OS SENTIDOS DO TRABALHO PARA PROFISSIONAIS DE ENFERMAGEM: UM ESTUDO MULTIMÉTODOS

RESUMO O propósito original deste estudo foi realizar uma análise exploratória do sentido do trabalho para profissionais de enfermagem comparando-os por nível hierárquico (níveis técnico e superior) e por características do ambiente de trabalho. Aplicou-se um questionário estruturado contendo escalas para sentido do trabalho, comprometimento afetivo e estresse no trabalho. Os resultados foram tratados com estatística descritiva, análise fatorial exploratória, análise de correlações e comparação de médias, e confirmaram que o nível hierárquico e o ambiente definem diferenças na percepção do sentido do trabalho e de construtos relacionados a ele. Como o trabalho de campo demandou longas horas de permanência nos hospitais, o estudo foi enriquecido por observações e conversas durante o acompanhamento do serviço. A conjunção de métodos permitiu ampliar o conhecimento sobre fatores que suscitam a experiência de sentido do trabalho em enfermagem. Ele pode emergir de fatores como aumento de empregabilidade, distinção social, conciliação trabalho-família e natureza da relação com gestores e líderes. A perda do sentido, além da queda da produtividade, pode estar associada a comportamentos de resistência ou mesmo de retaliação na forma de absenteísmo e troca de emprego.

Comunidades mediadas pela Internet : uma pesquisa multimétodos para estruturação de base conceitual e projeto de web sites

O objeto de estudo da presente pesquisa são as comunidades mediadas pela Internet (CMIs). Uma CMI consiste de um conjunto de pessoas que compartilham interesses e que, durante algum tempo, utilizam recursos em comum na Internet (por exemplo, um web site – objeto preferencial deste trabalho) para trocarem informações umas com as outras relativamente aos interesses compartilhados. A pesquisa realizada é exploratória e qualitativa, tendo feito uso de estudos de caso, pesquisa-ação e entrevistas em profundidade para estruturar uma base conceitual para as CMIs e reunir elementos relevantes a serem considerados quando da construção de web sites para as mesmas. Realizou-se estudo de caso de 5 (cinco) web sites de CMIs, a fim de serem identificadas as principais tecnologias e métodos em uso atualmente para a estruturação de web sites para CMIs. Na pesquisa-ação, 7 (sete) grupos de pessoas foram identificados e, para cada um, construiu-se 1 (um) web site, de modo que se ofereceu um espaço na Internet para a interação dos seus integrantes. A observação da interação das pessoas através dos web sites permitiu concluir-se que, dos sete grupos iniciais, apenas 1 (um) poderia ser caracterizado como CMI, conforme critérios de Jones (1997): associação sustentável, variedade de comunicadores, espaço virtual para a comunicação em grupo, e interatividade. Para as entrevistas em profundidade, elaborou-se um questionário com base no referencial teórico, nos estudos de caso e na pesquisa-ação, sendo aplicado a 17 (dezessete) pessoas (da única CMI e de dois dos sete grupos). O objetivo das entrevistas foi levantarem-se percepções sobre os web sites utilizados pelos grupos, percepções essas que, sob análise de conteúdo, ajudaram na formação de um conjunto de 12 (doze) recomendações para a construção de web sites para CMIs. As recomendações são de natureza diversa, mas deixam clara a necessidade de haver um entendimento profundo do contexto de uma CMI previamente ao projeto do seu web site.

Instrumentos de políticas públicas do turismo: uma análise empírica dos municípios portugueses

Tese de Doutoramento em Ciências da Administração

La evaluación de la intervención por programas de orientación : el proceso de evaluación del desarrollo de una intervención desde un modelo de consulta.

Constatar si la intervención por programas genera, en el equipo docente de un centro, cambios significativos en la manera de llevar a cabo su tarea habitual. Analizar sus repercusiones en los centros en los que se aplica desde los puntos de vista de orientadores, profesores, directores de centros, asesores, etc. Evaluar si el modelo de intervención, además de lograr la mejora del rendimiento o resultados educativos de los alumnos a los que se aplica, también mejora el proceso en todos los participantes del programa. Trece centros de capacitación agraria de Cataluña. Para facilitar el estudio el trabajo se ha dividido en tres grandes bloques. El primero está constituido por el marco teórico y su finalidad es fundamentar la investigación empírica. El segundo bloque describe y analiza la parte metodológica de la investigación evaluativa desarrollada finalmente. El tercer bloque presenta el estudio empírico. Análisis de las memorias realizadas cada curso, documentación interna del centro, conversaciones informales con profesores, tutores, orientadores. Información de seminarios, cursos y reuniones de asesoramiento. Diseños multimétodos. Triangulación entre métodos e intra-método, esto es, recoger datos desde distintas perspectivas utilizando varios métodos y apoyándose en una variedad de fuentes. Diseño pretest-postest. Se notan mejorías en los centros donde la implicación del orientador se había desarrollado. Aquellos profesores que habían seguido el proceso lograban los resultados esperados. Se constatan casos en que los resultados no han variado pero no se tiene constancia de las fichas de la realización de las fichas del profesor utilizadas para unificar los criterios de tabulación y análisis de los resultados obtenidos en los distintos programas, ni el seguimiento realizado por el orientador, con lo cual no se pueden concretar las actuaciones realizadas por estos profesores. Se vuelven a producir empeoramientos en las dimensiones no trabajadas. El modelo supone, para los agentes implicados en la experiencia, una simplificación en el proceso de orientación, así como una ayuda para clarificar las tareas del orientador del centro. La aplicación de cuestionarios diagnósticos, su corrección, análisis e interpretación es una tarea asimilada y asumida por todos los orientadores de las escuelas y centros. El modelo de consulta triádica, que ha servido para formar y asesorar a los implicados, es útil cuando existe en los centros un colectivo de profesores interesados en participar de forma activa en un proceso de mejora, incorporando nuevas formas de trabajar los problemas habituales con que se encuentra un docente en el aula. A modo de metaevaluación, la autora cree que este instrumento mejoraría la calidad del proceso evaluativo.

Autoconcepto : evaluación y mejora en los alumnos de Ciclo Medio de EGB a través de un programa de intervención.

Siete hipótesis: el autoconcepto es un constructo multifacético de cuatro dimensiones no académicas y tres académicas. Existe un acuerdo estudiante-profesor en cuanto a la valoración del autoconcepto del alumno, aquellos alumnos que experimenten un programa para la mejora de su autoconcepto -académico o no académico- obtendrán una puntuación mayor, positiva y estadísticamente significativa, en relación con los alumnos de su misma clase que no hayan recibido tratamiento. Muestra general: 2069 alumnos y 65 profesores de tercero, cuarto y quinto de EGB. Muestra programa de intervención: 167 alumnos y 33 profesores de tercero, cuarto y quinto de EGB. Investigación de tipo cuasi-experimental sobre una muestra de alumnos, que busca clarificar: la estructura interna del autoconcepto, mediante análisis factorial aplicado a cuatro escalas de autoconcepto no académico, 3 escalas de autoconcepto académico y tres medidas totales y examinar su estructura externa, mediante matrices de correlación sobre 4 variables independientes. La variable dependiente es el autoconcepto y las independientes son: valoración inferida del profesor sobre el autoconcepto del alumno, logro y rendimiento académico, habilidad académica, edad y programa de intervención para la mejora del autoconcepto. Así se constata la validez del instrumento, los cambios en el autoconcepto, se realiza una evaluación continua de la intervención y se analizan los resultados. Adaptación del 'Self Description Questionnarire' -SDQ- publicado por Marsh, Parker y Smith -1983-. Valoración inferida del profesor sobre el autoconcepto del alumno -Marsh ET AL. -1983-. Test de lectura de Pérez González -1976-. Calificaciones académicas. Instrumentos utilizados por los profesores durante el programa de intervención para la mejora del autoconcepto. Programa informático SPSS. Análisis para la exploración de la estructura interna del autoconcepto: análisis factorial de primer orden y de orden superior. Análisis para la exploración de la estructura externa del autoconcepto: matrices multirasgo-multimétodos. Matrices de correlación 'R' de Pearson. Prueba 'T' de Wilcoxon.. El autoconcepto es multifacético. Sus dimensiones se organizan entre sí de manera jerárquica. Existe un acuerdo moderado entre diferentes facetas del autoconcepto de los alumnos y las valoraciones inferidas de sus profesores. Los indicadores académicos están significativamente correlacionados con dimensiones académicas del autoconcepto y no correlacionados con dimensiones no académicas. La intervención dirigida a los aspectos académicos del autoconcepto ha resultado significativa en todos los cursos. En relación con la intervención dirigida a los aspectos no académicos se han confirmado las hipótesis en cuarto de EGB, no así en tercero y en quinto de EGB. Fuerte apoyo para el modelo teórico de autoconcepto de Shavelson et al. -1976-. El SDQ representa un excelente instrumento para la medida del autoconcepto en alumnos de tercero, cuarto y quinto de EGB.

Relações entre conhecimento e trabalho no contexto de uma instituição financeira : a experiência no Banco do Brasil

O tema desta tese é a Gestão do Conhecimento, abordagem em evidência crescente nos meios acadêmicos e empresariais, espaços em que o conhecimento começa a ser visto como recurso substituto do trabalho. A discussão da ruptura entre os conceitos de conhecimento e trabalho vigora desde a antiguidade até os dias de hoje. E foi esse argumento de ruptura que impulsionou a definição do foco desta pesquisa: a discussão das relações entre conhecimento e trabalho, e a forma como esses conceitos interagem no contexto das organizações. A pesquisa de campo foi realizada em uma instituição financeira brasileira de grande porte, o Banco do Brasil, diante do contexto do sistema financeiro. Buscou-se construir um quadro referencialteórico das relações entre conhecimento e trabalho nessa empresa. Para o desenvolvimento da tese, foi utilizado um referencial teórico multidisciplinar baseado nas interfaces da Gestão do Conhecimento com a Filosofia (concepções de vita contemplativa e vita activa) a Sociologia (o conhecimento como construção social e histórica) e a Psicologia (o conhecimento associado ao desenvolvimento humano). Para a realização da pesquisa, optou-se por um método de orientação pós-moderna, que se admite o uso das técnicas científicas mais recentes, sem excluir o uso de abordagens tradicionais. Entende-se que a visão pós-moderna transcende a modernidade, sem excluí-la. Para a coleta de informações, foi utilizada uma abordagem multimétodos, que abrangeu a aplicação das seguintes técnicas: questionários fechados, entrevistas em profundidade, observação participante e análise documental. Os questionários foram aplicados, exclusivamente, junto a profissionais do Banco do Brasil. As entrevistas em profundidade foram realizadas com profissionais do Banco do Brasil e de outros bancos públicos e privados (das cinco regiões do país) e também com representantes do Sindicato dos Bancários de Brasília e com um técnico do Instituto de Pesquisa Econômica Aplicada - IPEA. Como resultados da pesquisa, foram identificadas seis categorias analíticas (Concepção de Gestão do Conhecimento, Ambiente de Trabalho, Compartilhamento de Conhecimento, Aprendizagem, Identidade Profissional e Identidade Corporativa) as quais são necessárias para a compreensão das relações entre conhecimento e trabalho no âmbito da instituição finaceira pesquisada. A partir desses resultados, foi construído um modelo teórico da Gestão do Conhecimento.

Muitas histórias, uma imagem: a percepção sócio-ambiental de alunos residentes da Escola Agrícola de Jundiaí

Tendo como base os conceitos de espaço, lugar, ambiente e imagem, sob as vertentes da Arquitetura e Urbanismo, Geografia e Psicologia Ambiental, esta pesquisa teve como objetivo averiguar a percepção de estudantes da Escola Agrícola de Jundiaí (EAJ UFRN) a fim de identificar aspectos das interrelações pessoa-ambiente que diferenciam tal escola de outras instituições. A coleta de dados utilizou multimétodos e investigou um grupo de alunos residentes na Escola que cursavam o ensino médio e técnico em agropecuária em 2006, analisando seus discursos, comportamentos e atitudes de modo a identificar os principais elementos da imagem sócio-ambiental da EAJ. Os resultados apontaram locais, práticas sociais e símbolos representativos da instituição, indicando espaços (construídos e naturais) adequados/inadequados às necessidades/expectativas dos estudantes incluindo a ampliação da interdisciplinaridade no conjunto de suas atividades. Além disso, a fim de incrementar a análise sócio-ambiental em instituições que promovem experiências exitosas, recomenda-se que os aspectos cotidiano e tempo sejam mais profundamente investigados em estudos futuros na área

O projeto de arquitetura de espaços temporários com o uso de sistema construtivo remontável: um estudo exploratório

The purpose of this research is to study the portable or reassemblable architectures, which, different from conventional architecture (whose designs are of permanent buildings), corresponds to the designing of spaces with temporary purposes. The focus of the study is the architectural design of spaces that are produced from building systems that can to be moved to different places (process of assembly / disassembly / reassembly) in order to identify the types of spaces generated and the processes used in their design / projecting. The aim is to investigate relationships between the initial project conceived based on a Reassemblable Construction System (RCS) and its application in the architectural design of professionals and students in order to contribute to the understanding of the specificities of this type of design activity. To this end it was developed the exploratory research based on multimedia methods, which includes: documentary analysis, technical visits, interviews, surveys, academic exercise and documentation by images. Although the study is not conclusive, the results indicate significant differences between the point of view of the RCS´s designers and its users (architects and architecture students) since the users demonstrated to have some difficulty to access the features provided for the first group, in particular the students. It is also demonstrated that the use of RCSs seems to change the appreciation / hierarchization of the conditions of project design, since, unlike what happens in traditional architectural design, the designers who use them seem to be more concerned with constructive issues, especially the structural elements (support and covering), instead of functionality, aesthetics and even physical characteristics of the site

Indicações para o projeto arquitetônico de edifícios multifamiliares: uma análise pósocupação em Natal/RN

Confirming the Brazilian tendency in the field, the multifamily vertical condominium habitats in Natal are defined as buildings with three or more floors which have been an increasingly used solution. In the mentioned project, the connection between the projectarchitects and the user/ buyers are spread out, by which the first people conceive the realestate property as a creation for the market and not the individual client in specific. Such situation along with technical and financial limitations of the project lead to the adoption of standard solutions to be utilized by clients with different profiles. Besides that, there are various legal and urban parameters by the City Director Plan showing elements of great influence in the final solution adopted by the mentioned edifices. Moving to this subject in general, this project is focused on the case study of the Ed. Ville de Montpellier, having as a base of Post Occupancy Evaluation (POE), considered an efficient tool to analyze and keep up with the progress of the construction of the building, including technical approvals, the application of surveys with the local residents and the creation of informal interviews. The data shows that with time some items that initially motivated the acquisition of the realestate property (with a social common area) move to being less valued, and that the residents quickly alter the pre constructed space, thus seeking to alter the property in a more personal and conforming manner. The possibility of a new emphasis for projects on the mentioned space should also be in discussion, the created project calls for the attention of projected conceptual aspects and interdependence within project and construction which permits the indication of some recommendations for the projection of multifamily residential buildings within the studied realm

Significados e percepções de puérperas sobre as síndromes hipertensivas da gravidez e parto prematuro

Hypertensive syndromes in pregnancy (HSP) are configured as one of the major complications in the pregnancy and postpartum period and can lead premature newborn and subsequent hospitalization of the newborn to the Neonatal Intensive Care Unit (NICU). This study aimed to analyze the perceptions, meanings and feelings of mothers on the hypertensive syndromes in pregnancy and premature obstetric labor. The research was qualitative and has a theoretical methodological the Social Representations Theory(SRT) in the approach to the Central Nucleus Theory. The study included 70 women, mean age 29 years, predominantly school to high school, most of them married or in consensual union, primiparous and prevalence of cesarean delivery occurred between 32 and 37 weeks of pregnancy.The data were collected from may to december 2008 in the Maternity School Januário Cicco in Natal , and obtained through the following instruments for data collection: questionnaire including questions about socio-demographic status; the Free Words Association Test (FWAT) and and verbalized mental image construction used three stimuli: such as pregnancy with high blood pressure, preterm birth and NICU, and interview with the following guiding question: what it meant for you to have a pregnancy with high blood pressure and consequently the birth of a premature baby? Data analysis was performed using multi-method obtained from the data processing by EVOC (Ensemble Programmes Permettant L 'Analyze des Évocations) and ALCESTE (Analyse Lexicale par Contexte d'un Ensemble de Segment de Texte) and thematic analysis in categories. The results will be presented in four thematic units under the following representative universes: HSP, prematurity as a result of HSP, NICU and the social representations of mothers on the hypertensive disorder of pregnancy sequenced premature birth and hospitalization of the child in the NICU. The results obtained by multimethod analyses showed similar constructions and point to death as the central nucleus and negative aspects, coping strategies, need of care, knowledge about the disease, fragility and meanings of the NICU as peripheral elements. It is considered that the perceptions, meanings and feelings of puerperal women in relation to HSPs and to premature delivery are a negative social representation, with representational elements that may have influenced the adverse effects on the disease and its consequences. We suggest action on the peripheral elements of this representation, with adequate orientation, early diagnosis, effective conduct, receptive attitude on the part of the team, health promotion measures and effective public policies, in order to improve the care provided to puerperal women, making them feel welcome and minimizing their suffering

Percepção ambiental de crianças em ambientes naturais protegidos

This study aimed at exploring and describing children s perceptions in threatened natural settings, specifically, the Rain Forest in Brazil. Several studies point to the significance of perceptions for people s pro-environmental attitudes and actions. We try to understand the person-environment interaction from an ecological perspective, and we present theoretical references for the understanding of how crucial nature is for psychological development and well-being. The children s drawings, individual interviews, discussion groups, photographies and informal and indirect sources, as teachers, brought material for the analysis. Participated in our study, carried on through a multi-method strategy, 209 children from six to eleven years old, living in the neighborhood of the Biological Reserve of Una, State of Bahia, created to protect Rain Forest fragments. The Rain Forest landscape is well portrayed in children s drawings, the vegetal elements prevailing over artificial and human elements. The figured plants and trees, however, are pointed with no precision as to their species. Most of the defined species are eatable. The children seem to be aware of the environment degradation, and of the importance of its conservation, but they describe episodes of hunting and feeding wild threatened animals. Our results indicate a utilitarian trend in the perception of living beings, in terms of their immediate usefulness for people. The multimethod approach seems to be appropriate to the complexity of the theme; the methodological strategies were well accepted by the children, offering them opportunities to express themselves. We observed how children, in different life phases, organize natural elements and processes in their drawings, and how these images relate to the local landscape. We discuss the results in the light of theoretical references of personenvironment studies and from previous investigations about children s perceptions of natural environment

Avaliação da estratégia saúde da família na capital potiguar

This research aimed to evaluate the Family Health Strategy (FHS) in Natal, Rio Grande do Norte, through its managers, professionals and users, having as its support the Theory of Belief and the Cognitive-Behavioral Theory. This is a multimethod research and is divided into three sub-studies. In the first study, nine managers answered to a semi-structured interview, to verify the knowledge and beliefs on SUS; the quantitative data were analyzed with descriptive statistics with the aid of SPSS software and the qualitative data were submitted to lexical analysis with support of ALCESTE software. In the second study, we have a descriptive correlational research in which the antecedent variables are related to working conditions in the family health units (FHUs) and to the professionals‟ profile; the corresponding variables refer to the evaluations of the FHS; a stratified probabilistic sample with 475 professionals, who answered to two scales, both consisting of three factors: Physical infrastructure, Material resources, and Treatment effectiveness, and data were analyzed using descriptive, bivariate and multivariate statistics, with the aid of SPSS. The third study is a descriptive correlational research in which the antecedent variables refer to the treatment in the FHUs and to the users‟ profile, and the corresponding variables refer to the evaluations of the FHS, with a stratified non-probabilistic sample with 390 users, who contributed to the construction of a new scale with a factor, effectiveness in treatment, analyzed through descriptive, bivariate and multivariate statistics, with the aid of SPSS. The results showed problems which start from management, under the shape of admission due to political indication and lack of knowledge on SUS and the FHS; they pass through the low tenure of professionals and insufficient professional; and they end up spreading all over the analyzed items: infrastructure of FHUs, material resources, professionals‟ training, accessibility and referral system. One concludes that, despite following an ideal model, the FHS is in need of changes with regard to the barriers to its operational reality

Implicações socioambientais da construção de um parque eólico no município de Rio de Fogo-RN

The purpose of this study was to investigate the social-environmental implications of the first large scale wind farm recently built in Brazil (2006), Parque Eólico de Rio do Fogo (PERF), to the nearby communities. The research was base on the adjustment of the DIS/BCN tool to analyze social impact and it was linked to the multi-method approach. Applying the autophotography strategy, cameras were given to five children from the district of Zumbi, the nearest location to PERF, and they were asked to individually photograph the six places they liked the most and the six places they liked the least in their community. Then, these children were interviewed individually and collectively about the photographs. Adult locals in Zumbi, residents of Zumbi/Rio do Fogo settlement, members of the State and Municipal government and representatives of the PERF were also interviewed with the aid of some of the pictures taken by the children and others that might trigger something to say, as a strategy called sample function. The five children presented positive image towards PERF; all of them chose to photograph it as one of places they liked. Adult population of Zumbi presented positive visual evaluation towards PERF. A small number of the interviewees were aware of the environmental and social benefits of wind energy production. Residents did not participate of the decision making process regarding PERF. They approved the project, especially because of the jobs provided during construction. Nowadays, PERF is something apart from their lives because it no longer provides jobs or any other interaction between the facility and the locals. Residents relate to the land, not with the facility. However, there is no evidence of rejection towards PERF, it is simply seen as something neutral to their lives. The low levels of education, traditional lack of social commitment and citizenship, and the experience accumulated by PERF´s planners and builders in other countries, may be contributing points to the fact that Zumbi residents did not oppose to PERF. It is clear that the country needs a legislation which seriously considers the psycho-social dimension involved in the implementation of wind farms

Imagem sócio-ambiental do bairro de Cidade Nova, Natal-RN, por seus moradores

This dissertation investigates how the neighborhood of Cidade Nova, located in the western side of the of Natal, is perceived by its residents in order to understand its socio-environmental image, intending to contribute both to define strategies of urban intervention and environmental education in the area and to consolidate a methodology that addresses this kind of problem. The completion of field research used a multimethod strategy to study the socio-environmental image of urban areas. It consists of: (a) review of local history from literature research, data recorded by the City Hall, news published on the city's newspapers and interviews with former inhabitants, (b) application of questionnaires to inhabitants including emotions, visual perception, memory and local social activities, (c) development of a drawing of the district, (d) conducting focus groups with inhabitants, using as a starting point the results obtained in the previous activities. In steps "b" and "c" attended 32 neighborhood residents, 16 of them being Community Health Workers and other 16 persons appointed by them. In step "d" 10 individuals took part, divided into two groups. The result of the research showed a picture of residents coincident with the image conveyed by the media in relation to the issues: violence, garbage, public policy/social support and appreciation of the beauties of environmental (dunes and Parque da Cidade park). Although Cidade Nova has been regarded as a dirty, noisy and dangerous place, most of the participants say they enjoy living on the neighborhood. Overall, the results corroborate and gain theoretical explanations, as they are interrelated. The socio-environmental image is expressed for instance in the elements dunes, dump, railroad tracks and Central Avenue that gain symbolic connotation influenced by time and socio-economic context. The insecurity and other negative characteristics assigned by the inhabitants and the media are parallel to the place attachment, since the environmental legibility, the time/familiarity and territoriality offer inhabitants the preference for place of residence, setting up their social identity.

Estudo das propriedades psicométricas da escala WHOQOLold em idosos da região Nordeste

The population aging process increases the number of elderly people worldwide. In Brazil, a country of continental size, this process began in the 40s and happens with specific features in each of the different region s realities. This way, this thesis aimed to evaluate the psychometric properties of a elderly s quality of life (QOL) scale, the WHOQOL-old, in a population of the Northeast of Brazil. We sought to investigate the congruence between the content covered by the scale and the ones deemed as relevant by the participants. It aimed also study the validity evidences of the instrument s internal structure. To achieve the research objectives we adopted the design of multiple methods. The research was organized in two studies. For data collection, both studies used a sociodemographic questionnaire to obtain a profile of the participants and the Mini Mental State Exam (MMSE), used as exclusion criterion. A number of 18 elderly residents of the cities of Natal-RN and Campina Grande-PB, mean age of 73.3 years (SD = 5.9) took part od the study, They were organized into three focal groups (FG) in witch they discussed about the concept of QOL, what enhance and what hinders QOL. For Study II, a quantitative approach, 335 elderly from Campina Grande responded scale WHOQOL-old. They are between 65 and 99 years (M = 74.17, SD = 6.5). The FG data were analyzed by categorical thematic content. For the data analysis of the WHOQOL-old scale were used exploratory factor analysis and calculation of the Akaike and Bayesian information criteria. The results of both studies were triangulated. According to the discussions in the FG, health and social participation have central roles in quality of life. Social participation is related to all the other QOL s influences raised. The participants indicated the relevance of religiosity and were divided about the importance of sexual activity. Exploratory factor analysis (EFA) extracted a model of six factors. Two items (OLD_3 and OLD_9), not loaded on any factor and were excluded. The other items had factor loadings > 0.3. The response categories were reduced from five to three. After the scale changes, the empirical model showed better fit (-2loglikelihood = 8993.90, BIC and AIC = 9183.90 = 9546.24) than the theoretical model (-2loglikelihood = 18390.88, AIC = 18678.88 and BIC = 19228.11). Despite the best information criterion values, the RMESA remained above the ideal (0.06). We conclude that the WHOQOL-old presents psychometric parameters below the ideal when used with the Northeast population, but the improvements made the scale s use acceptable. The WHOQOL-old uses observable variables that matches with the participants' perceptions on quality of life. However, new strategies must be tested for a better sacale refinement