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[{"key": "dc.contributor.advisor", "value": "Vuoskoski, Pirjo", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Grabtchak, Aleksei", "language": "", "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2021-08-31T06:08:49Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2021-08-31T06:08:49Z", "language": null, "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2021", "language": "", "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/77611", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Pitk\u00e4kestoinen kipu on merkitt\u00e4v\u00e4 haaste taloudellisesta, kansanterveydellisest\u00e4 ja yksil\u00f6n psykososiaalisesta n\u00e4k\u00f6kulmasta. Potilaan ja terveydenhuollon ammattihenkil\u00f6n v\u00e4linen vuorovaikutus on t\u00e4rke\u00e4 osa vaikuttavaa pitk\u00e4kestoisen kivun hoitoa. Kirjallisuuskatsauksen perusteella ilmi\u00f6n tutkimus on Suomessa ollut rajallista. Tutkielman tarkoituksena oli ymm\u00e4rt\u00e4\u00e4 ja kuvata pitk\u00e4kestoista kipua kokevien henkil\u00f6iden vuorovaikutuskokemuksia terveydenhuollossa.\nTutkielman aineisto ker\u00e4ttiin viitt\u00e4 pitk\u00e4kestoisesta kivusta k\u00e4rsiv\u00e4\u00e4 aikuista haastattelemalla videov\u00e4litteisesti kes\u00e4ll\u00e4 2020. Potilasyhdistyksen kautta rekrytoitujen tutkittavien keski-ik\u00e4 oli 48 vuotta, kivun keskiarvo-kesto 11 vuotta ja asuinpaikkakunnat levitt\u00e4ytyiv\u00e4t nelj\u00e4n sairaanhoitopiirin alueelle. Keskiarvoltaan 84 minuutin pituiset videotallenteet litteroitiin 53 sivuiseksi tekstiksi (fontti 11 ja riviv\u00e4li 1). Tutkielma toteutettiin fenomenologiaan, hermeneutiikkaan ja idiografiaan perustuvan tulkinnallisen fenomenologisen analyysin (IPA) keinoin. \nEp\u00e4onnistuneen vuorovaikutuksen teema rakentui etenkin ep\u00e4uskoon, ymm\u00e4rt\u00e4m\u00e4tt\u00f6myyteen ja v\u00e4h\u00e4ttelyyn, vallank\u00e4ytt\u00f6\u00f6n, tiedolliseen suhteeseen ja l\u00e4\u00e4kitykseen liittyvist\u00e4 kokemuksista. Kielteiseksi koettuja kokemuksia liitettiin etenkin p\u00e4ivystykseen ja uusiin hoitosuhteisiin, heikent\u00e4en luottamusta terveydenhuoltoj\u00e4rjestelm\u00e4\u00e4 kohtaan. Vuorovaikutuskokemukset n\u00e4ytt\u00e4ytyiv\u00e4t onnistuneina, kun ammattihenkil\u00f6 koettiin esimerkiksi kuuntelevaisena, osoittavan kiinnostusta ja empatiaa, tutkivan perusteellisesti sek\u00e4 selitt\u00e4en ymm\u00e4rrett\u00e4v\u00e4sti. Avoimen ja inhimillisen vuorovaikuttamisen koettiin her\u00e4tt\u00e4v\u00e4n luottamusta. Ammattihenkil\u00f6iden vuorovaikuttamisen lis\u00e4ksi tutkittavat kokivat oman my\u00f6nteisyyden ja toimintansa t\u00e4rke\u00e4n\u00e4 hoitoprosessin edist\u00e4j\u00e4n\u00e4. Ristiriidat vuorovaikutuksessa koettiin hyvinvointia heikent\u00e4v\u00e4ksi, muistiinpanot ja kolmas henkil\u00f6 vastaanotolla hy\u00f6dylliseksi. Osa tutkittavista toi esiin kokemuksensa my\u00f6s vastaanottok\u00e4ynnin nauhoittamisesta. \nTutkimus vahvisti aiempaa tutkimustietoa, tuottaen my\u00f6s uudenlaista ilmi\u00f6n ymm\u00e4rryst\u00e4. Johtop\u00e4\u00e4t\u00f6ksiss\u00e4 esitetyt vuorovaikuttamisen suositukset ovat sovellettavissa kliiniseen ty\u00f6h\u00f6n ja koulutukseen. Tulevaisuudessa terveysalojen ja humanististen tieteiden yhteisty\u00f6t\u00e4 tulisi lis\u00e4t\u00e4 sek\u00e4 tarkastella tarkemmin esimerkiksi biomedikaalisen ja biopsykososiaalisen viitekehysten merkityst\u00e4 vuorovaikutuksessa.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Chronic pain is a significant challenge from an economical, public health, and individualistic psychosocial perspectives. Interaction between the patient and healthcare professionals is important for efficient chronic pain management. Based on literature review, research in the phenomena of interest in Finland is limited. The aim of the study was to understand and describe chronic pain patients\u2019 experiences of interacting with healthcare professionals.\nResearch data was collected during summer of 2020 by conducting video-mediated interviews with five adult patients suffering from chronic pain. Patients were recruited in cooperation with a patient association. The mean age of patients was 48 years, the mean duration of pain was 11 years, and the places of residence included four Finnish hospital districts. Video recordings, averaging 84 minutes, were transcribed in to a 53-page text (font 11, line spacing 1). Interpretative Phenomenological analysis, which draws from phenomenology, hermeneutics, and idiography, was utilized in this thesis.\nThe theme of unsuccessful interaction was constructed based on experiences associated with disbelief, incomprehensibility, and delegitimization; the use of power; epistemic relationship; and medication. Experiences perceived as negative were connected especially to emergency department and new patient-professional relationships. These were experienced to weaken trust towards the healthcare system. Interaction was interpreted as successful when patients experienced the professional as attentive, interested, empathic, and performing a thorough clinical assessment accompanied with comprehendible explanation. Open and humane interaction was experienced to enhance trust. Patients perceived their own positivity and actions as important in the process of successful pain management. Patients experienced taking notes before, during and/or after interactions with healthcare professionals as useful. Having a third person present during interactions was perceived as beneficial. Some of the patients brought up experiences regarding audio and/or visual recordings of interactions.\nThis thesis verified previous knowledge while also introducing new understanding of the phenomena of interest. Interactional recommendations presented in the conclusion chapter are applicable in clinical practice and educational contexts. Closer collaboration between Health Sciences and Humanities is needed for an example in analysing biomedical and biopsychosocial frameworks\u2019 significance in interaction between patients and healthcare professionals.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by Paivi Vuorio (paelvuor@jyu.fi) on 2021-08-31T06:08:48Z\nNo. of bitstreams: 0", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2021-08-31T06:08:49Z (GMT). No. of bitstreams: 0\n Previous issue date: 2021", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "114", "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": "pitk\u00e4kestoinen kipu", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "terveydenhuollon ammattihenkil\u00f6", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "tulkitseva fenomenologinen analyysi", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "\"Olen ihminen vaikka olenkin potilas\" : pitk\u00e4kestoista kipua kokevien aikuisten vuorovaikutuskokemuksia terveydenhuollossa", "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-202108314725", "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": "Fysioterapia", "language": "fi", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Physiotherapy", "language": "en", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "yvv.contractresearch.funding", "value": "0", "language": "", "element": "contractresearch", "qualifier": "funding", "schema": "yvv"}, {"key": "dc.type.coar", "value": "http://purl.org/coar/resource_type/c_bdcc", "language": null, "element": "type", "qualifier": "coar", "schema": "dc"}, {"key": "dc.rights.accesslevel", "value": "openAccess", "language": null, "element": "rights", "qualifier": "accesslevel", "schema": "dc"}, {"key": "dc.type.publication", "value": "masterThesis", "language": null, "element": "type", "qualifier": "publication", "schema": "dc"}, {"key": "dc.subject.oppiainekoodi", "value": "50422", "language": "", "element": "subject", "qualifier": "oppiainekoodi", "schema": "dc"}, {"key": "dc.subject.yso", "value": "kipu", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "hoitosuhde", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "potilaat", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "terveydenhuolto", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "kokemukset", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "vuorovaikutus", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "krooninen kipu", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.format.content", "value": "fulltext", "language": null, "element": "format", "qualifier": "content", "schema": "dc"}, {"key": "dc.rights.url", "value": "https://rightsstatements.org/page/InC/1.0/", "language": null, 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