Thesis (M.A.)--University of Michigan. / Also issued in print.

Thesis (M.A.)--University of Michigan. / eContent provider-neutral record in process. Description based on print version record.

Thesis (Ph.D.)--Syracuse University, 2008. / "Publication number: AAT 3323043."

by Ng Tin-fu. / Thesis (M.Phil.)--Chinese University of Hong Kong, 1998. / Includes bibliographical references (leaves 79-85). / Abstract also in Chinese. / ACKNOWLEDGMENTS --- p.i / ABSTRACT --- p.ii / ABSTRACT (CHINESE VERSION) --- p.iv / TABLE OF CONTENTS --- p.vi / LIST OF TABLES --- p.viii / LIST OF APPENDICES --- p.ix / Chapter CHAPTER 1 --- INTRODUCTION / Background of the study --- p.1 / Purpose of the study --- p.3 / Chapter CHAPTER 2 --- LITERATURE REVIEW / Introduction --- p.4 / The concept of case management --- p.5 / The definition of case management --- p.5 / Outcome evaluation of case management --- p.7 / Case management models --- p.11 / The application of case management in CPNS --- p.14 / Who should be the case managers --- p.16 / Qualifications of case managers --- p.17 / "The roles, functions and work practices of case managers" --- p.18 / Difficulties encountered by case managers --- p.20 / Perceptions of case managers towards case management --- p.22 / Summary --- p.25 / Chapter CHAPTER 3 --- METHODOLOGY / Introduction --- p.27 / Objectives of the study --- p.27 / Context of the study --- p.28 / Operational definitions --- p.28 / Methodology --- p.29 / Sampling --- p.31 / Data collection --- p.32 / Gaining assess to the field --- p.36 / Ethical consideration --- p.37 / Pre-pilot preparation --- p.38 / Pilot study --- p.38 / Data analysis --- p.39 / Issues of validity and reliability --- p.42 / Chapter CHAPTER 4 --- RESULT AND DISCUSSION / Introduction --- p.45 / Description of the community psychiatric nursing service under this study --- p.46 / Demographic characteristics of case managers --- p.47 / "The roles, functions and work practices of case managers" --- p.49 / Difficulties perceived by case managers --- p.62 / Perception of case managers towards case management --- p.66 / Summary --- p.69 / Chapter CHAPTER 5 --- Conclusions / Limitation of the study --- p.71 / Implication for nursing practice --- p.72 / Recommendation for further research --- p.76 / Conclusions --- p.77 / REFERENCES --- p.79

Thesis (Ph. D.)--Syracuse University, 2009. / "Publication number: AAT 3381597."

This research is an empirically based, comparative study of the inspectorates in two high profile areas of public concern, the education and police services and explores the realities and complexities of an increasingly politically favoured instrument, inspection, in regulation regimes. It uses case study methodology and data collected by semi-structured interviews and textual analysis of literature, and reports and other documents published by the two inspectorates and associated organisations. The study has the aims of contextualising the role and place of the inspectorates and of establishing if they are an aid to the achievement of accountability; whether they are independent assessors; and whether any aid given could be extended to a wider population of ”stakeholders”. It seeks to identify ways that any benefits given could be increased and to relate the findings to other scholarship and draw out new insights, particularly those relating to the factors which determine the nature of the regime. Considerably more conflict was revealed than might be expected within and between organisations commonly funded by the public purse. Four methods of resolving this were detected, “co-operation”, “constraint”, “collaboration” and “compromise”. The inspectorates give definite assistance to the accountable parties by the information they provide but this is restricted by their being agents of Central Government control rather than independent assessors. Greater assistance would be given (including that offered to a wider population of stakeholders) if they were made truly independent. Multiple factors were found to determine the punitive nature of regimes, by far the most important being Central Government’s attitude and wishes. Intensive, rigorous inspection is seen as the favoured way ahead in the short term but its extensive use in the longer term is challenged, given an improvement in the line management of public services and the establishment and extension of the use and influence of credible Performance Indicators

A governança na hotelaria hospitalar, atualmente, tem se mostrado como tendência. Considerando, na atualidade, a realidade dos serviços e as perspectivas sobre a implantação do serviço de governança hospitalar, voltada para a melhoria no processo de gestão, constata- se que ainda são incipientes as publicações científicas sobre a temática. A interface entre o serviço de governança em higiene e limpeza e o trabalho da equipe de enfermagem justificou a investigação das implicações da implantação do serviço de governança em higiene e limpeza, para o trabalho da equipe de enfermagem. O objetivo deste estudo foi caracterizar a implantação do serviço de governança em higiene e limpeza de unidade, em um hospital público, e as implicações positivas e negativas para o trabalho de enfermagem. Trata-se de pesquisa exploratória, realizada em hospital de ensino, nas enfermarias de clínica médica, pesquisa essa desenvolvida em duas fases, a primeira com o levantamento documental que possibilitou a análise sobre a dificuldade de reposição do quadro de pessoal e os fatos cronológicos do processo de implantação da governança. A segunda, um estudo de caso descritivo, adotou-se a Técnica do Incidente Crítico como norteadora dos procedimentos metodológicos, realizada com 11 enfermeiros, 28 auxiliares e dois técnicos de enfermagem. Os resultados foram agrupados em 82 incidentes críticos extraídos dos relatos. A análise dos dados constou da identificação e do agrupamento de 146 comportamentos, \"demonstrar desconhecimento sobre o controle de infecção\" (13%) obteve a maior frequência negativa. Foram extraídas e agrupadas 166 consequências. As referências negativas redundaram em aspectos que influenciam a qualidade da assistência prestada ao paciente, ou seja, aspectos relativos à supervisão e à padronização do trabalho da equipe de governança em higiene e limpeza de unidade, que podem comprometer a assistência ao paciente. As referências positivas dizem respeito ao âmbito operacional, como agilidade na admissão de pacientes na unidade, que tem implicação no trabalho de enfermagem. Os resultados permitem entender a implantação do serviço de governança em higiene e limpeza hospitalar como possibilidade de reposição do quadro de recursos humanos, mas é presente o desafio de se avançar nesse processo no tocante à qualificação de pessoal para o trabalho em governança em higiene e limpeza, supervisão e interação com a equipe de enfermagem. / Governance in hospital hotel services is a current trend. Considering the current reality of services and perspectives on the implementation of hospital governance service aimed at improving the management process, there are still few scientific publications on the subject. The interface between the service of governance in hygiene and housekeeping and the work of the nursing team justified the study of the implications of implementing the service of governance in hygiene and housekeeping to the work of the nursing team. This study aimed to characterize the implementation of the service of governance in hygiene and housekeeping of a unit in a public hospital and the positive and negative implications for nursing work. This exploratory research was carried out in a teaching hospital, in the wards of clinical medicine, and was developed in two phases, the first using documentary survey that allowed the analysis of the difficulty to replace the staff and the chronological facts of the process of implementing the governance. The second was a descriptive case study, and the Critical Incident Technique was adopted to guide the methodological procedures, performed with 11 nurses, 28 nursing auxiliaries and two nursing technicians. Results were grouped into 82 critical incidents drawn from the reports. Data analysis consisted of identifying and grouping 146 behaviors, \"demonstrate ignorance on infection control\" (13%) had the highest negative frequency. In total, 166 consequences were extracted and grouped, negative references resulted in factors that influence the quality of care provided to patients, that is, aspects related to the supervision and standardization of the work of the unit\'s team of governance in hygiene and housekeeping, which can interfere in care to patient. Positive references were related to the operational area such as the agility in the admission of patients to the unit, which has implications for the nursing work. Results allows to understand the implementation of the service of governance in hospital hygiene and housekeeping as a possibility to replace the human resources workforce, but it still is a challenge to advance in this process regarding the qualification of personnel to work on governance in hygiene and housekeeping, supervision and interaction with the nursing team.

Orientador: Paschoal Quaglio / Banca: Alfredo Peixoto Martins / Banca: João dos Reis Silva Jr / Banca: Lourdes Marcelino Machado / Banca: Maria Sylvia Simões Bueno / Resumo: A escolha do tema do presente trabalho - "Construindo uma gestão participativa" - surgiu da necessidade de relatar minha experiência profissional como Diretor de uma das unidades do Centro Paula Souza - a Escola Técnica Estadual Amim Jundi - "o local da construção". Minha vida profissional e, posso acrescentar, minha vida pessoal sempre estiveram pautadas por atitudes, hábitos e princípios democráticos. A busca de respostas, tanto para a solução de problemas no cotidiano escolar, bem como para a fundamentação teórica das experiências vividas, estão traduzidas, inicialmente, pela dissertação de Mestrado - Conselho de Escola: Possibilidades e Limitações; e, na atualidade, pelo desenvolvimento deste trabalho. É óbvio que a própria escolha do tema, tanto da dissertação quanto da tese, demonstra minha crença na democracia, apesar do contexto político e econômico, que, às vezes, dificultam a efetiva realização desse ideal de governo. Durante as leituras específicas sobre gestão participativa, as pesquisas e levantamento de documentos, na verdade, durante o desenvolvimento do presente trabalho, pude perceber o quanto há para caminhar no sentido de edificar a gestão participativa, não somente na Amim Jundi, mas nas escolas de modo geral. O objetivo central deste estudo é expor, analiticamente, as mudanças efetuadas na organização e gestão da Escola Técnica Estadual Amim Jundi, no período de 1996 a 2000. Situada no município de Osvaldo Cruz - SP, a Amim Jundi faz parte do complexo institucional denominado Centro Estadual de Educação Tecnológica Paula Souza - CEETEPS - instituição pública voltada para a educação profissional de nível básico, técnico e tecnológico. / Abstract: The choice of the present work - Building a participative management - has risen from my need of reporting my professional experience as Director of one of Centro Paula Souza units - the Escola Técnica Estadual Amim Jundi - "The building site". My professional life and, I should add that, my personal life have always been supported by democratic attitudes, habits and principles. The search for answers, as to the solution of problems in the school daily life as to the theoretical basis of the experience passed through, are translated, first, by the Masters Dissertation - School Council: possibilities and Limits; and, today, by the development of the present work. Obviously, the choice of the theme itself, as much of the Dissertation as the Thesis, demonstrates my belief in democracy, despite the political and economic context, which, sometimes, makes difficult the effective achievements of this government ideal. During the specific readings about participative management, research and document collection, actually, during the development of this work, I could tell how far it is to make progress in order to construct the participative management, not only at Amim Jundi School, but in schools in general. This work aims to show, analytically, the changes done in the organization and management of Amim Jundi School, from 1996 to 2000. located in the town of Osvaldo Cruz - SP, Amim Jundi School makes part of the institutional complex called Centro Estadual de Educação Tecnológica Paula Souza - CEETEPS (Paula Souza Technological Education State Center) - a public institution devoted to the professional education in basic, technical and technological levels. / Doutor

Thesis (Ph. D.)--University of Washington, 2002. / Vita. Includes bibliographical references (leaves 231-237).

A governança na hotelaria hospitalar, atualmente, tem se mostrado como tendência. Considerando, na atualidade, a realidade dos serviços e as perspectivas sobre a implantação do serviço de governança hospitalar, voltada para a melhoria no processo de gestão, constata- se que ainda são incipientes as publicações científicas sobre a temática. A interface entre o serviço de governança em higiene e limpeza e o trabalho da equipe de enfermagem justificou a investigação das implicações da implantação do serviço de governança em higiene e limpeza, para o trabalho da equipe de enfermagem. O objetivo deste estudo foi caracterizar a implantação do serviço de governança em higiene e limpeza de unidade, em um hospital público, e as implicações positivas e negativas para o trabalho de enfermagem. Trata-se de pesquisa exploratória, realizada em hospital de ensino, nas enfermarias de clínica médica, pesquisa essa desenvolvida em duas fases, a primeira com o levantamento documental que possibilitou a análise sobre a dificuldade de reposição do quadro de pessoal e os fatos cronológicos do processo de implantação da governança. A segunda, um estudo de caso descritivo, adotou-se a Técnica do Incidente Crítico como norteadora dos procedimentos metodológicos, realizada com 11 enfermeiros, 28 auxiliares e dois técnicos de enfermagem. Os resultados foram agrupados em 82 incidentes críticos extraídos dos relatos. A análise dos dados constou da identificação e do agrupamento de 146 comportamentos, \"demonstrar desconhecimento sobre o controle de infecção\" (13%) obteve a maior frequência negativa. Foram extraídas e agrupadas 166 consequências. As referências negativas redundaram em aspectos que influenciam a qualidade da assistência prestada ao paciente, ou seja, aspectos relativos à supervisão e à padronização do trabalho da equipe de governança em higiene e limpeza de unidade, que podem comprometer a assistência ao paciente. As referências positivas dizem respeito ao âmbito operacional, como agilidade na admissão de pacientes na unidade, que tem implicação no trabalho de enfermagem. Os resultados permitem entender a implantação do serviço de governança em higiene e limpeza hospitalar como possibilidade de reposição do quadro de recursos humanos, mas é presente o desafio de se avançar nesse processo no tocante à qualificação de pessoal para o trabalho em governança em higiene e limpeza, supervisão e interação com a equipe de enfermagem. / Governance in hospital hotel services is a current trend. Considering the current reality of services and perspectives on the implementation of hospital governance service aimed at improving the management process, there are still few scientific publications on the subject. The interface between the service of governance in hygiene and housekeeping and the work of the nursing team justified the study of the implications of implementing the service of governance in hygiene and housekeeping to the work of the nursing team. This study aimed to characterize the implementation of the service of governance in hygiene and housekeeping of a unit in a public hospital and the positive and negative implications for nursing work. This exploratory research was carried out in a teaching hospital, in the wards of clinical medicine, and was developed in two phases, the first using documentary survey that allowed the analysis of the difficulty to replace the staff and the chronological facts of the process of implementing the governance. The second was a descriptive case study, and the Critical Incident Technique was adopted to guide the methodological procedures, performed with 11 nurses, 28 nursing auxiliaries and two nursing technicians. Results were grouped into 82 critical incidents drawn from the reports. Data analysis consisted of identifying and grouping 146 behaviors, \"demonstrate ignorance on infection control\" (13%) had the highest negative frequency. In total, 166 consequences were extracted and grouped, negative references resulted in factors that influence the quality of care provided to patients, that is, aspects related to the supervision and standardization of the work of the unit\'s team of governance in hygiene and housekeeping, which can interfere in care to patient. Positive references were related to the operational area such as the agility in the admission of patients to the unit, which has implications for the nursing work. Results allows to understand the implementation of the service of governance in hospital hygiene and housekeeping as a possibility to replace the human resources workforce, but it still is a challenge to advance in this process regarding the qualification of personnel to work on governance in hygiene and housekeeping, supervision and interaction with the nursing team.