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This study aims to explore the perceptions of quality of life among older Thai adults with hypertension.

A descriptive qualitative design was used. Semistructured interviews were conducted with 40 older adults. Thematic analysis was used to analyze the data.

The analyses were divided into six major themes: happiness in life; health and functionality; activity in social relationships; religion anchor; autonomy to manage their own life; and security in finances and environment.

The findings can guide health care professionals and policymakers when planning and implementing interventions and policies for improving the quality of life of older adults, particularly that of rural older adults with low incomes.

The findings showed minor differences between urban and rural older adults in financial security, where the rural participants expressed greater financial insecurity than the urban counterparts. However, no other major differences emerged.

At the beginning of 2010, new higher education legislation was enacted in Finland. As a result, 17 state universities were consolidated into three newly formed and autonomous universities. This chapter describes the merger process of the libraries in these new universities, namely Aalto University, University of Eastern Finland, and the University of Turku. Using a case study approach, the chapter describes different aspects of the merger process, particularly how to manage cultural change in formerly independent libraries into a single new organization, as well as how to define the new structures and alter directives for management, leaving the past behind. Although this is based on Finnish experiences, it is helpful for other libraries considering or engaged in similar mergers by giving examples and tools for the actions needed for new structures to succeed. Also described are the challenges that the three libraries met in introducing innovations, the necessity for broad communication, and marketing of the new structures within their respective universities. Also included is a brief background description of the overall impact of the new legislation on universities as a whole. Higher education in Finland encompasses polytechnic institutes and universities. This chapter addresses library mergers only in universities.

At the turn of this century, it was decided to renovate higher education in Finland and, as a result, three new universities were created by merging existing units. One of these new universities is the University of Eastern Finland, which was formed from the Universities of Joensuu and Kuopio. The merger started in 2007 and in 2008 and 2009 there was a reorganisation of the two previous libraries' management and service provision to create a single new library. The quality management system that the library has been building was used in this process. This paper aims to describe how the strategy was defined; how the organization developed as well as the working order and how a quality manual for the new merged library was created.

The paper is a case study.

The library could utilize its quality management system in merging the two libraries and their service production. It is important for the whole staff to participate in the process.

The paper is based on Finnish experiences.

Models for managing a merger process are presented in the paper. The benefits of a participant management style as well as retaining the best practices from the old libraries into the new unit are emphasised.

The paper discusses the merger of two libraries and the change management processes involved.

At the beginning of 2010, new higher education legislation was enacted in Finland which caused several university mergers. In addition to that, a self-directed type of organizational restructuring had been going on in Finnish academic libraries. This chapter describes the merger and the restructuring processes of the libraries in three universities, namely Helsinki University, University of Eastern Finland, and the University of Turku. Using a case study approach, the chapter describes different approaches used in the merger process, particularly how to manage service integration, resource reallocation and planning, and implementing new types of services. Performance measures and indicators are among the tools used to assess the successes, particularly in direct services to library users. Although this is based on Finnish experiences, it is helpful for other libraries considering, or engaging in, similar mergers, because of the given examples and tools for the actions needed for new structures and services. Also described are the challenges that three libraries met in the strategic work of reshaping of their organizational structures. While this chapter addresses library mergers only in universities, the methods and tools used will provide models for other types of libraries and nonprofit organizations.

This paper aims to present the baseline results of a research and development project targeted to improve the occupational well‐being of school staff and maintain their ability to work, in Finland and Estonia. It reveals the most problematic factors in the various aspects of the school community and professional competence and outlines development needs in the school communities.

The overall project design is action research, conducted during 2009‐2013 in the SHE (Schools for Health in Europe) network in Finland and Estonia. The baseline survey data were collected in 2009‐2010 with a web‐based Well‐being at your work index questionnaire and analysed statistically using descriptive statistics, sum variables of factors and Mann‐Whitney tests.

The general opinions of the Finnish school staffs were more affirmative than those of Estonian school staffs regarding their own personal occupational well‐being in comparison with the best in the profession (p=0.000). However, the Finns were more critical than the Estonians when estimating the general well‐being of the staff in their working community, maintenance of their ability to work, the aspects of the school community and professional competence and development needs in the school communities.

The results cannot be widely generalised due to the geographically defined samples, but they can be suggestive in comparable situations in Finland and Estonia.

There is a need to develop the occupational well‐being of school staff and maintenance of their ability to work in the school communities: specific interventions will be developed on the basis of the results obtained from the project schools.

People with a dual care task at home, taking care of a younger and an older generation family member, are often called the sandwich generation (SG). They are more often women than men, at high risk of burnout or withdrawal from the labour market. This book provides international comparisons and offers tools for working sandwich generation (WSG) women and their supervisors for managing challenging situations in working life. The book is multidisciplinary and combines theories with qualitative and quantitative empirical research, practical tools and case studies. This chapter introduces the themes and relevant concepts of the book and presents its structure.

Inpatient violence is a substantial problem in psychiatric wards and de-escalation is difficult. When managing instances of violence through verbal techniques fail, mental health-care staff may use restrictive practices. The Six Core Strategies and debriefing exist for managing violence and restrictive practices in different mental health settings. Debriefing is used to get patients’ views on restrictive practices, ensure proper patient care and strengthen the role of patients as experts. This study aims to provide new information on debriefing implementation and how debriefing was used among different patient groups in a forensic hospital.

Quantitative seclusion time and debriefing reports (n = 524) were examined with Poisson regression analysis. Fisher’s exact test was used to determine the associations between debriefing and seclusion/restraint.

Debriefing (n = 524) was provided in 93% of violent episodes, which is an excellent result on an international level. There was significant variation in how often debriefing was used (p < 0.001) among different patient groups, i.e. dangerous, difficult-to-treat patients and criminal offenders whose sentences have been waived. Previous debriefing research has rarely specified what types of psychiatric patients have been subjected to seclusion or restraint.

The implementation of debriefing requires multiprofessional work within the organization and wards.

Debriefing seems to stimulate reflection at every level of a health-care organization, which fosters learning and can ultimately change clinical practices. The use of debriefing can strengthen the role of patients as well as professionals.

The purpose of this paper is to analyze current literature on critical sensemaking (CSM) to assess its significance and potential for understanding the role of agency in management and organizational studies.

The analysis involves an examination of a selection of 51 applied studies that cite, draw on and contribute to CSM, to assess the challenges and potential of utilizing CSM.

The paper reveals the range of organizational issues that this work has been grappling with; the unique insights that CSM has revealed in the study of management and organizations; and some of the challenges and promises of CSM for studying agency in context. This sets up discussion of organizational issues and insights provided by CSM to reveal its potential in dealing with issues of agency in organizations. The sheer scope of CSM studies indicates that it has relevance for a range of management researchers, including those interested in behavior at work, theories of organization, leadership and crisis management, diversity management, emotion, ethics and justice, and many more.

The main focus is restricted to providing a working knowledge of CSM rather than other approaches to agency.

The paper outlines the challenges and potential for applying the CSM theory.

The paper reveals the range of problem-solving issues that CSM studies have been applied to.

This is the first major review of the challenges and potential of applying CSM; concluding with a discussion of its strengths and limitations and providing a summary of insights for future work.

Libraries have changed due to many things, one of them being the shift from printed to electronic resources. Libraries become learning centres, providing more space for customers and less for stacks. Though information seeking habits have changed, especially students need places for studying and group work. In the case of Kuopio University Hospital Medical Library the shift has been influenced by space requirements for other hospital functions. The reduction of current physical space has led to revised collection policy that is now taking its final steps when the library is preparing to move to a new space. The paper aims to discuss these issues.

First, a 650 m2 library space was remodelled to a 450 m2 without major negative effects on services. Second, the hospital has assigned the medical library a new location where a new library space and learning centre will be renovated. Less space for print collections means that reliable delivery from print resources is crucial.

Due to the merger of two universities’ collections to one multi-campus collection and to quick delivery service from the National Repository Library as well as good logistic services the authors are able to provide the customers with a possibility to use wide collections even if the own print-collections are small.

The paper describes the collection policy and the service model of one library.

Small visible collections can be a challenge as the shelves are few. Creating awareness through marketing is essential. Campaigns, QR codes, big screens, user education, social media and everyday individual guidance are among the tools of creating wider awareness.

The chapter describes a model solution for supporting mature women, developed as part of the Finnish Time4Help project. The solution includes training programmes for mature women supporting their careers and networking. The model is built on a new flipped training and coaching programme approach where, first, women were asked to gather a group of peers who were interested in developing their enterprises or working skills and who had similar needs and interests to them. After that, a programme was built matching the needs of this group of women. This model resembles the study circle approach particularly popular in the Scandinavian countries. Therefore, the authors build on the research literature on study circles, and study how tailored programmes help mature women to develop their careers and reach a work–life balance. The empirical part of the research builds on interviews and observations with 25 women in 5 groups and their facilitators participating in Time4Help training programmes in Finland in 2019–2021.