The meaning of evidence-based management to brazilian senior nurse leaders

Purpose: The study objective was to understand the meaning of evidence-based management for senior nurse leaders in accredited, public hospitals in the State of Sao Paulo, Brazil. Design and Method: A phenomenological approach was used to analyze interviews conducted with 10 senior nurse leaders between August 2011 and March 2012. The analytic method was developed by the Brazilian phenomenologist, Martins. Findings: Senior nurse leaders described how they critically appraise many sources of evidence when making managerial decisions. They emphasized the importance of working with their teams to locally adapt and evaluate best evidence associated with managerial decision making and organizational innovations. Their statements also demonstrated how they use evidence-based management to support the adoption of evidence-based practices. They did not, however, provide specific strategies for seeking out and obtaining evidence. Notable challenges were traditional cultures and rigid bureaucracies, while major facilitators included accreditation, teamwork, and shared decision making. Conclusions: Evidence-based management necessitates a continuous process of locating, implementing, and evaluating evidence. In this study leaders provided multiple, concrete examples of all these processes except seeking out and locating evidence. They also gave examples of other leadership skills associated with successful adoption of evidence-based practice and management, particularly interdisciplinary teamwork and shared decision making. Clinical Relevance: This study demonstrates senior nurse leaders' awareness and utilization of evidence-based management. The study also suggests what aspects of evidence-based management need further development, such as more active identification of potential, new organizational innovations. © 2013 Sigma Theta Tau International.

Estratégias pedagógicas para alunos com deficiência mental severa: um estudo sobre a atuação de professores de educação especial

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Estudos para implantação de reservas legais: uma nova perspectiva na conservação dos recursos naturais

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Fatores facilitadores e inibidores no uso das comunidades de prática: um estudo de caso em uma empresa alemã

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Impacto de intervenção educacional e grupo sobre o consumo de frutas, verduras e legumes de agentes comunitários de saúde do município de Botucatu-SP

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Dificuldades referidas por pessoas com deficiência física em um inquérito de saúde no município de Botucatu

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Eliminação da espécie Mimosa caesalpiniifolia Benth. (sansão-do-campo) em florestas em processo de restauração

Pós-graduação em Ciência Florestal - FCA

O jogo simbólico livre e dirigido e as manifestações do juízo moral em crianças da educação infantil

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Facilidades e dificuldades apontadas por professores de matemática ao atingir algumas das boas práticas de ensino

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Fatores facilitadores e restritivos no processo de gestão de franquias sob o ponto de vista do franqueado: um estudo multicasos no setor de alimentação

The present study sought to identify which are the facilitators and restrictive in the creation and management of franchises from the point of view of process factors franchisees. For this, we first proposed to critically analyze its creation and management.The specific objectives of this work are: a) to understand in the light of the theory , the basic requirements for creating franchises b ) identify, from the literature review , facilitators and restrictive factors in the process of franchise management , c) develop a survey tool to critically analyze the processes of creating and managing a franchise from the point of view of the franchisee , and d ) to review the process of creating and managing franchises , from the perspective of four franchised food services in the municipalities of Ribeirão Preto and Sao Jose do Rio Preto - SP . A descriptive qualitative work, which found the most important features about the franchises, through a study of 4 franchises in the food industry of São Paulo was performed. To complete the survey was conducted a semi-structured interview, containing questions regarding the main elements of a business: creating, planning, organization, direction and control. It was found that franchising is a business model with controversies. There are people who deal well with the system and that through him realize dreams such as owning their own business. Others need to think many times before embarking in business since the entrepreneurship factor can be so intense that it hinders the acceptance of norms and duties to the system. This causes some factors such as communication, measurement of outcomes, implementation plan and among others are considered restrictive or facilitators in the process of strategy management of franchises

Uma perspectiva crítico-dialética das pedagogia do aprender a aprende e o uso da tecnologia como facilitador na educação: revisitando as políticas educacionais

This article proposes an analysis of two interrelated contemporary phenomenon, which are - the pedagogy of "learning to learn" and the resources used as learning facilitators. Both are considered as strategic instruments to current educational policy, being referenced and quoted in national and international documents. For sake of them, methodological changes occurred in learning: teaching got to be outside the classroom, the learning mediator instrument stopped to focus on the figure of the teacher, new methods of teaching were invented and the students get a quickly practical and accurate access to the information. However, from a critical-and-dialectical perspective, this study aims to raise questions about these changes and understand through the concept of mediation, the role of the educational practice, especially at school, currently are taking place in our society.

Poesia é isso e aquilo: um estudo das reflexões metapoéticas na poesia de Sebastião Uchoa Leite

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Older people's perspectives on participation in physical activity: a systematic review and thematic synthesis of qualitative literature

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

A preparação para performance musical de quarteto de violões

Pós-graduação em Música - IA

Educação permanente em saúde em unidades críticas de um hospital de ensino: elaboração de material de apoio

Pós-graduação em Enfermagem (mestrado profissional) - FMB