Que intervenções do Enfermeiro de Reabilitação capacitam o cuidador informal para a continuidade dos cuidados, ao idoso com AVC, na comunidade?

Relatório de Estágio apresentado para a obtenção do grau de Mestre em Enfermagem de Reabilitação

Validação da security scale para a população portuguesa: Análise fatorial confirmatória e estudo empírico davinculação na pré-adolescência

Dissertação de Mestrado apresentada no ISPA – Instituto Universitário para obtenção do grau de Mestre em Psicologia especialidade de Psicologia Clínica.

Que intervenções do Enfermeiro de Reabilitação capacitam o cuidador informal para a continuidade dos cuidados, ao idoso com AVC, na comunidade?

Relatório de Estágio apresentado para a obtenção do grau de Mestre em Enfermagem de Reabilitação

Emotional competences and promotion of school success: Preliminary data of an intervention programme with teachers

Teachers’ emotional competences and well-being are fundamentally important to developing and maintaining positive relationships in the classroom, which can contribute to improving pedagogical action. References to several intervention programmes are found in the literature with the purpose of changing the practices, attitudes, and beliefs of teachers, who show evidence of a significant improvement in personal competences and school success. Therefore, an intervention with teachers integrating a broader line of research was carried out, involving parents and students as well. It consists of a programme which promotes personal (well-being and emotional intelligence) and professional (acquiring differentiated pedagogical strategies) competences over a period of six months, followed by a focus group to assess the contribution of an empowerment programme with the intention of promoting school success. The preliminary action-research study involved 10 teachers of two classes with students who show disruptive behaviour in the 7th year in a school in the central region of Portugal. The teachers, of both genders, are aged between 44 and 52, and belong to several recruitment groups. The main research question was: “To what extent does an intervention programme, intended for training, contribute to developing personal and professional competences in teachers of the 3rd cycle of basic education?” The teachers revealed a rather favourable view of their participation in the programme, considering that it helped them perceive some behaviours and practices which are less adjusted to their action in the classroom with these students (shouting, scolding, etc.). From the pretest to the posttest, statistically significant differences were found in assessing their own emotions and in their use. Signs of improvement in positive affections and satisfaction with life were also found, though with a marginal significance. The preliminary data in this empowerment programme for these educational agents points towards the importance of teachers’ awareness in what concerns their pedagogical action, as well as the need to change traditional pedagogical practices that contribute to discouraging students towards learning. The need to establish closer and systematic contact with the students and their families in order to meet their needs and expectations was also highlighted.

Sleep and academic performance of Portuguese teenagers

Abstract: Sleep has numerous important functions in the body, such as consolidation of memory, concentration and learning. Changes in sleep cycles in adolescents lead to sleep deprivation with consequences to academic performance. Our research question was What are the sleep habits that influence school performance (study environment, study planning, study method, reading skills, motivation to study, overall school performance) in adolescents? We aimed to identify sleep habits predictors of the quality of school performance in adolescents. Research Methods: Crosssectional analytical study. Data were collected through a self-administered questionnaire with socio-demographic questions, sleep habits and school performance scale. The sample consisted of 380 students between 7th and 9th grade, with an average age of 13.56 ± 1.23 years in the school year 2011/2012, from a 2nd and 3rd Cycle Basic School of the municipality of Viseu, Portugal. Findings: School performance in adolescents was associated with better subjective quality of sleep (p=0.000), with longer sleep duration (p=0.000), with watching tv/video before sleep (p=0.000), with the habit of studying before bedtime (p=0.012), with no computer use (p=0.013) and with reading habits before bed (p=0.000). School performance was also associated with adolescents who reported not feeling sleepy during class. The teenagers who sleep more and better, and who watch tv/video, study, do not use computers, and who read before going to bed, have a better school performance.

A segurança e qualidade dos cuidados : revisão da literatura

A segurança é um princípio fundamental nos cuidados prestados e exige um complexo sistema de sinergias e um amplo leque de ações para a melhoria da qualidade. É indiscutível que a ocorrência de erros cria uma preocupação constante para os profissionais, sendo primordial fomentar uma cultura de segurança. Este artigo tem por objetivo identificar os fatores determinantes na segurança e qualidade dos cuidados de Enfermagem. Realizou-se uma revisão da literatura, utilizando descritores “Segurança do doente”, “Cultura de Segurança”, “Enfermagem”, “Qualidade dos Cuidados”, emergindo 309 artigos. Efetou-se uma pesquisa na PubMed, SciELO, Web of Science, com artigos publicados entre janeiro de 2010 e março de 2016. Foram selecionados 11 artigos que respondiam à questão de investigação “Quais os fatores determinantes da segurança e qualidade dos cuidados de Enfermagem?“. Dos 11 artigos seleccionados emergiram duas temáticas: a consciencialização do erro e a criação de uma cultura de segurança nas organizações. Este estudo evidencia que a ocorrência de erros constitui uma ameaça à qualidade dos cuidados e segurança dos utentes, contudo, a consciencialização dos riscos e a aplicação de medidas para o desenvolvimento de uma cultura de segurança contribui para a diminuição da frequência e severidade dos erros nas instituições de saúde.

Rättfärdigade prioriteringar - en kvalitativ analys av hur personal i äldreomsorgen hanterar motstridiga verksamhetslogiker

Tidigare forskning visar att äldreomsorgspersonal kämpar med två typer av logiker: en ekonomisk logik och en omsorgslogik. Även om båda logikerna behövs för att skapa god omsorg så utmanar de varandra. Dessa utmaningar kommer till uttryck i omsorgspraktiken där personalen ställs in för val och måste göra prioriteringar. Denna avhandling syftar till att förstå hur äldreomsorgspersonal beskriver att de arbetar för att finna balans mellan logikerna och hur de rättfärdigar sina prioriteringar i omsorgen om de äldre personerna. Frågeställningen för avhandlingen är att ta reda på hur personal och enhetschef vid ett kommunalt äldreboende förstår och hanterar interaktionen mellan de två logiker som styr omsorgsarbetet för att främja de äldre personernas välbefinnande. Syftet innehåller tre delsyften: 1) att analysera personalens erfarenheter av och meningsskapande kring de äldre personernas välbefinnande och deras reflektioner kring det omsorgsarbete de utför, 2) att belysa och problematiserade logiker som styr omsorgsarbetet samt 3) att analysera hur personalen rättfärdigar sina prioriteringar i rådande kontext och hur deras förklarbarhet påverkar deras professionella identiteter. Målet är att bidra med socialvetenskaplig kunskap om de överväganden personal gör när de ställs inför att göra prioriteringar i äldreomsorgens praktik. Material samlades in genom 12 individuella intervjuer med personal vid ett kommunalt äldreboende, en intervju med personalens enhetschef och en uppföljande gruppintervju med tre personer ur personalgruppen. Materialet analyserades med tre analysmetoder: fenomenologisk analys, reflexiv analys och positioneringsanalys. Resultatet visar att personalen definierar de äldre personernas välbefinnande som ett behov av att känna sig existentiellt berörd. Denna känsla av existentiell beröring delas in i tre delar: känsla av valfrihet, känsla av njutning och känsla av närhet till någon eller något. Arbetet för att uppnå detta välbefinnande beskrivs innebära ett balanserande av tre tvetydigheter: att vilja värna om de äldre personernas valfrihet och samtidigt hantera institutionella begränsningar, de äldre personernas behov av aktivering å ena sidan och att de inte behöver aktiveras å andra sidan samt att förstå de äldre personernas behov av rutiner samtidigt som det är svårt att veta vilka behov de har. Tvetydigheterna kontextualiserades och de två logikerna som styr omsorgsarbetet analyserades. Analysen visar att enhetschefen skapar en hybrid av den ekonomiska logiken och omsorgslogiken; ekonomi är omsorg och vice versa. Denna hybrid möter motstånd från personalen som skiljer på de båda logikerna genom att tala om ”vård och det där andra”. Personalen upplever att den ekonomiska logiken begränsar deras möjligheter att utföra omsorg i linje med omsorgslogiken. Motsättningar mellan de båda logikerna leder till prioriteringar som rättfärdigas av personalen i syfte att behålla de professionella identiteterna. Den teoretiska analysen bygger på teorier om institutionella logiker, förklarbarhet ochprofessionell identitet. Analyserna visar vikten av att väcka dialog mellan enhetschefer och personal där de diskuterar innebörder av olika värdeord som används på politisk nivå. Sådana diskussioner skulle kunna bidra till mindre motstånd och en högre överensstämmelse mellan verksamhetsmål och praktik. Avhandlingen visar även vikten av att förstå logiker som vertikala istället för horisontellt uppdelade. Alltså, att styrande verksamhetslogiker existerar uppifrån och ned i verksamheter (från politisk nivå till chefsnivå och till praktisk nivå) och att de inte kan delas in i exempelvis en professionslogik och en styrningslogik. Den senare synen kan bidra till potentiella missförstånd eftersom det gör att konflikter kan tolkas existera mellan personal och chef, medan de egentligen existerar mellan olika motstridiga värderingssystem. Slutsatsen är att de båda logikerna behövs för att stödja äldre personers välbefinnande. Ibland är logikerna samspelta och ibland är de i konflikt med varandra. När logikerna ställs mot varandra är det av vikt att komma ihåg att den ekonomiska logiken är lika förhandlingsbar som omsorgslogiken. De två logikerna existerar i samspel och om deras motstridigheter inte belyses finns risk att omsorgspraktiken inte stödjer de äldre personernas välbefinnande.

Samarbete i agila systemutvecklingsprojekt : Vilka mänskliga faktorer påverkar samarbetets effektivitet?

Mänskliga faktorer som till exempel kommunikation och tillit påverkar hur människor interagerar med varandra. I agil systemutveckling ingår relationer, samspel och samarbete mellan människor och dessa påverkar om systemutvecklingsprojektet anses framgångsrikt eller ej. Men ofta i systemutvecklingsprojekt så läggs det mer tid på själva tekniken än de sociala aspekterna, där de mänskliga faktorerna i många fall är en avgörande faktor för projektets slutresultat. Syftet med det nuvarande arbetet är att beskriva vilka mänskliga faktorer som är viktiga för att effektivisera samarbete i agila systemutvecklingsprojekt, samt att beskriva hur agil systemutveckling på Trafikverket utförs. Trafikverket ville ha studien genomförd för att resultatet av studien skulle hjälpa till att minska antalet mindre framgångsrika systemutvecklingsprojekt på Trafikverket. Huvudfrågan i arbetet är: Vilka mänskliga faktorer är viktiga för att effektivisera samarbetet mellan verksamhetskunniga och utvecklare i agila systemutvecklingsprojekt? En fallstudie utfördes vid Trafikverket genom sju semistrukturerade intervjuer som följdes upp av enkäter och dokumentstudier. Det sammanlagda resultatet tyder på att för att effektivisera samarbetet mellan verksamhetskunniga och utvecklare i agila systemutvecklingsprojekt på Trafikverket krävs fokus på följande fem mänskliga faktorer: kommunikation, tillit, ledarskap, kunskap och motivation.

Performance determinants For Swedish Financial Monetary Institutions: Panel Data evidence between 2010-2014.

Due to the rapid changes that governs the Swedish financial sector such as financial deregulations and technological innovations, it is imperative to examine the extent to which the Swedish Financial institutions had performed amid these changes. For this to be accomplish, the work investigates what are the determinants of performance for Swedish Financial Monetary Institutions? Assumptions were derived from theoretical and empirical literatures to investigate the authenticity of this research question using seven explanatory variables. Two models were specified using Returns on Asset (ROA) and Return on Equity (ROE) as the main performance indicators and for the sake of reliability and validity, three different estimators such as Ordinary Least Square (OLS), Generalized Least Square (GLS) and Feasible Generalized Least Square (FGLS) were employed. The Akaike Information Criterion (AIC) was also used to verify which specification explains performance better while performing robustness check of parameter estimates was done by correcting for standard errors. Based on the findings, ROA specification proves to have the lowest Akaike Information Criterion (AIC) and Standard errors compared to ROE specification. Under ROA, two variables; the profit margins and the Interest coverage ratio proves to be statistically significant while under ROE just the interest coverage ratio (ICR) for all the estimators proves significant. The result also shows that the FGLS is the most efficient estimator, then follows the GLS and the last OLS. when corrected for SE robust, the gearing ratio which measures the capital structure becomes significant under ROA and its estimate become positive under ROE robust. Conclusions were drawn that, within the period of study three variables (ICR, profit margins and gearing) shows significant and four variables were insignificant. The overall findings show that the institutions strive to their best to maximize returns but these returns were just normal to cover their costs of operation. Much should be done as per the ASC theory to avoid liquidity and credit risks problems. Again, estimated values of ICR and profit margins shows that a considerable amount of efforts with sound financial policies are required to increase performance by one percentage point. Areas of further research could be how the individual stochastic factors such as the Dupont model, repo rates, inflation, GDP etc. can influence performance.

Att vara kommunikativt låst : Professionellas berättande om (vanskliga) vårdrelationer

The aim of the article is to shed light on the social dynamic that characterizes communicative breakdowns. As a first stage, this has been explored through individual and group interviews with 34 healthcare professionals about situations where they claim there has been a communication breakdown. Based on the professionals’ testimonies, the research question was: how do professionals illustrate their experiences of communicative breakdowns? In terms of theory, the study draws upon an integrated approach to language and social interaction dynamics – for example how actors mediate positions and roles, but also present, negotiate and determine the course of action in patient cases. Findings show: (1) different degrees of severity in communicative breakdowns, and (2) that the professionals have developed and use both explicit and implicit strategies to handle ”delicate relationships” in this kind of interactions.

Different forms of life satisfaction and their relation to affectivity

Aims: The present study is aimed at studying the research question whether high satisfaction levels achieved through either (1) the fact that one's quality of life is truly satisfactory (i.e., stabilized life satisfaction) or through (2) adapting a more favorable perception of one's quality of life by lowering standards (i.e., resigned life satisfaction) are associated with different levels of positive affect (PA) and negative affect (NA) when compared to each other but also when compared to dissatisfied individuals. Case Report: A sample of 104 adults completed measures assessing stabilized and resigned life satisfaction, PA and NA, and global life satisfaction (i.e., no explicit consideration of differences in standards) in an online survey. Participants were not paid for participation but received feedback on results of the study if interest was expressed. Results: Stabilized life satisfaction and global life satisfaction showed highly similar correlation pattern with PA and NA. Resigned satisfaction was negatively associated with PA and positively correlated with NA. Stabilized and resigned satisfied individuals showed more favorable levels of PA and NA compared with dissatisfied individuals, but did not differ from each other with regard to their levels of PA and NA. Conclusion: Although showing a less favorable correlation pattern with PA and NA, adopting a resigned form of satisfaction (i.e., taking a more favorable view of one's quality of life by lowering individual standards) seemed to prevent individuals from experiencing the same high levels of NA like dissatisfied ones. This has not been studied in detail so far, and therefore, the present paper opens a further area of research within the context of life satisfaction.

The Influence of Accounting Information in the Re-Election of the Mayors in Portugal

The changes recommended by the New Public Management (NPM) in public accounting have given special attention and importance to the evaluation of mayor’s performance by citizens/voters. Thus, this study aims to assess the impact of accounting information on the re-election of Portuguese mayors. Taking the agency theory as a point of departure, we start from the following research question: Does the accounting information disclosed by the municipalities influence the re-election of Portuguese mayors? The research methodology used in this study is the quantitative type, through which a multivariate analysis of data was performed on 308 Portuguese municipalities, in the period 2005-2008, based on the election results of 2009. The results from the binary logistic regression show that some indicators of accounting nature have impact on the re-election of mayors in Portugal, namely, the components of financial accounting and municipal revenues.

Apprendre à être un Leader dans un Programme de Leadership: Perceptions, Éxpérience Préalable en Leadership et Sexe de l’Étudiant

The purpose of this study was to examine whether leadership can be learned through the Community Recreation and Leadership Training (CRLT) program and how effective the program is in terms of changing the perceptions and abilities of the students. The intentions of the researcher were to discover crucial learning moments as perceived by students and to gain insights that could lead to future improvements to enhance and enrich learning in a leadership program. To continue to be a viable program and to keep step with the demands of the recreation/leisure industry and society's wide-ranging needs, this study may help to inform the program's 'action plan' for continued success. This study employed a mixed method approach to determine how college students develop effective leadership ability in a three-year Community Recreation and Leadership Training (CRLT) college career program. First, a number of statistical tests were carried out to examine the four research questions used to guide the study. The SPSS software was used to analyze the data collected. The first research question asked how perceptions of leadership change as a result of being in a three-year leadership program. This study, using the Student Leadership Practice Inventory (SLPI), compared the five SLPI leadership dimensions by year. The SLPI was administered to all the first, second, and third year CRLT students ( N = 84). A one-way analysis of variance in participants' scores was conducted. No significant differences were revealed in any of the five dimensions of the SLPI among the first, second, and third year students at p < .05. However, two dimensions (model and encourage) approached significance and may hint at a possible influence the program is having on its students as they progress into the third year. The second research question asked whether perceptions of leadership vary by gender. Comparing the mean scores between the males and females on the five dimensions of the SLPI, no significant differences were found. The third research question asked whether prior leadership experience results in better academic performance for CRLT students in their 1st term. A one-way analysis of variance was conducted to evaluate the relationship between prior leadership experience and mean scores on academic performance. No significant correlations were found between grades and low, medium, or high levels of prior leadership experience F(2,79) = 2.67, p = .08. A correlation coefficient was also computed to determine whether there was a relationship between the Recreation Leadership I course grade and prior leadership experience. The correlation coefficient (.02) was statistically significant, r(80) = .24, p < .05. However, further studies with a larger sample size would be necessary to help determine this. The fourth question asked whether there was a correlation between students' first semester grades and their scores on the Student Leadership Practice Inventory (SLPI). Bivariate correlations (Pearson) were computed for the five SLPI dimensions with academic performance. None of the correlations using the five SLPI indicators was significant. Qualitative data was examined to discover what factors and experiences help students to assert a more effective leadership role. The study relied on content analysis of personal statements, and focus groups. Student perceptions of an effective leader, students' perceptions of their own abilities, and the strengths of the program were explored. A content analysis of the 'Personal Statements' was carried out to determine how students defined leadership prior to their having had any formal teaching in a college program. The result of the analysis of personal statements provided eight leadership categories used as an initial baseline for the study. Six focus groups (totaling N = 30) were conducted. Students responded to four key questions: how they define leadership. What is the single most effective quality of a leader? What leadership skills did they feel they had gained? How had the program helped them obtain their skills? Students credited the CRLT program with helping them develop a variety of leadership skills. Students revealed that they had gained skills such as confidence, knowledge and understanding of people's needs, and becoming more self-directed. They attributed their skill development to such things as good course design, intensive outdoor education and fieldwork courses, "hands on" learning approaches, group work, skill practice, the support they received from teachers, and encouragement they were given by their peers. A common finding among genders was defining an effective leader as someone who is "confident". However, the definition of the most important quality of a leader varied by gender. While males showed a tendency to prefer a leader being "confident," females preferred a leader being a "teacher".

Représentations des langues et des identités : le cas de la diaspora serbe au sud de la France

Nous proposons d’interroger, dans cette contribution, les représentations sociolinguistiques des immigrés issus de la diaspora ex-yougoslave, installés au sud de la France, qui vivent au quotidien le contact entre la langue maternelle (langue de la maison ou de l’environnement familial) et le français (langue de l’environnement social). Les réflexions que nous proposons ici s’insèrent dans le projet « Représentations des langues et des identités en Méditerranée en contexte plurilingue » (EA739 Dipralang). Notre étude de cas permet d’explorer les frontières de ce projet (langues de migration plutôt que langues minoritaires d’implantation historique) et le rôle des représentations sociolinguistiques dans la structuration des identités de leurs locuteurs.

Detalgraf S.A.: Plan Estratégico Empresarial

DETALGRAF S.A., es una empresa colombiana con Capital Nacional, fundada en febrero de 1993. A través del tiempo la empresa se ha venido transformando y sus líneas comerciales se han ampliado significativamente, pasando de ofrecer a sus clientes insumos para la industria gráfica a productos de aseo, papelería, químicos, cafetería, medicamentos y seguridad industrial. Actualmente, se posiciona como una de las mejores empresas comercializadoras en el sector institucional. Este proyecto busca desarrollar un plan estratégico para la empresa Detalgraf S.A., para los próximos cinco años, basándose en la elaboración de estrategias claves, producto de un análisis previo de los problemas que afectan la empresa y su desarrollo; esperando como resultado la solución a diferentes falencias en los departamentos de logística, comercial y finanzas. Teniendo en cuenta lo anteriormente mencionado, se presenta este proyecto como una alternativa de mejora fundamentada en una pregunta investigativa principal la cuales es ¿Cómo garantizar el crecimiento y la sostenibilidad de la empresa Detalgraf S.A., por medio de un plan estratégico que ayude a lograr la perdurabilidad de la compañía? Con el fin de dar respuesta a ésta, se desprenden otros interrogantes igual de importantes como: ¿Es posible por medio de un plan estratégico mejorar el proceso de cobro y seguimiento de cartera?, con base a estas mejoras, ¿Se logrará tener la capacidad de identificar los principales problemas internos y externos que afectan a la empresa y a su entorno? Y finalmente, ¿Se pueden incrementar las ventas penetrando nuevos mercados? El desarrollo de estas preguntas permitirá buscar una mejora en la comunicación interna dentro de la empresa, con el fin de obtener una mayor coordinación en el uso de los recursos y el funcionamiento de la organización para garantizar la creación de valor, un factor clave para la empresa.