Haku
Viitteet 1421-1430 / 2060
Potilasturvallisuus psykiatrisessa hoitotyössä
(Laurea-ammattikorkeakoulu, 2013)
Laurea-ammattikorkeakoulu Tiivistelmä
Laurea Lohja
Hoitotyön koulutusohjelma
Maikki Hopia
Potilasturvallisuus psykiatrisessa hoitotyössä
Vuosi 2013 Sivumäärä 78
Opinnäytetyön ...
Rakenteellinen sähköinen kirjaus : Systemaattinen kirjallisuuskatsaus
(Laurea-ammattikorkeakoulu, 2013)
, potilasasiakirja, hoitotyö...
Päihtyneen henkilön kommootion seuranta – Opas työntekijöitä varten
(Laurea-ammattikorkeakoulu, 2013)
tavoitteena oli toimia päihtyneen henkilön kommootion seurannan ja uusien työntekijöiden ohjaamisen tukena Espoon selviämishoitoaseman hoitohenkilökunnalle. Opinnäytetyö tehtiin Espoon mielenterveys- ja päihdepalvelukeskuksen kehittämishankkeeseen...
The purpose of this thesis was to produce a guidebook on the observation of an intoxicated person with a concussion. The observation of an intoxicated person with a concussion is challenging because brain injury and substance intoxication may occur simultaneously and the symptoms are similar. The aim of the guidebook is to support the staff on the sobering-up station in Espoo to perform the observation of an intoxicated person with a concussion and to guide a new employee. This thesis is a part of the development project of the mental health and substance abuse service center in Espoo. This thesis was a functional study. The data of the thesis was gathered from a variety of national and international articles and research, through literature search and a theme interview. The theme interview was formed based on a survey for the staff on the sobering-up station. The theme interview was conducted as an expert interview for a neurology specialist. The content of the guidebook was formed based on the literature search and the theme interview. The production of the guidebook was carried out in close co-operation with the staff on the sobering-up station and the neurology specialist. The guidebook includes symptoms of concussion, intoxicants’ effects on the body and the execution of the observation of an intoxicated person with a concussion. The feedback of the guidebook was collected from the staff and the neurology specialist. Based on the feedback the content of the guidebook was structured and the text was made easy to read. In the future, the guidebook can be extended to include drug and medicine abuse or emergency situations related in the observation of an intoxicated person with a concussion....
The purpose of this thesis was to produce a guidebook on the observation of an intoxicated person with a concussion. The observation of an intoxicated person with a concussion is challenging because brain injury and substance intoxication may occur simultaneously and the symptoms are similar. The aim of the guidebook is to support the staff on the sobering-up station in Espoo to perform the observation of an intoxicated person with a concussion and to guide a new employee. This thesis is a part of the development project of the mental health and substance abuse service center in Espoo. This thesis was a functional study. The data of the thesis was gathered from a variety of national and international articles and research, through literature search and a theme interview. The theme interview was formed based on a survey for the staff on the sobering-up station. The theme interview was conducted as an expert interview for a neurology specialist. The content of the guidebook was formed based on the literature search and the theme interview. The production of the guidebook was carried out in close co-operation with the staff on the sobering-up station and the neurology specialist. The guidebook includes symptoms of concussion, intoxicants’ effects on the body and the execution of the observation of an intoxicated person with a concussion. The feedback of the guidebook was collected from the staff and the neurology specialist. Based on the feedback the content of the guidebook was structured and the text was made easy to read. In the future, the guidebook can be extended to include drug and medicine abuse or emergency situations related in the observation of an intoxicated person with a concussion....
Ikääntyneen mielenterveyttä tukeva leiri
(Laurea-ammattikorkeakoulu, 2013)
Tämän opinnäytetyön tarkoituksena oli toteuttaa ikäihmisille suunnattu leiri, jonka tavoitteena oli leirille osallistuvien mielenterveyden edistäminen ja tukeminen. Tarkoituksena oli käyttää leirillä erityisesti luontokokemuksia sekä liikuntaa leiriläisten mielenterveyden edistämisen ja tukemisen välineinä. Tarkoituksena oli myös luoda leirille sisällöt ja materiaalit, jotka olisivat jatkossa käytettävissä, joko erillisinä osina tai toteutettavissa uudelleen kokonaisena leirinä.
Leiri toteutettiin toiminnallisena opinnäytetyönä ja se pidettiin 19.-22.8.2013 Mäntsälässä Leiriniemessä. Leiri toteutettiin Tuusulan seurakunnan diakoniatyön järjestämänä Ikäihmisten leirinä. Leirille osallistui 17 ikäihmistä sekä Tuusulan seurakunnasta diakoniapappi sekä kaksi diakoniatyöntekijää, joista itse olin toinen. Leirillä oli myös kolme vapaaehtoista avustajaa. Yöaikaan leirillä oli valvomassa sairaanhoitaja.
Ennen leirille lähtöä osallistujille lähetettiin täytettäväksi RBDI-kysely eli Beckin lyhyen depressiokyselyn pohjalta Suomen oloihin kehitetty kysely masennusoireilusta ja itsetunnosta. Kysely pyydettiin tuomaan täytettynä mukaan leirille. Näin haluttiin kartoittaa leiriläisten lähtötilanne. Leirin viimeisenä päivänä leiriläiset täyttivät RBDI-kyselyn uudelleen. Leirin aikana heiltä pyydettiin arviointia myös leirillä toteutetusta Voimapolusta. Leirin viimeisenä päivänä leiriläiset saivat täytettäväkseen leirin arviointikyselyn, jonka avulla kerättiin palautetta leiristä. Leirin arvioinnin menetelmänä arviointilomakkeessa käytettiin kyselyä, joka oli rakenteeltaan puolistrukturoitu.
Ennen ja jälkeen leiriä täytettyjen RBDI-kyselyjen vertailussa selvisi, että leirin jälkeen täytetyssä kyselyssä masennuspistemäärät olivat laskeneet jonkin verran verrattuna ensimmäiseen kyselyyn. Itsetuntoon ja itseluottamukseen liittyvät pistemäärät puolestaan nousivat selvästi. Ahdistuksen pistemäärät laskivat jonkin verran toisessa kyselyssä. Nämä tulokset näyttävät tukevan tutkimustuloksia luonnon elvyttävistä vaikutuksista. Leirin arviointikyselyn avoimissa palautteissa korostuivat yhdessäolon ja ryhmähengen merkitys leiriläisille. Kokonaisarvosanaksi leiri sai leiriläisiltä 4,8 arvoasteikolla 1-5. Leirin sisältöjen arvioinnit olivat kaikkiaan varsin hyviä. Tämän palautteen kannalta voidaan todeta, ettei leirin rakennetta kannata juurikaan muuttaa.
Leiripalautteesta selvisi, että vaikka yhteisten ohjelmien olemassaolo onkin tärkeää, niin kuitenkin suurin merkitys leiriläisille on yhdessäololla ja ryhmään kuulumisen tunteella. Ikääntyneiden ollessa kyseessä merkittäväksi mielenterveyttä tukevaksi seikaksi näyttäisikin nousevan yhteisöllisyys ja toisten ihmisten seura....
in Mäntsälä, Leiriniemi. It was arranged as part of diaconia work of the parish of Tuusula. Seventeen elderly persons attended the camp. There was also a priest who co-operated with the two diaconia workers, I.E. the author of the thesis and another worker...
in Mäntsälä, Leiriniemi. It was arranged as part of diaconia work of the parish of Tuusula. Seventeen elderly persons attended the camp. There was also a priest who co-operated with the two diaconia workers, I.E. the author of the thesis and another worker...
Intoksikaatiot Hämeenlinnnan ensihoitoalueella vuonna 2012
(Laurea-ammattikorkeakoulu, 2013)
Tutkimuksen tarkoituksena oli kuvata tutkittua tietoa alkoholi-, lääke- ja huumausaineintoksikaatioista Hämeenlinnan ensihoitoalueelta. Työssä selvitettiin intoksikaatioiden määrää, luonnetta, potilaan profiilia ja ...
Nuorten nukkumistottumukset Kuitinmäen yläkoululla
(Laurea-ammattikorkeakoulu, 2013)
hyvinvointikäyttäytymistä nukkumistottumusten osalta. Vanhempainillassa esiintymisen tavoitteena oli saada vanhemmat tietoisiksi lastensa nukkumistottumuksista ja näin ollen ennaltaehkäistä uniongelmien syntyä. Opinnäytetyö on tehty osana Laurea Otaniemen ja Kuitinmäen...
Sleeping habits among Kuitinmäki junior high school pupils The purpose of this thesis was to study Kuitinmäki junior high school pupils’ sleeping habits and to introduce the survey results in a parents’ evening. The aim was to promote adolescents’ health and have positive effects on their sleeping habits. Showing the results of the survey in a parents’ evening was a way to increase the parents’ knowledge about their children’s sleeping habits and to prevent sleeping problems. The thesis is a part of Kuitimäki project between Laurea University of Applied Sciences and Kuitinmäki junior high school. In the spring 2012 students in physiotherapy programme, Heikinheimo, Mäkinen and Niskala, made a thesis in the Kuitinmäki project which shows that Kuitinmäki junior high school pupils are not sleeping enough. The school’s teachers had noticed that the pupils are tired during lessons, so the need for the survey came also from Kuitinmäki junior high school. Kuitinmäki junior high school pupils’ sleeping habits were studied with a questionnaire for the 9th graders. 92 pupils of the school participated in the survey. The questionnaire examined the adolescents’ nocturnal sleep lengths during the school week and on weekends, parental influence on their children’s sleeping habits, what adolescents do before going to bed, sleeping problems and adolescent’s energy drink consumption and its association to the sleeping problems. We presented the most significant findings at a parents’ evening for the new 7th graders’ parents. The findings of the thesis showed that the pupils who participated in the study sleep on average too little compared to the recommendations. Adolescents’ irregular sleeping schedule causes sleep deprivation on weekends and tiredness on school mornings. Based on the findings of the thesis it seems that adolescents are not suffering from sleeping disorders. The findings of the thesis showed that the parents’ influence on the pupils’ sleeping habits was relatively small. The majority of adolescents were spending their time before bed surfing in the Internet or watching the television. For a growing up adolescent, it is important to get enough sleep during nights. Adequate sleep is essential for a growing young person. Too little sleep affects adversely the health and well being of adolescents. The basis for a healthy way of life is created in childhood and in adolescence, however, it is important to pay attention to the improvement of young people’s sleeping habits also in the future. A future challenge for Kuitinmäki junior high school is to pay special attention to adolescents’ sleeping habits for example in the meetings with public health nurses, in health education classes as well as in the meetings with the pupils’ parents....
Sleeping habits among Kuitinmäki junior high school pupils The purpose of this thesis was to study Kuitinmäki junior high school pupils’ sleeping habits and to introduce the survey results in a parents’ evening. The aim was to promote adolescents’ health and have positive effects on their sleeping habits. Showing the results of the survey in a parents’ evening was a way to increase the parents’ knowledge about their children’s sleeping habits and to prevent sleeping problems. The thesis is a part of Kuitimäki project between Laurea University of Applied Sciences and Kuitinmäki junior high school. In the spring 2012 students in physiotherapy programme, Heikinheimo, Mäkinen and Niskala, made a thesis in the Kuitinmäki project which shows that Kuitinmäki junior high school pupils are not sleeping enough. The school’s teachers had noticed that the pupils are tired during lessons, so the need for the survey came also from Kuitinmäki junior high school. Kuitinmäki junior high school pupils’ sleeping habits were studied with a questionnaire for the 9th graders. 92 pupils of the school participated in the survey. The questionnaire examined the adolescents’ nocturnal sleep lengths during the school week and on weekends, parental influence on their children’s sleeping habits, what adolescents do before going to bed, sleeping problems and adolescent’s energy drink consumption and its association to the sleeping problems. We presented the most significant findings at a parents’ evening for the new 7th graders’ parents. The findings of the thesis showed that the pupils who participated in the study sleep on average too little compared to the recommendations. Adolescents’ irregular sleeping schedule causes sleep deprivation on weekends and tiredness on school mornings. Based on the findings of the thesis it seems that adolescents are not suffering from sleeping disorders. The findings of the thesis showed that the parents’ influence on the pupils’ sleeping habits was relatively small. The majority of adolescents were spending their time before bed surfing in the Internet or watching the television. For a growing up adolescent, it is important to get enough sleep during nights. Adequate sleep is essential for a growing young person. Too little sleep affects adversely the health and well being of adolescents. The basis for a healthy way of life is created in childhood and in adolescence, however, it is important to pay attention to the improvement of young people’s sleeping habits also in the future. A future challenge for Kuitinmäki junior high school is to pay special attention to adolescents’ sleeping habits for example in the meetings with public health nurses, in health education classes as well as in the meetings with the pupils’ parents....
Hoitajien kokemuksia uhka- ja väkivaltatilanteista ja niiden jälkeisestä toiminnasta Keravan terveyskeskuspäivystyksessä
(Laurea-ammattikorkeakoulu, 2013)
Keravan terveyskeskus on lähtenyt kehittämään uhka– ja väkivaltatilanteiden jälkeistä toimintaa yhteistyössä Laurea ammattikorkeakoulun kanssa. Henkilökunnalta puuttui selkeä ja yhdenmukainen toimintamalli uhka- ja väkivaltatilanteisiin. Opinnäytetyön tarkoituksena on tuoda henkilökunnalle yhdenmukaisuutta uhka- ja väkivaltatilanteisiin ja niiden jälkeiseen toimintaan.
Tutkimus toteutettiin kvalitatiivisella menetelmällä. Keräsimme aineiston avoimella ryhmähaastattelulla, johon osallistui kolme kokenutta sairaanhoitajaa Keravan terveyskeskuspäivystyksestä ja kaksi haastattelijaa. Käytimme tulosten analysointiin induktiivista sisällönanalyysiä. Tulosten pohjalta muodostui viisi pääluokkaa, joilla jokaisella oli omia alaluokkia. Ensimmäisenä teemana nousi esiin toteutunut väkivalta tai sen uhka, sekä niiden erilaiset esiintymismuodot. Toinen teema käsittää henkilökunnan ja työnantajan toiminnan koordinoimista. Kolmas teema käsittelee yhteisesti sovittua konkreettista toimintaa tilanteissa. Neljäs teema käsittelee henkilökunnan tunteita ja tunteiden käsittelyä uhka- ja vaaratilanteissa. Viimeisessä teemassa esiin nousee päihteidenkäyttäjän turvallinen kohtaaminen.
Tulosten perusteella kokosimme henkilökunnalle posterin toiminnan ohjeistamiseksi uhka- ja väkivaltatilanteiden aikana ja jälkeen. Jatkotutkimusaiheita ja kehittämisehdotuksia pohtiessamme esiin nousi ajatus henkilökunnan tarvitsemasta lisäkoulutus. Henkilökunnan toiveena oli koulutus, joka auttaisi yhdenmukaistamaan uhka- ja väkivaltatilanteiden aikana ja jälkeen käytettäviä toimintamenetelmiä. Opinnäytetyömme pohjalta uskomme, että kehitysehdotuksena kokemus- tai päihdetyönasiantuntijan tarjoamat koulutukset toisivat jatkossa uutta näkökantaa henkilökunnalle ja antaisivat työkaluja tilanteiden hoitamiseen. Olisi myös hyvä tutkia päihteidenkäyttäjien kokemuksia Keravan terveyskeskuksen toiminnasta. Lisäksi uhka- ja vaaratilanneraportoinnin kehittäminen, sekä lomakkeiden käsittelyreitin selvittäminen selkeyttäisi henkilökunnalle toimintakäytäntöjä....
University of Applied Sciences. The nursing staff had no clear and unified strategy plan for threatening and violent situations. The purpose of this thesis was to help to unify the ways in which the personnel should act during and after threatening...
University of Applied Sciences. The nursing staff had no clear and unified strategy plan for threatening and violent situations. The purpose of this thesis was to help to unify the ways in which the personnel should act during and after threatening...
Sähköinen portfolio- tietoa aivohalvauksesta mielenterveyskuntoutujille
(Laurea-ammattikorkeakoulu, 2013)
Opinnäytetyömme on tehty osana Laurea-ammattikorkeakoulun ja Keski-Uudenmaan sopimuskodin LDP-projektia. LDP-projekti koostuu kolmesta opinnäytetyöstä jotka käsittelevät diabetestä ja lihavuutta, verenpainetautia sekä aivohalvausta. Tarkoituksena oli parantaa Keski-Uudenmaan Sopimuskodin mielenterveyskuntoutujien sekä hoitajien tietämystä yllä mainituista aiheista. Opinnäytetyömme tavoitteena oli tehdä Sopimuskodin mielenterveyskuntoutujille sekä henkilökunnalle sähköinen portfolio aivohalvauksesta sekä sen ennaltaehkäisystä. Toisena tavoitteena oli pitää suullinen esitys sopimuskodissa aivohalvauksesta. Sähköisen portfolion ja suullisen esityksen avulla halusimme saada heidät ymmärtämään kuinka elämäntapamuutoksilla voidaan ennaltaehkäistä aivohalvauksen syntyä. Tieto on tärkeä koska mielenterveyskuntoutujilla on suurempi riski sairastua aivohalvaukseen, sillä heidän elämäntapansa ovat yleensä huonot ja heidän somaattinen oireilunsa liitetään herkästi heidän psyykkiseen sairauteensa.
Opinnäytetyömme oli kaksivaiheinen prosessi, joka sisälsi sekä kirjallisen että toiminnallisen osuuden. Toiminnallisessa osuudessa teimme kyselylomakkeet, joihin Keski-Uudenmaan sopimuskodin mielenterveyskuntoutujat sekä henkilökunta saivat vastata. Kyselylomakkeiden perusteella kartoitimme heidän tietämyksensä aivohalvauksesta, ja sen perusteella loimme pohjan suulliselle esityksellemme, jonka kävimme esittämässä Sopimuskodissa helmikuussa 2012. Esitys koostui aivohalvauksen yleisyydestä, syistä, riskitekijöistä ja ennaltaehkäisystä. Toiminnallisessa osuudessa kävimme myös tutustumassa Keski-Uudenmaan Sopimuskotiin ja sen toimintaan.
Kirjallisessa osuudessa käsittelemme aivohalvausta, sen yleisyyttä, riskitekijöitä, hoitoa, kuntoutusta ja ennaltaehkäisyä. Tämän lisäksi teimme mielenterveyskuntoutujille sähköisen portfolion, jonka tarkoituksena oli koota oleellisimmat asiat aivohalvauksesta yhteen. Sähköisessä portfoliossa painottuu aivohalvauksen ennaltaehkäisy ja riskitekijät. Se on muodostettu yksinkertaisesti kysymys- ja vastausmuotoon. Sen tarkoituksena on palvella mielenterveyskuntoutujia ja henkilökuntaa siten, että he voivat helposti löytää portfolion avulla vastauksia aivohalvauksesta. Kirjallisen osuuden lähteinä käytimme kirja- sekä Internet-lähteitä, jotka olivat suurimmaksi osaksi Duodecim-tietokannasta....
theses which study diabetes and obesity, high blood pressure and stroke. Their aim was to improve the knowledge of the abovementioned subjects among the patients and nurses of Keski-Uudenmaan Sopimuskoti. The aim of this thesis was to create an electronic...
theses which study diabetes and obesity, high blood pressure and stroke. Their aim was to improve the knowledge of the abovementioned subjects among the patients and nurses of Keski-Uudenmaan Sopimuskoti. The aim of this thesis was to create an electronic...
Naiseus somalialaisessa kulttuurissa : muistelua moniaistisessa tilassa
(Laurea-ammattikorkeakoulu, 2013)
Opinnäytetyö toteutettiin Laurea-ammattikorkeakoulun koordinoimassa Aistien – Avoimia op-pimisympäristöjä kehittämässä -hankkeessa. Opinnäytetyön teoreettinen viitekehys tarkastelee naiseuden merkitystä somalialaisessa kulttuurissa ja muistelutyön...
Womanhood in Somali culture - Reminiscence work in Multisensory environment This thesis is coordinated by Laurea University of Applied Sciences and it is conducted as part of the project With All Senses – Developing Open Learning Environments. The theoretical study examines the importance of womanhood in Somali culture, doing reminiscence work in multisensory mode. We are particularly interested in reminiscence work and its empowerment impacts on people. The aim is to get more conscious awareness of women’s role and the importance of womanhood in Somali Culture. In addition, the reminiscence work helps to “think back through”, to reflect to the past experiences and to look back into nature which the women don’t have time to reflect and share their experience with each other. The quality of our thesis is functional study; the functional part was carried out on May 21.5-29.5.2013 in the space of Myyrinki, Vantaa. Our target group were Somali Women living in the area of Myyrmäki. We choose this residential area due to the number of immigrants. The practical part of the thesis consisted of four sessions and after each session we had a feedback discussion. The participants ranged from about 6 to 10 people per time and the last session was also attended by students. The goal is to develop the identity of the immigrant women and also to test the multisensory method. For data collection we used polling methods as well as a group interview, which was recorded and filmed. The final feedback was collected from both staff and customers. During the process, we calculated our learning development and our professional growth. We received a positive feedback from the participants and staff, as well as outside visitors. The multisensory space attracted customers’ interest and it was considered necessary as a meeting point of cultures. Multisensory tent represented the Somali culture, the women experienced this to have empowered their memory and felt this to be the perfect combination for reminiscence work method....
Womanhood in Somali culture - Reminiscence work in Multisensory environment This thesis is coordinated by Laurea University of Applied Sciences and it is conducted as part of the project With All Senses – Developing Open Learning Environments. The theoretical study examines the importance of womanhood in Somali culture, doing reminiscence work in multisensory mode. We are particularly interested in reminiscence work and its empowerment impacts on people. The aim is to get more conscious awareness of women’s role and the importance of womanhood in Somali Culture. In addition, the reminiscence work helps to “think back through”, to reflect to the past experiences and to look back into nature which the women don’t have time to reflect and share their experience with each other. The quality of our thesis is functional study; the functional part was carried out on May 21.5-29.5.2013 in the space of Myyrinki, Vantaa. Our target group were Somali Women living in the area of Myyrmäki. We choose this residential area due to the number of immigrants. The practical part of the thesis consisted of four sessions and after each session we had a feedback discussion. The participants ranged from about 6 to 10 people per time and the last session was also attended by students. The goal is to develop the identity of the immigrant women and also to test the multisensory method. For data collection we used polling methods as well as a group interview, which was recorded and filmed. The final feedback was collected from both staff and customers. During the process, we calculated our learning development and our professional growth. We received a positive feedback from the participants and staff, as well as outside visitors. The multisensory space attracted customers’ interest and it was considered necessary as a meeting point of cultures. Multisensory tent represented the Somali culture, the women experienced this to have empowered their memory and felt this to be the perfect combination for reminiscence work method....
Palvelusetelin käyttöönoton reunaehdot Länsi-Uudellamaalla
(Laurea-ammattikorkeakoulu, 2013)
tarkoituksena oli kartoittaa palvelusetelin käyttöönoton reunaehtoja Länsi-Uudenmaan alueella ja selvittää palvelusetelin käyttöön liittyviä hyöty- ja haittanäkökulmia. Opinnäytetyö oli osa Pumppu-hanketta, joka on EAKR-rahoitteinen ylimaakunnallinen teemahanke...
Laurea University of Applied Sciences Abstract Laurea Lohja Health Care Nursing Laura Honkanen The boundary conditions for introducing municipal service vouchers in western Uusimaa Year 2013 Pages 50 The purpose of this thesis was to identify the boundary conditions for introducing service vouchers in western Uusimaa. In addition, the aim was to explore the advantages and disadvantages on the use of a service voucher. This thesis was part of the Pumppu project, which is an interregional thematic project financed by European Regional Developmental Fund. The project searches for new methods in delivering welfare services, and is implemented through a cooperation project concerning four Finnish provinces. The main themes of this thesis were: voucher conditions of use, the advantages and disadvantages, and the development proposals. Qualitative content analysis method was applied in conducting this thesis. The data concerning western Uusimaa area were collected through theme interviews. The interviewees were the persons responsible for municipal services. In western Uusimaa, the introduction of the service voucher has been limited. At the moment it is used in three municipalities. In these municipalities a service voucher is used for delivering dental follow-up care, providing private daycare services for children as well as offering services, which enable offering of holidays for family caregivers. The interviews have revealed that the municipal structure changes have demanded a lot of municipal resources in western Uusimaa, and therefore have contributed to slowing down of the introduction of service vouchers in this area. In addition, the use of the introduction process was experienced as challenging. However, it was evident that the introduction and use of service vouchers was seen as a crucial ethical issue in delivering supportive welfare services for the residents. The municipalities want to respond to the needs of the residents and increase their freedom of choice. The municipal service voucher has established itself as part of the municipal service delivery system in Finland. Services delivered through vouchers increase the residents’ freedom of choice and their ability to influence their own care. The municipality, in turn, benefits from the service voucher by receiving possibilities to deliver its’ services according to different service needs, peak demands and a tightening financial situation. These demands sometimes require rather rapid solutions. The introduction of a service voucher in a municipality allows new service providers’ access to municipal service provision, and therefore supports the creation of new business into the local area....
Laurea University of Applied Sciences Abstract Laurea Lohja Health Care Nursing Laura Honkanen The boundary conditions for introducing municipal service vouchers in western Uusimaa Year 2013 Pages 50 The purpose of this thesis was to identify the boundary conditions for introducing service vouchers in western Uusimaa. In addition, the aim was to explore the advantages and disadvantages on the use of a service voucher. This thesis was part of the Pumppu project, which is an interregional thematic project financed by European Regional Developmental Fund. The project searches for new methods in delivering welfare services, and is implemented through a cooperation project concerning four Finnish provinces. The main themes of this thesis were: voucher conditions of use, the advantages and disadvantages, and the development proposals. Qualitative content analysis method was applied in conducting this thesis. The data concerning western Uusimaa area were collected through theme interviews. The interviewees were the persons responsible for municipal services. In western Uusimaa, the introduction of the service voucher has been limited. At the moment it is used in three municipalities. In these municipalities a service voucher is used for delivering dental follow-up care, providing private daycare services for children as well as offering services, which enable offering of holidays for family caregivers. The interviews have revealed that the municipal structure changes have demanded a lot of municipal resources in western Uusimaa, and therefore have contributed to slowing down of the introduction of service vouchers in this area. In addition, the use of the introduction process was experienced as challenging. However, it was evident that the introduction and use of service vouchers was seen as a crucial ethical issue in delivering supportive welfare services for the residents. The municipalities want to respond to the needs of the residents and increase their freedom of choice. The municipal service voucher has established itself as part of the municipal service delivery system in Finland. Services delivered through vouchers increase the residents’ freedom of choice and their ability to influence their own care. The municipality, in turn, benefits from the service voucher by receiving possibilities to deliver its’ services according to different service needs, peak demands and a tightening financial situation. These demands sometimes require rather rapid solutions. The introduction of a service voucher in a municipality allows new service providers’ access to municipal service provision, and therefore supports the creation of new business into the local area....









