A substantive theory of the realization of stroke patients’ dignity in hospital care

Dignity is seen important in health care context but considered as a controversial and complex concept. In health care context, it is described as being influenced by for example autonomy, respect, communication, privacy and hospital environment. Patient dignity is related to satisfaction with care, reduced stress, better confidence in health services, enhanced patient outcomes and shorter stay in a hospital. Stroke patients may struggle for dignity as being dependent on other people has impact on the patients’ self-image. In all, stroke patients are very specific patient group and considered vulnerable from emotional aspect. Therefore study findings from other patient groups in the area of ethical problems cannot be transferred to the stroke patients. This master’s thesis consists of two parts. The first part is the literature review of patients’ dignity in hospital care. The literature defined dignity and described factors promoting and reducing it. The results were ambiguous and thus a clear understanding was not able to create. That was the basis for the second part of the master’s thesis, the empirical study. This part aimed to develop theoretical construction to explore the realization of stroke patients’ dignity in hospital care. The data of the second part was collected by interviewing 16 stroke patients and analyzed using the constant comparison of Grounded Theory. The result was ‘The Theory of Realization of Stroke Patients’ Dignity in Hospital Care’ which is described not only in this master’s thesis but also as a scientific article. The theory consists of the core category, four generic elements and five specific types on realization. The core category emerged as ‘dignity in a new situation’. After a stroke, dignity is defined in a new way which is influenced by the generic elements: life history, health history, individuality and a stroke. Stroke patient’s dignity is realized through five specific types on realization: person related dignity type, control related dignity type, independence related dignity type, social related dignity type and care related dignity type. The theory points out possible special characteristics of stroke patients’ dignity in control related dignity type and independence related dignity type. Before implementing the theory, the relation between the core category, generic elements and specific types on realization needs to be studied further.

To Succeed Is to Believe: Comparison of Self-Efficacy Beliefs in Language Learning between Learner Groups of English and Swedish in Finland

In this thesis, I studied self-efficacy in the learning of English and Swedish in Finland. The theory of self-efficacy, which was created by Albert Bandura, suggests that the beliefs a person has of his or her capabilities in a certain task affect the person’s performance in the task. My aim was to study whether there are differences in self-efficacy beliefs between the learners of English and Swedish, and whether these beliefs correlate with the performance in the language in question. My hypotheses were that the learners of English have higher self-efficacy beliefs than the learners of Swedish and that self-efficacy beliefs correlate with language performance. The study was quantitative, and it consisted of a self-efficacy questionnaire and a language test which were distributed to students of English and Swedish in an upper secondary school in Rovaniemi. The study was answered by 137 students, of whom 93 were learners of English and 44 were learners of Swedish. The results indicated that the learners of English had a higher sense of efficacy than the learners of Swedish. The analysis proved that there was a significant correlation between English students’ self-efficacy and their performance in the language measured by the test and the grades. In addition, a significant correlation existed between Swedish students’ self-efficacy and their grades. However, there was no correlation between the Swedish students’ self-efficacy and their test results. The difference in the self-efficacy beliefs of the two language groups indicates that people in Finland are more confident in using English than Swedish, which also implies that English is more valued in Finnish society than Swedish. It is important to acknowledge the lower self-efficacy beliefs in Swedish because various studies have proven that self-efficacy affects academic achievement. As a suggestion for further research, the self-efficacy beliefs of different language groups could be compared in a qualitative study in order to understand the development of self-efficacy more profoundly.

Muuttuva minuus

Summary: The changing self

Internet-lähteistä haettujen uutisten ryhmittely

Tämän diplomityön tarkoituksena on tutkia, mitä vaaditaan uutisten samanlaisuuden automaattiseen tunnistamiseen. Uutiset ovat tekstipohjaisia uutisia, jotka on haettu eri uutislähteistä. Uutisista on tarkoitus tunnistaa ensinnäkin ne uutiset, jotka tarkoittavat samaa asiaa, sekä ne uutiset, jotka eivät ole aivan sama asia, mutta liittyvät kuitenkin toisiinsa. Tässä diplomityössä tutkitaan, millä algoritmeilla tämä tunnistus onnistuu tehokkaimmin sekä suomalaisessa, että englanninkielisessä tekstissä. Diplomityössä vertaillaan valmiita algoritmeja. Tavoitteena on valita sellainen algoritmiyhdistelmä, että 90 % vertailluista uutisista tunnistuu oikein. Tutkimuksessa käytetään 2 eri ryhmittelyalgoritmia, sekä 3 eri stemmaus-algoritmia. Näitä algoritmeja vertaillaan sekä uutisten tunnistustehokkuuden, että niiden suorituskyvyn suhteen. Parhaimmaksi stemmaus-algoritmiksi osoittautui sekä suomen-, että englanninkielisten uutisten vertailussa Porterin algoritmi. Ryhmittely-algoritmeista tehokkaammaksi osoittautui yksinkertaisempi erilaisiin tunnuslukuihin perustuva algoritmi.

KPI definition for measuring customer extranet benefits for a forest company

Tutkimuksen tavoitteena oli määrittää hyötyjä, joita Stora Enso on saavuttanut ottamalla käyttöön extranet-järjestelmän, jonka avulla asiakkaat voivat seurata toimitusketjuaan. Tässä tutkimuksessa keskityttiin taloudellisten hyötyjen määrittämiseen ja aineettomien hyötyjen tutkiminen rajattiintyön ulkopuolelle. Samalla tuli kehittää mittarit itsepalveluasteiden laskemiseksi tietyille toiminnoille, joita asiakkaat voivat hyödyntää järjestelmässä. Myös toiminnot, joita järjestelmässä pääasiassa käytetään, tuli määrittää kvantitatiivisen tutkimuksen avulla. Myyntihenkilöstön haastattelut toimivat apuna laskettaessa taloudellisia hyötyjä. Teoriaosuudessa käsitellään yleisesti sähköisiä palveluita erityisesti yritysten välistä kaupankäyntiä koskevalla alueella. Myös toimitusketjua ja tunnusluku mittareiden rakentamista on esitelty yleisellä tasolla teoriaosassa. Työn keskeisimmät tulokset ovat itsepalveluasteiden mittarit, niiden avulla lasketut itsepalveluasteet sekä taloudelliset hyödyt, joita yrityson saavuttanut järjestelmän käyttöönoton jälkeen.

Sähköisen liiketoiminnan vaikutukset suurten energiayhtiöiden myyntitoimintaan

Työn tavoitteena oli selvittää tutkimukseen valittujen energiayhtiöiden TXU Europen, Centrican, RWE:n, Vattenfallin, Royal Dutch/Shellin ja Statoilin sähköisen liiketoiminnan tavoitteita ja tarkoitusta. Ensin käytiin läpi sähköisen liiketoiminnan käsitteitä ja Internetin merkitystä. Seuraavaksi selvitettiin energiamarkkinoilla tapahtuneita muutoksia, joiden puitteissa sähköinen liiketoiminta energiamarkkinoilla tulisi ymmärtää. Lopuksi energiayhtiöiden sähköiset palvelut analysoitiin perusteellisesti tutkimuksessa rakennettua viitekehystä apuna käyttämällä. Tutkimus perustuu täysin julkiseen informaatioon.Tällä hetkellä koko energianmyyntiprosessin suorittaminen alusta loppuun on energiayhtiöiden verkkosivuilla mahdollista. Sivut ovat kehittyneet pelkistä kotisivuista tarjous-, sopimus- ja laskutusprosessitoiminnot sisältäviksi sähköisiksi kauppapaikoiksi. Palveluita on myös vähitellen alettu integroimaan yritysten operatiivisiin järjestelmiin ja räätälöityjen palveluiden kehitys korostuu tulevaisuudessa. Asiakkaan itsepalvelumahdollisuudet lisääntyvät. Lisäarvoa tuovia palveluita kehitetään asiakassuhdetta vähitellen uusilla tuotteilla vahvistaen, laajaan energiayhtiöpohjaan perustuen tai viemällä useita uusia energiaan liittyviä tuotteita ja myös uusia energiatuotteita kerralla markkinoille. Yhteistyön merkitys tuotepakettien kehittämisessä korostuu.

Kansanomaisen jäljillä

Kirja-arvio

Elämänlaatu ja iäkkäiden kaatumisten ehkäisy

Quality of life and fall prevention among the aged Improvement of quality of life is considered to be one of the most important goals of prevention, treatment and rehabilitation among the aged. The study aimed to describe and assess fall prevention interventions as a quality of life indicator, and to describe the social dimension of health-related quality of life among the aged. In addition, it aimed to assess the effects of fall prevention intervention on quality of life among the aged. The study was implemented by using a methodological triangulation. The data in the systematic review was retrieved from the databasis of medical and nursing sciences. Home-dwelling aged (n=19) participated in the qualitative study of a social dimension of quality of life. The data was gathered by the thematic interview method. The quantitative multifactorial fall prevention study comprised 591 participants, either the aged living at home or in sheltered housing, showing an increased risk of falling. Participants were randomized into an intervention or a control group. Follow-up measurements were carried out after a 12 month intervention. The data was collected by the 15D quality of life instrument and a structured questionnaire. Based on the systematic review, only in a few studies fall prevention produced positive effects on dimensions of quality of life (physical function, social function, vitality, mental health, environmental domain). Based on the thematic interview the social dimension of quality of life consisted of three themes: personal values, personal milieu and personal daily life. Based on the fall prevention program, depressive symptoms and distress decreased, managing in usual activities improved, sexual activity and phone contacts increased among men. In women, managing in usual activities improved, socializing increased and discomfort and symptoms decreased. Within the groups, self-perceived health improved among women in the intervention group and among men in the control groups. In addition, fear of falling and feelings of insecurity reduced among women in the intervention group. Personal daily life with its activities opened up new perspectives into the social dimension of good quality of life, which was emphasized especially in the interviews of the oldest participants. Multifactorial fall prevention can affect positively some physical and psychosocial dimensions of quality of life among the community-dwelling aged. Additional studies with larger sample sizes, longer follow-up periods and multiple outcome measures are needed. Fall prevention intervention may affect quality of life by different mechanisms, and the quantitative and qualitative assessment of its effects should also be included in the interventions of randomized controlled trials.

Suomalaiset uudistusten keskellä

Kirja-arvio

Mobile technology, gender and development in Africa, India and Bangladesh

Presenting

Ammatillisen osaamisen tukeminen muuttuvissa toimintaympäristöissä : tutkimus ikääntyvien työntekijöiden näkökulmasta

The purpose of the study was to describe the experiences of received support of aging employees and their work related self-image in changing working environments. Firstly, theaim was to discover how the support from organisations and leaders was verified. Secondly, the aim was to get answers how employees experienced themselves as workers and as learners in the current work context. Thirdly, the aim was to compare different knowledge information stages and company cultures and how they have influenced the experiences of professional competence development among aging employees. In addition the education- and career backgrounds were investigated to gain more understanding of their role in experiencing support and relation to the occupational self-image. The theoretical frame of reference of this researchis multidisciplinary. The theoretical part focuses on the meaning of work for human being from a sociological, late-modern perspective. On the other hand it examines the ageing process from a physiological and also from a perspective of age discrimination and life control. The occupational selfimage and the strength of motivation has an effect on learning in working life which is crucial and firmpart individual trajectories. According to the theoretical review company culture, leadership and especially the managers' role as a creator of a learning atmosphere are increasingly critical for aging adults' learning when the role of informal work-based learning is increasing. The empirical data was collected with aquestionnaire and interviews, which were carried out in May to October 2001. The data consists of 263 respondents of which further eight persons were interviewed. All respondents were over the age of 45 and represented all levels of their organisations in an IT-technology firm and a chemical industry plant. The central findings in this research show that the aging adults have experienced that theemployers do care about the development of their occupational skills. On the other hand there are fewer concrete activities to reveal this support. There is anobvious disproportion between the expressed aims and the realisation of the activities. Signs of age discrimination are few. The style of management has becomemore supporting for self directed activities which are seen to support adults learning. Higher education and individual activity to seek possibilities to learnwere encouraging the development of occupational skills. Age itself was not a crucial aspect when comparing the experiences among younger (45-54 years) and older (55-64 years) groups. Job satisfaction and professional self esteem seemed tobe considerably strong. The individual characteristics were more important elements in developing occupational skills than the age. The degree of anxiety at work was low. In addition among the older group the strong feeling of coherence and the occupational self image were significant for supporting the professional competence. The motivation to learn was also stable. Among the seniors there was some slight evidence of declining motivation. In the IT-firm the support was experienced stronger for aging employees than in the chemical industry plant. Thosewho had experienced support in the chemical industry plant had higher educational background than the others. In IT-firm they also experienced more support from the manager than in the chemical industry plant. The results show that it is more likely that the differences are caused mostly by the stage of information intensity and the character of company culture which is determined by the activities. IT-business demands constantly accommodation to changes and the chemical industry plant which is representing more traditional business field, where the atmosphere of learning is determined by the traditions of company culture, the changes are carried out slowly.

Biokaasu-, bioetanoli- ja yhdistelmäprosessin energia- ja hiilidioksiditase vertailu

Biojäte soveltuu erinomaisesti biokaasuprosessin raaka-aineeksi sisältämänsä runsaan or-gaanisen aineksen vuoksi. Bioetanoliprosessin raaka-aineeksi se soveltuu, koska biojäte sisäl-tää runsaasti tärkkelystä sekä selluloosaa. Tässä työssä tutkittiin laskennallisesti bioetanoli-, biokaasu- sekä näiden yhdistelmäprosessin energia- ja hiilidioksiditaseita kirjallisuuden tietoihin pohjautuen. Biokaasuprosessista lopputuotteena saatavan biometaanin käyttäminen bensiiniä korvaavana liikennepolttoaineena tuottaa jo pelkästään palamistuotteena syntyvän hiilidioksidin säästöinä 62 kg/tbiojätettä. Energian suhteen biokaasuprosessi on selvästi yliomavaraisin kaikista kolmesta prosessista, vaikka energiankulutukseen huomioidaan myös jalostuksen tarvitsema sähkönku-lutus. Biokaasuprosessissa oma käyttö on alle 20 % lopputuotteen lämpöarvosta, yhdistelmä-prosessin osalta luku on 4 %-yks alhaisempi.

Surrealismin taidehistoriaa psykoanalyyttisesti

Kirjallisuusarvostelu