Política de equidad en el acceso a la información: avanzando hacia un Chile digital

El mundo digital rompe completamente con la secuencia y linealidad característica en la lectura del texto impreso, incorporando además sonidos e imágenes. Chile, no ha quedado ajeno a este proceso de cambios. Es así como en el año 98' se inició con el trabajo de un grupo de expertos, la definición de políticas públicas asociadas con las nuevas tecnologías a objeto de impulsar la universalización del acceso, el desarrollo de nuevas capacidades competitivas y la modernización del Estado. Otro hito importante fue la elaboración de la denominada Agenda Digital que también fijó medidas concretas en esta materia para el bienio 2004-2006. Dentro de estos documentos, queremos destacar en especial la política de equidad en el acceso a la información. En la ejecución práctica se cita el caso BiblioRedes, programa que ofrece internet y capacitación gratis en 378 bibliotecas públicas distribuidas en todo Chile, cuyos resultados han sido reconocidos internacionalmente.

Coautoria na produção científica do PPGGeo/UFRGS: uma análise de redes sociais

Neste artigo realizou-se o estudo das redes de colaboração científica formadas a partir de um grupo de pesquisadores ligados ao Programa de Pós-Graduação em Geociências da Universidade Federal do Rio Grande do Sul (PPGGeo/UFRGS), com base na abordagem teórico-metodológica conhecida como análise de redes sociais (ARS), dialogando com conceitos oriundos da Teoria da Prática de Pierre Bourdieu, focando a identificação, caracterização e evolução estrutural das redes de coautoria científica. Três redes foram construídas com base nos dados oriundos dos Cadernos de Indicadores da Capes referentes aos intervalos de 1998-2000, 2001-2003 e 2004-2006. As redes de 1998-2000, 2001-2003 e 2004-2006 apresentaram, respectivamente, 524 atores e 11.296 laços; 576 atores e 14.674 laços; 741 atores e 14.188 laços. Verificou-se que o conjunto dos atores centrais/dominantes nas redes é formado majoritariamente pelos docentes e, em geral, esse conjunto tende a se manter em destaque ao longo dos anos; verificou-se também que há uma reincidência de parcerias na produção do conhecimento científico nas três redes, culminando em uma reprodução social da estrutura da rede de coautoria.

Decentralization and the Welfare State: What Do Citizens Perceive?

Trust in public institutions and public policies are generally perceived as a precondition for economic recovery in times of recession. Recent empirical evidence tends to find a positive link between decentralization and trust. But our knowledge about whether decentralization – through increased trust – improves the perception of the delivery and effectiveness of public policies is still limited. In this paper we estimate the impact of fiscal and political decentralization on the perception of the state of the education system and of health services, by using the 2002, 2004, 2006 and 2008 waves of the European social survey. The analysis of the views of 160,000 individuals in 31 European countries indicates that while the effect of fiscal decentralization on the perception of the state of the health and education system is limited, political decentralization clearly affects citizen’s satisfaction with education and health delivery. The influence of political decentralization, however, is highly contingent on whether we consider the capacity of the local or regional government to exercise authority over its citizens (self-rule) or to influence policy at the national level (shared-rule). Keywords: Education, health, satisfaction, fiscal and political decentralization, Europe. JEL codes: H11, H77

Polinização do dendezeiro por besouros no sul da Bahia

O objetivo deste trabalho foi determinar a taxa de fecundação de dendezeiros, após introdução de Elaeidobius kamerunicus, no Sul da Bahia, e a flutuação populacional, distribuição espacial e a influência de fatores meteorológicos sobre E. kamerunicus e E. subvittatus. Análises físicas de 12 mil espiguetas de dendezeiros foram realizadas em 2004-2006. Na avaliação da relação entre a temperatura média mensal e o total mensal de indivíduos de E. kamerunicus e E. subvittatus, utilizou-se a correlação de Pearson. A taxa de fecundação foi de 79,4%, um incremento de 19% quando comparado aos dendezeiros polinizados apenas por E. subvittatus. Plantios comerciais de dendezeiros em Ituberá e Nazaré, BA, apresentaram taxas médias de fecundações de 76%. E. kamerunicus foi dominante nos plantios de dendezeiro de Una, BA. Populações de E. kamerunicus sobrepujaram as de E. subvittatus, em todos os municípios onde existem grandes maciços de dendezeiros subespontâneos. No entanto, em Itapebi, BA, as populações de E. subvittatus superaram as de E. kamerunicus. A temperatura e a precipitação pluvial afetam a atividade de vôo e densidade populacional de E. subvittatus.

Harmonia axyridis em árvores frutíferas e impacto sobre outros coccinelídeos predadores

O objetivo deste trabalho foi avaliar a flutuação populacional de Harmonia axyridis em árvores frutíferas, durante dois anos (2004-2006), relacioná-la a variáveis abióticas e avaliar sua influência sobre outros coccinelídeos predadores, em Ponta Grossa, PR. H. axyridis representou 38% dos Coccinellidae. Houve diferença significativa na freqüência relativa da espécie entre os anos de coleta, que passou de 0,20 para 0,67 de um ano ao outro. Houve correlação positiva significativa entre abundância de H. axyridis e temperatura média, nas plantas cítricas, e correlação negativa significativa entre abundância de H. axyridis e umidade relativa do ar, nas plantas não cítricas. H. axyridis exerce impacto negativo sobre as joaninhas locais.

Intergenerational differences in cardiovascular risk factor levels in Switzerland

Background: There is little information regarding cardiovascular risk factor (CV RF) trends in Switzerland. We aimed at assessing generation differences in CV RFs by comparing CV RFs levels within selected age groups separated by a 20 year time lag. Design: Two population-based surveys. Methods: Data from the Monica (1984-1986) and Colaus (2004-2006) surveys were used. Analyses were stratified by sex and age groups (35-44, 45-54, 55-64 and 65-75 years). Results: No changes were found for BMI levels and status between surveys: in men, 26}3, 26}3, 27}4 and 27}4 kg/m2 for age groups 35-44, 45-54, 55-64 and 65-74, respectively, in MONICA, vs. 26}4, 26}4, 27}4 and 28}4 kg/m2 in COLAUS, p=NS, in women: 24}4, 26}4, 26}4 and 26}5 kg/m2 in MONICA, vs. 24}5, 25}5, 26}5 and 26}5 kg/m2 in COLAUS, p=NS. Similar results were found after adjusting for education. Smoking prevalence increased in men: 28, 30, 22 and 15% for age groups 35-44, 45-54, 55-64 and 65-74, respectively, in MONICA, vs. 35, 29, 28 and 21% in COLAUS. In women, changes differed according to age: 39, 26, 16 and 18%, in MONICA vs. 28, 30, 22 and 15% in COLAUS. Blood pressure decreased in the younger age groups and remained constant in the older ones: in men, systolic blood pressure was 129}15, 133}16, 138}18 and 143}21 mm Hg in MONICA, vs. 125}12, 129}15, 137}16 and 144}19 mm Hg in COLAUS, p<0.01. Similar findings were obtained after adjusting for education. Prevalence of hypertension increased, due to an increase in the prevalence of treated subjects, in men : 4, 8, 16 and 19% for age groups 35-44, 45-54, 55-64 and 65-74, respectively, in MONICA, vs. 5, 14, 31 and 46% in COLAUS, p<0.05; in women: 2, 10, 16, and 24% in MONICA, vs. 4, 12, 24, and 34% in COLAUS, p<0.05. This increase was stronger in men: 14, 17, 23 and 31% for age groups 35-44, 45-54, 55-64 and 65-74, respectively, in MONICA vs. 10, 21, 41 and 55% in COLAUS, p<0.01 and smaller in women: 6, 15, 24 and 44% in MONICA vs. 6, 16, 30 and 42% in COLAUS, p=NS. Similar findings were obtained after adjusting for education. Conclusion: With the exception of BMI, the newer Swiss generations appear to have a worse CV profile than the older generations. This is especially true regarding smoking and hypertension.

Prolonged fluconazole exposure leads to a shift to Candida species with decreased susceptibility in breakthrough candidemia: prospective survey of the Fungal Infection Network of Switzerland

Objectives: To compare the clinical characteristics, species distribution and antifungal susceptibility of Candida bloodstream isolates (BSI) in breakthrough (BTC) vs. non-breakthrough candidemia (NBTC) and to study the effect of prolonged vs. short fluconazole (F) exposure in BTC.Methods: Candida BSI were prospectively collected during 2004- 2006 from 27 hospitals (seven university, 20 affiliated) of the FUNGINOS network. Susceptibility to F, voriconazole (V) and caspofungin (C) was tested in the FUNGINOS mycology reference laboratory by microtitre broth dilution method with the Sensititre YeastOneTM test panel. Clinical data were collected using standardized CRFs. BTC was defined as occurring during antifungal treatment/prophylaxis of at least three days duration prior to the candidemia. Susceptibility of BSI was defined according to 2010/2011 CLSI clinical breakpoints.Results: Out of 567 candidemia episodes, 550 Candida BSI were available. Of these, 43 (7.6%) were from BTC (37/43, 86% were isolated after F exposure). 38 BTC (88.4%) and 315 NBTC (55.6%) occurred in university hospitals (P < 0.001). The majority of patients developing BTC were immunocompromised: higher proportions of haematological malignancies (62.8% in BTC vs. 47.1% in NBTC, P < 0.001), neutropenia (37.2% vs. 11.8%, P < 0.001), acute GvHD (14% vs. 0.2%, P < 0.001), immunosuppressive drugs (74.4% vs. 7.8%, P < 0.001), and mucositis (32.6% vs. 2.3%, P < 0.001) were observed. Other differences between BTC and NBTC were higher proportions of patients with central venous catheters in the 2 weeks preceding candidemia (95.3% vs. 83.4%, P = 0.047) and receiving total parenteral nutrition (62.8% vs. 35.9%, P < 0.001), but a lower proportion of patients treated with gastric proton pump inhibitors (23.3% vs. 72.1%, P < 0.001). Overall mortality of BTC and NBTC was not different (34.9% vs. 31.7%, P = 0.73), while a trend to higher attributable mortality in BTC was found (13.9% vs. 6.9%, P = 0.12). Species identification showed a majority of C. albicans in both groups (51.2% in BTC vs. 62.9% in NBTC, P = 0.26), followed by C. glabrata (18.6% vs. 18.5%), C. tropicalis (2.3% vs. 6.3%) and C. parapsilosis (7.0% vs. 4.7%). Significantly more C. krusei were detected in BTC versus NBTC (11.6% vs. 1.6%, P = 0.002). The geometric mean MIC for F, V and C between BTC and NBTC isolates was not significantly different. However, in BTC there was a significant association between duration of F exposure and the Candida spp.: >10 days of F was associated with a significant shift from susceptible Candida spp. (C. albicans, C. parapsilosis, C. tropicalis, C. famata) to non-susceptible species (C. glabrata, C. krusei, C. norvegensis). Among 21 BTC episodes occurring after £10 days of F, 19% of the isolates were non-susceptible, in contrast to 68.7% in 16 BTC episodes occurring after >10 days of F (P = 0.003).Conclusions: Breakthrough candidemia occurred more often in immunocompromised hosts. Fluconazole administered for >10 days was associated with a shift to non-susceptible Candida spp.. Length of fluconazole exposure should be taken into consideration for the choice of empirical antifungal treatment.

Changes in the risk of death after HIV seroconversion compared with mortality in the general population.

CONTEXT: Mortality among human immunodeficiency virus (HIV)-infected individuals has decreased dramatically in countries with good access to treatment and may now be close to mortality in the general uninfected population. OBJECTIVE: To evaluate changes in the mortality gap between HIV-infected individuals and the general uninfected population. DESIGN, SETTING, AND POPULATION: Mortality following HIV seroconversion in a large multinational collaboration of HIV seroconverter cohorts (CASCADE) was compared with expected mortality, calculated by applying general population death rates matched on demographic factors. A Poisson-based model adjusted for duration of infection was constructed to assess changes over calendar time in the excess mortality among HIV-infected individuals. Data pooled in September 2007 were analyzed in March 2008, covering years at risk 1981-2006. MAIN OUTCOME MEASURE: Excess mortality among HIV-infected individuals compared with that of the general uninfected population. RESULTS: Of 16,534 individuals with median duration of follow-up of 6.3 years (range, 1 day to 23.8 years), 2571 died, compared with 235 deaths expected in an equivalent general population cohort. The excess mortality rate (per 1000 person-years) decreased from 40.8 (95% confidence interval [CI], 38.5-43.0; 1275.9 excess deaths in 31,302 person-years) before the introduction of highly active antiretroviral therapy (pre-1996) to 6.1 (95% CI, 4.8-7.4; 89.6 excess deaths in 14,703 person-years) in 2004-2006 (adjusted excess hazard ratio, 0.05 [95% CI, 0.03-0.09] for 2004-2006 vs pre-1996). By 2004-2006, no excess mortality was observed in the first 5 years following HIV seroconversion among those infected sexually, though a cumulative excess probability of death remained over the longer term (4.8% [95% CI, 2.5%-8.6%] in the first 10 years among those aged 15-24 years). CONCLUSIONS: Mortality rates for HIV-infected persons have become much closer to general mortality rates since the introduction of highly active antiretroviral therapy. In industrialized countries, persons infected sexually with HIV now appear to experience mortality rates similar to those of the general population in the first 5 years following infection, though a mortality excess remains as duration of HIV infection lengthens.

Prevalence of overweight and underweight in public and private schools in the Seychelles.

Abstract Objective. We compared the prevalence of body weight categories between public and private schools in the Seychelles, a rapidly developing small island state in the African region. Methods. In 2004-2006, weight and height were measured and self-reported information on physical activity collected in children of three selected grades in all schools in the country. Overweight, obesity and thinness were defined according to standard criteria. Results. Based on 8 462 students (377 in private schools), the prevalence of overweight (including obesity) was markedly higher in private than public schools (boys: 37% [95% CI: 31-44] vs. 15% [14-16]; girls: 33% [26-41] vs. 20% [19-22]). The prevalence of thinness grade 1 was lower in private than public schools (boys: 9% [5-13] vs. 20% [19-21]; girls: 13% [8-18] vs. 19% [18-20]). Students in private schools reported more physical activity at leisure time while students in public schools reported larger weekly walking time. Conclusions. Our findings suggest that school type may be a useful indicator for assessing the association between socio-economic status and overweight in children, and that overweight affects wealthy children more often than others in developing countries.

Características produtivas, físicas e químicas de frutos de cultivares de pessegueiros sobre dois porta-enxertos no oeste do Estado de São Paulo

Objetivou-se avaliar as características físicas e químicas de seis cultivares de pessegueiros sobre os porta-enxertos Okinawa e Umê. O trabalho foi desenvolvido no Pólo Regional Alta Sorocabana-APTA, Presidente Prudente-SP, em 2004/2006. Foram avaliados a massa, comprimento, diâmetros sutural dos frutos, produção por planta, teor de sólidos solúveis (SS) e acidez titulável (AT). As avaliações permitiram concluir que os porta-enxertos influenciaram na massa dos frutos, tendo sobressaído o Umê, com frutos de maior massa média. Em 2006, ocorreu aumento significativo na produtividade de todas as cultivares, sobressaindo-se as cvs. Talismã e Doçura 2, com valores acima da média. A cv. Doçura 2 sobre 'Okinawa' destacou-se por reunir melhores características físicas dos frutos e produção por planta. As cvs. Talismã e Dourado 2 produziram frutos com maiores valores de massa, comprimento e diâmetro sutural, sobre os porta-enxertos 'Okinawa' e Umê. A cv. Tropical destacou-se pelos atributos de qualidade, independentemente do porta-enxerto.

Astma ja sen hoito : ohjatun omahoidon opas Länsi-Tallinnan keskussairaalan astmapotilaille

Astma on yleinen sairaus kaikkialla maailmassa. Sillä on vaikutuksia niin yhteiskunnallisella kuin yksilötasolla, koska se aiheuttaa muun muassa taloudellista, fyysistä, psyykkistä ja sosiaalista haittaa. Astman esiintyvyys on ollut nousussa ja myös Virossa diagnosoitujen astmatapausten määrä on 2000-luvulla joka vuosi lisääntynyt. Opinnäytetyömme aihevalintaa määritteli Länsi-Tallinnan keskussairaala oy:n tarve saada käyttöönsä ohjatun omahoidon opas astmaa sairastavalle. Vastaavanlaista opasta heillä ei ole aiemmin ollut käytössä. Toimeksiantajamme Länsi-Tallinnan keskussairaala oy on toiminut yhdessä Helsingin ammattikorkeakoulu Stadian kanssa StaLT-hankkeessa vuodesta 2004 alkaen. Hanke päättyy vuonna 2008. StaLT-hankkeen tavoitteena on kehittää hoidon laatua Länsi-Tallinnan keskussairaalassa, jotta se vastaisi paremmin EU:n yleistä tasoa. Opinnäytetyömme tarkoituksena on tehdä ohjatun omahoidon opas astmaa sairastavalle. Oppaan taustaksi olemme tehneet näyttöön perustuvan kirjallisuuskatsauksen astman hoidosta ja astmaa sairastavan tiedon tarpeista. Astmaa sairastavan on kyettävä ottamaan vastuuta sairauden päivittäisestä hoitamisesta, mikä edellyttää monien tietojen ja taitojen oppimista. Tutkimusten mukaan astmapotilaat jäävät kuitenkin usein ilman tarvitsemaansa tietoa. Oppaassa pyrimme osaltamme vastaamaan astmaa sairastavien tiedon tarpeisiin. Tavoitteenamme on kehittää astmapotilaiden ohjausta Länsi-Tallinnan keskussairaalassa sekä lisätä astmaa sairastavan omahoitovalmiuksia. Opas tarjoaa tietoa astmasta ja sen hoidosta sekä antaa astmaa sairastavalle välineitä oman vointinsa tarkkailemiseen ja sairauden yksilölliseen hoitamiseen. Parempien omahoitovalmiuksien myötä astmaa sairastavien elämänlaatua voidaan parantaa.

Luontotietoa loppuiäksi

Kirjallisuusarvostelu

Projekt Larsmosik 1998 - 2013 : Norra svenska fiskeområde

Rapporten behandlar projekt Larsmosik under tiden 1998–2011. Projektets målsättning var att grunda ett moderfiskbestånd av Larsmosik. Denna sikform är en genetiskt särpräglad form av skärgårdssik som förekommer i havsområdet utanför Jakobstad och Larsmo. På grund av eutrofieringen i skärgården har dess naturliga lek- och yngelområden minskat radikalt. Målet var att moderfiskbeståndet skulle förse havsområdet utanför Jakobstad och Larsmo med utsättningsyngel och att på sikt kunna använda bara Larsmosikyngel vid de årliga ålagda sikutplanteringarna. Kostnaderna för projektet uppgick till ca 40 000 euro. 93 sikar för det kommande moderfiskbeståndet fångades år 1998 under lektiden med sikfällor i havet utanför Larsmo och Jakobstad vid fyra kända lekplatser. Sikarnas längd, vikt, ålder och antal gälräfständer analyserades av Norra svenska fiskeområdet. Fiskarnas genetik analyserades vid biologiska institutionen vid Joensuu Universitet. Bakteriologiska och virologiska undersökningar gjordes av Livsmedelssäkerhetsverket Evira. Efter att de genetiska undersökningarna visat att sikarna från de fyra lekplatserna inte nämnvärt skilde sig från varandra och de virologiska/bakteriologiska undersökningarna visat att fiskarna var friska, beslöt man att grunda ett moderfiskbestånd i Taivalkoski. Moderfiskbeståndet har förstärkts med nya yngel från befruktad rom från sik, fångad på lekplatserna i havet, åren 2000-2002, 2004, 2006, 2008, 2010 och 2012. Norra svenska fiskeområdet verkställde, i samarbete med lokala yrkesfiskare, fångsten av moderfisk, romtagningen och befruktningen. År 1999 färgmärktes 15 000 st. ensomriga sikyngel och planterades efter det ut i havet. 11 st. av dessa återfångades under perioden 2003-2005. År 2003 ingick för första gången Larsmosikyngel i de ålagda sikutplanteringarna i havsområdet utanför Jakobstad. Från och med år 2006 består alla dessa utplanteringar, dvs. 217 000 st./år av Larsmosik. Vilt- och fiskeriforskningsinstutet ledde under åren 2001–2005 ett projekt, vars målsättning var att undersöka genetiken hos olika sikpopulationer i Bottniska viken. Prov togs bl.a. av Larsmosik fångad i havet och Larsmosik från moderfiskbeståndet i Taivalkoski. Resultaten av undersökningarna visade att populationen av Larsmosik i havet representerar ett eget genetiskt distinkt bestånd, och att Larsmosikarna i moderfiskbeståndet i Taivalkoski inte uppvisade släktskap vare sig med Larsmosikbeståndet i havet eller med någon annan av de 13 undersökta sikpopulationerna i Bottniska viken.

Hoitotyön koulutuksen opiskelijavalinnat. Seurantatutkimus kahden valintakoemenetelmän yhteydestä opiskelijoiden osaamiseen ja opiskelumotivaatioon

Hoitotyön koulutukseen pyritään valitsemaan alalle soveltuvia, motivoituneita sekä teoreettisissa ja kliinisissä opinnoissa menestyviä opiskelijoita. Tämän seurantatutkimuksen tarkoituksena oli vertailla soveltuvuuskokeella ja kirjallisella kokeella valittujen hoitotyön opiskelijoiden osaamista ja opiskelumotivaatiota. Tutkimuksen tavoitteena oli tehdä tutkimustulosten perusteella hoitotyön koulutuksen opiskelijavalintoihin liittyviä kehittämisehdotuksia. Tutkimuksen kohderyhmänä olivat yhteen ammattikorkeakouluun syksyn 2002 ja syksyn 2004 välisenä aikana hoitotyön koulutukseen kahdella eri valintakoemenetelmällä valitut hoitotyön opiskelijat (N=626) (sairaanhoitotyö, terveydenhoitotyö, kätilötyö). Opiskelijaryhmistä muodostettiin kaksi kohorttia valintakoemenetelmän perusteella: soveltuvuuskoe (VAL1, N=368) ja kirjallinen koe (VAL2, N=258). Seurantatutkimuksen aineisto kerättiin opiskelijoiden opintorekisteristä sekä kahdella strukturoidulla mittarilla, joilla kartoitettiin hoitotyön opiskelijoiden itsearvioitua hoitotyön osaamista (OSAA-mittari) ja opiskelumotivaatiota (MOTI-mittari). Seurantatutkimuksen aineistonkeruu ajoittui opiskelijoiden kolmannelle lukukaudella (1. mittaus, 2004‒2006, VAL1 n=234, VAL2 n=126) ja valmistumisvaiheeseen (2. mittaus, 2006‒2009, VAL1 n=149, VAL2 n=108). Ensimmäisen mittauksen vastausprosentti oli 75,0 % ja toisen mittauksen 92,4 %. Aineistojen analysoinnissa käytettiin pitkittäistutkimukseen soveltuvia monimuuttujamenetelmiä. Kahdella valintakoemenetelmällä valikoitui pienistä eroista huolimatta osaamiseltaan ja opiskelumotivaatioltaan hyvin samanlaisia opiskelijoita. Soveltuvuuskokeella valitut opiskelijat kokivat ryhmän kannustavuuden vahvemmaksi valmistumisvaiheessa kuin kirjallisella kokeella valitut. Kirjallisella kokeella valittujen opiskelijoiden kolmannen lukukauden arvosanoihin perustuva osaaminen oli parempaa kuin soveltuvuuskokeella valittujen opiskelijoiden. Suuntautumisvaihtoehto, hoitoalan työkokemus, peruskoulutus ja hakusija olivat merkittävimmin yhteydessä opiskelijoiden osaamiseen ja opiskelumotivaatioon. Valintakoemenetelmä selitti eniten opiskelijoiden osaamisessa ja opiskelumotivaatiossa ilmenneitä eroja, joskin selitysosuudet jäivät alhaisiksi. Kehittämisehdotukset kohdistuvat valintakoemenetelmien kehittämiseen ja säännölliseen arviointiin sekä alalle motivoituneisuuden määrittelyyn ja mittaamisen kehittämiseen. Jatkotutkimusaiheina ehdotetaan eri valintakoemenetelmien testaamista ja tutkimuksessa käytettyjen mittareiden edelleen kehittämistä.

Tehohoitopotilaan siirtotiedote hoitotyön päätöksenteon tukena - retrospektiivinen asiakirja-analyysi vuosilta 2001-2013

Tuija Lehtikunnas: Intensive care patient handover document in support of decision-making in nursing work - Retrospective document analysis for the period 2001–2013 University of Turku, Faculty of Medicine, Nursing Science Annales Universitatis Turkuensis Turku 2016 ABSTRACT The continuity of care and flow of information must be ensured when transferring the responsibility of care, whether this is done within an organisation or from one organisation to another. The purpose of this study was to describe and compare the nursing handover documents of long-term intensive care patients and changes to these documents during the years 2001–2013. Research data comprehended long-term intensive care patient handover documents (N = 250). Data was gathered from one university hospital intensive care unit and subjected to a content analysis of technical implementation, structure and content at five different time points. In addition to this, the nursing handover documents were analysed from a nursing decision-making standpoint. Sub-data (n = 5 x 50) from the years 2001, 2002, 2004, 2006 and 2013 was gathered. The first sub-data was manual, written on paper with a pen. The rest of the sub-data obtained was entered in a dedicated intensive care information system. The study developed an intensive care patient nursing handover document analysis framework, which was used to deductively analyse the research data. The results indicated that the transitioning to electronic records reinforced structure and identification improving the reusability of data was increased. Although intensive care nursing was recorded on nursing handover documents more comprehensively in more recent sub-data, it was done selectively with regard to overall patient care, e.g. there are no entries concerning the psychological support and counselling of patients or family members. Nursing handover documents do not contain a systematic description of the patient's communication and functional capacity at the moment of transfer. The patient's condition at the moment of transfer is not clearly indicated on the handover documents. Plans for follow-up treatment are not recorded at all. Nursing decision-making is difficult to find on the nursing handover documents used as research data. The study developed a handover document model for intensive care nursing that supports nursing decision-making and the continuity of care. Developmental recommendations focus on the management of co-operation within organisations for ensuring the continuity of care and enhancing each area of nursing in recording nursing handover documents by planning nursing for the patient, taking follow-up treatment resources into consideration. Keywords: Intensive care nursing, nursing decision-making, nursing records, information flow, nursing handover document, continuity of care