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[{"key": "dc.contributor.advisor", "value": "Kasila, Kirsti", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Toikko, Kaisa", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2016-01-11T10:46:44Z", "language": "", "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2016-01-11T10:46:44Z", "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:1507345", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/48302", "language": "", "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Toikko, K. 2015. Kokemusasiantuntijuus terveydenhuollossa - k\u00e4siteanalyysi Walkerin ja Avantin mukaan. Terveystieteiden laitos, Jyv\u00e4skyl\u00e4n yliopisto, terveyskasvatuksen pro gradu \u2013 tutkielma, 54 s. \r\nJatkuvasti kasvava palvelutarve terveydenhuollossa edellytt\u00e4\u00e4 uusien toimintatapojen kehitt\u00e4mist\u00e4. Palvelujen laadun ja kustannustehokkuuden s\u00e4ilytt\u00e4minen edellytt\u00e4v\u00e4t asiakasl\u00e4ht\u00f6ist\u00e4 toimintatapaa. Asiakasl\u00e4ht\u00f6isyys voidaankin n\u00e4hd\u00e4 arvoperustana terveyspalvelujen sektorilla. Toiminnan kehitt\u00e4misen tulisi l\u00e4hte\u00e4 asiakkaasta, ei organisaatiosta. Asiakkaat tulisi ottaa mukaan aktiivisina toimijoina palvelujen tuottamiseen, kehitt\u00e4miseen ja arviointiin sen sijaan, ett\u00e4 he ovat vain palvelujen kohde. Kokemusasiantuntijoita on alettu k\u00e4ytt\u00e4\u00e4 terveyspalveluissa yh\u00e4 enemm\u00e4n viime vuosina. Suomessa kokemusasiantuntijuus on tuttua erityisesti mielenterveys- ja p\u00e4ihdehoitoty\u00f6ss\u00e4. Kansainv\u00e4lisesti kokemusasiantuntijuutta on k\u00e4ytetty my\u00f6s somaattisella puolella neuvonta- sek\u00e4 kulttuurisensitiivisess\u00e4 ty\u00f6ss\u00e4. Kokemusasiantuntijatoimintaa pidet\u00e4\u00e4nkin yhten\u00e4 keskeisen\u00e4 tulevaisuuden menetelm\u00e4n\u00e4 terveyspalvelujen kehitt\u00e4misess\u00e4. Kokemusasiantuntija-termist\u00e4 on tullut hyvin suosittu viime vuosina. Termej\u00e4 k\u00e4ytet\u00e4\u00e4n kuitenkin yh\u00e4 hyvin ep\u00e4johdonmukaisesti. Terminologian ep\u00e4yhten\u00e4isyys on hidaste kokemusasiantuntijuuden ja vertaistoiminnan kehitt\u00e4miselle. \r\nTutkimus koostuu teoriaosasta jossa kuvataan asiakasl\u00e4ht\u00f6isyytt\u00e4 ja kokemusasiantuntijuutta terveydenhuollon palveluissa. Toinen osa on k\u00e4siteanalyysi kokemusasiantuntijuus-k\u00e4sitteest\u00e4. Analyysi on toteutettu Walkerin ja Avantin k\u00e4siteanalyysimallia mukaillen artikkelimuotoon. Artikkeli on kirjoitettu englanniksi Health Services Research \u2013 lehden kirjoitusohjeita noudattaen. Aineisto koostuu 1219:sta artikkelista vuosilta 2009-2014, joista 100 tutkimusartikkelia muodostavat lopullisen k\u00e4siteanalyysiaineiston. \r\nKokemusasiantuntijuus pohjautuu teoriataustan mukaan kokemukseen asiakkaana olemisesta ja sairaudesta. T\u00e4ss\u00e4 asiakkaan roolissa kokemusasiatuntija voi osallistua palvelujen kehitt\u00e4miseen ja arviointiin. K\u00e4siteanalyysin mukaan kokemusasiantuntijuus m\u00e4\u00e4rittyy kuitenkin enemm\u00e4n asiakkaan taustan ja kulttuurin tuntemisen, vertaisuuden, pohjalta. Kokemusasiantuntijalla on monia teht\u00e4vi\u00e4 ja rooleja kulttuurin tuntemisen ohella. Kokemusasiantuntija on tiedon jakaja, asiakkaan tukija, kehitt\u00e4j\u00e4, lis\u00e4resurssi ja tulkkaaja asiakaskunnan ja ammattihenkil\u00f6st\u00f6n v\u00e4lill\u00e4.\r\nKokemusasiantuntijuus \u2013k\u00e4sitteen m\u00e4\u00e4ritteleminen ei ole yksinkertaista. Lis\u00e4\u00e4 rajanvetoa muun muassa vapaaehtoisty\u00f6n ja kokemusasiantuntijatoiminnan v\u00e4lill\u00e4 tarvitaan. Lis\u00e4\u00e4 tutkimusta tarvitaan my\u00f6s kokemusasiantuntijuuden merkityksest\u00e4 ja rooleista palvelujen kehitt\u00e4misess\u00e4 laadun ja kustannustehokkuuden n\u00e4k\u00f6kulmista. T\u00e4m\u00e4n tutkimuksen pohjalta t\u00e4rke\u00e4\u00e4 olisi my\u00f6s selvitt\u00e4\u00e4 mill\u00e4 tavoin kokemusasiantuntijuus eroaa riippuen siit\u00e4 pohjautuuko toiminta kokemukseen asiakkuudesta ja sairaudesta vai kulttuurista ja vertaisuudesta. T\u00e4m\u00e4n tutkimuksen tuloksia voidaan hy\u00f6dynt\u00e4\u00e4 k\u00e4yt\u00e4nn\u00f6n ty\u00f6ss\u00e4 sek\u00e4 selkiytt\u00e4m\u00e4\u00e4n tulevaisuudessa tutkimuksessa k\u00e4ytett\u00e4vi\u00e4 k\u00e4sitteit\u00e4. \r\n\r\nAvainsanat: Asiakasl\u00e4ht\u00f6isyys, kokemusasiantuntijuus, k\u00e4siteanalyysi", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Toikko, K. 2015. Expert by Experience in Health Care Services - A concept analysis of Walker and Avant model. Institute of Health Sciences, University of Jyv\u00e4skyl\u00e4, Health education Master's thesis, 54 p. \r\nExpanding needs of amount and quality of health care services require developing of customer involvement and participation to one`s own care, evaluation and developing of services. Experts by experience are one of the key methods in participating customers when needs of services are increasing while resource are limited. On health care services, use of expert of experience has increased on resent years. Need of services increases faster than resources. Concept expert by experience has become more popular lately. However, concepts and terms of lay health work are used very inconsistent. Lack of and inconsistencies on terminology may inhibit the development of use of expert by experience and peer health work. Evidence-based research is needed to uniform terms. In Finland, experts by experience have been used on practice and research mainly in mental health and substance abuse care. The main challenges often appear on reports are cooperation between professionals and experts by experience and clarification of the role of expert by experience. \r\nArticle complies two parts; theory part describing customer orientation on health care services. Last part is a concept analysis on concept expert by experience. Analysis is implemented using method of Walker and Avant. Analysis is written as an article, in English according the instructions of Health Services Research \u2013magazine. Database consist 1219 articles from years 2009 to 2014, which of 100 articles form the final database of analyze. \r\nAccording to the theory basis, expert of experience is determined primarily on one`s experience of illness and being customer or patient. On that role expert by experience participates on developing and evaluating services. On database of concept analyse it requires more on cultural background and experience of that. On research articles experience does not require so much experience of illness. Beside of cultural understanding has xpert by experience many roles; informative, motivate, developing, resource and interpreter between customer and professionals. \r\nAs a concept, defining expert of experience is not quite simple. More clearance is needed to organize the limit of lay work force and experts by experience. More research in needed to find out what kind of tasks are worth commission on experts by experience to preserve the quality of services and to develop them. Also questions of effective use of labour resource are worth more research in future. It would also be interesting and important to find out, if there is a difference between patient using service and lay person with cultural understanding to become expert by experience. Results of this study can be useful on practical work and to clarify concepts using on future research.\r\n\r\nKeywords: customer orientation, expert of experience, concept analysis", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Kaisa Toikko (pematoik) on 2016-01-11 10:46:43.650442. Form: Pro gradu -lomake (https://kirjasto.jyu.fi/julkaisut/julkaisulomakkeet/pro-gradu-lomake). 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Aineisto on luettavissa Jyv\u00e4skyl\u00e4n yliopiston kirjaston arkistoty\u00f6asemalta. Ks. https://kirjasto.jyu.fi/fi/tyoskentelytilat/laitteet-ja-tilat.", "language": "fi", "element": "rights", "qualifier": "accessrights", "schema": "dc"}, {"key": "dc.rights.accessrights", "value": "This material has a restricted access due to copyright reasons. It can be read at the workstation at Jyv\u00e4skyl\u00e4 University Library reserved for the use of archival materials: https://kirjasto.jyu.fi/en/workspaces/facilities.", "language": "en", "element": "rights", "qualifier": "accessrights", "schema": "dc"}, {"key": "dc.type.okm", "value": "G2", "language": null, "element": "type", "qualifier": "okm", "schema": "dc"}]
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