Qualidade e comunicação nas organizações de saúde : Aplicação prática no Hospital CUF Infante Santo

A presente dissertação discute a cada vez maior exigência de qualidade nas organizações de saúde, que deve ser encarada como uma ferramenta de gestão e de mudança, e a necessidade intrínseca de uma melhor e mais abrangente rede de comunicação, que se impõe para a transmissão de informação e conhecimento, numa sociedade que a uma velocidade atroz se encontra em constante mutação e desenvolvimento. Neste sentido, a temática em estudo assume particular importância no contexto actual, pois apenas a qualidade representa o garante da subsistência da organização abrindo caminho à eficiência e à eficácia organizacional e de interesse para a instituição, pois parte do conhecimento da percepção dos enfermeiros, que na organização de saúde estão directa e proporcionalmente relacionados com a satisfação do cliente. Os enfermeiros asseguram a manutenção dos padrões de qualidade, que a organização pretende alcançar e comunicar, sendo fundamentais na imagem global transmitida e, consequentemente, na criação de valor da própria organização. Este estudo apresenta como objectivo principal averiguar o conhecimento, o envolvimento e quais as necessidades sentidas, na perspectiva dos enfermeiros, no âmbito da comunicação organizacional, de modo a melhorar a comunicação na organização de saúde, de forma a promover uma gestão de qualidade, garantindo uma subsequente imagem global de excelência. A investigação empírica analisou de forma sistemática informação relevante na área da qualidade, da comunicação organizacional e da inovação. Assim, aplicou-se um inquérito por questionário, fundamentado nos princípios de autores como Deming (1986); Chiavenato (2004); Druker (2000); Biscaia (2000) e Jeffries, (1992), junto dos enfermeiros do Hospital CUF Infante Santo. Com a realização de uma investigação exploratório-descritiva coloca-se a tónica na definição de conceitos e na descrição de factores, através de uma abordagem híbrida qualitativa e quantitativa, foi possível empreender-se o estudo e edificar-se os resultados, que permitem fazer uma caracterização de um conjunto de necessidades a colmatar no âmbito da comunicação interna e verificar a receptividade a inovações de forma a conseguir um maior envolvimento, formação e adesão dos enfermeiros nas políticas de qualidade. As conclusões apuradas levaram à apresentação da indispensabilidade de um envolvimento dos enfermeiros na gestão organizacional ao nível das políticas de qualidade e dos processos de melhoria contínua, observando a emergência de necessidades comunicacionais, nomeadamente a intranet, numa atitude afirmativa de imposição deste canal como um importante facilitador, desde que adaptado à realidade da organização. ABSTRACT: This dissertation discusses the increasing demand for quality in health organizations, which should be seen as a management and change tool, and the intrinsic need of a better and wider communication network, which is required for the transmission of information and knowledge, in a society that is at an atrocious speed constantly changing and developing. ln this sense, the theme in study assumes particular importance in the current context, thus only the quality represents the guarantee of the continuation and existence of the organization opening the way to organizational efficiency and effectiveness and of interest to the institution, as by part of the perception knowledge of the nurses, which in the health organization are directly and proportionately related to the client’s satisfaction. The nurses ensure the maintenance of the quality standards, that the organization aims to reach and communicate, being fundamental in the global image transmitted, and consequently, in the creation of value for the organization itself. The study presents as main objective the investigation of knowledge, the involvement and which necessities needed and felt, in the nurses' perspective, within the organizational communication, as to better the communication within the health organization, in such a way to promote the quality management, guaranteeing a subsequent global image of excellence. The empirical research analyzed in systematic way information relevant in the area of quality, of the organizational communication and innovation. Thus, a survey questionnaire was applied, based on the principles of authors such as Deming (1986); Chiavenato (2004); Druker (2000); Biscaia (2000) e Jeffries, (1992), among nurses of the Infante Santo CUF Hospital. With the completion of an exploratory-descriptive research, the emphasis was put on the concepts definition and the factors description, through a quality and quantity hybrid approach, it was possible to carry out the study and edify the results, which permit in the making of a characterization of a group or set of necessities to cover in the internal communication ambit and verify the acceptability to innovations so that a greater involvement be achieved, training and adherence of the nurses in the quality policies. The conclusions reached led to the presentation of the indispensability of an involvement of the nurses in the organizational management at the level of the quality policies and the processes for continuous improvement, observing the emergency of communication needs, namely the intranet, in an affirmative attitude of imposition of this channel such as an important facilitator, as long as ifs adapted to the reality of the organization.

Récits du vieillir « actif » et de la citoyenneté au quotidien : l’expérience des femmes aînées au Québec

Taken as a policy framework, active aging ranks high on most supranational bodies’ agenda. The new political economy of aging portrays “active” citizenship amongst seniors as a key challenge for the years to come. Our research focuses on, first, elderly women’s everyday ‘active’ practices, their meaning and purpose, in the context of Quebec’s active aging policy framework; and second, their day-to-day practical citizenship experiences. Informed by discourse analysis and a narrative approach, the life stories of women 60 to 70 years of age allowed for the identification of a plethora of distinctive old age activity figures. More specifically, four activity figures were identified by which respondents materialize their routine active practices, namely: (1) paid work; (2) voluntary and civic engagement; (3) physical activity; and (4) caregiving. Set against Quebec’s active aging policy framework, these patterns and set of practices that underpin them are clearly in tune with government’s dominant perspectives. Respondents’ narratives also show that active aging connotes a range of ‘ordinary’ activities of daily living, accomplished within people’s private worlds and places of proximity. Despite nuances, tensions and opposition found in dominant public discourse, as well as in active aging practices, a form of counter-discourse does not emerge from respondents’ narratives. To be active is normally the antithesis of immobility and dependence. Thus, to see oneself as active in old age draws on normative, positive assumptions about old age quite difficult to refute; nevertheless, discourses also raise identity and relational issues. In this respect, social inclusion issues cut across all active aging practices described by respondents. Moreover, a range of individual aims and quests underpin activity pattern. Such quests express respondents’ subjective interactions with their social environment; including their actions’ meaning and sense of social inclusiveness in old age. A first quest relates to personal identity and social integration to the world; a second one concerns giving; a third centers on the search for authenticity; whereas the fourth one is connected to a desire for freedom. It is through the objectivising of active practices and related existential pursuits that elderly woman recognize themselves as active citizens, rooted in the community, and variously contributing to society. Accordingly, ‘active’ citizenship experiences are articulated in a dialogic manner between the dimensions of ‘doing’, ‘active’ social practices, and ‘being’ in relation to others, within a context of interdependence. A proposed typology allows for the modeling of four ‘active’ citizenship figures. Overall, despite the role played by power relations and social inequality in structuring aging experiences, in everyday life ‘old age citizenship’ appears as a relational process, embedded in a set of social relations and practices involving individuals, families and communities, whereby elderly women are able to express a sense of agency within their social world.

Okupar, resistir, insistir : uma etnografia das práticas de ocupação urbana Fortaleza / Ceará

The objective of this dissertation is understand the relationships built between subjects who occupy buildings in a state of abandonment to revitalize them - called okupas, noting which individuals construct such meanings on the practice of occupation and how to organize the construction and maintenance of a collective life project. Having the Okupa Squat Torém, located in the neighborhood of Fatima in the southern city of Fortaleza-CE, as locus and observed through the ethnographic method, followed the social practices of urban segment. I invested in a data collection revealed that the custom of okupas and their domestic habits, inside and outside of okupa, emphasizing the interaction situations, like most appropriate occasions to observe the constant negotiation and refinement of his cunning to intervene in the city . Among the objectives of this research, the main thing is to observe which senses are assigned to the practice of the occupation by okupas. For this, reflecting from the specifics of this urban phenomenon and talking mostly with the tradition of research in the field of anthropology, I tried to address some issues regarding the practice of okupação and organization of the group, which the principles and movements that make these contacts with city etc. The appropriation made by the subjects on the urban space here means understanding them as a cultural expression of a number of collective values, resulting from experience and perception of okupas like themselves. The intention is to show how this practice intervention and collective action has appeared in contemporary times and how my ethnography can contribute to a dialogue on the practices of mobilization and update of the city, considering the Theory of Recognition Axel Honneth (2003) as an analytical category useful to describe the forms of reciprocity experienced by okupas

Convergence of gender roles in a globalized world: international comparison of family and gender roles

This paper examines emerging and changing gender roles in different regions of the world. Using data on 12 countries from last three ISSP Special Modules “Family and Changing Gender Roles” (1994, 2002 and 2012), we compare the evolution of gender roles about motherhood and fatherhood and its relation with the extension of women as breadwinners around the world: four Western Europe countries, representatives of different models of Welfare State (Germany, United Kingdom, Norway and Spain) plus United States, three former Soviet nations (Russia, Poland and Czech Republic), two Latin American countries (Chile and Mexico) and two Asian nations (Japan and Taiwan). Data show that family change (measured both in terms of attitudes and social practices) is spreading from Western contexts to other regions of the world, although the pace of this change varies from one country to another, depending on cultural, economic and political factors.

El papel de las redes sociales en la estrategia de Marketing

El siguiente TFG es un análisis del uso de las redes sociales en la estrategia de comunicación de las empresas. El interés surge en la medida en que las redes sociales constituyen en la actualidad un instrumento de conexión con los diferentes públicos que está creciendo de manera significativa. Las empresas tienen a su alcance, por tanto, una vía excelente para desarrollar marcas, interacciones y conversación, pero es necesario entender las reglas del juego de este nuevo contexto. Por ello, primero hemos estudiado cómo ha evolucionado el marketing en los entornos digitalizados, desde el marketing 1.0 hasta el marketing 3.0, así como las herramientas que utilizamos y cómo se mide y se posiciona en el marketing digital. En este contexto, nos hemos centrado en las redes sociales, analizando su historia, cómo han evolucionado a lo largo de los años, qué tipos de redes sociales hay, cuáles son las más utilizadas, los nuevos perfiles profesionales que han surgido a través de las redes sociales, y qué riesgos implican las redes sociales en la gestión empresarial. Finalmente, y con el fin de valorar en un caso práctico real lo estudiado desde la perspectiva teórica, hemos realizado un análisis comparado del uso de redes sociales en la empresa en la que he estado realizando prácticas los pasados cinco meses en relación con su competencia, esto es, empresas del sector de la impresión digital textil por sublimación.

Family supportive work environment, perceptions of the employment relationship and employee work outcomes

Data obtained from employed parents and their supervisors (N=230) in twelve South Korean organizations were used to test a model of the antecedents and outcomes of organizational social exchange. Structural equation modeling (SEM) results showed family supportive supervisor and perceived organizational family support to be related to organizational social exchange. Additionally, organizational social exchange was shown to be related to contextual performance and work withdrawal but indirectly through organization-based self-esteem. We discuss the implications of these findings for managing the employee-organization relationship in an increasingly diverse workforce.

Design of products to honor people post mortem

The cemeterial units, are places of social practices of everyday life and worship and the tomb where nostalgia can be externalized and the memory of the deceased revered. In Western societies we can find a category of artifacts meant to evoke the memory or honor the dead. In this paper we we mention three examples of products that enabled a reflection on the concepts that gave rise to their ways, and that risks to fit them into a new "material culture", in that it may have created a break with the traditional system codes and standards shared by companies, and its manifestations in relation to the physical creation of this category of products. This work offers a reflection on the Design Products.What probably makes it special is the field where it is located: the design of products in one post mortem memory. Usually made of granite rock or marble, have the form of plate or tablet, open book or rolled sheet. On one side have a photograph of the person who intend to honor and inscriptions. The thought of inherent design of this work put on one side the intricate set of emotions that this type of product can generate, and other components more affordable, and concerning the form, function and object interactions with users and with use environments. In the definition of the problem it was regarded as mandatory requirements: differentiation, added value and durability as key objectives.The first two should be manifested in the various components / product attributes. The aesthetic and material/structural durability of product necessarily imply the introduction of qualifying terms and quantitative weights, which positively influence the generation and evaluation of concepts based on the set of 10 principles for the project that originated a matrix as a tool to aid designing products. The concrete definition of a target audience was equally important. At this stage, the collaboration of other experts in the fields of psychology and sociology as disciplines with particular ability to understand individuals and social phenomena respectively was crucial. It was concluded that a product design to honor someone post mortem, should abandon the more traditional habits and customs to focus on identifying new audiences. Although at present it can be considered a niche market, it is believed that in the future may grow as well as their interest in this type of products.

Imaginarios sociales de adolescentes y docentes en torno al cuerpo, la corporalidad y la actividad física. Estudio cualitativo en un colegio de Bogotá, 2014-2015.

Problema. Esta investigación se aproxima al entorno escolar con el propósito de avanzar en la comprensión de los imaginarios de los adolescentes y docentes en torno al cuerpo, la corporalidad y la AF, como un elemento relevante en el diseño de programas y planes efectivos para fomento de la práctica de AF. Objetivo. Analizar los imaginarios sociales de docentes y adolescentes en torno a los conceptos de cuerpo, corporalidad y AF. Métodos. Investigación de corte cualitativo, descriptivo e interpretativo. Se realizaron entrevistas semi-estructuradas a docentes y a estudiantes entre los 12 y 18 años de un colegio público de Bogotá. Se realizó análisis de contenido. Se compararon los resultados de estudiantes por grupos de edades y género. Resultados. Docentes y estudiantes definen el cuerpo a partir de las características biológicas, las diferencias sexuales y las funciones vitales. La definición de corporalidad en los estudiantes se encuentra ligada con la imagen y la apariencia física; los docentes la entienden como la posibilidad de interactuar con el entorno y como la materialización de la existencia. La AF en los estudiantes se asocia con la práctica de ejercicio y deporte, en los docentes se comprende como una práctica de autocuidado que permite el mantenimiento de la salud. Conclusiones. Para promover la AF tempranamente como una experiencia vital es necesario intervenir los espacios escolares. Hay que vincular al cuerpo a los procesos formativos con el propósito de desarrollar la autonomía corporal, este aspecto implica cambios en los currículos.

Razones para la guerra en la sociedad global

In this article I develop an analysis in the context of the global society, a context split into its practical subsystems, due to the prevailing logic of confrontation and violence. Some of its expressions are studied, in the fields of international law and geopolitical relations between given societies. Also discussed are analyses of the relations between religions and cultural systems, from the perspective of mutual destruction logistics. In a context of violent interactions through diverse levels of social reality, I claim for a different strategy to guide social practices, from the recognition of universal human rights for concrete human beings, understanding that such recognition implies reducing the historical production of deaths, and the magnification of human life and of the conditions for its reproduction.

Avaliação da efetividade do programa cisterna a partir da abordagem dos meios de vida.

Resumo: Este estudo objetivou analisar a efetividade do Programa Cisternas utilizando abordagens teóricas orientadas aos atores, a partir do desenvolvimento de novas práticas sociais implementadas pelos agricultores beneficiários do Programa para a convivência com o Semiárido brasileiro. Elaborou-se um estudo de caso selecionando a Comunidade Sítios Areias, localizada no município de Sobral (CE). A coleta de dados foi realizada com a aplicação de questionários às famílias beneficiadas pelo Programa. O marco teórico utilizado foi a teoria da Abordagem dos Meios de Vida para caracterizar a efetividade do programa e compreender o processo de mudança social. Constatou-se que o Programa apesar de utilizar os preceitos do paradigma de desenvolvimento sustentável para a sua implantação, não possibilitou a efetividade do programa em promover modificações das práticas sociais, não revertendo a estratégia de migração das famílias, ocasionada pelo processo de desativação dos beneficiários com a agricultura. A implementação do programa não conseguiu combater a pobreza rural, mesmo proporcionando o acesso à água as famílias. Concluiu-se que a forma de intervenção exigia uma nova dinâmica para o Semiárido, bem mais complexa do que simplesmente a construção de tecnologias sociais de captação de água. Recomenda-se políticas integradas e que contribuam para a melhoria dos meios de vida das famílias, mas que também ensejem seu protagonismo e o fortalecimento de sua autonomia frente às adversidades climáticas frequentes da região. [Evaluation of the effectiveness of the Cisterns Programe according to the Sustainable Livelihood Approach]. Abstract: This study was carried out in order to analyze the effectiveness of the Cisterns Program according to the new social practices implemented by the family farmers in order to survive and live in the adverse environment of the Brazilian semiarid. The empirical space chosen was the Municipality of Sobral (CE) and the case study was the Community Areia Branca. Data was collected on all the families benefited from the Cisterns Program. The analytical theoretical framework used was the Sustainable Livelihood Approach to characterize the effectiveness of the program and the process of social change. It was found that despite using the concepts of sustainable development paradigm in the implementation of Cisterns Program, the program was not effective in promoting social changes or to reserve the migration practice as well, which is a family strategy due to deactivation of agricultural activities. The implementation of the program failed to combat rural poverty other than providing access to water. The form of intervention in the semiarid requires a new dynamic approach, which is far more complex than simply building social technologies for water storage. In order to fight poverty in the region, it is necessary to implement integrated policies able to improve life style and bring about changes in order to empower and give autonomy to the families helping them to face the adverse climatic conditions typical of the region.

Innovazione sociale, sviluppo e turismo: quale legame? Uno studio teorico ed empirico nella citta di Bologna.

La ricerca è nata dalla volontà di indagare il legame tra innovazione sociale, sviluppo e turismo. La domanda di ricerca che ha guidato questo lavoro ha assunto una duplice natura. Il primo obiettivo, di natura teorica, è stato quello di concettualizzare l’IS attraverso uno studio comparativo della letteratura internazionale, definendone le dimensioni e i processi di diffusione. Dal punto di vista empirico, è stata effettuata una ricerca-azione di tipo qualitativo nella città di Bologna. Partendo da un approfondimento storico che ha analizzato alcune peculiarità territoriali – il movimento cooperativo, i distretti industriali, etc. – l’indagine ha fornito una prima panoramica del fenomeno attraverso una mappatura delle realtà bolognesi. I risultati emersi hanno dimostrato che i legami tra IS, sviluppo e turismo sono complessi. L’IS comporta delle conseguenze per il territorio, andando ad intervenire all’interno dei processi di sviluppo. Nel rispondere a bisogni emergenti, essa promuove agency ed empowerment, creatività e capitale sociale abilitante. In un’ottica di sviluppo territoriale integrato, l’IS agisce sul processo di capacitazione, sia attraverso la valorizzazione del capitale sociale e la creazione di reti, sia attraverso processi di negoziazione e conflitto. L’indagine ha mostrato che tra turismo e IS esiste una triplice relazione. Innanzitutto, il turismo può essere considerato come uno strumento di analisi per osservare l’IS, ma la relazione avviene soprattutto a livello di pratiche sociali. Esistono, infatti, a Bologna diversi casi di iniziative di IS che diventano esperienze turistiche e viceversa. Citando Lefebvre, quando IS e turismo trovano spazi di intersezione emerge un duplice diritto alla città. Un diritto che si manifesta nella (ri)appropriazione di spazi fisici e simbolici dove si collocano le relazioni sociali e dove si elaborano progettualità condivise e dove la comunità può partecipare, supportando la capacità di aspirare dei soggetti locali

The role of networked learning in academics’ writing

This article explores academics’ writing practices, focusing on the ways in which they use digital platforms in their processes of collaborative learning. It draws on interview data from a research project that has involved working closely with academics across different disciplines and institutions to explore their writing practices, understanding academic literacies as situated social practices. The article outlines the characteristics of academics’ ongoing professional learning, demonstrating the importance of collaborations on specific projects in generating learning in relation to using digital platforms and for sharing and collaborating on scholarly writing. A very wide range of digital platforms have been identified by these academics, enabling new kinds of collaboration across time and space on writing and research; but challenges around online learning are also identified, particularly the dangers of engaging in learning in public, the pressures of ‘always-on’-ness and the different values systems around publishing in different forums.

Ethos and Ideology of Knowledge Organization: Toward Precepts for and Engaged Knowledge Organization Drawing on The Arts and Crafts Movement, Critical Theory, and Žižek

Ethos is the spirit that motivates ideas and practices. When we talk casually about the ethos of a town, state, or country we are describing the fundamental or at least underlying rationale for action, as we see it. Ideology is a way of looking at things.It is the set of ideas that constitute one’s goals, expectations, and actions. In this brief essay I want to create a space where we might talk about the ethos and ideology in knowledge organization from a particular point of view; combining ideas and inspiration from the Arts and Crafts movement of the early Twentieth Century, critical theory in extant knowledge organization work, the work of Slavoj Žižek, and the work of Thich Nhat Hahn on Engaged Buddhism.I will expand more below, but we can say here and now that there are many open questions about ethos and ideology in and of knowledge organization, both its practice and products. Many of them in classification, positioned as they are around identity politics of race, gender, and other marginalized groups, ask the classificationist to be mindful of the choice of terms and relationships between terms. From this work we understand that race and gender requires special consideration, which manifests as a particular concern for the form of representation inside extant schemes. Even with these advances in our understanding there are still other categories about which we must make decisions and take action. For example, there are ethical decisions about fiduciary resource allocation, political decisions about standards adoption, and even broader zeitgeist considerations like the question of Fordist conceptions (Day, 2001; Tennis 2006) of the mechanics of description and representation present in much of today’s practice.Just as taking action in a particular way is an ethical concern, so too is avoiding a lack of action. Scholars in Knowledge Organization have also looked at the absence of what we might call right action in the context of cataloguing and classification. This leads to some problems above, and hints at larger ethical concerns of watching a subtle semantic violence go on without intervention (Bowker and Star, 2001; Bade 2006).The problem is not to act or not act, but how to act or not act in an ethical way, or at least with ethical considerations. The action advocated by an ethical consideration for knowledge organization is an engaged one, and it is here where we can take a nod from contemporary ethical theory advanced by Engaged Buddhism. In this context we can see the manifestation of fourteen precepts that guide ethical action, and warn against lack of action.

Sports and journalism ethics: the coverage of 2012 London Olympics in the British, North-American and Spanish press

Sports and journalism ethics: the coverage of 2012 London Olympics in the British, North-American and Spanish press is a research focused on analysing the treatment that the quality press of three countries (United Kingdom, United States of America and Spain) will carry out in the London Olympic Games. Through a solid methodological approach based on the combination of the qualitative content analysis and qualitative indepth interviews, the investigation will study if the media provide a quality coverage,that is, if they adequate their pieces to the fundamental principles of journalistic deontology (truth, justice, freedom and social responsibility). Furthermore, the research will assess if the selected media comply with the prescriptions established in the ethical codes, stylebooks, newsroom statutes and national and international recommendations about journalism ethics, ranging from each media’s guidelines to key transnational codes established by the UNESCO, the International Federation of Journalists (IFJ) orthe Council of Europe.