benefits and services. The aim of the thesis is to describe the experiences and needs of parents of children with JIA in coping with the child’s disease. The design of the research is qualitative and descriptive. The data were collected through semi-structured interviews and ana - lysed by the inductive content analysis method. The interviews were carried out in 2021 with eight subjects participating in the research. The authors of this research found that the parents’ experiences in coping with the child’s disease consisted of adaptation to the disease, feelings of the parents regarding their child’s situation, family relations, nature of the disease and various support mechanisms. At the beginning of the disease, fear and anxiety were experienced. The needs of parents were related to supporting the child’s coping with the disease, the treatment process and school requirements. In order to do that, parents sought psychological help. Regarding the treatment process, the parents’ desire to cooperate with healthcare workers grew as the disease exacerbated. More understanding was needed from teachers regarding the obstacles and limitations due to the child’s disabilities. In conclusion, when adapting to the child’s disease, parents experienced both positive and negative feelings as well as a lack of information. Families should feel supported by healthcare professionals, local municipality and educational institutions.
{"title":"The experiences and needs of parents of children with juvenile idiopathic arthritis in coping with the child’s disease","authors":"M. Tupits, S. Tarraste","doi":"10.3176/proc.2023.3.05","DOIUrl":"https://doi.org/10.3176/proc.2023.3.05","url":null,"abstract":". The most common rheumatological disease in children is juvenile idiopathic arthritis (JIA). At the beginning of the disease, the predominant emotions of the parents are growing anxiety, fear, confusion and denial of the disease. In Estonia, parents of children suffering from JIA do not receive enough support and information about their child’s health problem or social benefits and services. The aim of the thesis is to describe the experiences and needs of parents of children with JIA in coping with the child’s disease. The design of the research is qualitative and descriptive. The data were collected through semi-structured interviews and ana - lysed by the inductive content analysis method. The interviews were carried out in 2021 with eight subjects participating in the research. The authors of this research found that the parents’ experiences in coping with the child’s disease consisted of adaptation to the disease, feelings of the parents regarding their child’s situation, family relations, nature of the disease and various support mechanisms. At the beginning of the disease, fear and anxiety were experienced. The needs of parents were related to supporting the child’s coping with the disease, the treatment process and school requirements. In order to do that, parents sought psychological help. Regarding the treatment process, the parents’ desire to cooperate with healthcare workers grew as the disease exacerbated. More understanding was needed from teachers regarding the obstacles and limitations due to the child’s disabilities. In conclusion, when adapting to the child’s disease, parents experienced both positive and negative feelings as well as a lack of information. Families should feel supported by healthcare professionals, local municipality and educational institutions.","PeriodicalId":54577,"journal":{"name":"Proceedings of the Estonian Academy of Sciences","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69934743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
. Transformational and transactional leadership behaviours of healthcare managers have a positive impact on employee job satisfaction and commitment, ultimately improving patient care quality. The most efficient way to develop leadership behaviour in managers is to teach emotional intelligence skills simultaneously. Training programmes are more effective when preceded by a com - petency assessment.
{"title":"Healthcare workers’ perceptions of their managers’ leadership behaviour and emotional intelligence: a quantitative study in an Estonian hospital","authors":"E. Vadi, A. Kasemaa","doi":"10.3176/proc.2023.3.06","DOIUrl":"https://doi.org/10.3176/proc.2023.3.06","url":null,"abstract":". Transformational and transactional leadership behaviours of healthcare managers have a positive impact on employee job satisfaction and commitment, ultimately improving patient care quality. The most efficient way to develop leadership behaviour in managers is to teach emotional intelligence skills simultaneously. Training programmes are more effective when preceded by a com - petency assessment.","PeriodicalId":54577,"journal":{"name":"Proceedings of the Estonian Academy of Sciences","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69934794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Biswas, J. Vega-Guzmán, A. Bansal, A. Kara, M. Aphane, Y. Yıldırım, H. Alshehri
{"title":"Solitary waves, shock waves and conservation laws with the surface tension effect in the Boussinesq equation","authors":"A. Biswas, J. Vega-Guzmán, A. Bansal, A. Kara, M. Aphane, Y. Yıldırım, H. Alshehri","doi":"10.3176/proc.2023.1.03","DOIUrl":"https://doi.org/10.3176/proc.2023.1.03","url":null,"abstract":"","PeriodicalId":54577,"journal":{"name":"Proceedings of the Estonian Academy of Sciences","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69934111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
). Abstract. In the contemporary approach to ante-and postnatal care, where men are anticipated to participate more, men themselves also wish to be more included. Even though national health policy presents person-centred care as a central goal, it is not clear if and how it manifests itself for some, as men continue to feel excluded from the ante-and postnatal care process. The aim of this research was to identify the information sources that men in Estonia currently rely upon regarding the ante-and postnatal period in order to both understand the possible areas of development and the potential application of health communication tools to support men in ante-and postnatal care. The research, which was part of a master’s thesis, was a qualitative study conducted with 13 men who were fathers or were about to become fathers. The results indicate that despite the new standards in health policy, there is a lack of targeted support systems to address men’s information needs during the ante-and postnatal period in Estonia – a problem further intensified by the COVID-19 pandemic. The current results show that adequate information access requires advanced skills in source criticality, languages, health and digital literacy. The study found that the issue can be resolved through conscious use of health communication tools, which need to be in a person-centred format – easily found, user-friendly and logically structured. A systemic approach needs to be developed to further support men. Health communication strategies can mediate such an approach by being able to accommodate a wider range of skills and preferences.
{"title":"Men’s perceptions of the supportive use of health communication tools during the ante- and postnatal period","authors":"Hanna-Maria Trei, K. Lubi, B. Haage","doi":"10.3176/proc.2023.3.08","DOIUrl":"https://doi.org/10.3176/proc.2023.3.08","url":null,"abstract":"). Abstract. In the contemporary approach to ante-and postnatal care, where men are anticipated to participate more, men themselves also wish to be more included. Even though national health policy presents person-centred care as a central goal, it is not clear if and how it manifests itself for some, as men continue to feel excluded from the ante-and postnatal care process. The aim of this research was to identify the information sources that men in Estonia currently rely upon regarding the ante-and postnatal period in order to both understand the possible areas of development and the potential application of health communication tools to support men in ante-and postnatal care. The research, which was part of a master’s thesis, was a qualitative study conducted with 13 men who were fathers or were about to become fathers. The results indicate that despite the new standards in health policy, there is a lack of targeted support systems to address men’s information needs during the ante-and postnatal period in Estonia – a problem further intensified by the COVID-19 pandemic. The current results show that adequate information access requires advanced skills in source criticality, languages, health and digital literacy. The study found that the issue can be resolved through conscious use of health communication tools, which need to be in a person-centred format – easily found, user-friendly and logically structured. A systemic approach needs to be developed to further support men. Health communication strategies can mediate such an approach by being able to accommodate a wider range of skills and preferences.","PeriodicalId":54577,"journal":{"name":"Proceedings of the Estonian Academy of Sciences","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69934399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
. Primary care is the basic level of care, where patients start their treatment journey. Proactive management at primary care level improves health access and quality of care through proactive approach for specific patient sub-groups, improves integration of care at different levels of the health care system, and improves patient outcomes. The aim of the study was to describe family nurses’ perceptions of high-risk patients’ proactive management and identify further training needs; therefore, a descriptive and empirical two-stage study design was used. A convenience sample of 16 family nurses was recruited in the first stage. The study was conducted at five Estonian primary health centers. Data were collected by Modified Patient Assessment of Chronic Illness Care (MPACIC) online questionnaire between September and December 2020. Ethical approval was obtained. The nurses evaluated their proactive management of high-risk patients positively. Higher results were related to patient support, encouragement, involvement in everyday care, and individual goal setting questions. Lower results were related to referral to professionals, follow-up visits, and suggesting specific health related programs and events from which the patients could benefit. As a second stage of the study, a training program was developed based on the acquired results and training was conducted for 18 nurses at one primary health center, where care management has been used since 2017. The training program was found to be useful. Nurses need specific knowledge about the proactive management and care plan of high-risk patients, which can be ensured through systematic training. The subject of nurses’ perceptions could benefit from further study by qualitative methods.
{"title":"Family nurses’ perceptions of proactive management of high-risk patients and identification of pertinent training needs","authors":"J. Steinmiller","doi":"10.3176/proc.2023.3.01","DOIUrl":"https://doi.org/10.3176/proc.2023.3.01","url":null,"abstract":". Primary care is the basic level of care, where patients start their treatment journey. Proactive management at primary care level improves health access and quality of care through proactive approach for specific patient sub-groups, improves integration of care at different levels of the health care system, and improves patient outcomes. The aim of the study was to describe family nurses’ perceptions of high-risk patients’ proactive management and identify further training needs; therefore, a descriptive and empirical two-stage study design was used. A convenience sample of 16 family nurses was recruited in the first stage. The study was conducted at five Estonian primary health centers. Data were collected by Modified Patient Assessment of Chronic Illness Care (MPACIC) online questionnaire between September and December 2020. Ethical approval was obtained. The nurses evaluated their proactive management of high-risk patients positively. Higher results were related to patient support, encouragement, involvement in everyday care, and individual goal setting questions. Lower results were related to referral to professionals, follow-up visits, and suggesting specific health related programs and events from which the patients could benefit. As a second stage of the study, a training program was developed based on the acquired results and training was conducted for 18 nurses at one primary health center, where care management has been used since 2017. The training program was found to be useful. Nurses need specific knowledge about the proactive management and care plan of high-risk patients, which can be ensured through systematic training. The subject of nurses’ perceptions could benefit from further study by qualitative methods.","PeriodicalId":54577,"journal":{"name":"Proceedings of the Estonian Academy of Sciences","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69934527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
P. Xu, M. Bolat, E. Kaya, S. Onar, B. A. Ersoy, K. Hila
{"title":"δ-r-hyperideals and φ-δ-r-hyperideals of commutative Krasner hyperrings","authors":"P. Xu, M. Bolat, E. Kaya, S. Onar, B. A. Ersoy, K. Hila","doi":"10.3176/proc.2023.1.09","DOIUrl":"https://doi.org/10.3176/proc.2023.1.09","url":null,"abstract":"","PeriodicalId":54577,"journal":{"name":"Proceedings of the Estonian Academy of Sciences","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69934762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
. With the global target of achieving an exclusive breastfeeding rate of 70% for babies up to 6 months old by 2030, there is a significant need for educated and skilled multiprofessional healthcare teams to support, protect, and promote breastfeeding. The Erasmus + programme for the period of 2021–2027 supports the adoption of digital technologies, innovative and open pedagogies in education and training, and is also designed to reach out to a larger and more diverse group of students and staff in higher education. Since 2012, Metropolia University of Applied Sciences and Tallinn
{"title":"Assessing the international Breastfeeding and Early Interaction Course in the COVID-19 era: student feedback and suggestions for improvement","authors":"M. Põldma, A. Ezeonodo, A. Kärema, L. Hannula","doi":"10.3176/proc.2023.3.16","DOIUrl":"https://doi.org/10.3176/proc.2023.3.16","url":null,"abstract":". With the global target of achieving an exclusive breastfeeding rate of 70% for babies up to 6 months old by 2030, there is a significant need for educated and skilled multiprofessional healthcare teams to support, protect, and promote breastfeeding. The Erasmus + programme for the period of 2021–2027 supports the adoption of digital technologies, innovative and open pedagogies in education and training, and is also designed to reach out to a larger and more diverse group of students and staff in higher education. Since 2012, Metropolia University of Applied Sciences and Tallinn","PeriodicalId":54577,"journal":{"name":"Proceedings of the Estonian Academy of Sciences","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69935368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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