Monitorização do cumprimento do protocolo: ensino à pessoa submetida a ventiloterapia

A ventilação não invasiva (VNI), assume cada vez maior importância na prática clinica, por ser considerada uma opção terapêutica segura e eficaz, sem necessidade de recorrer a métodos invasivos da via aérea. (Ferreira et al., 2009) Os enfermeiros, no desempenho do seu exercício profissional, ensinam a pessoa/família, constituindo-se, a educação para a saúde, como um elemento fundamental nos cuidados de enfermagem. (Phaneuf, 2001) Torna-se essencial, a utilização de protocolos de ensino estruturado ao utente/família submetido a VNI, permitindo a promoção de boas práticas. Com o presente trabalho, pretende-se perceber se o protocolo de ensino à pessoa submetida a ventiloterapia está a ser aplicado conforme preconizado, aos utentes internados no serviço de Pneumologia do CHMT, EPE. A natureza do estudo emerge a partir de um estudo descritivo simples, transversal, retrospetivo e observacional. O instrumento de recolha de dados utilizado foi a aplicação de uma grelha de auditoria aos registos de enfermagem. Os resultados obtidos, revelaram que o protocolo de ensino foi aplicado à totalidade de utentes com necessidade de ensino. A taxa média de conformidades obteve 94% e a percentagem de conformidade por diagnóstico e intervenção de enfermagem, situou-se acima dos 80%

A REVIEW OF THE SMALL BUSINESS DEVELOPMENT CENTERS PROGRAM

Members of the General Assembly requested that we conduct an audit of the Small Business Development Centers program. We planned to review the accuracy of the program’s reporting of its effectiveness, expenditures, and structure. The audit objectives were listed as follows: Determine if the SBDC program’s reporting, including the program’s effectiveness, is in compliance with the U.S. Small Business Administration’s guidelines and is accurate and complete ; Determine if the current structure of the SBDC is the most beneficial to the small business clients, provides appropriate oversight to SBDC staff, and allows for necessary sharing of best practices throughout all SBDC offices ; Review a sample of SBDC’s use of funding to ensure that the program is efficiently handling federal, state, and other funds for expenditures, including technology upgrades and training conferences.

The role of forest certification for the conservation of biodiversity and sustainability of cork oak woodlands

Doutoramento em Engenharia Florestal e dos Recursos Naturais - Instituto Superior de Agronomia - UL

Levantamento das necessidades de formação em prevenção e segurança dos trabalhadores da construção civil e obras públicas: estudo de caso

Dissertação de mest. em Gestão Empresarial, Faculdade de Economia, Univ. do Algarve, 2003

Identificación de riesgos de error material en auditorías externas de estados financieros, aplicadas por los auditores independientes del municipio de San Salvador.

La presente investigación tiene sus orígenes desde el siglo XV, cuando se presumía que la auditoría fue incentivada por la necesidad del hombre de llevar a cabo actividades de observación, investigación, comprobación y verificación de la información financiera generada por las empresas; para ser más concretos nació en el seno de algunas familias pudientes de Inglaterra, otorgando a la palabra “Auditor” el significado de “Persona que Oye”. Desde hace ya algunos años, el ejercicio de los contadores públicos es vital en el proceso de auditorías de estados financieros, lo cual conlleva a la necesidad de estructurar a profundidad aspectos relevantes para el desarrollo de las auditorias, entre los cuales el riesgo de error material es fundamental, no solo por la importancia del tema, sino además porque son ellos quienes expresan una opinión acerca de la razonabilidad de las cifras de la información financiera sujeta a revisión y estudio. Y es ahí donde surge el IAASB (International Auditing and Assurance Standards Board), que es el ente encargado de emitir normas y lineamientos de auditoría y atestiguamiento para uso de todos los profesionales, en virtud de un proceso de auditoría de establecimiento de normas, el cual proporciona información de interés público sobre el desarrollo de auditorías, incluyendo en este como identificar riesgos de error material mediante el entendimiento de la entidad y su entorno. La investigación de esta problemática, surgió con la necesidad de los contadores de herramientas de apoyo para ejercer la profesión, que se apegan a la normativa técnica contable de nuestro país; por lo que objetivo principal que persigue esta investigación es diseñar cuestionarios de control interno para la identificación de riesgos de error material en auditorías externas de Estados Financieros, aplicadas por auditores independientes del municipio de San Salvador. Durante la investigación de campo, se notó que la mayoría de los auditores utiliza diferentes técnicas para identificar riesgos de error material, lo que da la pauta que es indispensable contar con una herramienta de apoyo, que incorpore el entendimiento de la entidad y su entorno, así como el control interno, además de la aplicación de las políticas para el logro de sus objetivos, estos aspectos ayudan a detectar los fraudes y errores, no olvidando que las investigaciones con la administración son de mucha utilidad. Uno de los obstáculos en la entrevista fue la falta de recopilación de información sobre cuáles son las técnicas que utilizan estos auditores para identificar riesgos. Finalmente, se concluye que los conocimientos técnicos sobre el riesgo de negocio son primordiales para los auditores, que el entendimiento de riesgos de errores materiales es fundamental al momento de ejecutar auditorías externas de estados financieros y que la evaluación del control interno y los riesgos del negocio son importantes para la identificación de errores materiales. Para lo cual se recomienda, establecer una planificación de auditoría con base al análisis de la entidad y de los posibles riesgos de negocio, mediante el análisis del entorno. Es indispensable que los profesionales que ejercen la auditoría, cuenten con una base técnica que les permita identificar estratégicamente aquellos riesgos de error material que afecten adversamente el logro de los objetivos que persigue la entidad, sin dejar atrás el estudio y evaluación del control interno de la entidad auditada, ya que se consideran puntos clave para identificar riesgos.

Autoavaliação da governança de TI em uma autarquia federal com base na gestão de riscos

Dissertação (mestrado)—Universidade de Brasília, Instituto de Ciências Exatas, Departamento de Ciência da Computação, 2016.

Corporate social responsibility reporting in the mining sector of Tanzania:(Lack of) government regulatory controls and NGO activism

Purpose – The purpose of this paper is to contribute to the ongoing debate on governance, accountability, transparency and corporate social responsibility (CSR) in the mining sector of a developing country context. It examines the reporting practices of the two largest transnational gold-mining companies in Tanzania in order to draw attention to the role played by local government regulations and advocacy and campaigning by nationally organised non-governmental organisations (NGOs) with respect to promoting corporate social reporting practices. Design/methodology/approach – The paper takes a political economy perspective to consider the serious implications of the neo-liberal ideologies of the global capitalist economy, as manifested in Tanzania’s regulatory framework and in NGO activism, for the corporate disclosure, accountability and responsibility of transnational companies (TNCs). A qualitative field case study methodology is adopted to locate the largely unfamiliar issues of CSR in the Tanzanian mining sector within a more familiar literature on social accounting. Data for the case study were obtained from interviews and from analysis of documents such as annual reports, social responsibility reports, newspapers, NGO reports and other publicly available documents. Findings – Analysis of interviews, press clips and NGO reports draws attention to social and environmental problems in the Tanzanian mining sector, which are arguably linked to the manifestation of the broader crisis of neo-liberal agendas. While these issues have serious impacts on local populations in the mining areas, they often remain invisible in mining companies’ social disclosures. Increasing evidence of social and environmental ills raises serious questions about the effectiveness of the regulatory frameworks, as well as the roles played by NGOs and other pressure groups in Tanzania. Practical implications – By empowering local NGOs through educational, capacity building, technological and other support, NGOs’ advocacy, campaigning and networking with other civil society groups can play a pivotal role in encouraging corporations, especially TNCs, to adopt more socially and environmentally responsible business practices and to adhere to international and local standards, which in turn may help to improve the lives of many poor people living in developing countries in general, and Tanzania in particular. Originality/value – This paper contributes insights from gold-mining activities in Tanzania to the existing literature on CSR in the mining sector. It also contributes to political economy theory by locating CSR reporting within the socio-political and regulatory context in which mining operations take place in Tanzania. It is argued that, for CSR reporting to be effective, robust regulations and enforcement and stronger political pressure must be put in place.

Förväntningsgapet i Sverige : Påverkar storleken på revisionsbyrån?

I ett aktiebolag är det viktigt att företagets intressenter kan lita på den finansiella information som styrelsen och verkställande direktören ger ut. För intressenternas räkning utses en revisor för att granska verkställande direktörens och styrelsens arbete samt verifiera att den huvudsakliga delen av redovisningen stämmer. Forskning visar att revisorns fokus inte är i balans med intressenternas förväntningar. Vad som ingår i revisorns arbetsuppgifter finns det många uppfattningar om och revisorerna anklagas ofta för att inte upptäcka bedrägerier. Forskning visar också att kvaliteten på revisionen skiljer sig åt mellan stora och små revisionsbyråer, vilken påverkar vilka förväntningar klienten har på revisorn. Forskning visar att allmänheten anser att det finns en kvalitetsskillnad på revisionen mellan stora och små revisionsbyråer vilket kan leda till att klienternas förväntningar skiljer sig beroende på vilken revisionsbyrå de använder. Teoretisk referensram Kapitlet förklarar att förväntningsgapet kan delas upp i flera olika gap, och att dessa gap orsakar problem för revisorn om vilken roll denne ska ta. Kapitlet visar att utbildning och större ansvar är tänkbara åtgärder för revisorn.  Kapitlet beskriver också att det råder delade meningar bland forskarna om det existerar en kvalitetsskillnad på revisionen mellan stora och små revisionsbyråer. Vissa forskare anser att större revisionsbyråer har högre kvalitet, samtidigt som andra anser att det inte råder någon skillnad alls vilket kan påverka gapet mellan klienten och revisorn. Syftet med uppsatsen är att undersöka om ett förväntningsgap existerar i Sverige och om gapet påverkas av storleken på revisionsbyrån samt att undersöka möjliga åtgärder till förväntningsgapet. Metod I uppsatsen har en kvantitativ metod använts. Enkäter skickades ut via mejl till verkställande direktörer och ekonomiansvariga då de har kontakt med företagets revisor. I studien tillfrågades totalt 750 företag där endast 70 ekonomiansvarige och verkställande direktörer fyllde i en fullständig enkät. Resultat Kapitlet sammanställer resultatet från studien. Resultatet visar att det existerar ett förväntningsgap hos uppsatsens respondenter och deras respektive revisorer. Studien visade inte någon signifikant skillnad på förväntningsgapet mellan stora och små revisionsbyråer. Studien visar att verkställande direktörerna och ekonomiansvariga som deltog i studien har otillräckliga kunskaper om revisorns arbetsuppgifter och att utbildning kan reducera förväntningsgapet. Analys Alla delar i förväntningsgapet som presenteras i teorikapitlet existerar bland respondenterna och deras revisorer. Storleken på revisionsbyrån påverkar inte om det uppstår ett förväntningsgap eller storleken på förväntningsgapet. Studien visar att respondenterna har bristande kunskaper i revisorns arbete. Ett sätt att minska förväntningsgapet är utbildning vilket både forskare och studien bekräftar. Slutsats Den slutsats som kan dras är att det existerar ett förväntningsgap bland uppsatsens respondenter och deras revisorer. Studien bekräftar också att det inte finns något samband mellan förväntningsgapet och storleken på revisionsbyrån. Förväntningsgapet uppstår när företagen inte har tillräckliga kunskaper om revisorns arbete och när revisorn inte uppfyller sina skyldigheter. Förväntningsgapet kan åtgärdas genom mer utbildning, bättre presterande revisorer och genom utveckling av revisionsstandarderna.

Review of Program Integrity Operations At Six Managed Care Organizations Delivering Medicaid Services under a Contract with the South Carolina Department of Health & Human Services

The State contracted with six managed care organizations to deliver Medicaid managed care at an annual cost of $2.7 billion, representing 10% of the State’s annual budget, to 750,000 Medicaid beneficiaries in South Carolina. This review’s scope and objectives were: Test the six MCOs’ compliance and effective execution of the SCDHHS’s managed care contract “Section 11 - Program Integrity” focusing on the operational components of pre-payment review and post-payment review. Identify opportunities to improve SCDHHS’s biennial managed care contract, contract monitoring, and MCO compliance and effective execution of the contract.

Review of the Community Residential Care Facilities Program, Department of Health and Environmental Control

This review was predicated on a credible complaint alleging substantial health and safety deficiencies in the care of a resident placed in a Community Residential Care Facility (CRCF) in Kershaw County, South Carolina. Initial investigation with subject matter experts, non-profit advocacy groups, and CRCF inspection reports revealed this single incident might be a symptom of systemic health and safety deficiencies throughout DHEC’s CRCF Program, which regulates 471 CRCFs with the approximately 17,000 vulnerable clients, primarily elderly and disabled. This review’s scope and objectives were: Assess the risk of a vulnerable population of elderly and disabled citizens residing in CRCFs living in unsatisfactory health and safety conditions; Evaluate DHEC’s CRCF Program inspection process capabilities to identify and address CRCFs with unsatisfactory health and safety living conditions; Recommend opportunities to improve the CRCF Program.

Review of Two Issues at the Long-Term Commitment Facilities, Department of Juvenile Justice: 1)Safety Threat to Employees & Juveniles; and 2)Event Reporting Process Integrity Allegations

The Legislative Oversight Committee of the South Carolina House of Representatives, referred allegations pertaining to the Department of Juvenile Justice (DJJ) which were generated during its ongoing oversight study of DJJ. Specifically, the safety issues focused on lack of control; lack of trust; and lack of adequate staffing. This review’s scope and objectives were: Investigate specific complainant allegations of DJJ employees underreporting, misreporting, or destroying ERs; Review the efficiency and effectiveness of DJJ’s event reporting process and follow-up on anomalies or potential patterns of systemic underreporting, misreporting, or missing ERs; and Assess juvenile and employee safety conditions through interviewing a cross-section of relevant employees, record review, and possibly an employee survey.

Executive order no. 2016-15

This executive order by Governor Nikki R. Haley directs that all executive agencies conduct an internal audit.

Les mouvances réglementaires entourant la profession comptable au lendemain de crises financières : propagation du discours néolibéral, production de mythes et gouvernance en silo

C’est en réponse aux plus récentes crises financières que plusieurs processus réglementaires – dont certains constituent les objets d’étude de cette thèse – ont été déployés pour concevoir et implanter diverses réformes « d’amélioration » au sein de la pratique professionnelle des auditeurs financiers. Tant la crise du début des années 2000 que celle de 2007-2008 auraient attiré de vives critiques à l’égard du travail des auditeurs et de leur contribution (prétendument défaillante) au sein du fonctionnement des marchés des capitaux. Considérant leur fonction de « chien de garde » qui est censée assurer, avant tout, la protection du public au sein de ces marchés, il semblait inévitable que leur travail soit, dans une certaine mesure, remis en doute à travers les processus de révision réglementaire mis en place. C’est ainsi que chacun des trois articles qui composent cette thèse offre une analyse de différents aspects – tels que la mise en place, le déroulement, la nature et la substance des discours et des résultats – liés à ces processus de révision réglementaire qui entourent la pratique professionnelle des auditeurs au lendemain des crises financières. En somme, en plus d’indiquer comment ces processus ne sont point à l’abri de controverses, les conclusions de cette thèse inciteront à ce qu’une attention sérieuse soit portée à leur égard afin de préserver le bienfondé de la profession des comptables et des auditeurs. Alors que, dans le premier article, il sera question d’illustrer l’infiltration (critiquable) d’un discours néolibéral au sein des débats qui entourent les processus de révision réglementaire dont il est question, dans le deuxième article, il sera question d’exposer, au sein de ces processus, un mécanisme de production de mythes prônant un certain statu quo. Par ailleurs, dans le dernier article, en plus de mettre en évidence le fait que les approches de gouvernance déployées à travers ces processus de révision réglementaire ne sont pas suffisamment englobantes, on pourra aussi prendre conscience de l’inféodation de l’expertise de l’audit face à son environnement (et plus précisément, face aux expertises de la normalisation comptable et de la financiarisation de l’économie). Sous un regard critique, et à travers des analyses qualitatives, chacun des articles de cette thèse permettra de remettre en question certaines facettes des processus réglementaires et institutionnels qui entourent le champ de la comptabilité et de l’audit.

Auditoria na UE : Avaliação dos riscos do auditor: Relatório de estágio

No sentido de uma aprendizagem e de um conhecimento mais aprofundado sobre a actividade da auditoria na sua vertente interna e externa, áreas de significativo interesse para um profissional da administração pública, foi este Relatório de Estágio fectuado na Universidade de Évora, integrando a equipa de auditoria interna desta Instituição e acompanhando os trabalhos desenvolvidos pela mesma. Este trabalho visa, com particular ênfase chamar a atenção para a crescente importância da Auditoria Interna, e dos riscos associados a esta actividade, recorrendo-se ainda a práticas e procedimentos inerentes à Auditoria Externa, uma vez que entre as mesmas se encontram pontos comuns relevantes para fundamento das acções desenvolvidas. A Auditoria Interna, numa visão actual do seu funcionamento, centra a sua atenção nas actividades que a Organização exerce. É neste sentido que este trabalho de estágio deve proporcionar: - uma reflexão sobre a importância do planeamento dos trabalhos; - um levantamento e identificação dos riscos de um auditor; - uma definição dos riscos da auditoria e da materialidade. De forma a que no decorrer do mesmo seja possível interpretar as normas técnicas e directrizes de auditoria, aplicando-as na execução dos trabalhos. Estes irão desenvolver-se incidindo sobre as normas internacionais de auditoria (ISA), ISA315 - Compreensão da Entidade e do Seu Ambiente e Avaliar os Riscos de Distorção Material e ISA 330 - Os Procedimentos do Auditor em Resposta a Riscos Avaliados. /ABSTRACT: ln order to get a deeper knowledge about the activity of internal auditing, a topic of significant interest for a public administration professional, the output of this work is an Internship Report realized in the University of Évora, integrating the internal auditing team of this institution and observing the work developed by this team. This work aims to draw attention to the increasing importance of Internal Auditing and to the risks associated with this activity, using practices and procedures of External Auditing, since there are important common issues between the two types of auditing, which are relevant for the tasks under analysis. The current approach in Internal Auditing is centered in the activities that the Organization performs. It is in this sense that this internship intends to: provide a reflection on the importance of planning, identify the risks of an auditor, define auditing risks and materiality. It is also intended that during the internship there is the opportunity to interpret the technical auditing norms and directives and to apply them in the execution of auditing tasks. The work will be developed considering the international standard for Auditing (ISA), ISA 315 Obtaining and understanding of the entity and its environment and assessing the risks of material misstatement e ISA 330- Materiality in Planning and Performing an Audit.

Auditoria da gestão pública: diferenças de expectativas, qualidade e satisfação nas autarquias locais

O presente estudo baseou-se na avaliação dos factores mais influentes na percepção da qualidade da auditoria e satisfação dos Directores dos Serviços Financeiros das Autarquias Locais Portuguesas sujeitas a Certificação Legal de Contas. Aferir se existiam opiniões divergentes por região administrativa foi outro objectivo a que nos propusemos. Os resultados da pesquisa demonstram que os factores mais influentes são a especialização, o planeamento e trabalho de campo da empresa de auditoria. A percepção da qualidade de auditoria por Distrito/Região revela-se homogénea, ao invés da satisfação em relação à actividade de auditoria. Tendo em conta os resultados obtidos, a auditoria deverá equacionar o alargamento do seu campo de actuação, reorientar o seu papel, reforçar a comunicação e especialização no sector, por forma a potenciar a responsabilização, avaliação e apoio na tomada de decisão na gestão dos dinheiros públicos e, por outro lado, harmonizar as expectactivas entre auditado e auditor. /ABSTRACT: The present study was based on the assessment of the most influential factors in the perception of audit quality and satisfaction of the Directors of Financial Services of Portuguese Local Government subject to the Statutory Auditors. To assess whether there were differing opinions by administrative region was another goal we set ourselves. The survey results demonstrate that the most influential factors are the expertise, the planning and fieldwork of the audit firm. The perception of audit quality by District I Region proves to be homogeneous, rather than satisfaction with the audit work. Given the results, the audit should consider extending its scope to act, to reorient their role, to strengthen the communication and expertise in the sector in order to enhance accountability, assessment and support in decision making in the management of public resources and, secondly, to harmonize expectations between auditee and auditor.