Burnout e engagement nos m��dicos dos Hospitais do grande Porto

Disserta����o apresentada ao Instituto Polit��cnico do Porto para obten����o do Grau de Mestre em Gest��o das Organiza����es, Ramo de Gest��o de Empresas Orientada por: Prof. Doutor Eduardo Manuel Lopes de S�� e Silva Coorientada por: Mestre Adalmiro ��lvaro Malheiro de Castro Andrade Pereira Esta disserta����o inclui as cr��ticas e sugest��es feitas pelo j��ri.

O Burnout e o engagement: estudo numa amostra de professores do ensino superior p��blico portugu��s

Disserta����o apresentada ao Instituto Polit��cnico do Porto para obten����o do Grau de Mestre em Gest��o das Organiza����es, Ramo de Gest��o de Empresas. Inclui as sugest��es do Jur�� Orientada por Prof.�� Doutora Maria Alexandra Pacheco Ribeiro da Costa

Peculiarities of the professional education and qualification appraisal of assistants of pharmacists in Lithuania

Following the alterations and additions to the pharmaceutical law of Lithuanian Republic the pharmaceutical activity in Lithuanian pharmacies is carried out by pharmacy specialists ��� pharmacists and pharmacy assistants (pharmacy technicians). The ability of pharmacy specialists to adapt, to improve and to develop their competencies is one of the success preconditions for Lithuanian health care pharmacy sector. Work aim: to investigate the changes among the specialists employed in pharmacies and pharmacy sector as well as to highlight the necessity to develop the qualification of pharmacy assistants (pharmacy technicians) according to the modern pharmaceutical legal basis in Lithuania. In 2008���2011 the research in Lithuanian pharmacy sector was performed which identified the changes in the numbers of pharmacies and their staff: the number of pharmacies decreased, while the number of pharmacists increased and the number of the assistants of pharmacists (pharmacy technicians) decreased. The decrease in the number of the assistants of pharmacists (pharmacy technicians) and the danger of their extinction in the future has been identified. The qualification appraisal for pharmacy assistants (pharmacy technicians) is implemented through the leveling studies at the Pharmacy technique department at the Health care faculty of Kauno Kolegija University of applied sciences and pharmacy study programme at the faculty of Pharmacy of Medical Academy at Lithuanian University of Health Sciences. 75 % of respondents use their own money to pay for the qualification appraisal, and 25 % of respondents get financial support for the qualification appraisal activities from the pharmacy managers.

Accounting logic and new professional in healthcare: a case study

The central place hospitals occupy in health systems transforms them into prime target of healthcare reforms. This study aims to identify current trends in organizational structure change in public hospitals and explore the role of accounting in attempts to develop controls over professionals within public hospitals. The analytical framework we proposed crosses the concept of ���new professionalism��� (Evetts, 2010), with the concept of ���accounting logic��� for controlling professionals (Broadbent and Laughlin, 1995). Looking for a more holistic overview, we developed a qualitative and exploratory study. The data were collected trough semi-structured interviews with doctors of a clinical hospital unit. Content analysis suggests that, although we cannot say that there is a complete and generalized integration of accounting information in the clinical decisions, important improvement has been made in that area. Despite the extensive literature developed on this topic, there is any empirical studies of authors are aware that allow us to realize how real doctors in reals day-to-day work integrated these trends of change in theirs clinical decisions.

Using the TRAILER tool for managing informal learning in academic and professional contexts: the learner perspective

Informal Learning plays an important role in everyone's life and yet we often are unaware of it. The need to keep track of the knowledge acquired through informal learning is increasing as its sources become increasingly diverse. This paper presents a study on a tool developed to help keeping track of learners' informal learning, both within academic and professional contexts, This tool, developed within the European Commission funded TRAILER project, will further integrate the improvements suggested by users during the piloting phase. The two studied contexts were similar regarding the importance and perception of Informal Learning, but differed concerning tool usage. The overall idea of managing one's informal learning was well accepted and welcomed, which validated the emerging need for a tool with this purpose.

Managing Informal Learning in professional contexts: the learner���s perspective

Informal Learning is present in everyone's life but its awareness only recently has been reported. The need to keep track of the knowledge acquired this way is increasing as its sources diversity also increases. This work presents the pilots trials on the use of a tool developed to help keeping track of the learners��� informal learning, within a number of companies spread out in three countries. This tool developed through the European Commission funded project TRAILER, is still under development, which will allow integrating the set of improving suggestions obtained from users during the piloting phase. The overall idea of managing one���s informal learning was well accepted and welcomed, which validated the emerging need for a tool with this purpose.

Effects of self-administered exercises based on Tuina techniques on musculoskeletal disorders of professional orchestra musicians: a randomized controlled trial

Background Musicians are frequently affected by playing-related musculoskeletal disorders (PRMD). Common solutions used by Western medicine to treat musculoskeletal pain include rehabilitation programs and drugs, but their results are sometimes disappointing. Objective To study the effects of self-administered exercises based on Tuina techniques on the pain intensity caused by PRMD of professional orchestra musicians, using numeric visual scale (NVS). Design, setting, participants and interventions We performed a prospective, controlled, single-blinded, randomized study with musicians suffering from PRMD. Participating musicians were randomly distributed into the experimental (n = 39) and the control (n = 30) groups. After an individual diagnostic assessment, specific Tuina self-administered exercises were developed and taught to the participants. Musicians were instructed to repeat the exercises every day for 3 weeks. Main outcome measures Pain intensity was measured by NVS before the intervention and after 1, 3, 5, 10, 15 and 20 d of treatment. The procedure was the same for the control group, however the Tuina exercises were executed in points away from the commonly-used acupuncture points. Results In the treatment group, but not the control group, pain intensity was significantly reduced on days 1, 3, 5, 10, 15 and 20. Conclusion The results obtained are consistent with the hypothesis that self-administered exercises based on Tuina techniques could help professional musicians controlling the pain caused by PRMD. Although our results are very promising, further studies are needed employing a larger sample size and double blinding designs.

Immediate effects of Tuina techniques on working-related musculoskeletal disorder of professional orchestra musicians

BACKGROUND: Musicians are a prone group to suffer from working-related musculoskeletal disorder (WRMD). Conventional solutions to control musculoskeletal pain include pharmacological treatment and rehabilitation programs but their efficiency is sometimes disappointing. OBJECTIVE: The aim of this research is to study the immediate effects of Tuina techniques on WRMD of professional orchestra musicians from the north of Portugal. DESIGN, SETTING, PARTICIPANTS AND INTERVENTIONS: We performed a prospective, controlled, single-blinded, randomized study. Professional orchestra musicians with a diagnosis of WRMD were randomly distributed into the experimental group (n=39) and the control group (n=30). During an individual interview, Chinese diagnosis took place and treatment points were chosen. Real acupoints were treated by Tuina techniques into the experimental group and non-specific skin points were treated into the control group. Pain was measured by verbal numerical scale before and immediately after intervention. RESULTS: After one treatment session, pain was reduced in 91.8% of the cases for the experimental group and 7.9% for the control group. CONCLUSION: Although results showed that Tuina techniques are effectively reducing WRMD in professional orchestra musicians of the north of Portugal, further investigations with stronger measurements, double-blinding designs and bigger simple sizes are needed.

Condi����es de trabalho, comprometimento organizacional e sa��de mental: um estudo no setor da bricolage

A presente investiga����o tem como objetivo principal avaliar a rela����o entre as Condi����es de Trabalho, o Comprometimento Organizacional, a Satisfa����o Social, e a Sa��de Mental dos trabalhadores no setor da Bricolage. �� sua inten����o compreender se as Condi����es de Trabalho s��o preditoras de Comprometimento Organizacional e Satisfa����o com as Rela����es Sociais, e se o Comprometimento Organizacional explica o Burnout, a Ansiedade e a Depress��o destes trabalhadores. Investiga igualmente, atrav��s de an��lises explorat��rias, a poss��vel influ��ncia de algumas vari��veis sociodemogr��ficas e profissionais nos diversos construtos verificados. Participaram neste estudo, num universo de 564 colaboradores de organiza����es de venda de material de Bricolage da regi��o Norte de Portugal, 190 trabalhadores (33,7%), sendo que 42,6% (n = 81) s��o do sexo Feminino e 57,4% (n = 109) do sexo Masculino. A metodologia do estudo seguiu uma abordagem quantitativa, com car��cter descritivo, explorat��rio e preditivo, com utiliza����o de inqu��rito por question��rio. A recolha de dados foi feita num ��nico momento atrav��s de uma s��rie de instrumentos, entre os quais: Cuestionario de Condiciones de Trabajo (qCT) ��� Escalas M��todo e Ambiente; Three-Component Model of Organizational Commitment; The General Health Questionnaire (GHQ-12); World Health Organization Quality of Life ��� Bref (WHOQOL-Bref) ��� Escala das Rela����es Sociais; Maslach Burnout Inventory ��� General Survey (MBI-GS); Ficha Demogr��fico Profissional. As an��lises psicom��tricas destes mostraram uma validade e uma fidelidade bastante satisfat��ria. Os resultados obtidos neste estudo apontam, que as Condi����es de Trabalho s��o preditoras, quer do Comprometimento Organizacional, quer da Satisfa����o com as Rela����es Sociais. O Comprometimento Organizacional ��, preditor significativo de maior Sa��de Mental, e igualmente de menor s��ndrome de Burnout. As an��lises explorat��rias mostraram diferen��as significativas em termos de vari��veis sociodemogr��ficas (e.g. Idade: Comprometimento Organizacional, Sa��de Mental e Burnout; Estado Civil: Condi����es de Trabalho; N��mero de Filhos: Comprometimento Organizacional). Quanto ��s vari��veis profissionais, foram encontradas signific��ncias na Antiguidade (Comprometimento Organizacional e Sa��de Mental) e na Fun����o (Comprometimento Organizacional, Condi����es de Trabalho e Burnout). No final deste trabalho s��o discutidos e apresentados os principais resultados obtidos e as suas conclus��es.