{"id":14464,"date":"2025-01-14T12:01:25","date_gmt":"2025-01-14T12:01:25","guid":{"rendered":"https:\/\/www.tartuh.ee\/?page_id=14464"},"modified":"2025-11-12T08:08:04","modified_gmt":"2025-11-12T08:08:04","slug":"14464-2","status":"publish","type":"page","link":"https:\/\/www.tartuh.ee\/en\/research-and-development\/research-groups-in-tartu-applied-health-sciences-university\/14464-2\/","title":{"rendered":""},"content":{"rendered":"\n<div class=\"wp-block-cover aligncenter is-light wp-duotone-purple-yellow\"><img loading=\"lazy\" decoding=\"async\" width=\"2560\" height=\"1707\" class=\"wp-block-cover__image-background wp-image-13504\" alt=\"\" src=\"https:\/\/www.tartuh.ee\/wp-content\/uploads\/2024\/09\/IMG_1935-scaled.jpg\" data-object-fit=\"cover\" srcset=\"https:\/\/www.tartuh.ee\/wp-content\/uploads\/2024\/09\/IMG_1935-scaled.jpg 2560w, https:\/\/www.tartuh.ee\/wp-content\/uploads\/2024\/09\/IMG_1935-300x200.jpg 300w, https:\/\/www.tartuh.ee\/wp-content\/uploads\/2024\/09\/IMG_1935-768x512.jpg 768w, https:\/\/www.tartuh.ee\/wp-content\/uploads\/2024\/09\/IMG_1935-1024x683.jpg 1024w, https:\/\/www.tartuh.ee\/wp-content\/uploads\/2024\/09\/IMG_1935-1536x1024.jpg 1536w, https:\/\/www.tartuh.ee\/wp-content\/uploads\/2024\/09\/IMG_1935-2048x1365.jpg 2048w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\" \/><span aria-hidden=\"true\" class=\"wp-block-cover__background has-background-dim\" style=\"background-color:#a69e8a\"><\/span><div class=\"wp-block-cover__inner-container is-layout-constrained wp-block-cover-is-layout-constrained\">\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h1 class=\"wp-block-heading has-text-align-center has-large-font-size\"><strong>PRIMARY HEALTH CARE RESEARCH GROUP<br><\/strong><br><\/h1>\n<\/div><\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><br><\/p>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-8f761849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:33.33%\">\n<p class=\"has-cyan-bluish-gray-background-color has-background wp-block-paragraph\"><strong><strong>Collaborators: <\/strong><\/strong>Estonian Nurses Union, The Estonian Society of Family Doctors, Health Insurance Fund<\/p>\n\n\n\n<p class=\"has-cyan-bluish-gray-background-color has-background wp-block-paragraph\"><br><strong>Keywords: <\/strong>primary health care, nursing care, midwifery care, scientific research, service quality, competences of healthcare professional, development needs, person-centered healthcare, sectoral collaboration.<\/p>\n\n\n\n<p class=\"has-cyan-bluish-gray-background-color has-background wp-block-paragraph\"><br><strong>Overview of Main Activities:<\/strong> <em>Vision:<\/em> Targeted, evidence-based, person-centered, interdisciplinary, and sustainable primary health care involving nurses and other healthcare stakeholders. <em>Mission:<\/em> Promote evidence-based development in primary health care through collaboration among nursing, midwifery, and other healthcare stakeholders.<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:66.66%\">\n<h2 class=\"wp-block-heading\">Research Group Members<\/h2>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-8f761849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-8f761849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https:\/\/www.tartuh.ee\/wp-content\/uploads\/2024\/11\/DSC_5565-1024x683.jpg\" alt=\"\" class=\"wp-image-14015\" srcset=\"https:\/\/www.tartuh.ee\/wp-content\/uploads\/2024\/11\/DSC_5565-1024x683.jpg 1024w, https:\/\/www.tartuh.ee\/wp-content\/uploads\/2024\/11\/DSC_5565-300x200.jpg 300w, https:\/\/www.tartuh.ee\/wp-content\/uploads\/2024\/11\/DSC_5565-768x512.jpg 768w, https:\/\/www.tartuh.ee\/wp-content\/uploads\/2024\/11\/DSC_5565-1536x1024.jpg 1536w, https:\/\/www.tartuh.ee\/wp-content\/uploads\/2024\/11\/DSC_5565-2048x1365.jpg 2048w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>SIRJE SAMMUL, <\/strong><br><strong>PhD (medicine), RN (health nurse), Research Group Leader<\/strong><\/p>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/www.etis.ee\/CV\/Sirje_Sammul\/eng\/\" target=\"_blank\" rel=\"noreferrer noopener\">CV<\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"1280\" height=\"508\" src=\"https:\/\/www.tartuh.ee\/wp-content\/uploads\/2024\/11\/FullLogo_104_jpg.jpg\" alt=\"\" class=\"wp-image-14012\" srcset=\"https:\/\/www.tartuh.ee\/wp-content\/uploads\/2024\/11\/FullLogo_104_jpg.jpg 1280w, https:\/\/www.tartuh.ee\/wp-content\/uploads\/2024\/11\/FullLogo_104_jpg-300x119.jpg 300w, https:\/\/www.tartuh.ee\/wp-content\/uploads\/2024\/11\/FullLogo_104_jpg-768x305.jpg 768w, https:\/\/www.tartuh.ee\/wp-content\/uploads\/2024\/11\/FullLogo_104_jpg-1024x406.jpg 1024w\" sizes=\"auto, (max-width: 1280px) 100vw, 1280px\" \/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-8f761849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https:\/\/www.tartuh.ee\/wp-content\/uploads\/2024\/09\/DSC_5602-1024x683.jpg\" alt=\"\" class=\"wp-image-13508\" srcset=\"https:\/\/www.tartuh.ee\/wp-content\/uploads\/2024\/09\/DSC_5602-1024x683.jpg 1024w, https:\/\/www.tartuh.ee\/wp-content\/uploads\/2024\/09\/DSC_5602-300x200.jpg 300w, https:\/\/www.tartuh.ee\/wp-content\/uploads\/2024\/09\/DSC_5602-768x512.jpg 768w, https:\/\/www.tartuh.ee\/wp-content\/uploads\/2024\/09\/DSC_5602-1536x1024.jpg 1536w, https:\/\/www.tartuh.ee\/wp-content\/uploads\/2024\/09\/DSC_5602-2048x1365.jpg 2048w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p class=\"has-small-font-size wp-block-paragraph\"><strong>HAIDE LAURSON, MSc (health sciences), RN (health nurse)<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https:\/\/www.tartuh.ee\/wp-content\/uploads\/2024\/09\/DSC_5127-1024x683.jpg\" alt=\"\" class=\"wp-image-13510\" srcset=\"https:\/\/www.tartuh.ee\/wp-content\/uploads\/2024\/09\/DSC_5127-1024x683.jpg 1024w, https:\/\/www.tartuh.ee\/wp-content\/uploads\/2024\/09\/DSC_5127-300x200.jpg 300w, https:\/\/www.tartuh.ee\/wp-content\/uploads\/2024\/09\/DSC_5127-768x512.jpg 768w, https:\/\/www.tartuh.ee\/wp-content\/uploads\/2024\/09\/DSC_5127-1536x1024.jpg 1536w, https:\/\/www.tartuh.ee\/wp-content\/uploads\/2024\/09\/DSC_5127-2048x1365.jpg 2048w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p class=\"has-small-font-size wp-block-paragraph\"><strong>MERIT TAIM, MSc (nursing science), RM<\/strong><\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"1921\" height=\"1280\" src=\"https:\/\/www.tartuh.ee\/wp-content\/uploads\/2025\/02\/DSC01104-edited.jpg\" alt=\"\" class=\"wp-image-15061\" \/><\/figure>\n\n\n\n<p class=\"has-small-font-size wp-block-paragraph\"><strong>MARIKA ROSIN, MSc (health sciences), RN (health nurse)<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading\">Focus of Scientific Research and Development are as follows:<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Conducting high-quality scientific research in intra- and inter-disciplinary collaboration at national and international levels.<\/li>\n\n\n\n<li>Investigating clinical questions based on the needs of the speciality &#8211; and applying research results to develop person-centered, sustainable, and innovative primary care services.<\/li>\n\n\n\n<li>Engaging end-users (primary care specialists, primary health care institutions, patients) to achieve effectiveness in the field of research and development.<\/li>\n\n\n\n<li>Collaborating with various stakeholders like the Health Insurance Fund and the Ministry of Social Affairs for evidence-based professional development.<\/li>\n\n\n\n<li>Involving master&#8217;s students in health sciences to conduct scientific research in the field of primary health care.<\/li>\n\n\n\n<li>Making the results of the completed scientific research accessible to primary care specialists, stakeholders, decision-makers, and the public through the ETTH-UR website.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Ongoing Project<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Foot Health Management for Patients with Chronic Diseases in Estonian Primary Health Care (01.09.25-31.08.2029). Doctoral Thesis. Additional information: <a href=\"https:\/\/www.etis.ee\/Portal\/Projects\/Display\/d77a9157-fda8-4a9f-a100-3e9a8bcb2cf4\">ETIS<\/a>. Principal investigator Maria Suits, Sirje Sammul (2. Supervisor).<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Ongoing Applied Research<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">1) <strong>Family nurses&#8217; self-assessed competence and development needs and family doctors&#8217; expectations regarding family nurses&#8217; development needs in Estonian primary healthcare settings, and the development of new teaching and working tools for patient counseling (01.01.2023\u201331.12.2026).<\/strong>&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Additional information: <a href=\"https:\/\/www.etis.ee\/Portal\/Projects\/Display\/4e24dddf-cfe0-4ff0-8669-5ded4a8fb37e\" target=\"_blank\" rel=\"noreferrer noopener\">ETIS.<\/a>&nbsp;<\/p>\n\n\n\n<div style=\"height:25px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><mark style=\"background-color:#ffffff\" class=\"has-inline-color has-vivid-red-color\"><strong>The main topics of research and development are as follows:&nbsp;<\/strong><\/mark><\/p>\n\n\n\n<div style=\"height:25px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Family nurses&#8217; self-assessed competence and development needs in Estonian primary healthcare \u2013 questionnaire survey (approved by the Ethics Committee of the University of Tartu, protocol no. 393\/T-13, October 2024). Research period: October 2024 to April 2025. Research publication: June 2025 to April 2026. Researchers: Sirje Sammul (lead researcher), Gerli M\u00f5ts, Haide Laurson.&nbsp;<\/li>\n\n\n\n<li>Family doctors&#8217; expectations of family nurses in Estonian primary health care \u2013 qualitative study (approved by the Ethics Committee of the University of Tartu, protocol no. 400\/T-17, initial application May 2025; follow-up application October 2025). Research period May to September 2025, and October to December 2025. Research publication 2026. Researchers: Sirje Sammul (responsible), Haide Laurson, Marika Rosin&nbsp;<\/li>\n\n\n\n<li>Psychometric evaluation of a self-efficacy measure for chronic disease \u2013 33-question Estonian version among patients with hypertension and type 2 diabetes (approved by the Ethics Committee of the University of Tartu, protocol no. 393\/T-3). The research will take place between October 2024 and June 2025. Publication between September 2025 and April 2026. Researchers: Haide Laurson, Evelyn Joost, Merje Lehtmets, Sirje Sammul (responsible).<\/li>\n\n\n\n<li>E-learning tool for comprehensive assessment and intervention by family nurses for adult patients diagnosed with hypertension and type 2 diabetes. Development from November 2024 to August 2025. Creation of the learning e-tool in the Moodle environment from October to December 2025. Researchers: Marika Rosin, Janely Toomsalu, Sirje Sammul (responsible).&nbsp;<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Student Theses Related to Applied Research<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Bachelor&#8217;s level nursing curriculum student theses:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Defended in 2025. Cheliin-Carmen J\u00fcrgen thesis: &#8220;Background Factors of Family Nurse&#8217;s Self-Evaluated Competence and the Benefits of Analyzing Development Needs for Professional Self-Development.&#8221;<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>2) Implementation of midwifery care and factors influencing it in Estonian primary health care centers \u2013 a combined method applied research (2025\u20132027).&nbsp;<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The main topics of research and development are as follows:&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Part I: Implementation of midwifery services in Estonian primary health care centers: a quantitative study among midwives (T\u00dc Human Research Ethics Committee approval no. 405\/T-8, November 2025). Research period: November 2025 to March 2026.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Popularization of Science<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>November 2025: Oral presentation at the annual conference of the Heart Clinic of Tartu University Hospital: The involvement of nurses in research activities based on the example of the primary healthcare research group and opportunities for further study at the Tartu Applied Health Sciences University. Sirje Sammul (presenter) (Tartu, Estonia)&nbsp;<\/li>\n\n\n\n<li>October 2025: Oral presentation at the 3rd International Scientific Conference of Primary Care: The content and effectiveness of home-based services for patients with chronic heart failure: evidence from randomized controlled trials. Sirje Sammul (presenter). Co-author Mari-Liis Pristavka (Ljubljana, Slovenia, Ljubljana University).&nbsp;<\/li>\n\n\n\n<li>September 2025: Oral presentation at the conference of the European Forum of Primary Care: Assessing leadership competencies and development needs of primary health care nurses in Estonia (Vienna, Austria, Vienna University).&nbsp;<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Master&#8217;s Theses Related to the Research Group in Health Sciences:<\/h2>\n\n\n\n<div style=\"height:36px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><mark style=\"background-color:#ffffff\" class=\"has-inline-color has-vivid-red-color\"><strong>Ongoing Research:<\/strong><\/mark><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Kadi-Liis Roosimaa &#8211; <strong>Implementation of the Family Nursing Guidelines in Estonia by family nurses and factors that promote and hinder this \u2013 quantitative research.<\/strong> Research supervisor Sirje Sammul\u00a0<\/li>\n\n\n\n<li>Marili Suits &#8211; <strong>Implementation of the School Nursing Guidelines (2020) and related obstacles among nurses providing school health services in Estonia: a quantitative cross-sectional study.<\/strong> Research supervisor Sirje Sammul&nbsp;<\/li>\n\n\n\n<li>Natalja Hirvi \u2013 <strong>Patient risk assessment triage system in primary health care \u2013 a systematic review.<\/strong> Research supervisor Reet Urban&nbsp;<\/li>\n\n\n\n<li>Tuuli Kossal \u2013 <strong>Effectiveness of e-technology solutions in shaping awareness and attitudes towards HPV vaccination among 12-25-year-olds \u2013 a systematic review. <\/strong>Research supervisor Sirje Sammul.<\/li>\n<\/ul>\n\n\n\n<div style=\"height:36px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><mark style=\"background-color:#ffffff\" class=\"has-inline-color has-vivid-red-color\"><strong>Completed Research:<\/strong><\/mark><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>2025 Marili Lipp Master&#8217;s thesis &#8220;<strong>Experiences, expectations, and needs of family nurses who have recently completed the nursing curriculum for working as family nurse, based on the example of family nurses working in South Estonia \u2013 a qualitative study<\/strong>.&#8221; Supervisor Sirje Sammul.<\/li>\n\n\n\n<li>2025 Anastassia Jasevit\u0161 Master&#8217;s thesis &#8220;<strong>Family nurses&#8217; self-assessed knowledge, skills and attitudes in analyzing and advising on nutrition-related information using the <em>NUTCOMP<\/em> measure among adults diagnosed with hypertension in Estonia<\/strong>&#8220;. Supervisor Sirje Sammul.<\/li>\n\n\n\n<li>2025 Kairi Sokk Master&#8217;s thesis &#8220;<strong>Opinions and experiences of parents of children receiving home enteral nutrition services at Tartu University Hospital in deciding on gastrostomy: a phenomenological study&#8221;.<\/strong> Supervisor Sirje Sammul.<\/li>\n\n\n\n<li>2024 Mari-Liis Pristavka, Anne H\u00e4m\u00e4l\u00e4inen development project &#8220;<a href=\"https:\/\/www.etis.ee\/Portal\/Mentorships\/Display\/310b156a-7384-4d72-9268-48268a0f32e5\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>Home service provided by a cardiology nurse for patients diagnosed with chronic heart failure&#8221;.<\/strong><\/a> Supervisor Sirje Sammul.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Contact<\/strong>: Sirje Sammul, PhD: Senior Lecturer at Tartu Health Care College (sirje.sammul@tartuh.ee)<\/p>\n\n\n<div class=\"_personShort\" role=\"region\" aria-label=\"Person short\"><div class=\"_personShortWrap\" role=\"group\" aria-label=\"Person info\"><div class=\"_mainPersonInfo\" role=\"group\" aria-label=\"Main person info\"><p class=\"_name\" role=\"note\" aria-label=\"Name\">Sirje Sammul<\/p><p class=\"_position\" role=\"note\" aria-label=\"Position\">Professor<\/p><a class=\"_phone\" href=\"tel:+372 7370240\"  aria-label=\"Phone\">+372 737 0240<\/a><a class=\"_email\" href=\"mailto:sirje.sammul@tartuh.ee\"  aria-label=\"Email\">sirje.sammul@tartuh.ee<\/a><\/div><\/div><\/div>\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/www.tartuh.ee\/en\/research-and-development\/research-groups-in-tartu-applied-health-sciences-university\/\">Back to the Research Groups main page<\/a><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Collaborators: Estonian Nurses Union, The Estonian Society of Family Doctors, Health Insurance Fund Keywords: primary health care, nursing care, midwifery care, scientific research, service quality, competences of healthcare professional, development needs, person-centered healthcare, sectoral collaboration. Overview of Main Activities: Vision: Targeted, evidence-based, person-centered, interdisciplinary, and sustainable primary health care involving nurses and other healthcare stakeholders. 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