Submitted by Luciana Ferreira (lucgeral@gmail.com) on 2017-04-05T11:17:00Z No. of bitstreams: 2 Tese - Sebastião Cláudio Barbosa - 2017.pdf: 1877696 bytes, checksum: 0c6b16ee87a8a8c50932d0f12850bd06 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) / Approved for entry into archive by Luciana Ferreira (lucgeral@gmail.com) on 2017-04-05T11:18:41Z (GMT) No. of bitstreams: 2 Tese - Sebastião Cláudio Barbosa - 2017.pdf: 1877696 bytes, checksum: 0c6b16ee87a8a8c50932d0f12850bd06 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) / Made available in DSpace on 2017-04-05T11:18:41Z (GMT). No. of bitstreams: 2 Tese - Sebastião Cláudio Barbosa - 2017.pdf: 1877696 bytes, checksum: 0c6b16ee87a8a8c50932d0f12850bd06 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Previous issue date: 2017-03-23 / This work binds the research line "Fundamentals of Educational Processes" (V-Line) of the graduate program of the Faculty of Education of the Federal University of Goiás (PPGE/FE/UFG). It is a bibliographical and a theoretical study, but that has as its starting point in the author's experience as a teacher of IFG (Instituto Federal de Goiás, Campus Goiânia) since 2008 and, fundamentally, the analysis of the reports of realized experiences and points of view on the integrated training within this Institution in the technical integrated courses of medium level of Proeja – National Program of the Professional Education with the Basic Education in the modality of the Youth and Adult Education – particularly in the Technical Integrated Course in Cooking. It was took as a starting point the confirmation of the existence of such an object that is the Omnilateral Integrated Formation and also Proeja, here understood as the "gateway" to think and realize that pedagogical perspective in Federal Institutes. It was sought from the demands for conceptualization of the reports and also from the already mentioned experience to conceptualize the fundamentals of Integrated Training Omnilateral (ethics, interdisciplinary, integrated curriculum, developmental education) according to the principles of praxis. That is, it was sought a form of categorization in which the larger sense is the determination of the existence in its historical mode. For this purpose it was used the contribution of various authors: Karl Marx, Antonio Gramsci, George Lukács, Karel Kosik, Adolfo Sánchez Vázquez, Vasili Davydov, Gaudencio Frigotto, Maria Ciavatta, Acacia Kuenzer, Lucília Machado, Miguel Arroyo, Moacir Gadotti, Marise Ramos, Mad'Ana Castro, Jacqueline Vitorette among others. For the realization of the documentary aspect, it was used the documents related to the creation of the Federal Institutes and Proeja, the written transcriptions of lectures and exchange of experiences occurred in the "Dialogues EJA", performed by Rodrigo Freitas Amorim, available in Adult and Youth Education Forum Portal (Portal do Fórum EJA). The conclusions show that the "Integrated Training Omnilateral as pedagogical praxis" exists as verifiable phenomenon in Federal Institutes. However, its checking count with an apprehension that shows the "visible" committed to the analysis of its "invisible" historicity. With these essential characteristics, such an object was only possible to be verified against hegemony and revealed as abstract-concrete like concrete thought. / O presente trabalho vincula-se à linha de pesquisa “Fundamentos dos processos educativos” (Linha V) do Programa de Pós-Graduação da Faculdade de Educação da Universidade Federal de Goiás. É um estudo bibliográfico e teórico, mas que tem como ponto de partida a vivência do autor como docente efetivo do Instituto Federal de Goiás (IFG), câmpus Goiânia, desde 2008 e, fundamentalmente, a análise dos relatos de experiências realizadas e pontos de vista acerca da formação integrada no âmbito dessa Instituição, nos cursos técnicos integrados de nível médio do Proeja – Programa Nacional de Integração da Educação Profissional com a Educação Básica na modalidade de Educação de Jovens e Adultos, em especial no Curso Técnico Integrado em Cozinha. Tomou-se como ponto partida a constatação da existência de tal objeto, a saber, a Formação Integrada Omnilateral, e também o Proeja, este entendido como a “porta de entrada” para se pensar e realizar tal perspectiva pedagógica nos Institutos Federais. Buscou-se, por meio das demandas por conceituação advindas dos relatos, e também da vivência já mencionada, conceituar os fundamentos da Formação Integrada Omnilateral (ética, interdisciplinaridade, currículo integrado, ensino desenvolvimental), condizentemente com os princípios da práxis. Isto é, buscou-se uma forma de categorização em que o sentido maior é a determinação da existência no seu modo histórico de existir. Para tal intento, utilizou-se da contribuição de diversos autores: Karl Marx, Antônio Gramsci, George Lukács, Karel Kosik, Adolfo Sánchez Vázquez, Vasili Davydov, Gaudêncio Frigotto, Maria Ciavatta, Acácia Kuenzer, Lucília Machado, Miguel Arroyo, Moacir Gadotti, Marise Ramos, Mad’Ana Castro, Jacqueline Vitorette dentre outros. Para a realização da parte de análise documental, recorreu-se aos documentos relativos à criação dos Institutos Federais e do Proeja, também às transcrições feitas de palestras e trocas de experiências ocorridas nos “Diálogos EJA”, efetuadas por Rodrigo Freitas Amorim, disponibilizadas no Portal do Fórum EJA. As conclusões mostram que a “Formação Integrada Omnilateral como práxis pedagógica” existe como fenômeno passível de verificação nos Institutos Federais. Contudo, sua constatação conta com uma apreensão que mostra o “visível” comprometido com a análise da sua historicidade “invisível”. Com essas características essenciais, tal objeto só foi possível de ser demonstrado contra-hegemonicamente e revelado como abstrato-concreto, enfim, como concreto pensado.

Made available in DSpace on 2016-03-15T19:35:21Z (GMT). No. of bitstreams: 1 Nilton Carlos de Almeida Coutinho.pdf: 2063638 bytes, checksum: fe253f9675a433c033f43ac029ca01fa (MD5) Previous issue date: 2014-04-07 / Fundo Mackenzie de Pesquisa / Hydrological disasters, because human and material losses, can be considered one of the greatest problems facing societies today, especially because of their frequency and intensity. Whereas the legal interests harmed because of the occurrence of this type of disaster, it is necessary to reflect on the possibilities and limits of legal and extra-legal instruments capable of providing protection of the community in the face of such disasters. It can be stated that emerges and establishes itself a fundamental right to protection against disasters, which requires positive action by the state and the whole society in the search for effective protection, among others, the right to dignity. In this perspective, growth-related risk areas, development of cities and resilience issues, as well as on the role of the federal (and, in particular, municipalities) in disaster protection entities, by implementing and encouraging preventive public policies were discussed with the aim of analyzing the possibilities to ensure the effective protection of this fundamental right. It has been argued in this thesis not only the emergence but also the dedication of the "Law of protection against disasters", fundamental human right that must be protected according to the principles and fundamentals that govern the protection of fundamental rights. For this, we promoted the study of factors that contribute to the occurrence of disasters and ratings attached to them, for, after analyzing up hydrological disasters from the viewpoint of fundamental rights, if inquiring about - their characteristics and rights correlated, as well as public policies related to protection against such disasters. Thus, the study concluded that establishment of a fundamental right to protection from disasters, whose accomplishment calls for a proactive role of the government as a public entity, supervising and promoting protectionist policies and planning actions to mitigate disaster risks, especially in the areas of risk. Similarly, the study identified a need for greater involvement and public engagement towards the promotion and enforcement of citizens and participatory activities, dedicated to the protection of this right, in partnership with government and other stakeholders. / Os desastres hidrológicos, em razão dos prejuízos humanos e materiais, podem ser considerados um dos maiores problemas enfrentados pelas sociedades na atualidade, notadamente em razão de sua frequência e intensidade. Considerando os bens jurídicos lesados em razão da ocorrência desta modalidade de desastre, faz-se necessária uma reflexão sobre as possibilidades e limites dos instrumentos jurídicos e extrajurídicos capazes de propiciar a proteção da comunidade em face desses desastres. Pode-se afirmar que emerge e consagra-se um direito fundamental de proteção contra desastres, o qual exige uma atuação positiva por parte do Estado e de toda a sociedade na busca pela efetiva proteção, entre outros, do direito à vida digna. Nesta perspectiva, questões relacionadas ao crescimento das áreas de risco, desenvolvimento e resiliência das cidades, bem como referentes ao papel dos entes federados (e, em particular, dos Municípios) na proteção contra desastres, por meio da implementação e do incentivo a políticas públicas preventivas, foram discutidos com o objetivo de analisar as possibilidades de se assegurar a efetiva proteção deste direito fundamental. Sustentou-se na presente tese não apenas a emergência, mas, igualmente, a consagração do Direito de proteção contra desastres , direito fundamental do ser humano, que deve ser tutelado segundo os princípios e fundamentos que orientam a proteção dos direitos fundamentais. Para tanto, promoveu-se o estudo dos fatores que contribuem para a ocorrência de desastres e as classificações a eles inerentes, para, na sequência, analisar-se os desastres hidrológicos dentro da ótica dos direitos fundamentais, perquirindo-se acerca de suas características e direitos correlacionados, bem como das políticas públicas relacionadas à proteção contra tais desastres. Assim, o estudo concluiu pela constituição de um direito fundamental de proteção contra desastres, cuja efetivação reclama uma atuação proativa do Poder Público enquanto ente público, fiscalizando e fomentando políticas públicas protecionistas e planejando ações que mitiguem os riscos de desastres, especialmente nas áreas de risco. Do mesmo modo, o estudo concluiu pela necessidade de um maior envolvimento e engajamento popular, no sentido da promoção e efetivação de ações cidadãs e participativas, voltadas para a proteção de tal direito, em parceria com o Poder Público e demais atores envolvidos.

This thesis aims to contribute in the field of exchange rate determination. Firstly, it sums results of previous studies (theoretical as well as empirical ones). Consequently, it investigates two approaches to exchange rate determination, and compares their theoretical and empirical performance. Firstly, monetary model is introduced, and secondly 'news' model is presented. Since 'news' model incorporates rational expectations and considers interest rate endogenous, it is expected to give better results in comparison with monetary model. Six exchange rates were chosen for the empirical analysis. They are analyzed in period July 2000 -- June 2012. As expected, 'news' model outperforms monetary model. However, since the volatility of exchange rate is much bigger in reality than both of the models are able to explain, neither of the models can be considered as satisfactory. It is the same result which has been presented in older studies that investigated these models.

This study presents an efficacy evaluation of language arts instruction in the Fort Worth, Texas elementary schools.

Along with the general requirement of continuously increasing efficiency of hydrostatic drivetrains, variable displacement machines are of major concern in research and development. To this effect, the whole machine performance is mainly dependent of the displacement variation system (DVS) performance. A lot of work to this topic focusses on the controller and actuator level. The aim of this paper is to offer a more fundamental view on DVS by giving a focus to the basic hydro-mechanical principles.

Background: Managers and health professionals, so-called stakeholders, at the system and clinical level in the acute care chain, are responsible for providing safe and high-quality care encompassing both nursing and medical aspects. In patients with acute abdominal pain (AAP), high-quality nursing care has been described as not always being delivered across the entire acute care chain. This patient group frequently seeks care across the acute care chain and the care procedures and quality may differ widely. The quality of nursing care provided to patients can be understood through the framework Fundamentals of Care. The framework is divided into three dimensions: establishing a relationship with the patient, integration of the patient’s fundamental care needs, and context of care. Stakeholders are one important part of the context of care and a prerequisite for delivery of high-quality care.  Aim: The overall aim was to explore managers’ and health professionals’ understanding of managing and conducting care of patients with AAP across the acute care chain.  Method: Individual interviews with open-ended questions were used in two studies and data were analysed with a conventional qualitative content analysis method. Participants represented ambulance services, emergency departments, and surgical departments. Managers at head nurse level (n=11) and operational level (n=6) at four hospitals were included in Study I. Registered nurses (n=11) and physicians (n=8) at five hospitals were included in Study II. Results: In Study I, managers described the adult patient group as challenging and heterogenous. The managers reflected on themselves as role models. Guidelines were used to organise care, but they often had a medical focus and the managers referred to others as being responsible for the guidelines. Managers who were registered nurses focused on the medical care of patients with AAP, while managers who were physicians underlined the value of nursing care to improve patient outcome. In Study II, health professionals described dedication to applying evidence-based practices. However, they used personal experience over guidelines in care provision. They described organisational barriers to delivering high-quality care, such as varying competence among colleagues, lack of available patient beds, and lack of collaboration across the acute care chain.  Conclusion: The stakeholders’ perspectives complemented each other, but their descriptions of managing and conducting care of patients with AAP did not always fit together, which revealed a gap in the everyday clinical practices as well as structural issues at the system level. These empirical descriptions of differing understanding may reveal some of the reasons why patients with AAP do not always experience high-quality care. To optimise patient care across the acute care chain, stakeholders need a shared understanding to meet patients’ fundamental care needs and enable provision of high-quality nursing and medical care.

No description available.

Enbart den traditionella medicinska ronden räcker inte för att täcka de behov som den hjärtkirurgiska patienten med ett komplicerat vårdförlopp har. Omvårdnad är ofta åsidosatt och tid finns inte att vårda dessa patienter på ett evidensbaserat och strukturerat sätt. Patientdelaktigheten är dessutom låg i den här patientgruppen. Förbättringsarbetet har två syften: att öka delaktigheten för patienter med komplicerat vårdförlopp och att införa evidensbaserade omvårdnadsdiagnoser, mål och åtgärder genom att införa omvårdnadsrond för dess patienter. Förbättringsarbetet genomfördes på en hjärtkirurgisk vårdavdelning på ett Universitetssjukhus. Med hjälp av en påverkansanalys, Nolans förbättringsmodell och PDSA-hjul formades ett arbetssätt för att införa och testa omvårdnadsrond. Data samlades in via intervjuer med patienterna och journalgranskningar. Resultaten visar att patienter som deltar i omvårdnadsrond skattar sin delaktighet något högre än de patienter som inte deltagit, däremot behövs fler personcentrerade åtgärder än omvårdnadsrond för att öka patientens delaktighet. Resultaten visar att evidensbaserade omvårdnadsdiagnoser, mål och åtgärder infördes för den här patientgruppen.  Studien var kvalitativ med ett induktivt förhållningssätt med syfte att undersöka vilka faktorer som påverkar hållbarheten för omvårdnadsrond som ett etablerat arbetssätt. Fokusgruppsintervjuer genomfördes med sammanlagt sju av den vårdpersonal som deltagit på en omvårdnadsrond. Datan analyserades med hjälp av reflexiv tematisk analys. Resultaten visar att det finns förutsättningar för ett hållbart arbetssätt men det finns också faktorer som kan hindra hållbarheten. Vidare är vårdpersonalen positivt inställd till omvårdnadsrond, informations- och kommunikationskanaler är inte optimala men anses viktiga, att stöd och avsatt tid för omvårdnadsrond är avgörande och att det behövs en mästare eller influenser för hållbara förändringsarbeten. / The traditional medical round alone is not enough to cover the needs of the cardiac surgery patient with a complex care pathway. Nursing care is often neglected and there is no time to care for these patients in an evidence-based and structured way. Patient participation is also low in this patient group.  The improvement work has two aims: to increase the involvement of patients with a complex care pathway and to introduce evidence-based nursing diagnoses, goals and measures by introducing nursing rounds for these patients. The improvement work was carried out in a cardiac surgery ward in a university hospital. Using an impact analysis, Nolan's improvement model and PDSA wheel, an approach to introducing and testing nursing rounds was designed. Data was collected through interviews with patients and chart reviews. The results show that patients who participate in nursing rounds estimate their participation slightly higher than patients who did not participate, but more person-centered measures than nursing rounds are needed to increase patient participation. The results show that evidence-based nursing diagnoses, goals and interventions were introduced for this patient group.  The study was qualitative with an inductive approach to investigate the factors that influence the sustainability of nursing rounds as an established practice. Focus group interviews were conducted with seven nursing staff who had participated in a nursing round. The data was analysed using reflexive thematic analysis. The results show that there are conditions for a sustainable approach, but there are also factors that can hinder sustainability. Furthermore, the nursing staff is positively disposed to nursing rounds, information and communication channels are not optimal but are considered important, that support and allocated time for nursing rounds is crucial and that a champion or influencer is needed for sustainable change work.

No description available.

Abstract Bakgrund: Den palliativa vården omfattar alla åldrar och en mängd olika sjukdomar och tillstånd som slutligen leder till döden. Syftet med palliativ vård är att minska lidande och värna om patientens värdighet och livskvalitet. Det finns få studier som beskriver patienters upplevelser av palliativ vård. Syfte: att beskriva patienters upplevelse av palliativ vård. Metod: En litteraturstudie med kvalitativ induktiv ansats genomfördes. Litteratursökningen utfördes systematiskt där 10 artiklar inkluderades utifrån syftet. Kvalitativ innehållsanalys med manifest ansats enligt Graneheim och Lundmans metod användes för att analysera patienters upplevelse av palliativ vård. Resultat: Analysen resulterade i fyra kategorier som beskriver patienters upplevelse av palliativ vård. Bli sedd som en person med värdighet; Uppleva trygghet vid val av behandling och lindring av symtom; Behöva vänta på vården du är beroende av; Känslan av förlorad kontroll vid brist på information och kontinuitet. Slutsats: Patienter upplevde behov av att bli bemött med vänlighet och empati. Den palliativa diagnosen medför att tid får en annan betydelse. Det fanns ett behov av samordning av vården för att inte slösa på tid. Information och delaktighet minskade oro och ångest. Fundamentals of Care kan stödja sjuksköterskan vid personcentrerat förhållningssätt för att främja patienters delaktighet i vården.