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[{"key": "dc.contributor.author", "value": "Huisko, Marja-Leena", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2014-10-09T12:58:07Z", "language": "", "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2014-10-09T12:58:07Z", "language": "", "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2014", "language": null, "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.other", "value": "oai:jykdok.linneanet.fi:1446906", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/44399", "language": "", "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "L\u00c4HISUHDEV\u00c4KIVALTAAN PUUTTUMISEN PALVELUMALLIN K\u00c4YTT\u00d6\u00d6NOTTO JA JUURRUTTAMINEN TERVEYDENHUOL-LON K\u00c4YT\u00c4NT\u00d6IHIN\r\nMarja-Leena Huisko\r\nSosiaality\u00f6 \r\nPro gradu -tutkielma \r\nYhteiskuntatieteiden ja filosofian laitos \r\nJyv\u00e4skyl\u00e4n yliopisto \r\nOhjaajat: Tuija Virkki ja Marita Husso \r\nAika: Elokuu 2014 \r\nSivum\u00e4\u00e4r\u00e4: 66\r\nT\u00e4ss\u00e4 laadullisessa tutkielmassa tarkastelen ty\u00f6ntekij\u00f6iden n\u00e4kemyksi\u00e4 l\u00e4hisuhdev\u00e4kival-taan puuttumisen (VISH) -palvelumallin k\u00e4ytt\u00f6\u00f6notosta ja juurtumisesta terveydenhuollon k\u00e4yt\u00e4nt\u00f6ihin. Aineistona on V\u00e4kivallan kohtaamisen k\u00e4yt\u00e4nn\u00f6t sosiaali- ja terveysalan or-ganisaatioissa - tutkimusprojektissa vuonna 2013 sosiaali- ja terveydenhuollon ammattilai-silta ker\u00e4tty valmis litteroitu fokusryhm\u00e4haastatteluaineisto. Tulosten analysoinnissa k\u00e4ytin sis\u00e4ll\u00f6nanalyysi\u00e4.\r\nTutkimustulosten mukaan projektissa kehitetyn l\u00e4hisuhdev\u00e4kivaltaan puuttumisen palve-lumallin juurruttaminen pysyv\u00e4ksi toimintatavaksi on haastavaa. L\u00e4hisuhdev\u00e4kivaltaa ei tunnistettu ja v\u00e4kivalta j\u00e4i helposti piiloon muun oireen taakse ilman systemaattista kartoi-tusta. Ty\u00f6ntekij\u00f6iden ajattelutapa ja asenteet vaikuttivat l\u00e4hisuhdev\u00e4kivallan puheeksiot-tamiseen ja palvelumallin k\u00e4ytt\u00f6\u00f6nottoon. Merkitt\u00e4v\u00e4 este oli se, ett\u00e4 l\u00e4hisuhdev\u00e4kivaltaan puuttuminen rajattiin toimenkuvaan kuulumattomaksi ty\u00f6ksi. Vastuu ongelman hoitamises-ta siirrettiin muille virranomaisille. Huomattavaa oli my\u00f6s se, ett\u00e4 asiakkaiden itsem\u00e4\u00e4r\u00e4\u00e4-misoikeuden kunnioittaminen meni puuttumisen edelle. \r\nOleellista palvelumallin k\u00e4ytt\u00f6\u00f6noton kannalta oli miten tiedostus, viestint\u00e4 ja vuorovaiku-tus toteutuivat. Palvelumallin juurtumista haittasivat tiedonkulun ongelmat. Tiedon siirt\u00e4-miseen ja uusien ty\u00f6ntekij\u00f6iden perehdytt\u00e4miseen ei kiinnitetty riitt\u00e4v\u00e4sti huomiota. My\u00f6s palvelumallin k\u00e4yt\u00f6n koordinointivastuu j\u00e4i m\u00e4\u00e4rittelem\u00e4tt\u00e4. \r\nToimijoiden osaamisp\u00e4\u00e4oman vahvistaminen edesauttoi l\u00e4hisuhdev\u00e4kivaltaan puuttumista ja palvelumallin k\u00e4ytt\u00f6\u00f6nottoa. Koulutusten my\u00f6t\u00e4 vahvistui tietoisuus v\u00e4kivaltailmi\u00f6st\u00e4 ja ymm\u00e4rrys v\u00e4kivaltaan puuttumisen merkityksest\u00e4. My\u00f6s kartoituslomake ja VISH -ty\u00f6parimalli tukivat v\u00e4kivaltaan puuttumista. VISH \u2013palvelumallia pidettiinkin hyv\u00e4n\u00e4 k\u00e4yt\u00e4nt\u00f6n\u00e4, mutta k\u00e4yt\u00e4nn\u00f6n juurruttaminen j\u00e4i kesken projektin loputtua. \r\nYht\u00e4 yksikk\u00f6\u00e4 lukuun ottamatta palvelumallin k\u00e4ytt\u00f6 n\u00e4ytt\u00e4\u00e4 hiipuneen. Palvelumallin k\u00e4yt\u00e4nt\u00f6\u00f6n juurruttaminen edellytt\u00e4\u00e4, ett\u00e4 kehitt\u00e4misprojektin p\u00e4\u00e4tytty\u00e4 organisaatio ottaa vastuun kehitt\u00e4misprojektissa kehitetyn palvelumallin k\u00e4ytt\u00e4misest\u00e4, tiedonkulusta ja ty\u00f6n-tekij\u00f6iden perehdytt\u00e4misest\u00e4 palvelumallin k\u00e4ytt\u00e4miseen. VISH -palvelumallin kohdalla n\u00e4in ei kuitenkaan tapahtunut eik\u00e4 mallia onnistuttu juurruttamaan pysyv\u00e4ksi toimintavaski erikoissairaanhoidon k\u00e4yt\u00e4nt\u00f6ihin.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Marja-Leena Huisko (mahuisko) on 2014-10-09 12:58:06.825116. Form: Pro gradu -lomake (https://kirjasto.jyu.fi/julkaisut/julkaisulomakkeet/pro-gradu-lomake). JyX data: [jyx_publishing-allowed (fi) =True]", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by jyx lomake-julkaisija (jyx-julkaisija@noreply.fi) on 2014-10-09T12:58:07Z\r\nNo. of bitstreams: 2\r\nURN:NBN:fi:jyu-201410092962.pdf: 676175 bytes, checksum: bcae9bbec3bea19e8fe857430ba8f0c7 (MD5)\r\nlicense.html: 4881 bytes, checksum: b60f3869e93039dc3cd13c0d5cc4bc32 (MD5)", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2014-10-09T12:58:07Z (GMT). No. of bitstreams: 2\r\nURN:NBN:fi:jyu-201410092962.pdf: 676175 bytes, checksum: bcae9bbec3bea19e8fe857430ba8f0c7 (MD5)\r\nlicense.html: 4881 bytes, checksum: b60f3869e93039dc3cd13c0d5cc4bc32 (MD5)\r\n Previous issue date: 2014", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "1 verkkoaineisto (67 sivua)", "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": "kehitt\u00e4minen", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": 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