No description available.

Thesis (Ph. D.)--University of Alabama at Birmingham, 2007. / Title from first page of PDF file (viewed June 30, 2007). Includes bibliographical references (p. 202-216).

Data de aprova??o ausente. / Disponibiliza??o do trabalho em conte?do parcial, conforme Termo de Autoriza??o. / Submitted by Jos? Henrique Henrique (jose.neves@ufvjm.edu.br) on 2017-03-10T19:29:54Z No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) danielle_mandacaru_souza_parcial.pdf: 114895 bytes, checksum: c25bdadc0c4a16e8b838134a138a653f (MD5) / Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2017-03-30T16:43:01Z (GMT) No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) danielle_mandacaru_souza_parcial.pdf: 114895 bytes, checksum: c25bdadc0c4a16e8b838134a138a653f (MD5) / Made available in DSpace on 2017-03-30T16:43:01Z (GMT). No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) danielle_mandacaru_souza_parcial.pdf: 114895 bytes, checksum: c25bdadc0c4a16e8b838134a138a653f (MD5) Previous issue date: 2016 / O presente estudo buscou identificar a funcionalidade da Ger?ncia de leitos em um hospital polo da Regi?o Ampliada de Sa?de Jequitinhonha e da Regi?o de Sa?de Diamantina. Com abordagem qualitativa, o estudo foi realizado por meio de entrevistas gravadas e informa??es coletadas dos Sistemas de Processamento de Dados SPDATA. Entrevistou-se 89 colaboradores, sendo quatorze enfermeiros, quinze m?dicos, nove administrativos, doze funcion?rios da higieniza??o, sete profissionais da recep??o e trinta e tr?s t?cnicos de enfermagem. Realizou-se a an?lise de conte?do das entrevistas com base na metodologia de Minayo. Organizaram-se as informa??es coletadas em categorias tem?ticas: A funcionalidade da gest?o de leitos na organiza??o dos processos de entrada e sa?da dos pacientes; A responsabilidade da comunica??o como ferramenta para a instala??o do processo de Gest?o de Leitos; O direcionamento dos pacientes para a cl?nica certa ap?s a implanta??o da GL; A gest?o de leitos e a hotelaria hospitalar; Organiza??o do servi?o hospitalar ap?s a Gest?o de Leitos; Influ?ncia da Gest?o de Leitos na organiza??o das cirurgias eletivas. Esse estudo mostrou que o gerenciamento e melhoria do fluxo de pacientes ao longo das interna??es hospitalares s?o importantes, que o servi?o de Gerenciamento de Leitos buscou utilizar cada leito hospitalar em sua m?xima, diminuiu a espera para as interna??es, tanto eletivas quanto de urg?ncias. Com esse servi?o, a equipe multidisciplinar tem mais seguran?a na gera??o das informa??es sobre o leito que ser? ofertado para o paciente, al?m de tornar o processo de interna??o r?pido e eficiente. / Disserta??o (Mestrado) ? Programa de P?s-gradua??o em Ensino em Sa?de, Universidade Federal dos Vales do Jequitinhonha e Mucuri, [2016]. / This study sought to identify the functionality of beds Management on a pole hospital Jequitinhonha Extended Health Region and the Diamantina Health Region. With a qualitative approach, the study was conducted through recorded interviews and information collected from SPDATA Data Processing Systems. She interviewed 89 employees, with fourteen nurses, fifteen doctors, nine administrative, twelve employees of hygiene, seven professional reception and thirty-three nursing technicians. We conducted content analysis of the interviews based on Minayo methodology. Organized the information collected in thematic categories: The functionality of bed management in the organization of the procedures and exit of patients; The responsibility of communication as a tool for installing the bed management process; The direction of patients to the right clinic after the implementation of the bed management; The management of beds and hospital catering; the hospital service organization after he bed management; bed management influence in the organization of elective surgeries. This study showed that the management and improve the flow of patients through the hospital admissions are important, the beds Management service sought to use every hospital bed at its maximum, decreased waiting for hospitalizations, both elective as emergency. With this service, the multidisciplinary team has more security in the generation of information about the bed which will be offered to the patient, in addition to making the quick and efficient admission process.

O estudo analisa relações sociais e de poder em uma micro-unidade penitenciária de hospital geral, no Rio Grande do Sul, no período compreendido entre julho a outubro de 2004. Para tanto, examina o processo de atendimento à saúde do preso doente que necessita internação hospitalar, destacando o modo como ele chega ao hospital, como é atendido e recebe alta. Focaliza o caso do Hospital Vila Nova, embora também examine o modo como esse atendimento era feito anteriormente, quando ainda funcionava o Hospital Penitenciário do estado. Os dados coletados e analisados referem-se, principalmente, às dinâmicas sociais estabelecidas através das práticas de atendimento médico hospitalar, das práticas de vigilância e das estratégias dos presos doentes na busca de ampliar sua capacidade de negociação e aumentar seu grau de liberdade. Desse modo, verificou-se como a disciplina funcionou como técnica de controle sobre o preso, revelando a supremacia do poder médico no processo de atendimento ao preso doente hospitalizado na micro-unidade penitenciária em foco. O estudo também permite uma apreciação crítica das condições de saúde, a qual a população encarcerada está submetida. / This paper analyzes the social and power relations in a micro-unit of prisoners of a general hospital in Rio Grande do Sul State during the period from July to October 2004.Thus, it examines the hospital attendance process of sick prisoners who need hospitalization, focusing on how they arrive at the hospital, how they are cared and discharged. It focuses on Vila Nova hospital, although it also examines the way how these patients attendance used to happen previously, when the State Prison Hospital was open. The collected and analyzed data is mainly concerned with the social dynamics established through medical hospitalar care practices, surveillance practices and strategies of the sick prisoners who aim at expanding their capacity of negotiation and having a higher degree of freedom.Thus, the discipline worked as a control technique on prisoners, demonstrating the supremacy of the medical power in the attendance process of the prisoners hospitalized in the micro-unit in focus.This study also allows a critical appreciation of the health conditions faced by prison population.

O presente trabalho trata do Hospital de Clínicas de Porto Alegre, um patrimônio moderno reconhecido no âmbito local, apesar do afastamento de sua concepção original de Jorge Moreira, autor das três versões preliminares realizadas entre 1942 e 1952. A conclusão do projeto se deu em 1958 por Oscar Valdetaro e Roberto Nadalutti, o projeto executado seguiu em grande parte a última versão de Moreira. O valor do grande bloco foi reconhecido com a salvaguarda municipal em 2011, quando a defasagem crescente entre estrutura física e serviços demandavam sua ampliação. O novo projeto proposto afetava “parcialmente a percepção do conjunto inventariado”, como apontou o parecer da Equipe do Patrimônio Histórico Artístico e Cultural. Indeferido pela via normal, foi aprovado através de Lei Complementar. A dissertação examina a intervenção acrítica realizada, com ampliação de 84.000m² e rearranjos no interior da preexistência. Analisa a complexa requalificação da “peça urbana” moderna cuja condição de bem protegido somado ao programa hospitalar são agravantes. E, de modo propositivo, busca através de investigação volumétrica relações espaciais consistentes entre as expansões necessárias, a preexistência e o entorno, simulando solução funcional que minimize danos à percepção do conjunto. / The present work addresses the Hospital de Clínicas (Clinic Hospital) in Porto Alegre, a modern heritage recognized in the local sphere, despite the distancing of its original conception by Jorge Moreira, author of the three previous versions conceived between 1942 and 1952. The completion of the project occurred in 1958 by Oscar Valdetaro and Roberto Nadalutti, the executed project followed mostly the last version by Moreira. The worth of the big block was recognized by the municipal safeguard in 2011, when the increasing gap between physical structure and services required its extension. The new proposal affected “partially the perception of the inventoried assemblage”, as pointed by the report from the Historic Artistic and Cultural Heritage Staff. Dismissed by standard measures, it was approved by Supplementary Law. The dissertation examines the uncritical intervention implemented, the 84.000m² extension and rearrangements in the preexistent interior. Analyses the complex requalification of the modern “urban element” whose condition as protected asset combined with the hospital program are aggravators. Furthermore, as a proposed method, pursues through volumetric investigation consistent spatial relations between the required expansions, the preexistence and surroundings, simulating a functional solution, which minimizes damages regarding the perception of the assemblage.

O estudo analisa relações sociais e de poder em uma micro-unidade penitenciária de hospital geral, no Rio Grande do Sul, no período compreendido entre julho a outubro de 2004. Para tanto, examina o processo de atendimento à saúde do preso doente que necessita internação hospitalar, destacando o modo como ele chega ao hospital, como é atendido e recebe alta. Focaliza o caso do Hospital Vila Nova, embora também examine o modo como esse atendimento era feito anteriormente, quando ainda funcionava o Hospital Penitenciário do estado. Os dados coletados e analisados referem-se, principalmente, às dinâmicas sociais estabelecidas através das práticas de atendimento médico hospitalar, das práticas de vigilância e das estratégias dos presos doentes na busca de ampliar sua capacidade de negociação e aumentar seu grau de liberdade. Desse modo, verificou-se como a disciplina funcionou como técnica de controle sobre o preso, revelando a supremacia do poder médico no processo de atendimento ao preso doente hospitalizado na micro-unidade penitenciária em foco. O estudo também permite uma apreciação crítica das condições de saúde, a qual a população encarcerada está submetida. / This paper analyzes the social and power relations in a micro-unit of prisoners of a general hospital in Rio Grande do Sul State during the period from July to October 2004.Thus, it examines the hospital attendance process of sick prisoners who need hospitalization, focusing on how they arrive at the hospital, how they are cared and discharged. It focuses on Vila Nova hospital, although it also examines the way how these patients attendance used to happen previously, when the State Prison Hospital was open. The collected and analyzed data is mainly concerned with the social dynamics established through medical hospitalar care practices, surveillance practices and strategies of the sick prisoners who aim at expanding their capacity of negotiation and having a higher degree of freedom.Thus, the discipline worked as a control technique on prisoners, demonstrating the supremacy of the medical power in the attendance process of the prisoners hospitalized in the micro-unit in focus.This study also allows a critical appreciation of the health conditions faced by prison population.

O presente trabalho trata do Hospital de Clínicas de Porto Alegre, um patrimônio moderno reconhecido no âmbito local, apesar do afastamento de sua concepção original de Jorge Moreira, autor das três versões preliminares realizadas entre 1942 e 1952. A conclusão do projeto se deu em 1958 por Oscar Valdetaro e Roberto Nadalutti, o projeto executado seguiu em grande parte a última versão de Moreira. O valor do grande bloco foi reconhecido com a salvaguarda municipal em 2011, quando a defasagem crescente entre estrutura física e serviços demandavam sua ampliação. O novo projeto proposto afetava “parcialmente a percepção do conjunto inventariado”, como apontou o parecer da Equipe do Patrimônio Histórico Artístico e Cultural. Indeferido pela via normal, foi aprovado através de Lei Complementar. A dissertação examina a intervenção acrítica realizada, com ampliação de 84.000m² e rearranjos no interior da preexistência. Analisa a complexa requalificação da “peça urbana” moderna cuja condição de bem protegido somado ao programa hospitalar são agravantes. E, de modo propositivo, busca através de investigação volumétrica relações espaciais consistentes entre as expansões necessárias, a preexistência e o entorno, simulando solução funcional que minimize danos à percepção do conjunto. / The present work addresses the Hospital de Clínicas (Clinic Hospital) in Porto Alegre, a modern heritage recognized in the local sphere, despite the distancing of its original conception by Jorge Moreira, author of the three previous versions conceived between 1942 and 1952. The completion of the project occurred in 1958 by Oscar Valdetaro and Roberto Nadalutti, the executed project followed mostly the last version by Moreira. The worth of the big block was recognized by the municipal safeguard in 2011, when the increasing gap between physical structure and services required its extension. The new proposal affected “partially the perception of the inventoried assemblage”, as pointed by the report from the Historic Artistic and Cultural Heritage Staff. Dismissed by standard measures, it was approved by Supplementary Law. The dissertation examines the uncritical intervention implemented, the 84.000m² extension and rearrangements in the preexistent interior. Analyses the complex requalification of the modern “urban element” whose condition as protected asset combined with the hospital program are aggravators. Furthermore, as a proposed method, pursues through volumetric investigation consistent spatial relations between the required expansions, the preexistence and surroundings, simulating a functional solution, which minimizes damages regarding the perception of the assemblage.

A morte està presente no contexto hospitalar desde os primÃrdios de sua criaÃÃo com os profissionais da saÃde operacionalizando no seu cotidiano de trabalho a presenÃa da finitude como contingÃncia inerente da prÃtica em saÃde. A investigaÃÃo teve como objetivo compreender a relaÃÃo do psicÃlogo com o ambiente hospitalar pela construÃÃo de sentidos deste quanto ao processo da morte, tendo como referÃncia a categoria da afetividade (emoÃÃes e sentimentos). Adotou-se o referencial teÃrico da Psicologia Social e Ambiental com base na abordagem histÃrico-cultural e na afetividade como um caminho possÃvel de atingir a complexidade dos fenÃmenos humanos. A pesquisa de campo foi realizada em quatro hospitais da rede pÃblica estadual de Fortaleza com a participaÃÃo de seis psicÃlogas. Os instrumentos aplicados foram os mapas afetivos e a entrevista. Os dados coletados foram submetidos a anÃlise de conteÃdo e agrupados em trÃs categorias temÃticas, a saber: morte, cuidados terapÃuticos e hospital. Foram formados, por meio dos mapas afetivos, as seguintes imagens no ambiente hospitalar: contraste, sofrimento, destruiÃÃo, agradabilidade e pertencimento. Procurou-se ao longo da produÃÃo textual relacionar a morte aos sentimentos e emoÃÃes das psicÃlogas na inter-relaÃÃo com o ambiente do hospital. Os resultados apontaram para uma tendÃncia a uma estima mais positiva do hospital pelas imagens da agradabilidade e pertencimento, muito embora a estima negativa do hospital tenha estado presente nas imagens de contraste, destruiÃÃo e sofrimento com os processos de morte, demandando dor psÃquica nos profissionais participantes da pesquisa, especialmente a morte da crianÃa e do adolestente. / The death is present in the hospitals since the beginning of its creation. Health professionals deal with its presence in their daily routine as a contingency inherent in the health practice. The presented research aimed at understanding the relationship between the psychologist and the hospital environment by building this way about the process of death, taking as reference the affectivity category (emotions and feelings). We adopted the theoretical framework of social and environmental psychology based on cultural-historical approach and affection as possible ways to achieve the complexity of human phenomena. The field of the research was conducted in four public hospitals in the city of Fortaleza with the participation of six psychologists. The instruments used were the affective maps and the interview. The collected data was subjected to content analysis and grouped into three themes: death, therapeutic care and hospital. Four images in the hospital environment were formed through affective maps: contrast, suffering, destruction, pleasantness and inhering. The textual production relates death to the feelings and emotions of the psychologists in the inter-relationship with the hospital environment. The results showed a trend to a more positive estimate of the hospital by the images of pleasantness and belonging, even though the negative estimates of the hospital attended to the contrasting images of destruction and suffering dealing with the death processes. These processes required psychic pain in professional researchers participants. The death, especially in the early stages of development, was the key point to this suffering

O estudo analisa relações sociais e de poder em uma micro-unidade penitenciária de hospital geral, no Rio Grande do Sul, no período compreendido entre julho a outubro de 2004. Para tanto, examina o processo de atendimento à saúde do preso doente que necessita internação hospitalar, destacando o modo como ele chega ao hospital, como é atendido e recebe alta. Focaliza o caso do Hospital Vila Nova, embora também examine o modo como esse atendimento era feito anteriormente, quando ainda funcionava o Hospital Penitenciário do estado. Os dados coletados e analisados referem-se, principalmente, às dinâmicas sociais estabelecidas através das práticas de atendimento médico hospitalar, das práticas de vigilância e das estratégias dos presos doentes na busca de ampliar sua capacidade de negociação e aumentar seu grau de liberdade. Desse modo, verificou-se como a disciplina funcionou como técnica de controle sobre o preso, revelando a supremacia do poder médico no processo de atendimento ao preso doente hospitalizado na micro-unidade penitenciária em foco. O estudo também permite uma apreciação crítica das condições de saúde, a qual a população encarcerada está submetida. / This paper analyzes the social and power relations in a micro-unit of prisoners of a general hospital in Rio Grande do Sul State during the period from July to October 2004.Thus, it examines the hospital attendance process of sick prisoners who need hospitalization, focusing on how they arrive at the hospital, how they are cared and discharged. It focuses on Vila Nova hospital, although it also examines the way how these patients attendance used to happen previously, when the State Prison Hospital was open. The collected and analyzed data is mainly concerned with the social dynamics established through medical hospitalar care practices, surveillance practices and strategies of the sick prisoners who aim at expanding their capacity of negotiation and having a higher degree of freedom.Thus, the discipline worked as a control technique on prisoners, demonstrating the supremacy of the medical power in the attendance process of the prisoners hospitalized in the micro-unit in focus.This study also allows a critical appreciation of the health conditions faced by prison population.

The quality of service from a hospital is the number one factor that will either turn a customer/patient away or make one for life. More and more hospitals are competing for greater shares in the market and customer-driven quality management is becoming the preferred method for improving their performance. Awali hospital is a private hospital in the Kingdom of Bahrain. It is a small 35-bed hospital that offers private medical services to the public. The hospital was originally built to serve the Bahrain Petroleum Company (Bapco) refinery workers but later opened its doors to the public. With the introduction of private patients came higher expectations of quality and higher demands on the overall services. A number of service quality shortfalls were identified over the years but never identified quantitatively by a patient evaluation survey. An English and Arabic version of the questionnaire based on SERVQUAL (Zeithaml, Parasuraman and Berry, 1988) was developed and placed in Awali hospital to test these service quality shortfalls. This study intends to evaluate these areas by answering questions about the relevant areas of service provided by the hospital. It measured patient satisfaction by looking at human aspects of service (responsiveness, reliability, empathy and assurance) with only one factor of the instrument being devoted to the non-human aspect of care rendered (tangibles). The SERVQUAL instrument has five dimensions that were measured by 21 pairs of item statements. One statement from each pair reflects perceptions, the other expectations. Measurement was accomplished by subtracting expectation from perceptions resulting in a service quality score. Positive or zero scores would reflect ideal or adequate service quality offered by the hospital. A negative score would be indicative of a service experience that did not meet customer expectations. Using the SERVQUAL questionnaire provided, quantifiable reasoning to the research questions in each dimension could be obtained so that precision, objectivity and rigour replaced hunches, experience and intuition as a means of investigating problem areas. Customers were first asked to supply some additional demographic information, for example gender, number of hospital visits, nationality, patient type (Bapco worker, general practitioner referred or private) and type of visit (inpatient, outpatient or both). They werethen asked to rate the hospital service on a 7-point Likert scale ranging from Strongly Agree (7) to Strongly Disagree (1). At the end of the questionnaire was space to write open comments. In total 600 paper questionnaires were distributed in the hospital, 300 English and 300 Arabic. Another 150 electronic questionnaires via emails were sent to refinery workers. Of the total 750 questionnaires distributed 162 were returned of which 156 (or 21.6%) could be statistically analysed. The empirical data results showed that the perception scores were significantly different at the p < 0.05 level from expectation scores. All the service quality differences (SQ=P-E) were negatively scored. This indicated that patients were not satisfied in all five dimensions of services offered by the hospital. Of the five dimensions responsiveness had the largest difference with assurance and reliability following with no significant differences between them. The demographic information revealed some interesting differences between the groups. Of all the demographic groups the most significant differences were between groups, “patient types” and “types of visit”, which showed differences between private patients and refinery workers and patients who used the hospital only as an outpatient and patients who used both services, outpatient and inpatient. In terms of the managerial implications, it was recommended that Awali hospital look to closing Gaps 1-4 of the SERVQUAL gap model which would result in closing the consumer gap, Gap 5. A process model for continuous measurement and improvement of service quality was recommended that looks at asking questions about how the hospital is performing. By adopting some of the recommendations identified in the research questions, Awali hospital could improve their quality of service, and as a consequence, their customer satisfaction and loyalty.