Portraying innovation in the public service of Brazil: Frameworks, systematization and characterization

ABSTRACT Innovation is essential for improving organizational performance in both the private and public sectors. This article describes and analyzes the 323 innovation experiences of the Brazilian federal public service that received prizes during the 16 annual competitions (from 1995 to 2012) of the Award for Innovation in Federal Public Management held by the Brazilian National School of Public Administration (ENAP). It is a qualitative and quantitative study in which were employed as categories for analysis the four types of innovation defined in the Copenhagen Manual: product, process, organizational and communication. The survey results allow us to affirm that there is innovation in the public sector, in spite of the skepticism of some researchers and the incipient state of theoretical research on the subject. It was possible to observe that organizational innovation was the one with the highest number of award- -winning experience, followed respectively by process, communication and product innovation, with citizen services and improvement of work processes being the main highlights. The results showed that, although the high incidence of innovation occurs at the national level, a significant number of innovations also occur at the local level, probably because many organizations of the federal government have their actions spread only at this level of government. Concerning the innovative area, health and education predominate, with almost 33% of initiatives, which can be explained by capillarity of these areas and the fact that both maintain a strong interaction with the user. The contributions of this work include the use of theoretical model of innovation analysis in the public sector in Brazil still upcoming, and the systematization of knowledge in empirical basis for this innovation. In this sense, it also contributes to the development of the theory with the presentation of evidence that the characteristics, determinants and consequences of innovation in the public sector differ not only from innovation in the industry, but also from innovation in services in the private sector.

Knowledge and attitude regarding standard precautions in a Brazilian public emergency service: a cross-sectional study

The purpose of this study was to assess the knowledge and attitude of health care professionals regarding their use of universal precaution measures at a public emergency service. The study also aimed to assess the rates of occupational accidents involving biological substances among those workers. This study was performed with 238 workers, from June to November 2006, using univariate and multivariate analysis. The chance of not adopting precaution measures was 20.7 (95% CI: 5.68 - 75.14) times greater among drivers compared to physicians. No significant association was found between adopting universal precaution measures. The occupational accident rate was 20.6% (40.8% involving sharp-edged objects). The risk of physicians having an occupational accident was 2.7(95% CI: 1.05 - 7.09) times higher than that of drivers. The fact that a staff member had adequate knowledge about universal precaution measures was insufficient to foster compatible attitudes towards reducing the risk of transmitting infectious agents and causing occupational accidents.

Teaching-service integration: implications and roles in experiences of Undergraduate Courses in Nursing

The study aimed at understanding the implications of the teaching-service integration to nursing education from the perspective of teachers, students and professionals in Primary Healthcare as well as identifying the roles of teachers and professionals who follow practical experiences in education. This is a case study of qualitative approach carried out in five undergraduate courses in Nursing in the state of Santa Catarina. A total of 22 teachers and 14 professionals were interviewed and five focus groups were conducted with students. Results are presented in two categories: Implications of the teaching-service integration to education in Nursing: contributing factors and intervening factors and Relationships established in the experiences: a unison speech and a dissonant practice. The contributions of the teaching-service integration are undeniable. Despite this belief, there are intervening factors that need to be on the agenda for discussion. The role of facilitator in education emerged strongly despite conflicting perceptions remain.

Evaluation of prenatal care in unit with family health strategy

We analyzed prenatal care (PN) provided at a unit of the Family Health Strategy Service in São Paulo, according to the indicators of the Program for the Humanization of Prenatal and Birth (PHPB). We compared adequacy of PN in terms of sociodemographic variables, procedures, examinations and maternal and perinatal outcomes. Cross-sectional study with data from records of 308 pregnant women enrolled in 2011. We observed early initiation of PN (82.1%), conducting of a minimum of six consultations (84.1%), puerperal consultation (89.0%); to the extent that there is a sum of the actions, there is a significant drop in the proportion of adequacy. Prenatal care was adequate for 67.9%, with a significant difference between adequacy groups in relation to gestational age and birth weight. Prenatal care deficiencies exist, especially in regards to registration of procedures, exams and immunization. The difference between adequacy groups with respect to perinatal outcomes reinforces the importance of prenatal care that adheres to the parameters of the PHPB.


Use and records of child health handbook focused on growth and development

Objective To evaluate the use and records of the Child Health Handbook (CHH), especially growth and development. Method Cross-sectional study with 358 mother-child pairs registered in 12 Primary Health Centers (PHCs) of a small municipality. Mothers were interviewed at the PHC from February to April 2013 using a questionnaire. Data analysis was done using WHO Anthro software, Epi InfoTM and Stata. Results Fifty-three percent of the mothers were carrying the CHH at the time of the interview, similar to the proportion of mothers who were instructed to bring the CHH to health appointments. Annotations in the CHH during the visits were reported by 49%. The vaccination schedule was completed in 97% of the CHH, but only 9% and 8% of the CHH, respectively, contained growth charts and properly completed developmental milestones. Conclusion Low rates of use and unsatisfactory record-keeping in the CHH reinforce the need for investment in professional training and community awareness for the CHH to become an effective instrument of promotion of child health.

Pleasure-suffering indicators of nursing work in a hemodialysis nursing service

OBJECTIVE To measure the pleasure and suffering indicators at work and relate them to the socio-demographic and employment characteristics of the nursing staff in a hemodialysis center in southern Brazil. METHOD Quantitative research, with 46 workers. We used a self-completed form with demographic and labor data and the Pleasure and Suffering Indicators at Work Scale (PSIWS). We conducted a bivariate and correlation descriptive analysis with significance levels of 5% using the Epi-Info® and PredictiveAnalytics Software programs. RESULTS Freedom of Speech was considered critical; other factors were evaluated as satisfactory. The results revealed a possible association between sociodemographic characteristics and work, and pleasure and suffering indicators. There was a correlation between the factors evaluated. CONCLUSION Despite the satisfactory evaluation, suffering is present in the studied context, expressed mainly by a lack of Freedom of Speech, with the need for interventions to prevent injury to the health of workers.

Factors associated with the quality of prenatal care: an approach to premature birth

OBJECTIVETo assess the quality of prenatal care in mothers with premature and term births and identify maternal and gestational factors associated with inadequate prenatal care.METHODCross-sectional study collecting data with the pregnant card, hospital records and interviews with mothers living in Maringa-PR. Data were collected from 576 mothers and their born alive infants who were attended in the public service from October 2013 to February 2014, using three different evaluation criteria. The association of prenatal care quality with prematurity was performed by univariate analysis and occurred only at Kessner criteria (CI=1.79;8.02).RESULTSThe indicators that contributed most to the inadequacy of prenatal care were tests of hemoglobin, urine, and fetal presentation. After logistic regression analysis, maternal and gestational variables associated to inadequate prenatal care were combined prenatal (CI=2.93;11.09), non-white skin color (CI=1.11;2.51); unplanned pregnancy (CI=1.34;3.17) and multiparity (CI=1.17;4.03).CONCLUSIONPrenatal care must follow the minimum recommended protocols, more attention is required to black and brown women, multiparous and with unplanned pregnancies to prevent preterm birth and maternal and child morbimortality.

Cultural singularities: indigenous elderly access to Public Health Service

OBJECTIVEDescribing how Kaingang seniors and their primary caregivers experience access to public health services.METHODA qualitative study guided by ethnography, conducted with 28 elderly and 19 caregivers. Data were collected between November 2010 and February 2013 through interviews and participative observation analyzed by ethnography.RESULTSThe study revealed the benefits and difficulties of the elderly access to health services, the facility to obtain health care resources such as appointments, medications and routine procedures, and the difficulties such as special assistance service problems and delays in the dispatching process between reference services.CONCLUSIONThe importance of knowing and understanding the cultural specificities of the group in order to offer greater opportunities for the elderly access to health services was reinforced.

Records of Myodopsylla wolffsohni wolffsohni (Rothschild, 1903) (Siphonaptera, Ischnopsyllidae) on Myotis nigricans Schinz, 1821 (Chiroptera, Vespertilionidae), from the State of Paraná, Southern Brazil

The flea, Myodopsylla wolffsohni wolffsohni (Rothschild, 1903), had been recorded for the first time in the State of Paraná in 1940, on the bat, Myotis levis (I. Geoffroy, 1824). Previously, this species of flea had only been recorded on Myotis nigricans, in the Amazonian region. This is the second record of M. w. wolffsohni on M. nigricans in Brazil, and the first in the State of Paraná. Although this flea has been found on undetermined Chiroptera in the State of Santa Catarina, the present record represents the meridional limit of geographic distribution for the infestation on M. nigricans.

New records of Simuliidae (Diptera, Nematocera) in the State of São Paulo, Brazil

Adult and immature Simuliidae were studied in 31 streams of 8 regions of the State of São Paulo. Among the 25 species collected, seven are new records for the State of São Paulo, and one of them, Simulium shewellianum Coscarón, 1985 for Brazil as well.

Hybotinae (Diptera, Empidoidea, Hybotidae) from the Dominican Republic: new records and description of new species

Hybotinae is being recorded for the first time to Dominican Republic where the subfamily becomes represented by the genera Euhybus Coquillett, 1895, Neohybos Ale-Rocha & Carvalho, 2003 and Syneches Walker, 1852. Euhybus and Neohybos occur exclusively in the Americas, and Syneches is cosmopolitan. Six new species are described and illustrated: Euhybus martiniensis sp. nov., Neohybos cinereus sp. nov., N. longicornis sp. nov., N. pruinosus sp. nov., N. setosus sp. nov. and Syneches dominicanus sp. nov.. Identification keys are provided for the species of the three hybotine genera registered in West Indies. The following species are recorded for the first time from the Dominican Republic: Syneches inversus Curran, 1928, S. pallidus Wilder, 1974 and S. vineus Wilder, 1974. The previously unknown female of S. inversus is described.

First records of Collembola (Ellipura) from the State of Paraíba, Northeastern Brazil

This paper presents the first records of the Collembola fauna in four localities of State of Paraíba, Northeastern Brazil. These records represent the first list of species of Collembola for the State of Paraíba. The research adds new records for Brazil of six genera and one species. Furthermore, thirteen undescribed species are presented.

New records of Chironomus Meigen (Diptera, Chironomidae) in the State of São Paulo, Brazil

In this paper seven species of the genus Chironomus Meigen, 1803 are recorded for the first time in the State of São Paulo (Brazil). C. stigmaterus Say, 1823 and C. columbiensis Wülker et al., 1989 are new records for Brazil, while C. calligraphus Goeldi, 1905, C. strenzkei Fittkau, 1968, C. gigas Reiss, 1974, C. latistylus Reiss, 1974 and C. paragigas Reiss, 1974 had already been registered in aquatic systems in North and Northeast regions of Brazil.

Taxonomy and morphology of Apsil Malloch (Diptera, Muscidae, Coenosiinae, Coenosiini) with new records, description of a new species and a key to identification

Taxonomy and morphology of Apsil Malloch (Diptera, Muscidae, Coenosiinae, Coenosiini) with new records, description of a new species and a key to identification. Apsil Malloch (Diptera, Muscidae, Coenosiinae, Coenosiini) includes 10 species, most of them described from Chile, but some also from Argentina. Five of them and one new species were found at the California Academy of Sciences collection (San Francisco, California) during the course of a project developed in that institution. Almost all material studied was collected in Chile, mainly by M. E. Irwin, during the year of 1966. Brief diagnosis of the known studied species (A. apicata Malloch, A. atripes Malloch, A. dilata Malloch, A. maculiventris Malloch (female described for the first time) and A. spatulata, Malloch), the description of A. mallochi, sp. nov. and a key for the identification of all known species are given. Color illustrations of some morphological characters make easier the recognition of the species. New geographic records were assigned.

Cordiluroides Albuquerque from Costa Rica: first records, descriptions and taxonomic changes (Diptera, Muscidae, Coenosiinae)

Cordiluroides Albuquerque is a genus of Neotropical Coenosiinae (Muscidae), known from six species. The genus is here recorded for the first time from Costa Rica, on the basis of three species: C. listrata Albuquerque, 1954, C. insularis (Willliston, 1896) and C. bistriata (Wulp, 1896) sp. rev.. We provide a key for the identification of these Costa Rican species, redescribe and illustrate their external morphological characters and terminalia. C. bistriata and C. vittifera (Stein, 1904) are both considered to be good species and are re-instated from the synonymy of C. insularis. The type material of C. listrata (Museu Nacional, Rio de Janeiro), of C. insularis and C. bistriata (The Natural History Museum, London) and of C. vittifera (Museum für Naturkunde, Humboldt-Universität zu Berlin) has been examined.