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[{"key": "dc.contributor.author", "value": "Lehtoranta, Marja", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2013-12-06T22:32:43Z", "language": "", "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2013-12-06T22:32:43Z", "language": "", "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2013", "language": null, "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.other", "value": "oai:jykdok.linneanet.fi:1288473", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/42607", "language": "", "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Tutkimuksen tarkoituksena oli selvitt\u00e4\u00e4 potilasohjauksen osaamisen johtamista k\u00e4yt\u00e4nn\u00f6ss\u00e4. Tutkimuksessa kuvattiin osaamisen johtamisesta erityisesti k\u00e4yt\u00f6ss\u00e4 olevia potilasohjauksen rakenteita, k\u00e4yt\u00e4nt\u00f6j\u00e4 ja viestint\u00e4\u00e4, potilasohjauksen osaamisen tunnistamista, kartoittamista ja mittaamista sek\u00e4 osaamisen kehitt\u00e4mist\u00e4 ja yll\u00e4pit\u00e4mist\u00e4. Tutkimusaineisto ker\u00e4ttiin vuonna 2011 osana Keski-Suomen sairaanhoitopiirin Potilasohjaus vaikuttavaksi (PoiJu) \u2013kehitt\u00e4mishanketta haastattelemalla 22 hoitoty\u00f6n johtajaa Keski-Suomen sairaanhoitopiirin alueella teemahaastattelun mukaisesti. Aineiston analysoinnin menetelm\u00e4n\u00e4 k\u00e4ytettiin sis\u00e4ll\u00f6nanalyysi\u00e4.\r\nTulokset olivat vaihtelevia. Tulosten mukaan potilasohjaus rakentui eritasoisten rakenteiden ja k\u00e4yt\u00e4nt\u00f6jen varaan. Haastateltavien puheessa ohjaus oli osin potilaskeskeist\u00e4, omaiset huomioivaa ja sis\u00e4ll\u00f6n osalta n\u00e4ytt\u00f6\u00f6n perustuvaa. Omahoitoon kannustettiin yksipuolisesti ja tietotekniikka-alan hy\u00f6dynt\u00e4minen ohjauksessa oli suppeaa. Ohjausmuotojen kirjo esitt\u00e4ytyi laajana, mutta muotoja k\u00e4ytettiin valtaosin melko suppeasti, etup\u00e4\u00e4ss\u00e4 kasvokkain yksil\u00f6ohjauksessa kirjallinen materiaali tukena. Ohjauksen kirjaaminen toteutui vaihtelevasti sis\u00e4lt\u00e4en tiedonkulun haasteita. Ohjausosaamisen yll\u00e4pito n\u00e4ytt\u00e4ytyi vaillinaisena, arviointi oli puutteellista. Tuntuma oli yleisin ohjausosaamisen arvioinnin muoto. Ohjausosaamisen koulutusk\u00e4yt\u00e4nn\u00f6t vaihtelivat. Kehitt\u00e4misty\u00f6t\u00e4 toteutui yli organisaatiorajojen muun muassa hoitoketjujen muodossa. N\u00e4kemykset kehitt\u00e4mistarpeista kohdistuivat monipuolisempiin ohjaustapoihin, materiaaleihin, arviointimittareiden luomiseen ja kolmannen sektorin hy\u00f6dynt\u00e4miseen osaksi hoitoketjua.\r\nTulosten mukaan potilasohjauksen osaamisen johtamisessa tulisi painottaa ohjauksen arvioinnin kehitt\u00e4mist\u00e4. Tarvitaan my\u00f6s kirjaamisen yhten\u00e4ist\u00e4mist\u00e4 tiedonkulun turvaamiseksi, kolmannen sektorin huomioimista osaksi hoitoketjuja ja n\u00e4ytt\u00f6\u00f6n perustuvan potilasohjauksen turvaamista ohjausosaamista kehitt\u00e4m\u00e4ll\u00e4 t\u00e4ydennyskoulutusta. Lis\u00e4ksi painopistett\u00e4 tulisi kohdentaa my\u00f6s potilaan omahoidon ja osallisuuden sek\u00e4 ohjaustapojen kehitt\u00e4miseen.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "The objective of this study was to determine the knowledge management of patient counseling in practice. The study described knowledge management, in particular the use of patient counseling structures, practices and communication, patient counseling skills identification, mapping and measurement as well as knowledge management development and maintenance. The data collection which was a part of the Central Finland Health Care District patient counseling efficiency development project (PoiJu) was done by interviewing 22 nursing leaders in the Central Finland Health Care District in accordance with the semi-structured interview format. The analysis method was content analysis.\r\nThe results varied. The results suggest that patient counseling was based upon various levels of structures and practices. In the interviewee\u2019s communications, the patient counseling was partially patient-centered, took into account the family members and the content was evidence-based. Self-treatment was encouraged unilaterally and the use of information technology was limited. The approach to the patient counseling was introduced broadly yet the utilization of the methods, for the most part, was relatively limited, mainly face to face with an individual utilizing the guidance of written support material. The recording of patient education information was completed to varying degrees which included information flow challenges. Maintenance of knowledge management of patient counseling was insufficient, assessments were incomplete. The most commonly utilized form of measuring the patient counseling knowledge skills was the overall impression, no instruments were used. Training of the patient counseling knowledge practices varied. Development work took place across organizational boundaries among other things within the care pathways. The views of development focused on more versatile patient counseling methods, materials, creation of evaluation indicators and the utilization of a third sector in the care pathways.\r\nAccording to the results, the knowledge management of patient counseling should emphasize the development of patient counseling evaluation. Unifying the data collection is also needed to safeguard the flow of information, considering the third sector as part of the care pathways and also safeguarding the evidence-based patient counseling by improving the patient education knowledge skills through continuing counseling. In addition, the emphasis should also be focused on developing the methods of patient self-treatment, patient involvement and patient counseling.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Marja Lehtoranta (marileht) on 2013-12-06 22:32:42.350358. Form: Pro gradu -lomake (1 tekij\u00e4) (https://kirjasto.jyu.fi/julkaisut/julkaisulomakkeet/pro-gradu-lomake-1-tekijae). JyX data:", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by jyx lomake-julkaisija (jyx-julkaisija@noreply.fi) on 2013-12-06T22:32:42Z\r\nNo. of bitstreams: 2\r\nURN:NBN:fi:jyu-201312072758.pdf: 735650 bytes, checksum: 29ec86d2d215e5705e060ccfecc2d6e5 (MD5)\r\nlicense.html: 4934 bytes, checksum: bf708a723ea32d78d43cbcf4a882db52 (MD5)", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2013-12-06T22:32:43Z (GMT). No. of bitstreams: 2\r\nURN:NBN:fi:jyu-201312072758.pdf: 735650 bytes, checksum: 29ec86d2d215e5705e060ccfecc2d6e5 (MD5)\r\nlicense.html: 4934 bytes, checksum: bf708a723ea32d78d43cbcf4a882db52 (MD5)\r\n Previous issue date: 2013", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "1 verkkoaineisto.", "language": null, "element": "format", "qualifier": "extent", "schema": "dc"}, {"key": "dc.format.mimetype", "value": "application/pdf", "language": null, "element": "format", "qualifier": "mimetype", "schema": "dc"}, {"key": "dc.language.iso", "value": "fin", "language": null, "element": "language", "qualifier": "iso", "schema": "dc"}, {"key": "dc.rights", "value": "In Copyright", "language": "en", "element": "rights", "qualifier": null, "schema": "dc"}, {"key": "dc.subject.other", "value": "potilasohjaus", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "osaamisen johtaminen", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "hoitoty\u00f6n johtaja", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "terveydenhuolto", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Potilasohjauksen osaamisen johtaminen terveydenhuollossa : hoitoty\u00f6n johtajien n\u00e4kemyksi\u00e4", "language": null, "element": "title", "qualifier": null, "schema": "dc"}, {"key": "dc.type", "value": "master thesis", "language": null, "element": "type", "qualifier": null, "schema": "dc"}, {"key": "dc.identifier.urn", "value": "URN:NBN:fi:jyu-201312072758", "language": null, "element": "identifier", "qualifier": "urn", "schema": "dc"}, {"key": "dc.type.ontasot", "value": "Pro gradu -tutkielma", "language": "fi", "element": "type", "qualifier": "ontasot", "schema": "dc"}, 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