Haku
Viitteet 2091-2100 / 2946
Käsihygienian toteutuminen vuodeosaston lääkehoitohuoneessa
(Laurea-ammattikorkeakoulu, 2013)
Opinnäytetyö koostuu kahdesta erillisestä osiosta; teoreettisesta viitekehyksestä ja havainnointitutkimuksesta. Käsihygieniaan tulee nykyisin kiinnittää enemmän huomiota, koska merkittävin yksittäinen keino estää infektioiden leviäminen...
Implementing hand hygiene in a medication room on the ward This thesis consists of two separate parts: a theoretical framework and an observational study. Hand hygiene now requires greater attention, since the single most significant way to prevent the spread of infection is through a proper implementation of hand hygiene. When handling medicines it is essential to carry out aseptic precautions in order to avoid exposure to drug ingredients and to prevent contaminating the pharmaceuticals. This study was carried out as a project in cooperation with KiiltoClean Ltd, Laurea University of Applied Sciences, and a cooperation partner ward in the Pirkanmaa Hospital District. The purpose of the project report was to describe the aseptic procedures carried out by the nursing staff in the medication room of the cooperation partner ward. The aim was to use the evidence gained to provide additional information on hand hygiene and its implementation in the medication room on the ward. The project report covered 22.5 hours of observing the aseptic procedures carried out by the nursing staff in the medication room. The data was collected through observations. To analyse the data the authors applied a structured observation matrix, combining research-based and empirical evidence, covering 20 functions related to aseptic procedures. The results showed that the implementation of hand hygiene was at a moderate level and that evident limitations existed in aseptic procedures. The average time used for the hand disinfection by the nursing staff using automatic dispensers was 16 seconds. The average time spent by the nursing staff using manual dispensers was half as long as the time spent by the nursing staff using automatic dispensers, eight seconds. Correct working procedures promote good implementation of hand hygiene. Good hand hygiene, standard precautions, appropriate tools for the administration of medication, and professional development, help in the implementation of aseptic procedures. The results of this thesis can be used in the health sector....
Implementing hand hygiene in a medication room on the ward This thesis consists of two separate parts: a theoretical framework and an observational study. Hand hygiene now requires greater attention, since the single most significant way to prevent the spread of infection is through a proper implementation of hand hygiene. When handling medicines it is essential to carry out aseptic precautions in order to avoid exposure to drug ingredients and to prevent contaminating the pharmaceuticals. This study was carried out as a project in cooperation with KiiltoClean Ltd, Laurea University of Applied Sciences, and a cooperation partner ward in the Pirkanmaa Hospital District. The purpose of the project report was to describe the aseptic procedures carried out by the nursing staff in the medication room of the cooperation partner ward. The aim was to use the evidence gained to provide additional information on hand hygiene and its implementation in the medication room on the ward. The project report covered 22.5 hours of observing the aseptic procedures carried out by the nursing staff in the medication room. The data was collected through observations. To analyse the data the authors applied a structured observation matrix, combining research-based and empirical evidence, covering 20 functions related to aseptic procedures. The results showed that the implementation of hand hygiene was at a moderate level and that evident limitations existed in aseptic procedures. The average time used for the hand disinfection by the nursing staff using automatic dispensers was 16 seconds. The average time spent by the nursing staff using manual dispensers was half as long as the time spent by the nursing staff using automatic dispensers, eight seconds. Correct working procedures promote good implementation of hand hygiene. Good hand hygiene, standard precautions, appropriate tools for the administration of medication, and professional development, help in the implementation of aseptic procedures. The results of this thesis can be used in the health sector....
NOPS 2010–2012 -hanke, Nuoren työ- ja toimintakyvyn edistäminen ammattiopistoissa : Vaara-analyysi ammattiopisto Hyrian hienomekaanikko-opiskelijoille
(Laurea-ammattikorkeakoulu, 2013)
Tämä opinnäytetyö on toteutettu osana NOPS 2010–2012 -hanketta (Nuoren työ- ja toimintakyvyn edistäminen ammattiopistoissa). NOPS 2010–2012 -hankkeen tarkoituksena oli edistää nuoren työ- ja toimintakykyä jo opiskelun aikana. Hankkeen päätoteuttaja...
NOPS 2010-2012, promotion of work ability and functional capability among young people in vocational collages : Hazard analysis for Hyrias precision mechanics This thesis was implemented as part of NOPS 2010-2012 project (works for young ability to work and function). NOPS 2010-2012 the purpose of which was to encourage the young to work and function during their study period. The project main implementer was Laurea University of applied sciences. The project partners were HYRIA education Oy, keski-uudenmaan education Keuda, Hyvinkää, the City of Järvenpää, the municipality of mäntsälä and nurmijärvi Study of health maintenance. NOPS 2010-2012 project focused on the high school students. Project was funded by the Ministry of sociality affairs and health. The purpose of this study was to determine, how well the Hyria precision mechanic students recognized risk factors in their work environment or their studying environment. The method used was quantitative. The data was collected by using a structured questionnaire. In addition, nine students participated in a thematic interview followed by a reflection discussion. The questionnaires were analyzed by using the SPSS -statistic program. The analysis of the interviews and reflection was based on themes. Key results showed that the precision-mechanic students recognized the risks factors at their working environment and in their working methods. Most identified working environment hazards were such as, slipping, tripping, and lack of protective equipment, as well their own operational personal issues such as, substance abuse and inappropriate treatment. The students experienced that the main cause of the accidents was their own actions and failures. The school taught the students to avoid accidents at work. Keywords: safety, occupational accidents, The hazard analysis, precision mechanic...
NOPS 2010-2012, promotion of work ability and functional capability among young people in vocational collages : Hazard analysis for Hyrias precision mechanics This thesis was implemented as part of NOPS 2010-2012 project (works for young ability to work and function). NOPS 2010-2012 the purpose of which was to encourage the young to work and function during their study period. The project main implementer was Laurea University of applied sciences. The project partners were HYRIA education Oy, keski-uudenmaan education Keuda, Hyvinkää, the City of Järvenpää, the municipality of mäntsälä and nurmijärvi Study of health maintenance. NOPS 2010-2012 project focused on the high school students. Project was funded by the Ministry of sociality affairs and health. The purpose of this study was to determine, how well the Hyria precision mechanic students recognized risk factors in their work environment or their studying environment. The method used was quantitative. The data was collected by using a structured questionnaire. In addition, nine students participated in a thematic interview followed by a reflection discussion. The questionnaires were analyzed by using the SPSS -statistic program. The analysis of the interviews and reflection was based on themes. Key results showed that the precision-mechanic students recognized the risks factors at their working environment and in their working methods. Most identified working environment hazards were such as, slipping, tripping, and lack of protective equipment, as well their own operational personal issues such as, substance abuse and inappropriate treatment. The students experienced that the main cause of the accidents was their own actions and failures. The school taught the students to avoid accidents at work. Keywords: safety, occupational accidents, The hazard analysis, precision mechanic...
Tapaturmien ennaltaehkäisy : ensiaputapahtuma
(Laurea-ammattikorkeakoulu, 2013)
Tämän toiminnallisen opinnäytetyön tilasi Hyvinkään 24 turvallista tuntia organisaation koti- ja vapaa-ajan tapaturmien ennaltaehkäisytyöryhmä. Työn tavoitteena oli suunnitella, toteuttaa ja arvioida tapaturmapäivä Hyvinkään ...
Solakallion asumisyhteisön toiminnan kehittäminen asukkaiden näkökulmasta
(Laurea-ammattikorkeakoulu, 2013)
Opinnäytetyön tavoitteena oli tuottaa tietoa Helsingin A-kilta ry:n Solakallion asumisyhteisön toiminnan kehittämiseksi. Toiminnan kehittämisen osalta valikoitui asiakasnäkökulma. Syynä valintaan oli päihdetutkimuksiin kohdistunut kritiikki sekä palveluiden suunnittelu ja kehittäminen asiakkaasta käsin. Opinnäytetyön tarkoituksena oli myös selvittää asukkaiden tavoitteita, ongelmia ja palvelutarpeita mahdollisen yhteistyön lisäämiseksi sosiaali- ja terveyspalveluiden toimijoiden kanssa. Helsingin A-killan Solakallion asumisyhteisössä ei ole aiemmin toteutettu asiakaskyselyjä tai –haastatteluja, minkä vuoksi opinnäytetyön tavoitteena oli lisäksi tuottaa tietoa asukkaiden taustoista.
Opinnäytetyö toteutettiin laadullisena tutkimuksena ja tiedonhankintamenetelmäksi valikoitui teemahaastattelu. Aineisto koostui 23:sta haastattelusta. Aineiston laadullisen luokittelun lähtökohdaksi valikoitui tutkimuskysymykset. Luokittelussa ja analyysissä lähdettiin liikkeelle induktiivisesta aineistolähtöisestä luokittelusta.
Haastateltujen taustoista selvitettiin ikä, kansalaisuus ja asumisaika Solakalliossa. Asunnottomuuden syinä olivat maksamattomat vuokrat, sosiaaliset syyt tai sovittujen suunnitelmien peruuntuminen. Osalla haastatelluista ei ollut koskaan ollut päihdeongelmaa, osalla puolestaan päihdeongelma oli elämänmuutoksen eri vaihemallin mukaisissa vaiheissa. Myös erilaisia tavoitteita ilmeni päihteiden käytön osalta. Päihteiden käytön tyypillisiä syitä oli nuorena aloitettu kokeilu, joka oli vähitellen laajentunut ongelmaksi, eskapismiin viittaavat kuvailut päihteiden käytöstä ja vaikeudet käsitellä ongelmia muilla keinoilla.
Haastateltujen tavoitteina oli muun muassa oma asunto, työpaikka sekä itsensä toteuttaminen. Haastateltavat käyttivät tai olivat käyttäneet pääosin sosiaalipuolen ja työvoimatoimistojen palveluja sekä päihde- ja mielenterveyspalveluja.
Suurimmalla osalla haastatelluista oli Solakalliosta neutraali tai positiivinen kokemus odotuksiin verrattuna. Kielteiset tekijät kohdistuivat pääosin muihin asukkaisiin, kahden hengen huoneisiin sekä tilojen ja irtaimistoon huonoon kuntoon. Vaikka tilat ovat huonossa arvostivat haastateltavat palvelun eri ominaisuuksia, henkilökuntaa sekä päihteettömyyttä. Kehittämisehdotukset liittyivät valtaosin toiminnan lisäämiseen, toiveisiin yhden hengen huoneista sekä valvonnan lisäämiseen siivousalueiden osalta. Tutkimustuloksissa korostui ennen kaikkea toiminnallisen laadun merkitys palvelun kokonaislaatuun....
The aim of the thesis was to provide information to Helsingin A-kilta ry (association for substance abusers offering peer support) in order to develop Solakallio community. The client’ point of view was selected due to the criticism towards...
The aim of the thesis was to provide information to Helsingin A-kilta ry (association for substance abusers offering peer support) in order to develop Solakallio community. The client’ point of view was selected due to the criticism towards...
Laitoshoidossa olevan ikääntyneen suunhoito : Koulutus Hopeatien palvelutalon henkilökunnalle
(Laurea-ammattikorkeakoulu, 2013)
Opinnäytetyön tarkoituksena oli järjestää koulutus Hopeatien palvelutalon henkilökunnalle osana heidän omaa hoitotyön kehittämishankettaan. Tavoitteena oli lisätä henkilökunnan tietoja suun terveydestä ja oikeanlaisesta suunhoidosta sekä kehittää heidän osaamistaan. Opinnäytetyössä selvitettiin, millaista suunhoitoa laitoshoidossa oleva ikääntynyt tarvitsee.
Hyvä suun terveys on tärkeä osa ihmisen kokonaisvaltaista hyvinvointia. Tutkimukset osoittavat ikääntyneiden suun terveydessä olevan runsaasti puutteita. Laitoshoidossa olevan ikääntyneen suun terveyttä uhkaa hoitohenkilökunnan tietojen ja osaamisen puute suun hoidon toteuttamisessa. Tulevaisuudessa hampaattomuus todennäköisesti vähenee ja iäkkäät tarvitsevat paljon enemmän ennaltaehkäisevää hoitoa. Tämä luo haasteita terveydenhuollon henkilökunnalle, ja suunhoidon osaamista tarvitaan entistä enemmän.
Virallisten suosituksen mukaan suunhoito tulisi suorittaa kahdesti päivässä, aamuin illoin. Opinnäytetyön johtopäätöksissä tultiin kuitenkin siihen tulokseen, että tärkeintä on puhdistaa suu säännöllisesti päivittäin kellon- tai vuorokaudenajasta riippumatta. Opinnäytetyössä on esitetty Hopeatien palvelutalon henkilökunnalle kehittämisehdotuksia, joita he voivat jatkossa toteuttaa edistääkseen ikääntyneiden suun terveyttä omassa työyksikössään. Kehittämisehdotukset perustuvat opinnäytetyössä esille nousseeseen tutkimustietoon sekä koulutuksessa käytyihin keskusteluihin henkilökunnan kanssa. Näitä kehittämisehdotuksia olivat yksilöllisen suunhoidon suunnitelman tekeminen ja sen säilyttäminen esimerkiksi yöpöydällä ja suunhoidon toteutumisen seurannasta vastaavan hoitajan nimeäminen ryhmäkodeissa.
Suomen perustuslain mukaan jokainen kansalainen on oikeutettu saamaan suunhoitoa osana päivittäistä kokonaishoitoa. Tämän vuoksi suunhoidon lisääminen osaksi ikääntyneiden hoitosuunnitelmaa on hyvin tärkeää....
palvelutalo. The thesis was assigned by the nursing home as a part of their nursing development project. The aim of the thesis was to develop the staff’s skills as well as to increase their knowledge of proper oral health care of the elderly residents as part...
palvelutalo. The thesis was assigned by the nursing home as a part of their nursing development project. The aim of the thesis was to develop the staff’s skills as well as to increase their knowledge of proper oral health care of the elderly residents as part...
Synnytyssairaalan valintaan yhteydessä olevat tekijät
(Laurea-ammattikorkeakoulu, 2013)
Uusi terveydenhuoltolaki astui voimaan toukokuussa 2011, mikä mahdollistaa synnytyssairaalan vapaan valinnan Helsingin ja Uudenmaan sairaanhoitopiirin alueen synnytyssairaaloissa. Opinnäytetyön tarkoituksena oli selvittää ...
Suositeltavat hoitokäytänteet alle 10-vuotiaiden halkiolasten postoperatiivisen kivun hoitoon
(Laurea-ammattikorkeakoulu, 2013)
Opinnäytetyö kuuluu Helsingin ja Uudenmaan sairaanhoitopiirin operatiivisen tulosyksikön Töölön sairaalan sekä Laurea-ammattikorkeakoulun yhteiseen kliiniseen kehittämishankkeeseen vuosina 2013–2017. Opinnäytetyön hankeympäristönä toimi Töölön...
Recommended clinical practices for the treatment of the postoperative pain in children under ten years with a cleft lip or a cleft palate This thesis is part of the joint clinical development project of the operative profit unit of the Helsinki and Uusimaa Hospital District and Laurea University of Applied Sciences. The project is carried out in 2013-2017. The thesis was assigned by the Cleft Center (HUSUKE) in Töölö Hospital. The purpose of the thesis was to create recommended clinical practices for the nursing staff which participates in the realization of postoperative pain management of children under 10 years old with a cleft lip or a cleft palate. The purpose of the recommended clinical practices is to unify the methods of postoperative pain management used on the ward at the Cleft Cen-ter. The thesis focuses on the nurse’s perspective because the goal is to support the nurse in the evaluation of children’s pain. The study discusses how a nurse can evaluate a child’s pain and how a nurse can relieve a child’s postoperative pain. The treatment of children with a cleft lip or a cleft palate focuses on surgeries, and often surgery is needed repeatedly. Good pain evaluation is the precondition for successful pain management. When evaluating pain, children’s subjective estimate of their pain should be considered. Pain indicators which are based on children’s self-assessment of their pain should be used as soon as children’s level of development allows it. In children, pain medication alone may not be efficient enough to eliminate pain, because pain is a holistic experience. Therefore in addition to pharmacological pain management, non-pharmacological pain management has a significant role in children’s pain relief methods. The recommended evidence-based clinical practices for the postoperative pain management for children under ten years old with a cleft lip or a cleft palate were created as a result of the thesis. The recommended clinical practices proceed in the order of the child’s surgical process. The recommended clinical practices were created by combining the ward’s good practices and facts based on research. The ward’s good practices were focused on when creating the recommended clinical practices, and the justifications were collected from the theoretical frame of reference. The ward’s representatives have approved of the recommended clinical practices. When the recommended clinical practices are tested in practice, their correspondence with the needs of the ward can be estimated....
Recommended clinical practices for the treatment of the postoperative pain in children under ten years with a cleft lip or a cleft palate This thesis is part of the joint clinical development project of the operative profit unit of the Helsinki and Uusimaa Hospital District and Laurea University of Applied Sciences. The project is carried out in 2013-2017. The thesis was assigned by the Cleft Center (HUSUKE) in Töölö Hospital. The purpose of the thesis was to create recommended clinical practices for the nursing staff which participates in the realization of postoperative pain management of children under 10 years old with a cleft lip or a cleft palate. The purpose of the recommended clinical practices is to unify the methods of postoperative pain management used on the ward at the Cleft Cen-ter. The thesis focuses on the nurse’s perspective because the goal is to support the nurse in the evaluation of children’s pain. The study discusses how a nurse can evaluate a child’s pain and how a nurse can relieve a child’s postoperative pain. The treatment of children with a cleft lip or a cleft palate focuses on surgeries, and often surgery is needed repeatedly. Good pain evaluation is the precondition for successful pain management. When evaluating pain, children’s subjective estimate of their pain should be considered. Pain indicators which are based on children’s self-assessment of their pain should be used as soon as children’s level of development allows it. In children, pain medication alone may not be efficient enough to eliminate pain, because pain is a holistic experience. Therefore in addition to pharmacological pain management, non-pharmacological pain management has a significant role in children’s pain relief methods. The recommended evidence-based clinical practices for the postoperative pain management for children under ten years old with a cleft lip or a cleft palate were created as a result of the thesis. The recommended clinical practices proceed in the order of the child’s surgical process. The recommended clinical practices were created by combining the ward’s good practices and facts based on research. The ward’s good practices were focused on when creating the recommended clinical practices, and the justifications were collected from the theoretical frame of reference. The ward’s representatives have approved of the recommended clinical practices. When the recommended clinical practices are tested in practice, their correspondence with the needs of the ward can be estimated....
Turvallinen lääkehoito : Haipro ja osastofarmasia
(Laurea-ammattikorkeakoulu, 2013)
Opinnäytetyön tarkoituksena oli selvittää osastofarmasian hyödyt Peijaksen sairaalan kirurgisilla vuodeosastoilla K1 ja K4. Opinnäytetyö oli Peijaksen sairaalan operatiivisen tulosyksikön kehittämishanke. Tarkoituksena oli, että tutkimalla...
Safe medication - HaiPro and ward pharmacy The purpose of this thesis was to examine ward pharmacy benefits at Peijas Hospital surgical wards K1 and K4. The thesis was part of the development project at Peijas Hospital surgical wards K1 and K4. The aim was to show by studying the HaiPro notifications of the wards that ward pharmacy can reduce medication errors and thus the medication would become safer for the patients. The results may also allow the use of ward pharmacy on other surgical wards. The theoretical part of this thesis consists of guidelines for the preparation of safe pharmacotherapy given by the Ministry of Social Affairs and Health. The theoretical part deals with pharmacotherapy and all the steps concerning its implementation as well as the factors affecting safe medication. In addition, the thesis discusses ward pharmacy, its origin and its impact on today's pharmacotherapy as well as the number of medication errors. Ward pharmacy means pharmaceutical work in different care units, such as in hospitals. The aim of this thesis was to demonstrate the benefits of ward pharmacy. The aim was to show through the results that ward pharmacy can reduce medication errors, as well as provide the nurses more time with patients. The work was carried out using qualitative research method. The data was collected on the wards K1 and K4 at Peijas Hospital, where the authors examined the Finnish web-based tool for reporting patient safety incidents (HaiPro) that is used when medication errors occur. The data consisted of HaiPro reports during six months before and after on those wards that had started to use ward pharmacy. HaiPro reports were divided into three categories: medicine administration errors, errors in recording and careless mistakes. The results show that the use of ward pharmacy can reduce medication administration errors, although ward pharmacy did not reduce careless mistakes or errors in recording. The data was influenced by the fact how actively the employees’ rote the HaiPro reports. The purpose of this study is that it can be used to demonstrate the benefits of ward pharmacy in implementing safe medication. Ward pharmacy is available only on a few wards at Peijas Hospital, and even on these wards only part-time. The results of the thesis show the benefits of ward pharmacy, and the thesis aims to implement the use of ward pharmacy also on other wards....
Safe medication - HaiPro and ward pharmacy The purpose of this thesis was to examine ward pharmacy benefits at Peijas Hospital surgical wards K1 and K4. The thesis was part of the development project at Peijas Hospital surgical wards K1 and K4. The aim was to show by studying the HaiPro notifications of the wards that ward pharmacy can reduce medication errors and thus the medication would become safer for the patients. The results may also allow the use of ward pharmacy on other surgical wards. The theoretical part of this thesis consists of guidelines for the preparation of safe pharmacotherapy given by the Ministry of Social Affairs and Health. The theoretical part deals with pharmacotherapy and all the steps concerning its implementation as well as the factors affecting safe medication. In addition, the thesis discusses ward pharmacy, its origin and its impact on today's pharmacotherapy as well as the number of medication errors. Ward pharmacy means pharmaceutical work in different care units, such as in hospitals. The aim of this thesis was to demonstrate the benefits of ward pharmacy. The aim was to show through the results that ward pharmacy can reduce medication errors, as well as provide the nurses more time with patients. The work was carried out using qualitative research method. The data was collected on the wards K1 and K4 at Peijas Hospital, where the authors examined the Finnish web-based tool for reporting patient safety incidents (HaiPro) that is used when medication errors occur. The data consisted of HaiPro reports during six months before and after on those wards that had started to use ward pharmacy. HaiPro reports were divided into three categories: medicine administration errors, errors in recording and careless mistakes. The results show that the use of ward pharmacy can reduce medication administration errors, although ward pharmacy did not reduce careless mistakes or errors in recording. The data was influenced by the fact how actively the employees’ rote the HaiPro reports. The purpose of this study is that it can be used to demonstrate the benefits of ward pharmacy in implementing safe medication. Ward pharmacy is available only on a few wards at Peijas Hospital, and even on these wards only part-time. The results of the thesis show the benefits of ward pharmacy, and the thesis aims to implement the use of ward pharmacy also on other wards....
Mieti ennen kuin kokeilet!-esite
(Laurea-ammattikorkeakoulu, 2013)
Opinnäytetyön tarkoituksena oli tuottaa tupakkatuotteiden käytön aloittamista ennaltaehkäisevä esite, joka tulee Vantaan ehkäisevän päihdetyön yksikön käyttöön terveyskasvatusmateriaaliksi korvaamaan tällä hetkellä käytössä ...
Hiljainen raportointi kirurgisella vuodeosastolla
(Laurea-ammattikorkeakoulu, 2013)
Opinnäytetyön tarkoituksena oli selvittää sähköisen kirjaamisen vaikutusta hiljaiseen raportointiin uuden työntekijän tai keikkatyöntekijän näkökulmasta kirurgisella vuodeosastolla. Projektin taustaa tutkittiin kolmen ...









