854 resultados para Nurses with management functions
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No setor hospitalar, o marketing compe um grupo interdependente de servios e tem como objetivo principal aproximar clientes - externos, internos e corpo gestor -, atravs de estratgias especficas que promovem satisfao e qualidade. Esta organizao possui uma larga diversidade de profissionais da sade e o marketing, neste sentido, auxilia no processamento de seus servios de forma a lapid-los sob a tica do cliente, buscando efetividade e produtividade. Neste cenrio encontra-se o enfermeiro, cujo trabalho composto pelas dimenses cuidar, gerenciar, educar/pesquisar, que se entrelaam e caracterizam o servio deste profissional. No entanto, costumeiramente, a enfermagem no declara o marketing como uma ferramenta estratgica ao seu processo de trabalho fato verificvel na explorao de publicaes cientficas -, e, paralelamente, depara-se com empecilhos na execuo de seu trabalho que podem comprometer a sua excelncia. Assim, este estudo busca analisar a relao do marketing com o trabalho do enfermeiro nas dimenses cuidar, gerenciar, ensinar/pesquisar. Para sua efetivao, optou-se pelo referencial metodolgico Estudo de Caso, onde o fenmeno verificado como ocorre em seu cenrio real. Assim, a coleta, caracterizada por pesquisador e unidade nicos, ocorreu em um hospital universitrio, geral e pblico no sul do pas que declara publica e virtualmente o marketing institucional. Como fontes de evidncia, foram utilizadas: entrevista focada com quatro sujeitos de reas estratgicas para esta pesquisa; anlise de documentao criada pela assessoria de marketing e observao direta. O tratamento e a anlise dos dados ocorreram por meio da Anlise Temtica, que possibilitou a exposio dos resultados atravs de dois artigos: A relao do marketing com o processo de trabalho do enfermeiro na dimenso cuidar e A relao do marketing com o processo de trabalho do enfermeiro nas dimenses gerenciar e educar/pesquisar. Os resultados evidenciaram que o marketing no cuidar - auxilia a efetividade do cuidado atravs de novas estratgias de comunicao com o usurio, produz materiais elucidativos, ldicos para sua continuao e manuteno e o divulga no meio intra e extra-hospitalar; no gerenciar - auxilia a o enfermeiro a ter um mtodo mais inovador e criativo, a focar no cliente e no bom relacionamento interpessoal com a equipe; no educar/pesquisar - cria canais de comunicao interna e campanhas nicas que, alm de auxiliar na realizao da educao permanente e na atualizao de enfermeiros, propicia meios para transmitir novos achados cientficos prtica da enfermagem hospitalar. Atravs deste estudo, percebeu-se que aes de marketing podem contribuir para a efetividade do trabalho do enfermeiro em suas facetas dimensionais, aproximando este agente de sade do usurio ao qual seu servio destinado e da gesto da organizao, propiciando a este profissional maior visibilidade e valorizao no espao hospitalar e social.
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In 2014, the Australian Government implemented the Emissions Reduction Fund to offer incentives for businesses to reduce greenhouse gas (GHG) emissions by following approved methods. Beef cattle businesses in northern Australia can participate by applying the 'reducing GHG emissions by feeding nitrates to beef cattle' methodology and the 'beef cattle herd management' methods. The nitrate (NO3) method requires that each baseline area must demonstrate a history of urea use. Projects earn Australian carbon credit units (ACCU) for reducing enteric methane emissions by substituting NO3 for urea at the same amount of fed nitrogen. NO3 must be fed in the form of a lick block because most operations do not have labour or equipment to manage daily supplementation. NO3 concentrations, after a 2-week adaptation period, must not exceed 50 g NO3/adult animal equivalent per day or 7 g NO3/kg dry matter intake per day to reduce the risk of NO3 toxicity. There is also a 'beef cattle herd management' method, approved in 2015, that covers activities that improve the herd emission intensity (emissions per unit of product sold) through change in the diet or management. The present study was conducted to compare the required ACCU or supplement prices for a 2% return on capital when feeding a low or high supplement concentration to breeding stock of either (1) urea, (2) three different forms of NO3 or (3) cottonseed meal (CSM), at N concentrations equivalent to 25 or 50 g urea/animal equivalent, to fasten steer entry to a feedlot (backgrounding), in a typical breeder herd on the coastal speargrass land types in central Queensland. Monte Carlo simulations were run using the software @risk, with probability functions used for (1) urea, NO3 and CSM prices, (2) GHG mitigation, (3) livestock prices and (4) carbon price. Increasing the weight of steers at a set turnoff month by feeding CSM was found to be the most cost-effective option, with or without including the offset income. The required ACCU prices for a 2% return on capital were an order of magnitude higher than were indicative carbon prices in 2015 for the three forms of NO3. The likely costs of participating in ERF projects would reduce the return on capital for all mitigation options. CSIRO 2016.
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The theoretical foundation of this study addresses the construct Quality of Worklife involving pro-active reading organizations in face to social developments of the working class, which is a challenge to the people s management. In this sense, as a contribution to the studies of quality of worklife (QOWL), this study addresses the quality of lifework of nurses at Walfredo Gurgel and Santa Catarina public hospitals. The goal is to make a diagnosis about the quality of lifework of these employees taking as a basis dimensions and performance indicators shown in the model by Fernandes (1996). The research is characterized by field, in a descriptive way. This survey comprised 75 nurses, with 49 by Walfredo Gurgel hospital and 26 by Santa Catarina one. The data collection was carried out through structured questionnaire. The questions were processed in the software Statistic 6.0, with factor analysis and multiple regressions, after the systematization of data. As a result, the most nurses in hospitals are dissatisfied with the quality of lifework, with the highest incidence in Santa Catarina hospital. The variable occupational health assessment was more negative in the hospital Santa Catarina one, whereas in Walfredo Gurgel, was family assistance. The variable guarantee of employment was more positive assessment in two hospitals without, though, implying in high importance on QOWL of nurses. The factor structure and decision showed greater sensitivity to explain the QOWL of nurses, joining 17 variables from 40 of the model. The factor working conditions, joining 6 variables, showed the second highest sensitivity. The compensation factor, gathering 5 variables, showed the third highest sensitivity while image and health factors showed minor importance
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A existncia de assimetrias no desenvolvimento da carreira dos militares da categoria de Sargentos dos Quadros Permanentes da Fora Area, originou o desenvolvimento de um estudo que prope identificar linhas orientadoras que concorram para mitigar os efeitos dessas mesmas assimetrias bem como contribuam, no mbito da criao de um novo sistema de gesto de carreiras de Sargentos, para potenciais alteraes que permitam alinhar as necessidades organizacionais e individuais. Com base no mapa concetual construdo, foi desenvolvido um estudo apoiado na anlise de dados relativos categoria de Sargentos bem como realizadas entrevistas a especialistas, com funes e experincia relevantes na rea da gesto de carreiras militares, de forma a, recorrendo a um mtodo hipottico-dedutivo, comprovar hipteses e responder a perguntas derivadas e por conseguinte pergunta de partida que norteou esta investigao. Com este estudo concluiu-se que existe a necessidade de a Fora Area implementar um sistema integrado de gesto estratgica da carreira dos Sargentos, propondo-se o modelo de Edgar Schein de planeamento e desenvolvimento estratgico de Recursos Humanos como possvel aproximao a um modelo a implementar na Fora Area, bem como foi igualmente identificada a utilizao menos eficiente de ferramentas essenciais como so a formao e o mrito militar. Abstract: The existence of asymmetries in the development of the military career in the category of Sergeants of the permanent boards of the Air Force, led to the development of a study intended to identify guidelines that contribute to mitigate the effects of those asymmetries and contribute, within the creation of a new Sergeants career management system, for potential amendments for aligning organizational and individual needs. Based on the constructed conceptual map, a study was developed supported in data analysis on the Sergeants category as well as interviews with experts, with relevant functions and experience in the management of military careers, so, using a hypothetical-deductive method, prove hypotheses and answer derived questions and therefore the starting question that guided this research. This study concluded that there is a need for the Air Force to implement an integrated strategic management career system for Sergeants, proposing the Edgar Schein model of strategic planning and development of human resources as a possible approach to a model to be implemented in the Air Force, and it was also identified a less efficient use of essential tools as are training and military merit.
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Nurses continuously develop various activities that expose them to excessive force and inappropriate movements. Characterize the accidents reported by overexertion and inappropriate movements in Portuguese nurses during 2009 and 2010. Retrospective cross-sectional study, covering the period from January 1, 2009 to December 31, 2010. Were defined as inclusion criteria, be nurse and having notified by excessive straining and improper motion accident. The information was obtained by reference to the computer record of accidents at work General Administration of Health Services, relating to 672 nurses. There were 672 notifications of accidents by overexertion/ inappropriate moves in Portuguese nurses. The higher prevalence of these accidents was in nurses with over 10 years of service 277 (41.2%), 565 were female (42.6%) in the age group 25-29 (29.9%) and practice time for 555 shifts (82.6%). At admission there were 387 (57.3%) within 3 hours of work 330 (49.1%) and the third day after weekly rest 216 (32.1%). The Mobilization of patients was the most frequent cause of this accident 430 (64.0%). The main effects were the sprains and strains 321 (47.8%), mainly the trunk reached 367 (54.7%) and absenteeism caused 373 (55.5%). On average 17.7 days missed a total of 12.054 days. There was a high prevalence of accidents during the mobilization of prayer on patients so importante to invest in the implementation of mechanical equipment for the mobilization and transport of patients.
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The purpose of this paper is to contribute to the debate on corporate governance models in European transition economies. The paper consists of four parts. After a historic overview of the evolution of corporate governance, the introduction presents various understandings of the corporate governance function and describes current issues in corporate governance. Part two deals with governance systems in the (mainly domestically) privatized former state-owned companies in Central European transition countries, with the main types of company ownership structures, relationships between governing and management functions, and deficiencies in existing governance systems. Part three is dedicated to the analysis of factors that determine the efficiency of the relationship between the corporate governance and management functions in Central European transition economies. It deals with the issue of why the German (continental European) governance model is usually the preferred choice and why the chosen models underperform. In the conclusion the author offers his suggestions on how the Central European transition countries should improve their corporate governance in the future.
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The lack of analytical models that can accurately describe large-scale networked systems makes empirical experimentation indispensable for understanding complex behaviors. Research on network testbeds for testing network protocols and distributed services, including physical, emulated, and federated testbeds, has made steady progress. Although the success of these testbeds is undeniable, they fail to provide: 1) scalability, for handling large-scale networks with hundreds or thousands of hosts and routers organized in different scenarios, 2) flexibility, for testing new protocols or applications in diverse settings, and 3) inter-operability, for combining simulated and real network entities in experiments. This dissertation tackles these issues in three different dimensions. First, we present SVEET, a system that enables inter-operability between real and simulated hosts. In order to increase the scalability of networks under study, SVEET enables time-dilated synchronization between real hosts and the discrete-event simulator. Realistic TCP congestion control algorithms are implemented in the simulator to allow seamless interactions between real and simulated hosts. SVEET is validated via extensive experiments and its capabilities are assessed through case studies involving real applications. Second, we present PrimoGENI, a system that allows a distributed discrete-event simulator, running in real-time, to interact with real network entities in a federated environment. PrimoGENI greatly enhances the flexibility of network experiments, through which a great variety of network conditions can be reproduced to examine what-if questions. Furthermore, PrimoGENI performs resource management functions, on behalf of the user, for instantiating network experiments on shared infrastructures. Finally, to further increase the scalability of network testbeds to handle large-scale high-capacity networks, we present a novel symbiotic simulation approach. We present SymbioSim, a testbed for large-scale network experimentation where a high-performance simulation system closely cooperates with an emulation system in a mutually beneficial way. On the one hand, the simulation system benefits from incorporating the traffic metadata from real applications in the emulation system to reproduce the realistic traffic conditions. On the other hand, the emulation system benefits from receiving the continuous updates from the simulation system to calibrate the traffic between real applications. Specific techniques that support the symbiotic approach include: 1) a model downscaling scheme that can significantly reduce the complexity of the large-scale simulation model, resulting in an efficient emulation system for modulating the high-capacity network traffic between real applications; 2) a queuing network model for the downscaled emulation system to accurately represent the network effects of the simulated traffic; and 3) techniques for reducing the synchronization overhead between the simulation and emulation systems.
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Introduction: Nurses accompany patients throughout their health care to prevent and treat disease, so their knowledge about diet and dietary fibre is key to successful diet therapy, which is an essential part of a patient's non-pharmacological treatment. It is known from the literature that a high proportion of nurses have limited knowledge about diet therapy and about sources of soluble fibre and other foods that can prevent or treat certain diseases. Given the position of nurses as key providers of dietary guidance, and given the health benefits of dietary fibre, we wanted to assess the level of fibre-related knowledge among nurses in Croatia. Material and Methods: Cross-sectional study based on data collected between October 2014 and March 2015 using a survey developed by the CI&DETS Polytechnic Institute in Viseu, Portugal. The survey contains questions about demographic characteristics as well as about knowledge of sources of dietary fibre, recommended daily intake and effects of fibre intake on particular diseases. The study included a total of 369 nurses from two health institutions and one nursing school from Croatia older than 18 years. Differences in knowledge were assessed for significance using the non-parametric Mann-Whitney U test. Possible associations among variables were explored using Spearman's rank correlation. For all statistical analyses, the threshold of significance was defined as P<0.05. Results: The level of knowledge among nurses in Croatia about dietary fibre varied from undecided to partial knowledge. The median for level of knowledge ranged from 3 to 4 with low variability ranging from 0.11 to 0.33. Average levels of knowledge in percentages varied from 57.6% to 82.1%. Nurses with higher education levels showed significantly higher knowledge levels about the influence of dietary fiber intake on the risk of certain diseases (p = 0.007), constipation (p = 0.016), bowel cancer (p = 0.005) and breast cancer (p = 0.039). Conclusion: The level of nurses knowledge about dietary fiber is suboptimal. This indicates the need to strengthen nurse education in the areas of diet and diet therapy. Increase the level of knowledge of nurses about nutrition can positively influence the quality of care.
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Para la elaboracin de este texto se tuvo presente la manera en que varios de autores hablaron sobre Cultura Organizacional, desde diferentes perspectivas acadmicas; principalmente cuando la definieron buscando una forma de explicarla, tambin las diferentes maneras en que la caracterizaron con ciertos aspectos que permitan categorizarla, del mismo modo tambin se expusieron las funciones que le atribuyeron dentro de la organizacin y las dinmicas internas, tambin se tuvo en cuenta los efectos que cualquier tipo de cultura puede traer a una organizacin segn cada uno de ellos y finalmente, varias de las conclusiones son una recopilacin de lo que la Cultura Organizacional implica dentro de otras reas acadmicas segn los textos de los expertos citados; seguidas de unas ideas propias que denotan la importancia de su relacin con la Gerencia.
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Se describe la variante homocigota c.320-2A>G de TGM1 en dos hermanas con ictiosis congnita autosmica recesiva. El clonaje de los transcritos generados por esta variante permiti identificar tres mecanismos moleculares de splicing alternativos.
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Forest biomass has been having an increasing importance in the world economy and in the evaluation of the forests development and monitoring. It was identified as a global strategic reserve, due to its applications in bioenergy, bioproduct development and issues related to reducing greenhouse gas emissions. The estimation of above ground biomass is frequently done with allometric functions per species with plot inventory data. An adequate sampling design and intensity for an error threshold is required. The estimation per unit area is done using an extrapolation method. This procedure is labour demanding and costly. The mail goal of this study is the development of allometric functions for the estimation of above ground biomass with ground cover as independent variable, for forest areas of holm aok (Quercus rotundifolia), cork oak (Quercus suber) and umbrella pine (Pinus pinea) in multiple use systems. Ground cover per species was derived from crown horizontal projection obtained by processing high resolution satellite images, orthorectified, geometrically and atmospheric corrected, with multi-resolution segmentation method and object oriented classification. Forest inventory data were used to estimate plot above ground biomass with published allometric functions at tree level. The developed functions were fitted for monospecies stands and for multispecies stands of Quercus rotundifolia and Quercus suber, and Quercus suber and Pinus pinea. The stand composition was considered adding dummy variables to distinguish monospecies from multispecies stands. The models showed a good performance. Noteworthy is that the dummy variables, reflecting the differences between species, originated improvements in the models. Significant differences were found for above ground biomass estimation with the functions with and without the dummy variables. An error threshold of 10% corresponds to stand areas of about 40 ha. This method enables the overall area evaluation, not requiring extrapolation procedures, for the three species, which occur frequently in multispecies stands.
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Studies evaluating immune function in obese humans and experimental animals indicate that the excess adiposity is associated with impaired in immune responses. Obesity is related to a higher rate of infections and to some types of cancer. Nutritional, metabolic and endocrine factors are implicated in the immunological changes. The adipose tissue directly produces substances with various functions related to immune system. Furthermore, some investigations suggest that certain types of weight reduction strategies can alter the immune function. Nevertheless, long-term studies should be carried out to address whether these changes positively affects the ability of these obese individuals to control infections and tumor development.
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The development of new drugs is one strategy for malaria control. Biochemical pathways localised in the apicoplast of the parasite, such as the synthesis of isoprenic precursors, are excellent targets because they are different or absent in the human host. Isoprenoids are a large and highly diverse group of natural products with many functions and their synthesis is essential for the parasite's survival. During the last few years, the genes, enzymes, intermediates and mechanisms of this biosynthetic route have been elucidated. In this review, we comment on some aspects of the methylerythritol phosphate pathway and discuss the presence of diverse isoprenic products such as dolichol, ubiquinone, carotenoids, menaquinone and isoprenylated proteins, which are biosynthesised during the intraerythrocytic stages of Plasmodium falciparum.
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The Learning Object (OA) is any digital resource that can be reused to support learning with specific functions and objectives. The OA specifications are commonly offered in SCORM model without considering activities in groups. This deficiency was overcome by the solution presented in this paper. This work specified OA for e-learning activities in groups based on SCORM model. This solution allows the creation of dynamic objects which include content and software resources for the collaborative learning processes. That results in a generalization of the OA definition, and in a contribution with e-learning specifications.
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This paper investigates how to make improved action selection for online policy learning in robotic scenarios using reinforcement learning (RL) algorithms. Since finding control policies using any RL algorithm can be very time consuming, we propose to combine RL algorithms with heuristic functions for selecting promising actions during the learning process. With this aim, we investigate the use of heuristics for increasing the rate of convergence of RL algorithms and contribute with a new learning algorithm, Heuristically Accelerated Q-learning (HAQL), which incorporates heuristics for action selection to the Q-Learning algorithm. Experimental results on robot navigation show that the use of even very simple heuristic functions results in significant performance enhancement of the learning rate.
