Haku
Viitteet 601-610 / 2060
Asiakkaan motivointi elintapamuutoksessa
(Laurea-ammattikorkeakoulu, 2017)
, joiden työssä asiakkaan elintapaohjaus ja motivointi tavoitteissa pysymiseen on tärkeässä roolissa.
Opinnäytetyö toteutettiin kuvailevan kirjallisuuskatsauksen menetelmällä. Opinnäytetyöhön kerättiin aineistoa kahdesta suomalaisesta (Medic ja Melinda...
The purpose of this thesis was to describe the significance of motivation in the process of making a lifestyle change and the factors which promote it. The goal was to collect research about the significance of motivation and support for healthcare...
The purpose of this thesis was to describe the significance of motivation in the process of making a lifestyle change and the factors which promote it. The goal was to collect research about the significance of motivation and support for healthcare...
Hoidon tarpeen arviointi Lastenklinikan päivystyspoliklinikalla
(Laurea-ammattikorkeakoulu, 2017)
. Tämä opinnäytetyö toimii osana tätä hanketta ja se tehdään yhteistyössä Helsingin Lastenklinikan päivystyspoliklinikan kanssa. Tällä hetkellä Lastenklinikan päivystyspoliklinikalla on käytössä ABCDE-järjestelmä, joka on tämän opinnäytetyön...
The emergency department of the children’s hospital and Jorvi hospital pediatric emergency department jointly started a project in the fall of 2014. The aim of the project was to introduce a new common patient's need for care and an urgent assessment system. This thesis is part of this project, and it is done in cooperation with the emergency department of the children’s hospital. Currently, the emergency department has been using the ABCDE system, which is the main subject of this thesis. The theory of the thesis has been searched from databases Medic, MEDLINE and PubMed. The sources for this study are from literature, network sources and articles. This thesis concentrates mostly on information about the emergency department units but has been identified specifically to child patients. This thesis is a qualitative and quantitative study because the assessment of the need for care that takes place with the duty emergency department of the children’s hospital is studied in the work by interviewing the triage nurses and by analyzing statistical data. The qualitative part was carried out by interviewing the nurses who make the estimated need for care of the duty emergency department of children’s hospital. The quantitative data was collected by assessing time in the evaluation of the need for care, considering classifications and also analyzing patient data from the register material. In the register material from the emergency department of the children’s hospital appeared patient time, duty specialism,triage classification and where the follow-up care took place. The triage nurses interviews revealed that the main problems facing the use of the ABCDE system are a subjective interpretation and external factors that influence the ABCDE-system. In the results of the research we have reflected on other studies about the subject. From the quantitative part of the study we found out that most of the patients who come to the emergency department of the children's hospital are classified to the non-urgent triage-class. We also found out that the non-urgent patients got their triage classification faster than the urgent ones. On average the time of classification of the patients need for care was 1 minute and 14 seconds, but mostly it took 30 seconds to 1 minute. 23 % of the patients who needed the specialized emergency department for further care received their follow-up care at the hospital. 77% of the patients needed follow-up care only at home. The time spent at the specialized emergency department was 2 hours and 51 minutes inclouding unclassified patients. The time at the pediatric and children’s surgery department was almost the same, 2,5 hours only inclouding the classified patients. The children's emergency department clinic can have potential benefits from the results of this study and develop an assessment of treatment for children....
The emergency department of the children’s hospital and Jorvi hospital pediatric emergency department jointly started a project in the fall of 2014. The aim of the project was to introduce a new common patient's need for care and an urgent assessment system. This thesis is part of this project, and it is done in cooperation with the emergency department of the children’s hospital. Currently, the emergency department has been using the ABCDE system, which is the main subject of this thesis. The theory of the thesis has been searched from databases Medic, MEDLINE and PubMed. The sources for this study are from literature, network sources and articles. This thesis concentrates mostly on information about the emergency department units but has been identified specifically to child patients. This thesis is a qualitative and quantitative study because the assessment of the need for care that takes place with the duty emergency department of the children’s hospital is studied in the work by interviewing the triage nurses and by analyzing statistical data. The qualitative part was carried out by interviewing the nurses who make the estimated need for care of the duty emergency department of children’s hospital. The quantitative data was collected by assessing time in the evaluation of the need for care, considering classifications and also analyzing patient data from the register material. In the register material from the emergency department of the children’s hospital appeared patient time, duty specialism,triage classification and where the follow-up care took place. The triage nurses interviews revealed that the main problems facing the use of the ABCDE system are a subjective interpretation and external factors that influence the ABCDE-system. In the results of the research we have reflected on other studies about the subject. From the quantitative part of the study we found out that most of the patients who come to the emergency department of the children's hospital are classified to the non-urgent triage-class. We also found out that the non-urgent patients got their triage classification faster than the urgent ones. On average the time of classification of the patients need for care was 1 minute and 14 seconds, but mostly it took 30 seconds to 1 minute. 23 % of the patients who needed the specialized emergency department for further care received their follow-up care at the hospital. 77% of the patients needed follow-up care only at home. The time spent at the specialized emergency department was 2 hours and 51 minutes inclouding unclassified patients. The time at the pediatric and children’s surgery department was almost the same, 2,5 hours only inclouding the classified patients. The children's emergency department clinic can have potential benefits from the results of this study and develop an assessment of treatment for children....
Raportti resurssipoolin perustamisesta kotihoitoon
(Laurea-ammattikorkeakoulu, 2017)
Tämä opinnäytetyö on toiminnallinen raportti kotihoidon kehitystyöstä resurssipoolin perustamiseksi. Aihe nousi Helsingin kaupungin pohjoisen palvelualueen kotihoitoyksikön tarpeesta kehittää toimintaansa, koska asiakasmäärät kotihoidossa ovat...
This thesis is a functional report on the development of community nursing for establishing a resource pool. The topic emerged from the city of Helsinki’s Northern District Community Nursing Unit (HNDCNU) and its operational development need, because the amount of customers has been rising a long time and simultaneously customers need for care has increased. The aim of this research was to describe the purpose and the meaning of the resource pool and to explain the preliminary tasks, the definition of operations and the contracts related to the establishment of the resource pool. The final goal was to produce a report for the HNDCNU which is adequate enough to be able to use as a model for the establishment of a resource pool. The conceptual framework of this thesis was formed around different concepts related to; community nursing, the law on elderly citizens operational support and on the health and social services organized for elderly citizens (so called senior services law), how to answer to the increased demand of community nursing and the material on the demandbased operations model for community nursing. The research questions were: What is the purpose of a resource pool? Which preliminary duties need to be performed before the establishment of a resource pool? What kinds of operational changes and contracts need to be made in community nursing before the establishment of a resource pool? The research is a qualitative study which was based on the material about the purpose of resource pool, the preliminary tasks needed for the establishment, operational changes and contracts. The data used were the memos from HNDCNU during March 2015 – March 2016 about the establishment of a resource pool. Data was analysed using content analysis. The key finding of the research was the meaning of resource pool for answering the demand on nursing and services. The preliminary tasks related to information systems and their correct and practical usage. Functioning information systems enable the initialization of the resource pool. Recruitment and the utilization of common ground rules were the key results related to contracts and operational changes. For further development, the research showed that the organization of work can be significantly improved by new IT systems, such as optimization and two-way rota planning, strengthening of change management and enhancing employee engagement. Keywords: Community Nursing, Resource Pool...
This thesis is a functional report on the development of community nursing for establishing a resource pool. The topic emerged from the city of Helsinki’s Northern District Community Nursing Unit (HNDCNU) and its operational development need, because the amount of customers has been rising a long time and simultaneously customers need for care has increased. The aim of this research was to describe the purpose and the meaning of the resource pool and to explain the preliminary tasks, the definition of operations and the contracts related to the establishment of the resource pool. The final goal was to produce a report for the HNDCNU which is adequate enough to be able to use as a model for the establishment of a resource pool. The conceptual framework of this thesis was formed around different concepts related to; community nursing, the law on elderly citizens operational support and on the health and social services organized for elderly citizens (so called senior services law), how to answer to the increased demand of community nursing and the material on the demandbased operations model for community nursing. The research questions were: What is the purpose of a resource pool? Which preliminary duties need to be performed before the establishment of a resource pool? What kinds of operational changes and contracts need to be made in community nursing before the establishment of a resource pool? The research is a qualitative study which was based on the material about the purpose of resource pool, the preliminary tasks needed for the establishment, operational changes and contracts. The data used were the memos from HNDCNU during March 2015 – March 2016 about the establishment of a resource pool. Data was analysed using content analysis. The key finding of the research was the meaning of resource pool for answering the demand on nursing and services. The preliminary tasks related to information systems and their correct and practical usage. Functioning information systems enable the initialization of the resource pool. Recruitment and the utilization of common ground rules were the key results related to contracts and operational changes. For further development, the research showed that the organization of work can be significantly improved by new IT systems, such as optimization and two-way rota planning, strengthening of change management and enhancing employee engagement. Keywords: Community Nursing, Resource Pool...
Turvallisuuskävely – konsepti Hyvinkään kaupungille
(Laurea-ammattikorkeakoulu, 2017)
Tämän opinnäytetyön tilasi Hyvinkään kaupungin koti- ja vapaa-ajan turvallisuutta kehittävä työryhmä, eli KOVA- työryhmä. Työn tarkoituksena oli kehittää turvallisuuskävelyn konsepti KOVA- työryhmän käyttöön. Työn tavoitteena oli rakentaa tarpeenmukainen, sekä helposti muokattava konsepti turvallisuuskävelyiden toteuttamiseen kaupungin asuinalueilla. Opinnäytetyön teoreettisessa viitekehyksessä kuvataan turvallisuutta käsitteenä, tapaturmia Suomessa eri ikäryhmissä, turvallisuuskävelyä, palvelumuotoilun käsitettä, sekä yhteisöllistä hoitotyötä.
Turvallisuuskävelyn konsepti tuotettiin Morizin (2005) palvelumuotoiluprosessin mukaisesti. Sen vaiheet ovat asiakasymmärryksen hankkiminen ja mahdollisuuksien kartoittaminen, konseptoiminen, kehitystyö ja tuotanto, sekä jalkautus ja operointi. Asiakasymmärrysvaiheessa Metsäkaltevan alueesta kerättiin tietoa haastattelemalla asukasyhdistystä ja havainnoimalla Metsäkaltevan ympäristöä.
Tiedonhankintavaiheessa osallistuttiin myös KOVA- työryhmän tapaamisiin, joissa keskusteltiin työryhmän toiveista ja turvallisuuskävelyiden järjestämisestä, saadut tiedot kiteytettiin affinity diagrammin avulla. Konseptointivaiheessa ideoitiin turvallisuuskävelyn sisältöjä ja menetelmiä KOVA– työryhmän kanssa. Ideoinnissa hyödynnettiin myös asukasyhdistyksen aluetietämystä. Parhaiden ideoiden seulonnassa käytettiin SWOT– analyysiä. Konkretisointivaiheessa toteutettiin turvallisuuskävely Metsäkaltevan alueella.
Turvallisuuskävelyn tarkoituksena oli kehittää alueen turvallisuutta ja arvioida Turvallisuuskävely -konseptin toimivuutta. Kävelyyn osallistujien palautetta hyödynnettiin konseptin kehittämiseksi KOVA- työryhmän tarpeita vastaavaksi. Turvallisuuskävelyn lopullinen sisältö ja menetelmät muodostettiin asukasyhdistykseltä ja KOVA- työryhmältä saatujen tietojen pohjalta.
Konsepti rakentuu Turvallisuuskävelyn suunnittelu-, toteutus-, ja arviointiprosessista, sekä kävelyn muistilistasta. Konseptia voidaan hyödyntää jatkossa Hyvinkään kaupungin asuinalueilla tapahtuvien turvallisuuskävelyiden suunnittelussa ja toteutuksessa.
Turvallisuuskävelyä voisi kehittää rakenteilla olevien asuinalueiden ominaispiirteisiin sopivaksi, näin asuinalueiden turvallisuutta voitaisiin parantaa jo ennen rakentamisen aloitusta. Asukkaille, jotka muuttavat alueelle pystyttäisiin kertomaan etukäteen tiedossa olevista rakentamisen vaiheista, sekä niiden vaikutuksista asuinalueeseen. Turvallisuuskävelyitä voisi järjestää myös muille julkisille rakennuksille, kuten kouluille.
Kehittämisehdotuksena turvallisuuskävelyiden toteuttamiseen, Hyvinkään kaupungin olisi hyvä nimetä yksi toimiala, joka vastaisi turvallisuuskävelyiden toteuttamisesta koko kaupungissa....
This thesis was given by a Hyvinkää’s safety workgroup called KOVA to improve safety at home and during free time. The purpose of this thesis was to make a "Safety Walk" concept for KOVA- work group. The object of this work was to build a needed...
This thesis was given by a Hyvinkää’s safety workgroup called KOVA to improve safety at home and during free time. The purpose of this thesis was to make a "Safety Walk" concept for KOVA- work group. The object of this work was to build a needed...
Nuorten naisten seksuaalisen riskikäyttäytymisen tunnistaminen ehkäisyneuvolassa
(Laurea-ammattikorkeakoulu, 2017)
riskikäyttäytymisen tunnistamista Porvoon ehkäisyneuvolassa. Opinnäytetyö toteutettiin kvantitatiivisin menetelmin, käyttäen aineistona Porvoon ehkäisyneuvolan vastaanotoilla kerättyä otosta (n = 98), joka koostui nuorten, alle 25-vuotiaiden, naisten täyttämistä...
The purpose of this thesis, done in collaboration with the contraception clinic of Porvoo, was to study the sexual behaviour of young women in Porvoo. The aim was the recognition of young women´s sexual risk behaviour in the contraception clinic...
The purpose of this thesis, done in collaboration with the contraception clinic of Porvoo, was to study the sexual behaviour of young women in Porvoo. The aim was the recognition of young women´s sexual risk behaviour in the contraception clinic...
Yksityisen neuvolan asiakastyytyväisyys ja palvelun valintaperusteet
(Laurea-ammattikorkeakoulu, 2017)
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Opinnäytetyö tuotti toimeksiantajalle tarpeen mukaista tietoa, jota neuvola voi hyödyntää palvelunsa markkinoinnissa sekä kehittämisessä. Työn myötä tietoisuus asiakkaiden palvelun valintaperusteista kasvoi....
This thesis deals with both customer satisfaction and possible suggestions for development in a private child health centre. In addition, the aim was to survey the arguments why customers have chosen a private service. Considering the Finnish...
This thesis deals with both customer satisfaction and possible suggestions for development in a private child health centre. In addition, the aim was to survey the arguments why customers have chosen a private service. Considering the Finnish...
Nuoruusikäisten monikkolasten vanhempien vertaistuen tarve
(Laurea-ammattikorkeakoulu, 2017)
Opinnäytetyö toteutettiin yhteistyönä Porvoon Laurea AMK:n sekä Suomen Monikkoperheet ry:n kanssa. Opinnäytetyön tarkoituksena oli selvittää, minkälaisia odotuksia nuoruusikäisten monikkolasten vanhemmilla on vertaistuelle, sekä mihin nuoruusiän...
The thesis was carried out with Laurea University of Applied Sciences and Suomen Monikkoperheet ry as a co-operative project. The purpose of the thesis was to figure out what expectations parents of adolescent twins have of peer support and with which challenges caused by adolescence they need support. The aim was to produce information that could be used in the development of peer support for multiple-birth families with adolescent children. The Research questions were: 1. What kind of challenges parents of adolescent twins have? 2. With which topics adolescent twins parents think they need support? 3. In which ways parents wish to receive peer support? The thesis is a qualitative study. The material of this thesis was collected by using semi-structured interviews. The themes of the interviews were the challenges adolescent twins bring to the family and the meaning of peer support. The interviewees were parents of adolescent twins. Each family also had at least one child older than the twins. Five different families were interviewed for this thesis. The Interviews were conducted as individual and pair interviews. The interviews were recorded and the collected material was transcribed. After transcription the material was analysed by inductive content analysis. The most crucial result was that the parents of adolescent twins did not need peer support for the challenges caused by the adolescent twins. The support of family and close friends was adequate. The parents also received peer support from parents who only had one adolescent child. The parents chose face-to-face group peer support as the most important form of peer support. The parents experienced that the role of the peer group instructor was important for the success of the group. The parents hoped to get especially emotional and informational support from peer support group....
The thesis was carried out with Laurea University of Applied Sciences and Suomen Monikkoperheet ry as a co-operative project. The purpose of the thesis was to figure out what expectations parents of adolescent twins have of peer support and with which challenges caused by adolescence they need support. The aim was to produce information that could be used in the development of peer support for multiple-birth families with adolescent children. The Research questions were: 1. What kind of challenges parents of adolescent twins have? 2. With which topics adolescent twins parents think they need support? 3. In which ways parents wish to receive peer support? The thesis is a qualitative study. The material of this thesis was collected by using semi-structured interviews. The themes of the interviews were the challenges adolescent twins bring to the family and the meaning of peer support. The interviewees were parents of adolescent twins. Each family also had at least one child older than the twins. Five different families were interviewed for this thesis. The Interviews were conducted as individual and pair interviews. The interviews were recorded and the collected material was transcribed. After transcription the material was analysed by inductive content analysis. The most crucial result was that the parents of adolescent twins did not need peer support for the challenges caused by the adolescent twins. The support of family and close friends was adequate. The parents also received peer support from parents who only had one adolescent child. The parents chose face-to-face group peer support as the most important form of peer support. The parents experienced that the role of the peer group instructor was important for the success of the group. The parents hoped to get especially emotional and informational support from peer support group....
Psykoedukatiivinen työkirja kannabiksen käytön vähentämisen ja lopettamisen tukena
(Laurea-ammattikorkeakoulu, 2017)
Tämän toiminnallisen opinnäytetyön tarkoituksena oli tuottaa Helsingin kaupungin Sosiaali- ja terveysviraston Idän psykiatria- ja päihdekeskukselle työkirja kannabiksen käytön vähentämisestä ja lopettamiseen liittyen. Opinnäytetyön tuotoksena syntyi 44-sivuinen työkirja, joka on tarkoitettu sosiaali- ja terveydenhuollon ammattilaisille sekä heidän asiakkailleen. Työkirjan pohjalta Idän psykiatria- ja päihdekeskuksessa aloitetaan uusi kannabiksen vähentämiseen ja lopettamiseen suuntautunut psykoedukatiivinen ryhmä. Ryhmätoiminta aloitetaan syksyllä 2017.
Psykoedukatiiviseen ryhmään osallistuu vapaaehtoisia asiakkaita, jotka ovat halukkaita vähentämään kannabiksen käyttöä tai lopettamaan sen kokonaan. Työkirjaa on lisäksi tarkoitus hyödyntää apuvälineenä motivoiville haastatteluille poliklinikan hoitajille. Työkirjan laatiminen oli ensimmäinen osa laajempaa projektia, jota Helsingin kaupungin Sosiaali- ja terveysviraston Idän psykiatria- ja päihdekeskus on suunnitellut.
Opinnäytetyön tavoitteena oli uudistaa aikaisempia käytössä olevia työkirjoja samasta aiheesta käyttämällä hyväksi uusinta saatavilla olevaa tutkimustietoa. Tavoitteena oli auttaa potilaita kannabiksen käytön vähentämisessä tai lopettamisessa näyttöön perustuvaa tietoa hyödyntäen. Työn tietoperustana käytettiin alan kirjallisuutta ja tutkimuksia, sekä verkossa julkaistua psykoedukatiivista materiaalia. Työkirjan pohjana käytettiin aikaisempia työkirjoja aiheesta niin Suomesta kuin ulkomailta. Tarkoituksena oli myös saada sosiaali- ja terveydenhuollon ammattilaisille lisää työkaluja aiheeseen liittyen, jota voisi mahdollisesti hyödyntää myös muissa Helsingin kaupungin yksiköissä....
The purpose of this thesis was to produce a workbook on giving up or reducing daily cannabis use for the Eastern Psychiatric and Substance Abuse Center which is part of the City of Helsinki’s Department of Social Services and Health Care...
The purpose of this thesis was to produce a workbook on giving up or reducing daily cannabis use for the Eastern Psychiatric and Substance Abuse Center which is part of the City of Helsinki’s Department of Social Services and Health Care...
Aikuisen nielurisaleikkauspotilaan ohjaus
(Laurea-ammattikorkeakoulu, 2017)
haettiin päiväkirurgiasta, potilaan ohjauksesta, nielutulehduksesta sekä nielurisaleikkauksesta.
Opinnäytetyö suoritettiin toiminnallisena opinnäytetyönä. Opinnäytetyön alkukartoitus tehtiin laadullisena eli kvalitatiivisena tutkimuksena. Tietoa saatiin...
The purpose of this thesis was to produce a video format guidance package to a patient who will arrive to a hospital for elective tonsil surgery at ENT polyclinic. The content of this guidance video includes information of preoperational and post...
The purpose of this thesis was to produce a video format guidance package to a patient who will arrive to a hospital for elective tonsil surgery at ENT polyclinic. The content of this guidance video includes information of preoperational and post...
Ohjelehtinen Rinnekodin työntekijöille epileptisten kohtauksien ensiavusta
(Laurea-ammattikorkeakoulu, 2017)
Opinnäytetyö tarkoituksena oli tehdä lehtinen epilepsiakohtauksen ensiavusta RinnekotiSäätiön muutamaan asumispalvelun yksikköön. Lehtinen toteutettiin opinnäytetyön yhteistyökumppanille Rinnekoti-Säätiölle, joka on yksityinen kehitysvamma...
The purpose of the thesis was to make a leaflet about first aid in epileptic seizures for a couple of housing service units in Rinnekoti-Säätiö. The leaflet was carried out for the thesis’ project partner Rinnekoti-Säätiö which is a private practitioner in the field of developmental disability. The aim was to promote knowledge in first aid in epileptic seizures. This topic was essential as about one in five intellectually disabled people have epilepsy. Among people with severe mental retardation, which is the biggest group of clients in Rinnekoti-Säätiö, epilepsy is even more common. In addition, not all employees in Rinnekoti-Säätiö are professional nurses and therefore may not have had training in first aid. With help of the leaflet, all employees can give first aid for someone suffering from an epileptic seizure and those employees, who are trained nurses, can refresh their memory with it. Epilepsy is a neurological symptom caused by various conditions. An epileptic seizure itself is a temporary disturbance in the electrical activity of brain’s neurons. In first aid in epileptic seizures, it is important to prevent the person suffering from the seizure from hurting themselves and to secure their breathing. One should get treatment for status epilepticus as soon as possible as the longer the contractions go on, the more difficult it is to get the seizure under control and the greater the risk of complications is. Midazolam and diazepam are usually used as medication for seizures outside of hospital environment. The thesis was carried out as a functional thesis as a part of the Guidance in nursing project. The thesis was based on information about epilepsy, first aid, intellectual disability and guidance in nursing. Therefore, it can also be used in other units of Rinnekoti-Säätiö if needed. The leaflet was executed in co-operation with Rinnekoti-Säätiö and was adapted to its final version based on the employees’ evaluation. The main purpose was to fulfil the wishes and needs of the customer regarding the content of the leaflet....
The purpose of the thesis was to make a leaflet about first aid in epileptic seizures for a couple of housing service units in Rinnekoti-Säätiö. The leaflet was carried out for the thesis’ project partner Rinnekoti-Säätiö which is a private practitioner in the field of developmental disability. The aim was to promote knowledge in first aid in epileptic seizures. This topic was essential as about one in five intellectually disabled people have epilepsy. Among people with severe mental retardation, which is the biggest group of clients in Rinnekoti-Säätiö, epilepsy is even more common. In addition, not all employees in Rinnekoti-Säätiö are professional nurses and therefore may not have had training in first aid. With help of the leaflet, all employees can give first aid for someone suffering from an epileptic seizure and those employees, who are trained nurses, can refresh their memory with it. Epilepsy is a neurological symptom caused by various conditions. An epileptic seizure itself is a temporary disturbance in the electrical activity of brain’s neurons. In first aid in epileptic seizures, it is important to prevent the person suffering from the seizure from hurting themselves and to secure their breathing. One should get treatment for status epilepticus as soon as possible as the longer the contractions go on, the more difficult it is to get the seizure under control and the greater the risk of complications is. Midazolam and diazepam are usually used as medication for seizures outside of hospital environment. The thesis was carried out as a functional thesis as a part of the Guidance in nursing project. The thesis was based on information about epilepsy, first aid, intellectual disability and guidance in nursing. Therefore, it can also be used in other units of Rinnekoti-Säätiö if needed. The leaflet was executed in co-operation with Rinnekoti-Säätiö and was adapted to its final version based on the employees’ evaluation. The main purpose was to fulfil the wishes and needs of the customer regarding the content of the leaflet....









