BackgroundWith ageing societies, the number of older persons with mental health problems are increasing the coming decades. Physical health and loneliness are well known risk factors. Effective interventions, promoting social interaction, are hampered by stigma associated with mental health. This is further compounded by a global mental healthcare and demand gap, highlighting the need for volunteer-based support in addressing the needs of older mental health patients.AimThis study aims to explore factors associated with company employee participation in a walking project designed for psychiatric outpatients aged 60 and older.MethodsA qualitative design was employed. For a diverse representation of perspectives on the topic, contact was sought with HR representatives, vitality managers or directors from 250 companies (profit and nonpofit) with different ownership structures, management styles, and decision-making processes. Data were collected through semi-structured interviews and analyzed using the Constant Comparative Method with a thematic approach via Atlas.ti. Analysis occurred in six phases: data preparation, familiarization, finalization, open coding, axial coding, and selective coding.Findings13 of 250 companies engaged in interviews. Respondents viewed the project positively, but highlighted significant barriers to structural volunteer engagement, related to views on volunteerwork, preconditions, and employee-, patient-, and company-related factors. A pilot project with motivated employees is recommended by respondents, aligning initiatives with Corporate Social Responsibility (CSR) goals.ConclusionThis study highlights the complexity of company involvement within mental health care. By adressing stigma reduction and employee engagement, companies can contribute to a more inclusive and compassionate society.

Background: Health promotion aims to prevent chronic diseases and alleviate their impact on individuals' well-being. It involves empowering both individuals and communities to actively uphold optimal health. Although blood banks conventionally centre on blood donation functions, an untapped potential lies in leveraging these institutions for health enhancement through prioritized health promotion initiatives. The objective of this study is to explore how blood banks can contribute to the well-being of blood donors by integrating preventive measures as part of health promotion initiatives within their operations. Study design: Literature review. Methods: Literature Search in CINAHL, Embase, PubMed and Web of Science was conducted. Arksey and O'Malley (2015) framework was used with incorporated recommendations stated by Levac, Colquhoun, and O'Brien (2010) following an iterative process of six stages, starting with identifying the research question, identifying relevant studies, study selection, charting the data, collating, summarizing, and reporting the results, and consult experts. Results: The 20 incorporated studies showed a range of health screenings and health promoting activities, that expand the traditional scope of blood bank addressing blood-related conditions, encompassing assessments for conditions related to blood as well as health screenings. These screenings included examinations for cancer and diabetes, with the predominant focus being on cardiovascular risk assessment. Conclusion: This review highlights the implementation of health initiatives by blood banks, focusing on improving well-being and preventing diseases. These initiatives have the potential to act as gateways for community-based interventions and possibilities for enhancing both the blood supply and individual health. The effectiveness of these interventions is contingent upon the context of each blood bank and its target donor group. Therefore, tailoring interventions to align with specific contexts and facilitating factors is crucial for optimizing health promotion efforts tailored to the diverse needs of different donor groups.

Effective communication is essential for building trust between healthcare professionals and patients and for providing patient-centered care. Communication involves a continuous exchange of verbal and non-verbal communication, and professionals should adopt a reflective and listening attitude that radiates empathy and understanding toward the patient. Active listening, summarizing, introducing silences, and paraphrasing are all important skills for effective communication. Patient satisfaction mainly depends on the quality of the interaction with the patient, the quality of treatment or care, and satisfaction with clinical outcomes. Respectful care that responds to and accepts the values and standards of the patient is crucial. While the communicative perspective on care and treatment is important, it should be embedded in a larger whole of respectful care to ensure that patients adopt recommendations in their daily lives.

In patient-centered care, narratives can be a way of seeing the person "behind" the patient or client. Personal narrative are autobiographical stories based on a patient's life events. Personal narratives can help nurses understand a patient's personality and gain insight into their concerns and symptoms. Co-creation of narratives with patients can help to give meaning to memories and lead to personal growth. Narratives can also help professionals to understand patients better and shift the focus from diagnoses and interventions to the patient's life story. Narrative are a way to explore the challenges faced by patients in dealing with illness, including factors within and outside of the healthcare system. Narratives provide insights into how healthcare professionals can create partnerships with patients to improve communication and support patients in their patient journey.

Shared decision-making involves healthcare professionals and patients working together to make treatment choices tailored to the patient's preferences. It is not just about making well-considered treatment choices, but also involves integrating it throughout the care process. It has a significant impact on the perceived quality of life of patients and clients. Patient involvement is essential, and the majority of patients prefer shared or autonomous decision-making. Decision aids and tools can help support decision-making and encourage patient involvement. A challenge for shared decision-making arises when the patient is confronted with a serious illness and decisions must be made quickly. In mental health care, shared decision-making is a useful communication model to improve patient involvement in decision-making processes.

A comprehensive understanding of a patient's personal living situation and their ability to make well-considered and informed decisions regarding their care and treatment is paramount. It is crucial to determine the extent to which a patient is able to exercise control over their care, taking into consideration their unique history and personal circumstances. In order to provide optimal care, a patient must feel seen and heard, listened to, and recognized as an individual. This is the foundation of relational, person-centered care. Only when these essential elements are present can we truly provide effective and compassionate care that takes into account the whole person.

Effective teams are teams in which people work together to achieve results of care that any professional alone could not achieve. It contributes to the quality of care if patients are informed and take an active, directing position in the communication with healthcare professionals. It also contributes to the quality of care when healthcare professionals work from a proactive position within a multidisciplinary team. This can result in integrated care, in which prevention and cure are integrated in care and treatment. The clash of cultures between medical and non-medical professional groups is a factor that complicates integrated care provision and treatment. The cause lies in the dissonance between the holistic perspective of nurses, which is complex, and a more objective perspective, such as that of doctors. Ineffective communication can result in misdiagnoses, medication errors, treatment delays, and patient harm.

Vulnerable patients are more often ill, more often experience difficulties in coping with their health problems and more often have more limited health skills. Vulnerable patients are more susceptible to health problems and difficulties in functioning in society. These people tend to have less optimal health literacy, making it difficult for them to understand healthcare information. Nursing professionals need to communicate with vulnerable patients in a way that enables them to discuss their patient needs and understand the information provided to them. It is important to provide care and advocacy to patients and families who are socio-economically disadvantaged, in order to improve equity in health and minimize health inequalities.

From the perspective of the ICF (International Classification of Functioning, Disability and Health), nurses should focus on optimizing health status and identifying health risks that can lead to a deterioration of health status. The World Health Organization (WHO) emphasizes the importance of looking at health in a broader context. They advocate a vision in which health status is improved by expanding health. Specifically, this means that attention must be focused on preventing diseases and preventing health inequalities. The emphasis must be on health promotion, on health and the expansion of it. The ICF provides a comprehensive framework for understanding health and highlights the importance of optimizing health status by improving patients' perceived quality of life. Health is viewed from a biopsychosocial perspective, taking into account social and environmental factors that influence people's health status.

The experience of illness affects a patient's life in various ways. It can evoke feelings of alienation and raise questions for the patient or client. Learning to live with a health problem is a challenge that patients may face. To establish contact and build a good relationship with the patient or client, it is essential to treat them with dignity and respect. The patient should be invited to participate throughout the entire treatment process, and they must be offered choices regarding their care. Every patient is competent to make decisions regarding their own care, and they should be given that opportunity. Key elements of patient-centered care include entering a partnership with the patient, promoting good communication, and supporting health promotion.

In value-based healthcare, the patient's perspective is constantly taken into account in care and treatment. Decisions are made collaboratively with the patient, and discussions are held to resolve any conflicting viewpoints. Value-based healthcare seeks to optimize the quality of healthcare using big data. By analyzing data, insights can be gained into care results and patient outcomes, while still prioritizing patient-centered care as essential for high-quality care. The ultimate goal is to improve the patient's quality of life, and care and treatment should be directed toward achieving the best possible health outcomes for each specific patient group. Value-based healthcare represents a step toward further professionalization of the nursing profession.

Patient-centered care requires changes at both the individual healthcare professional and organizational levels of healthcare institutions. It is preferable for leadership to be based on shared governance rather than control and management. By involving nursing professionals in decision-making and allowing them to contribute to the entire healthcare organization, the involvement of nurses in care can be increased. This creates an organizational strategy in which nursing professionals have ownership of nursing care. When decisions are made by executives who are not directly involved in patient care, undesirable effects can result. Shared governance empowers nursing professionals and increases both patient and nurse satisfaction. In shared governance, the focus is on the relationship rather than the performance of tasks, making it a form of shared decision-making between line and staff management.