Chemotherapy patient perception regarding communication with the healthcare staff

Purpose: To qualitatively explore the communication between healthcare professionals and oncology patients based on the perception of patients undergoing chemotherapy.Method: Qualitative and exploratory design. Participants were 14 adult patients undergoing chemotherapy at different stages of the disease. A socio-demographic and clinical data form was utilized along with semi-structured interviews. The interviews were audio-recorded, transcribed and content analysis was performed. Two independent judges evaluated the interview content in regards to emerging categories and obtained a Kappa index of 0.834.Results: Three categories emerged from the data: 1) Technical communication without emotional support, in which the information provided is composed of strictly technical information regarding the diagnosis, treatment and/or prognosis; 2) Technical communication, in which the information provided is oriented towards the technical aspects of the patient’s physical condition, while also providing psychological support for the patients’ subjective needs; and 3) Insufficient technical communication, win which there are gaps in the information provided causing confusion and suffering to the patient.Conclusions: Communication with emotional support contributes to greater satisfaction of chemotherapy patients. Practical implications: the results provide elements for the training of healthcare professionals regarding the importance of the emotional support that can be offered to cancer patients during their treatment.

The Narrative Value of Dance Communication: "habitus", musicality and emotion

The richness of dance comes from the need to work with an individual body. Still, the body of the dancer belongs to plural context, crossed by artistic and social traditions, which locate the artists in a given field. We claim that role conflict is an essential component of the structure of collective artistic creativity. We address the production of discourse in a British dance company, with data that spawns from the ethnography ‘Dance and Cognition’, directed by David Kirsh at the University of California, together with WayneMcGregor-Random Dance. Our Critical Discourse Analysis is based on multiple interviews to the dancers and choreographer. Our findings show how creativity in dance seems to be empirically observable, and thus embodied and distributed shaped by the dance habitus of the particular social context.

Nuevo marco para la producción de textos académicos

Este trabajo presenta la reelaboración de un modelo de producción de textos escritos, publicado por el Grupo Didactext en 2003. Se sitúa en un marco sociocognitivo, lingüístico y didáctico, y está concebido desde la interacción de tres dimensiones simbolizadas por círculos concéntricos recurrentes. El primer círculo corresponde al ámbito cultural: las diversas esferas de la praxis humana en las que está inmersa toda actividad de composición escrita. El segundo se refiere a los contextos de producción, de los que forman parte el contexto social, el situacional, el físico, la audiencia y el medio de composición. El tercer círculo corresponde al individuo, en el que se tiene en cuenta el papel de la memoria en la producción de un texto desde el enfoque sociocultural, la motivación, las emociones y las estrategias cognitivas y metacognitivas, dentro de las cuales se conciben seis unidades funcionales que actúan en concurrencia: acceso al conocimiento, planificación, redacción, revisión y reescritura, edición, y presentación oral. La orientación didáctica se interesa por la enseñanza y el aprendizaje de la escritura académica en las aulas, así como por la investigación de la escritura en contextos de educación.

Det är alltid bäst innan förändring : En studie om motivation vid förändring, individens upplevelse & ledares påverkan

Förändringar är vanligt förekommande i organisationer och forskning visar att många förändringsinitiativ tyvärr misslyckas. Genomförandet av förändringar som fokuserar på individens motivation är lyckosamma i bemärkelsen att personalen trivs och att arbetet inte blir lidande. Studien syftar till att ta reda på hur ledare kan arbeta för att främja medarbetares motivation vid organisationsförändringar. Genom ett kvalitativt perspektiv och en deduktiv ansats har vi undersökt vad som påverkar och främjar medarbetares motivation vid organisationsförändringar. Undersökningen har genomförts på två avdelningar i ett stort företag i Gästrikland som vid tiden för insamling av data, genomgick en förändring. Studien är en fallstudie med avsikt att undersöka den specifika skiftformsförändringen som företaget genomgick. Tillvägagångssättet för insamlingen av material är en process som ämnar att, genom delaktighet och diskussion ta reda på vad som motiverar medarbetare under förändringar. Analysen av resultatet visar att individernas grundläggande behov i arbetet, till viss del inte varit uppfyllda vilket har lett till att en del personal givit uttryck för att de är omotiverade och att de känner ett motstånd mot förändringen. Det upplevda motståndet består i en rad olika känslor, bland annat; chock, oro och förvirring som uppkommer på grund av osäkerhet och brist på kontroll rörande individens arbetssituation. Känslorna hämmar motivationen och kan ge en upplevelse av att de grundläggande behoven i arbetet inte är uppfyllda, även fast de kan vara det. Studien visar att ledare kan påverka motståndet och främja medarbetares motivation under förändringar dels genom att bjuda in till delaktighet i ett så tidigt stadie som möjligt i förändringsprocesssen och dels genom att på ett tydligt sätt kommunicera och informera kring förändringens innebörd. Det gör att individen upplever kontroll över sin framtid i arbetet vilket påverkar upplevelsen av att de grundläggande behoven inte skulle vara uppfyllda och gynnar motivationen. Ledare behöver även vara lyhörda för att alla upplever förändringar olika och läsa av behov och önskemål och anpassa eventuellt stöd efter det.

"På andra sidan betongväggen" : En fallstudie om engagemang och motivation i arbetslivet

Intresset för engagemang och dess påverkan i organisationer ligger till grund för studien. Syftet är att genom en ökad förståelse av anställdas upplevda grad av engagemang och motivation, urskilja de faktorer som ligger till grund för ett lägre engagemang, för att sedan ha möjlighet att definiera faktorer som kan höja det. En kvalitativ undersökning har genomförts på ett företag inom tillverkningsindustrin. Sammanlagt har tolv respondenter intervjuats - VD, en chef och två ledare samt åtta stycken av de produktionssanställda. De tre olika nivåerna av respondenter har analyserats separat med relevant teori för att sedan jämföras samt ge möjligheten att studera likheter och skillnader dem emellan. Resultatet och analysen visar att engagemanget på företaget upplevs vara lågt samt att definitionen av engagemang och motivation kan ha olika betydelse för olika individer. Det bristande engagemanget grundar sig i olika faktorer - framför allt i upplevelsen av att det finns en "vi och dom"-känsla på företaget - samt anseendet av bristande kommunikation. I diskussionen resoneras kring lösningar och problem som individerna på varje nivå bör ta hänsyn till för att öka engagemanget. Studien resulterar i tre olika handlingsplaner som tilldelas varje nivå, där konkreta förslag och lösningar presenteras och ligger till grund för ett ökat engagemang. De främsta slutsatserna av studien är således att engagemanget måste öka inom företaget samt att den negativa inställningen måste försvinna hos de anställda, då det har en destruktiv påverkan på de anställdas vardagliga arbete. Studien visar även att ett aktivt arbete och ett hänsynstagande till engagemang på arbetsplatsen kan leda till mer lojal, produktiv, effektiv och välmående personal.

Que(e)rying the Closet in Diversity Management: "Coming-Out" as an Authentic (and Successful) LGBT Employee

This paper will "que(e)ry" "coming-out" as constructed by LGBT-diversity experts to advance our understanding of the relation between the social justice and business case for equality, diversity, and inclusion.

A Comunicação Interna: a eficácia dos meios de comunicação interna na Caixa Geral de Depósitos

No mundo actual, onde a concorrência cresce e a oferta de produtos aumenta, onde a globalização é palavra de ordem, torna-se essencial pensar a sobrevivência das empresas como estando dependentes da adopção de comportamentos transparentes diante dos públicos, sejam eles de dimensão interna e/ou externa. Reconhecer a importância de controlar os aspectos imprevisíveis a que as empresas estão sujeitas, permite às organizações um maior controlo na previsão dos problemas, como os corrigir antes que estes interfiram no seu sucesso, constituindo assim um ambiente previsível e favorável. A comunicação assume pois um papel primordial na visibilidade positiva de uma empresa. O cliente interno, neste trabalho, será visto como fornecedor de uma rede interna de prestação de serviços, responsável pela agregação de valor aos produtos e serviços oferecidos pela organização. Os clientes internos são também vistos como detentores de um propósito comum responsável tanto pela criação como pela continuidade da organização. Ao longo deste trabalho é descrita e focada a ligação especial que existe entre a comunicação empresarial, a comunicação interna e a estratégia do marketing interno evidenciando a importância destes para as organizações. O objectivo deste estudo é analisar a eficácia dos meios de comunicação interna na Caixa Geral de Depósitos, a partir da realização de 39 inquéritos administrados a colaboradores de uma Agência. Os resultados obtidos com este estudo deram ênfase à eficácia dos meios de comunicação interna utilizados na organização em estudo, concluindo que a comunicação deve ser veiculada de acordo com a utilidade das funções a desempenhar. / In today´s world where competition grows and the supply of products increases, where globalization is a slogan, it is essential to consider the survival of business as being dependent of the adoption of transparent behavior in public, in they internal or external dimensions. Recognizing the importance of controlling the unpredictable aspects that companies are subject, allows organizations greater control in forecast the problems, how to correct them before they interfere with their success, providing a predictable and favorable ambient. Communication assumes an essential role in a positive visibility of a company. The internal customer, this work will be seen as a provider of internal network services, responsible for adding value to products and services offered by the organization. Internal customers are also seen as having a common purpose as much responsible for creating the continuity of the organization. Throughout this work is focused and described the special bond that exists between corporate communication, internal communication and internal marketing strategy, highlighting their importance for the organizations. The aim of this study is to analyze the effectiveness of internal communication in the CGD, from conducting 39 surveys administered to employees of an Agency. The results of this study emphasized the effectiveness of internal communication in the organization used in the study, concluding that the communication should be conveyed according to the usefulness of the tasks.

Perceções de (In)Justiça na Avaliação de Desempenho das Forças de Venda: estudo em empresas do sector farmacêutico

Num mundo competitivo com alterações profundas nos processos de trabalho e desempenho, surgem necessidades de novas formas de avaliação e competências profissionais. Estas necessidades promovem um ambiente nem sempre justo e saudável, algo imprescindível para o bem-estar de uma organização. O presente estudo objetiva verificar perceções de justiça organizacional da avaliação de desempenho de duas empresas do sector farmacêutico (empresa A e empresa B). Do mesmo modo verifica-se de que forma as variáveis sociodemográficas afetam ou fragmentam a avaliação de desempenho. Este tema é pouco explorado em Portugal, contribuindo para o aprofundamento da compreensão da multidimensionalidade da perceção de justiça nas forças de vendas destas organizações. A pesquisa descritiva foi realizada por meio de levantamento, com assertivas extraídas da pesquisa de Sotomayor (2006), para investigar as perceções de justiça distributiva, processual, interpessoal e informacional. Os resultados obtidos neste estudo indicam perceção de justiça organizacional na avaliação de desempenho por parte da força de vendas em todas as quatro dimensões distintas, apresentando a justiça procedimental um score de destaque, seguida da justiça distributiva. A organização B apresenta níveis mais elevados de prevalência de justiça distributiva, procedimental, interpessoal e informacional face à organização A. No que respeita à relação entre as variáveis sociodemográficas e à perceção de justiça na avaliação de desempenho, a mesma não é suportada nesta amostra não comprometendo a perceção de justiça. Do presente estudo retira-se o quanto determinante nas organizações que envolvem forças de venda são as políticas e práticas de gestão de desempenho, acautelando o sucesso estratégico sustentado da organização, percecionando que com estas a organização as valoriza e cuida do seu bem-estar, com perceções positivas de justiça na avaliação de desempenho. / In a competitive world with profound changes in work processes and performance needs arise new forms of evaluation and professional skills. These needs foster an environment not always fair and healthy, something essential for the well-being of an organization. This study aims to verify perception of organizational justice evaluation of performance of two companies in the pharmaceutical sector (company A and company B). Likewise there is how sociodemographic varia-bles affect or fragmenting the performance appraisal. This theme is underexplored in Portugal, contributing to the deepening of understanding of the multidimensionality of perception of justice in these organizations sales forces. The descriptive research was conducted through survey, with the extracted assertions Sotomayor research (2006), to investigate the perceptions of distributive, procedural, interpersonal and informational justice. The results of this study indicate organizational justice perception on performance appraisal by the sales force in all four different dimensions, presenting procedural justice an outstanding score, followed by distributive justice. The organization B has higher levels of prevalence of distributive justice, procedural, interpersonal and informational face the organization A. As regards the relationship between sociodemographic variables and the perception of justice in performance appraisal, it is not supported in this sample does not compromising the perception of justice. The present study withdraws how decisive in organizations involving sales force policies and performance management practices, cautioning sustained strategic success of the organization, perceived that the organization values and cares for your well-being, with positive perceptions justice in performance appraisal.

Comunicação interna em empreendimento hoteleiro: um enfoque gerencial

Globalization, which increased the market to a position of competition and change never before experienced, also imposed a series of changes that have transformed the social systems, organizations increasingly complex. In this scenario, communication has received attention from modern managers. Research indicates that some sectors of activity, more than others, rely on communication as a tool for achieving their goals. The tourism sector, located in the service segment is configured as one of these activities, which the hotel is part of the composite product. With the intention to acknowledge these aspects in this study sought to analyze the characteristics of internal communication in a hotel project in the managerial perspective. To try to answer this purpose we constructed a framework based on authors that discuss organizational communication, internal communication and hotel businesses. For the purpose of research was chosen a unit of study to assess the views of managers regarding the issue. In the unit studied was sought to apprehend these meanings through interviews with a group of managers in the organization and analysis of documents. Data were analyzed through content analysis of Bardin (1977), with the technique of categorical analysis, as it sought to capture aspects that allow the description of the contents of the messages. The results pointed to an organizational reality based heavily on orality, who lives constantly with noise and using communication to regulate behavior. With little or no reflection on managerial communication inferred that subordinates should not absorb the message completely, a phenomenon that can not be responsible for the complete fulfillment thereof. Moreover, it was realized that the organization studied did not plan your communication, since, yet the views as a strategic tool to achieve your goals

Live Work: The Impact of Direct Encounters in Statutory Child and Family Social Wor

The aim of this research project was to examine the impact of direct work on practitioners in the field of statutory child protection. The author’s premise was that this work was anything but straightforward and that surprisingly, given the intense scrutiny on Children’s Services following a child death, there was little research into the day-to-day practice of front line staff. The aim was to explore whether psychoanalytic theory could be useful in understanding and making sense of the social work task. Data was collected through observation and semi-structured interviews in one Local Authority Child in Need team over a period of six months. The findings indicated that practitioners experienced direct work with some individuals and families as profoundly disturbing and that this affected them physiologically as well as psychologically. These effects persisted over time and appeared very difficult for the workers to process or articulate. This could be expressed through embodied or non-verbal communication in the interview. Practitioners appeared to be ‘inhabited’ by particular clients, suggesting phenomena such as projective identification were in operation. The intensity and persistence of the impact on the practitioners appears to be directly related to the quality, nature and intensity of the psychic defences functioning for the particular client. Significantly, the research indicated that when practitioners were dealing with the negative and disturbing projections from the (adult) clients it seemed from the data that the focus on the child would slip so that the child appeared to recede from view. Symptoms experienced by the practitioners were akin to trauma and research and theory on primary and secondary trauma were considered. Other issues raised included shame, which affects the clients, practitioners and the organisation and the meaning and implications of this are explored. Links between neuroscience and projective identification are addressed as well as the role of the organisation, particularly as a container for these toxic and disturbing encounters.

Involving individuals in the manufacturing strategy formation : Strategic consensus among workers and managers

Decisions made and actions taken by individuals in the operations function impact the formation of a company’s manufacturing strategy (MS). Therefore, it is important that the MS is understood and agreed on by all employees, that is, strategic consensus among the individuals in the operations function is essential. This research contributes to the current body of knowledge by including a workers’ perspective on MS formation. It is the workers on the shop floor who bring the MS to life in the actual operations through their daily decisions and actions. The MS falls short if the priorities outlined do not materialise in practice as intended. The purpose of this research is to investigate how the individuals in the operations function perceive the MS in order to understand how these individuals are involved in the MS formation. The research is based on five studies, differing by evidence, as follows: one theoretical, three qualitative in the setting of small and medium-sized enterprises (SMEs), and one quantitative at a large company. Based on the findings presented in the six appended papers, the results show that empirically and conceptually, workers have been overlooked or given a passive role in the MS formation. Empirically, it is seen that workers and managers do not have a shared understanding of the underlying reasons for strategic priorities; hence, the level of strategic consensus is low. Furthermore, the level of strategic consensus varies among the different MS dimensions depending on their organisational level. Moreover, the empirical findings reveal that internal contextual factors influence the individuals’ perceptions of the MS and the possibilities for strategic consensus. Regarding the external context, the results show that major customers’ strategies influence the subcontractor SMEs’ MS formation. The usage of means of communication in the operations function has also shown to be of importance for how the MS is perceived. Conceptually, the findings indicate that the MS literature tends to treat individuals in the operations function in a deterministic manner; individuals on the shop floor are regarded as manufacturing resources. To ensure a successful MS formation process, where the patterns of the decisions made by the individuals in the operations function forms the MS, the view on human nature within the MS requires a more voluntaristic approach. This research suggests to view the MS formation as an iterative “patterning process” which builds on a reciprocal relationship between workers and managers. The introduction of the patterning process contributes to the research on MS formation by explaining the perception range within the hierarchical levels, by re-defining the hierarchical levels included in the MS formation and by detailing the activities in the MS formation.

The Role of Perceived Social Support, Resilience, and Depression on Communicative Participation in Head and Neck Cancer Survivors

Thesis (Master's)--University of Washington, 2016-08

Modelo de gestión del cambio por fases para organizaciones con el involucramiento de las personas

En este trabajo se busca, que los líderes tengan herramientas adecuadas que le permitan implementar los cambios en los diferentes procesos que se dan en las empresas, para lograr este objetivo, se abordarán problemas como: la resistencia al cambio, el poco sentido de urgencia y el desconocimiento que tienen los empresarios que, en ciertos casos, es necesario gestionarlos. Este proyecto se realizará entre el segundo semestre de 2014 y el primer semestre de 2015, en este tiempo el proyecto se enfocará en un objetivo general que es: Diseñar una guía acorde a la naturaleza de la gestión del cambio, con el propósito de que las organizaciones cuenten con las herramientas para hacer la adecuada gestión que implica el cambio y para lograr ésto se trabajará en los siguientes objetivos específicos: Identificar a través de la revisión de literatura, las barreras que pueden anteponerse para la adopción de un proceso de cambio en las organizaciones. Definir la forma, cómo funciona el proceso de gestión del cambio, identificando los elementos del proceso para llevarlo a cabo. Para el cumplimiento de los objetivos: se buscará, recolectará y analizará la información en libros, artículos de revistas especializadas y documentos de la Internet para realizar una comprensión más detallada que dé a entender todos los aspectos determinantes de la gestión del cambio en las organizaciones. Esto se realizará por medio de un mapa semántico que permita mostrar los elementos determinantes y las herramientas recomendadas dándole la importancia de la gestión del cambio.

Exploração sistemática de estratégias de dinamização das populações para as questões de saúde no Brasil

Neste trabalho serão analisadas características da comunicação organizacional, de mobilização social e da comunicação em saúde, para, na parte empírica, analisar a comunicação para mobilização social no evento Semana Nacional de Humanização, realizado pela Política Nacional de Humanização, no Brasil, em 2014. Em um primeiro momento, buscamos compreender as características principais da comunicação organizacional na forma prática, assim como os aspectos que propiciaram seu surgimento. A fim de compreender como essa comunicação tem aplicabilidade no cotidiano das empresas, se buscou pormenorizar as etapas de formulação do planejamento de uma comunicação voltada às organizações, sua implementação e relacionamento com a imprensa, e como atividades de marketing e publicidade se inserem na comunicação para organizações. Mais adiante, já buscando demonstrar as similaridades e especificidades entre a comunicação organizacional e a comunicação específica para mobilização social em questões de saúde, solidifica-se conceitos acerca da aplicabilidade desta última, suas características e resultados esperados. Só a partir daí se começa a analisar a comunicação dentro do evento promovido pela Política Nacional de Humanização (PNH), a Semana Nacional de Humanização. Concentra-se, portanto, em explicar como o evento se insere no Sistema Único de Saúde no Brasil (SUS). A PNH busca humanizar o serviço e estimular a participação efetiva dos três atores que compõe o sistema: gestores, trabalhadores e usuários. A Semana Nacional de Humanização surgiu como mais um espaço de debate para unir estes atores na construção dessa humanização. O presente estudo, por meio de questionários enviados aos inscritos no evento buscou, então, analisar o alcance desse objetivo e como a comunicação contribuiu neste processo. Apesar de ter sido muito exitosa no sentido de reforçar boas práticas e percepções dos inscritos no evento, a comunicação lidou com alguns desafios com a extensão territorial do país, a diferença cultural e ainda a resistência do usuário em conhecer e participar de ações do SUS. Além de analisar acertos e falhas, também se buscou apontar caminhos para futuros eventos afim de aumentar a mobilização e melhorar a comunicação.

Error correcting codes for visible light communication systems

Over the past few years, the number of wireless networks users has been increasing. Until now, Radio-Frequency (RF) used to be the dominant technology. However, the electromagnetic spectrum in these region is being saturated, demanding for alternative wireless technologies. Recently, with the growing market of LED lighting, the Visible Light Communications has been drawing attentions from the research community. First, it is an eficient device for illumination. Second, because of its easy modulation and high bandwidth. Finally, it can combine illumination and communication in the same device, in other words, it allows to implement highly eficient wireless communication systems. One of the most important aspects in a communication system is its reliability when working in noisy channels. In these scenarios, the received data can be afected by errors. In order to proper system working, it is usually employed a Channel Encoder in the system. Its function is to code the data to be transmitted in order to increase system performance. It commonly uses ECC, which appends redundant information to the original data. At the receiver side, the redundant information is used to recover the erroneous data. This dissertation presents the implementation steps of a Channel Encoder for VLC. It was consider several techniques such as Reed-Solomon and Convolutional codes, Block and Convolutional Interleaving, CRC and Puncturing. A detailed analysis of each technique characteristics was made in order to choose the most appropriate ones. Simulink models were created in order to simulate how diferent codes behave in diferent scenarios. Later, the models were implemented in a FPGA and simulations were performed. Hardware co-simulations were also implemented to faster simulation results. At the end, diferent techniques were combined to create a complete Channel Encoder capable of detect and correct random and burst errors, due to the usage of a RS(255,213) code with a Block Interleaver. Furthermore, after the decoding process, the proposed system can identify uncorrectable errors in the decoded data due to the CRC-32 algorithm.