785 resultados para Professional commitment
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This paper examines how the introduction and use of a new information system affects and is affected by the values of a diverse professional workforce. It uses the example of lecture capture systems in a university. Its contribution is to combine two concepts taken from actor-network theory, namely accumulation and inscription, and combine them with an integrated framework of diversity management. A model is developed of accumulation cycles in lecture capture usage, involving multiple interacting actants, including the broader environment, management commitment to diversity, work group characteristics, individual practices and the affordances of technology. Using this model, alternative future inscriptions can be identified - an optimal one, which enhances professional values, as a result of a virtuous accumulation cycle, or a sub-optimal one, as a result of a vicious cycle. It identifies diversity management as an important influence on how professional values are enhanced, modified or destroyed.
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Objective Leadership is particularly important in complex highly interprofessional health care contexts involving a number of staff, some from the same specialty (intraprofessional), and others from different specialties (interprofessional). The authors recently published the concept of “The Burns Suite” (TBS) as a novel simulation tool to deliver interprofessional and teamwork training. It is unclear which leadership behaviors are the most important in an interprofessional burns resuscitation scenario, and whether they can be modeled on to current leadership theory. The purpose of this study was to perform a comprehensive video analysis of leadership behaviors within TBS. Methods A total of 3 burns resuscitation simulations within TBS were recorded. The video analysis was grounded-theory inspired. Using predefined criteria, actions/interactions deemed as leadership behaviors were identified. Using an inductive iterative process, 8 main leadership behaviors were identified. Cohen’s κ coefficient was used to measure inter-rater agreement and calculated as κ = 0.7 (substantial agreement). Each video was watched 4 times, focusing on 1 of the 4 team members per viewing (senior surgeon, senior nurse, trainee surgeon, and trainee nurse). The frequency and types of leadership behavior of each of the 4 team members were recorded. Statistical significance to assess any differences was assessed using analysis of variance, whereby a p < 0.05 was taken to be significant. Leadership behaviors were triangulated with verbal cues and actions from the videos. Results All 3 scenarios were successfully completed. The mean scenario length was 22 minutes. A total of 362 leadership behaviors were recorded from the 12 participants. The most evident leadership behaviors of all team members were adhering to guidelines (which effectively equates to following Advanced Trauma and Life Support/Emergency Management of Severe Burns resuscitation guidelines and hence “maintaining standards”), followed by making decisions. Although in terms of total frequency the senior surgeon engaged in more leadership behaviors compared with the entire team, statistically there was no significant difference between all 4 members within the 8 leadership categories. This analysis highlights that “distributed leadership” was predominant, whereby leadership was “distributed” or “shared” among team members. The leadership behaviors within TBS also seemed to fall in line with the “direction, alignment, and commitment” ontology. Conclusions Effective leadership is essential for successful functioning of work teams and accomplishment of task goals. As the resuscitation of a patient with major burns is a dynamic event, team leaders require flexibility in their leadership behaviors to effectively adapt to changing situations. Understanding leadership behaviors of different team members within an authentic simulation can identify important behaviors required to optimize nontechnical skills in a major resuscitation. Furthermore, attempting to map these behaviors on to leadership models can help further our understanding of leadership theory. Collectively this can aid the development of refined simulation scenarios for team members, and can be extrapolated into other areas of simulation-based team training and interprofessional education.
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As transformações nas relações contratuais e na ligação psicológica do indivíduo à organização motivaram a realização do presente estudo. Os seus objectivos centrais consistiram em, por um lado, analisar a influência do tipo de vínculo na formação do Contrato Psicológico dos indivíduos com a organização e, por outro lado, compreender a relação do Contrato Psicológico com o Empenhamento na Carreira e com o Commitment Organizacional, e o que poderá distinguir estas relações. A metodologia apoiou-se num questionário, aplicado a uma amostra de 102 profissionais com vínculos de trabalho estáveis e instáveis, de diferentes organizações, ramos profissionais e sectores de actividade. A amostra é proporcional e representativa. (a) Os resultados demonstram que os profissionais prestadores de serviço são o único caso em que o tipo de vínculo tem influência significativa sobre a formação do Contrato Psicológico, percepcionando uma ligação transaccional com a organização. (b) Em contrapartida, provam que uma maior ou menor estabilidade contratual não tem influência significativa sobre os Contratos Psicológicos relacional ou equilibrado. (c) Os resultados sugerem ainda que o Contrato Psicológico está mais directamente relacionado com o Empenhamento na Carreira do que com o Commitment Organizacional. O Contrato Psicológico apresenta correlações fortes com o Empenhamento na Carreira e a consequente utilização de comportamentos individuais de Gestão de Carreira, sendo esta mais significativa nas ligações psicológicas de tipo equilibrado e relacional. No que respeita ao Commitment Organizacional, este não apresenta relação significativa com o Contrato Psicológico mas verificamos a existência de focus de Commitment Organizacional. Os resultados comprovam que o Contrato Psicológico se correlaciona com a sua dimensão normativa. As conclusões evidenciam o incremento das relações transaccionais, motivadas pela menor durabilidade dos vínculos e o desenvolvimento de reduzidas expectativas na relação com a organização e para o carácter individual e circunstancial das ligações psicológicas, que já não obedecem a um padrão tipo. Perante cenários de grande instabilidade, independentemente do Contrato Psicológico estabelecido, a preocupação com a Carreira ganha relevância. Os profissionais actuais tendem a transferir a preocupação com o vínculo e a segurança no emprego para questões de carreira, segurança de empregabilidade e sucesso psicológico. Observa-se que a lealdade à organização é na maior parte dos casos transferida para a lealdade à carreira. / Transformations in contractual relationships and in the psychological connection of an individual to an organization have motivated the execution of the present study. The main objectives of this study were, on the one hand, to analyze the influence of the type of contractual bond in the shaping of the psychological contract of individuals with an organization, and, on the other hand, to understand the relationship between the psychological contract, the career commitment and the organizational commitment, to understand subsequently what may distinguish these relationships. The methodology was supported by a questionnaire, which was applied to a sample of 105 professionals with both stable and unstable contractual bonds in different organizations, professional lines of business and activity sectors. The sample is proportional and representative. (a) The results demonstrate that service providing professionals are the only case in which the type of contractual bond has a significant influence on the shaping of a psychological contract, perceived as a transactional connection with the organization. (b) On the other hand a higher or lower contractual stability has no significant influence or relationship with the psychological contract, relational or balanced. (c) The results also suggest that the psychological contract is more directly related to career commitment than to organizational commitment. The psychological contract shows a strong correlation with the career commitment and the consequent use of the individual behaviour of Career Management, with the latter being more significant to a balanced and relational type of psychological connection. In regard to Organizational Commitment, this presents no significant relationship with the psychological contract but the focus on the organizational commitment is verified. The results also show that the psychological contract is correlated with its normative dimension. The increase in transactional relationships are evident. This is driven by reduction of the durability of contractual bonds and the development of reduced expectations in relation to the organization and the individual character and circumstance of the psychological connections, which no longer conform to a standard type. Scenarios of great instability, regardless of the psychological contract established, cause the concern with career to gain relevance. Current professionals tend to transfer their concerns about contractual bonds and job security to career issues, job security and psychological success. It can also be seen that loyalty to the organization is, in most cases, transferred to loyalty to the career.
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Reasons for the iniquities of caries, globally recognized, may be related to how Cariology has been taught in dental schools. In Brazil, the most important universities, when considering healthcare teaching, are the public ones. The objective of this study was to identify the insertion of the contents of Cariology in the course flowcharts of public dental schools in the country. The survey was conducted in 2013 seeking to identify the realities of different geographical regions, aimed to the census of public dental schools. It was performed a documentary analysis of the menus of disciplines, identifying the following issues: number of dental schools that include content related to Cariology in their curricula; average total workload undergraduate courses and disciplines that contemplate the theme; distribution of disciplines in professional training cycles (basic, clinical and public health); existence of discipline and/or a specific department; verification of bibliographic indication directly related to Cariology. The response rate was 93.6%. All dental schools recommended specific books, and none of them had a Department of Cariology. All dental schools in the country contemplated content related to Cariology in their disciplines, distributed in specific disciplines (except for the Northern region) and disciplines in the three cycles of learning (basic, clinical and public health), with larger workload in the clinical cycle. Although public dental schools in Brazil demonstrated commitment to contemplating the content related to Cariology in their disciplines, the emphasis on the clinical cycle may not be promoting the integrated formation of students, which could be contributing to reflect the inequalities of the disease in the country.
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to assess how nurses perceive autonomy, control over the environment, the professional relationship between nurses and physicians and the organizational support and correlate them with burnout, satisfaction at work, quality of work and the intention to quit work in primary healthcare. cross-sectional and correlation study, using a sample of 198 nurses. The tools used were the Nursing Work Index Revised, Maslach Burnout Inventory and a form to characterize the nurses. To analyze the data, descriptive statistics were applied and Spearman's correlation coefficient was used. the nurses assessed that the environment is partially favorable for: autonomy, professional relationship and organizational support and that the control over this environment is limited. Significant correlations were evidenced between the Nursing Work Index Revised, Maslach Burnout Inventory and the variables: satisfaction at work, quality of care and the intent to quit the job. the nurses' perceptions regarding the environment of practice are correlated with burnout, satisfaction at work, quality of care and the intent to quit the job. This study provides support for the restructuring of work processes in the primary health care environment and for communication among the health service management, human resources and occupational health areas.
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This paper analyses some aspects of the trajectory of the Argentinian physician and sociologist Juan César García (1932-1984) in the field of Latin American Social Medicine. Three dimensions constituting his basic orientations are highlighted: the elaboration of systematic and reflective social thought; a critical attitude in questioning teaching and professional practices; a commitment to the institutionalization and dissemination of health knowledge.
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Introduction. Noise is a major cause of health disorders in workers and has unique importance in the auditory analysis of people exposed to it. The purpose of this study is to evaluate the arithmetic mean of the auditory thresholds at frequencies of 3, 4, and 6 kHz of workers from five professional categories exposed to occupational noise. Methods. We propose a retrospective cross-sectional cohort study to analyze 2.140 audiograms from seven companies having five sectors of activity: one footwear company, one beverage company, two ceramics companies, two metallurgical companies, and two transport companies. Results. When we compared two categories, we noticed a significant difference only for cargo carriers in comparison to the remaining categories. In all activity sectors, the left ear presented the worst values, except for the footwear professionals (P > 0.05). We observed an association between the noise exposure time and the reduction of audiometric values for both ears. Significant differences existed for cargo carriers in relation to other groups. This evidence may be attributed to different forms of exposure. A slow and progressive deterioration appeared as the exposure time increased.
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Universidade Estadual de Campinas . Faculdade de Educação Física
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Universidade Estadual de Campinas . Faculdade de Educação Física
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Universidade Estadual de Campinas. Faculdade de Educação Física
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Universidade Estadual de Campinas . Faculdade de Educação Física
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Universidade Estadual de Campinas . Faculdade de Educação Física
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Universidade Estadual de Campinas. Faculdade de Educação Física
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A study was designed to determine how the degree programs in Information and library science available in 2000-2005 at the public universities of Madrid fit the tabour market needs of their students. The methodology used was the development of a questionnaire addressed to graduates. Although the number of surveys completed is not high (118), the authors believe that the results obtained permit a series of conclusions that may be extrapolated to the entire cohort.