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[{"key": "dc.contributor.advisor", "value": "Kuronen, Marjo", "language": null, "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Paananen, Suvi", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2018-03-24T07:51:59Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2018-03-24T07:51:59Z", "language": null, "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2018", "language": null, "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.other", "value": "oai:jykdok.linneanet.fi:1862709", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/57408", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Ik\u00e4\u00e4ntyneiden kotona asumista pyrit\u00e4\u00e4n tukemaan monin eri tavoin, onhan se my\u00f6s yksi valtakunnallisista vanhuspoliittisista linjauksista. Lis\u00e4ksi 1.7.2013 voimaan tullut laki ik\u00e4\u00e4ntyneen v\u00e4est\u00f6n toimintakyvyn tukemisesta sek\u00e4 i\u00e4kk\u00e4iden sosiaali- ja terveyspalveluista painottaa ik\u00e4\u00e4ntyneen mahdollisuutta asua omassa kodissaan tai avohuollon palveluasumisessa mahdollisimman pitk\u00e4\u00e4n. Siit\u00e4 huolimatta osa ik\u00e4\u00e4ntyneist\u00e4 joutuu v\u00e4ist\u00e4m\u00e4tt\u00e4 pitk\u00e4aikaiseen laitoshoitoon.\nTutkielman teht\u00e4v\u00e4 on tutkia, millaisena ik\u00e4\u00e4ntyneen toimijuuden tukeminen n\u00e4ytt\u00e4ytyy ik\u00e4\u00e4ntyneiden pitk\u00e4aikaishoidossa ja mielenkiintoni kohdistuu siihen, millaisena se n\u00e4ytt\u00e4ytyy ymp\u00e4rist\u00f6ss\u00e4, jossa arkea m\u00e4\u00e4ritt\u00e4v\u00e4t rutiinit sek\u00e4 organisaatiol\u00e4ht\u00f6inen hoiva. Tutkielma on tehty k\u00e4ytt\u00e4en etnografista tutkimusotetta ja on paikannettavissa etnometodologiaan. Toimijuutta l\u00e4hestyn sen modaliteettien sek\u00e4 koordinaattien kautta.\nTutkielman aineisto on ker\u00e4tty er\u00e4\u00e4n kaupungin pitk\u00e4aikaishoidon osastolta eri astein osallistuvan havainnoinnin keinoin ja aineistona toimivat tekem\u00e4ni kentt\u00e4muistiinpanot (50 sivua), keskustelut eri toimijoiden kanssa, henkil\u00f6kunnan kirjoituspyynn\u00f6n perusteella kirjoittamat tekstit (36 sivua) sek\u00e4 kolmen omaisen haastattelu (3 sivua). Aineisto on analysoitu siten, ett\u00e4 kentt\u00e4muistiinpanoista muodostin osaston arkea koskevan toimintak\u00e4yt\u00e4nt\u00f6jen kuvauksen. Henkil\u00f6kunnan kirjoitukset on analysoitu k\u00e4ytt\u00e4en aineistol\u00e4ht\u00f6ist\u00e4 sis\u00e4ll\u00f6nanalyysia ja omaisten haastattelut olen yhdist\u00e4nyt muuhun aineistoon tuloksissa. K\u00e4ytetyt sitaatit ovat otteita havaintop\u00e4iv\u00e4kirjasta, henkil\u00f6kunnan kirjoituksista sek\u00e4 omaisten haastatteluista\nTulosten pohjalta voidaan todeta, ett\u00e4 pitk\u00e4aikaishoidossa rutiinit s\u00e4\u00e4telev\u00e4t niin arkea kuin toimijuuden tukemistakin. Rutiinit puolestaan muodostuvat tiettyyn aikaan tapahtuvista perustoiminnoista kuten ruokailu, hygienian hoitaminen sek\u00e4 liikkuminen ja pukeutuminen, jotka seuraavat toisiaan p\u00e4iv\u00e4st\u00e4 toiseen. N\u00e4iss\u00e4 toiminnoissa rakentuu ik\u00e4\u00e4ntyneen toimijuuden tukeminen, johon osaltaan vaikuttavat resurssit, henkil\u00f6kunta sek\u00e4 asukkaan terveydentila ja toimintakyky. Tulosten mukaan paremman toimintakyvyn omaavilla ik\u00e4\u00e4ntyneill\u00e4 on paremmat mahdollisuudet toimijuuteen vuoteeseen hoivattaviin n\u00e4hden ja ik\u00e4\u00e4ntyneiden toimijuuden tukemisen v\u00e4lill\u00e4 on kuilu. Toimijuuden koordinaateista merkityksellisimm\u00e4ksi muodostuvat ik\u00e4\u00e4ntyneen sukupuoli sek\u00e4 ymp\u00e4rist\u00f6, ja modaliteettien ilmenemisess\u00e4 on laajaa yksil\u00f6kohtaista vaihtelua. T\u00e4m\u00e4n vuoksi ei ole mahdollista antaa yht\u00e4 selke\u00e4\u00e4 kuvausta siit\u00e4, kuinka modaliteetit pitk\u00e4aikaishoidossa ilmenev\u00e4t.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Suvi Paananen (sutupaan) on 2018-03-24 07:51:57.718824. 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 2018-03-24T07:51:59Z\nNo. of bitstreams: 2\nURN:NBN:fi:jyu-201803241826.pdf: 1368826 bytes, checksum: bc546a1a0d08230997fdc82f15a9c81e (MD5)\nlicense.html: 4814 bytes, checksum: 395e67c993996bd8335d8e7bac383b1f (MD5)", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2018-03-24T07:51:59Z (GMT). No. of bitstreams: 2\nURN:NBN:fi:jyu-201803241826.pdf: 1368826 bytes, checksum: bc546a1a0d08230997fdc82f15a9c81e (MD5)\nlicense.html: 4814 bytes, checksum: 395e67c993996bd8335d8e7bac383b1f (MD5)\n Previous issue date: 2018", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "1 verkkoaineisto (143 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": "pitk\u00e4aikaishoito", "language": null, "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": 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