Kollegiaalinen palaute tukee ammatillista kasvua

Summary: Feedback from colleagues supports professional growth

Nursing student-patient relationship and associated factors

The purpose of this study was to analyse the nursing student-patient relationship and factors associated with this relationship from the point of view of both students and patients, and to identify factors that predict the type of relationship. The ultimate goal is to improve supervised clinical practicum with a view to supporting students in their reciprocal collaborative relationships with patients, increase their preparedness to meet patients’ health needs, and thus to enhance the quality of patient care. The study was divided into two phases. In the first phase (1999-2005), a literature review concerning the student-patient relationship was conducted (n=104 articles) and semi-structured interviews carried out with nursing students (n=30) and internal medicine patients (n=30). Data analysis was by means of qualitative content analysis and Student-Patient Relationship Scales, which were specially developed for this research. In the second phase (2005-2007), the data were collected by SPR scales among nursing students (n=290) and internal medicine patients (n=242). The data were analysed statistically by SPSS 12.0 software. The results revealed three types of student-patient relationship: a mechanistic relationship focusing on the student’s learning needs; an authoritative relationship focusing on what the student assumes is in the patient’s best interest; and a facilitative relationship focusing on the common good of both student and patient. Students viewed their relationship with patients more often as facilitative and authoritative than mechanistic, while in patients’ assessments the authoritative relationship occurred most frequently and the facilitative relationship least frequently. Furthermore, students’ and patients’ views on their relationships differed significantly. A number of background factors, contextual factors and consequences of the relationship were found to be associated with the type of relationship. In the student data, factors that predicted the type of relationship were age, current year of study and support received in the relationship with patient. The higher the student’s age, the more likely the relationship with the patient was facilitative. Fourth year studies and the support of a person other than a supervisor were significantly associated with an authoritative relationship. Among patients, several factors were found to predict the type of nursing student-patient relationships. Significant factors associated with a facilitative relationship were university-level education, several previous hospitalizations, admission to hospital for a medical problem, experience of caring for an ill family member and patient’s positive perception of atmosphere during collaboration and of student’s personal and professional growth. In patients, positive perceptions of student’s personal and professional attributes and patient’s improved health and a greater commitment to self-care, on the other hand, were significantly associated with an authoritative relationship, whereas positive perceptions of one’s own attributes as a patient were significantly associated with a mechanistic relationship. It is recommended that further research on the student-patient relationship and related factors should focus on questions of content, methodology and education.

Saksan opiskelijasta saksan opettajaksi. Aineenopettajaopiskelijan ammatillinen kasvu ohjatussa harjoitttelussa

Tutkimuksessani tarkastelin, miten ammatillinen kasvu ilmenee saksan opetusharjoittelijoiden näkemyksissä ja toiminnassa opettajan pedagogisiin opintoihin kuuluvan ohjatun harjoittelun aikana. Keräsin tutkimusaineiston lukuvuosina 2007–2010 kaikilta saksan opetusharjoittelijoilta, jotka suorittivat ohjatussa harjoittelussa vähintään 15 op Turun normaalikoulussa. Tutkimusaineistona käytin henkilökohtaisia harjoittelusuunnitelmia (HOPS) ja reflektiovihkoja, jotka ovat ohjatun harjoittelun normaaleja työvälineitä. Täydensin aineistoa ohjatun harjoittelun alussa toteutetulla kyselyllä ja harjoittelun päätteeksi tehdyllä puolistrukturoidulla teemahaastattelulla. Toimin tutkimuksen aikana Turun normaalikoulussa saksan opettajana ja aineryhmän harjoittelusta vastaavana opettajana. Tutkimuskysymykset tarkentuivat aineistolähtöisesti. Ensimmäinen tutkimuskysymys liittyi siihen, miten harjoittelijoiden ideaalit hyvästä vieraan kielen opetuksesta ja henkilökohtaiset tavoitteet toteutuivat ohjatun harjoittelun aikana. Alkukyselyn pohjalta ideaaleiksi nousivat vuorovaikutus ja monipuoliset työtavat, kulttuurin opettaminen, tavoitekielen käyttö luokkakielenä sekä selkeä kieliopin opetus. Tutkimuksessa kävi ilmi, että alkukyselyssä esiin tullut hyvän opettajan tai vieraan kielen opetuksen ideaali ei välttämättä näy opettajaksi opiskelevan HOPSeihin kirjatuissa henkilökohtaisissa tavoitteissa tai toteudu hänen harjoitustunneillaan. Parhaiten opetusharjoittelijat kokivat onnistuneensa vuorovaikutuksen luomisessa oppilaisiin ja opiskelijoihin sekä monipuolisten työtapojen käytössä. Eriyttäminen ja oppimaan oppimisen ohjaaminen koettiin hankalina. Suurin osa harjoittelijoista oli tyytyväisiä siihen, miten he onnistuivat tuomaan kulttuuria opetukseensa, kun taas tavoitekielen käyttö luokkakielenä ja kieliopin opetus koettiin haasteellisiksi. Toisessa tutkimuskysymyksessä tarkasteltiin, millainen ammatillinen näkemys vieraan kielen opiskelijalla on ohjatun harjoittelun jälkeen. Opetusharjoittelijat korostivat opettajan kasvatustyötä ja opettajien välistä yhteistyötä. Ajatus toimia saksan tai vieraan kielen opettajana oli vahvistunut pedagogisten opintojen aikana. Kolmas tutkimuskysymys kohdistui sen selvittämiseen, miten HOPS ja reflektiovihko toimivat harjoittelijoiden kasvun tukena. Harjoittelijoiden kirjallinen itsereflektio vaihteli syvällisistä pohdinnoista niukkiin merkintöihin. Suurimmassa osassa reflektiovihoista harjoittelijat olivat miettineet palautteissa esille tulleita asioita. HOPS ja reflektiovihko ovat tämän tutkimuksen perusteella toimivia harjoittelun ohjauksen välineitä, kunhan harjoittelijoita ohjataan niiden käytössä. Itsereflektion merkityksen puolesta puhuu se, että harjoittelijat, jotka olivat myös kirjallisesti pohtineet saksan käyttöä luokkakielenä, olivat muita tyytyväisempiä siihen, miten he kokivat onnistuneensa luokkakielen käytössä.

Milleniaalit tietotyössä – organisaatiositoutumisen näkökulmia henkilöstöpalvelualan yrityksessä

Tämän tutkielman tavoitteena on selvittää, mitkä tekijät vaikuttavat henkilöstöpalvelualan yrityksessä työskentelevien y-sukupolveen kuuluvien tietotyöläisten organisaatiositoutumiseen ja näin löytää keinoja edistää tämän henkilöstöryhmän sitoutumista. Päätutkimuskysymys on ”Miten tietotyötä tekevän milleniaalin organisaatiositoutumista voidaan edistää?”. Tutkielma on kvalitatiivinen tapaustutkimus, aineisto kerättiin puolistrukturoiduilla haastatteluilla. Aineisto analysoitiin teoriaohjaavasti organisaatiositoutumiseen, milleniaaleihin ja tietotyöhön liittyvää teoreettista viitekehystä tukena käyttäen ja abduktiivista päättelyä hyödyntäen. Tutkimustulosten mukaan tietotyötä tekevä milleniaali on sitoutunut työhönsä, työyhteisöönsä ja organisaatioon. Organisaatiositoutuminen muodostuu useammasta kuin yhdestä komponentista ja on aineiston mukaan muodoltaan niin affektiivista, normatiivista kuin jatkuvaakin. Nykyorganisaatiossa sitouttavat erityisesti hyvä esimiestyö, työn haastavuus, mahdollisuudet työnkuvan monipuolistamiseen, uramahdollisuudet ja ammatillisen kehittymisen tukeminen. Tulevaisuudessa tietotyötä kohdeyrityksessä tekevät milleniaalit toivovat, että organisaatio panostaisi sitouttamisen edistämiseksi erityisesti yksilön arvostamiseen, työntekijöiden ammatilliseen kehittymiseen, urasuunnitteluun, palkitsemiseen, esimiestyöhön ja yhteisöllisyyteen.

Delay reduction in courts of justice – possibilities and challenges of process improvement in professional public organizations

Delays in the justice system have been undermining the functioning and performance of the court system all over the world for decades. Despite the widespread concern about delays, the solutions have not kept up with the growth of the problem. The delay problem existing in the justice courts processes is a good example of the growing need and pressure in professional public organizations to start improving their business process performance.This study analyses the possibilities and challenges of process improvement in professional public organizations. The study is based on experiences gained in two longitudinal action research improvement projects conducted in two separate Finnish law instances; in the Helsinki Court of Appeal and in the Insurance Court. The thesis has two objectives. First objective is to study what kinds of factors in court system operations cause delays and unmanageable backlogs and how to reduce and prevent delays. Based on the lessons learned from the case projects the objective is to give new insights on the critical factors of process improvement conducted in professional public organizations. Four main areas and factors behind the delay problem is identified: 1) goal setting and performance measurement practices, 2) the process control system, 3) production and capacity planning procedures, and 4) process roles and responsibilities. The appropriate improvement solutions include tools to enhance project planning and scheduling and monitoring the agreed time-frames for different phases of the handling process and pending inventory. The study introduces the identified critical factors in different phases of process improvement work carried out in professional public organizations, the ways the critical factors can be incorporated to the different stages of the projects, and discusses the role of external facilitator in assisting process improvement work and in enhancing ownership towards the solutions and improvement. The study highlights the need to concentrate on the critical factors aiming to get the employees to challenge their existing ways of conducting work, analyze their own processes, and create procedures for diffusing the process improvement culture instead of merely concentrating of finding tools, techniques, and solutions appropriate for applications from the manufacturing sector

Professional development among educators pursuing a B.Ed. program in special education in Tanzania : a study of motives and perceived outcomes

Implementation of different policies and plans aiming at providing education for all is a challenge in Tanzania. The need for educators and professionals with relevant knowledge and qualifications in special education is substantial. Teacher education does not equip educators with sufficient knowledge and skills in special education and professional development programs in special education are few in number. Up to 2005 no degree programs in special education at university level were available in Tanzania. The B.Ed. Special Education program offered by the Open University of Tanzania in collaboration with Åbo Akademi University in Finland was one of the efforts aimed at addressing the big national need for teachers and other professionals with degree qualifications in special education. This pilot program offered unique possibilities to study professional development in Tanzania. The research group in this study consisted of the group of students who participated in the degree program 2005-2007. The study is guided by three theoretical perspectives: individual, social and societal. The individual perspective emphasizes psychological factors as motives, motivation, achievement, self-directed behavior and personal growth. Within social perspective, professional development is viewed as situated within the social and cultural context. The third perspective, the societal, focuses on change, reforms, innovations and transformation of school systems and societies. Accordingly, professional development is viewed as an individual, social and societal phenomenon. The overall aim of the study is to explore the participants’ motives for participating in a B.Ed. Special Education program and the perceived outcomes of the program in terms of professional development. In order to achieve the objectives of the study, a case study approach was adopted. Questionnaires and semi-structured interviews were administered in three waves between January 2007 and February 2009 to the 35 educators participating in the B.Ed. Special Education program. The findings of the study reveal that the participants expressed motives which were related to job performance, knowledge, skills, academic degree and career. Also altruistic motives were expressed by the participants in terms of helping and supporting students with special needs and their communities. The perceived outcomes of the program were in line with the expressed motives. However, the results indicate that the participants also learned new skills, as interaction skills and guidance and counseling skills. Increased self-confidence was also mentioned as an outcome. The participants also got deepened understanding of disability issues. In addition, they learned strategies for creating awareness of persons with disability in the communities. Thus the findings of the study indicate positive outcomes of the program in terms of professional development. The conclusion of the study is that individual, social and societal factors interact when it comes to explaining why Tanzanian educators in special education choose to pursue a degree program in special education. The individual motives, as increased knowledge and better prospects of career development interact with the social and societal motives to help and support vulnerable student groups. The study contributes to increased understanding of the complexity of professional development and of the realities educators meet when educational reforms are implemented in a developing country.

Productizing professional marketing services through service blueprinting

The goal of this research is to study how knowledge-intensive business services can be productized by using the service blueprinting tool. As services provide the majority of jobs, GDP and productivity growth in Europe, their continuous development is needed for Europe to retain its global competitiveness. As services are turning more complex, their development becomes more difficult. The theoretical part of this study is based on researching productization in the context of knowledge-intensive business services. The empirical part is carried out as a case study in a KIBS company, and utilizes qualitative interviews and case materials. The final outcome of this study is an updated productization framework, designed for KIBS companies, and recommendations for the case company. As the results of this study indicate, productization expanded with service blueprinting can be a useful tool for KIBS companies to develop their services. The updated productization framework is provided for future reference.