Vanhustenhoitajan ammatillinen rooli – avain vanhusten hyvinvointiin ja hoitajien työssä jaksamiseen

Suomessa väestön rakenne on muuttumassa ja hoitoa tarvitsevien määrä nousee jatkuvasti. Vanhustenhoito on muuttunut henkisesti ja fyysisesti yhä kuormittavammaksi ja vanhustenhoidon imago huonoksi. Tavoitteita asetetaan, mutta resurssit näiden saavuttamiseen ovat tiukassa. Tutkimuksen keskiössä olivat vanhustenhoitajien kokemukset ammatillisesta roolista. Tutkimuksen teoreettisina tukipilareina toimivat rooliteoria sekä näkemykset tunnetyöstä ja totaalisista laitoksista. Menetelmänä toimi IPA:a, jonka avulla voidaan päästä käsiksi siihen, miten tutkittavat jäsentävät maailmaansa − tässä tapauksessa ammatillista rooliaan vanhustyöntekijöinä. Tutkimuksen aineistona toimivat 8 haastattelua, jotka on kerätty vuonna 2009. Aineistosta nousi päällimmäisenä esiin hoitajan ja asukkaan välinen vuorovaikutus ja se, kuinka hoitajan on oltava ammatillisessa roolissa. Tätä vuorovaikutussuhdetta kuvattiin kaikissa kahdeksassa haastattelussa ja sitä pidettiin ammattitaidon oleellisimpana osana. Ensimmäisellä tutkimuskysymyksellä selvitettiin millaisia rooliodotuksia vanhustenhoitajat asettavat toiminnalleen. Oleellisimmat odotukset rakentuivat sen ympärille, miten vanhuksen kanssa ollaan vuorovaikutuksessa. Tilanteissa hoitajan tulisi osata oikeanlaiset tiukat, mutta toisaalta lempeät otteet, jotta vanhukset eivät passivoituisi. Nämä otteet nähtiin vanhuksen edun mukaisina, sillä ilman jämäkkää hoito-otetta vanhukset saattoivat heittäytyä täysihoitoon ja lakata pitämästä yllä päivittäisiä toimintojaan, kuten hampaiden pesua. Toinen tutkimuskysymys paneutui siihen, kokevatko vanhustenhoitajat roolinmukaisuuden tärkeäksi työssään. Lisäksi perehdyttiin siihen, miksi roolinmukaisuus koetaan tärkeänä. Haastatellut vanhustenhoitajat toivat esiin, että työstä on suoriuduttava tietyllä tavalla. Omista murheista tai mieltymyksistä huolimatta työt piti saada tehtyä. Työhön oltiin tultu vanhuksen edun vuoksi ja se oli pidettävä mielessä koko ajan. Kun hoitajat onnistuivat toimimaan rooliodotusten mukaisesti, säilyi tunnelma osastolla rauhallisena ja lääkkeitä kului vähemmän. Kolmas tutkimuskysymys pureutui siihen, voiko vanhustenhoitaja vapautua ammatillisesta roolistaan työpäivän aikana. Hoitajat kokivat, että roolista vapautuminen oli mahdollista työpäivän aikana, mutta sille annettiin tiukat rajat. Vanhusten nähden hoitajan tuli pysytellä tiukasti roolinmukaisessa odotettavassa käytöksessä. Vanhustenhoitajilla oli selkeästi erilaiset käyttäytymissäännöt niihin tilanteisiin kun oltiin osastolla potilaiden näkyvillä kuin niihin tilanteisiin joissa oltiin yksin tai kollegoiden kanssa. Tässä voidaan nähdä selkeä yhteys Goffmanin rooliteoriaan, jossa hän tuo esiin, että esityksissä on näyttämö ja takatila. Vanhainkodin tapauksessa näyttämö on osasto, jossa vanhukset ja omaiset seuraavat hoitajien toimintaa. Takatiloina sen sijaan toimivat hoitajien omat työhuoneet, taukotilat ja henkilökunnan wc, jossa työnaamio voitiin riisua hetkellisesti pois. Tärkeimmät lähteet ovat: Goffman, E. (1971). Arkielämän roolit. Oikeille jäljille rooliviidakossa ja Smith, J., Flowers, P., Larkin, M. (2009). Interpretative Phenomenological Analysis. Theory, method and research.

Spectroscopic, microscopic and first rheological investigations in charge-transfer interaction induced organogels

This article describes two-component charge-transfer interaction mediated organogels (CT-gels) derived from anthracene carboxamides obtained from 2-amino 2-hydroxymethyl-1,3-propanediol (TRIS), and 2,3-dialkoxyanthracenes as donors, with 2,4,7-trinitrofluorenone (TNF) as the common acceptor. We demonstrate the versatility of TNF as an electron acceptor in the formation of these gels. The effect of subtle changes in the donor structure on the gelation ability has been investigated by varying the alkyl chain length in the dialkoxyanthracene donors, and by varying the position of the TRIS substituent in the anthracene carboxamide donors. Distinct differences have been observed in the nature of the CT-gels based on these two kinds of anthracene donors. It has been reported in the literature that 2,3-dialkoxyanthracenes form gels on their own in various aliphatic hydrocarbons and alcohols for linear alkyl chains bearing at least 6mcarbon atoms (C-6). In the present study, it is shown that themCT-complex of these molecules with TNF is able to gel many alcoholic and a few hydrocarbon solvents. Also, in the presence of TNF, the 2,3-dialkoxyanthracenes (C-4-C-5) which were non-gelators on their own at ambient temperatures, form CT-gels in a number of alcohols. The other series of gelators discussed, the anthracene carboxamides, require the mandatory presence of TNF to form gels. This donor-acceptor complex forms gels in various aliphatic alcohols. Interestingly, the formation of these CT-gels requires rapid cooling in most of the cases. Thermal stability studies with both types of CT-gels indicate an optimum stoichiometry of 1 : 1 between the donor and the acceptor. Dynamic rheological experiments reveal these gels as viscoelastic soft materials, with the mechanical strength of these gels depending on the amount of TNF present. This provides a means to tune the strength of the gel by varying the doping concentration of the acceptor.

Eläimen tuttuus ja vieraus : Fenomenologisen empatiateorian uudelleentulkinta ja sen sovellus vieraslajisia eläimiä koskevaan kokemukseen

Within the field of philosophy, animals have traditionally been studied from two perspectives: that of self-knowledge and that of ethics. The analysis of the differences between humans and animals has served our desire to understand our own specificity, whereas ethical discussions have ultimately aimed at finding the right way to treat animals. This dissertation proposes a different way of looking at non-human animals: it investigates the question of how non-human animals appear to us humans in our perceptual experience. The analysis focuses on the empathetic, embodied understanding of animals diverse movements and other expressions. The theoretical point of departure for the research is phenomenological philosophy, in particular Maurice Merleau-Ponty s phenomenology of the body. Edmund Husserl s and Edith Stein s analyses of empathy and embodiment are also crucial to the work. In this tradition, empathy means understanding the other s experience through her bodily expressions and seeing the other body as living, as well as motivated and directed towards the surrounding world. The dissertation both explicates and criticizes the earlier phenomenological notions of empathy and human specificity. In order to elucidate the fundamental structures of our experience of non-human animals, it also applies the phenomenological method, which consists of a phenomenological reduction and a free variation of the different aspects of experience. It is shown that our experiences of non-human animals involve a recognition of both similarities and differences. This recognition, however, is not primarily based on intellectual comparisons but is lived as an embodied relationship to another body, and its manifestations vary from one instant to the next. The analysis also reveals that the object of empathy is not the other s experience as such, not even as it is manifested by the other s movements, but rather the other s embodied situation, enriched by elements that remain outside the scope of the other s experience. The dissertation shows that human existence is intertwined with the existence of non-human animals on four levels: those of empathetic sensations, reciprocal communication, experience of the surrounding world and self-definitions. The animals different modes of perception prove to expand our understanding of what is perceivable and how things can be perceived. The presence of non-human animals in our perceptual world is revealed as something that both shows us the limits of our own embodiment and enables us to overcome these limits in empathetic acts. Finally, it is demonstrated that the life of non-human animals is intertwined with ours in a far more complex way than has been presupposed in traditional descriptions of human-animal differences.

Supramolecular Chirality in Organogels: A Detailed Spectroscopic, Morphological, and Rheological Investigation of Gels (and Xerogels) Derived from Alkyl Pyrenyl Urethanes

This Article addresses the formation of chiral supramolecular structures in the organogels derived from chiral organogelator 1R (or 2R), and its mixtures with its enantiomer (1S) and achiral analogue 3 by extensive circular dichroism (CD) spectroscopic measurements. Morphological analysis by atomic force microscopy (AFM) and scanning electron microscopy (SEM) were complemented by the measurements of their bulk properties by thermal stability and rheological studies. Specific molecular recognition events (1/3 vs 2/3) and solvent effects (isooctane vs dodecane) were found to be critical in the formation of chiral aggregates. Theoretical studies were also carried out to understand the interactions responsible for the formation of the superstructures.

A FIFO-based multicast network and its use in multicomputers

We present an implementation of a multicast network of processors. The processors are connected in a fully connected network and it is possible to broadcast data in a single instruction. The network works at the processor-memory speed and therefore provides a fast communication link among processors. A number of interesting architectures are possible using such a network. We show some of these architectures which have been implemented and are functional. We also show the system software calls which allow programming of these machines in parallel mode.

Structural Relationships in 2,3-Bis-n-decyloxyanthracene and 12-Hydroxystearic Acid Molecular Gels and Aerogels Processed in Supercritical CO2

Supercritical carbon dioxide is used to prepare aerogels of two reference molecular organogelators, 2,3-bis-n-decyloxyanthracene (DDOA) (luminescent molecule) and 12-hydroxystearic acid (HSA). Electron microscopy reveals the fibrillar morphology of the aggregates generated by the protocol. SAXS and SANS measurements show that DDOA aerogels are crystalline materials exhibiting three morphs: (1) arrangements of the crystalline solid (2D p6m), (2) a second hexagonal morph slightly more compact, and (3) a packing specific of the fibers in the gel. Aggregates specific of the aerogel (volume fraction being typically phi approximate to 0.60) are developed over larger distances (similar to 1000 angstrom) and bear fewer defaults and residual strains than aggregates in the crystalline and gel phases. Porod, Scherrer and Debye-Bueche analyses of the scattering data have been performed. The first five diffraction peaks show small variations in position and intensity assigned to the variation of the number of fibers and their degree of vicinity within hexagonal bundles of the related SAFIN according to the Oster model. Conclusions are supported by the guidelines offered by the analysis of the situation in HSA aerogels for which the diffraction pattern can be described by two coexisting lamellar-like arrangements. The porosity of the aerogel, as measured by its specific surface extracted from the scattering invariant analysis, is only 1.8 times less than that of the swollen gel and is characteristic of a very porous material.

Töhry- vai taidepolitiikkaa? Diskurssiteoreettinen tarkastelu graffitin artikulaatioista suhteessa kaupunkitilaan Helsingissä 1995– 2010

Graffitit ja katutaide vaikuttavat visuaaliseen ympäristöömme ja ovat viime vuosina herättäneet vilkasta keskustelua kaupunkitilan sallitun käytön rajoista. Helsingissä oli vuosina 1998–2008 käynnissä siistiin kaupunkikuvaan tähtäävä Stop töhryille -projekti. Projekti herätti vastustusta ja politisoitui: keskusteluun nousivat graffitien ja töhryjen lisäksi esimerkiksi julkisen tilan arvot, kaupunkitilan estetiikka, nuorten oikeus kaupunkiin ja taiteen rajat. Tässä tutkielmassa tarkastellaan vallankäyttöä kaupunkitilassa graffitien ja katutaiteen ympärillä käydyn keskustelun kautta. Tutkimus keskittyy yhden kaupungin, Helsingin, tarjoamaan esimerkkiin. Tutkimuksen tavoitteena on selvittää millaisia diskursseja graffiteista esitetään, kuinka puhe graffitien ympärillä politisoituu ja miten graffitin diskurssit liittyvät julkiseen tilaan. Kaupunki ja julkinen tila ymmärretään tässä tutkimuksessa Henri Lefebvren ja Doreen Masseyn teorioiden pohjalta sosiaalisena tuotteena ja siten poliittisena käsitteenä. Tutkimuksen pääasiallisen aineiston muodostavat Helsingin Sanomien aihepiiriä käsittelevät lehtitekstit vuosilta 1995–2010, analyysin apuna käytetään lisäksi kaupungin omia asiakirjoja, Internet-sivuja ja valokuvia. Tutkimustehtävää lähestytään Ernesto Laclaun ja Chantal Mouffen diskurssiteorian kautta. Laclau ja Mouffe ymmärtävät sosiaaliset merkitykset aina diskursiivisesti rakentuneiksi ja selittävät diskurssien muutosta poliittisen ontologian avulla. Tässä tutkimuksessa diskurssiteorian tarjoamista analyyttisista käsitteistä tärkeiksi nousevat diskurssi, tyhjät ja kelluvat merkitsijät, hegemonia ja sosiaalinen antagonismi. Aineiston perusteella näyttää siltä, että graffitien ympärillä Helsingissä vuosina 1995–2010 käyty keskustelu kiertyy karkeasti arvioiden kahden diskurssin ympärille ja jakaantuu kolmeen vaiheeseen. Kaksi läpi koko aineiston kulkevaa diskurssia, joiden osana graffitit artikuloidaan, nimetään tässä tutkimuksessa ”töhryn” ja ”taiteen” diskursseiksi. Keskustelun ensimmäisessä vaiheessa (1995–2000) Helsingin kaupunkikuvan töhriminen näyttäytyy vakavana ongelmana, joka vaatii hallinnolta ja poliitikoilta toimenpiteitä: graffitien torjumiseen tähtäävä Stop töhryille -projekti aloitetaan vuonna 1998. Keskustelun toisessa vaiheessa (2000–2007) Stop töhryille -projekti ja graffitit politisoituvat: projektista ja graffitien luvallisista tekopaikoista keskustellaan valtuustossa lähes vuosittain. Näkyville nousee antagonistinen jakolinja töhryn ja kaupunkitaiteen välillä: julkisuudessa esitetty kritiikki siirtyy töhritystä kaupunkikuvasta kohti Stop töhryille -projektia. Vuosi 2008, jolloin Stop töhryille -projekti loppuu, näyttäytyy dislokaation hetkenä. Kaupunginvaltuustossa graffitit artikuloidaan taiteena ja kaupunkikulttuurina; graffiteille löytyy nyt myös luvallista tilaa kaupungista. Diskurssiteorian käsittein voidaan ajatella töhryjen ja taiteen diskurssin taistelevan graffitikeskustelun hegemonisesta asemasta. Julkinen tila on molemmille diskursseille tärkeä, sillä kamppaillessaan graffitien määritelmästä ne kamppailevat jatkuvasti myös julkisesta tilasta ja sen määrittelemisen vallasta kaupungissa. Julkinen tila on paitsi materiaalista myös jatkuvasti debatissa syntyvää: sosiaalinen tuote. Graffitikeskustelussa syntyvä sosiaalinen antagonismi on tärkeä myös siinä mielessä, että sen kautta esiin nousevat esiin erilaiset näkemykset paitsi julkisesta tilasta myös taiteesta ja kulttuurista kaupungissa.

Sanomattakin selvää? : "Ja", "mutta" ja "että" puheenvuoron lopussa

This study describes the use of utterances ending in the conjunctions "ja" (‘and’), "mutta" (‘but’) or "että" (‘that’/‘so’) in Finnish conversation. It argues that in spoken interaction, these conjunctions are not only used as linking elements but also as final elements in interactional and linguistic units. In contrast to more traditional views, the study shows that final conjunctions do not always indicate incompleteness or project continuation, but that they can also form recognizable points for turn-transition. In these contexts they can be reanalyzed as final particles that leave some aspect of the turn implicit. The data for the study consist of audio-taped telephone conversations and videotaped service encounters. Situated within the framework of conversation analysis and interactional linguistics, the study discusses the interactional uses of conjunction-final turns and their recognizability as possibly complete units in talk-in-interaction. The analysis of conjunction-final utterances focuses on 1) participant orientation, and 2) their recurrent contexts of use. The results show that the recipients of conjunction-final utterances often treat them as sufficient and complete in their contexts by displaying understanding or agreement. When the same speaker continues after a pause, it is not always clear that the continuation was "planned" in advance; it can also be reactive to lack of expected uptake. In these cases, a turn can be analyzed as potentially complete even if the same speaker decides to continue after a pause. In the light of these observations, the study confirms the incremental nature of spoken language. All the final conjunctions under examination have recurrent and recognizable contexts of use. Most typically, a conjunction-final utterance is produced in the service of some earlier claim by the same speaker. The conjunction-final utterance may 1) specify the earlier claim with a detailing list ("ja"), 2) legitimize it by presenting grounds ("että") or 3) partly back down from it by making a concession ("mutta"). Together with the earlier claim, conjunction-final utterances form recognizable discourse patterns that are used for argumentative purposes. In these contexts, conjunctions are used to relinquish the floor instead of functioning as turn-holding devices. In conclusion, the study discusses the emergence of conjunctions as final particles – how their development can be explained. Conjunction-type final particles emerge from recurring situations in which the future course of the conjunction-final turn-so-far is clear enough to remain unsaid, to be left to inference. More specifically, this ability to leave something to inference often lies in the fixed discourse patterns that are conventionalized and predictable and thus reducible.

Ale jaskkot eatnigiella : Alkuperäiskansaliikkeen ja saamen kielen merkitys saamelaisten identiteetille

This study examines the Sámi people and the construction of the Sámi identity and the role of language in the cross-border Sámi movement within the context of the international indigenous movement and discourse between 1962 and 2008. The Sámi movement began as a reaction to state assimilation policies. This led to the birth of indigenous processes strengthening the Sámi cultures and languages. Activities across borders and the ethnopolitical processes in each of the Nordic countries in question also formed the basis of the internationalization of the Sámi people. The discourse on indigenous peoples has grown into a question of human rights, which is examined in different national and international contexts. The study is based on ethnographic data that has been collected via interviews, questionnaires and participant observation with the researched people in different meetings and events. Archive and newsprint material are also used. The approach of the study is auto-ethnographic. The post-colonial theories used in the study strive to destabilize power relations and the distinctions of otherness produced by colonialism, and to reclaim both one's own culture and language in the context of the indigenous movement. A standard model for this type of approach was created by Edward W. Said in his 1978 work Orientalism. The central concepts of the analysis are decolonization, otherness, ethnicity and identity. The dissertation consists of four published articles and an introduction. The subject matter is analyzed on three levels: global, European and Nordic. On the global level, the results demonstrate that the indigenous movement has constructed a new understanding of indigenousness with new rights. International treaties have facilitated the unification of new concepts and rights, such as the right to self-determination and language, also helping in transforming them into rights of the Sámi people on a national level. On the Nordic level, aligning the Sámi culture with indigenous discourse became significant for the process of developing the Sámi identity in the Sámi movement. In this process, the Sámi movement made use of Sámi languages in order to mobilize groups of people and to construct relatedness between different Sámi groups. The realization that one s own language is significant to one's culture has resulted in recreating the vitality, visibility and the legitimation of language in society more generally. The migration of the Sámi people from their traditional territories to increasingly multi-ethnic urban areas alters one's relationship to one's own community as the relationship to cultural traditions changes. Among the urban Sámi, who form a group of ‘new Sáminess’, linguistic discrimination and assimilation continue because of the lack of legislative and other effective language policy measures to promote the learning and use of the Sámi language.

Self-assembled composite nano-materials exploiting a thermo reversible n-acene fibrillar scaffold and organic-capped ZnO nanoparticles

An organic-inorganic composite material is obtained by self-assembly of 2,3-didecyloxy-anthracene (DDOA), an organogelator of butanol, and organic-capped ZnO nanoparticles (NPs). The ligand 3, 2,3-di(6-oxy-n-hexanoic acid)-anthracene, designed to cap ZnO and interact with the DDOA nanofibers by structural similarity, improves the dispersion of the NPs into the organogel. The composite material displays mechanical properties similar to those of the pristine DDOA organogel, but gelates at a lower critical concentration and emits significantly less, even in the presence of very small amounts of ZnO NPs. The ligand 3 could also act as a relay to promote the photo-induced quenching process.

Feedback Overhead-Aware, Distributed, Fast, and Reliable Selection

In a communication system in which K nodes communicate with a central sink node, the following problem of selection often occurs. Each node maintains a preference number called a metric, which is not known to other nodes. The sink node must find the `best' node with the largest metric. The local nature of the metrics requires the selection process to be distributed. Further, the selection needs to be fast in order to increase the fraction of time available for data transmission using the selected node and to handle time-varying environments. While several selection schemes have been proposed in the literature, each has its own shortcomings. We propose a novel, distributed selection scheme that generalizes the best features of the timer scheme, which requires minimal feedback but does not guarantee successful selection, and the splitting scheme, which requires more feedback but guarantees successful selection. The proposed scheme introduces several new ideas into the design of the timer and splitting schemes. It explicitly accounts for feedback overheads and guarantees selection of the best node. We analyze and optimize the performance of the scheme and show that it is scalable, reliable, and fast. We also present new insights about the optimal timer scheme.

Feedback overhead-aware fast distributed selection scheme for multi-node wireless systems

Opportunistic selection is a practically appealing technique that is used in multi-node wireless systems to maximize throughput, implement proportional fairness, etc. However, selection is challenging since the information about a node's channel gains is often available only locally at each node and not centrally. We propose a novel multiple access-based distributed selection scheme that generalizes the best features of the timer scheme, which requires minimal feedback but does not always guarantee successful selection, and the fast splitting scheme, which requires more feedback but guarantees successful selection. The proposed scheme's design explicitly accounts for feedback time overheads unlike the conventional splitting scheme and guarantees selection of the user with the highest metric unlike the timer scheme. We analyze and minimize the average time including feedback required by the scheme to select. With feedback overheads, the proposed scheme is scalable and considerably faster than several schemes proposed in the literature. Furthermore, the gains increase as the feedback overhead increases.

Hybrid organogels and aerogels from co-assembly of structurally different low molecular weight gelators

The blending of perfluorinated bile ester derivatives with the gelator 2,3-didecyloxyanthracene (DDOA) yields a new class of hybrid organo- and aerogels displaying a combination of optical and mechanical properties that differ from those of pure gels. Indeed, the nanofibers constituting the hybrid organogels emit polarized blue light and display dichroic near-UV absorption via the achiral DDOA molecules, thanks to their association with a chiral bile ester. Moreover, the thermal stability and the mechanical yield stress of the mixed organogels in DMSO are enhanced for blends of DDOA with the deoxycholic gelator (DC11) having a C-11 chain, as compared to the pure components' gels. When the chain length of the ester is increased to C-13 (DC13) a novel compound for aerogel formation directly in scCO(2) is obtained under the studied conditions. A mixture of this compound with DDOA is also able to gelate scCO(2) leading to novel composite aerogel materials. As revealed by SAXS measurements, the hybrid and the pure DDOA and DC13 aerogels display cell parameters that are very similar. These SAXS experiments suggest that crystallographic conditions are very favorable for the growth of hybrid molecular arrangements in which DDOA and DC13 units could be interchanged. Specific molecular interactions between two components are not always a pre-requisite condition for the formation of a hybrid nanostructured material in which the components mutually induce properties.

Optimal design of timer-based, distributed selection with unknown number of nodes

The timer-based selection scheme is a popular, simple, and distributed scheme that is used to select the best node from a set of available nodes. In it, each node sets a timer as a function of a local preference number called a metric, and transmits a packet when its timer expires. The scheme ensures that the timer of the best node, which has the highest metric, expires first. However, it fails to select the best node if another node transmits a packet within Delta s of the transmission by the best node. We derive the optimal timer mapping that maximizes the average success probability for the practical scenario in which the number of nodes in the system is unknown but only its probability distribution is known. We show that it has a special discrete structure, and present a recursive characterization to determine it. We benchmark its performance with ad hoc approaches proposed in the literature, and show that it delivers significant gains. New insights about the optimality of some ad hoc approaches are also developed.