The quality of care of diabetic patients in rural Malawi: A case of Mangochi district

Background Diabetes mellitus is a global public health problem. In Malawi, the prevalence of diabetes is 5.6% but the quality of care has not been well studied. Objective The aim of this study was to assess the quality of care offered to diabetic patients in Mangochi district. Methods This was a cross sectional descriptive study. Quantitative data were collected using a questionnaire from a sample of 75 diabetic patients (children and adults) who attended the Diabetes Clinic at Mangochi District Hospital between 20012 and 2013. Qualitative data were also collected using semi-structured interviews with eight Key Informants from among the District Health Management Team. Frequencies and cross-tabulation were obtained from the quantitative data. Patients’ master cards were checked to validate results. Clinical knowledge about diabetes, care practices and resources were the themes analysed from the qualitative data. Results Among the 75 participants interviewed, 46 were females and 29 males. The overall mean age was 48.3 years (45.6 for females and 53.3 for males). More than half of patients had little or no information about diabetes (40.0 % (n=30) and 22.7 (n=17) respectively. The majority of patients were taking their medicines regularly 98.7% (n=74). Only 17.3% (n=13) reported having their feet inspected regularly. Fifty-six percent of patients were satisfied about services provision. Some nurses and clinicians were trained on diabetes care but most of them left. Guidelines on diabetes management were not accessible. There were shortages in medicines (e.g. soluble insulin) and reagents. Information Education and Communication messages were offered through discussions, experiences sharing and posters. Conclusion Quality of diabetes care provided to diabetic patients attended to Mangochi hospital was sub-optimal due to lack of knowledge among patients and clinicians and resources. More efforts are needed towards retention of trained staff, provision of pharmaceutical and laboratory resources and health education.

Mudança de rota

Fundado num estudo de caso sobre a TAP Air Portugal, a empresa pública nacional do sector da aeronáutica, este artigo pretende comunicar o binómio constituído por processos planeados e emergentes na gestão da mudança organizacional. Nas últimas décadas, a TAP Air Portugal vinha acumulando prejuízos constantes, desmotivação nos seus colaboradores e instabilidade laboral permanente. Com a chegada de uma nova equipa de gestão liderada por Fernando Pinto em 2000, o cenário parece ter-se invertido. O papel do líder, o estilo de gestão, as tácticas de negociação e o fomento de uma visão corporativa são debatidos. Através de um plano minuciosamente projectado e comunicado a toda a organização, observou-se uma mudança cultural alicerçada em objectivos comummente partilhados. Restaurada a confiança dos colaboradores, a empresa retomou a rota desejada.

Managerial experiences related to corporate demerger

In the current economic situation very few business operations are static. In some cases, organizations feel that the most rational solution is not expanding but focusing on their core competencies or certain areas of business through corporate restructuring. The focus in this thesis is on corporate demerger, a process that involves a complete separation of units within a company. Despite the vast amount of research considering corporate demergers, there is still a lack of knowledge about how top managers experience these kinds of organizational rearrangements. In this qualitative case study, the aim is to bring forward the thoughts of executives in two companies that emerged from a single company through corporate demerger a few years ago. By conducting dyadic semi-structured interviews with the management group and board members in both the parent company and the demerger company, I pursue to understand the impressions that they had during the demerger process as well as during the change that followed afterwards. Additionally, their retrospective sense-making patterns are briefly examined. The findings suggest that the way operations are managed before plays an important role in the demerger process. In this case the pre-demerger organization was quite distinctly divided into two business areas, which allowed a somewhat natural allocation of resources. In addition, apart from the top management, every employee knew their future company and role, thus decreasing the amount of uncertainty in lower organizational levels. Consequently, the ambiguity and change faced by the top executives was evidently more powerful compared to the operational actors. The fragmented characteristics also enabled certain points of reference in the unfolding demerger process. Along with the information about future management groups, the pre-demerger re-grouping took place. This sparked up the mental division, where both groups started to act separately. On a personal level, the managers involved in the demerger planning have made retrospective sense of the repercussions related to the restructuring process. For them, it was an extremely demanding, ambiguous and burdensome project that provided them with managerial experiences they are likely not to have again.

Modelo de competências no contexto da escola pública portuguesa : análise da função do diretor

Mestrado em Ciências Empresariais

A implementação de preços de transferência interna : o caso Xerox

Mestrado em Contabilidade, Fiscalidade e Finanças Empresariais

As sociedades de capital de risco em Portugal: Critérios adoptados no processo de tomada de decisão de investimento

Este estudo procura compreender a importância atribuída aos critérios utilizados pelas SCR portuguesas, na seleção e avaliação de projetos do tipo early-stage. Os dados utilizados foram recolhidos com recurso a questionário aplicado a 22 SCR portuguesas. Foram utilizadas técnicas de estatística descritiva, testes não paramétricos e análise de clusters. Concluiu-se que a personalidade e experiência do empreendedor e equipa de gestão são os critérios mais valorizados. As SCR com capital maioritariamente privado consideram mais importante o grupo de critérios relativo à personalidade do empreendedor e equipa de gestão do que as de capital maioritariamente público; e, as SCR que ainda não se internacionalizaram, consideram mais importantes o grupo de critérios relativos à personalidade do empreendedor e equipa de gestão e o grupo de critérios relativo aos aspetos financeiros, do que as SCR que se internacionalizaram. Na análise de clusters identificaram-se três grupos de SCR: Criadores de riqueza de forma sustentada; Monopolistas Impacientes; e, Ciumento. ABSTRACT: This study seeks to understand the relevance of the criteria used by the Portuguese VCs to select and assess early stage type projects. The data used for the study was collected through a questionnaire answered by 22 Portuguese VCs. We employed descriptive statistic techniques, non-parametric tests and cluster analysis. The conclusion of the study was that the personality and experience of an entrepreneur and of the management team are the most valued criteria. VCs with a majority of private share capital found the group of criteria related to the personality of the entrepreneur and of the management team to be more important than the companies with a majority of public share capital; additionally, the VCs that have not yet expanded internationally, consider the personality of the entrepreneur and management team and the group of criteria associated to financial aspects, to be more important than the VCs that have already expanded abroad. Throughout the study of the clusters we were able to identify three VCs groups: Creators of sustained wealth; Impatient Monopolists and Jealous.

Implementação de um sistema de gestão da qualidade nas organizações escolares

A Qualidade é um dos fatores dinâmicos de competitividade e é, incontestavelmente, um dos pilares fundamentais para a construção do sucesso das organizações. O conceito de Qualidade não é de fácil definição, dado que é algo complexo e de difícil consenso. E muitas são as noções de Qualidade existentes na literatura, mas todas elas convergem num sentido único da busca da melhoria contínua e da excelência. Por outro lado, a implementação da Contabilidade de Gestão (designadamente o Custeio Baseado em Atividades - ABC) numa organização, sobretudo numa instituição de ensino, fornece recursos suficientes para a identificação dos melhores indutores de custo. Assim, toma-se inevitável observar as atividades, inquirir os colaboradores internos e externos, desenvolver e aplicar métodos quantitativos que monitorizem os processos e os procedimentos e, especialmente, que exista o empenho da gestão de topo, de modo a que a estratégia e a qualidade organizacional se inter-relacionem. Este trabalho apresenta diversos aspetos referentes à temática dos custos da qualidade (ou da não qualidade), a própria técnica contemporânea ABC e os principais resultados obtidos através da aplicação de listas de verificação e de um inquérito por questionário, junto dos alunos, colaboradores docentes e não docentes, com o objetivo de analisar a situação dos custos da qualidade baseados na contabilidade e avaliar o grau de satisfação/motivação com a qualidade do serviço prestado na sede do Agrupamento de Escolas do concelho de Estremoz. Os resultados do presente estudo evidenciaram alguns benefícios e dificuldades da aplicabilidade da Gestão da Qualidade numa instituição de ensino. A cultura organizacional deste tipo de instituições será um dos aspetos a ter em consideração, de modo a que os princípios da Gestão da Qualidade sejam implementados de forma harmoniosa e que poderá encaminhar essas organizações num verdadeiro percurso de qualidade, numa filosofia de melhoria contínua até à excelência. ABSTRACT: As a crucial factor for competitiveness, quality is undoubtedly one of the foundations on which a successful organization rests. The complexity surrounding the notion of quality makes it hard to reach a consensus about its meaning, and that is why it has so many different definitions. However, all of them have one thing in common - that it involves a continuous search for improvement and excellence. Nowadays, an organization that uses accounting methods to support management (namely the Activity-based Costing method) has the necessary means to identify where the main costs are originating from, particularly if the organization is somehow related to teaching. It is therefore inevitable to study activities, inquire everyone involved in the organization's activities, as well as develop and apply quantitative methods to monitor processes and procedures. Moreover, it is especially important that top management is fully committed to quality in order to reflect it on its strategy. This work focuses on several aspects pertaining costs associated with quality- and lack of quality­ and shows the Activity-based Costing method in particular, as well as the main results gathered from the verification lists and questionnaires made to students, teachers and staff, with the purpose of analyzing - based on accounting - the amount of costs derived from quality, and evaluating the degree of satisfaction and/or motivation as regards the quality of service provided at a group of schools in Portuguese region of Estremoz. The results of this study show that there are some benefits in applying quality management to teaching institutions, but there are also some difficulties. The organizational culture of these institutions is one aspect that should be taken into consideration, so that quality management principles can be implemented harmoniously. This may direct these organizations to the true path of quality, so they can continuously seek improvement and achieve excellence.

Design of a new laboratory for quality control of mussel produced in Sagres

Dissertação de mestrado, Qualidade em Análises, Faculdade de Ciências e Tecnologia, Universidade do Algarve, 2014

Continuous quality improvement in a Maltese hospital using logical framework analysis

Purpose: The purpose of this paper is to present the application of logical framework analysis (LFA) for implementing continuous quality improvement (CQI) across multiple settings in a tertiary care hospital. Design/methodology/approach: This study adopts a multiple case study approach. LFA is implemented within three diverse settings, namely, intensive care unit, surgical ward, and acute in-patient psychiatric ward. First, problem trees are developed in order to determine the root causes of quality issues, specific to the three settings. Second, objective trees are formed suggesting solutions to the quality issues. Third, project plan template using logical framework (LOGFRAME) is created for each setting. Findings: This study shows substantial improvement in quality across the three settings. LFA proved to be effective to analyse quality issues and suggest improvement measures objectively. Research limitations/implications: This paper applies LFA in specific, albeit, diverse settings in one hospital. For validation purposes, it would be ideal to analyse in other settings within the same hospital, as well as in several hospitals. It also adopts a bottom-up approach when this can be triangulated with other sources of data. Practical implications: LFA enables top management to obtain an integrated view of performance. It also provides a basis for further quantitative research on quality management through the identification of key performance indicators and facilitates the development of a business case for improvement. Originality/value: LFA is a novel approach for the implementation of CQI programs. Although LFA has been used extensively for project development to source funds from development banks, its application in quality improvement within healthcare projects is scant.

Avalição do impacto de uma biblioteca universitária

Neste estudo apresenta-se uma avaliação do impacto da Biblioteca da Faculdade de Ciências da Universidade do Porto (FCUP), na perspetiva dos estudantes e observando alguns dados relativos ao uso da Biblioteca FCUP. A investigação recorre a uma análise de métodos mistos, isto é, avalia dados qualitativos, que descrevem mas não mensuram as características, em especial as ações humanas, e dados quantitativos que apresentam forma numérica e revelam uma quantidade certa podendo ser sujeitos a manipulação estatística. A «Notícias da Biblioteca», uma newsletter publicada bimestralmente pela Biblioteca FCUP, inclui uma seção denominada “Voz do Utilizador”, onde são incluídos pequenos textos de opinião da autoria dos utilizadores, escolhidos aleatoriamente e, que frequentam as instalações destes serviços da FCUP. Aplicando a Norma Internacional ISO16439:2014 (E) – Information and documentation – Methods and procedures for assessing the impact of libraries, examinaram-se vinte textos de opinião, sobre a biblioteca, redigidos por estudantes de várias nacionalidades, publicados de janeiro de 2013 a dezembro de 2014, na «Notícias da Biblioteca». Investigaram-se ainda 7 entrevistas. Apelando à Estatística Descritiva efetuaram-se tabelas de contingência que são úteis para conhecer a relação entre os dados em função de determinados grupos, isto é, observar a frequência de uma variável em função das categorias de outra variável. Com as tabelas de contingência obtém-se percentagens em função dos efeitos do impacto da biblioteca e dos grupos de estudantes e analisa-se a relação entre eles. O estudo utilizou ainda alguns dados estatísticos indicadores que mostram o impacto, a saber, indicadores de desempenho relativos ao uso da biblioteca – número de visitas per capita e número de empréstimos per capita. Estas avaliações em bibliotecas fornecem informações úteis para as chefias de topo, para o desenvolvimento de novos projetos e a otimização do impacto e desempenho destes serviços das instituições de Ensino Superior./ This study presents an impact assessment of the Library of the Faculty of Science, University of Porto (FCUP), from the students’ point of view and some statistical data collected from the FCUP Library use. We used a mixed methods research, i.e., qualitative data, that describes but does not measure characteristics, in particular human actions, and quantitative data represented by numbers that indicate exact amounts which can be statistically manipulated. The newsletter «Notícias da Biblioteca» published, bimonthly, by the FCUP Library includes a section called “User Voice” where we can find opinion texts expressed by library users, randomly chosen, and who usually go to the library. Applying International Standard ISO16439: 2014 (E) - Information and documentation - Methods and procedures for assessing the impact of libraries, we examined 20 opinion texts written by students of various nationalities, published from January 2013 to December 2014, in «Notícias da Biblioteca» During this period of time, we have taken seven interviews. Using the principles of Descriptive Statistics, we produced Contingency Tables to determine how the data relates in terms of certain groups, i.e., to observe the frequency of the dependent variable on another categorical variable. Working with the Contingency Tables allowed us to obtain percentages according to the effects of the impact of the library in various groups of students and study the relationship between them. This study also used some statistical data that show the impact of the library within the institution, such as: performance indicators relating to the use of the library - number of visits per capita and number of loans per capita. These assessment impact studies in libraries provide useful data for the top management, to develop new projects, thus maximizing the impact and performance of these services of higher education institutions.

Modelo de competências organizacionais de pessoal não docente da Universidade de Évora: um estudo de caso

Nesta dissertação de mestrado, na forma de estudo de caso, procedeu-se ao levantamento das competências organizacionais de todos os serviços e estruturas da Universidade de Évora, usando o método de focus group e entrevistas semiestruturadas. Teve por base teórica o Modelo das oito competências de Dave Bartram (2011), e o Modelo das nove competências associadas à gestão da qualidade de Escrig-Tena e Bou-Llusar (2005). Das 38 entrevistas individuais realizadas a chefias de topo, emanou um modelo de cinco competências organizacionais (comprometimento, trabalho em equipa, eficiência, eficácia e formação e conhecimento) específico da Universidade de Évora. Foi ainda descrita a visão de futuro da organização por parte dos entrevistados, numa organização dedicada ao Ensino, mas com a pretensão de se expandir noutras áreas de destaque; Organizational Skills Model of Non-teaching Staff of the University of Évora - A Case Study Abstract In this dissertation, in the form of case study, we proceeded to survey the organizational skills of all services and structures of the University of Évora, using the method of focus groups and semi-structured interviews. We had as theoretical basis Dave Bartram’s model of the eight skills (2011), and the Escrig-Tena and Bou-Llusar’s Model of the nine skills associated with quality management (2005). Of the 38 individual interviews with top management, a model of five organizational skills emanated (commitment, teamwork, efficiency, effectiveness and training and knowledge), specific to the University of Évora. It was also described the future vision of the organization by the respondents, an organization dedicated to education, but with the intention to expand in other areas of emphasis.

“Razionalizzazione ed efficientamento del sistema produttivo: Il Caso C.M.I Cerniere Meccaniche Industriali”

Nel mondo dell’industria, la produzione senza sprechi costituisce fonte di vantaggio competitivo. Per questo, molte aziende cercano di efficientare i propri processi attraverso gli strumenti della Lean Manufacturing. L’obiettivo di questa tesi è proprio quello di trovare una soluzione per la minimizzazione degli sprechi all’interno del contesto aziendale in cui sono stato inserito come tirocinante. In primis, si cercherà di descrivere in modo dettagliato l’azienda pressa la quale si è svolta l’attività di tirocinio. Successivamente verrà illustrato lo stato AS-IS dell’azienda insieme alle problematiche che sta fronteggiando in questo momento. Dopo la descrizione del problema all’interno del contesto aziendale, si analizzeranno i dati presi direttamente sul campo di lavoro. A seguire, dopo l’approvazione da parte del top management della soluzione migliorativa trovata, avverrà la descrizione dello stato TO-BE. In conclusione, verranno messi a confronto i dati dello stato AS-IS con quelli del TO-BE per costruire il dato aggregato dell’attività svolta in azienda. Questo riassume brevemente il lavoro di tesi svolto in azienda, che ha permesso di ridurre di qualche punto percentuale i fermi macchina e di efficientare il sistema produttivo.

Management Structure and Work Team Processes; Responsibilities and Responsiveness

This paper explores the management structure of the team-based organization. First it provides a theoretical model of structures and processes of work teams. The structure determines the team’s responsibilities in terms of authority and expertise about specific regulation tasks. The responsiveness of teams to these responsibilities are the processes of teamwork, in terms of three dimensions, indicating to what extent teams indeed use the space provided to them. The research question that this paper addresses is to what extent the position of responsibilities in the team-based organization affect team responsiveness. This is done by two hypotheses. First, the effect of the so-called proximity of regulation tasks is tested. It is expected that the responsibility for tasks positioned higher in the organization (i.e. further from the team) generally has a negative effect on team responsiveness, whereas tasks positioned lower in the organization (i.e. closer to the team) will have a positive effect on the way in which teams respond. Second, the relationship between the number of tasks for which the team is responsible with team responsiveness is tested. Theory suggests that teams being responsible for a larger number of tasks perform better, i.e. show higher responsiveness. These hypotheses are tested by a study of 109 production teams in the automotive industry. The results show that, as the theory predicts, increasing numbers of responsibilities have positive effects on team responsiveness. However, the delegation of expertise to teams seems to be the most important predictor of responsiveness. Also, not all regulation tasks show to have effects on team responsiveness. Most tasks do not show to have any significant effect at all. A number of tasks affects team responsiveness positively, when their responsibility is positioned lower in the organization, but also a number of tasks affects team responsiveness positively when located higher in the organization, i.e. further from the teams in the production. The results indicate that more attention can be paid to the distribution of responsibilities, in particular expertise, to teams. Indeed delegating more expertise improve team responsiveness, however some tasks might be located better at higher organizational levels, indicating that there are limitations to what responsibilities teams can handle.