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[{"key": "dc.contributor.advisor", "value": "Kettunen, Tarja", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Sulkakoski, Marita", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2016-07-21T10:01:50Z", "language": "", "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2016-07-21T10:01:50Z", "language": "", "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2016", "language": null, "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.other", "value": "oai:jykdok.linneanet.fi:1562649", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/50877", "language": "", "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "TIIVISTELM\u00c4\r\nSulkakoski, M. 2016. L\u00e4\u00e4kkeit\u00e4 m\u00e4\u00e4r\u00e4\u00e4vien sairaanhoitajien ja l\u00e4\u00e4k\u00e4reiden yhteisty\u00f6 perusterveydenhuollon vastaanottotoiminnassa. Terveystieteiden laitos, Jyv\u00e4skyl\u00e4n yliopisto, terveyskasvatuksen pro gradu\u2013tutkielma, 84 s., 8 liitett\u00e4.\r\n\r\nT\u00e4m\u00e4n tutkimuksen tarkoituksena oli selvitt\u00e4\u00e4 l\u00e4\u00e4kkeit\u00e4 m\u00e4\u00e4r\u00e4\u00e4vien sairaanhoitajien ja heid\u00e4n kanssaan yhteisty\u00f6ss\u00e4 ty\u00f6skentelevien l\u00e4\u00e4k\u00e4reiden n\u00e4kemyksi\u00e4 ammattiryhmiens\u00e4 v\u00e4lisest\u00e4 yhteisty\u00f6st\u00e4 suomalaisessa perusterveydenhuollon vastaanottotoiminnassa. Tutkimuksessa selvitettiin miten l\u00e4\u00e4keit\u00e4 m\u00e4\u00e4r\u00e4\u00e4v\u00e4t sairaanhoitajat ja l\u00e4\u00e4k\u00e4rit tekev\u00e4t yhteisty\u00f6t\u00e4 perusterveydenhuollon vastaanotoilla, mitk\u00e4 tekij\u00e4t tukevat yhteisty\u00f6t\u00e4 ja millaisia haasteita siihen liittyy. Lis\u00e4ksi haluttiin kartoittaa, millaista yhteisty\u00f6t\u00e4 jatkossa toivotaan. Haastatteluihin osallistui 9 l\u00e4\u00e4kkeit\u00e4 m\u00e4\u00e4r\u00e4\u00e4v\u00e4\u00e4 sairaanhoitajaa ja 8 l\u00e4\u00e4k\u00e4ri\u00e4 (n=17). Haastattelut toteutettiin l\u00e4\u00e4kkeit\u00e4 m\u00e4\u00e4r\u00e4\u00e4v\u00e4n sairaanhoitajan ja l\u00e4\u00e4k\u00e4rin parihaastatteluina (n=8). Yhdess\u00e4 haastattelussa oli mukana kaksi hoitajaa. Haastattelut toteutettiin viiden eri sairaanhoitopiirin alueella perusterveydenhuollon toimintayksik\u00f6iss\u00e4 kev\u00e4\u00e4ll\u00e4 2015. Kaikilla tutkimukseen haastatelluilla oli kokemusta sairaanhoitajan l\u00e4\u00e4kkeenm\u00e4\u00e4r\u00e4\u00e4miseen liittyv\u00e4st\u00e4 ammattiryhmien v\u00e4lisest\u00e4 yhteisty\u00f6st\u00e4. Aineiston analyysi suoritettiin laadullisella sis\u00e4ll\u00f6nanalyysill\u00e4. \r\n\r\nTutkimuksen perusteella l\u00e4\u00e4k\u00e4rin ja l\u00e4\u00e4keit\u00e4 m\u00e4\u00e4r\u00e4\u00e4v\u00e4n sairaanhoitajan yhteisty\u00f6n tekemisen tavat vaihtelivat toimintayksik\u00f6iss\u00e4. Vaihtelua esiintyi mm. l\u00e4\u00e4kkeit\u00e4 m\u00e4\u00e4r\u00e4\u00e4vien sairaanhoitajien ty\u00f6nkuvissa, konsultaatio- ja viestinv\u00e4litysk\u00e4yt\u00e4nn\u00f6iss\u00e4 sek\u00e4 koulutus- ja hoitosuunnitelmaty\u00f6h\u00f6n liittyviss\u00e4 yhteisty\u00f6k\u00e4yt\u00e4nn\u00f6iss\u00e4. Jokaisessa ty\u00f6yksik\u00f6ss\u00e4 oli l\u00f6ydetty omat, ty\u00f6ntekij\u00f6ille parhaiten sopivat, tavat tehd\u00e4 ammattityhmien v\u00e4list\u00e4 yhteisty\u00f6t\u00e4. Toisille jo k\u00e4yt\u00f6ss\u00e4 olleet arkip\u00e4iv\u00e4iset toimintatavat saattoivat toisille olla vasta tulevaisuuden visioita. Sairaanhoitajan l\u00e4\u00e4kkeenm\u00e4\u00e4r\u00e4\u00e4misen n\u00e4htiin palvelevan parhaiten potilaiden lievien akuuttien infektioiden hoitoa. Hoitosuunnitelmien rooli yhteisty\u00f6n v\u00e4lineen\u00e4 vaihteli. Niit\u00e4 oli laadittu ammattiryhmien v\u00e4list\u00e4 yhteisty\u00f6t\u00e4 monin eri tavoin hy\u00f6dynt\u00e4en. Hoitosuunnitelmia oli tehty kuitenkin vasta hyvin v\u00e4h\u00e4n ja niihin suhtauduttiin kirjavasti. Yksil\u00f6llisi\u00e4 hoitosuunnitelmia pidettiin potilaan hoidolle ja yhteisty\u00f6n sujumiselle t\u00e4rkein\u00e4, mutta ajan puute n\u00e4htiin suurena ongelmana hoitosuunnitelmien laadinnassa. Kiire esti usein my\u00f6s vapaan potilasasioista keskustelun ja heikensi mahdollisesti erilaisista ammatillista vahvuuksista saatavaa synergiaetua. Yhteisty\u00f6t\u00e4 tukevina tekij\u00f6in\u00e4 esiin nousivat mm. toisten osaamisen tunteminen sek\u00e4 kesken\u00e4\u00e4n l\u00e4heiset ty\u00f6tilat. Ty\u00f6tovereiden hyv\u00e4 keskin\u00e4inen tuntemus ja pitk\u00e4 yhteinen ty\u00f6historia olivat luottamuksen ja sujuvan yhteisty\u00f6n kulmakivi\u00e4. Tulevaisuudessa yhteisty\u00f6t\u00e4 halutaan tehd\u00e4 joustavasti yhteisist\u00e4 k\u00e4yt\u00e4nn\u00f6ist\u00e4 kesken\u00e4\u00e4n sopien. Yhteisty\u00f6n taustalla valtakunnalliset hoitosuositukset ovat t\u00e4rkeit\u00e4, sill\u00e4 kirjattujen paikallisten hoitopolkujen p\u00e4ivitt\u00e4miseen ja perehdytt\u00e4miseen ei arjessa juurikaan ollut aikaa. Ammattiryhmien v\u00e4lisen yhteisty\u00f6n tehostamiseksi ty\u00f6tilojen l\u00e4heiseen sijoitteluun ja vapaan keskustelun mahdollistamiseen tulee jatkossa kiinnitt\u00e4\u00e4 vastaanottotoiminnassa huomiota. Potilastuntemuksen hy\u00f6dynt\u00e4minen ja potilaiden oikeaan ohjautumiseen panostaminen on t\u00e4rke\u00e4\u00e4. Tietoj\u00e4rjestelm\u00e4ongelmiin tulee l\u00f6yt\u00e4\u00e4 nopea ratkaisu. L\u00e4\u00e4kkeit\u00e4 m\u00e4\u00e4r\u00e4\u00e4vien sairaanhoitajien osaamista halutaan t\u00e4m\u00e4n tutkimuksen perusteella hy\u00f6dynt\u00e4\u00e4 jatkossa my\u00f6s l\u00e4\u00e4kelistojen tarkistamisty\u00f6ss\u00e4.\r\nAmmattiryhmien v\u00e4linen yhteisty\u00f6 tukee potilaiden terveyden edist\u00e4mist\u00e4, kun erilaisia ammatillisia vahvuuksia pystyt\u00e4\u00e4n k\u00e4ytt\u00e4m\u00e4\u00e4n optimaalisesti hyv\u00e4ksi. Onnistunut ammattiryhmien v\u00e4linen yhteisty\u00f6 edellytt\u00e4\u00e4 perusterveydenhuollon toiminnan j\u00e4rjest\u00e4mist\u00e4 niin, ett\u00e4 aikaa todelliselle ammattiryhmien v\u00e4liselle yhteisty\u00f6lle on jatkossa k\u00e4ytett\u00e4viss\u00e4. J\u00e4rjest\u00e4misen pohjaksi tarvitaan lis\u00e4\u00e4 tutkimustietoa. My\u00f6s potilaiden n\u00e4kemyksi\u00e4 moniammatillisen yhteisty\u00f6n vaikutuksista terveytens\u00e4 hallinalle tulisi kartoittaa.\r\n\r\nAvainsanat: ammattiryhmien v\u00e4linen yhteisty\u00f6, sairaanhoitajan l\u00e4\u00e4kkeenm\u00e4\u00e4r\u00e4\u00e4minen, perusterveydenhuolto, sairaanhoitajat, l\u00e4\u00e4k\u00e4rit", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "ABSTRACT\r\nSulkakoski, M. 2016. Collaboration between nurse prescribers and GPs at the Finnish health center receptions. Department of Health Sciences, University of Jyv\u00e4skyl\u00e4, Heath Education. Master\u00b4s Thesis. 84 pages, 8 attachments. \r\n\r\nThe aim of the study was to investigate the views of nurse prescribers and GPs who work with them regarding inter-professional collaboration at the Finnish primary health care receptions. The study examined how nurse prescribers and GPs collaborate, what factors support collabora-tion and what kind of challenges it involves. Also, wishes for future collaboration were sur-veyed. Nine nurse prescribers and eight GPs took part in the interviews (n=17). The interviews were conducted as pair interviews with one prescribing nurse and one GP (n=8). At one inter-view, two nurses were involved. The interviews were conducted in health centers in five differ-ent health care districts in Finland in spring 2015. All participants had experience of inter-professional collaboration related to prescribing. Analysis of the data was carried out using quantitative content analysis.\r\n\r\nBased on this study, forms of collaboration between GPs and nurse prescribers varied both be-tween and within health care units. Variations occurred, for instance, in the job descriptions of the nurse prescribers, ways of consultation, communication practices and collaboration practices relating to training and treatments plans. At each health center they had found, for its own em-ployees, the best suited ways to do inter-professional collaboration. What for some were every-day practices, might be visions of the future for the others. Nurse prescribing was seen as best serving the treatment of acute infections on emergency duty. Treatment plans were made through collaboration between professional groups in many different ways. However, only a few treatment plans were prepared and attitudes towards them varied. Written individual treat-ment plans were considered important for the treatment of the patient and for the successful inter-professional collaboration, but a lack of time was seen as a major problem in preparing them. Busyness often prevented free discussion of patient issues and possibly weakened the benefits of using different professional strengths. Among the factors identified as supporting collaboration were successful communication, physically close offices and mutual trust. Famili-arity with coworkers and a long history of working together are the basis of trust and smooth collaboration. In the future, they want collaboration to be done in flexible ways in agreement with each other. Current Care Guidelines are important because local care guidelines seem quite impossible. That is because, in everyday circumstances, there is no time to update and train them. Attention should be paid to the close proximity of offices and provision of opportunities for free conversation between coworkers in receptions. It is important to recognize the im-portance of understanding and using local and patient knowledge. A quick solution is needed for problems with information management system. Health centers should invest in appropriate di-version of patients. Nurse prescriber`s skills can, in the future, also be used in checking medi-cine lists. \r\n\r\nInter-professional collaboration supports primary care patients` health promotion when a variety of professional strengths are optimally utilized. Primary care activities should be organized so that there will be time for a genuine inter-professional collaboration in the future. Additional research is needed to clarify the best way to organize activities. Also, the viewpoints of patients on the impact of inter-professional collaboration of the management of their health should be studied.\r\n\r\nKeywords: inter-professional collaboration, nurse prescribing, primary health care, nurses, GP", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Marita Sulkakoski (mhsulkak) on 2016-07-21 10:01:49.966027. 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 2016-07-21T10:01:50Z\r\nNo. of bitstreams: 2\r\nURN:NBN:fi:jyu-201607213650.pdf: 1060578 bytes, checksum: d1b5e068a9b48698ca3b67b5dad50b56 (MD5)\r\nlicense.html: 4882 bytes, checksum: 747f0e322ca6827950c5d550aa0a762e (MD5)", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2016-07-21T10:01:50Z (GMT). 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"dc"}, {"key": "dc.subject.other", "value": "sairaanhoitajan l\u00e4\u00e4kkeenm\u00e4\u00e4r\u00e4\u00e4minen", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "perusterveydenhuolto", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "sairaanhoitajat", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "l\u00e4\u00e4k\u00e4rit", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "L\u00e4\u00e4kkeit\u00e4 m\u00e4\u00e4r\u00e4\u00e4vien sairaanhoitajien ja l\u00e4\u00e4k\u00e4reiden yhteisty\u00f6 perusterveydenhuollon vastaanottotoiminnassa", "language": null, "element": "title", "qualifier": null, "schema": "dc"}, {"key": "dc.type", "value": "master thesis", "language": null, "element": "type", "qualifier": null, "schema": "dc"}, {"key": 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