A model for predicting clinician satisfaction with clinical supervision

Clinical supervision can improve staff satisfaction and reduce stress and burnout within the workplace and can be a component of organizational readiness to implement evidence-based practice. This study explores clinical supervision processes in alcohol and drug counselors working in telephone and online services, assessing how their experiences of supervision link to workplace satisfaction and well-being. Standardized surveys (Manchester Clinical Supervision Scale and the TCU Survey of Organizational Functioning) were completed by 43 alcohol and drug telephone counselors. Consistency of supervisors and good communication were the strongest predictors of satisfaction with clinical supervision, and satisfaction with supervision was a good predictor of overall workplace satisfaction. © 2014 Copyright Taylor and Francis Group, LLC.

Time series analysis of the impact of tobacco control policies on smoking prevalence among Australian adults, 2001–2011

Objective: To determine the impact of tobacco control policies and mass media campaigns on smoking prevalence in Australian adults.
Methods: Data for calculating the average monthly prevalence of smoking between January 2001 and June 2011 were obtained via structured interviews of randomly sampled adults aged 18 years or older from Australia’s five largest capital cities (monthly mean number of adults interviewed: 2375). The influence on smoking prevalence was estimated for increased tobacco taxes; strengthened smoke-free laws; increased monthly population exposure to televised tobacco control mass media campaigns and pharmaceutical company advertising for nicotine replacement therapy (NRT), using gross ratings points; monthly sales of NRT, bupropion and varenicline; and introduction of graphic health warnings on cigarette packs. Autoregressive integrated moving average (ARIMA) models were used to examine the influence of these interventions on smoking prevalence.
Findings: The mean smoking prevalence for the study period was 19.9% (standard deviation: 2.0%), with a drop from 23.6% (in January 2001) to 17.3% (in June 2011). The best-fitting model showed that stronger smoke-free laws, tobacco price increases and greater exposure to mass media campaigns independently explained 76% of the decrease in smoking prevalence from February 2002 to June 2011.
Conclusion: Increased tobacco taxation, more comprehensive smoke-free laws and increased investment in mass media campaigns played a substantial role in reducing smoking prevalence among Australian adults between 2001 and 2011.

A colostrum trypsin inhibitor gene expressed in the Cape fur seal mammary gland during lactation

The colostrum trypsin inhibitor (CTI) gene and transcript were cloned from the Cape fur seal mammary gland and CTI identified by in silico analysis of the Pacific walrus and polar bear genomes (Order Carnivora), and in marine and terrestrial mammals of the Orders Cetartiodactyla (yak, whales, camel) and Perissodactyla (white rhinoceros). Unexpectedly, Weddell seal CTI was predicted to be a pseudogene. Cape fur seal CTI was expressed in the mammary gland of a pregnant multiparous seal, but not in a seal in its first pregnancy. While bovine CTI is expressed for 24-48h postpartum (pp) and secreted in colostrum only, Cape fur seal CTI was detected for at least 2-3months pp while the mother was suckling its young on-shore. Furthermore, CTI was expressed in the mammary gland of only one of the lactating seals that was foraging at-sea. The expression of β-casein (CSN2) and β-lactoglobulin II (LGB2), but not CTI in the second lactating seal foraging at-sea suggested that CTI may be intermittently expressed during lactation. Cape fur seal and walrus CTI encode putative small, secreted, N-glycosylated proteins with a single Kunitz/bovine pancreatic trypsin inhibitor (BPTI) domain indicative of serine protease inhibition. Mature Cape fur seal CTI shares 92% sequence identity with Pacific walrus CTI, but only 35% identity with BPTI. Structural homology modelling of Cape fur seal CTI and Pacific walrus trypsin based on the model of the second Kunitz domain of human tissue factor pathway inhibitor (TFPI) and porcine trypsin (Protein Data Bank: 1TFX) confirmed that CTI inhibits trypsin in a canonical fashion. Therefore, pinniped CTI may be critical for preventing the proteolytic degradation of immunoglobulins that are passively transferred from mother to young via colostrum and milk.

Inter-hospital 'patient expect' calls of clinical handovers for expected patients transferred from rural to metropolitan hospitals: a retrospective clinical audit

Patients requiring inter-hospital air transport across large geographical spaces are at significant risk of adverse outcomes. The aims of this study were to examine the characteristics of clinical handover conducted by telephone and subsequently transcribed in medical records during the inter-hospital transfer of rural patients, and to identify any deficits of this telephone clinical handover. A retrospective audit was conducted of transcribed telephone handovers ('patient expect' calls) occurring with inter-hospital transfers from two rural hospitals to a metropolitan tertiary hospital of all rural patients (n = 127) between January and June 2012. Patient transport between various sites occurred through the Royal Flying Doctor Service. For these hospitals, patient expect calls constituted the only handover record for clinicians during the time of patient transport. Information on patient identification stickers relating to patients' age or gender did not always correspond with details collected during patient expect calls. The name of a clinician at the receiving hospital authorising the transfer was provided in 14 calls (11.1%). It was difficult to determine who made and received calls, and who accepted responsibility for patients at the receiving site. Deterioration in a patient's condition was made in three calls. Actions to be taken after patients' arrival were included in 24 (19%) calls. Planning was restricted to identifying who to contact to review instructions. Inconsistent and overuse of abbreviations was likely to have affected the ability to accurately read back patient information. Crucial information was missing from calls, which may have contributed to delayed and inappropriate delivery of care.

Human threats to sandy beaches: a meta-analysis of ghost crabs illustrates global anthropogenic impacts

Beach and coastal dune systems are increasingly subjected to a broad range of anthropogenic pressures that on many shorelines require significant conservation and mitigation interventions. But these interventions require reliable data on the severity and frequency of adverse ecological impacts. Such evidence is often obtained by measuring the response of 'indicator species'.Ghost crabs are the largest invertebrates inhabiting tropical and subtropical sandy shores and are frequently used to assess human impacts on ocean beaches. Here we present the first global meta-analysis of these impacts, and analyse the design properties and metrics of studies using ghost-crabs in their assessment. This was complemented by a gap analysis to identify thematic areas of anthropogenic pressures on sandy beach ecosystems that are under-represented in the published literature.Our meta-analysis demonstrates a broad geographic reach, encompassing studies on shores of the Pacific, Indian, and Atlantic Oceans, as well as the South China Sea. It also reveals what are, arguably, two major limitations: i) the near-universal use of proxies (i.e. burrow counts to estimate abundance) at the cost of directly measuring biological traits and bio-markers in the organism itself; and ii) descriptive or correlative study designs that rarely extend beyond a simple 'compare and contrast approach', and hence fail to identify the mechanistic cause(s) of observed contrasts.Evidence for a historically narrow range of assessed pressures (i.e., chiefly urbanisation, vehicles, beach nourishment, and recreation) is juxtaposed with rich opportunities for the broader integration of ghost crabs as a model taxon in studies of disturbance and impact assessments on ocean beaches. Tangible advances will most likely occur where ghost crabs provide foci for experiments that test specific hypotheses associated with effects of chemical, light and acoustic pollution, as well as the consequences of climate change (e.g. species range shifts).

Hydropower Energy Simulation Using Mike 11 Model; A Case Study In South Germany's Small Run-Of-River Hydropower Plants

Renewable energy production is a basic supplement to stabilize rapidly increasing global energy demand and skyrocketing energy price as well as to balance the fluctuation of supply from non-renewable energy sources at electrical grid hubs. The European energy traders, government and private company energy providers and other stakeholders have been, since recently, a major beneficiary, customer and clients of Hydropower simulation solutions. The relationship between rainfall-runoff model outputs and energy productions of hydropower plants has not been clearly studied. In this research, association of rainfall, catchment characteristics, river network and runoff with energy production of a particular hydropower station is examined. The essence of this study is to justify the correspondence between runoff extracted from calibrated catchment and energy production of hydropower plant located at a catchment outlet; to employ a unique technique to convert runoff to energy based on statistical and graphical trend analysis of the two, and to provide environment for energy forecast. For rainfall-runoff model setup and calibration, MIKE 11 NAM model is applied, meanwhile MIKE 11 SO model is used to track, adopt and set a control strategy at hydropower location for runoff-energy correlation. The model is tested at two selected micro run-of-river hydropower plants located in South Germany. Two consecutive calibration is compromised to test the model; one for rainfall-runoff model and other for energy simulation. Calibration results and supporting verification plots of two case studies indicated that simulated discharge and energy production is comparable with the measured discharge and energy production respectively.

Responsabilidade social de uma empresa : o caso da Souza Cruz S.A. conforme a ótica de seus gerentes

A busca de um negócio sustentável leva as empresas cada vez mais a se preocuparem com todos os envolvidosna sua cadeia produtiva.Desta forma, o tema responsabilidadesocial vem ganhando terreno. Embora seja uma matéria relativamente nova no Brasil, várias empresas estão procurando estruturar e desenvolver seus programas de responsabilidade social. O presente estudo de caso procurou analisar a responsabilidade social da empresa com foco na Souza Cruz S. A. Através da percepção de diversos stakeholders, procurou-se agregar à empresa subsídios para avaliação e melhoria do programa, bem como contribuir para um aprofundamentosobre o status atual do tema por meio da análise de uma situação concreta.O trabalho analisou o programa corporativo a partir de seis dimensões, a saber: valores e transparência; público interno; meio ambiente; fornecedores; comunidade; consumidores. . Dentre os resultadosobtidos,verifica-seque os gerentespercebema organizaçãocomo socialmente responsável, embora demandem maior participação e envolvimento dos mesmos na estratégia corporativa. Os demais grupos de stakeholders pesquisados, comunidade, sindicado e fornecedores, apontam para uma baixa comunicação do programa por parte da empresa e a necessidade de uma maior participação da empresa na comunidade. De maneira geral, verificou-se que existe um programa de responsabilidade social sendo implantado, este carece de melhorias e que a empresa está desenvolvendoestratégias de negócio e um sistema de planejamento focado em fortalecer a responsabilidade social corporativa. Além disso, procura implantar instrumentos adequados de acompanhamento e monitoramento de suas práticas.

A Light, investimento estrangeiro no Brasil: uma luz sobre o ciclo privado-público-privado em 80 anos pela análise de taxa de retorno

A Brazilian Traction, Light and Power Company ("Light"), formada por empreendedores canadenses em 1899, operou por 80 anos praticamente toda a infraestrutura (bondes, luz, telefones, gás) do eixo Rio-São Paulo. A empresa passou por vários ciclos políticos, desde sua fundação até sua estatização em 1979. Durante este período de 80 anos, a infra-estrutura nacional, inicialmente privada, foi gradativamente passando para as mãos do Estado. O setor voltaria a ser privado a partir dos anos 90, configurando o ciclo privado-público-privado, similar ao ocorrido nos países mais desenvolvidos. A Light, símbolo maior do capital estrangeiro até os anos 50, foi inicialmente bem recebida no país, posto que seu desenvolvimento era simbiótico, causa e conseqüência, ao desenvolvimento industrial. Dos anos 20 em diante, crescem os debates econômicos ou ideológicos quanto ao papel do capital privado estrangeiro no desenvolvimento nacional, vis-a-vis a opção do setor público como ator principal. Sempre permaneceu sob névoa quais teriam sido os lucros da Light no Brasil, e se esses seriam excessivos, acima do razoável. Outra questão recorrente se refere até que ponto os congelamentos de tarifas teriam contribuido para a crise de oferta de infra-estrutura. Através de um trabalho de pesquisa em fontes primárias, esta dissertação procura reconstituir a história da Light, sob um foco de Taxa de Retorno sob o capital investido. Foi reconstruída a história financeira da Light no Brasil, a partir da qual calculou-se, para vários períodos e para os seus 80 anos de vida, os retornos obtidos pelos acionistas da empresa. A partir dos resultados obtidos, e utilizando-se de benchmarks comparativos, foi possível mostrar que: i) ao contrário da crença vigente à época, o retorno obtido pelo maior investidor estrangeiro no setor de infra-estrutura do Brasil do Séc. XX, se mostrou bem abaixo do mínimo aceitável, e ii) o represamento de tarifas, por várias décadas, foi de fato determinante para o subdesenvolvimento do setor de infra-estrutura no Brasil.

Acumulação de competências tecnológicas e suas implicações para o aprimoramento de indicadores de performance operacional na Gradiente Eletrônica S.A. - Unidade Manaus

Esta dissertação enfoca as implicações práticas da trajetória de acumulação de competências tecnológicas para o aprimoramento de indicadores de performance operacional. Esse relacionamento é examinado na Gradiente Eletrônica S/A durante período de 1970 a 2000. Baseada em um estudo de caso individual, esta dissertação fundamenta-se em evidências empíricas, qualitativas e quantitativas, coletadas por meio de entrevistas, observação direta e documentos internos da empresa em estudo. O exame da acumulação de competências tecnológicas é feito através de uma estrutura descritiva existente na literatura, porém adaptada especificamente para a indústria de eletroeletrônicos de consumo. O exame do aprimoramento de performance é baseado num conjunto de indicadores operacionais, típicos da indústria de eletroeletrônicos. A aplicação de estruturas descritivas, para examinar as implicações da acumulação de competências tecnológicas sobre o aprimoramento de performance operacional, em empresas de eletro-eletrônicos, ainda é escassa, principalmente no nível intra firma e em economias de industrialização recente, como no Brasil. Em termos de evidência empírica, a dissertação mostra que a acumulação de competências tecnológicas evoluiu de maneira irregular, lenta, não linear e, alguns níveis, foram acumulados de forma incompleta. As evidências sugerem, ainda, que a acumulação de competências tecnológicas influenciou positivamente o aprimoramento de onze indicadores de desempenho. Contudo, os níveis desenvolvidos não foram suficientes para aprimorar, ou mesmo sustentar, outros dois indicadores de performance. Alinhando-se a recentes estudos na literatura de empresas de economias emergentes (ex.: Figueiredo, 2001), as evidências desta dissertação sugerem que a maneira e a velocidade com que a empresa acumula suas competências tecnológicas, joga um papel chave no aprimoramento de seus indicadores de performance técnica. Por conseguinte, isto pode gerar beneficios para a performance financeira, como por exemplo, a margem operacional líquida. Não obstante, a experiência da Gradiente sugere que, outros fatores, internos e externos à empresa, podem obscurecer ou mesmo minar as contribuições da acumulação de competências tecnológicas.

Ambiente interno : a participação e o envolvimento das pessoas na busca do diferencial competitivo

Day after day, even small companies and multinationals brands need to compete in a worldwide market. All kind of global strategies have to involve production and regional market knowledge. Still being essential for company have a complete view of it market and it right position to gain competitive advantage. In a global market, get possible for the companies be in touch with last generation technologies and equipment's and all kind of research. Companies like that should develop products focused in customer's desire, even those extremely strict. Specifically in our country, as hard as we could think, the companies have access to credit lines, to the fiscal incentives offered by the states that alliance with the market potential are making possible the appearance of a lot companies and the growth of the companies already existent. However, these resources alone don't produce results to the company if it doesn't possess an internal organization able to assimilate the new market situation. The companies have to be able to apply the maximum resources offered by new technologies and understand how a communications facility means solution for many internal problems. In short terms, technology, financial resources, research and knowledge are available, however, the human resources might be prepared and developed in order to become the whole knowledge in profits. According 'JURAN' and his Total Quality Control philosophy the human resources playing fundamental role in the process, and in my opinion a company is something like a ship where all must be prepared to hold the rudder. I will develop a basic job looking for productivity and company's development through the people's involvement, focused in process of motivation, creativity and staff valorization. I believe that there no good production process without those requirements. Based on real case of a automotive parts and foundry company, located in Bento Gonçalves - RS, this work will look for to organize it mainly in its Industrial Division, adopting in participate administration where, through a information system and personnel involvement we will seek all favorable conditions to politics and strategies in get the growth of company.

Melhoria do pilar "manutenção planejada" da TPM através da utilização do RCM para nortear as estratégias de manutenção

O atual ambiente competitivo, onde baixo custo, alta qualidade e um grau crescente de customização são exigências para a sobrevivência das empresas, tem influenciado as ações dos profissionais de manutenção com vistas ao aprimoramento das políticas de manutenção. Como resultado, tem-se na área de manutenção industrial, uma grande quantidade de métodos, software, modelos e ferramentas de gestão disponíveis. Dentre eles, dois métodos se destacam: o RCM (Reliability Centered Maintenance ou Manutenção Centrada em Confiabilidade), de origem norte-americana, e a TPM (Total Productive Maintenance ou Manutenção Produtiva Total), de origem japonesa. A TPM promove a integração total entre homem, máquina e empresa, onde a manutenção dos meios de produção passa a constituir uma responsabilidade de todos. A utilização da TPM contempla a implementação de pilares de sustentação, sendo um deles, a manutenção planejada. Entretanto, a TPM não especifica a estratégia a ser adotada pela manutenção planejada. O RCM é uma metodologia lógica de procedimentos que objetiva estabelecer uma manutenção preditiva e preventiva para alcançar, de maneira efetiva e eficiente, os níveis de segurança e confiabilidade requeridas para cada equipamento. Considerando um ambiente com a TPM já implementada, o objetivo deste trabalho é a melhoria do pilar Manutenção Planejada da TPM através da utilização do RCM para nortear as estratégias de manutenção em empresas industriais. A sistemática proposta é ilustrada através de um estudo de caso na indústria de conformação de metais.

Mudança estratégica: o caso da expansão do Boticário

The aim of this research was to detect how strategy changes took place in a successful organization. This was an unique case study focused on O BOTICÁRIO, a cosmetic and perfumery company in the state of Paraná, Brazil. Some information (from primary data) was obtained through interviewing members of the retail development department. Extra information was taken from articles about the company and interviews with members of the board of directors published in newspapers and magazines. The analysis was carried out in an explanatory-descriptive way, with a qualitative approach. The data, other than serving to characterize the company, was used for a number of purposes. They were: to introduce information about strategy changes in the company; to identify factors that gave rise to these changes; to identify the effects of these changes on the organization; to classify the strategy changes. The data revealed that the company is highly receptive to changes. Amongst the factors that caused strategy changes the following two factors stand out: the flexibility that the company presents in adapting to environmental variations and, overall, the interdependency that exists between changes. Confirming the systemic character of organizations, it was found that the changes lead to new changes. When qualifying the strategy changes, it was discovered that the incremental changes were more related to process evolution, i.e., comprehending transformations directly related to the activities to which the changes are associated with. The discontinuous changes, on the contrary, involved transformations throughout the whole company. Of all the changes that were analyzed only two were considered to be truly strategy revolutions. This confirms the idea that organizations usually choose to search for established strategic paths. The strategy changes analyzed produced a resistance level. This resistance was directly proportional to the level of discontinuance that the change had. It was verified, however, that all changes were considered beneficial to the company. The study concludes that other factors are also responsible for the fast expansion of the company. The most important of these are: the constant lauching of new products; the identification of the company with environmental issues; the policy towards employees; the strong marketing strategy; the quality of its products; the excellence on its services; the treatment of consumers; the use of franchise shops; the training provided to all the franchise network and as well as to the employees; and the seek to hire the best professionals to supervise its services. However, it can¿t be omitted that particular cause of O BOTICÁRIO¿s success is the intuition and the feeling of its President.

Políticas de recursos humanos do Banco do Brasil: o discurso e a prática, caminhos de compatibilização

This study has as objective to present a proposal to analyze the politics of the Human Resource of the Bank of Brazil utilizing the Theory of sign" (semiotic) as a theory tool, connecting to the organizational usages that had been historically stable and a new speech from the directory body that search for excellence and modernity. It¿s necessary to identify the adequate strategies to manage human resources in a businesses considered excellent and that the Bank search to utilize (benchmarking), doing a semiotic cut, in other words, isolating the communicative aspect, to find how she produces the understanding of what really need to be done at the company. If the purpose of the Bank of Brazil is to reunite an associated team, guided to results progressively better, that makes it even more competitive, and achieve its mission "to be the solution to services and the finance intermediation, to attend the expectation of clients and shareholders, to fortify the liability between the public functionary and the company and to be useful to society", should implement a model weaved in the daily one of organization to start from the creation of adequate institutional channels rewards (promotions, direct or indirect salaries, training) that privilege the aptitude an constant learning. Through the bibliographical research, will be looked to select illustrious representative texts of the specialized literature that corroborates the idea that the Bank of Brazil possess the necessary management tools to a good management of Human Resources, lacking adjust them, through the acquisition of abilities. For in such a way one will search in internal documents, data on the management of the company, interpreting them to the light of the bibliographical research. Finally it will be included participant comment as link between the theory and the practical one, the speech and the action."

Responsabilidade social empresarial: o caso Deloitte

Recentemente, a questão da Responsabilidade Social Empresarial tem se apresentado perante a sociedade como um assunto significativamente relevante, polêmico e dinâmico. Embora estudos mostrem que empresas têm abordado este tema através de uma gestão formal das ações socialmente responsáveis junto aos seus públicos envolvidos, deve-se destacar que poucas empresas implementam esta prática em seus negócios por desconhecerem seus resultados. Este trabalho visa contribuir para o preenchimento desta lacuna, analisando práticas e conceitos vinculados a este tema. O estudo busca, então, avaliar o grau de Responsabilidade Social Interna numa organização, partindo da experiência da empresa de auditoria e consultoria Deloitte Touche Tohmatsu, com foco em sua área de Consultoria Empresarial do escritório do Rio de Janeiro. Tomou-se como base teórica, conceitos sobre autogestão e organização comunitária, responsabilidades e papel social da organização, desenvolvimento sustentável e a responsabilidade social da empresa. O trabalho apresenta uma pesquisa de abordagem qualitativa e, com relação aos meios, bibliográfica e de campo. A pesquisa foi aplicada junto a 41 consultores, dos quais 37 responderam ao questionário previamente elaborado. Como resultado, a investigação aponta para confirmação das suposições levantadas, ou seja, a Responsabilidade Social Empresarial pode ser utilizada como uma forma de gestão capaz de focar os seus negócios no desenvolvimento sustentável, no relacionamento transparente com os públicos envolvidos e no compromisso com a sociedade.

O comércio eletrônico e sua aplicação no planejamento e gestão do processo de compras da cadeia de suprimentos: um estudo na indústria química

Após endereçar questões relativas à integração de suas funções internas, a empresa está se voltando para a criação de um ambiente externo interconectado com seus parceiros de negócio. Torna-se imperativo o aperfeiçoamento do relacionamento com estes parceiros, por meio de processos automatizados, que gerenciam as Cadeias de Suprimento e Distribuição formadas. A Tecnologia de Informação, ao permitir a conexão de processos e a interoperação de sistemas, passa a ser um instrumento essencial nesta transformação. Especificamente, o ambiente digital de negócio construído sobre a Infovia, formada principalmente pela Internet e seus serviços, como a WWW, confere avanços consideráveis ao relacionamento dentro da organização, entre organizações e entre estas e seus clientes. A esta transformação do negócio, baseada na Tecnologia de Informação, conectado às redes de comunicação, chama-se Comércio Eletrônico. Com base no conhecimento consolidado pelo referencial teórico disponível e nos resultados obtidos com o estudo de caso conduzido, o autor identifica e categoriza as influências do Comércio Eletrônico nos processos de compra da Cadeia de Suprimentos na indústria química, estruturando estas influências em relação aos modelos de negócios digitais conhecidos.