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[{"key": "dc.contributor.advisor", "value": "Sj\u00f6gren, Tuulikki", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Lepist\u00f6, Sanna", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2015-02-22T11:54:27Z", "language": "", "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2015-02-22T11:54:27Z", "language": "", "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2015", "language": null, "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.other", "value": "oai:jykdok.linneanet.fi:1466688", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/45391", "language": "", "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "T\u00e4m\u00e4 pro gradu-opinn\u00e4ytety\u00f6 on osa laajempaa seurantatutkimusta fysioterapeuttien TULES-potilaiden suoravastaanottotoiminnasta perusterveydenhuollossa. Hankkeen toteuttajia ovat Keski-Suomen sairaanhoitopiiri, Jyv\u00e4skyl\u00e4n yliopisto sek\u00e4 Jyv\u00e4skyl\u00e4n ammattikorkeakoulu. T\u00e4m\u00e4 pro gradu tuottaa tietoa t\u00e4ydennyskoulutuksen vaikutuksista fysioterapeuttien osaamisen ja k\u00e4yt\u00e4nteiden muutoksiin.\r\n\r\nSuoravastaanottotoiminnan t\u00e4ydennyskoulutus oli laajuudeltaan 15 op ja toteutettiin aikav\u00e4lill\u00e4 30.8.2012-30.6.2013. Koulutuksen sis\u00e4lt\u00f6 jakautui viiteen opintojaksoon, joita olivat tules-asiakkaan tutkimisen kliiniset taidot (7 op), suoravastaanottotoiminta (2 op), n\u00e4ytt\u00f6\u00f6n perustuva tules-asiakkaan kuntoutuksen suunnittelu (2 op), asiakasohjaustaidot (2 op) sek\u00e4 suoravastaanottotoiminnan kehitt\u00e4minen (2 op). Tutkimuksen aineisto ker\u00e4ttiin kyselylomakkeella, jonka koulutukseen osallistuneet fysioterapeutit (n=27) t\u00e4yttiv\u00e4t ennen interventiota sek\u00e4 sen j\u00e4lkeen. Aineisto jaettiin ensin karkeasti summamuuttujiin, jonka j\u00e4lkeen tarkasteltiin yksitt\u00e4isi\u00e4 muuttujia. Tulokset analysoitiin tilastollisesti Spearmanin korrelaatiokertoimella ja muutosten tilastollinen merkitsevyys testattiin Wilcoxonin testill\u00e4. Tuloksia t\u00e4ydennettiin laadullisen sis\u00e4ll\u00f6nanalyysin avulla.\r\n\r\nSummamuuttujissa tapahtui muutosta manuaalisen testaamisen, hengitys- ja verenkiertoelimist\u00f6n toimintojen mittaamisen ja arvioimisen sek\u00e4 tuki- ja liikuntaelimiin sek\u00e4 liikkumiseen liittyvien toimintojen mittaamisen ja arvioimisen kokonaisuuksissa (p<.01). Yksitt\u00e4isiss\u00e4 muuttujissa tules-potilaiden mittaamisen sek\u00e4 arvioinnin k\u00e4yt\u00e4nteet lis\u00e4\u00e4ntyiv\u00e4t refleksien, verenkierron, unen m\u00e4\u00e4r\u00e4n ja laadun, koetun kuormittumisen sek\u00e4 uupumuksen ja v\u00e4symyksen osalta (p<.05). S\u00e4\u00e4nn\u00f6llisesti tutkituista alueista yleistyiv\u00e4t refleksien ja tunnon testaaminen manuaalisesti ja mittausmenetelmist\u00e4 kipupiirroksen k\u00e4ytt\u00e4minen (p<.01). T\u00e4ydennyskoulutusinterventio vaikutti suotuisasti my\u00f6s Keski-Suomen keskussairaalan hoidonporrastusohjeiden noudattamiseen sek\u00e4 fysioterapian perustumiseen n\u00e4ytt\u00f6\u00f6n (p<.05). Itsen\u00e4isen harjoittelun seuranta parani (p<.05). Samoin paranivat fysioterapeuttien omat arviot TULES-vastaanottoon liittyviss\u00e4 ongelmanratkaisutaidoissa sek\u00e4 kliinisiss\u00e4 taidoissa, asenne TULES-vastaanottotoiminnan kehitt\u00e4miseen sek\u00e4 arvio yhteisty\u00f6taidoista potilaiden kanssa (p <.05). \r\n\r\nT\u00e4m\u00e4n tutkimuksen tulokset osoittivat, ett\u00e4 vuoden kest\u00e4v\u00e4 kuukausittain l\u00e4hijaksoja sis\u00e4lt\u00e4v\u00e4 t\u00e4ydennyskoulutus lis\u00e4\u00e4 fysioterapeuttien osaamista sek\u00e4 johtaa k\u00e4yt\u00e4nteiden muutoksiin. Pienen otoskoon vuoksi tuloksia on yleistett\u00e4v\u00e4 varoen ja lis\u00e4tutkimusta tarvitaan kontrolloiduissa asetelmissa.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "This master's thesis is a part of a larger research project, which was a follow-up study of direct access for physiotherapists MSD patients in primary health care. The project is carried out by the Keski-Suomen Sairaanhoitopiiri, Jyv\u00e4skyl\u00e4 University and of Jyv\u00e4skyl\u00e4 University of Applied Sciences. This master`s thesis focuses on the changes in knowledge and practice during continuing education for direct access to the physiotherapists.\r\n\r\nThe continuing education of direct access was in scope of 15 credits, and was carried out during 30.8.2012-30.6.2013. The content of the education was divided into a five study period, which were clinical skills of examining the MSD patient (7 credits), direct access \u2013the model itself (2 credits), evidence-based planning of MSD client's rehabilitation (2 credits), social skills of counseling (2 credits), and developing the MSD direct access ( 2 credits). The data was collected through a questionnaire from physiotherapists (n = 27) participating the education, at the beginning and in the end of the education period. First the data was divided into the sums of the variables, and second the individual variables and correlations were analyzed. The results were statistically analyzed with Spearmans test for correlations and with Wilcoxons test for significance levels. The results were then reinforced with qualitative content analysis.\r\n\r\nChanges in practice and/or habits were found in the sum of variables of manual assessment, measurement and assessment of the respiratory and circulatory system and measurement and assessment of the skeletal muscle system functions and movement (p<.01). Changes in single variables were found in measurement and assessment of reflexes, blood circulation, the amount and quality of sleep, level of stress and fatigue (p<.05). Manual testing of reflexes and sensory system become more common so as using the pain-drawings (p<-01).The continuing education also contributed the level of compliance to the guidelines for grading treatments in Keski-Suomen keskussairaala and using evidence based physiotherapy (p<.05). Monitoring the independent rehearsing increased, and the self-conception of the participants own abilities problem solving, clinical skills, attitude towards improving the direct access of MSD and self-conception about the collaborative skills with patients enhanced (p<.05).\r\n\r\nThe results shows that one year, monthly performed continuing education is effective in modification of know-how and practice of physiotherapists. Due to the small size of sample the results are not yet to be generalized. More specific and controlled interventions are needed.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Sanna Lepist\u00f6 (sahalepi) on 2015-02-22 11:54:25.959094. 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 2015-02-22T11:54:27Z\r\nNo. of bitstreams: 2\r\nURN:NBN:fi:jyu-201502221358.pdf: 1760392 bytes, checksum: e1f1a1fed3c18f5682b02217bf80b46e (MD5)\r\nlicense.html: 4923 bytes, checksum: 38aca6bc68d2044448074a08d6bbcdf0 (MD5)", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2015-02-22T11:54:27Z (GMT). No. of bitstreams: 2\r\nURN:NBN:fi:jyu-201502221358.pdf: 1760392 bytes, checksum: e1f1a1fed3c18f5682b02217bf80b46e (MD5)\r\nlicense.html: 4923 bytes, checksum: 38aca6bc68d2044448074a08d6bbcdf0 (MD5)\r\n Previous issue date: 2015", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "1 verkkoaineisto (41 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": "Keski-Suomen sairaanhoitopiiri", "language": null, "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Fysioterapeuttien osaamisen ja k\u00e4yt\u00e4nteiden muutos t\u00e4ydennyskoulutuksen aikana : suoravastaanottotoiminnan implementointi Keski-Suomen sairaanhoitopiirin alueella", "language": null, "element": "title", "qualifier": null, "schema": "dc"}, {"key": "dc.title.alternative", "value": "Suoravastaanottotoiminnan implementointi Keski-Suomen sairaanhoitopiirin alueella", "language": null, "element": "title", "qualifier": "alternative", "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-201502221358", "language": null, "element": "identifier", "qualifier": "urn", "schema": "dc"}, {"key": "dc.type.ontasot", "value": "Pro gradu -tutkielma", "language": "fi", "element": "type", "qualifier": "ontasot", "schema": "dc"}, {"key": "dc.type.ontasot", "value": "Master\u2019s thesis", "language": "en", "element": "type", "qualifier": "ontasot", "schema": "dc"}, {"key": "dc.contributor.faculty", "value": "Liikuntatieteellinen tiedekunta", "language": "fi", "element": "contributor", "qualifier": "faculty", "schema": "dc"}, {"key": "dc.contributor.faculty", "value": "Faculty of Sport and Health Sciences", "language": "en", "element": "contributor", "qualifier": "faculty", "schema": "dc"}, {"key": "dc.contributor.department", "value": "Terveystieteiden laitos", "language": "fi", "element": "contributor", "qualifier": "department", "schema": "dc"}, {"key": "dc.contributor.department", "value": "Department of Health Sciences", "language": "en", "element": "contributor", "qualifier": "department", "schema": "dc"}, {"key": "dc.contributor.organization", "value": "University of Jyv\u00e4skyl\u00e4", "language": "en", "element": "contributor", "qualifier": "organization", "schema": "dc"}, {"key": "dc.contributor.organization", "value": "Jyv\u00e4skyl\u00e4n yliopisto", "language": "fi", "element": "contributor", "qualifier": "organization", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Fysioterapia", "language": "fi", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Physiotherapy", "language": "en", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "dc.date.updated", "value": "2015-02-22T11:54:29Z", "language": "", "element": "date", "qualifier": "updated", "schema": "dc"}, {"key": "yvv.contractresearch.funding", "value": "0", "language": "", "element": "contractresearch", "qualifier": "funding", "schema": "yvv"}, {"key": "dc.type.coar", "value": "http://purl.org/coar/resource_type/c_bdcc", "language": null, "element": "type", "qualifier": "coar", "schema": "dc"}, {"key": "dc.rights.accesslevel", "value": "openAccess", "language": "fi", "element": "rights", "qualifier": "accesslevel", "schema": "dc"}, {"key": "dc.type.publication", "value": "masterThesis", "language": null, "element": "type", "qualifier": "publication", "schema": "dc"}, {"key": "dc.subject.oppiainekoodi", "value": "50422", "language": null, "element": "subject", "qualifier": "oppiainekoodi", "schema": "dc"}, {"key": "dc.subject.yso", "value": "fysioterapeutit", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "kompetenssi", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "t\u00e4ydennyskoulutus", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.format.content", "value": "fulltext", "language": null, "element": "format", "qualifier": "content", "schema": "dc"}, {"key": "dc.rights.url", "value": "https://rightsstatements.org/page/InC/1.0/", "language": null, "element": "rights", "qualifier": "url", "schema": "dc"}, {"key": "dc.type.okm", "value": "G2", "language": null, "element": "type", "qualifier": "okm", "schema": "dc"}]
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