Avaliação do estresse de enfermeiros de hospitais gerais do interior paulista, considerando serem ou não acreditados

Pós-graduação em Enfermagem (mestrado profissional) - FMB

Redução de desperdícios no serviço de atendimento ao consumidor: estudo de caso do orçamento base zero em uma empresa de linha branca

The self-evaluation is increasingly necessary in a competitive environment, and a way for companies to self-evaluate is through your budget. Knowing the importance of this budgetary process, this study aimed to observe and analyze the developing process of a zero-based budgeting (ZBB) highlighting its best practices and difficulties and propose recommendations for other companies in general. This goal was achieved through a case study in an area responsible for the budgeting process in the customer services department from a white-goods company. Also was required to review the literature regarding the customer services area, waste reduction, cost management, budgets in general and the zero-based budgeting. After reviewing the literature and the study, we can highlight good practices and difficulties observed in the studied company, and also propose recommendations on how to develop a zero-based budget and evidence what plans, analyzes and justifications are essential in a good budget process execution

Aplicação da distribuição de poisson para determinação de estoque mínimo de itens de MRO de baixo giro aplicados em manutenção de ativos industriais

Pós-graduação em Engenharia de Produção - FEB

AN ELDERLY COUPLE AND THEIR LONG LIFE RAISING FOUR SCHIZOPHRENIC CHILDREN

The objective was to identify, among parents of schizophrenics, elements of their daily life in coping with the disorder and the care offered and received through the health system. This is a field research, using thematic oral history. The parents of four patients with schizophrenia took part in this study. Interviews were conducted, recorded and transcribed, based on three instruments (two specific questionnaires and a field diary). Three categories were identified that reflect difficulties experienced in daily life: limitations in knowledge about schizophrenia; fatigue and burden with impairment of quality of life; and uncertainly about the future and resilience strengthened by faith in God. The concept of care was associated with technical procedures, revealing general satisfaction with the care received. The suffering related to living with schizophrenic relatives is intense, and professionals must be prepared to deal with these experiences of pain and suffering from patients with mental disorder and their relatives.

Acute pain therapy in German hospitals as competitive factor : Do competition, ownership and case severity influence the practice of acute pain therapy?

BACKGROUND Due to the implementation of the diagnosis-related groups (DRG) system, the competitive pressure on German hospitals increased. In this context it has been shown that acute pain management offers economic benefits for hospitals. The aim of this study was to analyze the impact of the competitive situation, the ownership and the economic resources required on structures and processes for acute pain management. MATERIAL AND METHODS A standardized questionnaire on structures and processes of acute pain management was mailed to the 885 directors of German departments of anesthesiology listed as members of the German Society of Anesthesiology and Intensive Care Medicine (DGAI, Deutsche Gesellschaft für Anästhesiologie und Intensivmedizin). RESULTS For most hospitals a strong regional competition existed; however, this parameter affected neither the implementation of structures nor the recommended treatment processes for pain therapy. In contrast, a clear preference for hospitals in private ownership to use the benchmarking tool QUIPS (quality improvement in postoperative pain therapy) was found. These hospitals also presented information on coping with the management of pain in the corporate clinic mission statement more often and published information about the quality of acute pain management in the quality reports more frequently. No differences were found between hospitals with different forms of ownership in the implementation of acute pain services, quality circles, expert standard pain management and the implementation of recommended processes. Hospitals with a higher case mix index (CMI) had a certified acute pain management more often. The corporate mission statement of these hospitals also contained information on how to cope with pain, presentation of the quality of pain management in the quality report, implementation of quality circles and the implementation of the expert standard pain management more frequently. There were no differences in the frequency of using the benchmarking tool QUIPS or the implementation of recommended treatment processes with respect to the CMI. CONCLUSION In this survey no effect of the competitive situation of hospitals on acute pain management could be demonstrated. Private ownership and a higher CMI were more often associated with structures of acute pain management which were publicly accessible in terms of hospital marketing.

Control estadístico de calidad en bibliotecología : Aplicación de gráficos de control en los procesos técnicos

A partir de la aceptación de la biblioteca como parte del ciclo de creación, organización y diseminación del conocimiento cambió el concepto de la misma de una entidad cerrada hacia un sistema dinámico en constante interacción con su entorno. Así se la reconoció como una institución social más que como una colección de documentos. Desde entonces se percibió a la biblioteca como una entidad en la que se podía aplicar los principios de gestión. Desde entonces se utilizaron distintas herramientas de gestión para la toma de decisiones en el ámbito de las bibliotecas. Entre estas herramientas son de gran importancia en el control estadístico de procesos los gráficos de control, utilizados para medir la estabilidad de un proceso a través del tiempo. Han tenido amplia aplicación en el control estadístico de la calidad, comenzando en el ámbito industrial. Hoy su aplicación se ha extendido a una gran variedad de disciplinas incluyen empresas de servicios y unidades administrativas. Aquí se presentan a los gráficos de control como una importante herramienta de gestión aplicada a los procesos técnicos permitiendo su evaluación y el monitoreo de su desempeño a partir de la utilización de indicadores y otros datos de carácter diagnóstico

Control estadístico de calidad en bibliotecología : Aplicación de gráficos de control en los procesos técnicos

A partir de la aceptación de la biblioteca como parte del ciclo de creación, organización y diseminación del conocimiento cambió el concepto de la misma de una entidad cerrada hacia un sistema dinámico en constante interacción con su entorno. Así se la reconoció como una institución social más que como una colección de documentos. Desde entonces se percibió a la biblioteca como una entidad en la que se podía aplicar los principios de gestión. Desde entonces se utilizaron distintas herramientas de gestión para la toma de decisiones en el ámbito de las bibliotecas. Entre estas herramientas son de gran importancia en el control estadístico de procesos los gráficos de control, utilizados para medir la estabilidad de un proceso a través del tiempo. Han tenido amplia aplicación en el control estadístico de la calidad, comenzando en el ámbito industrial. Hoy su aplicación se ha extendido a una gran variedad de disciplinas incluyen empresas de servicios y unidades administrativas. Aquí se presentan a los gráficos de control como una importante herramienta de gestión aplicada a los procesos técnicos permitiendo su evaluación y el monitoreo de su desempeño a partir de la utilización de indicadores y otros datos de carácter diagnóstico

Control estadístico de calidad en bibliotecología : Aplicación de gráficos de control en los procesos técnicos

A partir de la aceptación de la biblioteca como parte del ciclo de creación, organización y diseminación del conocimiento cambió el concepto de la misma de una entidad cerrada hacia un sistema dinámico en constante interacción con su entorno. Así se la reconoció como una institución social más que como una colección de documentos. Desde entonces se percibió a la biblioteca como una entidad en la que se podía aplicar los principios de gestión. Desde entonces se utilizaron distintas herramientas de gestión para la toma de decisiones en el ámbito de las bibliotecas. Entre estas herramientas son de gran importancia en el control estadístico de procesos los gráficos de control, utilizados para medir la estabilidad de un proceso a través del tiempo. Han tenido amplia aplicación en el control estadístico de la calidad, comenzando en el ámbito industrial. Hoy su aplicación se ha extendido a una gran variedad de disciplinas incluyen empresas de servicios y unidades administrativas. Aquí se presentan a los gráficos de control como una importante herramienta de gestión aplicada a los procesos técnicos permitiendo su evaluación y el monitoreo de su desempeño a partir de la utilización de indicadores y otros datos de carácter diagnóstico

Service needs forecasting: an approach for the automotive industry using analogies with medical ER management models.

During the past years, the industry has shifted position and moved towards “the luxury universe” whose customers are demanding, treating individuals as unique and valued customer for the business, offering vehicles produced with the state of the art technologies and implementing the highest finishing standards. Due to the competitive level in the market, car makers enable processes which equalizes customer services to E.R. management, being dealt with the maximum urgency that allows the comparison between both, car workshops and emergency rooms, where workshop bays or ramps will be equal to emergency boxes and skilled technicians are equivalent to the health care specialist, who will carry out tests and checks prior to afford any final operation, keeping the “patient” under control before it is back to normal utilization. This paper establishes a valid model for the automotive industry to estimate customer service demand forecasting under variable demand conditions using analogies with patient demand models used for the medical ER.

SERVICE NEEDS FORECASTING: An Approach for the Motor Industry Using Analogies with Medical ER Management Models.

During the past years, the industry has shifted position and moved towards “the luxury universe” whose customers are demanding, treating individuals as unique and valued customer for the business, offering vehicles produced with the state of the art technologies and implementing the highest finishing standards. Due to the competitive level in the market, motor makers enable processes which equalizes customer services to E.R. management, being dealt with the maximum urgency that allows the comparison between both, car workshops and emergency rooms, where workshop bays or ramps will be equal to emergency boxes and skilled technicians are equivalent to the health care specialist, who will carry out tests and checks prior to afford any final operation, keeping the “patient” under control before it is back to normal utilization. This paper ratify a valid model for the automotive industry to estimate customer service demand forecasting under variable demand conditions using analogies with patient demand models used for the medical ER

Gerenciamento da qualidade e do custo do transporte de cargas por ônibus interurbano de passageiros

Algumas empresas de transporte intermunicipal e interestadual de transporte rodoviário de passageiros, objetivando maiores lucros, têm se dedicado ao transporte de determinados tipos de cargas e encomendas, aproveitando-se do fato do bagageiro do ônibus ser uma oferta fixa para o transporte. No entanto, percebe-se algumas deficiências de caráter operacional que podem comprometer a qualidade e o custo do serviço prestado. Portanto, essa pesquisa tem por finalidade analisar o transporte de cargas executado por ônibus sob a ótica da qualidade e do custo. Partindo-se da adaptação do modelo clássico de Parasuraman, bem como da adoção de direcionadores de custo, de acordo com o método de custeio baseado em atividades, pretende-se apresentar como as principais atividades que compõem os processos do transporte rodoviário de cargas são afetadas durante a prestação do serviço. Para tanto, é apresentada uma análise crítica qualitativa que estabelece a forma como essas atividades são influenciadas pelos gaps do modelo de qualidade proposto e como as mesmas influenciam o custo operacional. Tal análise é resultado de duas pesquisas realizadas. A primeira pesquisa foi de profundidade numa empresa que atua no segmento. Foram obtidos alguns indicadores de desempenhos que são vitais para que as atividades sejam executadas de acordo com as conformidades previstas. A segunda pesquisa, via questionário, possibilitou identificar as principais expectativas dos clientes. Mesmo com o índice reduzido de respostas do questionário, foram levantados pontos que são extremamente fundamentais para a formação das expectativas dos clientes. Entre esses pontos destacam-se o tempo de atendimento, o treinamento dos funcionários e o cumprimento dos horários preestabelecidos. Dos processos que caracterizam o transporte de cargas, deve-se destacar o processo de entrega que além dos problemas provenientes da operação propriamente dita, sofre ainda a interferência, em algumas atividades, da participação direta do cliente e dos fatores externos da operação (ambiente não controlado).

The Economics of EU Railway Reform. Bruges European Economic Policy (BEEP) Briefing 8/2004

The EU began railway reform in earnest around the turn of the century. Two ‘railway packages’ have meanwhile been adopted amounting to a series of directives and a third package has been proposed. A range of complementary initiatives has been undertaken or is underway. This BEEP Briefing inspects the main economic aspects of EU rail reform. After highlighting the dramatic loss of market share of rail since the 1960s, the case for reform is argued to rest on three arguments: the need for greater competitiveness of rail, promoting the (market driven) diversion of road haulage to rail as a step towards sustainable mobility in Europe, and an end to the disproportional claims on public budgets of Member States. The core of the paper deals respectively with market failures in rail and in the internal market for rail services; the complex economic issues underlying vertical separation (unbundling) and pricing options; and the methods, potential and problems of introducing competition in rail freight and in passenger services. Market failures in the rail sector are several (natural monopoly, economies of density, safety and asymmetries of information), exacerbated by no less than 7 technical and legal barriers precluding the practical operation of an internal rail market. The EU choice to opt for vertical unbundling (with benefits similar in nature as in other network industries e.g. preventing opaque cross-subsidisation and greater cost revelation) risks the emergence of considerable coordination costs. The adoption of marginal cost pricing is problematic on economic grounds (drawbacks include arbitrary cost allocation rules in the presence of large economies of scope and relatively large common costs; a non-optimal incentive system, holding back the growth of freight services; possibly anti-competitive effects of two-part tariffs). Without further detailed harmonisation, it may also lead to many different systems in Member States, causing even greater distortions. Insofar as freight could develop into a competitive market, a combination of Ramsey pricing (given the incentive for service providers to keep market share) and price ceilings based on stand-alone costs might be superior in terms of competition, market growth and regulatory oversight. The incipient cooperative approach for path coordination and allocation is welcome but likely to be seriously insufficient. The arguments to introduce competition, notably in freight, are valuable and many e.g. optimal cross-border services, quality differentiation as well as general quality improvement, larger scale for cost recovery and a decrease of rent seeking. Nevertheless, it is not correct to argue for the introduction of competition in rail tout court. It depends on the size of the market and on removing a host of barriers; it requires careful PSO definition and costing; also, coordination failures ought to be pre-empted. On the other hand, reform and competition cannot and should not be assessed in a static perspective. Conduct and cost structures will change with reform. Infrastructure and investment in technology are known to generate enormous potential for cost savings, especially when coupled with the EU interoperability programme. All this dynamism may well help to induce entry and further enlarge the (net) welfare gains from EU railway reform. The paper ends with a few pointers for the way forward in EU rail reform.

Current housing reports.

Description based on: 1981.

Current housing reports.

Description based on: 1979.

Current industrial reports.

Description based on: 1980; title from caption.