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[{"key": "dc.contributor.advisor", "value": "Marita Poskiparta", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Koskinen, Minna", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2016-10-13T12:32:28Z", "language": "", "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2016-10-13T12:32:28Z", "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:1575494", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/51624", "language": "", "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Minna Koskinen 2016. Hoitajien kokemukset ravitsemushoidosta ik\u00e4\u00e4ntyneiden pitk\u00e4aikaishoidossa. Terveystieteen laitos, Jyv\u00e4skyl\u00e4n yliopisto, terveyskasvatuksen pro gradu -tutkielma, 85 sivua, 2 liitett\u00e4). \r\nT\u00e4m\u00e4n pro gradu-tutkielman tarkoitus oli tutkia kahden keskisuomalaisen kaupungin pitk\u00e4aikaishoidon ravitsemushoidon k\u00e4yt\u00e4nteit\u00e4 sek\u00e4 henkil\u00f6st\u00f6n osaamista ja asenteita hoitajien kokemana. Lis\u00e4ksi haluttiin selvitt\u00e4\u00e4 onko hoitajien ammatillisella koulutuksella, ty\u00f6kokemuksella tai i\u00e4ll\u00e4 yhteytt\u00e4 osaamiseen ja asenteisiin ravitsemushoitoa kohtaan. Tutkimusaineisto ker\u00e4ttiin t\u00e4h\u00e4n tutkimukseen laaditulla kyselylomakkeella yhteisty\u00f6ss\u00e4 11 pitk\u00e4aikaishoidon yksik\u00f6n esimiehen kanssa. Kyselyn vastausprosentti oli 58 %. Aineistoa analysoitiin ristiintaulukoinnilla ja x2-riippumattomuustestill\u00e4. \r\nTulosten mukaan 77 % vastaajista koki ravitsemushoidon olevan m\u00e4\u00e4ritelty osana hoitoty\u00f6t\u00e4, mutta k\u00e4yt\u00e4nn\u00f6ss\u00e4 seulontamenetelmien k\u00e4ytt\u00f6 oli riitt\u00e4m\u00e4t\u00f6nt\u00e4, k\u00e4yt\u00e4nteet eiv\u00e4t olleet vakiintuneita eik\u00e4 johto ollut sitoutunut. Menetelmien sijaan hoitajat luottivat enemm\u00e4n visuaaliseen arvioon potilaan ravitsemustilasta ja s\u00e4\u00e4nn\u00f6lliset kirjaukset tai arviointi toteutui vain puolelle asiakkaista, mik\u00e4 on vastoin ravitsemushoidolle annettuja kansainv\u00e4lisi\u00e4 ja kansallisia suosituksia. Kukaan vastaajista ei kokenut saavansa t\u00e4ysin palautetta esimiehelt\u00e4 ravitsemushoidon toteutuksesta. \r\nAmmatillisen koulutuksen ja osaamisen v\u00e4list\u00e4 yhteytt\u00e4 ei pystytty todentamaan. Arviot omasta osaamisesta olivat sairaanhoitajilla korkeammat kuin l\u00e4hi \u2013 ja perushoitajilla, mutta kliinisten taitojen perusteella n\u00e4in ei ollut k\u00e4yt\u00e4nn\u00f6ss\u00e4. Ty\u00f6kokemuksen perusteella osaamiseensa luotti enemm\u00e4n 6- 15 vuotta ty\u00f6skennelleet hoitajat, kun taas nuoremmilla oli vaikea arvioida omaa osaamista. Alle 45-vuotiaat vastaajat olivat kokeneempia seulontamenetelmien k\u00e4ytt\u00e4ji\u00e4 kuin vanhemmat vastaajat, mutta osaamisessa tai asenteessa ei todennettu eroja.\r\nVain kolmannes vastaajista koki ravitsemushoidon merkitt\u00e4v\u00e4n\u00e4 osana hoitoty\u00f6t\u00e4, joka kuvastaa v\u00e4h\u00e4ist\u00e4 mielenkiintoa ja sen toissijaista asemaa osana hoitoty\u00f6t\u00e4. Voidaan todeta, ett\u00e4 ammatillista koulutusta tulee vahventaa, m\u00e4\u00e4ritell\u00e4 k\u00e4yt\u00e4nteet, lis\u00e4t\u00e4 moniammatillista yhteisty\u00f6t\u00e4 sek\u00e4 johdon sitoutumista laadukkaan ravitsemushoidon varmentamiseksi. Lis\u00e4ksi tarvitaan tutkimuksia ravitsemushoidon hy\u00f6dyist\u00e4, pitk\u00e4aikaisvaikutuksista ja tavoista toteuttaa sit\u00e4 hoitohenkil\u00f6st\u00f6n n\u00e4k\u00f6kulmasta.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "ABSTRACT\r\nMinna Koskinen 2016. Nurses \u2018experiences of elderly\u00b4s nutritional care at the long-term care. Department of Health Sciences, University of Jyv\u00e4skyl\u00e4, Master\u2019s thesis in Health Education 85 pp, 2 appendices.\r\nThe purpose of this study was to examine nutritional practices in long- term care, skills and attitudes by nurses in two towns in Central Finland. This study was also wanted to clarify is there any connection between nurse\u00b4s education, work experience and age for skills and attitudes by nurses for nutritional care. Questionnaire data were derived from the social and health care nurses at the long-term care during January - February 2016 in co-operation with 11 superiors at long- term care. The response rate was 58 %. The data was analyzed by using cross tabulation and x2 - test.\r\nThis study shows that 77 % of the respondents experienced, that nutritional care has been defined, but in practice the use of nutritional assessment tools was insufficient, practices were not stabilized and management were not commit. Instead of procedures, nurses more counted on their visual assessment for patient\u00b4s nutritional state and regular records or assessment were fulfilled only for half of the patients, which are against to both international and national recommendations of nutritional care. None of the respondents were experienced complete support for nutritional implementation from administration.\r\nThe study could not verify the connection between vocational education and skills by nurses. Registered nurses assessed their skills higher than practical nurses or aides, but based on practical skills, there were no differences. Based on work experience, 6-15 years worked nurses rely on their skills the most, whereas there were difficulties for younger nurses to assess their skills at all. Under 45 years respondents were more experienced to use nutritional assessment tools than older, but there were no differences in skills or attitudes based on nurse\u00b4s age.\r\nOnly one third of respondent\u2019s experienced nutritional care significantly part of the care work, which reflects low interest and its minor state. It can be concluded that nutritional education for nurses is urgently needed, defined structured practices, more multidisciplinary team work and commitment with the management to achieve high-class nutritional care.\r\n\r\nKey words: elderly, nutritional care, nurse, malnutrition, long-term care, health promotion", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Minna Koskinen (mikaelko) on 2016-10-13 12:32:28.054616. Form: Pro gradu -lomake (https://kirjasto.jyu.fi/julkaisut/julkaisulomakkeet/pro-gradu-lomake). JyX data: [jyx_publishing-allowed (fi) =False]", "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 2016-10-13T12:32:28Z\r\nNo. of bitstreams: 2\r\nURN:NBN:fi:jyu-201610134367.docx: 3204088 bytes, checksum: b497693dd7daa7ec3654ff8e9cfccc37 (MD5)\r\nlicense.html: 1145 bytes, checksum: e121ef7de508f1dcfe97b7cfd059eeae (MD5)", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2016-10-13T12:32:28Z (GMT). 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Therefore the material can be read only at the archival <a href=\"https://kirjasto.jyu.fi/en/workspaces/facilities\">workstation</a> at Jyv\u00e4skyl\u00e4 University Library reserved for the use of archival materials.", "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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