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[{"key": "dc.contributor.advisor", "value": "Kasila, Kirsti", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.advisor", "value": "Kettunen, Tarja", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Taipale, Arja", "language": "", "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2018-09-07T05:33:00Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2018-09-07T05:33:00Z", "language": null, "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2018", "language": "", "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/59445", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Arja Taipale (2018). Neuvonantaminen terveydenhoitajien toteuttamissa terveystarkastuksissa ammatillisissa oppilaitoksissa. Terveystieteiden tiedekunta, Jyv\u00e4skyl\u00e4n yliopisto, terveyskasvatuksen pro gradu -tutkielma, 83 s., 13 liitett\u00e4.\n\nTerveysneuvonta toteutuu vuorovaikutuksen keinoin. Tutkimuksessa tarkasteltiin neuvonantamisen toteutumista opiskeluterveydenhuollossa nelj\u00e4n eri teeman osalta: uni ja nukkuminen, ravitsemus, liikkuminen ja p\u00e4ihteet. Terveydenhoitajien ja opiskelijoiden v\u00e4lisen vuorovaikutuksen ja neuvonannon rakentumista tarkasteltiin erityisesti kysymys \u2013 vastausvierusparien kautta. \n \nTutkimusaineisto ker\u00e4ttiin tammikuussa 2017. Tutkimukseen osallistui viisi ammatillisen oppilaitoksen terveydenhoitajaa ja viisi 16\u201320-vuotiasta opiskelijaa. Terveysneuvontatilanteet tallennettiin videokameralla ja sanelukoneella. Tutkimusaineisto analysoitiin soveltaen keskustelunanalyysin menetelm\u00e4ll\u00e4 aineistol\u00e4ht\u00f6isesti. \n\nNeuvonanto toteutui p\u00e4\u00e4asiassa hoitajan arvioiman muutostarpeen pohjalta. Hoitajien antamat neuvot olivat suoria tai ep\u00e4suoria ohjeita toimintatavan muuttamiseksi tai ongelman ratkaisemiseksi. Neuvoja annettiin my\u00f6s kysymyksiin sidottuna. Neuvoissa terveydenhoitajat kertoivat, mit\u00e4 opiskelijan tulisi tehd\u00e4 tai olla tekem\u00e4tt\u00e4. Neuvoja annettiin tyypillisesti teeman loppup\u00e4\u00e4n episodeissa, mutta my\u00f6s yksitt\u00e4isiss\u00e4 episodeissa keskustelun eri vaiheissa. Neuvot annettiin tyypillisimmin joko k\u00e4ytt\u00e4m\u00e4ll\u00e4 yksik\u00f6n 2.persoonamuotoa tai passiivia. Opiskelijat vastaanottivat neuvot joko hyv\u00e4ksyen tai hyl\u00e4ten. Aina opiskelijoille ei j\u00e4\u00e4nyt tilaa kommentoida annettua neuvoa. Terveydenhoitajat hallitsivat keskustelujen kulkua kysymyksill\u00e4. Terveydenhoitajien esitt\u00e4mien suljettujen kysymysten m\u00e4\u00e4r\u00e4 oli suurempi kuin avoimien kysymysten m\u00e4\u00e4r\u00e4. Opiskelijoiden vastaukset hoitajien esitt\u00e4miin kysymyksiin muodostuivat puheenvuoron aikana joko yhdest\u00e4 sanasta, lauseesta tai useamman lauseen kokonaisuudesta. Useamman lauseen kokonaisuuksissa lauseet selittiv\u00e4t tai tarkensivat opiskelijan edell\u00e4 antamaa vastausta. Terveydenhoitajat reagoivat opiskelijoiden vastauspuheenvuoroihin joko dialogipartikkeleilla, kysymyslauseilla, palautteella, mielipiteen tai arvion ilmauksella, ehdotuksella tai neuvonnalla. Mik\u00e4li terveydenhoitaja reagoi opiskelijan puheenvuoroon vain yksitt\u00e4isell\u00e4 dialogipartikkelilla, jatkoi opiskelija useimmiten puhetta. Dialogipartikkelin jatkoksi esitetty kysymys puolestaan rajasi opiskelijan puhetta. Keskusteluaiheista toiseen siirryttiin p\u00e4\u00e4asiassa terveydenhoitajan esitt\u00e4m\u00e4n kysymyksen kautta.\n\nTulosten pohjalta voidaan todeta, ett\u00e4 terveydenhoitajat olivat enemm\u00e4n hoitaja- kuin opiskelijal\u00e4ht\u00f6isi\u00e4 ja antoivat enemm\u00e4n suoria neuvoja kuin ohjausta. Jotta asiakasl\u00e4ht\u00f6isyytt\u00e4, opiskelijoiden muutosvalmiutta sek\u00e4 aktiivisuutta vuorovaikutustilanteissa voitaisiin lis\u00e4t\u00e4, on hoitajien osaamista vaikuttavan neuvonnan osalta kuitenkin tarpeen kehitt\u00e4\u00e4. Lis\u00e4ksi terveydenhoitajat tarvitsevat enemm\u00e4n tietoa teoriapohjaisesta ja n\u00e4ytt\u00f6\u00f6n perustuvasta neuvonnasta.\n\nAsiasanat: terveydenhoitajat, nuoret, neuvonta, vuorovaikutus", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Arja Taipale (2018). Advice given by public health nurses during the health dialogue in vocational schools. Faculty of Sport and Health Sciences, University of Jyv\u00e4skyl\u00e4, Master\u2019s thesis, 83 pages, 13 appendices.\n\nThe health counseling is realized by means of interactions. In this thesis, giving advice was observed on four different themes: sleep, nutrition, exercising and substance use. The development of the interaction between public health nurses and students and counseling conversation was observed especially based on question-answer pairs.\n\nThe research material was collected in January 2017. Five public health nurses and five students aged between 16 and 20 from vocational schools participated in this research. The health counseling sessions were recorded with a video camera and a digital recorder. The research material was analyzed by applying the conversation analysis method. \n\nAdvice was mainly given based on the need for change evaluated by the nurse. The advice given by the public health nurses consisted of direct or indirect instructions to change the way of acting or to solve the problem. Advice was also given as a part of the questions. When offering advice, the public health nurses told the student what they should do and should not do. The advice was typically given in episodes which were the last part of the theme, but some advice was given also in the different phases of the discussion in a single episode. The advice was given either using the second-person in singular or passive. The students either accepted or declined the advice. The students did not always get space to comment on the advice. The public health nurses lead the discussion by using the questions. The number of close-ended questions was greater than the number of open-ended questions among the questions the public health nurses asked the students. The students answered the questions made by the public health nurses using one word, one sentence or multiple sentences. In the case of multiple sentences, the student explained or expanded the answer given earlier. The public health nurses responded to students\u2019 answers with a dialog particle, asking questions, giving feedback, expressing an opinion or an evaluation, giving a suggestion or advice. If the public health nurse responded with only one dialog particle, the student continued the discussion in most cases. The question asked after the dialog particle, on the other hand, limited the student\u2019s speech. The transition from one topic to another mainly happened through the questions made by the public health nurse.\n\nBased on the results, counseling by public health nurses was more nurse-oriented than student-oriented and more direct than guiding. To increase the student-oriented approach, students\u2019 readiness for change and students\u2019 activity in the interaction situations, the public health nurses\u2019 knowledge on influential counseling need to be improved. In addition, the public health nurses need more knowledge about theory-based and evidence-based lifestyle counseling. \n\nKeywords: public health nurse, adolescents, counseling, interaction", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by Riitta Pitk\u00e4nen (rpitkane@jyu.fi) on 2018-09-07T05:33:00Z\nNo. of bitstreams: 0", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2018-09-07T05:33:00Z (GMT). No. of bitstreams: 0\n Previous issue date: 2018", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "103", "language": "", "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": "public health nurse", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "adolescents", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "counseling", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "interaction", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Neuvonantaminen terveydenhoitajien toteuttamissa terveystarkastuksissa ammatillisissa oppilaitoksissa", "language": "", "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-201809074039", "language": "", "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": "Liikunta- ja terveystieteet", "language": "fi", "element": "contributor", "qualifier": "department", "schema": "dc"}, {"key": "dc.contributor.department", "value": "Sport and Health Sciences", "language": "en", "element": "contributor", "qualifier": "department", "schema": "dc"}, {"key": "dc.contributor.organization", "value": "Jyv\u00e4skyl\u00e4n yliopisto", "language": "fi", "element": "contributor", "qualifier": "organization", "schema": "dc"}, {"key": "dc.contributor.organization", "value": "University of Jyv\u00e4skyl\u00e4", "language": "en", "element": "contributor", "qualifier": "organization", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Terveyskasvatus", "language": 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