Thesis (M.S.)--State University of New York at Binghamton, Thomas J. Watson School of Engineering and Applied Science, Department of Systems Science and Industrial Engineering, 2009. / Includes bibliographical references.

Trata-se de um estudo exploratório, do tipo intervenção pedagógica, cujo objetivo foi o de reformular o plano de ensino de uma das disciplinas que compõem um Curso de Especialização em Instrumentação Cirúrgica, incorporando mudanças nos processos de ensino-aprendizagem. O referencial teórico para a intervenção propriamente dita se pautou em autores que estimulam um processo de ensino-aprendizagem que instigue a participação dos estudantes, com o uso de metodologias ativas. Com o apoio da instituição, foram incorporadas estratégias pedagógicas diversificadas ao longo das 12 aulas da disciplina, para os 22 estudantes matriculados no primeiro semestre de 2018. Quanto ao método de avaliação da intervenção, ao final da disciplina os estudantes refletiram e escreveram sobre a própria evolução ao longo do percurso, de que forma as estratégias interferiram nesse processo e quais as estratégias mais marcantes. Recordaram os temas e detalhes apresentados no decorrer da mesma, fato que pode inferir que o uso de diferentes estratégias contribuiu para a fixação e construção de conhecimento. As aulas mais marcantes foram as que os aproximaram dos cenários de prática. Quando se auto-avaliaram nesse processo, se perceberam como corresponsáveis pelo ensino-aprendizagem, elemento fundamental nas metodologias ativas. Corpo docente e coordenação sentiram-se instigados com a intervenção pedagógica e pretendem investir mais no desenvolvimento de estratégias que qualifiquem cada vez mais o curso, para o desenvolvimento de um perfil profissional único, para o exigente mercado de trabalho atual. / It is an exploratory study, of the type pedagogical intervention, whose objective was to reformulate the teaching plan of one of the disciplines that make up a Specialization Course in Surgical Instrumentation, incorporating changes in the teaching-learning processes. The theoretical reference for the intervention itself was based on authors who stimulate a teaching-learning process that instigates student participation, using active methodologies. With the support of the institution, diverse pedagogical strategies were incorporated throughout the 12 classes of the discipline, for the 22 students enrolled in the first semester of 2018. As for the method of evaluation of the intervention, at the end of the course the students reflected and wrote about the own along the way, how the strategies interfered in this process and which strategies were the most striking. They recalled the themes and details presented during the course, which may infer that the use of different strategies contributed to the fixation and construction of knowledge. The most remarkable classes were those that brought them closer to the practice scenarios. When they self-evaluated in this process, they perceived themselves as co-responsible for teaching-learning, a fundamental element in active methodologies. Teaching staff and coordination have felt instigated by the pedagogical intervention and intend to invest more in the development of strategies that increasingly qualify the course, for the development of a unique professional profile, for the current demanding job market.

Thesis (M. A. (Psychology)) -- University of Limpopo, 2020 / Though recent South African legislation and policy documents have called for closer collaboration between Western-trained and traditional health practitioners, there is little evidence to show that there is a formal collaboration between the two categories of health care providers. Located within the interpretivist paradigm, and using an exploratory descriptive design, the researcher sought to explore the perceptions of Western-trained health practitioners (WTHPs) in Sekhukhune District (Limpopo Province) towards collaboration between themselves and traditional health practitioners (THPs) in treating mental illness. Seventeen WTHPs (males = 07; females = 10) from three hospitals in Sekhukhune District were selected through purposive sampling and requested to take part in the study. The sample comprised of five clinical psychologists, five medical officers working in psychiatric units, and seven psychiatric nurses. Data were collected using semi-structured interviews and analysed through thematic analysis. Specifically, Renata Tesch’s eight steps were used to analyse the data. The following psychological themes emerged from the study: (a) shared goals on collaboration; (b) a good effect on collaboration is anticipated; (c) managing interdependence between traditional and Western-trained practitioners; (d) proposed ideal structures of governance to govern the collaboration; (e) recommended legislations and policies on collaboration; (f) suggested factors that may foster collaboration; (g) proposed factors that hinder collaboration; and, (h) referral systems that exist in the health care. The findings suggest that some WTHPs are willing to collaborate with THPs, especially if proper guidelines for collaboration could be provided by the government. Some recommendations on an ideal structure of governance and legislation on collaboration were made by the WTHPs. The WTHPs highlighted factors that may hinder or facilitate closer collaboration between themselves and THPs in providing mental health services to communities.

Aim The aim of this study was to describe ancillary health care workers’ perceptions of the Ancillary Health Care Learnership programme, and their current employment status within the health care sector. Methods A non-experimental cross sectional survey was used that incorporated complementary mixed method data collection (Balnaves & Caputi, 2001; Polit & Beck, 2010). Quantitative data collected during the first phase, a telephonic interview assisted self-report questionnaire was used to inform semi structured focus group interviews that took place during the second phase to obtain richer descriptions and explore response and results of the phase 1 cross sectional survey (Bell, 2005). A Convenience sample of ninety two (n=92) was achieved for the telephonic interview assisted self- report questionnaire, and was substantially lower that the number of potential participants (N=200). Purposive sampling was used to obtain fifteen (N=15) potential key informant participants, a final sample of nine (n=9) achieved for the focus group interviews. Results The research revealed that majority (69%) of participants had their expectations of the course met. Subjects such as agriculture and business plan were perceived as not valuable and participants recommended that these be removed from the course. Computer course information was seen as and needed addition in order to bridge the skills gap and improve the opportunities for employment.Despite particpants perceptions of the course being met, expectations regarding emplyment were not. Employment rates were low, specifically within the health care sector. Conclusion and Recommendations The Ancillary Health Care Programme has not assisted the graduates in gaining employment. The review of the Ancillary Health Care Programme and some of the unit standards is one of the recommended options that can be done to improve the employment opportunities. / Theses (M.N.)-University of KwaZulu-Natal, Durban, 2014.

Work has the role of inserting men in social environment, being able of maximizing their motivation, creativity and satisfaction and, on the other hand, it can be the causer of disorders, mood swings, physical mismatches and frustration. Satisfaction at work can be realized as one of the main factors related to the work productivity and quality. Thus, this research had as its general objective to understand the satisfaction at work of workers with higher education, which act as nurse technicians in intensive care units. The research was qualitative, of the kind descriptive-exploratory. The scenario were the intensive care units of a university hospital located in a city in the countryside of Rio Grande do Sul state, Brazil. The participants were the nurse technicians workers approved in the public examination Regime Jurídico Único (RJU), linked to this institution. The data were produced, in the period of March and May 2016, through a socio-occupational data survey questionnaire and individual semi structured interviews, being analyzed by the thematic analysis of content, and discussed together with the Psychodynamics of Work’s theoretical framework. The research met the Health National Committee’s nº 466/12 resolution, with Presentation Certificate to Ethics Appreciation under the number 52247316.3.0000.5346. Through the data analysis, three categories emerged. The first named “satisfaction and dissatisfaction aspects related to the nurse technician profession” showed the responsible factors of providing satisfaction and dissatisfaction at work of these workers. The second category “satisfaction at work aspects related to higher education” showed that several nurse technicians workers already have the permanent desire of having a higher education degree, even before of acquiring their technical formation degree, however, because of life needs, this desire is left to a second plan. Another finding showed that because they had a career plan that offered financial benefits, many of these workers look for a higher education degree as a way of getting a better remuneration for their work. It was also observed that many of them understand the scientific knowledge acquisition as an opportunity of professional growth both in their secondary and higher education careers. The last category “changes triggered after the entry of the nurse technician workers in higher education” showed that higher education provided an expansion, knowledge enhancement and the formation of a harshest point of view in relation to the work. It was also highlighted the sensation of these workers of having their work underutilized in the secondary education, besides the frustration of not being allowed of developing the activities learned in the higher education. This research could contribute with the study population stimulating reflections on their labor activity, which can have impact in the worker’s life, allowing future actions with emphasis in their satisfaction and psychic suffering decrease. / O trabalho tem papel de inserção do homem no meio social, podendo potencializar sua motivação, criatividade e satisfação. Por outro lado, pode ser causador de distúrbios, alterações de humor, desajustes físicos e frustrações. A satisfação no trabalho pode ser percebida como um dos principais fatores relacionados à produtividade e à qualidade do trabalho. Assim, esta pesquisa tem como objetivo geral compreender a satisfação no trabalho de técnicos de enfermagem em unidades de terapia intensiva, com formação superior. A pesquisa foi qualitativa, do tipo descritivo-exploratória. Os cenários foram as Unidades de Terapias Intensivas de um hospital universitário localizado em um município do interior do estado do Rio Grande do Sul, no Brasil. Os participantes foram os trabalhadores técnicos de enfermagem concursados pelo Regime Jurídico Único (RJU), vinculados a esta instituição. Os dados foram coletados, no período de março a maio de 2016, por meio de um questionário para levantamento dos dados sociolaborais e entrevistas semiestruturadas individuais, sendo analisados pela análise temática de conteúdo e discutidos junto ao referencial teórico da Psicodinâmica do Trabalho. A pesquisa atendeu à resolução nº466/12 do Conselho Nacional de Saúde, com Certificado de Apresentação para Apreciação Ética sob o número 52247316.3.0000.5346. A partir da análise dos dados, emergiram três categorias. A primeira, denominada “aspectos de satisfação e de insatisfação relacionados ao técnico de enfermagem”, mostrou os fatores responsáveis por conferir satisfação e insatisfação no trabalho desses trabalhadores. A segunda categoria “aspectos da satisfação no trabalho relacionados com a formação superior” mostrou que muitos dos trabalhadores técnicos de enfermagem já possuem o desejo premente em ter uma formação superior, até mesmo antes de possuir sua formação de nível técnico, porém por necessidades da vida, essa vontade é relegada ao um segundo plano. Os dados também mostram que, por possuírem um plano de carreira que oferece vantagens financeiras, muitos desses trabalhadores buscam o curso superior como forma de alcançar uma melhor remuneração em seus salários. Também foi constatado que muitos percebem a aquisição do conhecimento científico como uma oportunidade de ascensão profissional tanto em suas carreiras de nível médio quanto superior. A última categoria “mudanças desencadeadas após o ingresso dos trabalhadores técnicos de enfermagem no ensino superior” identificou que a formação superior oportunizou um aprofundamento do conhecimento e a formação de um ponto de vista mais crítico em relaçao ao trabalho. Também foi evidenciada a sensação desses trabalhadores de terem seu trabalho subutilizado no nível médio, além da frustração por não poderem desenvolver as atividades que aprenderam no curso superior. Essa pesquisa pôde contribuir com a população do estudo estimulando reflexões sobre sua atividade laboral, o que pode repercutir na vida do trabalhador, possibilitando ações futuras com enfoque na satisfação e redução de seu sofrimento psíquico.

Text in English / The contribution of general diagnostic imaging in the diagnosis and clinical management of patients in rural hospitals of South Africa is enormous. To provide high quality diagnostic imaging services for specific contexts requires radiographers who have up-to-date skills and expertise. Thus, rural radiographers require, over and above traditional radiographic expertise, additional competencies which are unique to rural practice. To date, however, little is known about additional core competencies and skills needed by radiographers working in rural areas. Previous studies have focused more attention primarily on other rural health professionals such as doctors and nurses. The aim of this mixed methods study was to investigate and identify additional core competencies required by radiographers working in rural district hospitals of KZN in order to propose a CPD strategy aimed at rural radiographers. An exploratory sequential design was utilised. There were seven participants in the qualitative phase of the study. In the quantitative phase a convenient sample of 109 respondents was surveyed using a structured questionnaire. Three major themes and seven categories emerged from Phase I of the study. These themes and categories were then used to develop a data collection instrument for Phase II of the study. Collectively, the findings of this mixed methods research revealed that there were a number of additional core competencies such as, but not limited to, teamwork, ability to do basic obstetric ultrasound scans, leadership, management, attitude and behaviours, and reporting on plain x-ray films, all of which are required by rural radiographers. Supporting evidence from the study indicated that the majority of these competencies were either partially or not at all covered in the audited curriculum. The study further revealed that the audited curriculum and the scope of radiography in its current form appear to focus attention on minimum competencies that do not promote the expansion and extension of the role of radiographers in rural areas. The study results also revealed a number of challenges faced by rural radiographers. / Health Studies / D. Litt. et Phil. (Health Studies)