The aim of the study described in this thesis is to contribute to our knowledge and understanding of the professional activities of the offshore medic, in particular, their professional position and current status. The study had three stages. Stages one and two were the pilot and main questionnaires. Stage three was an interview survey. The study also sought to place the professional position of the offshore Medic against a background of sociological literature, outlining the characteristics of both the established and semi-professions. The questionnaire and interview surveys sought to obtain the Medic's personal perceptions with other offshore personnel. The study strongly suggests that Medics do not perceive their professional position and status among colleagues, both onshore and offshore as being very high. While Medics do not seem to leave offshore employment readily, many would prefer to be in another form of employment. Most were committed because of the higher salaries paid offshore. All respondents were involved with administrative duties which have very little connection with emergency care or the prevention of ill-health. In some cases, these duties were almost full time occupations. Medics felt that these non-medical tasks tended to erode away professional status. There was also a constant effort to protect patient confidentiality which created tensions. There was little evidence for the frequently supposed total autonomy given to medics to regulate their day to day activity. There was a strong feeling that counselling and health promotion activities were necessary in the offshore situation. Respondents felt strongly that onshore management should encourage active health promotion and counselling by formulating appropriate policy and ascribing health promotion work to the offshore Medics.

Thesis (M.P.H.M. (Primary Health Care Management))--Mahidol University, 2005.

Thesis (M.P.H.M. (Primary Health Care Management))--Mahidol University, 2006.

Thesis (M.S.P.H.)--University of Michigan, 1941.

Thesis (M.S.P.H.)--University of Michigan, 1941.

Submitted by RICARDO AKIO TAKAOKA null (ricardotakaoka@bol.com.br) on 2017-02-06T14:54:21Z No. of bitstreams: 1 TAKAOKA RA. Determinantes do absenteísmo-doença em trabalhadores na citricultura - Um estudo de coorte não concorrente. Dissertação (Mestrado em Enfermagem). FMB, UNESP, 2016..pdf: 2079550 bytes, checksum: cdcd441803e2ee134db330225faaa0c4 (MD5) / Approved for entry into archive by LUIZA DE MENEZES ROMANETTO (luizamenezes@reitoria.unesp.br) on 2017-02-09T17:48:11Z (GMT) No. of bitstreams: 1 takaoka_ra_me_bot.pdf: 2079550 bytes, checksum: cdcd441803e2ee134db330225faaa0c4 (MD5) / Made available in DSpace on 2017-02-09T17:48:11Z (GMT). No. of bitstreams: 1 takaoka_ra_me_bot.pdf: 2079550 bytes, checksum: cdcd441803e2ee134db330225faaa0c4 (MD5) Previous issue date: 2016-12-14 / O crescimento da produção brasileira de citrus e as demandas internacionais pelos produtos, como o suco integral, suco de laranja concentrado – congelado, farelo de polpa, polpa congelada, álcool, óleos e essências, que representam 100% do aproveitamento da fruta, tem tornando o Brasil um dos maiores países exportadores. Este segmento absorve grande quantidade de trabalhadores temporários por hectare no Estado de São Paulo. Neste contexto, tradicionalmente, se comparado aos demais, os trabalhadores rurais apresentam baixa qualificação profissional, menores salários, precárias condições de trabalho e dificuldade de acesso a bens e serviços de saúde. São condições que dificultam que os trabalhadores rurais adotem estilos de vida saudáveis pela limitação de informações. Desta forma, o adoecimento dos trabalhadores dá origem ao absenteísmo e causa perceptível prejuízo. O levantamento das características relacionadas ao absenteísmo-doença poderá revelar os pontos críticos existentes entre o trabalho executado e a ocorrência de agravos à saúde. O objetivo deste estudo foi identificar fatores associados ao absenteísmo-doença e investigar os condicionantes em uma empresa citrícola do interior do Estado de São Paulo e a partir dos resultados elaborar um plano de ação voltado à saúde dos trabalhadores. Trata-se de estudo coorte única não concorrente com seguimento de 1 (um) ano, desenvolvido em uma empresa citrícola do interior do Estado de São Paulo. A população-alvo são os funcionários celetistas que estavam trabalhando no período de julho de 2014 a junho de 2015. Os resultados destacaram um cenário preocupante pela alta frequência na entrega de atestados, principalmente, afastamentos superiores a 15 dias. Assim como, faixa de risco na ocorrência de atestado entre um e três anos de vínculo e oriundos do setor da colheita. Destacaram-se como principais agravos à saúde, as doenças osteomusculares nas funções de colhedor de laranja, operador de máquina e trabalhador agrícola polivalente que requerem adequações no ritmo, condições de trabalho e informações sobre saúde para a construção do autocuidado. A presença do risco químico no surgimento de doenças respiratórias reforça a necessidade de revisão das práticas de segurança na manipulação dos produtos químicos, buscando a devida proteção e menor tempo de exposição do trabalhador. Foi elaborado um plano de ação voltado à melhoria das orientações a fim de abordar as doenças mais frequentes. Estes achados proporcionaram a elaboração do plano de ação com ênfase às medidas organizacionais, visando à melhoria das condições de trabalho e qualidade de vida dos trabalhadores. / The growth of Brazilian citrus production and the international demands for products, such as whole juice, concentrated orange juice - frozen, pulp meal, frozen pulp, alcohol, oils and essences, which represent 100% Brazil is one of the largest exporting countries. This segment absorbs large numbers of temporary workers per hectare in the State of São Paulo. In this context, traditionally, compared to the others, rural workers have low professional qualifications, lower wages, poor working conditions and poor access to health goods and services. They are conditions that make it difficult for rural workers to adopt healthy lifestyles by limiting information. In this way, the sickness of the workers gives rise to absenteeism and causes a perceptible loss. The survey of characteristics related to absenteeism-disease may reveal the critical points between the work performed and the occurrence of health problems. The objective was to identify factors associated with absenteeism-disease and to investigate the determinants in a citrus company in the interior of the State of São Paulo and from the results, to elaborate an action plan focused on workers' health. This is a single noncompetitive cohort study with followup of one (1) year, developed in a citrus company in the interior of the State of São Paulo. The target population is the full-time employees who were working in the period from July 2014 to June 2015. The results highlighted a worrying scenario due to the high frequency of delivery of attestations, mainly, departures longer than 15 days. As well, risk range in the occurrence of attestation between one and three years of bond and coming from the sector of the harvest. The most important health problems were osteomuscular diseases in the functions of orange harvester, machine operator and multi-purpose agricultural worker that require adjustments in the rhythm, working conditions and health information to the construction of self-care. The presence of chemical risk in the emergence of respiratory diseases reinforces the need to review safety practices in the handling of chemicals, seeking adequate protection and shorter worker exposure time. These findings led to the elaboration of the action plan with emphasis on organizational measures aimed at improving working conditions and workers' quality of life.

O presente estudo teve como objetivo descrever e analisar relatos de jovens aprendizes e estagiários sobre condições de trabalho, escola e saúde após ingresso no primeiro emprego. Foram utilizados diferentes instrumentos para a coleta de dados. Os dados qualitativos foram obtidos por meio de entrevistas individuais e coletivas com roteiro semi-estruturado. As análises desses dados foram realizadas a partir da metodologia de análise de conteúdo. Foi aplicado um questionário para a obtenção dos dados sócio-demográficos, condições de saúde, sono, hábitos e estilos de vida. Esses dados foram tabulados em planilhas ExcelTM. Participaram deste estudo quarenta jovens, aprendizes e estagiários, entre 14 e 20 anos, que trabalhavam há pelo menos seis meses, em diferentes setores e ramos de empresas, com jornada entre seis e oito horas diárias de trabalho. Todos os participantes estudavam no período noturno, curso técnico, ensino médio, ou faculdade e que, concomitantemente ao estudo e trabalho, frequentavam os programas de aprendizagem e estágio em uma Organização Não Governamental situada na zona Sul de São Paulo, capital. Os resultados desse estudo apontam o ingresso de adolescentes no trabalho cada vez mais cedo em busca de melhores condições financeiras para si e para família. Os jovens relataram passar por muitos desafios para conciliar as atividades pessoais, profissionais e acadêmicas. A extensa jornada diária de trabalho somada ao período de estudo noturno comprometeu, na maioria dos casos, o desempenho acadêmico e a saúde dos participantes. Os principais fatores prejudiciais à saúde relatados pelos jovens foram: falta de tempo para dormir, para se alimentar adequadamente, para praticar atividade física e a redução do tempo de lazer e convívio social com amigos e família. Os aprendizes e estagiários também mencionaram a falta de treinamento e o desconhecimento da legislação pertinente ao seu trabalho como fatores que contribuíram para as dificuldades apresentadas nos relatos sobre a realização de suas atividades laborais, na identificação de acidentes e doenças relacionadas com o trabalho / This study aimed to describe and analyze reports of young apprentices and trainees on employment conditions, health and school after entering the first job. Different instruments were employed for data collection. Qualitative data were collected through individual and collective interviews with a semi-structured interview. The data analyzes were performed using the content analysis methodology. A questionnaire was applied to obtain the socio-demographic data, health status, sleep habits and lifestyles. Data were tabulated in ExcelTM spreadsheets. The study included forty young people, apprentices and trainees, ranging from 14 to 20 years old, who worked for at least six months in different sectors and branches of companies, with journey between six and eight hours of work. All participants studied in the evening, technical course, high school or college and, simultaneously to study and work, attending learning programs and educational work in an NGO located in the south of Sao Paulo, Brazil. The results of this study showed that getting better financial conditions for themselves and their families were the major reasons for start working earlier. One of the major challenges faced by the participants was dealing with work concomitantly to personal and academic activities. Long daily working hours in addition to the period of study undertaken at night had, in most cases, a reflex, upon academic performance and health of the participants. The main factors detrimental to health reported were: lack of time for sleeping, eating properly, for physical activity and for recreation and socializing with friends and family. Apprentices and trainees also have mentioned the lack of training, and/or not knowing the legislation regarding to their work as the main factors related to the difficulties for doing their task properly, identification of illnesses and work-related accidents

Thesis (M.S.W.)--Smith College School for Social Work, Northampton, Mass., 2009. / Includes bibliographical references (p. 47-49).

Occupational ill-health statistics have consistently placed construction as a high risk industry. Younger workers (aged 15-24) constituting 24% of the UK construction workforce are a high risk group for occupational illnesses from more exposure to physical work factors including noise, vibrations and the handling of dangerous substances. The provision of effective training to young people entering the workforce is crucial in preventing occupational illnesses and improving the industry s occupational health (OH) performance. However, whilst the delivery of training in industries such as healthcare and aviation has rapidly been shifting from pedagogical/instructional theoretical frameworks towards more learner-focused andragogical approaches rich in hands-on/experiential learning, training in the construction industry has not taken full advantage of new training approaches. This thesis aims to examine OH training methods for UK construction apprentices and evaluate the role and effectiveness of a simulation-based training strategy, in order to enhance the OH training for construction apprentices. It presents and adopts innovative wearable, hands on simulations that were designed and developed at Loughborough University, called LUSKInS (Loughborough University Sensory and Kinaesthetic Interactive Simulations), to assess their value and utility in the training of construction apprentices. In order to address the research aim and provide comprehensive answers to the research questions, the research adopted an inductive, multimethods approach, in which the collection and analysis of data combined quantitative and qualitative research methods. First, reviews of theories of learning and existing research utilising simulation learning tools in various educational settings were carried out, to gather insights into how people learn, the theoretical underpinning to the use of simulations as well as the efficacy of simulation-based training. This analysis indicated that use of simulations that is based on the review and application of relevant learning theories has significant potential in enhancing the learning of construction apprentices. Furthermore, the analysis identified a need to move from traditional direct instructional training methods towards more experiential and learner-centred methods in construction education and training. Accordingly, the subsequent use of wearable simulations in the study was guided by experiential and constructivist learning principles, meaning that the research participants were provided with interactive and engaging contextual experiences, which allowed them to actively construct their own understanding, as opposed to them passively acquiring OH information from external sources. Second, fieldwork data was gathered through survey questionnaires, participant observations, semi-structured interviews and photo-elicitation. This involved construction apprentices and instructors from three colleges located in London, Midlands and Norfolk. Together, the quantitative and qualitative data confirmed that a traditional instructor-centred approach, which places emphasis on the passive transmission of information and the use of standardised presentations, texts and workbooks dominates the delivery of OH training for construction apprentices, despite many of the trainees in the study expressing a preference for highly engaging, active or hands-on methods of learning to passive, information-based approaches. It was clear from the findings that by failing to take into consideration the diversity in learning preferences among the trainees and the crucial role of interaction and learner participation in the learning process, the existing instructional strategies do not effectively support the learning of construction apprentices. Notably, the findings revealed that the prevailing views of training amongst instructors and their leaders, which endorse direct instructional strategies and uniformity, create barriers for opportunities to create and utilise more progressive learner-centred training strategies for construction apprentices. The findings related to the impact of the wearable simulations indicated that the use of hands-on simulations can be beneficial to the learning of construction apprentices. The simulations were found to be effective in developing the apprentices understanding of OH illnesses, as well as in changing some of their attitudes, particularly towards prioritising their health at work and adopting correct work practices, for example, wearing appropriate protective clothing when carrying out their work. In addition, the findings also showed that the simulations were largely perceived to be enjoyable, engaging and easier to understand compared to traditional training methods. However, challenges associated with the use of simulations were also identified, including the relatively high costs in terms of both time and money required in their development and implementation as well as challenges associated with trainer competence and adapting curricula to the newer training approach. Based on the empirical evidence and the related theoretical explanations, the study develops a set of propositions which not only challenge the current training paradigm, but more importantly identify the factors that can optimise the OH training of construction apprentices and overcome some of the barriers that were identified. In addition, a conceptual framework and typology of trainees learning styles are developed, in order to provide some practical guidance on how appropriate training strategies can be selected, as well as assist the wider application and integration of simulation learning tools.

Orientador: Carmen Maria Casquel Monti Juliani / Resumo: O crescimento da produção brasileira de citrus e as demandas internacionais pelos produtos, como o suco integral, suco de laranja concentrado – congelado, farelo de polpa, polpa congelada, álcool, óleos e essências, que representam 100% do aproveitamento da fruta, tem tornando o Brasil um dos maiores países exportadores. Este segmento absorve grande quantidade de trabalhadores temporários por hectare no Estado de São Paulo. Neste contexto, tradicionalmente, se comparado aos demais, os trabalhadores rurais apresentam baixa qualificação profissional, menores salários, precárias condições de trabalho e dificuldade de acesso a bens e serviços de saúde. São condições que dificultam que os trabalhadores rurais adotem estilos de vida saudáveis pela limitação de informações. Desta forma, o adoecimento dos trabalhadores dá origem ao absenteísmo e causa perceptível prejuízo. O levantamento das características relacionadas ao absenteísmo-doença poderá revelar os pontos críticos existentes entre o trabalho executado e a ocorrência de agravos à saúde. O objetivo deste estudo foi identificar fatores associados ao absenteísmo-doença e investigar os condicionantes em uma empresa citrícola do interior do Estado de São Paulo e a partir dos resultados elaborar um plano de ação voltado à saúde dos trabalhadores. Trata-se de estudo coorte única não concorrente com seguimento de 1 (um) ano, desenvolvido em uma empresa citrícola do interior do Estado de São Paulo. A população-alvo são os funcionári... (Resumo completo, clicar acesso eletrônico abaixo) / Mestre