Improving Nursing Home Care Through Training amd Job Redesign

Nursing assistants have the primary contact with older residents of nursing homes. The Penn State Nursing Home Intervention Project's short-term longitudinal study assessed the single and combined effects of two interventions designed to affect nursing assistants' performance by increasing their knowledge and motivation: skills training and job redesign. Statistically significant differences in nursing assistants' knowledge were evident in comparisons between intervention and control sites, but performance was not improved. Implications for policy, practice, and research are discussed.

Fuel poverty as a determinant in energy retrofitting actions

Fuel poverty can be defined as ���the inability to afford adequate warmth in the home" and it is the result of the combination of three items: low household income, housing lack of energy efficiency and high energy bills. Although it affects a growing number of households within the European Union only some countries have an official definition for it. In 2013, the European Parliament claimed the Commission and Estate Members to develop different policies in order to fight household energy vulnerability. The importance of tackling fuel poverty is based on the critical consequences it has for human health living below certain temperatures. In Spain some advances have been made in this field but main existing studies remain at the statistical level and do not deepen the understanding of the problem from the perspective of dwelling indoor habitability conditions. What is more, this concept is yet to be officially defined. This paper presents the evaluation of fuel poverty in a building block of social housing located in the centre of Zaragoza and how this issue determined the strategies implemented in the energy retrofitting intervention project. At a first step, fuel poverty was appraised through the exploration of indoor thermal conditions. The adaptive thermal comfort (UNE-EN 15251:2008) method was used to establish the appropriate indoor temperatures and consequently to determine what can be called 'comfort gap'. Results were collated and verified with energy bills collection and a survey work that gathered data from neighbours. All this permitted pointing out those households more in need. Results from the social analysis combined with the evaluation of the building thermal performance determined the intervention. The renovation project was aimed at the implementation of passive strategies that improve households thermal comfort in order to alleviate households fuel poverty situation. This research is part of the project NewSolutions4OldHousing (LIFE10 ENV/ES/439) cofounded by the European Commission under the LIFE+ Programme.

Sensibilizar para a diversidade lingu��stica e cultural no pr��-escolar

Relat��rio de est��gio apresentado para obten����o do grau de mestre na especialidade profissional de educa����o pr��-escolar

��Cidadania em Movimento�� - Projeto de iInterven����o socioeducativa no bairro Las Palmeras em C��rdoba, Espanha

Trabalho de projeto para a obten����o do grau de Mestre na ��rea de Educa����o Social e Interven����o Comunit��ria

Singularidades da interven����o psicol��gica nos cuidados paliativos

Relat��rio de Pr��tica Cl��nica apresentado �� Escola Superior de Sa��de Dr. Lopes Dias do Instituto Polit��cnico de Castelo Branco para cumprimento dos requisitos necess��rios �� obten����o do grau de Mestre em Cuidados Paliativos, realizada sob a orienta����o cient��fica da Diretora da ESALD Doutora Ana Paula Gon��alves Antunes Sapeta, do Instituto Polit��cnico de Castelo Branco, e orienta����o cient��fica do Assistente Convidado pela Escola Superior de Sa��de Dr. Lopes Dias, Mestre Eduardo Manuel Neves Oliveira Carqueja.

Sensibilizar para a diversidade lingu��stica e cultural no pr��-escolar

Relat��rio de est��gio apresentado para obten����o do grau de mestre na especialidade profissional de educa����o pr��-escolar

��Cidadania em Movimento�� - Projeto de iInterven����o socioeducativa no bairro Las Palmeras em C��rdoba, Espanha

Trabalho de projeto para a obten����o do grau de Mestre na ��rea de Educa����o Social e Interven����o Comunit��ria

Interven����es de enfermagem na preven����o da pneumonia associada �� ventila����o mec��nica

Relat��rio de Trabalho de Projeto apresentado para cumprimento dos requisitos necess��rios �� obten����o do grau de Mestre em Enfermagem M��dico-cir��rgica

O contributo de uma estrat��gia de anima����o sociocultural na preven����o da depress��o em idosos intitucionalizados

O envelhecimento faz parte do ciclo de vida de cada indiv��duo e assume-se como um tema que preocupa a atualidade de Portugal e do mundo. Esta realidade provoca uma reflex��o a respeito n��o s�� das infraestruturas e apoios existentes para a popula����o idosa como ao pr��prio idoso, que pelas suas caracter��sticas, pela mudan��a de pap��is e perdas que ocorrem nesta fase da vida, tornam-se pessoas mais vulner��veis, por vezes mais s��s, sujeitos a depress��es, isolamento e em situa����es extremas �� exclus��o social. Neste sentido, e com o objetivo de alterar mentalidades e comportamentos surge a ideia de desenvolver este trabalho que assenta essencialmente na perce����o do impacto que as atividades de ASC (anima����o sociocultural) assumem na preven����o de quadros de sintomatologia depressiva em idosos institucionalizados. Assim sendo, este trabalho tem como objetivo primordial verificar se a realiza����o de um conjunto diversificado de atividades de anima����o sociocultural contribuem efetivamente n��o s�� para o bem-estar, participa����o e aumento da qualidade de vida dos idosos, como contribuem essencialmente para a preven����o de quadros de sintomatologia depressiva. Assim, o presente projeto de interven����o tem como tem��tica, ���O Contributo de uma Estrat��gia de Anima����o Sociocultural na preven����o da Depress��o em Idosos Institucionalizados���. O espa��o eleito para o estudo e posteriormente para a interven����o �� a Casa do Povo de Alagoa, uma IPSS de apoio a idosos que conta atualmente com um n��mero aproximado de 65 clientes nas respetivas val��ncias, Servi��o de Apoio Domicili��rio, Centro de Dia e ERPI (Estrutura Residencial para Pessoas Idosas) que se situa na Freguesia de Alagoa, Distrito de Portalegre. Trata-se portanto, de um estudo de caso de base mista (qualitativa e quantitativa), cingindo-se a uma amostra de 30 clientes institucionalizados, nas respetivas val��ncias de Centro de Dia e ERPI. A metodologia selecionada para o estudo ser�� o recurso a diversas t��cnicas tais como: o Question��rio, MMS (Mini Mental State Examination) e a GDS (Escala de Depress��o Geri��trica).

Cuidados de enfermagem ao cliente internado na UCPA submetido a cateteriza����o vesical

Relat��rio de Trabalho de Projeto apresentado para cumprimento dos requisitos necess��rios �� obten����o do grau de Mestre em Enfermagem M��dico-Cir��rgica

Grandfamilies: Grandchildren raised by grandparents. Impact on students and school services

Historically, some grandparents have had to assume the responsibility for raising their grandchildren. More recently, with increasing frequency grandparents are serving as full-time surrogate parents to their grandchildren.^ The term "grandfamily" was coined by this researcher to identify families where children are raised by grandparents. "Supergrands" are the grandparents and "grandkin" are children in these families.^ Supergrands who raise their grandkin tend to have elevated levels of stress that negatively impact their well-being. Grandkin tend to develop problems with attachment and establishing social networks, which can lead to poor psychological adjustment. School personnel believe grandkin evidence behavioral problems and occupy disproportionate amounts of their time each day. However, there is a dearth of data to support this belief.^ This study empirically investigated the impact of grandfamilies on students and school services. The results revealed grandkin experienced significantly greater levels of emotional and behavior problems than similar schoolmates. However, they were not referred for discipline problems in substantially larger numbers.^ These results indicate the practice of education should change to allow for the development and provision of social support procedures in schools. Social support will serve to buffer the stress, manifested in emotional and behavioral problems, encountered by children living with surrogate parents. A case study was presented along with a proposed intervention project that has potential to ameliorate the problems experienced by grandfamilies. ^

Rebirth of a neighborhood: In streetscape design

This study involves one of the eight neighborhoods in the City of Miami named Little Havana. Little Havana, once a flourishing Hispanic community during the 1960s through the 1980s, is now experiencing housing deterioration, economic disinvestment, and increased social needs. ^ Although the City developed a Community Development Plan for the neighborhood addressing the neighborhood problems, needs, and objectives, it failed to address and take advantage of the area's prominent commercial street, Calle Ocho, as a cultural catalyst for the revitalization of the neighborhood. With an urban study and understanding of the area's needs for transit system improvements, program analysis, and a valuable architectural inventory, an intervention project can be developed. The project will capitalize on the area's historical and cultural assets and serve as a step towards altering the area's decline and revitalizing the street and community to recapture the energy present during the early years of the massive Cuban migration. ^

Projeto de interven����o JUCERN Digital

Displays intervention project that proposes changes in the organizational and operational structure of the Board of Trade of Rio Grande do Norte. Analyzes routine flow of activities of business registration and organizational structure. Compare the models, with the current proposed. The work is divided into six chapters which lists since the description of the institution, work object, until the proposed new organizational and operational model. Uses the methodology of literature review and observation of reality

O registro de procedimentos metodol��gicos em projetos de interven����o arquitet��nica no patrim��nio edificado: o caso de Natal-RN

In the midst of growing preservationist awareness, regarding methods of architectural intervention of buildings with a recognized heritage value, there are numerous approaches on how the original heritage value can be protected. However, can these intervention projects be differentiated? Is it possible to identify how they differ (if in fact they do) from an architectural project not related to preservation? Although there are numerous theoretical studies regarding methods utilized in architectonical projects, there appear to be a lack of studies focused on an architectural intervention exclusively focused on areas or edifications that have a recognized heritage value, thereby requiring a reflection on which methodological procedures in an architectonical project serve the purpose of the preservation of the historical aspects. This discussion is of even greater importance because, at the national level, some recent discussions on this type of architectural design seem arbitrary and lack methodological rigor. Therefore, this research attempts to focus equally on the theoretical-methodological practices of preservation as well as the architectural project methods. In an attempt to address these aspects, the focus of this research centers on the case studies of the intervention projects of the maritime passenger terminal of Natal (Terminal Mar��timo de Passageriros de Natal), the old government hall (Palacio do Governo - EDTAM) and the old central hotel (Hotel Central) which are situated in the area known as the historic downtown of the city of Natal, within the federal heritage protection polygon. The analyses of these is intended to identify what methodological procedures were recorded in the final product (in the graphical representation of the architectural design and other documents) delivered to IPHAN / RN, the body responsible for review and approval of these architectural projects, noting whether such procedures appear, in some way, in the final product, and if an understanding of the complexity of preservation is evident. The analyses of these projects corroborate the hypothesis that there are unique characteristics, which must be addressed in the intervention project for preservation when compared to new project design. The main characteristic to be addressed is related to the very nature of the project. It is inherent in the dialectical relationship between the need to preserve (the identified heritage values) and the need to modernize (making adaptations to contemporary life). This relationship, denominated in this dissertation as "radical restraint", must, or at least should, guide the actions in the project as well as the technical analyses of the preservationist organization. However, this radical restriction appears more evident in the guidelines put forth by legislators than in the decisions of designers. These legislators require the presentation of documents, aimed at identifying and contextualizing intervention (Ordinance No. 420 of December 22, 2010), that grant (or should grant) assistance in the decision making process. It was evident in the analyses of these documents that there existed a disconnect between the documents produced and the decisions made in the project. This fact can be seen in the total absence of dialogue about theoretical-methodological preservationist principles, which, in our view, is an essential element of the methodological procedures of the intervention project needed to guide the legislative and project design discussions.

Olimp��ada de L��ngua Portuguesa: ressignifica����o de pr��ticas de leitura e escrita

The search for new meanings in the basic education teaching-learning process has caused the development of public policies for mother language teaching, such as the Portuguese Language Olympics (OLP). To contribute to this search, this intervention project has as object of study reading and writing practices developed in the OLP through the educational model arising from literacy projects (TINOCO, 2008). In working towards, the general aim of reframing reading and writing practices through the PLO, developed from the teaching model that comes of literacy projects, we established three specific objectives: a) reflect on a national writing contest; b) to realign conceptual and methodological the Portuguese classes of the 7th grade school due to the developed project; c) to improve the reading and writing practices of the students in 7th grade of school where we operate. Therefore, we base ourselves in the history of Portuguese teaching in Brazil (SOARES, 2002; GERALDI, 2008), the dialogical conception of language (BAKHTIN, VOLOCH��NOV [1929] 2009; SOARES, 1998; FARACO, 2009) in Literacy Studies (KLEIMAN, 2001, 2005, 2006; TINOCO, 2008; OLIVEIRA; TINOCO; SANTOS, 2011; STREET, 2014), the learning community concept (AFONSO, 2001), in studies of retextualization (OLIVEIRA, 2005; MARCUSCHI, 2010), gender discursive literary memories (CLARA; ALTENFELDER; ALMEIDA, 20--), in written evidence (POSSENTI, 2002) and Textual Linguistics (MARCUSCHI, 2008; ANTUNES, 2009; KOCH, 2011; SILVA [et. al.], 2013). Methodologically, this qualitative research (L��DKE; ANDR��, 1986; ANDR��, 2005) is anchored in Applied Linguistics (MOITA LOPES, 1996). This research was supporting by students in the 7th grade, teachers, management team and parents, as well as people outside of school community. The instruments used for the generation of data were semi-structured interview, students��� texts, audio recordings and video, photos, OLP material (teacher's book, a collection of texts and CD-ROM). The data generated allowed us to establish the following categories of analysis in relation to the texts produced: authorship, in formativeness, discursive progression, compositional structure, content, style, and language aspects. In addition, throughout the project, the collaborators have produced texts of various genres: oral interview and written request letter, legal, literary memories, oral and experience report. Also experienced a local award and participated in a national competition. They produced a video and a book with stories and student authorship of illustrations. The results achieved show that the literacy project developed also allowed macro changes: reading and writing practices, once considered strictly school studied, they were transformed into broader social practices, through which various literacy agents were able to collaboratively act. In short, they experienced writing practices that go beyond the classroom and the teacher-student relationship.