Haku
Viitteet 801-810 / 2060
Kehitysvammaisen potilaan ohjaus urologisella osastolla
(Laurea-ammattikorkeakoulu, 2016)
Tämä opinnäytetyö toteutettiin toiminnallisena HUS:n urologian osastolle. Opinnäytetyön tarkoituksena oli selvittää potilasopetuksen- ja ohjauksen erityispiirteitä, kun potilaalla on kehitysvamma, johon liittyy puheen tuottamisen, ymmärtämisen tai...
This thesis is a functional study for the Urology Department of the Hospital District of Helsinki and Uusimaa. The purpose of this study was to discuss the special features in patient education, when the patient has an intellectual disability affecting speech production and comprehension, or causing other communication difficulties. The purpose of this study was to increase the the staff’s abilities and skills for mutual communication among intellectually disabled patients. The aim of this study was to compile a patient education guide which improves communication with a patient with an intellectual disability. The guide was designed together with the ward staff according to their needs. The thesis was focused on a patient education development project, the main goal and aim was, among other things, to describe the patient education process and reduce duplication of effort and create consistent and updated guidance for a urology department. The theoretical framework consisted of the definition of intellectual disability. Down syndrome and autism spectrum disorder were examined in more detail. This thesis also deals with the guidance of a disabled patient, methods of supporting speech and urological nursing. The final outcome of the thesis is a patient education guide for the ward staff. The guide includes communication support tools that can be used in interactive situations. The guide aims to give information about intellectual disabilities and the special features related with patient education, as well as to encourage and support staff to use different speech communication methods. The ward’s head nurse considered the patient education guide as clear and practical, but there was not enough time to test it in practice. Further studies could include qualitative research about the guide’s usability in the department....
This thesis is a functional study for the Urology Department of the Hospital District of Helsinki and Uusimaa. The purpose of this study was to discuss the special features in patient education, when the patient has an intellectual disability affecting speech production and comprehension, or causing other communication difficulties. The purpose of this study was to increase the the staff’s abilities and skills for mutual communication among intellectually disabled patients. The aim of this study was to compile a patient education guide which improves communication with a patient with an intellectual disability. The guide was designed together with the ward staff according to their needs. The thesis was focused on a patient education development project, the main goal and aim was, among other things, to describe the patient education process and reduce duplication of effort and create consistent and updated guidance for a urology department. The theoretical framework consisted of the definition of intellectual disability. Down syndrome and autism spectrum disorder were examined in more detail. This thesis also deals with the guidance of a disabled patient, methods of supporting speech and urological nursing. The final outcome of the thesis is a patient education guide for the ward staff. The guide includes communication support tools that can be used in interactive situations. The guide aims to give information about intellectual disabilities and the special features related with patient education, as well as to encourage and support staff to use different speech communication methods. The ward’s head nurse considered the patient education guide as clear and practical, but there was not enough time to test it in practice. Further studies could include qualitative research about the guide’s usability in the department....
Sairaan lapsen leikki
(Laurea-ammattikorkeakoulu, 2016)
Tämän opinnäytetyön tarkoituksena oli tuottaa kirjallisuuskatsaus sairaan lapsen leikistä. Opinnäytetyö tulee Lastenklinikan leikki- ja nuorisotoiminnan yksikön käyttöön Helsingissä. Työn sisältöä voivat hyödyntää myös muut lasten parissa...
The purpose of this thesis was to produce a literature review of sick child’s play. The work will be deployed to Play and Activity Unit in Children’s Hospital. However, anyone working or associating with children or having interest in this subject can utilise it. The aim of this thesis was to find newest publications of reliable researches of the topic; sick child’s play. The method of this thesis was an integrative literature review. The research data was accomplished from January to August 2016. Information retrieval was made into five different databases, which were Google Scholar, EBSCOhost, Proquest, CINAHL and SAGE. The material consisted of 14 international researches that included information of the meaning of sick child’s play in hospital. The survey question of this thesis was: What kind of meaning sick child’s play has? The results showed that play has a major meaning in supporting sick child’s psychic development and also with fluency treatment. Both children’s and parents’ hospital experiences were more positive when play therapy was part of care pathway. The play also accelerated recovery and relieved the pain. Because finnish research articles of sick child’s play can be found limitedly, the topic should be studied more for example as case control- or cohort study. Practise-based thesis would also give beneficial information of what kind of meaning sick child’s play has. Researches could be expanded to regard also different kinds of children's diseases such as cancer or diseases related to surgery or wond healing. In addition, paying attention to children's different age phases would be an interesting research topic....
The purpose of this thesis was to produce a literature review of sick child’s play. The work will be deployed to Play and Activity Unit in Children’s Hospital. However, anyone working or associating with children or having interest in this subject can utilise it. The aim of this thesis was to find newest publications of reliable researches of the topic; sick child’s play. The method of this thesis was an integrative literature review. The research data was accomplished from January to August 2016. Information retrieval was made into five different databases, which were Google Scholar, EBSCOhost, Proquest, CINAHL and SAGE. The material consisted of 14 international researches that included information of the meaning of sick child’s play in hospital. The survey question of this thesis was: What kind of meaning sick child’s play has? The results showed that play has a major meaning in supporting sick child’s psychic development and also with fluency treatment. Both children’s and parents’ hospital experiences were more positive when play therapy was part of care pathway. The play also accelerated recovery and relieved the pain. Because finnish research articles of sick child’s play can be found limitedly, the topic should be studied more for example as case control- or cohort study. Practise-based thesis would also give beneficial information of what kind of meaning sick child’s play has. Researches could be expanded to regard also different kinds of children's diseases such as cancer or diseases related to surgery or wond healing. In addition, paying attention to children's different age phases would be an interesting research topic....
Esimiestoiminnan vaikuttavuus työhyvinvointiin hoitotyössä - kirjallisuuskatsaus
(Laurea-ammattikorkeakoulu, 2016)
edistämisessä. Opinnäytetyö tehtiin osana Mcompetence Oy:n kehittämishanketta, jossa työelämäohjaajana toimi yritysvalmentaja Jaana Turunen. Opinnäytetyö toteutettiin kirjallisuuskatsauksena. Aineisto kerättiin kahdesta eri tietokannasta (Medic...
The purpose of this thesis was to describe the effects of the supervisors’ actions on wellbeing at work as experienced by the nursing staff. The objective was to produce more information about the significance of the supervisors’ actions in nursing...
The purpose of this thesis was to describe the effects of the supervisors’ actions on wellbeing at work as experienced by the nursing staff. The objective was to produce more information about the significance of the supervisors’ actions in nursing...
Vanhempien odottama tuki lapsettomuudessa ja lapsettomuushoidoissa
(Laurea-ammattikorkeakoulu, 2016)
ja lapsettomien hoitoa. Opinnäytetyö toteutettiin kuvailevana kirjallisuuskatsauksena, jonka tutkimusaineisto koostui eri tietokannoista tiedonhaun avulla löytyneistä tieteellisistä julkaisuista.
Lapsettomuus koskettaa ja herättää monenlaisia...
The purpose of this thesis was to find out the parents’ expectations of support during and after infertility treatments. The aim of this thesis was to develop nursing and infertility care based on the results of this literature review. This thesis...
The purpose of this thesis was to find out the parents’ expectations of support during and after infertility treatments. The aim of this thesis was to develop nursing and infertility care based on the results of this literature review. This thesis...
Puhelinohjaus hoitotyössä : kuvaileva kirjallisuuskatsaus
(Laurea-ammattikorkeakoulu, 2016)
Mervi Kuusinen
Puhelinohjaus hoitotyössä – kuvaileva kirjallisuuskatsaus
Vuosi 2016 Sivumäärä 28
Tämä opinnäytetyö on osa yhteistyöprojektia HUS/HYKS Peijaksen sairaalan kanssa. Työn tarkoituksena oli kuvata ...
Toiminta haastavissa asiakastilanteissa – katsaus jälkipuinnin toteutumiseen
(Laurea-ammattikorkeakoulu, 2016)
Tämä opinnäytetyö on toteutettu tutkimuskatsauksena, jonka tarkoituksena oli selvittää tutkittujen tietojen perusteella, miten haastavien asiakastilanteiden sekä pakkotoimenpiteiden jälkeen jälkipuintia toteutetaan, sekä miten henkilöt kokevat...
This thesis is implemented as a research review, and its purpose was to find out, (based on already researched information), how a debriefing is implemented after challenging customer situations and after using coercive measures. The thesis also studies how people experience the importance of debriefing. Our goal was to concentrate generally on the MAPA (Management of Actual or Potential Aggression) method and its included crisis management methods and debriefing after traumatic crisis situations. We primarily consider the beneficiaries of our thesis being different health care environments, where lots of challenging customer situations and risk behaviour occurs, and where it is necessary to resort to coercive measures. These healthcare environments we consider are more likely to be different kind of psychiatric care environments. Our thesis includes a review on implementations of a debriefing in challenging customer situations based on multiple existing research papers and other written materials. These papers were based on adults’ and young patients’ courses in psychiatric care, including used coercive measures and the aftercare with debriefing methods. Based on the results of studies we try to find out the importance of debriefing and to determine is debriefing discussions used with patients´ after coercive measures. Through these we want to bring up possible development ideas for future research extracts. Based on the research studies, in most cases where coercive measures were used patients did not receive needed debriefing and many of the patients felt that after crisis situations, they needed more conversational help. In some of the patients’ cases, used coercive measures were considered to have been used for too long and as a result of this patients felt the measures were causing trauma, e.g. anxiety and depressive symptoms. On the basis of many of the research studies, debriefing would have a positive effect regarding future development of crisis situations because by debriefing we would be able to find new ways to work for calming the behaviour and therefore prevent unnecessary coercive measures. Sometimes debriefing seemed to cause more harm than good and there isn’t any proof that it alone would prevent developing crisis situations. Based on our thesis, one further research could be conducted on how to build a functional care relationship between a nurse and a patient after a crisis situation. In addition there could be survey that could lead to more information on what kind of benefits debriefing have and does it help to prevent psychological symptoms after trauma....
This thesis is implemented as a research review, and its purpose was to find out, (based on already researched information), how a debriefing is implemented after challenging customer situations and after using coercive measures. The thesis also studies how people experience the importance of debriefing. Our goal was to concentrate generally on the MAPA (Management of Actual or Potential Aggression) method and its included crisis management methods and debriefing after traumatic crisis situations. We primarily consider the beneficiaries of our thesis being different health care environments, where lots of challenging customer situations and risk behaviour occurs, and where it is necessary to resort to coercive measures. These healthcare environments we consider are more likely to be different kind of psychiatric care environments. Our thesis includes a review on implementations of a debriefing in challenging customer situations based on multiple existing research papers and other written materials. These papers were based on adults’ and young patients’ courses in psychiatric care, including used coercive measures and the aftercare with debriefing methods. Based on the results of studies we try to find out the importance of debriefing and to determine is debriefing discussions used with patients´ after coercive measures. Through these we want to bring up possible development ideas for future research extracts. Based on the research studies, in most cases where coercive measures were used patients did not receive needed debriefing and many of the patients felt that after crisis situations, they needed more conversational help. In some of the patients’ cases, used coercive measures were considered to have been used for too long and as a result of this patients felt the measures were causing trauma, e.g. anxiety and depressive symptoms. On the basis of many of the research studies, debriefing would have a positive effect regarding future development of crisis situations because by debriefing we would be able to find new ways to work for calming the behaviour and therefore prevent unnecessary coercive measures. Sometimes debriefing seemed to cause more harm than good and there isn’t any proof that it alone would prevent developing crisis situations. Based on our thesis, one further research could be conducted on how to build a functional care relationship between a nurse and a patient after a crisis situation. In addition there could be survey that could lead to more information on what kind of benefits debriefing have and does it help to prevent psychological symptoms after trauma....
”Sääliä, empatiaa ja turhautumista” : alkoholin käytön puheeksi ottaminen ja hoitajien asenteet alkoholiongelmaisen hoidossa
(Laurea-ammattikorkeakoulu, 2016)
Hyvinkään sairaalassa toteutettiin projekti ”Päihdepotilas sairaalan päivystyksessä ja osastolla” 2013–2014 välisenä aikana. Projektin tavoitteena oli saada pysyvä toimintamalli päivystykseen sekä vuodeosastoille. Opinnäytetyömme on jatkoa toteutettuun projektiin.
Opinnäytetyön tarkoituksena oli kartoittaa hoitajien suhtautumista alkoholia käyttäviin potilaisiin sekä saada selville alkoholin puheeksi ottamisen haasteita potilaiden kanssa. Tämän lisäksi kartoitimme hoitohenkilökunnan asenteita päihteitä käyttäviä potilaita kohtaan vuodeosastoilla. Aiheen opinnäytetyöhömme saimme Hyvinkään sairaalalta, jossa haluttiin selvittää hoitajien haasteet päihteiden, etenkin alkoholin puheeksi ottamisesta.
Työmme tavoitteena oli selvittää alkoholin käytön puheeksi ottamisen haasteet ja hoitajien asenteet päihdeongelmaista kohtaan. Työmme avulla pystymme auttamaan tutkimukseen osallistuneiden osastojen henkilökuntaa kehittämään päihdeongelmaisten hoitoa. Toteutimme tutkimuksen Hyvinkään sairaalan kirurgisen- ja sisätautien osastoille. Näiden osastojen hoitajat ovat kohderyhmänä asiantuntijoita, koska he kohtaavat päihteitä käyttäviä potilaita työssään. Näiden osastojen hoitajat kohtaavat ehkä eniten päihteitä käyttäviä potilaita työssään ja ovat siten kohderyhmänä asiantuntijoita.
Tutkimus toteutettiin kvantitatiivisen eli määrällisen tutkimuksen avulla. Aineistonkeruumenetelmänä käytettiin kyselytutkimusta ja aineisto analysoitiin SPSS-tilastointiohjelman avulla. Kyselyssä oli 19 monivalintakysymystä ja 4 avointa kysymystä. Sisätautien vuodeosaston 70 hoitajasta vastasi 45 henkilöä ja kirurgisen vuodeosaston 70 hoitajasta vastasi 35 henkilöä.
Kyselytuloksista ilmeni, että useita hoitajia turhauttivat alkoholiongelmaiset potilaat, jotka toistuvasti tulevat samojen mahdollisesti alkoholin aiheuttamien fyysisten vaivojen vuoksi hoitoon. Hoitajat kertoivat kohtelevansa heitä tasa-arvoisesti muiden potilaiden kanssa. Kuitenkin negatiivista suhtautumista alkoholiongelmaisia potilaita kohtaan oli huomattu. Monet hoitajat kokivat alkoholiongelmaisen potilaan hoitamisen haastavaksi, jopa vaikeaksi (42,6 %). Alkoholin käytön puheeksi ottaminen koettiin pääsääntöisesti helpoksi (33,8 %), mutta sitä ei toteutettu kovin laajasti.
Alkoholiongelmaisen potilaan kohtaaminen ja hoitaminen olivat 80 %:n mielestä tasavertaista. Tulosten perusteella noin 43 % hoitajista koki alkoholiongelmaisen potilaan hoitamisen vaihtelevasti vaikeaksi. Koulutuksen ohella voitaisiin lisätä ymmärrystä päihteitä käyttävää potilasta kohtaan. Jatkotutkimusaiheena voisi olla esimerkiksi hoitajien asenteiden vaikutus päihdeongelmaisen saamaan hoitoon. Tutkimuksessamme tuli ilmi selkeästi hoitajien turhautuminen ja negatiivinen asenne alkoholiongelmaista potilasta kohtaan. Lisäksi voisi olla hyödyllistä tutkia tarkemmin, mikä estää varhaisen puuttumisen, vaikka tietoa sen merkityksellisyydestä on.
Asiasanat: alkoholi, puheeksi otto, asenteet, päihteitä käyttävä potilas...
patients. In addition, we identified what the healthcare staff attitudes were towards intoxicant patients in the wards. The subject of this Bachelor thesis was obtained from Hyvinkää hospital where they wanted to find out the nurses’ different challenges...
patients. In addition, we identified what the healthcare staff attitudes were towards intoxicant patients in the wards. The subject of this Bachelor thesis was obtained from Hyvinkää hospital where they wanted to find out the nurses’ different challenges...
Perehdytyksen tarkistuslista sairaanhoitajalle Hyvinkään terveyskeskuksen avovastaanotolle
(Laurea-ammattikorkeakoulu, 2016)
Opinnäytetyön tarve oli työelämälähtöinen. Työn tilasi Hyvinkään terveyskeskus ja se toteutettiin tämän organisaation kanssa yhteistyössä. Opinnäytetyön tavoitteena oli tuottaa sairaanhoitajan vastaanottotyöhön perehdytyksen tarkistuslista sairaanhoitajan perehdytyksen tueksi. Opinnäytetyössä käytettiin kvalitatiivisia tutkimusmenetelmiä. Puolistrukturoiduilla haastatteluilla kerättiin aineistoa perehdytyksen tarkistuslistaan Hyvinkään terveyskeskuksen sairaanhoitajilta. Haastattelut toteutettiin syksyllä 2016. Haastatteluihin osallistui yhteensä kuusi sairaanhoitajaa, joilla oli vähintään vuoden työkokemus sairaanhoitajan vastaanottotyöstä. Haastatteluissa käytiin läpi aikaisemmin käytössä ollutta perehdytyskorttia ja kysyttiin sairaanhoitajien mielipiteitä tulevasta perehdytyksen tarkistuslistan sisällöstä.
Opinnäytetyön tekeminen alkoi keväällä kirjallisuuskatsauksella, jonka jälkeen todettiin, että aiheesta on kovin vähän ajankohtaista, aktuellia tietoa. Tämän takia päädyttiin keräämään tarvittavaa aineistoa haastatteluiden avulla. Haastattelut nauhoitettiin ja litteroitiin. Tämän jälkeen tehtiin sisällönanalyysi ja esille nousseet teemat jaoteltiin alaotsikoihin ja pääluokkaan. Analysoidun aineiston pohjalta valittiin perehdytyksen tarkistuslistaan sisällytettävät aihe-osiot ja niistä koottiin lopullinen perehdytyksen tarkistuslista. Asiakkaan toiveiden mukaisesti perehdytyksen tarkistuslistasta tehtiin vihkomainen ja aikaisempaa tiivistetympi.
Työn tilaajalta keväällä tulleet toiveet olivat melko vapaat sisältöön ja ulkoasuun liittyen. Työtä arvioitiin ja sen tekoprosessia reflektoitiin jatkuvasti työn tekemisen aikana näihin tilaajan toiveisiin peilaten.
Tarkistuslistan ensimmäisen version arvioinnin myötä sitä saatiin parannettua edelleen ja siitä saatiin karsittua turhiksi osoittautuneita yksityiskohtia. Työn tilaajalta saadun palautteen perusteella tarkistuslista oli onnistunut ja vastasi tehtävänantoa. Työn koettiin olleen haastava, koska sairaanhoitajan vastaanottotyön sisältämien työtehtävien laajan kirjon vuoksi kaikkea perehdytyksessä läpi käytäviä asioita oli vaikea tiivistää toivottuun muotoon. Lopputuloksena oli kuitenkin onnistuneeksi arvioitu sairaanhoitajan vastaanottotyön perehdytyksen tarkistuslista, johon saatiin koottua kaikki keskeisimmät asiat, jotka perehdytyksen aikana kuuluu käydä läpi.
Asiasanat: Perehdytys, tarkistuslista, terveyskeskus, vastaanottotyö...
The need for this thesis arose from the working life. The thesis was ordered by Hyvinkää health care center, in collaboration with which the thesis was also prepared. The goal of the thesis was to produce a check list to support the familiarization...
The need for this thesis arose from the working life. The thesis was ordered by Hyvinkää health care center, in collaboration with which the thesis was also prepared. The goal of the thesis was to produce a check list to support the familiarization...
Muslimiäitien näkemyksiä imetyksestä
(Laurea-ammattikorkeakoulu, 2016)
tietoa voidaan hyödyntää terveydenhuollossa imetysohjauksen kehittämisessä.
Opinnäytetyö toteutettiin kvalitatiivisena tutkimuksena. Tutkimusaineisto kerättiin puolistrukturoituna teemahaastatteluna, ja saatu aineisto analysoitiin induktiivisella...
The purpose of this thesis was to describe what kind of views Muslim mothers have on breastfeeding. The aim was to find out how Muslim mothers relate to breastfeeding, what motivates them, what kind of a role religion plays in Muslim mothers’ breastfeeding, and whether the nursing mothers fast during the Muslim month of fasting. An additional aim of this study was to find out, what kind of views Muslim mothers have on breastfeeding counselling and support given by the public health nurses in maternity and child health clinics. The findings of this thesis can be utilized in health care to develop breastfeeding counselling. The thesis was conducted as a qualitative study. The data was collected by a semi-structured theme interview, and the collected data was analysed using inductive content analysis. Three mothers from the Muslim mothers’ breastfeeding group participated in the study. The thesis showed that the Muslim mothers interviewed for this study had positive views on breastfeeding. Breastfeeding for the mothers meant a natural, obvious and a blessed experience. Religion played an important role in the mothers’ attitudes towards breastfeeding. They believed that breastfeeding is an important spiritual act, in which the mother gets rewarded by God. They felt that they were serving and pleasing God by breastfeeding. A Muslim mother’s duty to breastfeed and the child’s right to be breastfed until the age of two motivated them to view breastfeeding positively and to continue breastfeeding. The findings also showed that the mothers had positive experiences with breastfeeding and fasting. They had not discussed fasting with the clinic’s public health nurse. The Muslim mothers felt that they did not get enough breastfeeding counselling and support from the public health nurses in maternity and child health clinics. An important support for them with breastfeeding was their own husband. The mothers would like to receive more trust and encouragement with breastfeeding from the public health nurses. They would like the public health nurses to pay more attention to the mothers’ mental well-being. Further research could be conducted in more detail for example about a particular nationality or some other group of Muslim mothers and their breastfeeding. More universal and all-encompassing information about the Islamic faith, Muslims and breastfeeding, and fasting whilst breastfeeding are needed....
The purpose of this thesis was to describe what kind of views Muslim mothers have on breastfeeding. The aim was to find out how Muslim mothers relate to breastfeeding, what motivates them, what kind of a role religion plays in Muslim mothers’ breastfeeding, and whether the nursing mothers fast during the Muslim month of fasting. An additional aim of this study was to find out, what kind of views Muslim mothers have on breastfeeding counselling and support given by the public health nurses in maternity and child health clinics. The findings of this thesis can be utilized in health care to develop breastfeeding counselling. The thesis was conducted as a qualitative study. The data was collected by a semi-structured theme interview, and the collected data was analysed using inductive content analysis. Three mothers from the Muslim mothers’ breastfeeding group participated in the study. The thesis showed that the Muslim mothers interviewed for this study had positive views on breastfeeding. Breastfeeding for the mothers meant a natural, obvious and a blessed experience. Religion played an important role in the mothers’ attitudes towards breastfeeding. They believed that breastfeeding is an important spiritual act, in which the mother gets rewarded by God. They felt that they were serving and pleasing God by breastfeeding. A Muslim mother’s duty to breastfeed and the child’s right to be breastfed until the age of two motivated them to view breastfeeding positively and to continue breastfeeding. The findings also showed that the mothers had positive experiences with breastfeeding and fasting. They had not discussed fasting with the clinic’s public health nurse. The Muslim mothers felt that they did not get enough breastfeeding counselling and support from the public health nurses in maternity and child health clinics. An important support for them with breastfeeding was their own husband. The mothers would like to receive more trust and encouragement with breastfeeding from the public health nurses. They would like the public health nurses to pay more attention to the mothers’ mental well-being. Further research could be conducted in more detail for example about a particular nationality or some other group of Muslim mothers and their breastfeeding. More universal and all-encompassing information about the Islamic faith, Muslims and breastfeeding, and fasting whilst breastfeeding are needed....
Huoltajien kokemuksia lastensuojelutyöstä : ”Että ei kukaan lähtis niin ku ampuu haulikolla kärpästä, kun täs on kärpäslätkä lähempänä.”
(Laurea-ammattikorkeakoulu, 2016)
Opinnäytetyö on osa hanketta lastensuojelun ja ennaltaehkäisevän perhetyön palveluja tarjoavan yrityksen perustamiseksi. Tavoitteena oli tuottaa yritykselle tietoa lastensuojelun asiakasperheiden palvelutarpeista. Lisäksi tavoitteena oli tuoda...
The thesis is part of a project to establish a company which offers child welfare and preventive child welfare services. The objective was to produce information about the need for services among the client families of the child welfare. Furthermore...
The thesis is part of a project to establish a company which offers child welfare and preventive child welfare services. The objective was to produce information about the need for services among the client families of the child welfare. Furthermore...









