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Browsing by Author "Toivonen, Salla"

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  • Lääkitystiedon ajantasaistaminen ja kotilääkitykseen liittyvät riskit uutta syöpää sairastavilla potilailla – tutkimus yliopistollisen keskussairaalan syöpäpoliklinikalla 
    Toivonen, Salla (2023)
    The lack of up-to-date medication information in healthcare electronic information systems, the transfer of medication information with the patient, and the overall management of medication are key challenges in health care. The number of cancer patients in Finland will increase in the future due to the aging of the population, early detection of cancer, improvement in cancer prognosis and the development of cancer treatments. The development creates a need for operating models that improve medication safety. Medication safety of cancer patients can be improved with clinical pharmacy services, such as medication reconciliation and medication review. The aim of this study was to investigate the accuracy of the medication charts and identify the drug related problems and risks related to home medications among patients with newly diagnosed cancer in the Oncologic Outpatient Clinic of Turku University Central Hospital. This was a retrospective register-based study carried out as an operational development project to obtain information about the current operational model of pharmacist-led medication reconciliation and to further develop it. The theoretical starting point for the study was the theory of human error, according to which factors endangering patient safety can be prevented by using system-based safety defences. In the study, almost every (93 %, 69/74) patient's medication information differed from the hospital's information. A total of 392 discrepancies related to medication information and an average of 5,3 discrepancies per patient were observed in the data (range 0-15 discrepancies). High alert medications accounted for 14 % (n=53/392) of all discrepancies. It took an average of 19 minutes per patient to confirm a medication reconciliation (range 5-48 minutes). During medication reconciliation the pharmacist recorded observations for the doctor in 15 (20 %, n=15/74) patients. In the retrospectively performed medication review, a total of 183 possible drug related problems or risks related to patients’ home medications were observed in 31 (84 %, n=31/37) patients. Pharmacist-led medication reconciliation proved to be a fast and effective way to find out the patient's overall medication. In the future, the operating model should be developed to detect drug related problems, and risks related to patients’ home medications. In situations of limited resources, the clinical pharmacy services should be targeted to patients with the highest risk to drug related problems.
  • Perheenisien kokemuksia metatyöstä lapsiperheessä 
    Toivonen, Salla (2024)
    The aim of the thesis is to find out the views of fathers on mental work. The study highlights the views and experiences of fathers alongside those of women and mothers, which are highlighted in previous research and general discussion related to mental work. Mental work and housework are closely related. Mental work is preparatory, predictive and related to planning (Daminger, 2019). Without mental work everyday life in the home and doing housework would be less fluent and controlled. The mental work can be challenging to recognize, as it is not always concrete. This is why it is often invisible in everyday life. Because of its invisibility, it is also challenging to study. Mental work has been studied in relation to home work, but there is a research gap in the field of research into mental work itself in the everyday life of a household and its everyday operations. Previously, metal work has been studied in the field of sociology. This research follows the qualitative tradition. The data consists of seven semi-structured theme interviews of fathers, conducted in the autumn of 2023. The fathers studied had at least one child under the age of 18 living at home. In addition, the fathers were in a hetero-sexual relationship, which allowed for the reflection of gender differences. The fathers stud-ied were of different ages, they had different lengths of experience in managing work and everyday life in the home and as a father. The data were analyzed by qualitative content analysis. The study results showed that fathers did mental work in varying degrees in the families studied. Even fathers who do a lot of home mental work at home did not experience a bur-den of mental work in their everyday life. In addition, it seems that fathers may view mental work with a more relaxed attitude than their wives, according to a previous study. Fathers' comments featured value choices in striving for equality concerning the mental work at their homes.

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