Atribuindo significados as enfermeiras obstétricas: uma construção social sob a ótica das usuárias na perspectiva do interacionismo simbólico

O presente estudo teve como objetivos: identificar o significado de Enfermeira Obstétrica para as usuárias; analisar os significados atribuídos à Enfermeira Obstétrica pelas usuárias; e, desenvolver um modelo teórico explicativo da construção do significado de Enfermeira Obstétrica sob a ótica das usuárias. Trata-se de uma pesquisa descritiva com abordagem qualitativa interpretada pelo Interacionismo Simbólico, como referencial teórico e, tendo a Grounded Theory, como referencial metodológico. Foram participantes da pesquisa, 20 (vinte) usuárias atendidas por Enfermeiras Obstétricas em diversos cenários de cuidado, tais como: domicílio, Unidades Básicas de Saúde, Maternidades, Casas de Parto/Centros de Parto Normal de diversos municípios do Estado do Rio de Janeiro - durante o pré-natal, trabalho de parto e parto. A coleta dos dados ocorreu entre setembro de 2012 e julho de 2014, após este projeto ter sido aprovado pelo Comitê de Ética em Pesquisa da Universidade do Estado do Rio de Janeiro/UERJ/SR2 em julho de 2012. Utilizou-se a entrevista semi-estruturada gravada, iniciada com uma questão comum: Fale-me como foi sua gestação, seu acompanhamento pré-natal e seu parto. Os resultados revelam que as usuárias chegam até as enfermeiras obstétricas porque procuram por alguém que atenda seu desejo de vivenciar uma gestação e um parto natural sem intervenções desnecessárias e com a presença de familiares, principalmente os companheiros. Fica evidente, neste estudo, que as usuárias desconhecem, até o estabelecimento da interação social, a profissional enfermeira obstétrica e chegam até elas por: indicação de amigos e/ou familiares; por indicação de outros profissionais de saúde (enfermeiras, fisioterapeutas ou médicos); ou por intermédio de grupos de mulheres nas redes sociais. Vale ressaltar que, as mulheres que optaram por serem atendidas por enfermeiras obstétricas durante o pré-natal, trabalham de parto e parto, buscaram informações sobre gestação, fisiologia do trabalho de parto, atuação e formação as enfermeiras obstétricas, direitos sexuais e reprodutivos, legislação sobre direitos dos usuários dos serviços de saúde, dentre outros, nas redes sociais; compartilharam vivências em grupos na internet e acabaram referenciando as enfermeiras obstétricas a outras mulheres. A análise comparativa dos dados identificou três categorias: Desejando vivenciar o parto natural; Procurando alguém que atenda o desejo de vivenciar o parto natural; e Encontrando e vivenciando os cuidados da Enfermeira Obstétrica. As usuárias agem em relação às Enfermeiras Obstétricas com base no significado que estas têm para ela, ou seja, apresentam como símbolos significantes para o objeto social Enfermeiras Obstétricas: aquela que presta um cuidado concreto, um cuidado abstrato, um cuidado afetivo e um cuidado com conhecimento científico. Os significados retratam que o vínculo estabelecido entre as envolvidas extrapola a competência técnica e ratificam que, a necessidade de vínculo pessoal é imprescindível para que o cuidado humanizado aconteça.

A formação acadêmica e profissional nas faculdades públicas de serviço social do estado do Rio de Janeiro: os docentes e o projeto profissional.

O presente estudo aborda a Formação Acadêmica e Profissional em Serviço Social tomando como objeto o Corpo Docente das Faculdades Públicas de Serviço Social do Estado do Rio de Janeiro. Tomamos como referência o projeto ético político do Serviço Social, especialmente, o projeto de formação da ABEPSS, parte e expressão do primeiro. Observamos que os docentes são sujeitos imprescindíveis no processo de formação dos graduandos e, ainda que não determinem o posicionamento e a direção social escolhidos pelos futuros profissionais, colaboram ou não para um processo de formação crítica que pode contribuir para que o futuro assistente social tenha o perfil profissional explicitado nas Diretrizes Curriculares da ABEPSS: profissional dotado de formação intelectual e cultural, generalista e crítica, competente em sua área de desempenho, com capacidade de inserção criativa e propositiva, no conjunto das relações sociais e no mercado de trabalho (ABEPSS, 2002). Partimos da hipótese de que a disputa por projetos distintos no interior do Serviço Social vem se dando no meio acadêmico de maneira velada no sentido de que tudo o que diz respeito ao Serviço Social pode se articular ao projeto ético-político, como se o mesmo não resultasse de um processo ligado à teoria crítica e de uma mudança ideopolítica no interior da categoria dos assistentes sociais. Consequentemente, a presença nos espaços da academia de tendências conservadoras e neoconservadoras, vem aprofundando o afastamento do debate/problematização de questões essenciais à profissão como, por exemplo, o cotidiano e o exercício profissional. Concluimos que se por um lado, o perfil docente, no que diz respeito à formação dos professores pesquisados, é um perfil que pode responder às necessidades do projeto de formação acadêmica e profissional da ABEPSS, por outro lado, quando abordamos as linhas e projetos de pesquisa que fundamentam a produção dos referidos docentes, observamos um distanciamento do Serviço Social e do projeto ético-político.

Addressing the cognitive and social influence inhibitors during the ideation stages of technology roadmapping workshops

Technology roadmapping workshops are essentially a social mechanism for exploring, creating, shaping and implementing ideas. The front-end of a roadmapping session is based on brainstorming in order to tap into the group's diverse knowledge. The aim of this idea stimulation activity is to capture and share as many perspectives as possible across the full scope of the area of interest. The premise to such group brainstorming is that the sharing and exchange of ideas leads to cognitive stimulation resulting in a greater overall group idea generation performance in terms of the number, variety and originality of ideas. However, it must be recognized that the ideation stage in a roadmapping workshop is a complex psychosocial phenomenon with underlying cognitive and social processes. Thus, there are downsides to group interactions and these must be addressed in order to fully benefit from the power of a roadmapping workshop. This paper will highlight and discuss the key cognitive and social inhibitors involved. These include: production blocking, evaluation apprehension, free riding/social loafing, low norm setting/matching. Facilitation actions and process adjustments to counter such negative factors will be identified so as to provide a psychosocial basis for improving the running of roadmapping workshops. © 2009 PICMET.

Aquaculture technologies in Bangladesh: an assessment of technical and economic performance and producer behavior

This study evaluates the performance of a wide range of aquaculture systems in Bangladesh. It is by far the largest of its kind attempted to date. The purpose of this study was to identify and analyze the most important production systems, rather than to provide a nationally representative overview of the entire aquaculture sector of Bangladesh. As such, the study yields a huge amount of new information on production technologies that have never been thoroughly researched before. The study reveals an extremely diverse array of specialized, dynamic and rapidly evolving production technologies, adapted to a variety of market niches and local environmental conditions. This is a testament to the innovativeness of farmers and other value chain actors who have been the principal drivers of this development in Bangladesh. Data was collected from six geographical hubs. This survey was conducted from November 2011 to June 2012. Technological performance in terms of detailed input and output information, fish management practices, credit and marketing, and social and environmental issues were captured by the survey questionnaire, which had both open and closed format questions. The study generated insights that enable better understanding of aquaculture development in Bangladesh.

A whole-life value based assessment and optimisation model for high-performance glazed facades'

Façade design is a complex and multi-disciplinary process. One major barrier to devising optimal façade solutions is the lack of a systematic way of evaluating the true social, economic and environmental impacts of a design. Another barrier is the lack of automated design aids to assist decision-making. In this paper, we present our on-going study in developing a whole-life value based multi-objective optimisation model for high-performance façades. The principal outcome of this paper is a multi-objective optimisation model for early-stage façade design. The optimisation technique coupled with other 3rd party software and/or specially developed scripts provide façade designers with an integrated design tool of wide applicability.

Performance assessment of XACML authorizations for supply chain traceability web services

Service-Oriented Architecture (SOA) and Web Services (WS) offer advanced flexibility and interoperability capabilities. However they imply significant performance overheads that need to be carefully considered. Supply Chain Management (SCM) and Traceability systems are an interesting domain for the use of WS technologies that are usually deemed to be too complex and unnecessary in practical applications, especially regarding security. This paper presents an externalized security architecture that uses the eXtensible Access Control Markup Language (XACML) authorization standard to enforce visibility restrictions on trace-ability data in a supply chain where multiple companies collaborate; the performance overheads are assessed by comparing 'raw' authorization implementations - Access Control Lists, Tokens, and RDF Assertions - with their XACML-equivalents. © 2012 IEEE.

Psychoanalysis and Performance

Kear, Adrian, Campbell, Patrick, Psychoanalysis and Performance (London: Routledge, 2001), pp.xiv+242 RAE2008

The Performance Practice of Buddhist Baiqi in Contemporary Taiwan

The baiqi (Buddhist percussive instruments), also known as faqi (dharma instruments), are mentioned in the Chinese Buddhist scriptures under many different terms: jianzhi, jiandi, jianzhui, or jianchi. The original function of baiqi in earlier monastic life was to gather people or to call an assembly. With the completion of monasticism and monastic institutions, baiqi have become multifunctional in monasteries, and many baiqi instruments have been developed for different monastic applications. In contemporary Buddhist monasteries in Taiwan, baiqi are used, on the one hand, to mark the time throughout the day, signal the beginning and end of monastic daily activities, and regulate the monastic order; and on the other hand, baiqi are indispensable to the musical practices of all Buddhist rituals, where they are used to accompany fanbai (Buddhist liturgical chants) and to articulate the whole ritual process. This study investigates multiple facets of Buddhist baiqi in their performance practice, function, application, notation, and transmission, exploring the interaction between baiqi and fanbai, baiqi and the practitioner, baiqi and the monastic space, and baiqi and various Buddhist contexts. I draw upon ideas from performance theory as it concerns different disciplines, but I maintain a sharper focus on the musicological dimension of performance practice when analyzing, interpreting, and explaining the performance and music of baiqi in terms of the monastic lifestyle and its rituals. The study not only uncovers the musical system of baiqi, but also encapsulates various issues of performed identity, social interaction, performer/audience, associated behaviors, the musical construction of space, and transmission.

OPERA IN AMERICA: MUSIC OF, BY, AND FOR THE PEOPLE­: A PERFORMANCE DISSERTATION

Opera in America: Music of, by, and for the people is a study of the relationship between American popular culture and opera in the United States. Four performance projects demonstrate the on-going exchange between the operatic community-including its composer, singers, and patrons-and the country's popular entertainment industry with its broad audience base. Numerous examples of artistic cross pollination between lowbrow and highbrow music will illustrate the artistic and social consequences created by this artistic amalgamation. Program #1, By George! By Ira! By Gershwin!, is a retrospective of Gershwin's vocal music representing a blending of popular and serious music in both style and form. The concert includes selections from Porgy and Bess, a work considered by many musicologists as the first American opera. Program #2, Shadowboxer, is a premiere performance of an opera by Frank Proto and John Chenault. For this newly commissioned work, I serve as Assistant Director to Leon Major. Shadowboxer provides a clear example of opera utilizing popular culture both musically and dramatically to tell the true story of American hero and legendary boxer, Joe Louis. Program #3, Just a Song at Twilight, is an original theatrical music piece featuring music, letters, diaries, and journals of the Gilded Age, an era when opera was synonymous with popular entertainment. Special attention is focused on tum-of­ the-century singers who performed in both opera and vaudeville. Program #4 is a presentation of Dominick Argento's Miss Manners on Music and illustrates the strong relationship that can exist between opera and American popular entertainment. Originally conceived as a song cycle, I have staged the work as a one-act opera sung and acted by soprano Carmen Balthrop. This piece is based on the writings of pop icon and newspaper columnist Judith Martin, otherwise known as Miss Manners. All four performances are recorded in audio and video formats.

Principales restricciones asociadas a la performance del mercado avícola en Colombia : pertubaciones en la transacción : sector primario - alimentos balanceados

Durante la última década el sector avícola colombiano ha evolucionado de manera favorable, sin embargo, aún no alcanza los niveles de competitividad suficientes como para llegar a rivalizar con los grandes oferentes internacionales como Estados Unidos, China y Brasil que concentran el 50 por ciento de la producción mundial; esto, debido principalmente a problemas internos de competitividad, entre ellos, la alta dependencia que tiene la industria de los alimentos balanceados sobre la materia prima importada (Maíz y Soya), que sumado a la continua volatilidad del mercado granario y las continuas fluctuaciones del tipo de cambio influyen directamente sobre el precio de los bienes finales de la cadena. Esta fuerte dependencia del componente importado, se genera por la debilidad actual que presenta el sector productivo de soya y maíz, resultado de los bajos niveles de tecnificación en cultivos y tecnología, contrastando con la industria de alimentos balanceados, quien cuenta con una alta inversión en activos específicos de tipo físico como las tecnologías de punta aplicadas a sus procesos y de tipo temporal por los altos rendimientos en su producción, aspecto que limita a la producción nacional, obligando a los productores de alimentos balanceados a importar de Argentina y Estados Unidos la mayoría de sus materias primas para satisfacer su demanda de materia prima, en este sentido, también se ha observado que ante la crisis mundial de alimentos estos países han modificado los precios del mercado y por ende se han visto diezmados los márgenes de utilidad de los productores avícolas colombianos. Aunado a lo anterior, se observan problemas de competitividad en la cadena avícola, representados en la ausencia de coordinación vertical entre todos sus eslabones, puesto que cada eslabón trabaja de manera independiente buscando fortalecerse a sí mismo, aumentando el oportunismo, el poder de mercado y por ende diezmando las capacidades del eslabón anterior. De otro lado; se observa una deficiencia en la formación de capital social y un mercado de tipo oligopólico, que retrasan el desarrollo del sector. A través del desarrollo de este trabajo se pretende describir el funcionamiento del eslabón primario y el eslabón producción alimentos balanceados, como principales generadores de conflicto en la cadena avícola colombiana, para hacerlo se describirá a la cadena, y se realiza un análisis estructural discreto, sumado a un análisis de las transacciones encontradas en cada uno de los eslabones

An investigation into regional differences in educational performance in the National Child Development Study

The National Child Development Study (NCDS) is used to investigate factors which affect children's educational performance over time. Multilevel modelling techniques are used on a subset of the NCDS to investigate variation in educational performance in 11 regions in the UK, and in local education authorities within these regions. Social characteristics of the NCDS members are also analysed. Differences between regions and education authorities are found to be negligible, the main source of variation in achievement being due to differences in social background.

The determinants of business performance of estate agency in England and Wales

Purpose: This paper seeks to investigate the factors influencing the business performance of estate agency in England and Wales. Design/methodology/approach: The paper investigates the effect of housing market, company size and pricing policy on business performance in the estate agency sector in England and Wales. The analysis uses the survey data of Woolwich Cost of Moving Survey (a survey of transactions costs sponsored by the Woolwich/Barclays Bank) from 2003 to 2005 to test the hypothesis that the business performance of estate agency is affected by industry characteristics and firm factors. Findings: The empirical analysis indicates that the business performance of estate agency is subject to market environment volatility such as market uncertainty, housing market liquidity and house price changes. The firm factors such as firm size and the level of agency fee have no explanatory power in explaining business performance. The level of agency fee is positively associated with firm size, market environment and liquidity. Research limitations/implications: The research is limited to the data received and is based on a research project on transaction costs designed prior to this analysis. Originality/value: There is little other research that investigates the factors determining the business performance of estate agency, using consecutive data of three years across England and Wales. The findings are useful for practitioners and/or managers to allocate resources and adjust their business strategy to enhance business performance in the estate agency sector.

Routine maintenance and sustainability of existing social housing

Presently the UK social housing stock accounts for approximately 18% of the total UK housing with maintenance costs in the region of £1.25 billion per annum. In terms of its impact on the environment, housing is generally responsible for approximately 27% of the UK’s CO2 emissions. The extent to which routine maintenance (planned preventative and responsive) can be used as a vehicle to improve the overall sustainability (social, environmental and economic) of existing social housing is one focus of a 5 year EPSRC funded research programme. This paper reports on the findings of a series of in-depth interviews with social housing providers examining current social housing maintenance practices and attitudes towards sustainability. This paper will report the initial findings of interviews and outline a new performance based multi-criteria maintenance model from which an AHP hierarchy will be presented, integrating the principles of sustainability into maintenance strategies

Performance measurement and benchmarking of a major innovation programme

Purpose: The purpose of this paper is to describe the problems encountered and the solutions developed when using benchmarking and key performance indicators (KPIs) to monitor a major UK social house building innovation (change) programme. The innovation programme sought improvements to both the quality of the house product and the procurement process. Design/methodology/approach: Benchmarking and KPIs were used to quantify performance and in-depth case studies to identify underlying cause and effect relationships within the innovation programme. Findings: The inherent competition between consortium members; the complexity of the relationship between the consortium and its strategic partner; the lack of an authoritative management control structure; and the rapidly changing nature of the UK social housing market all proved problematic to the development of a reliable and robust monitoring system. These problems were overcome by the development of multi-dimensional benchmarking model that balanced the needs and aspirations of the individual organisations with the broader objectives of the consortium. Research limitations/implications: Whilst the research methodology provides insight into the factors that affected the performance of a major innovation programme its findings may not be representative of all projects. Practical implications: The lessons learnt should assist those developing benchmarking models for multi-client consortia. Originality/value: The work reported in this paper describes an inclusive approach to benchmarking in which a multiple client group and their strategic partner sought to work together for shared gain. Very few papers have addressed this issue.