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[{"key": "dc.contributor.advisor", "value": "Kokko Katja", "language": null, "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.advisor", "value": "Rantanen Taina", "language": null, "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Kempas, Minna", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2015-09-07T17:24:01Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2015-09-07T17:24:01Z", "language": null, "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:1494742", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/46784", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Sairaanhoitajien ty\u00f6ss\u00e4 fyysist\u00e4 ja psyykkist\u00e4 kuormitusta aiheuttavat muun muassa huonot ty\u00f6olosuhteet, huono ty\u00f6n suunnittelu, ihmissuhdeongelmat ja v\u00e4h\u00e4iset palkkiot. Seurauksena voi olla toimintakyvyn heikkeneminen tai sairastuminen. Lis\u00e4\u00e4 tietoa tarvitaan ty\u00f6kuormituksen pitk\u00e4n ajan vaikutuksista. T\u00e4m\u00e4n tutkimuksen tarkoituksena oli selvitt\u00e4\u00e4 sairaanhoitajien keski-ik\u00e4isen\u00e4 kokeman fyysisen ja psyykkisen ty\u00f6kuormituksen yhteytt\u00e4 vanhuuden toimintakykyyn.\n\nTutkimuksessa k\u00e4ytettiin Ty\u00f6terveyslaitoksen suomalaisia kunta-alan ty\u00f6ntekij\u00f6it\u00e4 koskevaa pitkitt\u00e4istutkimusaineistoa, josta tarkasteltavaksi valittiin ammattinimikkeiden perusteella osastonhoitajat, mielisairaanhoitajat, muut sairaanhoitajat, poliklinikalla ja leikkausosastolla ty\u00f6skennelleet sairaanhoitajat. L\u00e4ht\u00f6tilanteessa, vuonna 1981, kyselyyn osallistui 672 sairaanhoitajaa (naisia 88,5 %, i\u00e4lt\u00e4\u00e4n 45\u201358 vuotta, keski-ik\u00e4 49,8 vuotta). Vuoden 2009 seurantatutkimukseen osallistui 406 sairaanhoitajaa (i\u00e4lt\u00e4\u00e4n 73\u201386 vuotta, keski-ik\u00e4 77 vuotta). Tutkimuksen tilastollisena analyysimenetelm\u00e4n\u00e4 k\u00e4ytettiin binaarista logistista regressioanalyysi\u00e4. Puuttuvien tietojen vuoksi lopullisessa analyysiss\u00e4 oli mukana 369\u2013373 sairaanhoitajan tiedot. Keski-i\u00e4n ty\u00f6n fyysist\u00e4 ja psyykkist\u00e4 kuormitusta mitattiin sairaanhoitajien itsearvioinnilla. Muuttujat luokiteltiin analyysi\u00e4 varten kevyeksi/sopivaksi ty\u00f6ksi ja raskaaksi ty\u00f6ksi. Vanhuuden toimintakyky\u00e4 mitattiin koetuilla p\u00e4ivitt\u00e4isten perus- ja v\u00e4linetoimintojen vaikeuksilla, luokiteltuna ei/v\u00e4h\u00e4n vaikeuksia ja vaikeuksia. \n\nTy\u00f6n fyysisen kuormituksen keski-i\u00e4ss\u00e4 raskaaksi kokeneiden hoitajien todenn\u00e4k\u00f6isyys vanhuuden p\u00e4ivitt\u00e4isten perustoimintojen vaikeuksiin oli 2,6-kertainen (p=0,004) verrattuna ty\u00f6n sopivaksi tai kevyeksi kokeneisiin hoitajiin, kun mallissa huomioitiin ik\u00e4, p\u00e4ivitt\u00e4inen tupakointi ja liikunnan harrastaminen sek\u00e4 ihosairaudet. V\u00e4lineellisten arkitoimintojen vaikeuksien osalta todenn\u00e4k\u00f6isyys oli 1,6-kertainen (p=0,031), kun mallissa huomioitiin ik\u00e4, p\u00e4ivitt\u00e4inen tupakointi ja liikunnan harrastaminen. Fyysisen ty\u00f6kuormituksen tilastollisesti merkitsev\u00e4 yhteys v\u00e4lineellisten toimintavaikeuksien kanssa h\u00e4visi kun malliin otettiin mukaan edell\u00e4 mainittujen muuttujien lis\u00e4ksi perussairaudet. Keski-i\u00e4ss\u00e4 koetun ty\u00f6n psyykkisen kuormituksen ja p\u00e4ivitt\u00e4isten perustoimintojen tai v\u00e4lineellisten toimintojen v\u00e4lill\u00e4 ei todettu tilastollisesti merkitsev\u00e4\u00e4 yhteytt\u00e4.\n\nSairaanhoitajien fyysisen ty\u00f6kuormituksen havaittiin lis\u00e4\u00e4v\u00e4n toimintavaikeuksien riski\u00e4 ty\u00f6uran j\u00e4lkeenkin, 28 vuotta my\u00f6hemmin. Tulevaisuudessa tarvitaan monipuolisia ja yksil\u00f6llisi\u00e4 ratkaisuja ty\u00f6kuormituksen ennaltaehk\u00e4isyss\u00e4 ja v\u00e4hent\u00e4misess\u00e4.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Physical and psychological workload in nursing is caused by poor working conditions, poor work planning, problems with interpersonal relationships and lack of rewards. Physical and psychological workload may cause functional disabilities and illnesses. More information is needed about the long-term effects caused by different levels of workloads in the nursing profession. The purpose of this master\u2019s thesis was to examine physical and psychological workloads and the connection to functional ability in old age.\n\nThe study utilizes the Finnish Longitudinal Study on Municipal Employees, which was initiated by the Finnish Institute of Occupational Health. The following groups of professional nurses were selected for the study: head nurses, mental health nurses, ward nurses and outpatient department nurses or operating theatre nurses. In 1981, the baseline cohort consisted of 672 nurses (88,5 % of which were female with a mean age 49,8 years). In 2009 the follow-up cohort consisted of 406 nurses (aged between 73-86 years of age. Their mean age was 77 years). Binary logistic regression analysis was used for statistical analysis. Due to missing data at the follow-up, 369-373 nurses were included in the final analysis. The physical and psychological workload was measured by a self-reported questionnaire. The items were categorized as a light/suitable workload or a heavy workload. Disability in old age was measured by the self-reported basic and instrumental activities of daily living and items were categorized as no/little difficulties or difficulties. \n\nNurses who experienced a heavy physical workload were 2,6 times (p=0,004) more likely to have disabilities which affected their basic activities of daily living in old age compared to the nurses who experienced a light or suitable physical workload when the model was adjusted for age, daily smoking habits, exercise and skin disease. Furthermore nurses who experienced a heavy physical workload, were 1,6 times (p=0,031) more likely to have disabilities with instrumental activities of daily living. The association remained statistically significant when adjusted for age, daily smoking habits and exercise. However the association between heavy physical workload and instrumental activities of daily living did not reach statistical significance after adjustment for the variables listed above and for basic diseases. Psychological workload was not associated with statistically significantly to basic or instrumental activities of daily living in old age.\n\nMiddle aged nurses physical workload was found to increase the likelihood of disabilities in old age even 28 years later. In the future there is a need for diverse and individual solutions for minimizing the workload and its effects.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Minna Kempas (mkempas) on 2015-09-07 17:24:00.762733. 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.group@korppi.jyu.fi) on 2015-09-07T17:24:01Z\nNo. of bitstreams: 2\nURN:NBN:fi:jyu-201509072829.pdf: 532779 bytes, checksum: e725e6d5eebad374967b0b886a3cfbe9 (MD5)\nlicense.html: 4834 bytes, checksum: 8f34be240d65357b4a07b9bb6055805c (MD5)", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2015-09-07T17:24:01Z (GMT). No. of bitstreams: 2\nURN:NBN:fi:jyu-201509072829.pdf: 532779 bytes, checksum: e725e6d5eebad374967b0b886a3cfbe9 (MD5)\nlicense.html: 4834 bytes, checksum: 8f34be240d65357b4a07b9bb6055805c (MD5)\n Previous issue date: 2015", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "1 verkkoaineisto (44 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": "ty\u00f6kuormitus", "language": null, "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "sairaanhoitaja", "language": null, "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "toimintakyky", "language": null, "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Keski-ik\u00e4isten sairaanhoitajien ty\u00f6kuormituksen yhteys vanhuuden toimintakykyyn", "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-201509072829", "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": 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