O objeto de estudo desta tese é o desenvolvimento da Geografia como matéria escolar no Brasil e em Cuba, desde seu surgimento até os dias atuais. O objetivo principal é a ampliação do debate e da reflexão sobre as funções e sobre a utilidade da Geografia escolar atual, assim como sobre nossas práticas como professores da disciplina. Para atingir tal objetivo, analisamos, dentro de um enfoque comparativo, os percursos da Geografia nos dois países em questão, dando prioridade aos aspectos relacionados à história do pensamento geográfico, assim como à sua institucionalização, aos fatores que a influenciaram, às transformações sofridas ao longo do tempo, aos seus objetivos principais e à sua configuração nos diferentes períodos históricos abarcados pelo estudo. Nesse sentido, abordamos de forma particularizada os principais elementos que identificamos como responsáveis pela constituição da estrutura conceitual da disciplina, atrelando-os aos contextos espaciais e históricos específicos e aos processos singulares de formação territorial de cada país. Para tanto, desenvolvemos estudos relacionados aos fatores internos e externos à disciplina, articulando-os aos processos de construção e afirmação da Geografia escolar. A abordagem comparativa permite a ampliação da visão sobre temas pertinentes à Geografia como ciência e como disciplina escolar, especialmente aqueles relacionados aos seus objetivos, à seleção e organização dos conteúdos, à metodologia e à formação docente. Nessa perspectiva, apresentamos, também, os principais aspectos relacionados à organização dos sistemas de ensino nacionais dos dois países, assim como a inserção da Geografia nessa estrutura maior. A partir dessa base, nos debruçamos sobre a análise de temas que consideramos fundamentais para repensarmos o futuro da Geografia escolar, como a construção da identidade nacional e a doutrinação patriótica, os livros didáticos, os programas oficiais da disciplina e a formação de professores. Como resultado final, considerando-se que os sistemas de ensino, a escola e o próprio currículo são construções sociais e, por isso, sujeitos a constantes transformações, esperamos ter contribuído para um tipo de reflexão que possa ser útil para repensarmos os rumos da Geografia escolar de cada um dos países. / This thesis\' object of study is the development of Geography as a school discipline in Brazil and Cuba, from it\'s beginning to these days. The main objective is to widen the debate and reflection about the functions and usefulness of nowadays school Geography, as well as about our practices as teachers of this discipline. In order to reach the objective we analise, within a comparative approach, the route of the Geography in both countries, priorazing the aspects related to the history of geographical thinking, furthermore, the ones related to its institutionalization, the factors that influenced it, the transformations it undertook through time, its main objectives and its configuration in the different historical periods included in this work. With that focus, we tackle in a particularized way the main elements identified as responsibles for building the conceptual structure of the discipline, linking them to the specific spatial and historic contexts and to each country\'s own territorial formation processes. In order to achieve that, we develop discipline\'s internal and external factors related studies articulating them with school Geography\'s construction and reassertion processes. The comparative approach allows to broaden the vision on issues that concern Geography as a science and as a school discipline, especially those related to its objectives, to the selection and organization of contents and to metodology and teacher\'s training. In that perspective, we also introduce the main aspects relating to both countries\' national teaching systems organization, and the insertion of Geography in that structure. On that base, we choose to analyse matters we consider fundamental for us to rethink the future of school Geography such as the building of national identity and patriotic indoctrination, educational books, official programs for the discipline and teacher\'s training. As a final result, taking into consideration that teaching systems, the school and the curricula itself, are social constructions, and therefore subject to constant transformations, we hope that we have made a contribution to a type of reflection usefull for rethinkig the direction of school Geography in each of these two countries.

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No. of bitstreams: 1 Analyane Conceiçao Silva dos Santos.pdf: 1957953 bytes, checksum: 375e557949aa5701d3b89e20e99b03a5 (MD5) Previous issue date: 2011 / Mestrado Acadêmico em Ciências do Cuidado em Saúde / Trata-se de uma pesquisa qualitativa, descritiva- exploratória, do tipo estudo de caso único holístico, que teve como objeto de estudo o cuidado de enfermagem ao idoso hospitalizado com insuficiência cardíaca e os seguintes objetivos discutir o cuidado descrito pela equipe de enfermagem ao idoso hospitalizado com insuficiência cardíaca, identificar os elementos componentes desse cuidado, descrever os saberes gerontológicos da equipe de enfermagem que cuida desses idosos e analisar as possíveis dificuldades enfrentadas por essa equipe de enfermagem no cuidado ao idoso hospitalizado com insuficiência cardíaca. O cenário de pesquisa foi uma enfermaria clínica-cirúrgica de uma Organização Militar de Saúde, localizada no Rio de Janeiro. Fizeram parte do estudo 16 profissionais de enfermagem que atuam na referida enfermaria clínica-cirúrgica. A coleta de dados se deu através das entrevistas com os sujeitos, da observação sistemática do ambiente físico da enfermaria e da observação participante acerca do cuidado de enfermagem ao idoso hospitalizado. Os dados receberam tratamento qualitativo através de análise de conteúdo, utilizando como técnica, a análise temática. Os resultados apontaram como elementos do cuidado de enfermagem ao idoso hospitalizado com insuficiência cardíaca, àqueles relacionados à dimensão do afeto como o saber ouvir, o carinho, a atenção, e os relacionados à dimensão da prática como a monitorização dos parâmetros vitais e a minimização de esforços. As dificuldades enfrentadas pela equipe de enfermagem na realização do cuidado ao idoso hospitalizado com insuficiência cardíaca estão relacionadas à instituição, ao idoso, ao profissional e a equipe. Os saberes gerontológicos desta equipe têm origem no cotidiano profissional, como por exemplo, o reconhecimento da complexidade do cuidado a ser realizado ao idoso hospitalizado com insuficiência cardíaca. Conclui-se que a equipe de enfermagem desempenha um cuidado baseado em elementos afetivos e práticos, aplicando saberes que advém da prática profissional, havendo a necessidade da integração destes saberes com um saber de origem teórica, adquirido através de cursos de qualificação e/ou atualização com intuito de aumentar a qualidade do cuidado oferecido ao idoso hospitalizado com insuficiência cardíaca. Contribuições para a Enfermagem: espera-se que através desta pesquisa, a enfermagem aprimore seu olhar, suas técnicas e sua abordagem ao cliente idoso com insuficiência cardíaca contribuindo para a realização de um cuidado adequado e resolutivo. / It is a qualitative, descriptive-exploratory research, of the holistic unique case study which had as object of study the nursing care to institutionalized elders with heart insufficiency and the following objectives to discuss the care described by the nursing to the institutionalized elder with heart insufficiency, to identify the elements of these care, to describe the gerontology know-how of the nursing team that takes care of these elders and to analyze possible difficulties faced by this nursing team on caring the institutionalized elder with heart insufficiency. The research landscape is a clinical-surgical ward of a Health Military Organization, located in Rio de Janeiro. Sixteen professional nurses, who work in the mentioned clinical-surgical ward, were part of the study. Data collection was made through interviews with the individuals, by means of systematic observation of the physical environment of the ward and from the participant observation about the nursing care to the institutionalized elder. Data received qualitative treatment through content analysis, using as technique the thematic analysis. The results indicated as elements of the nursing care of the institutionalized with heart insufficiency those related to the dimension of the affection as to how to know to listen, the endearment, and the attention and still those related to the dimension of the practice of monitoring of vital parameters and the minimization of efforts. The difficulties faced by the nursing team in achieving the care to the institutionalized elder with heart insufficiency are related to the institution, to the elder, to the professional and to the team. The gerontology know-how of this team has origin from the professional quotidian, as for instance the recognition of the complexity of the care to be given to the institutionalized elder with heart insufficiency. It is concluded that the nursing team offers a care based in affective and practical elements, using the know-how acquired from the professional practice and there is the need of integration of all this knowledge to a knowledge of theoretical origin, acquired through qualification and/or refreshment courses with the aim of increasing the quality of the service offered to the institutionalized elder with heart insufficiency. Contributions to the Nursing: one expects that through this research nursing improves its focus, its techniques, and its approach to the elder with heart insufficiency, contributing to the implementation of an appropriate and resolutive care.

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / This work aims to understand the effects of sense produced over the process of disciplinarization of a theory. Disciplinarization is focused by the displacement that occurs from a Discourse Theory as thought by M. Pêcheux in the 1960‟s in France to the Discourse Analysis in Brazil, which is institutionalized in the 1980‟s in the Language Courses over the country. The analysis we present refers specifically to the configuration of Discourse Analysis as a subject in the State of Rio Grande do Sul (RS). This is done from the analysis of programs, syllabuses, bibliographies and class registers of two institutions that first offered doctorate degree in Languages in RS, which are PUCRS and UFRGS. Therefore, we approached the theoretical and methodological apparatus of History of Linguistic Ideas (HLI), which allows us to delimit a path through the documents which materialize the path for disciplinarization of discourse studies in RS and of French Discourse Analysis. / O presente trabalho objetiva a compreensão dos efeitos de sentido produzidos durante o processo de disciplinarização de uma teoria. A questão da disciplinarização é enfocada pelo deslocamento que ocorre de uma Teoria do Discurso, pensada por M. Pêcheux nos anos 1960, na França, à disciplina Análise de Discurso no Brasil, a qual é institucionalizada, nos anos 1980, nos Cursos de Letras do país. O recorte analítico que apresentamos refere-se especificamente à configuração da Análise de Discurso enquanto disciplina no Estado do Rio Grande do Sul (RS). Fazemos isso por meio da análise de programas, ementas, bibliografias e diários de classe das duas instituições que primeiro ofertaram curso de doutorado em Letras em nosso Estado, a PUCRS e a UFRGS. Para tanto, acercamo-nos do aparato teórico-metodológico da História das Ideias Linguísticas (HIL), o qual nos possibilita circunscrever um trajeto por entre os arquivos documentais que materializam o percurso da disciplinarização dos estudos do discurso no RS e da Análise de Discurso de filiação Francesa.

Cette thèse traite de la relocalisation des filières agricoles et alimentaires en région PACA qui s’opère à travers le développement des circuits courts depuis les années 2000. L’approche développée ici s’intéresse à la dynamique d’institutionnalisation des circuits courts en région. On l’observe par un positionnement croissant des pouvoirs publics et la multiplication des organisations qui visent à créer un cadre à leur développement. La proximité est identifiée comme le principe de changement qu’impliquent les circuits courts au niveau de l’organisation spatiale des filières agricoles et alimentaires et au niveau de la coordination des acteurs. Par une approche empirique et inductive, ces deux aspects sont étudiés de façon dynamique (2000-2015) pour observer l’évolution de leurs formes en région PACA. Des systèmes alimentaires territoriaux émergent et la demande urbaine apparaît alors très structurante. Simultanément, une gouvernance alimentaire régionale émerge et permet un décloisonnement des acteurs agricoles et de la société civile, mais elle reste un processus fragile. Considérer ces deux aspects souligne l’enjeu de l’articulation de la coordination des acteurs à l’échelle de la relocalisation des filières agricoles et alimentaires, notamment du point de vue du rôle que peuvent avoir les villes. Finalement, cette thèse souligne aussi l’existence de phénomènes d’exclusions qui accompagnent cette relocalisation agricole et alimentaire : la concurrence localisée (économique et spatiale) pour les producteurs et l’exclusion d’acteurs de l’accompagnement et de circuits courts spécifiques selon le modèle de développement légitimé par la gouvernance régionale. / This thesis concerns the relocation of agricultural and food sectors in the PACA region through the development of short food chains (SFC) since the 2000s. SFC are a form of food commercialization organized according to a principle of geographical, social and economic proximity. The approach developed is focused on the dynamics of institutionalization of SFCs, which is observed by increasing positioning of government and the proliferation of organizations aiming to develop and structure these food systems. Proximity is defined as the principle of change implied by SFCs in terms of the spatial organization of agriculture and food sectors and in terms of the coordination of the actors. Through an empirical and inductive approach, these two aspects are studied dynamically (2000-2015) to observe their structural evolution in the PACA region. We describe territorial food system organization and the structural impact that urban demand has on these developing systems. Simultaneously, the emergence of regional food governance allows a decompartmentalization of agricultural stakeholders and civil society members. These two aspects emphasize the importance of the coordination of actors hroughout the relocation of agricultural and food sectors and specifically the emerging involvement of cities. Finally, this thesis also highlights patterns of exclusion accompanying this agricultural and food relocation resulting from localized competition (economic and spatial) between producers and the exclusion of specific SFCs following the development of models legitimized by the regional governance.

Le cadrage du VIH/sida comme épidémie exceptionnellea conduit à la construction des politiquesde lutte contre le sida autour de la notiond’urgence politique et a rendu possible la miseen oeuvre de politiques d’accès aux traitementsantirétroviraux en Afrique au début des années2000. Cependant, dix ans après, l’accès de plusen plus massif à cette prise en charge a progressivementtransformé le VIH en maladie chronique,remettant ainsi en cause l’urgence politique aucoeur de ces politiques.A partir du cas du Bénin, cette thèse interrogel’émergence de la « chronicisation » du VIHet les effets de l’irruption du long terme dansle processus d’élaboration de la politique d’accèsau traitement. Mobilisant la sociologie de l’actionpublique, en lien avec le concept de « travailinstitutionnel », cette thèse analyse les processuset les acteurs réalisant ce travail.L’analyse de la construction du VIH/sidacomme problème politique exceptionnel et leprocessus d’institutionnalisation de la politiquemettent en évidence les difficultés des acteurs nationauxet internationaux à saisir des enjeux quis’inscrivent en contraste avec la définition initialedu problème. Ils continuent donc à agir au seinde ce cadrage du problème alors même que lescaractéristiques « objectives » du problème sonten constante évolution. Au coeur de ce processusd’institutionnalisation se trouve un réseaud’acteurs biomédicaux, organisé autour d’un programmede la Coopération française. A partir decette caractéristique, nous soulignerons la placecentrale de l’expertise dans le processus décisionnelet analyserons les jeux d’acteurs autourde sa mobilisation. Interrogeant le processus deconstruction et d’institutionnalisation d’une politique,cette thèse met en avant les dynamiquesd’acteurs et les jeux d’échelles au coeur de la productionde l’action publique contemporaine. / HIV/AIDS’s framing as an exceptional epidemicled to the building of AIDS policies around theconcept of political urgency and enabled the implementationof antiretroviral treatment policiesin sub-Saharan Africa at the beginning of the2000s. Ten years later, however, increasinglymassive access to medical care has graduallyturned HIV/AIDS into a chronic disease whoselong term characteristics contribute to challengingthe concept of political urgency as the basisof these policies.Drawing on a case study of Benin, this thesisquestions the implications of AIDS’s “chronicization”and the emergence of long term issues inthe AIDS treatment policy process. Using thesociology of public action, in relation to the conceptof “institutional work”, this thesis analyzesthe processes and actors entailed in this work.Analyzing AIDS’s framing as an exceptionalpolitical problem and the institutionalization ofthis policy highlights the difficulties faced by nationaland international actors to grasp what isat stake when initial problem framing becomeschallenged. Such actors tend strongly to keep onacting within the original problem framing whilethe “objective” characteristics of the problem areconstantly evolving. At the center of the institutionalizingprocess under study here has beena network of biomedical actors organized arounda program by the French Cooperation. This policy’scharacteristics has led our research to underlinethe central role played by expertise in thedecision-making process and the actor interactionsthat have developed around its use. Questioningboth policy-building and institutionalizingprocesses, this thesis emphasizes actors andmultilevel dynamics as central to contemporarypolicy-making.

Avhandlingen behandlar idén om medarbetarskap med utgångspunkt från hur begreppet medarbetarskap tolkas och används. Syftet är att öka kunskapen kring idén och hur den tar sig uttryck i organisationers praktik. I den teoretiska referensramen har nyinstitutionell teori integrerats med teorier kring lärande och implementering. Strukturen i analysen utgörs av en metafor som behandlar hur populära idéer reser in i och genom organisationer. Centrala begrepp i tolkningen av vad som sker i mötet mellan idé och subjekt vid de olika anhalterna på resan är översättning, lärande och ömsesidig anpassning. Studien har genomförts i form av fallstudier vid ett statligt bolag och vid ett landsting där medarbetarskapsprogram bedrivits. Resultaten grundar sig huvudsakligen på intervjuer, vilka kompletterats med observationer och dokumentstudier. Resultaten visar att det skett en ömsesidig anpassning mellan idé och subjekt vid den studerade enheten i landstinget med ökad delaktighet, förståelse för varandra och ett förbättrat arbetsklimat som följd. Idén integrerades i hög grad i den vardagliga verksamheten. Vid det statliga bolaget passerade idén förbi utan några större bestående avtryck i de studerade grupperna och idén integrerades inte i den ordinarie verksamheten. Resultaten kan förstås med grund i hur programmen genomförts tolkat utifrån lärandeteorier och olika perspektiv på implementering. Genomförandet i det statliga bolaget kännetecknades av central styrning och snäva frihetsgrader vad gäller form och innehåll för medarbetarskapsutvecklingen. Vid landstinget var däremot behoven vid de lokala enheterna en grundläggande utgångspunkt för inriktningen på medarbetarskapsutvecklingen där delaktighet i idéutvecklingen och genomförandet av programmet var en ledstjärna. I översättningen av idén om medarbetarskap i ord finns skiljelinjen mellan personer på olika nivåer i organisationen, snarare än mellan organisationerna. Medarbetare vid enheterna ser medarbetarskapsbegreppet i första hand som ett kollektivt begrepp, där gruppens funktion är i centrum, medan de som representerar organisationsnivån i större utsträckning betonar individens ansvar och agerande. Vilket perspektiv och vilka intressen individen har ser ut att ha betydelse för hur idén uppfattas. Vidare kan den spridning och det genomslag som idén om medarbetarskap fått i svenskt arbetsliv, förstås utifrån dess samstämmighet med tidsandan och den generella utvecklingen som skett i samhälle och arbetsliv. / The aim of this thesis is to increase knowledge of the idea of co-workership and how it is manifested in the practice of organizations. The point of departure is how the concept of co-workership is interpreted and used. The theoretical framework is based on an integration between new institutional theory and theories about learning and implementation. The starting point of the analysis is a metaphor about popular ideas travelling into and through organizations. Central concepts are learning, translation and mutual adaptation. The study is based on a qualitative case study with two cases, a county council and a state-owned company, where co-workership programs have been implemented. The empirical material consists mainly of interviews. In addition observations and document studies have been used. The results indicate that a mutual adaptation between idea and operation occurred in the studied unit in the county council, with consequences in the daily work, while the idea passed without any lasting impressions at the unit level in the state-owned company. These findings may be understood in terms of how the co-workership program was implemented, interpreted through theories of learning and implementation. The co-workership development in the county council was characterized by employee participation in identifying needs and choice of areas of work as well as a high level of integration in the daily operations. In the studied groups in the state-owned company, the employees did not participate in the planning, and the co-workership program was not actively integrated into daily operations. Hence, there were not the same opportunities for a mutual adaptation between idea and operation as we found in the unit at the county council. In translating the idea into words, differences were found mainly between people at different levels in the organizations. At the organizational level co-workership was viewed as an individual concept emphasizing the responsibility and actions of the individual. Employees in the studied units, on the other hand, mainly expressed co-workership as a collective concept, focusing on the team and how it functions. The interpretation of the concept seems to be connected to the perspective of different parties within the organizations. Furthermore, the spread and the popularity of the idea of co-workership in Swedish working life can be understood in terms of the ideas correspondence with the current zeitgeist, and in relation to the general development going on in society and working life.

Submitted by Haroudo Xavier Filho (haroudo.xavierfo@ufpe.br) on 2016-04-20T13:59:49Z No. of bitstreams: 2 license_rdf: 1232 bytes, checksum: 66e71c371cc565284e70f40736c94386 (MD5) Dissert. Navarro- digital.pdf: 3882779 bytes, checksum: 77b13189bd896f010f248c48052b1529 (MD5) / Made available in DSpace on 2016-04-20T13:59:49Z (GMT). No. of bitstreams: 2 license_rdf: 1232 bytes, checksum: 66e71c371cc565284e70f40736c94386 (MD5) Dissert. Navarro- digital.pdf: 3882779 bytes, checksum: 77b13189bd896f010f248c48052b1529 (MD5) Previous issue date: 2015-07-03 / CAPES / O Programa Nacional de Alimentação Escolar tem caráter intersetorial, estimula a participação social e incentiva às economias locais, sendo considerado uma prática de promoção da saúde. No sertão pernambucano, o município de Tabira se destacou na gestão do Programa de Alimentação Escolar (PAE) em 2012. Para compreender os processos relacionados à continuidade das ações inovadoras realizadas, este estudo buscou analisar evidências de sustentabilidade das ações bem-sucedidas do PAE de Tabira. A pesquisa teve abordagem qualitativa com estratégia de estudo de caso. Foi realizado um grupo focal e entrevistas semiestruturadas com 12 informantes-chave. Os dados foram submetidos à análise de conteúdo, com a técnica de análise temática. Foi utilizado o software NVivo® 10 para Windows como primeiro tratamento dos dados. Os resultados apontam que os processos relacionados à implementação das inovações estão relacionados à sua sustentabilidade. A gestão atual continua cumprindo com o objetivo do programa de atender às necessidades nutricionais dos alunos no período em que estão na escola, porém não continuou as atividades educativas em alimentação saudável desenvolvidas na gestão anterior, ou seja, houve uma sustentabilidade parcial do programa. Fatores dos contextos organizacional e sociopolítico favoráveis à sustentabilidade foram a institucionalização do programa, o uso eficiente dos recursos financeiros, a forma centralizada de gestão, a alta participação comunitária no programa e o uso dos recursos da região a favor do programa. Como desfavoráveis foram destacados: fragilidade da articulação intersetorial e capacitação e qualificação profissional deficientes. A forte disputa política local se configura, numa perspectiva, como um fator positivo para a sustentabilidade do programa, mas negativo em alguns aspectos. O PAE de Tabira mostrou a possibilidade de operacionalizar ações de promoção da saúde, mesmo com restrição de recursos naturais e financeiros. Experiências como esta precisam ser mais visualizadas pela comunidade acadêmica e formuladores de políticas. / The Brazilian School Feeding Program is intersectoral, encourages social participation, local economies and is considered as a practice of health promotion. In the Northeast Region, the city of Tabira has done an excellent management of its school feeding program in 2012. To understand the processes related to the continuity of the innovative actions carried out, this study analyzed the evidences of sustainability of the ongoing innovations in Tabira. The research used a qualitative approach with case study strategy. A focus group and semi-structured interviews with 12 key actors were realized. The data were processed with content analysis and thematic analysis. NVivo® software for Windows 10 was used for the first analysis of the data. The results show that the processes that led to the implementation of the innovations are related to their sustainability. The management of Tabiras’s school feeding program may be considered sustainable in part, because it is still complying with the main program's goal, that is satisfying the students nutritional needs during their school time, but did not continues the educational activities on healthy eating developed in the previous administration. Positive organizational and socio-political factors were: the program institutionalization, the efficient use of financial resources, centralized management, high community participation and the use of local resources. Negative factors were: low inter-sectoral coordination and training and poor professional qualification. The strong political engagement at the local level showed both a positive and a negative impact. This study shows that it is possible to operationalize health promotion, even with restriction of financial and natural resources. Experiences like this should be more considered and discussed within the the academic community and among policy makers.

Background: To date, little attention has focused on what the factors are and how Best Practice Guidelines (BPGs) are sustained in acute care over time. Problem: For ten years, a multi-site acute care center supported the use of a Pain Assessment and Management Policy and Protocol (Pain P/P), placing the decision to use it with point of care nurses. Despite early implementation success, the nursing department identified an evidence-based gap on Medicine care units. Purpose: To (i) identify factors influencing nurses’ use (or not) of the Pain P/P over time, and ten years post-implementation; (ii) examine related knowledge translation interventions (KTIs) used over time, and ten years post-implementation; (iii) validate unit nurses’ use of the Pain P/P ten years post-implementation; and (iv) identify relevant sustainability frameworks/models/theories (F/M/Ts), constructs and factors for sustained use of BPGs in acute care. Methodology: A case study of an organization-wide nursing BPG was conducted ten years following initial implementation using mixed methods guided by the Dynamic Sustainability Framework (Chambers, 2013). The case study setting was a 1122 bed acute care center in Canada. I examined BPG sustainability at the (corporate) department and unit levels (two embedded subcases). Data sources included 19 informant interviews (3-corporate, 16-unit level), 200 chart audits (100/subcase), and 29 documents. I concurrently conducted a systematic review to identify sustainability concepts and factors for use in acute care to compare case study results. Results: I identified 7 constructs, 49 factors, and 29 KTIs influencing sustained use of evidence-base practices (EBPs) in acute care. Three factors and eight KTIs had a continuous influence during implementation and sustained use phases. Findings confirm the concept of sustainability is a dynamic ‘process’ or ‘ongoing phase’. Conclusions: This thesis provides a novel resource to support future practice and research aimed at sustaining EBPs to improve nursing practice and related patient outcomes. Attention to the level of application and changing conditions over time impacting factors that influence EBP use is required for sustainment. Use of a participatory approach to engage users in designing remedial plans and link KTIs to target behaviors that incrementally address low adherence rates promotes sustainability.

Cette thèse a pour objectif global l’étude des significations du DD et de la RSE dans le contexte marocain. La projection sur ces concepts, considérés sémantiquement flous et détenant un caractère malléable, génère plusieurs débats autour de leurs significations etic. Le contexte global de notre thèse est la prise de conscience du Maroc, des soucis environnementaux et sociaux entravant le pays et l’ouverture sur les tendances et pratiques nouvelles à l’échelle universelle. Aussi la résolution des problématiques sociales et environnementales et la préparation d’une structure favorable pour l’adoption et l’adaptation avec les mouvements internationaux. La conjugaison de ces événements bouleversera les systèmes économiques et sociaux et permettra l’apparition de nouvelles conceptualisations dépendantes des valeurs et croyances locales. Trois postulats principaux émanent de notre étude. Il s’agit d’abord d’analyser le niveau d’institutionnalisation du DD et de la RSE dans les idéaux ; il est question par la suite de savoir comment les marocains s’approprient ces concepts et d’analyser les différentes significations qui en ressortent en présence des particularités contextuelles locales ; et enfin analyser les perceptions et traductions qui leur sont attribuées dans la sphère managériale. Par une méthodologie qualitative à visée compréhensive basée sur la découverte, nous avons investi notre terrain, pour examiner les significations du DD et de la RSE avancées par les marocains et pour collecter tout matériau susceptible de générer un sens à ces concepts. Nous avons également procédé par altération afin de confronter les données saillantes etic avec les résultats emic pour enfin ressortir les définitions marocaines du DD et de la RSE. / The overall objective of this thesis is to study the significations of SD and CSR in the Moroccan context. The reflection upon these concepts considered semantically vague and of a malleable nature, generates several debates around their etic significations. The overall context of our thesis is shaped by the Moroccan realization of environmental and social concerns that impeding the country and the exposure to new and universal trends and practices. Also solving social and environmental issues and setting up a structure that supports the adoption of and adaptation to international movements. The manifestation of these events will disrupt both the economic and social systems and will allow the emergence of new conceptualizations that depend on local values and beliefs. Three main assumptions arise from our study. First of all, it is about an ideal analysis of the level of institutionalization of SD and CSR; then it is a question of knowing how Moroccans adopt these concepts and analyze different significations that emerge therefrom along with the local contextual particularities; and finally analyze their perceptions and interpretations attributed to them within the managerial field. In order to examine the significations of SD and CSR claimed by Moroccans and to collect all materials that are liable to generate a sense to these concepts, we adopted a qualitative methodology with a comprehensive scope based on the findings. We have also proceeded by alteration in order to combine the salient etic meanings and the emic findings to finally come up with the Moroccan definitions of SD and CSR.

All the youth political organizations, that were included in his research, aimed to provide its political parties with the function of party stabilization, They acted as a mediator between political party and the defined part of society. There is an assumption, that institutionalized political party wants a strong and durable relationship with the affiliated organization because of its mutually beneficial functions. Moreover, these parties should also aim to formalize this relationship via its statutes. However, in the Czech Republic there is a strong tendency toward omitting this form of relationship as the parties prefer more informal relations. This diploma thesis discovered, that in the only youth political organization with formal ties to its maternal organization was Young Social Democrats. Even though these youth political parties act lice a support structure, they can be also perceived by political party as a potential source of instability and danger.