Facilitators and barriers to applying a national quality registry for quality improvement in stroke care

BACKGROUND: National quality registries (NQRs) purportedly facilitate quality improvement, while neither the extent nor the mechanisms of such a relationship are fully known. The aim of this case study is to describe the experiences of local stakeholders to determine those elements that facilitate and hinder clinical quality improvement in relation to participation in a well-known and established NQR on stroke in Sweden. METHODS: A strategic sample was drawn of 8 hospitals in 4 county councils, representing a variety of settings and outcomes according to the NQR's criteria. Semi-structured telephone interviews were conducted with 25 managers, physicians in charge of the Riks-Stroke, and registered nurses registering local data at the hospitals. Interviews, including aspects of barriers and facilitators within the NQR and the local context, were analysed with content analysis. RESULTS: An NQR can provide vital aspects for facilitating evidence-based practice, for example, local data drawn from national guidelines which can be used for comparisons over time within the organisation or with other hospitals. Major effort is required to ensure that data entries are accurate and valid, and thus the trustworthiness of local data output competes with resources needed for everyday clinical stroke care and quality improvement initiatives. Local stakeholders with knowledge of and interest in both the medical area (in this case stroke) and quality improvement can apply the NQR data to effectively initiate, carry out, and evaluate quality improvement, if supported by managers and co-workers, a common stroke care process and an operational management system that embraces and engages with the NQR data. CONCLUSION: While quality registries are assumed to support adherence to evidence-based guidelines around the world, this study proposes that a NQR can facilitate improvement of care but neither the registry itself nor the reporting of data initiates quality improvement. Rather, the local and general evidence provided by the NQR must be considered relevant and must be applied in the local context. Further, the quality improvement process needs to be facilitated by stakeholders collaborating within and outside the context, who know how to initiate, perform, and evaluate quality improvement, and who have the resources to do so.

Knowledge translation in Uganda : a qualitative study of Ugandan midwives' and managers' perceived relevance of the sub-elements of the context cornerstone in the PARIHS framework

BACKGROUND: A large proportion of the annual 3.3 million neonatal deaths could be averted if there was a high uptake of basic evidence-based practices. In order to overcome this 'know-do' gap, there is an urgent need for in-depth understanding of knowledge translation (KT). A major factor to consider in the successful translation of knowledge into practice is the influence of organizational context. A theoretical framework highlighting this process is Promoting Action on Research Implementation in Health Services (PARIHS). However, research linked to this framework has almost exclusively been conducted in high-income countries. Therefore, the objective of this study was to examine the perceived relevance of the subelements of the organizational context cornerstone of the PARIHS framework, and also whether other factors in the organizational context were perceived to influence KT in a specific low-income setting. METHODS: This qualitative study was conducted in a district of Uganda, where focus group discussions and semi-structured interviews were conducted with midwives (n = 18) and managers (n = 5) within the catchment area of the general hospital. The interview guide was developed based on the context sub-elements in the PARIHS framework (receptive context, culture, leadership, and evaluation). Interviews were transcribed verbatim, followed by directed content analysis of the data. RESULTS: The sub-elements of organizational context in the PARIHS framework--i.e., receptive context, culture, leadership, and evaluation--also appear to be relevant in a low-income setting like Uganda, but there are additional factors to consider. Access to resources, commitment and informal payment, and community involvement were all perceived to play important roles for successful KT. CONCLUSIONS: In further development of the context assessment tool, assessing factors for successful implementation of evidence in low-income settings--resources, community involvement, and commitment and informal payment--should be considered for inclusion. For low-income settings, resources are of significant importance, and might be considered as a separate subelement of the PARIHS framework as a whole.

'Ultrasound is an invaluable third eye, but it can't see everything' : a qualitative study with obstetricians in Australia

Background: Obstetric ultrasound has come to play a significant role in obstetrics since its introduction in clinical care. Today, most pregnant women in the developed world are exposed to obstetric ultrasound examinations, and there is no doubt that the advantages of obstetric ultrasound technique have led to improvements in pregnancy outcomes. However, at the same time, the increasing use has also raised many ethical challenges. This study aimed to explore obstetricians' experiences of the significance of obstetric ultrasound for clinical management of complicated pregnancy and their perceptions of expectant parents' experiences. Methods: A qualitative study was undertaken in November 2012 as part of the CROss-Country Ultrasound Study (CROCUS). Semi-structured individual interviews were held with 14 obstetricians working at two large hospitals in Victoria, Australia. Transcribed data underwent qualitative content analysis. Results: An overall theme emerged during the analyses, 'Obstetric ultrasound - a third eye', reflecting the significance and meaning of ultrasound in pregnancy, and the importance of the additional information that ultrasound offers clinicians managing the surveillance of a pregnant woman and her fetus. This theme was built on four categories: I:'Everyday-tool' for pregnancy surveillance, II: Significance for managing complicated pregnancy, III: Differing perspectives on obstetric ultrasound, and IV: Counselling as a balancing act. In summary, the obstetricians viewed obstetric ultrasound as an invaluable tool in their everyday practice. More importantly however, the findings emphasise some of the clinical dilemmas that occur due to its use: the obstetricians' and expectant parents' differing perspectives and expectations of obstetric ultrasound examinations, the challenges of uncertain ultrasound findings, and how this information was conveyed and balanced by obstetricians in counselling expectant parents. Conclusions: This study highlights a range of previously rarely acknowledged clinical dilemmas that obstetricians face in relation to the use of obstetric ultrasound. Despite being a tool of considerable significance in the surveillance of pregnancy, there are limitations and uncertainties that arise with its use that make counselling expectant parents challenging. Research is needed which further investigates the effects and experiences of the continuing worldwide rapid technical advances in surveillance of pregnancies.

Older people's experience of utilisation and administration of medicines in a health- and social care context

BACKGROUND: People living at home who lack ability to manage their medicine are entitled to assistance to improve adherence provided by a home care assistant employed by social care. AIM: The aim was to describe how older people with chronic diseases, living at home, experience the use and assistance of administration of medicines in the context of social care. DESIGN: A qualitative descriptive study. METHODS: Ten participants (age 65+) living at home were interviewed in the participants' own homes. Latent content analysis was used. FINDINGS: The assistance eases daily life with regard to practical matters and increases adherence to a medicine regimen. There were mixed feelings about being dependent on assistance; it interferes with self-sufficiency at a time of health transition. Participants were balancing empowerment and a dubious perception of the home care assistants' knowledge of medicine and safety. Physicians' and district nurses' professional knowledge was a safety guarantee for the medicine process. CONCLUSIONS: Assistance eases daily life and medicine regimen adherence. Dependence on assistance may affect self-sufficiency. Perceived safety varied relating to home care assistants' knowledge of medicine. RELEVANCE TO CLINICAL PRACTICE: A well-functioning medicine assistance is crucial to enable older people to remain at home. A person-centred approach to health- and social care delivery is efficient and improve outcome for the recipient of care.

Responsabilidade corporativa: entre o social e o regulado estudo de um setor da siderurgia brasileira

Este trabalho teve como objetivo analisar as dimensões de responsabilidade corporativa "regulada" e a responsabilidade corporativa "social", explorando o conceito de responsabilidade social em relação às práticas de responsabilidade social e regulada, bem como sua aplicação no ramo siderúrgico brasileiro, especificamente nas seguintes empresas: Companhia Siderúrgica Nacional, CSN e Companhia Siderúrgica Paulista, COSIP A. Em linhas gerais, os resultados chamaram a atenção para o fato de que, em grande parte, o que se vem chamando de responsabilidade social, não passa do cumprimento às determinações legais. Dessa forma, entender a responsabilidade que as empresas têm para o desenvolvimento de uma sociedade requer verificar em que medida as organizações estão contribuindo para um desenvolvimento econômico e social, que leve em conta noções de sustentabilidade e que vão além das determinações pautadas pela legislação vigente. No tratamento dos dados coletados nas entrevistas utilizou-se análise do discurso como uma forma de entender as relações intertextuais e interdiscursivas, ou seja, compreender as disfuncionalidades entre o que se diz e o que se faz. Além disso, serviram de suporte para análise pesquisas documental e bibliográfica do tema em questão.

O desafio de reconhecimento do sujeito cego em espaços públicos de representação

This work is funded based on the uneasiness with the concept of State as a public machine for development. Of State as a public machine to deliberate valid practices for valid methods and to limit valid subjects in valid spaces. In midst of this specific context, this work dedicates itself to investigate the following research problem: the mistaken recognition of the blind subject in public spaces of representation. For this reason, it was addressed the following question: how the blind subject is recognized in public spaces of representation? To answer the question, it was necessary to contextualize how the blind subject is being recognized in various public spaces of representation. In the international scope, the human rights debate held between the National States was analyzed (BRAND, 2005; KOERNER, 2002; UN, 2006). In the national arena, constitutional rights, federal laws, public policies and institutions representing the blind subject were examined (CABRAL, 2008; SARAVIA, 2006). Finally, in a local context, the fundaments of the concept of citizen for the subject recognition were investigated (AGAMBEN, 2002; RORTY, 1999, DELEUZE AND GUATTARI, 1996). The methodology included reports of national and international representatives in the Lusophone Countries Meeting for Dissemination and Implementation of the Convention on the Rights of Persons with Disabilities and, mainly, interviews with blind subjects. The data was processed by content analysis and was discussed based on the following categories: representation spaces; representation modes; representation amplitude; representation premises. The results show, regarding such spaces of representation, the growing importance of thinking the rights of persons with disabilities ¿ group in which belongs the blind subject ¿ as of the international and national scenario. However, the blind subjects announced alternative local spaces for representation: church, internet, radio, etc. Regarding the representation modes, the role of law and standards has been advocated specially in the human rights field. The importance of the cooperation between the States and the civil society to ensure, in practice, the rights achieved was also emphasized. But other forms of representation, directly linked to each interviewee¿ history, was important. Regarding the representation amplitude, there were arguments in defense of a conception of human dignity and freedom to all inhabitants of the globe. The lusophone event highlighted the concern of the cultural peculiarities of those involved in the meeting. The blind interviewees argued for citizenship as construction of instruments for freedom and autonomy, but recognized that this is not a clear desire between the blind people in general, and even less in society as a whole. With respect to the representation premises, the fundaments for the recognition of the blind subject were based on the primacy of reason at the expense of personal experimentation. Experimentation that serves as the foundation of a new form of recognition of the blind subject in public spaces of representation, one more interested in singularities, impenetrable by reason, unmovable to another, and which are irreducible to each subject. The final considerations suggest that if the State has a reason to be, this is not another than to offer instruments to manifest as many as the existential possibilities of the subject. This is the concept of State for development.

Política de desenvolvimento e o setor de mineração: análise de discursos do governo do Peru no período de 1990 a 2009

Os estudos sobre desenvolvimento, sem dúvida, se mantiveram como um dos últimos bastiões do modernismo nas ciências sociais (Rapley, 2004). Muitos dos dilemas chave em estudos contemporâneos sobre desenvolvimento se centraram nas disjuntivas entre inovação teórica, política e prática (Simon, 2003). No entanto, a discussão que envolve a relação entre desenvolvimento e mineração, que interessa neste estudo, ainda permanece acrítica dentro da literatura dominante. Segundo Graulau (2008), o tema de mineração encontra-se num vaivém entre o favoritismo e a oposição. O estudo sob o ponto de vista normativo da mineração no campo de desenvolvimento mostra a mentalidade econômica de longa data que prevalece nesse campo. No Peru as reformas neoliberais implantadas desde a década 1990 têm promovido fortemente o setor de mineração. Os investimentos nacionais e estrangeiros, o volume das exportações e impostos certamente têm influenciado favoravelmente na economia em termos macroeconômicos, obtendo quantidades consideráveis de divisas (UNCTAD, 2008). Não obstante, a grande mineração parece não ter beneficiado as comunidades envolvidas com a extração de minérios (Barrantes, 2005; Glave e Kuramoto, 2007; Zegarra; Orihuela e Paredes, 2007). A quantidade e gravidade dos conflitos que vem acontecendo evidenciam a resistência ao setor, frente à ação discursiva do Estado peruano sobre o “desenvolvimento” que assegura o que a mineração traz. Neste contexto este estudo tem como objetivo analisar as práticas discursivas das políticas de mineração peruana em relação a construção do discurso de desenvolvimento no período compreendido entre 1990-2009. Com esse objetivo, foi necessário abordar primeiramente as principais teorias sobre desenvolvimento, mineração e mineração no Peru. No que diz respeito à metodologia o presente estudo utilizou duas técnicas de análise: a Análise Crítica de Discurso, baseado no método tridimensional proposto por Fairclough (2001), para realizar a análise de três discursos de representantes da política de mineração peruana, a segunda abordagem utiliza a Análise de Conteúdo de Bardin (2009), para examinar os artigos relacionados à política de mineração entre as principais revistas especializadas do setor–Mineria e Desde Adentro. Foram utilizadas também categorias de análise constantes e convergentes ao conceito de desenvolvimento para orientar a presente pesquisa. Finalmente as conclusões sugerem que as políticas de mineração reproduzidas pelas autoridades do Estado peruano introduziram práticas discursivas sobre desenvolvimento sustentável e que essas se mantêm relacionadas com as novas ordens de discurso: Responsabilidade Social, Minerção Sustentável, Mineração moderna, Gestão ambiental.

Crimes financeiros e política criminal : estudo de acórdãos do TRF da 3ª Região sobre os crimes de gestão fraudulenta e gestão temerária no período de 2001 a 2010

Este trabalho visa produzir conhecimento sobre como o Tribunal Regional Federal da 3ª Região tem decidido sobre dois dos principais crimes afetos à administração das instituições financeiras: gestão fraudulenta e gestão temerária. Trata-se de delitos criticados pela doutrina em razão das falhas de definição dos tipos, desde a edição da Lei 7.492, em 1986. Além disso, a sua previsão legislativa possui características que os aproximam do paradigma do direito penal do risco, ou seja: são crimes de perigo abstrato, que tutelam bem jurídico supra-individual, praticados por administradores detentores do dever de probidade na condução das instituições frente aos riscos inerentes à dinâmica do sistema financeiro. A adoção desse paradigma é controversa na doutrina penal por implicar a flexibilização de garantias do Estado Democrático de Direito sob a perspectiva do paradigma do direito penal tradicional. Diante disso, adota-se a metodologia de análise de conteúdo de decisões para se responder a dois problemas de pesquisa: (1) Quais os critérios adotados pelo Tribunal para a configuração dos crimes? (2) As decisões aproximam-se de algum paradigma de direito penal? As hipóteses objeto de teste são: (1) que o Tribunal considera principalmente a prática da conduta sem analisar a sua potencialidade lesiva sob uma perspectiva ex ante; e, (2) que esse discurso de imputação de responsabilidade aproxima as decisões do paradigma do direito penal do risco, considerados, em contexto, outros elementos presentes nas decisões. Na primeira parte, é feita uma introdução metodológica; na segunda, estabelece-se o referencial teórico; na terceira e na quarta, realizam-se as análises dos resultados quantitativos e qualitativos obtidos com a sua discussão; por fim, procede-se à conclusão, levantando-se novo problema a ser investigado.

Aumento dos preços dos combustíveis no país: um processo decisório racional?

Decisões são tomadas de diversas formas e em todos os momentos, mas foi o francês Henry Fayol que propôs um modelo estruturado para essa tomada de decisão, definindo o papel dos dirigentes e suas responsabilidades na administração da empresa. No desenvolvimento do trabalho, foram estudados diversos modelos de processo decisório, como o modelo clássico racionalista, o modelo da racionalidade limitada, o modelo político, as coalizões envolvidas no processo, teorias de responsabilidade social corporativa, teorias de governança corporativa, entre outros. À luz destes modelos e baseado na missão da Petrobras, de ser uma empresa segura e rentável, o autor faz uma suposição e enquadra o processo decisório da empresa no modelo clássico racionalista, focado na maximização dos lucros e resultados. Devido ao tamanho da empresa e à diversidade de assuntos para a tomada de decisão, o autor foca seus estudos na área de Abastecimento da Petrobras e analisa o processo de tomada de decisão para o aumento dos preços dos combustíveis, com o objetivo de avaliar a veracidade da sua suposição. A metodologia de pesquisa é baseada em uma pesquisa bibliográfica e investigação documental para avaliar se o modelo de tomada de decisão é realmente racional, ou se existem influências ou fatores externos que levam a um novo modelo de processo decisório. Após comparar o modelo racional com os dados e realizações da empresa, o autor faz uma triangulação de métodos, incluindo uma pesquisa de campo para avaliar a percepção dos gestores e stakeholders sobre o modelo de tomada de decisão da empresa. O autor entrevista 11 funcionários da Petrobras e 10 stakeholders externos com o intuito de coletar percepções sobre o processo decisório da Cia., finalizando com uma análise qualitativa dos dados baseada na técnica de análise de conteúdo. Com os resultados da pesquisa, o autor comprova, por meio de documentos da empresa, que a Diretoria Executiva da Petrobras é a responsável pela aprovação da política de preços da Cia. Dentre os fatores de influência no processo decisório da empresa, a inflação foi a de maior destaque, mostrando o viés político na relação entre o governo e a empresa. A política de preços da Cia. continua sendo de médio e longo prazo, acarretando em prejuízos no curto prazo para a área de Abastecimento da Petrobras. Após alcançar todos os objetivos intermediários do trabalho, o autor conclui que a suposição inicial é falsa e que o processo decisório para o aumento dos preços dos combustíveis na Petrobras se aproxima muito mais dos modelos de racionalidade limitada e político, com enfoque nos stakeholders e na competitividade do que do modelo clássico racionalista.

Relação entre stakeholders, recursos estratégicos e sustentabilidade em uma organização atuante na cadeia de valor da indústria brasileira de energia eólica

This paper approaches the strategy in business management and aimed at identifying and outlining the interests and commitment of stakeholders in strategic resources management concerning production and implementation of wind turbine equipment of a Brazilian wind power company and also verifying if internal and external results deriving from such activities were sustainable, taking as main reference seminal publications and periodicals relevant to the research point that discuss the Resource Theory, Stakeholders and Sustainability. An analysis was carried out to assess how stakeholders, beyond the temporal context, intermediated the composition, development and management of the organization´s resources, as well as the social, environmental and economic results obtained from resources management in the production and supply of wind turbines to a Wind Power Plant located in the State of Ceara, in order to portray that Brazil sustainability can be an important competitive advantage source that creates value for shareholders and the community (Hart & Milstein, 2003). The strategy herein applied was the qualitative investigation using a single study case, which allowed for the thorough examination of an active organization operating in the Brazilian industry of wind power and also the resources used in the production and implementation of wind turbines supplied to the a Wind Power Plant in Ceara. Considering the content analysis and the triangulation principle, three qualitative data collection methods were applied to identify and characterize stakeholders’ interest and commitment in resource management of the organization operating in the Brazilian wind power industry, as follows, semistructured deep interview with managers of tactic-strategic level and analysts of organization´s value chain nine activities, analysis of public internal and external documents; and analysis of audio-visual material. Nonetheless, to identify the internal and external economic, social and environmental results of implementation and supply of wind turbines to the Wind Power Plant in Ceara, semistructured interviews were also carried out with the residents of the region. Results showed the BNDES (Brazilian Development Bank) and the organization head office were the stakeholders who exerted the strongest influence on resources related to production and implementation of the aerogenerator product at Trairi Wind Plant in Ceara. Concerning the organization resources, at the current stage of the Brazilian Wind Industry ,although the brand, reliability and reputation of the organization under study were valuable esources, rare, hard to imitate and exploited by the organization, it was noticed that opposed to RBV, they did not actually represent a source of competitive advantage . For the local community the social, economic and environmental results related to the wind turbines implementation were more positive than negative, despite the fact that the productive process caused negative environmental impacts such as the high emission of CO2 to transport wind turbines components to Trairi Wind Power Plant.

Fatores-chave de sucesso na adoção de aplicativos móveis de táxi

A pesquisa tem como objetivo investigar os fatores-chave de sucesso na adoção de aplicativos móveis de táxi (AMTs) por taxistas. Baseando-se nos modelos de Aceitação Tecnológica (DAVIS; BAGOZZI; WARSHAW, 1989), Difusão da Inovação (ROGERS, 1995) e de Confiança (CARTER; BÉLANGER, 2005), o trabalho propõe também uma revisão da literatura de Aplicações Móveis aplicada ao contexto dos AMTs (VAN BILJON; KOTZÉ, 2007). Para o propósito dessa pesquisa, os AMTs são definidos como aplicativos de serviço móvel avançado que viabilizam, por meio de Internet e geolocalização, a solicitação de transporte de táxi em dispositivos móveis, mediante sistemas de informação e chamadas telefônicas, e o acompanhamento da prestação do serviço e seu pagamento. A partir de entrevistas semiestruturadas em profundidade e aplicações de questionários em pesquisa de campo, o estudo propõe uma triangulação de métodos de Análise Lexical (BOTTA,2010; GEERAERTS,2010), Conteúdo (BARDIN,2006) e Ranking Médio (OLIVEIRA,2005) para a investigação dos fatores identificados na literatura. Os resultados apontam que os fatores influenciadores do sucesso dos AMTs, na perspectiva de uso pelos motoristas de táxi, são Simplicidade e Utilidade Percebida, enquanto os moderadores são Segurança e Ganhos Financeiros. Acredita-se que a pesquisa poderá contribuir para a discussão de um tema ainda pouco explorado na literatura no Brasil, os Aplicativos Móveis, além de proporcionar implicações gerenciais no âmbito da inovação em empresas desenvolvedoras.

Gestão da cadeia de suprimento e vantagem competitiva: uma análise em setores industriais a partir da visão relacional

This work has as its main purpose to investigate the contribution of supply chain management in order to obtain competitive advantage by companies from the textile industry and from Ceará footwear industry, focusing its analysis mainly in the interorganizational relations (dyadic). For this, the theoretical referential contemplates different explanatory streams of the competitive advantage, detaching the relational perception of the resources theory, as well as, the main presuppositions of the supply chain management which culminates with the development of an analysis sample that runs the empirical study; the one which considers an expanded purpose of the supply chain which includes the government and the abetment institutions as institutional environment representatives. Besides supply chain management consideration as a competitive advantage source, the work also tried to identify other possible competitive advantage sources for the companies of the investigated sectors. It represents a study of multiple interpretive cases, having four cases as a total; meaning two cases in each one of the sectors, which used as a primary data collecting instrument a semi-structured interview schedule. Different methods were used for the data analysis, the content analysis and the constant comparison methods, the analytical procedure originated from the grounded theory research strategy, which were applied the Atlas/ti software recourse. Considering the theoretical referential and the used analysis sample, four basic categories of the work were defined, including its respective proprieties and dimensions: (1) characteristics concerning to the relationship with the supplier; (2) the company relations with the government; (3) the company relations with the abetment institutions and; (4) obtaining sources of competitive advantage. In general, the applied research in the footwear sector revealed that in the relationships of the researched companies related to its suppliers, there is a predominance of the partnership system and the main presuppositions of the supply chain management are applied which contributes for the acquisition of the relational competitive advantage; while in the textile sector, only some of these presuppositions are applied, with little contribution for the relational competitive advantage. The main resource which was accessed by the companies in both sectors through its relationships with the government and the abetment institutions are the tax incentives which, for the footwear companies, contribute for the acquisition of the temporary competitive advantage in relation to the contestants who do not own productive installations in the Northeast region, it also conducts to a competitive parity situation in relation to the contestants who own productive installations in the Northeast region and to the external market contestants; while for the companies of the textile sector, the tax incentives run the companies to a competitive parity situation in relation to its contestants. Furthermore, the investigated companies from the two sectors possess acquisition sources of the competitive advantage which collimate with different explanatory streams (industrial analysis, resources theory, Austrian school and the dynamic capabilities theory), although there is a predominance of the product innovation as a competitive advantage source in both sectors, due to the bond of these with the fashion tendencies

Projeto café do trabalhador como promotor de segurança alimentar e nutricional: avaliação da eficácia da unidade Natal-RN

The evaluation of public policies that promote Food Security and Nutrition (FSN) it s a multidisciplinary activity extremely relevant to the effectiveness of actions to legitimize the Human Right to Adequate Food (HRAF). This study aimed at assessing the effectiveness of the unit project Natal-RN Café do Trabalhador in promoting SAN to its users. The theoretical framework is based on the public and political and on the dimensions of the concept of FSN (quantity and quality-regularity). Through a qualitative approach, methodologically this was the work of an evaluation of efficiency of the unit Natal-RN of Café do Trabalhador project in light of the assumptions of the concept of SAN. Data collection was conducted through retrospective archival research in official documents of the project, semi-structured interviews with managers involved in its implementation (representative of the Secretary of State for Employment, Housing and Care of RN SETHAS and third party), socioeconomic questionnaire applied to the users of the unit, check the amount, regularity and quality of meals offered for 15 days (menu routine) using the descriptive form menu and form filling type checklist for verification of compliance with good practices . Methods of analysis, we used content analysis, descriptive statistics and compared to previously established parameters for the project. As categories of analysis were defined organizational arrangement, access, user, food quantity-regularity and food quality. The results show that, it was found in the category arrangement that will implement the project dismissed technical criteria for choosing the districts and the quantitative distribution of meals for each location. It was found that the valuation of the shares of the company outsources technical SETHA has not been performed. We observed in the access category, the unit has a strategic location, but lack of space in the refectory. The main obstacle to economic access for users is the lack of a register for the beneficiaries. In the category of users, it was identified that the clientele of the project it is predominantly men, with more than 51 years, low education, earning wages less 1 obtained through informal employment, which they move up through the unit transport collective, go to all days of operation due primarily to price. About the meals category quantity-regularity of food showed that the menu serves 95% of the desired needs, and that holidays and weekends are periods of disrupting the regularity of supply of meals. Regarding the category of food quality, it was found that the nutritional aspect on the menu are food sources rich in sodium, nitrates and low in fiber. In the aspect of hygiene and sanitation are the main limitations related to waste management, lack of exposure controls of food prepared and inadequacies of the physical structure. The results showed that in general and the institutional arrangement of the organs attached to the project should establish a systematic evaluation project is to establish as a promoter of and FSN overcome these obstacles

Avaliação de projetos sociais: análise da metodologia utilizada pela petrobrás

On the aggravation of social problems and the shortage of resources, the improvement of evaluation methods and control of its application, requiring more efficiency, efficacy, effectiveness and participation in its management, has been growing. As a result, emerges the importance of studying and developing such methodologies. The overall goal of this dissertation is to know what are the difficults to incorporate the point of view of executers and beneficiaries in evaluation process. To do so, has been done a research characterized as qualitative, with a field strategy using the case study of two social projects called Petrobras Child Program, situated in the metropolitan region of Natal, and Content Analysis technique for analyze the data. The conclusions of this work can assist in improving the process of projects evaluation financed by Petrobras, contributing with its social role, besides the possibility of encouraging a greater participation of other society actors, such as beneficiaries, in the evaluation process

O modelo de gestão estratégica do Ministério Público do Estado do Rio Grande do Norte: a análise da implantação do Balanced Scorecard

The goal of this research was to analyze the model of strategic management of the MPRN concerning the methodological guidelines presented by Balanced Scorecard. It is based in a theoretical referential which contemplates the themes, new public management, strategic management and Balanced Scorecard, focusing on applying the methodology in the public sector. This research is classified as descriptive and exploratory. According to the methods applied, it is a case study and, according to its approach, it is qualitative. The subjects of this research are members of the institution involved in the process of its strategic management. The data was collected by means of semi-structured interviews and document analysis, done by means of method content analysis. Concerning the goal of this research, it points out that the MPRN has not concluded the implantation cycle of Balanced Scorecard, furthermore, important flaws in the steps of organizational alingment have been identified, specially when it refers to communication policy, implementing incentive actions and focused training in developing competences. It yet reveals that the implantation of BSC has allowed the introduction of changes in the Institution dynamics to seek better results, however the MPRN has faced and has not adequately gotten over the same difficulties reported in various cases of BSC implantation in public organizations