Ledarskap för att främja hälsa hos medarbetare : En fallstudie om hälsoarbete på linjechefsnivå

The author’s common interest for healthy employees, brought reasonto study how line managers can manage and develop this withsupport from HR. Previous research highlights that knowledge ofhow health is promoted is missing. Line managers have a key role inworking with contributors´ health. The aim of the study is toinvestigate how managers are working for the well-being ofemployees and which aid dedicated to line managers from the HRfunction, and how support and the work with employees’ health canbe developed. This study also investigates the approach on healthfrom each party. The method consisted of a case study, includingdata collection through depth interview with HR and focus groupinterview with heads of unit. The result of the HR interview showedoverwhelming support in individual conversations, but lack ofresources for the support function. HR requested additional resourcesand more health promotion work instead of rehabilitation. Heads ofunit are working with a wellness initiative for healthy contributors.Development points were found in increased support, developedwellness options, increased participation and performance appraisalswith a focus on the individual’s health status. The findings showthat heads of units are working with participation, attendance andhealth care but want more focus on the individual’s health status. HRneeds resources in order to support the heads of units in their healthcare. A common approach is missing between HR and heads of unitin their work for health promotion. Education, approach and supportshould be developed on the basis of the organization’s overallcontext.

Hälsofrämjande arbete på SSAB i Borlänge : Hälsofrämjande processer i arbetslivet och ledarskapets betydelse för medarbetarens hälsa

Problem: Arbetsmiljön är viktig för människors välbefinnande. Hälsofrämjande faktorer antas inte bara styrka individens fysiska och psykiska hälsa, utan även företagets konkurrenskraft och lönsamhet. I uppsatsen undersöker vi hur företaget SSAB i Borlänge arbetar med hälsa genom att tillämpa ett hälsofrämjande perspektiv och utgå från teorin om Känslan av sammanhang (KASAM). Ledarskapsvärderingar har betydelse för medarbetares hälsa (Hanson, 2004) och vi undersöker vilken uppfattning ett antal chefer har om sina roller i det hälsofrämjande arbetet och deras syn på medarbetarundersökningen HälsoSAM som företagshälsovården på SSAB bedriver. Arbetsbelastningen på medarbetare och chefer ökar till följd av sparkrav, samtidigt som resurserna minskar (Gatu, 2003). Följden blir en större risk för ohälsa och ett sätt att minska sjukfrånvaron är att genomföra hälsofrämjande insatser (Prevent, 2001). Syfte: Syftet med studien är att utifrån ett hälsofrämjande perspektiv förklara vad chefer har för möjligheter att skapa förutsättningar för att främja medarbetarnas hälsa på SSAB i Borlänge. Metod: Den metod som ligger till grund för uppsatsen baseras på ett kvalitativt angreppssätt där semistrukturerade intervjuer samt litteraturstudier genomförts för att samla information. Analys: Ledarens beteende påverkar medarbetarna. Hög arbetsbelastning på SSABs chefer leder till lägre närvaro bland medarbetarna, vilket i sin tur ger sämre förutsättningar för att främja hälsan. HälsoSAM kartlägger medarbetarnas hälsoläge, både välbefinnande och arbetskapacitet. Resultaten är vägledande i det hälsofrämjande arbetet men överbelastning, tidsbrist och kunskapsbrist hos cheferna bidrar till att uppföljningen inte blir systematisk. För ett väl fungerande hälsoarbete krävs systematik. Slutsats: Hälsofrämjande processer i arbetslivet skapas genom balans mellan krav och resurser. På SSAB i Borlänge hindras hälsoarbetet av tidsbrist och kunskapsbrist hos cheferna. Kostnadsbesparingar påverkar hälsoarbetet negativt och systematiken i uppföljningsarbetet blir lidande. Ansvaret för hälsoarbetet läggs på företagshälsovården, men utan stöd från chefer blir inte hälsoarbetet en naturlig del i verksamheten. Det är viktigt att i rådande situation se vad främjande av hälsa kan ge tillbaka till företaget i både ekonomiska och kvalitativa termer. Insikt om detta ökar chefernas incitament att prioritera hälsofrämjande processer och organisera arbetet så att människor har förutsättningar att hantera, kontrollera och klara av sina uppgifter.

Effect of facilitation of local maternal-and-newborn stakeholder groups on neonatal mortality : cluster-randomized controlled trial

BACKGROUND: Facilitation of local women's groups may reportedly reduce neonatal mortality. It is not known whether facilitation of groups composed of local health care staff and politicians can improve perinatal outcomes. We hypothesised that facilitation of local stakeholder groups would reduce neonatal mortality (primary outcome) and improve maternal, delivery, and newborn care indicators (secondary outcomes) in Quang Ninh province, Vietnam. METHODS AND FINDINGS: In a cluster-randomized design 44 communes were allocated to intervention and 46 to control. Laywomen facilitated monthly meetings during 3 years in groups composed of health care staff and key persons in the communes. A problem-solving approach was employed. Births and neonatal deaths were monitored, and interviews were performed in households of neonatal deaths and of randomly selected surviving infants. A latent period before effect is expected in this type of intervention, but this timeframe was not pre-specified. Neonatal mortality rate (NMR) from July 2008 to June 2011 was 16.5/1,000 (195 deaths per 11,818 live births) in the intervention communes and 18.4/1,000 (194 per 10,559 live births) in control communes (adjusted odds ratio [OR] 0.96 [95% CI 0.73-1.25]). There was a significant downward time trend of NMR in intervention communes (p = 0.003) but not in control communes (p = 0.184). No significant difference in NMR was observed during the first two years (July 2008 to June 2010) while the third year (July 2010 to June 2011) had significantly lower NMR in intervention arm: adjusted OR 0.51 (95% CI 0.30-0.89). Women in intervention communes more frequently attended antenatal care (adjusted OR 2.27 [95% CI 1.07-4.8]). CONCLUSIONS: A randomized facilitation intervention with local stakeholder groups composed of primary care staff and local politicians working for three years with a perinatal problem-solving approach resulted in increased attendance to antenatal care and reduced neonatal mortality after a latent period. TRIAL REGISTRATION: Current Controlled Trials ISRCTN44599712. Please see later in the article for the Editors' Summary.

Methods and background characteristics of the TOHNN study : a population-based study of oral health conditions in northern Norway

OBJECTIVES: The aim of the Tromstannen - Oral Health in Northern Norway (TOHNN) study was to investigate oral health and dental-related diseases in an adult population. This article provides an overview of the background of the study and a description of the sample characteristics and methods employed in data collection. STUDY DESIGN: Cross-sectional population-based study including a questionnaire and clinical dental examination. METHODS: A randomly selected sample of 2,909 individuals (20-79 years old) drawn from the population register was invited to participate in the study. The data were collected between October 2013 and November 2014 in Troms County in northern Norway. The questionnaire focused on oral health-related behaviours and attitudes, oral health-related quality of life, sense of coherence, dental anxiety and symptoms from the temporomandibular joint. The dental examinations, including radiographs, were conducted by 11 dental teams in 5 dental offices. The examination comprised of registration of dental caries, full mouth periodontal status, temporomandibular disorders, mucosal lesions and height and weight. The participants were grouped by age (20-34, 35-49, 50-64 and 65-79) and ethnicity (Norwegian, Sámi, other European and other world). RESULTS: From the original sample of 2,909 individuals, 1,986 (68.3%) people participated, of whom 1,019 (51.3%) were women. The highest attendance rate was among women 20-34 years old (80.3%) and the lowest in the oldest age group of women (55.4%). There was no difference in response rate between rural and urban areas. There was a positive correlation between population size and household gross income (p < 0.001) and education level (p < 0.001). The majority of Sámi resided in smaller municipalities. In larger cities, most participants used private dental health care services, whereas, in rural areas, most participants used the public dental health care service. CONCLUSION: The TOHNN study has the potential to generate new knowledge on a wide range of oral health conditions beneficial to the population in Troms County. Due to the high participation rate, generalization both nationally and to the circumpolar area ought to be possible.

Process evaluation of a knowledge translation intervention using facilitation of local stakeholder groups to improve neonatal survival in the Quang Ninh province, Vietnam

BACKGROUND: Annually, 2.8 million neonatal deaths occur worldwide, despite the fact that three-quarters of them could be prevented if available evidence-based interventions were used. Facilitation of community groups has been recognized as a promising method to translate knowledge into practice. In northern Vietnam, the Neonatal Health - Knowledge Into Practice trial evaluated facilitation of community groups (2008-2011) and succeeded in reducing the neonatal mortality rate (adjusted odds ratio, 0.51; 95 % confidence interval 0.30-0.89). The aim of this paper is to report on the process (implementation and mechanism of impact) of this intervention. METHODS: Process data were excerpted from diary information from meetings with facilitators and intervention groups, and from supervisor records of monthly meetings with facilitators. Data were analyzed using descriptive statistics. An evaluation including attributes and skills of facilitators (e.g., group management, communication, and commitment) was performed at the end of the intervention using a six-item instrument. Odds ratios were analyzed, adjusted for cluster randomization using general linear mixed models. RESULTS: To ensure eight active facilitators over 3 years, 11 Women's Union representatives were recruited and trained. Of the 44 intervention groups, composed of health staff and commune stakeholders, 43 completed their activities until the end of the study. In total, 95 % (n = 1508) of the intended monthly meetings with an intervention group and a facilitator were conducted. The overall attendance of intervention group members was 86 %. The groups identified 32 unique problems and implemented 39 unique actions. The identified problems targeted health issues concerning both women and neonates. Actions implemented were mainly communication activities. Communes supported by a group with a facilitator who was rated high on attributes and skills (n = 27) had lower odds of neonatal mortality (odds ratio, 0.37; 95 % confidence interval, 0.19-0.73) than control communes (n = 46). CONCLUSIONS: This evaluation identified several factors that might have influenced the outcomes of the trial: continuity of intervention groups' work, adequate attributes and skills of facilitators, and targeting problems along a continuum of care. Such factors are important to consider in scaling-up efforts.

The causal effect of family size on child labor and education

This paper investigates the causal relationship between family size and child labor and education among brazilian children. More especifically, it analyzes the impact of family size on child labor, school attendance, literacy and school progression. It explores the exogenous variation in family size driven by the presence of twins in the family. The results are consistent under the reasonable assumption that the instrument is a random event. Using the nationally representative brazilian household survey (Pnad), detrimental effects are found on child labor for boys. Moreover, significant effects are obtained for school progression for girls caused by the exogenous presence of the young siblings in the household.

O Uso da tecnologia de informação para a educação a distância no ensino superior - estudo dos cursos de administração de empresas (aprofundamento e ampliação da amostra)

O estudo dos diversos modelos pedagógicos dos cursos a distância utilizados nas principais Instituições de Ensino Superior (IES) brasileiras pode estimular a análise dos profissionais envolvidos com a Educação a Distância (EAD) e, que estejam enfrentado um processo de escolha de uma metodologia para melhor servir aos estudantes que não podem ou optam por não vir para o campus da IES. Um dos principais desafios para as universidades que estão se lançando na EAD é buscar uma linguagem pedagógica apropriada à aprendizagem mediada pelas diversas mídias disponíveis. A ação da tutoria é um elemento essencial, sendo uma das determinantes do sucesso do curso. Neste novo modelo de educação os tutores desempenham mais o papel de facilitadores do que de especialistas, pois os cursos são menos estruturados e mais personalizados, cabendo aos próprios alunos cuidar de sua instrução. O controle sobre o andamento do curso, assim como o acompanhamento permanente do trabalho de professores, dos tutores, dos estagiários de atendimento e da secretaria, são igualmente cruciais, pois a interação com o aluno pode se dar de inúmeras formas e todas elas são essenciais ao sucesso da aprendizagem. A estruturação de uma equipe especializada, composta de pessoas que entendam de tecnologia e de pedagogia e, que trabalhem de forma coesa, podem garantir uma melhor performance da aprendizagem do aluno. O principal objetivo desta pesquisa é, num primeiro momento, fazer o levantamento das diversas metodologias e técnicas adotadas nos cursos a distância oferecidos por instituições de ensino superior (IES) no Brasil para, com base nos dados da pesquisa, efetuar uma análise comparativa a fim de identificar formas de interação e suporte aos alunos semelhantes entre as universidades, ou seja, grupos que possuam características similares tanto relacionados aos projetos pedagógicos de seus cursos, quanto aos materiais utilizados, a estruturação dos cursos, formas de interação aluno/professor, suporte ao aluno, público alvo, tecnologias utilizadas e sistemas de avaliação adotados.

O trabalho atrapalha os estudos?

Nas últimas décadas a frequência à escola entre os jovens brasileiros aumentou consideravelmente. A porcentagem de crianças, entre 10 e 14 anos de idade que estão matriculados na escola está acima de 95% e na faixa de 15 a 18 anos de idade, cerca de 70%. Vinte anos atrás estes números eram 80% e 50%, respectivamente. Por outro lado, quando se analisa os dados de participação na força de trabalho o quadro é menos otimista: para ambos os grupos, a participação é bastante elevada e tem apresentado comportamento estável ao longo dos anos. Este estuda analisa o efeito da participação no mercado de trabalho sobre o atraso escolar de crianças de nestes dois grupos de faixa etária utilizando a metodologia de emparelhamento por nota de propensão (propensity score matching) de participação no mercado de trabalho. Como seria de se esperar quanto maior a probabilidade de participar maior o atraso escolar. Mas, nosso principal resultado é que em ambos os grupos e mais acentuadamente para os mais jovens, a diferença de atraso entre os que participam e não participam do mercado de trabalho é mais elevado para valores intermediários de probabilidade de trabalhar. Nos valores extremos da distribuição as diferenças não são tão elevadas e muitas vezes não significantes estatisticamente. Isto significa que para os jovens com elevada probabilidade de participar no mercado de trabalho, e que são os que têm o mais elevado grau de atraso escolar, o trabalho em si não é a maior razão para este mal desempenho. Estes resultados sugerem que as políticas públicas para combate ao atraso escolar entre os grupos mais pobres deveriam ser mais abrangentes envolvendo uma ação mais ampla sobre a família e não apenas na erradicação do trabalho infantil e juvenil.

Políticas sociais e hegemonia: um estudo sobre o processo de formulação da proposta de reforma sanitária

The principles of the Unified Health System (Sistema Único de Saúde - SUS) - universal attendance, integrated and decentralized administration and the users' participation - were included in the Federal Constitution of 1988 as a result of a political movement around the subject of the health which has begun in the second half of the decade of 70, together with the overcoming process of the authoritarian regimen established in 1964. This movement, which got the name of sanitary movement or movement for the Sanitary Reform, can be understood in its relationship with a process of cultural changing among the Brazilian left, that looked for new forms of facing the democracy and, with it, the social policy. This work part of the premise that one of the main influences to guide this new vision was the Italian Marxist Antonio Gramsci's thought. We've tried to identify, in the formation of the speech on the Sanitary Reform and in the definition of the political strategies of those that make efforts for it, the influences of Gramsci. To reach this objective, we analyzed the editorials of Saúde em Debate (Health in Debate) magazine, official vehicle of the Centro Brasileiro de Estudos de Saúde (Brazilian Health Studies Center - Cebes), which is still in activity, that represented, in the analyzed period, 1976 to 1988, the critical thought about the reality of the health in the country and finished to be the institution that supported the project of Sanitary Reform.

Banrisul: do PROES ao IPO com governança corporativa

The scene prevalecente, in this work was to analyze the capacity of BANRISUL - Bank of the State of the Rio Grande Do Sul, as bank of public control, was assumen of the continued increase of the profitability of the Brazilian banking sector, remaining itself as a brought up to date financial institution tecnologicamente and managemental structuralized by mechanisms of brought up to date taking of decision and permanently revised in compatibility with the increasing instabilidades imposed for the incited competition of the banking sector in adequacy with the macroeconomic volatillidades. On the basis of the extremely positive performance in the analyzed period enters 1997 the 2007, the commercial strategy remains focada in the constant improvement of the rendering of services and in the growth of the credit average small the physical people and the e companies. The abrangência of the attendance points and the ample base of customers are aggregate advantages to an exclusive differential: the Banricompras, the biggest card of proper mark of Latin America. Stronger and income-producing, with an adequate and transparent management, the BANRISUL follows in propósito de to gain position of prominence in the national economic-financial scene.

A customização no atendimento como fator de fidelização do cliente às lojas de decoração de alto estilo

This study investigates how far customization in attendance act as clients faithfulness factor in top style interior design stores in Great Vitoria. After relative economic stability was reached with ¿Plano Real¿, customers could visualize better their money and consequently gave it more value. When clients acquire a product and demand high quality attendance they consider much beyond price. They want something new. Something that surprise. They are not satisfied only with what is best. They want the utmost. Do what is best is no longer a competitive advantage. It is now just a duty. Emphasizes application of custom-made attendance according to client specific needs as a competitive advantage-key to be pursued by companies. Analyses using extensive literature review including the world wide web source, the problem main theoretical fundaments. An intentional sample was used and interviews with closed questions were carried out with 230 clients and 18 store managers, to collect directly involved agents impressions. Conclusions show a mature customer, highly educated with good income and that demand exclusive treatment. In majority the study shows that customized attendance creates client faithfulness to top style interior design stores provided that price and product quality are adequate. Knowledge acquired with this study on attendance customization can give important contributions to top style interior design segment giving stores stimulus in the adoption of this distinctive competence facing growing global competitive market.

Peça por peça: sistematização de um programa de responsabilidade social

O objetivo da dissertação foi analisar o processo de desenvolvimento e a aplicação de ações sociais e trabalho voluntário, que demonstram a preocupação da empresa com o seu papel social, através de uma participação mais ativa, concreta e efetiva, influenciando na ocorrência das mudanças que a sociedade necessita. O foco do estudo foi analisar um dessas empresas, notadamente a Robert Bosch Limitada, de capital alemão, radicada no Brasil desde o início da década de 1950. Sendo considerada, mais especificamente, uma de suas unidades, localizada no Paraná desde 1975. A Bosch Curitiba, através da implementação de um programa de ação social baseado principalmente na educação e no desenvolvimento sustentável, pretendeu criar condições para que a comunidade de um bairro da periferia de Curitiba pudesse identificar oportunidades de desenvolvimento econômico e social. Esta dissertação é o resultado dessa discussão e se desenvolveu por meio de um programa de ação social que evidencia a importância da participação ativa da empresa na comunidade, baseada em projetos que evidenciam a educação como a essência para o desenvolvimento social. A Vila Verde, comunidade da periferia de Curitiba, foi escolhida pela empresa para implantar o programa de responsabilidade social (Peça por Peça). Nessa comunidade, o foco principal foram os membros da faixa etária de O a 18 anos. O programa, portanto, teve a participação de uma empresa, dos seus colaboradores, como voluntários, e das escolas da comunidade envolvida. A coleta dos dados deu-se por diferentes procedimentos: pesquisa bibliográfica, pesquisa documental, observação participante e entrevistas. Os dados qualitativos foram comparados, e foram apresentados em forma de relatório. Os dados quantitativos foram tabulados e avaliados, servindo de apoio e confirmação aos resultados apresentados pela análise dos dados quantitativos. A atuação do programa social, Peça por Peça, foi no sentido de sensibilizar, estimular e criar condições de conscientizar os envolvidos que as mudanças necessárias somente serão efetivas na medida em que aumentar o seu nível de comprometimento, ou seja, tomar-se uma população capaz de se organizar e de preservar e defender seus interesses e anseios, desenvolvendo seu papel natural do exercício da cidadania e de uma convivência social que assegure direitos básicos para qualquer processo e evolução de uma sociedade. Sistematizar um programa de responsabilidade social, mais do que pretender criar soluções inovadoras, busca consolidar um outro pressuposto, em que a maioria das atividades sociais implementadas, sejam elas de cunho filantrópico ou não, dificilmente conseguem se manter e alegando várias razões, mas de que alguma forma sempre se reflete na falta de uma sistemática de trabalho, com metas, monitoramento, resultados esperados, com um planejamento estratégico que projete as ações a curto, médio e longo prazo. Isso também é uma evidência de que um projeto social não direcionado para atividades assistencialistas, mas sim para a busca de exercer efetivamente a responsabilidade social, não deve ter no fator tempo a principal referência de sucesso do empreendimento, mas sim de pequenas ações de melhoria de forma continuada e planejada, auto-sustentada, efetiva, mensurável e compartilhada.

Abordagem da análise conjunta no processo decisório de compra do serviço de academia de ginástica

The wellness, physical activity and health club market is in great expansion and grownth in the national and worldwide cenarium. In a growing competitive environment, the prediction of of consumer preferences over a product, for its innumerous attributes, is a critical aspect for any marketing administration. Determining customer perception of value in the form of utilities can provide the marketing administration of a company with a functional tool to evaluate the usefulness of a product or service. This thesis investigates the motivational attributes of decision making process when choosing a health club / gym center service. Data was collected through a web survey with 376 participants from Rio de Janeiro and Distrito Federal. The data was analysed through the conjoint analysis method. Resultados demonstraram que as importâncias relativas dos atributos ¿estrutura física¿ e ¿atendimento¿ obtiveram valores maiores do que os demais atributos testados. O atributo ¿preço¿ foi o terceiro em grau de importância, seguido de ¿proximidade¿ e ¿indicação¿. Results demonstrated that the relative values of the attribute regarding ¿gym facilities¿ and ¿attendance¿ obtained greater values than the other tested attributes. The ¿price¿ attribute was the third degree in the scale of value, followed by ¿proximity¿ and ¿indication¿.

A percepção dos indivíduos sobre a inserção de tecnologias de informática nos processos de mudança organizacional: um estudo de caso

This dissertation presents a research aimed at identifying and explaining the individual perceptions as far as the introduction of computer technology concerning the organization change process and the reason underlying those changes, utilizing for study purposes, a customer attendance agency of INSS , located in São Luís-MA, which data collection was carried out by interviews with three managers and application of to thirty employees, all of them working at the unit researched. The core point was to identify feelings and perceptions of individuals, and the reason steering the change actions deployed in this office. Based on this perception, it is presented a literature review on the main thinkers who discussed the role, and the relevance of reasoning in the development of human relations, both in the organizations and in society. To start with, Max Weber thinking on rationality was introduced, on the sequence, the discussion raised by the Frankfurt School in its first phase, mainly on the Max Horkheimer thinking and finally it is shown a summary of Jurgen Habermas thinking, mainly concerning its communicative action theory proposed as a path to emancipation of individual of current instrumental reasoning. Summing up, we can conclude from this research that perceptions, feelings and opinions indicate that the institution uses to discuss with the civil servants the implementation of change process. For those servants the excessive functional control, the limitation of knowledge production and an artificial functional integration are consequences of the shape and intensity, as well as of computer technologies deployed in the institution. It is also shared by most of civil servants, including managers, that the overall participation would have more validity and would decrease the resistance to those changes. And it is also worth registering that despite of the servants having job stability, only 50% have positive expectations as far as its future in the institution.

A relação da motivação para o trabalho com as metas do trabalhador: um estudo de caso em uma operadora de call center

Having as basic purpose, that the work motivational strategies are more efficient when elaborated directly from the worker¿s personal goals and values, the study line of this dissertation searched to identify the worker¿s motivational employee¿s profile from call center industry. The knowledge of this motivational profile makes possible the development of differentiated programs of motivation inside the organization, aiming to attend goals of diverse groups of workers. In order to achieve the considered objective, the present dissertation analyzed one of the biggest companies in call center¿s inside Brazilian market, the BrasilCenter Communications Ltda. In such a way, in the first stage of the study, a bibliographical research was carried out, with the objective to collect contributions from diverse authors on the motivation subject, and also a modern theory of values was presented, verified empirically in more than 60 countries, which identifies the people¿s motivational structure. Having as base the results of these studies, the worker¿s concept profile motivational and argued its way of evaluation in the organizations it was boarded. In the second stage, a field research was carried out, with the application of the Inventory of Values of Schwartz theory (IVS), in order to identify the employee¿s motivational profile crowded in the Center of Attendance and Services (call center) company, located in Juiz de Fora city. The analysis of the results from the field research, based on the bibliographical data, identified that the values prioritized for the call center¿s employees are the ones that serves the collective and mixing goals. This motivational profile offers some perspectives of employee¿s valuation that correspond to their goals and interests. The displayed results point respect to the centrality of the types of values benevolence, conformity, security and universalism among the participants in the sample. As the accented was more among the employees it was the search of collective results it, is concluded that the more appropriate valuation strategies are those related to the tolerance for the ideas and opinion of the others, to harmonic a organizational enviroment, the concern with the quality of life at work and the social aspects of the work.