Experiência da atenção integral à saúde individual e familiar com enfoque na responsabilização, vínculo médico-paciente, ética e profissionalismo no Currículo Médico Integrado

INTRODUÇÃO: Visando atualizar suas práticas pedagógicas, atender as exigências da comunidade, da reestruturação do sistema de saúde e os avanços tecnológicos, a Faculdade de Ciências Médicas da Universidade Estadual de Campinas implementou uma grande reforma curricular para alunos ingressantes de 2001. OBJETIVO: Descrever uma experiência de ensino voltada à integração dos conhecimentos para atenção aos indivíduos nas diversas fases da vida, dentro da realidade de assistência primária à saúde, com ênfase no conhecimento, nas habilidades clínicas, na responsabilização e nas atitudes humanísticas e éticas. MÉTODOS: No novo currículo, a integração intra, inter e transdisciplinar foi estruturada em módulos interdepartamentais, inserção progressiva das disciplinas clínicas, contato mais cedo e progressivo do aluno com a sistema de saúde, preservando módulos integradores horizontais e verticais. A iniciação da prática clínica em Centros de Saúde tem, no quarto ano, 432 horas destinada a atendimentos clínico-ambulatoriais de assistência à criança, à mulher, ao adulto e ao idoso num contexto de saúde da família. A supervisão é realizada por professores, médicos assistentes da Faculdade e tutores selecionados entre os profissionais da rede primária de saúde. O Programa Nacional de Reorientação da Formação Profissional em Saúde Pró-Saúde facilitou a inserção e a parceria do curso de medicina com as UBS. O conteúdo teórico é integrado em seminários ministrados em dois períodos semanais e avaliado por meio de provas teóricas (conhecimento cognitivo). As habilidades e competências nas atividades clínicas são avaliadas por meio de discussões teórico-práticas quinzenais ao longo do estágio, avaliações clínicas estruturadas de atendimentos à criança, mulher e adulto, além da composição de portfólio com planilha de atendimentos totais, casos selecionados para revisão e auto-crítica de aprendizado. RESULTADOS: O módulo foi avaliado na forma de fóruns semestrais de discussão, com participação de discentes, docentes, tutores e gestores. Os grupos foram unânimes em considerar plenamente atingidos os objetivos de responsabilização, vínculo e ética, e parcialmente atingida a integração dos conteúdos teórico-práticos e trabalho em equipe. CONCLUSÃO: O currículo integrado propiciou uma visão clínica abrangente da família. Permitiu que o estudante se responsabilizasse e criasse vínculo com o paciente, entendendo a resolutividade e demandas da atenção básica à saúde por meio de sua vivência.

Indicadores de avaliação do cuidado individual: subsídios para a formação médica orientada por competência

No processo de formação dos profissionais da área da saúde, as DCN orientam a organização de um modelo curricular pautado no desenvolvimento de competência profissional. Foi realizado um estudo descritivo com abordagem qualitativa, desenvolvido por meio de conferência de consenso, com o objetivo de elaborar indicadores para avaliar o processo de ensino-aprendizagem na área de cuidado individual. Uma matriz foi organizada com base nos desempenhos contidos nos manuais de cada série e formatos de avaliação. Em seguida, os avaliadores analisaram esta matriz e a discutiram na conferência de consenso, para a consolidação dos indicadores. A análise dos resultados permitiu olhar para as ações desenvolvidas no curso a partir da compreensão de que, durante essas atividades, os estudantes têm a oportunidade de realizar o cuidado na perspectiva da integralidade, como preconizado no Sistema Único de Saúde e nas DCN. Dessa maneira, foram construídos indicadores relacionados a história clínica, exame físico e raciocínio clínico para o monitoramento do processo de ensino-aprendizagem. No contexto do currículo orientado por competência, esses indicadores podem nortear o processo de planejamento educacional, bem como permitir a participação ativa e a corresponsabilidade dos envolvidos para o alcance de uma aprendizagem significativa, que permita ao futuro profissional a realização de um cuidado qualificado em saúde.

AVALIAÇÃO DE MÉTODOS DE SELEÇÃO DE COMPETIDORES EM NÍVEL DE ÁRVORE INDIVIDUAL EM UMA FLORESTA ESTACIONAL SEMIDECIDUAL1

Este estudo teve por objetivo avaliar a seleção de árvores competidoras com base em uma parcela circular com raio de 6 m e diâmetro das árvores superior ou igual a 5 cm, no uso do fator de área basal igual a 1, de acordo com o método de Bitterlich, e na disputa por espaço e luz observados em campo. Para isso, fez-se a seleção dos fustes competidores ao redor de 24 árvores objeto, escolhidas em função de sua importância, no que concerne ao estoque de carbono e ao valor de seus produtos madeireiros e não madeireiros. Após as análises, observou-se, pelo teste L&O, que ambos os métodos avaliados apresentaram baixa correlação em uma classe de diâmetro. Isso indica que a seleção dos competidores precisa ser mais estudada.

Segurança das condições de trabalho de tratorista em aplicações de herbicidas em soja e amendoim e eficiência de equipamentos de proteção individual

Teve-se o objetivo de avaliar a eficiência de um conjunto de equipamentos de proteção individual no controle das exposições proporcionadas ao tratorista aplicando herbicidas nas culturas de soja e de amendoim com o pulverizador de barra e a segurança dessas condições de trabalho. Os pulverizadores utilizados foram os convencionais empregados nas duas culturas para as aplicações de herbicidas em pré-plantio incorporado (ppi), em pré-emergência (pré) e em pós-emergência inicial (pós), com volumes de 200 L ha-1, e 150 L ha-1 apenas na aplicação em pós, na cultura de soja. As exposições sem EPIs foram de 102,77 mL de calda por dia nas aplicações em ppi, 39,62 em pré e 47,14 em pós-emergência. A eficiência dos EPIs no controle das exposições dérmicas foi de 76,5% em ppi, 50,9% em pré e 75,3% em pós-emergência. Na cultura de soja, foram seguras para o tratorista, sem ou com EPIs, as aplicações de pendimethalin, imazaquin e flumetsulam em ppi; de pendimethalin, acetochlor, clomazone, flumioxazin, imazaquin, metribuzin, sulfentrazone, dimethenamid e flumetsulamem em pré, e de bentazone, glyphosate, imazethapyr, quizalofop-ethyl, chlorimuron ethyl e oxasulfuron em pós. Na cultura de amendoim, sem e com EPIs, foi segura a aplicação de pendimethalin em ppi; em pré, a aplicação de alachlor foi classificada como insegura, sem ou com o uso dos EPIs.

Thermal comfort indices in individual shelters for dairy calves with different types of roofs

Among the building materials used in rural facilities, roofs are noteworthy for being largely responsible for thermal comfort, influencing the thermal balance within the shelter. This study aimed to evaluate the influence of roof on the Enthalpy (H), Thermal Load of Radiation (TLR), and Black Globe Temperature and Humidity Index (BGHI) in individual shelters for dairy calves. The design was completely randomized with three treatments: Z - zinc tile, AC - asbestos-cement tile and ACW - asbestos-cement tile painted white on the upper side. The averages were compared by the Scott Knott test at 1% probability. The results showed no statistical difference between treatments (P<0.01) and the external environment for H. For TLR, there was statistical difference among all treatments, where ACW showed the lowest TLR, 489.28 W m-2, followed by AC with 506.72 W m-2 and Z with the highest TLR, 523.55 W m-2. For BGHI, the lowest values were observed for ACW (76.8) and AC (77.4), differing significantly from Z, which obtained the highest value (81.6). The tiles with white paint on the upper side promoted the lowest TLR and the lowest BGHI, favoring the thermal environment in the shelter.

Evaluation of covering materials in individual shelters and its effects on physiological responses and performance of dairy calves

In Tropical regions, the animal performance is often affected by climate conditions. This study aimed to evaluate covering materials in individual shelters, normally used to house dairy calves, and its influence on the calves physiology and performance. The design used was completely randomized, with a 2x3 factorial arrangement to compare the averages of 5% through the Tukey's test, i.e., both genders- and three types of covering in the shelters (Z - zinc; AC - asbestos cement; and WPAC - white-painted asbestos cement). Parameters evaluated included daily weight gain (DWG), dry matter intake (DMI), feed conversion (FC), rectal temperature (RT), and respiratory frequency (RF). Results showed significant differences (P < 0.05) among males (1.04kg/day) and females (0.74kg/day) for DWG and interaction between gender and treatment (P < 0.05) for zinc covering (0.562kg/day for females and 1.120kg/day for males). Significant differences were also observed in FI of animals housed under shelters with the covering of zinc (48.35kgDM/day for females and 96.91 kgDM/day for males). There were no significant differences (P > 0.05) in the FC and the RT, and there were significant differences (P < 0.05) for RF in the Z treatments (56.9 mov.min-1), WPAC (62.2 mov.min-1) and FC (70.25 mov.min-1). It was concluded that different covering materials did not affect performance and dry matter intake of dairy calves. However, the animals' physiology of thermoregulation was altered by the different covering materials used in individual shelters.

Thermal efficiency of individual shelters for girolando calves in brazilian semi-arid regions

ABSTRACT The objective of this research was to evaluate the thermal efficiency of roofs used on individual shelters during milk-feeding stage of Girolando calves. The research was conducted at a farm located in a dry region of Pernambuco state, Brazil. The experimental design was completely randomized, with 27 Holstein × Gir dairy crossbred calves housed in shelters with three roofing materials (fibre cement tile, recycled tile, and thatched roofs). The recycled tiles and thatched roofs provided reductions of 18.7 and 14.6% in radiant thermal load, respectively. Regardless the roofing material, all animals increased their respiratory rate to maintain thermal equilibrium.

Enhancing absorptive capacity in a non-research and development. An action research approach to converting individual observations into organisational awareness

The ability to recognize potential knowledge and convert it into business opportunities is one of the key factors of renewal in uncertain environments. This thesis examines absorptive capacity in the context of non-research and development innovation, with a primary focus on the social interaction that facilitates the absorption of knowledge. It proposes that everyone is and should be entitled to take part in the social interaction that shapes individual observations into innovations. Both innovation and absorptive capacity have been traditionally related to research and development departments and institutions. These innovations need to be adopted and adapted by others. This so-called waterfall model of innovations is only one aspect of new knowledge generation and innovation. In addition to this Science–Technology–Innovation perspective, more attention has been recently paid to the Doing–Using–Interacting mode of generating new knowledge and innovations. The amount of literature on absorptive capacity is vast, yet the concept is reified. The greater part of the literature links absorptive capacity to research and development departments. Some publications have focused on the nature of absorptive capacity in practice and the role of social interaction in enhancing it. Recent literature on absorptive capacity calls for studies that shed light on the relationship between individual absorptive capacity and organisational absorptive capacity. There has also been a call to examine absorptive capacity in non-research and development environments. Drawing on the literature on employee-driven innovation and social capital, this thesis looks at how individual observations and ideas are converted into something that an organisation can use. The critical phases of absorptive capacity, during which the ideas of individuals are incorporated into a group context, are assimilation and transformation. These two phases are seen as complementary: whereas assimilation is the application of easy-to-accept knowledge, transformation challenges the current way of thinking. The two require distinct kinds of social interaction and practices. The results of this study can been crystallised thus: “Enhancing absorptive capacity in practicebased non-research and development context is to organise the optimal circumstances for social interaction. Every individual is a potential source of signals leading to innovations. The individual, thus, recognises opportunities and acquires signals. Through the social interaction processes of assimilation and transformation, these signals are processed into the organisation’s reality and language. The conditions of creative social capital facilitate the interplay between assimilation and transformation. An organisation that strives for employee-driven innovation gains the benefits of a broader surface for opportunity recognition and faster absorption.” If organisations and managers become more aware of the benefits of enhancing absorptive capacity in practice, they have reason to assign resources to those practices that facilitate the creation of absorptive capacity. By recognising the underlying social mechanisms and structural features that lead either to assimilation or transformation, it is easier to balance between renewal and effective operations.

Individual dietary counselling during and after pregnancy: Impact on diet and body weight

In Finland, maternity and child health clinics play a key role in promoting health in young families. Currently, obesity causes the greatest challenges to clinics. In obese pregnant women, an increased risk for metabolic diseases exist which can affect both the mother and child. The purpose of this thesis was to explore the role of dietary counselling: in Finnish health clinics; in the regulation of dietary intake; and in affecting the body weight of women. The main aim was to test the effect of dietary counselling and probiotic intervention on dietary intake and maternal body weight during and after pregnancy. In addition to dietary counselling, the effect of other factors, such as eating behaviour on dietary intake and body weight control after pregnancy was assessed. Another aim was also to evaluate dietary counselling practices by nurses (n = 327) in Finnish health clinics assessed by a questionnaire. At the beginning of the pregnancy, women (n = 256) enrolled in a dietary intervention study, were randomised into three groups. One group received dietary counselling with probiotics, one had counselling with placebo and the third group was the control group. The control group consisted of women whom did not receive counselling and took placebo. Probiotics and placebo supplements were used until the end of exclusive breastfeeding or six months after pregnancy. Women were followed from early pregnancy up to four years after pregnancy. Follow-up visits took place three times during pregnancy, at one and six months, and one, two and four years after pregnancy. Dietary counselling, provided by a nutritionist, aimed to influence the quality of dietary fat intake. Dietary counselling is important to provide in clinics, as determined by the nurses, and these nurses expressed a want to improve their own nutritional knowledge through education. The nurses had varying knowledge of current dietary recommendations. Dietary counselling for women during and after pregnancy resulted in beneficial changes in dietary intake up to one year after pregnancy and body weight and waist circumference up to four years after pregnancy. Probiotics had a beneficial effect together with dietary counselling on waist circumference until one year after pregnancy, but not throughout the long term, four years after pregnancy. Other factors, such as eating behaviour, associated with dietary intake and body weight control after pregnancy. Specifically, dietary recommendations are reached amongst women whom had high cognitive restraint in their eating behaviour and did not demonstrate uncontrolled eating. Overweight women more frequently emotionally ate compared to normal weight women and women with central adiposity related more frequently to having an uncontrolled eating behaviour than women with normal waist circumference. In addition, being overweight prior to pregnancy and excessive weight gain during pregnancy associated with increased body weight retention after pregnancy. This study showed that individual dietary counselling is useful in influencing dietary intake which adheres to dietary recommendations and this counselling influences, favourably, body weight after pregnancy. Especially, women with the risk for weight retention, such as women who have emotional and uncontrolled eating behaviours, who were overweight prior to pregnancy or those who had excessive weight gain during pregnancy, may benefit from individual dietary counselling. This study underscores the need to develop dietary counselling practices for pregnant women and their follow-up after pregnancy in Finnish health clinics. These practices include increasing the efficacy of the counselling such as collaboration with families, having knowledgable health professionals and having sufficient resources.

Drivers and barriers of mobile travel and tourism service adoption : a study of individual perceptions and business model development in a travel and tourism context

The Travel and Tourism field is undergoing changes due to the rapid development of information technology and digital services. Online travel has profoundly changed the way travel and tourism organizations interact with their customers. Mobile technology such as mobile services for pocket devices (e.g. mobile phones) has the potential to take this development even further. Nevertheless, many issues have been highlighted since the early days of mobile services development (e.g. the lack of relevance, ease of use of many services). However, the wide adoption of smartphones and the mobile Internet in many countries as well as the formation of so-called ecosystems between vendors of mobile technology indicate that many of these issues have been overcome. Also when looking at the numbers of downloaded applications related to travel in application stores like Google Play, it seems obvious that mobile travel and tourism services are adopted and used by many individuals. However, as business is expected to start booming in the mobile era, many issues have a tendency to be overlooked. Travelers are generally on the go and thus services that work effectively in mobile settings (e.g. during a trip) are essential. Hence, the individuals’ perceived drivers and barriers to use mobile travel and tourism services in on-site or during trip settings seem particularly valuable to understand; thus this is one primary aim of the thesis. We are, however, also interested in understanding different types of mobile travel service users. Individuals may indeed be very different in their propensity to adopt and use technology based innovations (services). Research is also switching more from investigating issues of mobile service development to understanding individuals’ usage patterns of mobile services. But designing new mobile services may be a complex matter from a service provider perspective. Hence, our secondary aim is to provide insights into drivers and barriers of mobile travel and tourism service development from a holistic business model perspective. To accomplish the research objectives seven different studies have been conducted over a time period from 2002 – 2013. The studies are founded on and contribute to theories within diffusion of innovations, technology acceptance, value creation, user experience and business model development. Several different research methods are utilized: surveys, field and laboratory experiments and action research. The findings suggest that a successful mobile travel and tourism service is a service which supports one or several mobile motives (needs) of individuals such as spontaneous needs, time-critical arrangements, efficiency ambitions, mobility related needs (location features) and entertainment needs. The service could be customized to support travelers’ style of traveling (e.g. organized travel or independent travel) and should be easy to use, especially easy to take into use (access, install and learn) during a trip, without causing security concerns and/or financial risks for the user. In fact, the findings suggest that the most prominent barrier to the use of mobile travel and tourism services during a trip is an individual’s perceived financial cost (entry costs and usage costs). It should, however, be noted that regulations are put in place in the EU regarding data roaming prices between European countries and national telecom operators are starting to see ‘international data subscriptions’ as a sales advantage (e.g. Finnish Sonera provides a data subscription in the Baltic and Nordic region at the same price as in Finland), which will enhance the adoption of mobile travel and tourism services also in international contexts. In order to speed up the adoption rate travel service providers could consider e.g. more local initiatives of free Wi-Fi networks, development of services that can be used, at least to some extent, in an offline mode (do not require costly network access during a trip) and cooperation with telecom operators (e.g. lower usage costs for travelers who use specific mobile services or travel with specific vendors). Furthermore, based on a developed framework for user experience of mobile trip arrangements, the results show that a well-designed mobile site and/or native application, which preferably supports integration with other mobile services, is a must for true mobile presence. In fact, travel service providers who want to build a relationship with their customers need to consider a downloadable native application, but in order to be found through the mobile channel and make contact with potential new customers, a mobile website should be available. Moreover, we have made a first attempt with cluster analysis to identify user categories of mobile services in a travel and tourism context. The following four categories were identified: info-seekers, checkers, bookers and all-rounders. For example “all-rounders”, represented primarily by individuals who use their pocket device for almost any of the investigated mobile travel services, constituted primarily of 23 to 50 year old males with high travel frequency and great online experience. The results also indicate that travel service providers will increasingly become multi-channel providers. To manage multiple online channels, closely integrated and hybrid online platforms for different devices, supporting all steps in a traveler process should be considered. It could be useful for travel service providers to focus more on developing browser-based mobile services (HTML5-solutions) than native applications that work only with specific operating systems and for specific devices. Based on an action research study and utilizing a holistic business model framework called STOF we found that HTML5 as an emerging platform, at least for now, has some limitations regarding the development of the user experience and monetizing the application. In fact, a native application store (e.g. Google Play) may be a key mediator in the adoption of mobile travel and tourism services both from a traveler and a service provider perspective. Moreover, it must be remembered that many device and mobile operating system developers want service providers to specifically create services for their platforms and see native applications as a strategic advantage to sell more devices of a certain kind. The mobile telecom industry has moved into a battle of ecosystems where device makers, developers of operating systems and service developers are to some extent forced to choose their development platforms.

Searchig the links between "knowledge governance mechanisms", "the individual conditions of knowledge sharing", and "individual's knowledge sharing behaviour".

The objective of this study was to understand how organizational knowledge governance mechanisms affect individual motivation, opportunity, and the ability to share knowledge (MOA framework), and further, how individual knowledge-sharing conditions affect actual knowledge sharing behaviour. The study followed the knowledge governance approach and a micro-foundations perspective to develop a theoretical model and hypotheses, which could explain the casual relationships between knowledge governance mechanisms, individual knowledge sharing conditions, and individual knowledge sharing behaviour. The quantitative research strategy and multivariate data analysis techniques (SEM) were used in the hypotheses testing with a survey dataset of 256 employees from eleven military schools of Finnish Defence Forces (FDF). The results showed that “performance-based feedback and rewards” affects employee’s “intrinsic motivation towards knowledge sharing”, that “lateral coordination” affects employee’s “knowledge self-efficacy”, and that ”training and development” is positively related to “time availability” for knowledge sharing but affects negatively employee’s knowledge self-efficacy. Individual motivation and knowledge self-efficacy towards knowledge sharing affected knowledge sharing behaviour when work-related knowledge was shared 1) between employees in a department and 2) between employees in different departments, however these factors did not play a crucial role in subordinate–superior knowledge sharing. The findings suggest that individual motivation, opportunity, and the ability towards knowledge sharing affects individual knowledge sharing behaviour differently in different knowledge sharing situations. Furthermore, knowledge governance mechanisms can be used to manage individual-level knowledge sharing conditions and individual knowledge sharing behaviour but their affect also vary in different knowledge sharing situations.

Puolueiden keskustelutilaisuuksista mediatapahtumiksi. Television vaaliohjelmat ja niihin liittynyt sanomalehtijulkisuus 1960-luvulta 1980-luvulle

Tässä tutkimuksessa tarkastellaan television vaaliohjelmia ja niihin liittynyttä sanomalehtijulkisuutta 1960-luvun alusta 1980-luvun lopulle. Tarkastelun kohteena ovat sekä eduskunta- että presidentinvaalien vaaliohjelmat. Tutkimusaineisto koostuu Yleisradion hallinto- ja ohjelmaneuvostojen pöytäkirjoista, vaaliohjelmien televisiotallenteista sekä vaaliohjelmia käsittelevistä sanomalehtikirjoituksista. Lehtiaineisto on kerätty Helsingin Sanomista, Ilta-Sanomista, Iltalehdestä, Aamulehdestä, Kansan Uutisista, Suomenmaasta sekä Suomen Sosialidemokraatista. Sanomalehtiaineistoa on täydennetty Yleisradion leikearkistoon kerätyillä lehtileikkeillä. Tutkimuksessa on analysoitu toisaalta television vaaliohjelmien kehitystä ja toisaalta vaaliohjelmiin liittynyttä sanomalehtikirjoittelua. Television vaaliohjelmien kehityksen osalta tutkimuksessa on kuvattu, millä tavoin vaaliohjelmia on eri aikoina tehty ja millaisia poliittisia kiistoja niiden tekemiseen on liittynyt. Sanomalehtiaineiston analyysissa on tarkasteltu sitä, mihin seikkoihin vaaliohjelmia käsittelevissä kirjoituksissa on kiinnitetty huomiota, millä tavoin lehdet ovat suhtautuneet ohjelmien toteutukseen ja millainen rooli ohjelmilla on nähty olleen vaalikampanjoinnissa. Väitöskirjan näkökulma on historiallinen, mikä merkitsee ajallisten kontekstien keskeisyyttä analyysissa. Tutkimuksessa on kiinnitetty huomiota sekä poliittisessa kulttuurissa että mediamaisemassa tapahtuneisiin muutoksiin. Vaaliohjelmat olivat 1960-luvulla tarkkaan säänneltyjä puolueiden välisiä keskustelutilaisuuksia, joissa toimittajilla ei ollut näkyvää roolia. Ohjelmien toteutuksesta vastasivat puoluemandaateilla toimineet Yleisradion ohjelma- ja hallintoneuvoston jäsenet, joten ohjelmien toteutuksen yksityiskohdista vastasivat puolueet. Puolueet riitelivät usein vaaliohjelmien toteutuksesta, mikä osoittaa, että puolueille television vaaliohjelmat olivat tärkeitä poliittisia foorumeita jo 1960-luvulta lähtien. Vaaliohjelmat jakautuivat kahteen erilaiseen ohjelmaformaattiin; vaalitentteihin ja suureen vaalikeskusteluun. Vaalitenteissä kunkin puolueen edustajat olivat vuorollaan ”altavastaajina”, joille muiden puolueiden edustajat esittivät kysymyksiä. Suuri vaalikeskustelu oli perinteisempi paneelikeskustelu, jossa poliitikot selvittivät vuorotellen kantojaan ajankohtaisiin poliittisin kysymyksiin. 1970-luvun puolivälissä vaalitenttien toteutuksessa tapahtui suuria muutoksia, kun toimittajat syrjäyttivät poliitikot vaalitenttien kyselijöinä. Suuri vaalikeskustelu säilyi ennallaan. Sanomalehtien suhtautuminen vaaliohjelmiin oli 1960- ja 1970-luvuilla huomattavasti pidättyvämpää kuin poliitikkojen. Sanomalehdistön näkökulmasta television vaaliohjelmien tärkeimpänä tehtävänä oli puolueiden poliittisten linjausten esittely. Vaaliohjelmia käsittelevissä teksteissä esiteltiin pääasiassa poliitikkojen ohjelmissa pitämiä puheenvuoroja. Puoluelehdissä puheenvuorojen sisältöä arvioitiin aatteellisista lähtökohdista, sitoutumattomissa sanomalehdissä neutraalimmin. Vaaliohjelmien toteutukseen liittynyt kritiikki kohdistui toisaalta poliitikkojen puoluepropagandaan, toisaalta poliitikkojen liialliseen varovaisuuteen. Sanomalehtien suhtautuminen vaaliohjelmiin säilyi ennallaan myös 1970-luvulla, jolloin vaaliohjelmia alettiin tehdä toimittajavetoisesti. Ainoa muutos liittyi vaaliohjelmakritiikkiin, joka kohdistui nyt poliitikkojen ohella myös toimittajiin, joiden katsottiin olleen ohjelmissa liian hyökkääviä. Suurin muutos vaaliohjelmiin liittyneessä kirjoittelussa tapahtui 1980-luvulla. Vaaliohjelmia käsitteleviä kirjoituksia julkaistiin sanomalehdistössä monikertainen määrä 1970-lukuun verrattuna. Samalla myös vaaliohjelmia käsittelevien kirjoitusten näkökulmat alkoivat muuttua, kun ohjelmin visuaalinen ulottuvuus alkoi olla yhä näkyvämmin esillä sanomalehtiin laadituissa analyyseissa. Lehdet alkoivat teettää säännöllisesti erilaisia tutkimuksia poliitikkojen pärjäämisestä ohjelmissa ja kirjoittaa vaalikeskusteluiden voittajista ja häviäjistä. Lisäksi lehtijutuissa arvioitiin poliitikkojen esiintymistä ja vaaliohjelmista välittyviä vaikutelmia. Vuoden 1982 presidentinvaaleissa uusista näkökulmista kirjoittivat erityisesti iltapäivälehdet, mutta vuosikymmenen jälkipuoliskolla samankaltaisia lähestymistapoja omaksuivat myös Helsingin Sanomat ja Aamulehti. Niiden vaaliohjelmia käsittelevissä uutisissa kiinnitettiin yhä useammin huomiota poliitikkojen esiintymiseen, pukeutumiseen ja tunnetiloihin. Puoluelehtien suhtautuminen vaaliohjelmiin säilyi kuitenkin ennallaan, ja myös vaaliohjelmakritiikki säilyi suurelta osin muuttumattomana. 1980-luvun aikana television vaaliohjelmat muuttuivat lehdistön käsittelyssä puolueiden tavoitteita esittelevistä keskustelutilaisuuksista poliitikkojen ja puolue johtajien henkilökohtaisia ominaisuuksia mittaaviksi esiintymiskokeiksi ja suuriksi mediatapahtumiksi, joiden katsottiin toisinaan jopa ratkaisseen vaalin tuloksen. Nostaessaan television vaaliohjelmat kampanjajournalisminsa ytimeen, sanomalehdet vahvistivat television poliittista roolia.