Introdução. O tabagismo é considerado atualmente um problema mundial de saúde pública, que extrapola a dimensão fisiológica e psicológica. Assim, é compreendido como um fenômeno social a ser explorado por diferentes áreas do conhecimento. Para a Organização Mundial da Saúde (OMS) faz-se necessário mudar o curso da exposição mundial ao tabagismo, considerando os profissionais da saúde como importantes personagens nas ações antitabagistas. Segundo a OMS, esses profissionais são vistos como igualmente intervenientes no processo de educação em saúde e combate ao tabagismo junto à sociedade, sendo então importante priorizar estudos e ações também com estudantes de cursos da área da saúde, que estarão, em um futuro próximo, trabalhando junto à população. Portanto, torna-se importante a aproximação de suas representações, crenças e visões do processo saúde/doença aos programas de combate ao fumo. Objetivo. Analisar as representações sociais sobre o tabagismo em estudantes de cursos da área da saúde no Brasil e na Espanha. Método. Trata-se de um estudo qualiquantitativo realizado com 163 estudantes em fase de conclusão de cursos da área da saúde. Os dados foram obtidos através de triangulação metodológica com uso dos instrumentos Desenho Temático e Discurso do Sujeito Coletivo em universidades particulares no Brasil e universidades públicas na Espanha, coletados entre agosto de 2013 e maio de 2014. Utilizando a teoria das Representações Sociais, foram criadas categorias a partir dos resultados obtidos em cada um dos instrumentos, e posteriormente analisadas e discutidas com outros estudos na mesma temática. Resultados e Discussão. A identificação das representações sociais permitiu reconhecer uma importante mudança: fumar já não é mais visto como um comportamento positivo elegante e charmoso -, os participantes apresentaram diversas críticas ao comportamento de fumar, especialmente no que se refere ao comportamento de profissionais da saúde, vistos por eles como modelos para a população, principalmente no que se refere à comportamentos saudáveis. Embora se tratando de grupos de culturas diferentes, não foram encontradas diferenças significativas entre as representações dos estudantes do Brasil e da Espanha. Considerações Finais. As informações resultantes do estudo permitem contribuir para o planejamento de programas de educação em saúde principalmente para grupos universitários e de estudantes da área da saúde, bem como auxiliar os programas de cessação do tabagismo. / Introduction. Currently, smoking is considered a worldwide public health problem, which extrapolates the physiological and psychological dimension. Therefore, smoking is understood as a social phenomenon to be explored by different areas of knowledge. The World Health Organization (WHO) considers that a change in the trend of global exposition towards smoking is needed, aiming and considering the healthcare professional as important key roles for antismoking actions. According to WHO, these professionals are viewed as equally capable in meddling the promotion of health education and in combating smoking altogether with the society. Consequently, it is important to prioritize actions and studies engaging students of healthcare related areas, who will be working with people in the society in the near future. Therefore, it becomes important, to make closer their representations, beliefs and thinking from healthy/illness process into antismoking programs. Objective. Analyze the social representations about smoking habits within students of healthcare areas, in Brazil and Spain. Methodology. This research was qualitative-quantitative study with 163 students in its final stages of the undergraduate health care program. Data were collected between August 2013 and May 2014, at private universities in Brazil and public universities in Spain, through triangulation methodology using the following instruments: Thematic Drawing with story and Discourse of Collective Subject. Using the Social Representation Theory, categories were created through the results of each instrument and then, analyzed and discussed with studies within similar thematic. Results and discussion. The identification of social representations allowed recognizing an important change: smoking is no longer seen as a positive behavior - elegant and charming. Participants presented several critiques to smoking habits, especially when the smoking habits are related to healthcare professionals, who are viewed as models of healthy habits. Although there are differences in the cultural background of those two groups, there were not found any significant divergences in the representations of Brazilian and Spanish students. Final Considerations. The information resulting from this study allows us to contribute to the healthcare education programs planning, mainly to university students groups and healthcare areas students as well as assisting in antismoking and smoking cessation programs.

There is a discrepancy between the life expectancy of men and women of approximately two and a half years (Taylor Nelson Sofres 2014). This suggests that women are likely to spend a period of time in the latter years of their life living alone. It is anticipated that this will lead to a unique experience of later life for women, which to date has received little attention. This study is concerned with exploring the experience of living alone for 11 women aged 70-80 years from the South East of England. A particular emphasis is placed upon the experience of being an older woman, the activities that they engage in when they are at home alone, and the environment of home as a place for occupational engagement. Influenced by interpretive phenomenology and feminist principles, this study focuses on capturing the lived experiences of the 11 women in their own images and words. To achieve this, the methods of unstructured interviews and photo-elicitation are used. The women in this study describe a predominantly positive experience of living alone in later life. They value being busy, engage in a range of meaningful activities, and maintain their independence in everyday life. They provide compelling evidence that later life is a time for self-growth and development. This appears to link to the decline in the gender related roles and occupations which are expected of them in later life. This indicates that it is essential to provide bespoke support to older women that focuses on prevention of future decline but in a way that values their ongoing abilities.

Analisa e descreve a atuação do profissional da Informação nos processos de Gestão do Conhecimento das empresas, com ênfase no mapeamento do conhecimento tácito e explícito das pessoas, buscando disponibilizar/compartilhar as informações mapeadas, por meio da Intranet, que é uma facilitadora, enquanto Tecnologia da Informação, do trabalho do profissional da Informação. Para atingir tal objetivo, os onceitos relativos ao tema foram aprofundados por meio de pesquisa e revisão bibliográfica nas literaturas nacional e internacional. Com a intenção de ilustrar a realidade, um estudo de caso é apresentado, o qual foi realizado no Knowledge Center da KPMG Auditores Independentes. Conclui-se que o Profissional da Informação tem potencial para liderar e administrar processos de mapeamento do conhecimento nas organizações, principalmente porque possui especializações inerentes à sua formação, no que concerne a localização, a organização, a estruturação e a disponibilização de dados e informações, que posteriormente são transformados em conhecimento. Outra conclusão positiva refere-se ao uso da Tecnologia da Informação, neste caso específico, a Intranet, como aliada no trabalho do bibliotecário. Faz-se, portanto, uma análise do perfil esperado deste profissional, relacionado-a a fatores comportamentais, técnicos e intelectuais. / Analysis and description of the performance of the information professional involved in the processes of Knowledge Management within companies, with an emphasis on the mapping of tacit and explicit knowledge of people, as well as making available and sharing the mapped information, by means of the Intranet, which is a information technology facilitator of the information professional. To reach such objective, the relative concepts of the subject were based upon research and bibliographical review of national and international literature. With the intention to illustrate the reality, a case study is performed on the Knowledge Center of KPMG Brazil. It can be concluded that the information professional has potential to lead and manage processes of knowledge mapping in organizations, mainly, because he/she possess expertise inherent to his/her education, related to the location, organization, structure, and availability of data and information that are later transformed into knowledge. Another positive conclusion refers to the use of information technology, in this specific case, the Intranet, as an ally in the work of the librarian. An analysis of the expected profile of this professional, in relation to behavioral, technical and intellectual traits. KEY WORDS: Information Professionals; Knowledge Management; Intranet

Introdução. O tabagismo é considerado atualmente um problema mundial de saúde pública, que extrapola a dimensão fisiológica e psicológica. Assim, é compreendido como um fenômeno social a ser explorado por diferentes áreas do conhecimento. Para a Organização Mundial da Saúde (OMS) faz-se necessário mudar o curso da exposição mundial ao tabagismo, considerando os profissionais da saúde como importantes personagens nas ações antitabagistas. Segundo a OMS, esses profissionais são vistos como igualmente intervenientes no processo de educação em saúde e combate ao tabagismo junto à sociedade, sendo então importante priorizar estudos e ações também com estudantes de cursos da área da saúde, que estarão, em um futuro próximo, trabalhando junto à população. Portanto, torna-se importante a aproximação de suas representações, crenças e visões do processo saúde/doença aos programas de combate ao fumo. Objetivo. Analisar as representações sociais sobre o tabagismo em estudantes de cursos da área da saúde no Brasil e na Espanha. Método. Trata-se de um estudo qualiquantitativo realizado com 163 estudantes em fase de conclusão de cursos da área da saúde. Os dados foram obtidos através de triangulação metodológica com uso dos instrumentos Desenho Temático e Discurso do Sujeito Coletivo em universidades particulares no Brasil e universidades públicas na Espanha, coletados entre agosto de 2013 e maio de 2014. Utilizando a teoria das Representações Sociais, foram criadas categorias a partir dos resultados obtidos em cada um dos instrumentos, e posteriormente analisadas e discutidas com outros estudos na mesma temática. Resultados e Discussão. A identificação das representações sociais permitiu reconhecer uma importante mudança: fumar já não é mais visto como um comportamento positivo elegante e charmoso -, os participantes apresentaram diversas críticas ao comportamento de fumar, especialmente no que se refere ao comportamento de profissionais da saúde, vistos por eles como modelos para a população, principalmente no que se refere à comportamentos saudáveis. Embora se tratando de grupos de culturas diferentes, não foram encontradas diferenças significativas entre as representações dos estudantes do Brasil e da Espanha. Considerações Finais. As informações resultantes do estudo permitem contribuir para o planejamento de programas de educação em saúde principalmente para grupos universitários e de estudantes da área da saúde, bem como auxiliar os programas de cessação do tabagismo. / Introduction. Currently, smoking is considered a worldwide public health problem, which extrapolates the physiological and psychological dimension. Therefore, smoking is understood as a social phenomenon to be explored by different areas of knowledge. The World Health Organization (WHO) considers that a change in the trend of global exposition towards smoking is needed, aiming and considering the healthcare professional as important key roles for antismoking actions. According to WHO, these professionals are viewed as equally capable in meddling the promotion of health education and in combating smoking altogether with the society. Consequently, it is important to prioritize actions and studies engaging students of healthcare related areas, who will be working with people in the society in the near future. Therefore, it becomes important, to make closer their representations, beliefs and thinking from healthy/illness process into antismoking programs. Objective. Analyze the social representations about smoking habits within students of healthcare areas, in Brazil and Spain. Methodology. This research was qualitative-quantitative study with 163 students in its final stages of the undergraduate health care program. Data were collected between August 2013 and May 2014, at private universities in Brazil and public universities in Spain, through triangulation methodology using the following instruments: Thematic Drawing with story and Discourse of Collective Subject. Using the Social Representation Theory, categories were created through the results of each instrument and then, analyzed and discussed with studies within similar thematic. Results and discussion. The identification of social representations allowed recognizing an important change: smoking is no longer seen as a positive behavior - elegant and charming. Participants presented several critiques to smoking habits, especially when the smoking habits are related to healthcare professionals, who are viewed as models of healthy habits. Although there are differences in the cultural background of those two groups, there were not found any significant divergences in the representations of Brazilian and Spanish students. Final Considerations. The information resulting from this study allows us to contribute to the healthcare education programs planning, mainly to university students groups and healthcare areas students as well as assisting in antismoking and smoking cessation programs.

The research question of this study explores beliefs helping professionals have about caregiving services. The survey provided to participants of this study examined beliefs concerning what services are most important for caregivers to have access to, as well as what are the most significant barriers caregivers may experience when attempting to access or receive such services. Findings from this study indicate that the most important respite care services for caregivers to have access to include overnight/weekend care, access to short breaks and socialization, access to training/education, and support with providing activities of daily living for the care recipient. Findings from this study also indicate the most significant barriers to caregivers accessing or receiving services are misgivings about trusting another individual with the care of a loved one, feeling overwhelmed, and not being adequately prepared for the responsibilities of being a caregiver at discharge from a hospital setting. It is important for Social Work practitioners to be aware of the respite needs of caregivers, as well as potential barriers to accessing services that would help to address those needs.

Organizations globally are spending millions of dollars replacing information technology (IT) professionals. IT professionals, who possess technical skills and competencies that interconnect business processes, are costly to replace. There are direct and indirect costs associated when an IT professional leaves, such as advertising fees, headhunting fees, and project delays. Lacking a firm understanding of the reasons why IT professionals leave their positions, many business leaders do not have strategies for reducing turnover rates. Building on Herzberg's motivation-hygiene theory and March and Simon's process model of turnover, this exploratory multiple case study sought to identify the strategies that business leaders view as essential for retaining IT professionals. Semistructured interviews were conducted with 10 IT managers in the Houston, Texas, area; participants were selected using a purposive sampling technique. Thematic analysis revealed eight strategies for addressing turnover: compensation, opportunity and advancement, rewards and recognition, relationship with the supervisor and coworkers, training and development, communications, meaningful work, and flexible work schedule. Findings from this study may contribute to positive social change by providing business leaders with more insight about how they can retain IT professionals. The high turnover among IT professionals affects individuals, families, communities, organizations, and the economy. Implementing strategies to reduce turnover rates can help keep individual employees and their family members together and reduce the unemployment rates.

Magister Scientiae (Physiotherapy) - MSc(Physio) / BACKGROUND: Access to basic health care services through the primary health care (PHC) settings, was affirmed as a fundamental human right by the World health organisation (WHO) in 1978 in Alma Ata (Kazakhstan). Internationally, interdisciplinary collaboration among health care professionals (HCPs) have been the preferred approach to addressing the health and psychosocial needs of the populace. The PHC being the first point of contact for most Nigerians and the cornerstone of health care policies in Nigeria, covers promotive, preventative, curative and rehabilitative services. Although, Physiotherapy has ideally qualified personnel to contribute to the attainment of the goals and objectives of the PHC policies, these services are mostly carried out by other HCP’s subdivided as clinicians (medical doctors, dentists, nurses/midwives, optometrists, pharmacists, radiographers, laboratory scientists) and clinical assistants (pharmacy technicians, radiography technicians, laboratory technicians and community health extension workers). Physiotherapy services are mostly concentrated at tertiary and secondary health care settings. AIM: To determine the awareness and explore the perceptions of clinicians and clinical assistants employed in the type 3 primary health care (PHC) settings of Rivers East Senatorial district of Rivers State, Nigeria, regarding the roles of Physiotherapy in a PHC setting.

It is estimated that one in five Australians are affected by a mental disorder, and the associated burden of living with a mental illness will become one of the greatest health care issues during the next 20 years. Since the 1960s, the care of people with mental disorders has been transferred to community settings including to rural areas of Australia through the process of deinstitutionalisation. However, research on young adults living with a mental illness in rural communities is limited, and the multidimensional experience of this group of young adults has not been previously explored. This study, guided by grounded theory methodology, explored young adults' experience of living with a mental illness in rural Western Australia. This thesis presents the findings of interviews with nine participants aged between 18 and 30 and places the findings within the context of relevant scientific literature. The constant comparative method used in grounded theory analysis identified that the basic social psychological problem experienced by all participants was "being shut out". The problem of being shut out consisted of two aspects: "being excluded" and "withdrawing from society". In order to manage the problem of being shut out, participants engaged in the basic social psychological process of "seeking normality". In seeking normality participants moved from a state of being shut out to one whereby they sought to take part in ordinary social activities taken for granted by other members of society. The process of seeking normality consisted of three phases: "floundering", "taking charge", and "moving forward. Phase one of the process occurred primarily in the period prior to experiencing a turning point, which changed the participants' willingness to take control of their life and to take effective steps in reducing their isolation. / Participants' experience of being shut out was not related to the duration of their illness but to their experience of seeking normality and the three conditions identified as influencing that experience. The findings, while supporting existing scientific literature, also present a new insight into young adults' experience of living with a mental illness in rural Western Australia. The findings of this study highlight the importance of health professionals' understanding young adults' experience of being shut out and to incorporate the increased knowledge and understanding into their clinical practice. Finally, the findings have implications on public education, healthcare services and healthcare policy in relation to young adults living with a mental illness.

Doctor of Philosophy / An organisation’s knowledge base is a valuable asset that serves as a source of sustainable competitive advantage for the firm. Organisations have become increasingly reliant on the application of knowledge work and the contributions of professionals to the creation of valued organisational knowledge. Implicitly, the literature has assumed permanency in the employment relationship between professionals and organisations and focused on issues such as organisational identification and commitment, and extra-role behaviours of professionals as impacting on their knowledge sharing behaviours. However, the nature of professional or expert employment has become more transient. There has been a marked increase in the use of professionals in contractual roles where the association with the organisation is often temporary and contingent. But the organisational implications of such practices remain largely unexplored. In particular, there is a dearth of research examining the impact of contract professionals on knowledge flows within the firm and on their motivations to participate in knowledge sharing within organisations. This dissertation addresses this gap in the literature. This study examines the knowledge sharing practices of contract professionals in contemporary organisations. Conceptualising knowledge as socially situated and constructed, this qualitative study examines professionals employed as contractors in two large organisations: a large bank and an insurance company; and, based on in-depth semi-structured interviews with contractors and managers, considers why and how professionals engaged as contractors choose to share what they know with the contracting organisation. Engaging with research literatures from knowledge management, professional identity, newer career forms, and psychological contracts, the study generates a typology of contract professionals that suggest distinct knowledge sharing orientations. The study constructs three categories of contractors: Free Agents, Specialists and Consultants, identifies factors that influence and inhibit the knowledge sharing motivations of these categories of contractors and provides recommendations for a more holistic knowledge management strategy for organisations utilising contract professionals. The findings from this doctoral research show how identity work can have practical implications for knowledge management. For example, by exploring the dynamics of professional identity and image construction, the research shows how identity and image influences both the contractor’s knowledge sharing behaviours and the organisation’s knowledge management strategies. Exploring new areas of professional contingent work, this research aims to make a significant contribution to the understanding of knowledge sharing, professional identity and the management of contract professionals within organisations.

<p> </p><p>The number of hidden refugees in Sweden is estimated to be at least 15,000. The law, which only allows this group a very limited access to health care, can be considered to clash with the human rights and the ethical codes related to the health care professionals.</p><p>The aim of the study was to examine how the personnel in public health care may experience treating hidden refugees and which ethical conflicts that may be connected to this. The study, which is of a qualitative descriptive design, is based on eight semi-structured interviews. The interviewees were trained nurses and mid-wives in an emergency room, a maternity ward and a health care centre for asylum seekers.</p><p>The experience of treating hidden refugees amongst the informants was limited. The study proved that the knowledge of laws and guidelines regarding hidden refugees amongst the interviewed health care personnel was poor. The interviewees presumed that it would be mentally trying if the law impeded them from giving a patient the care needed.</p><p>The lack of knowledge of laws and guidelines that appeared from the interviews, may lead to an insecurity for the patient, as well as for the personnel. An increasing knowledge and accurate guidelines at the work place would improve the treatment of hidden refugees.</p> / <p> </p><p>I Sverige uppskattas att det finns minst 15000 gömda flyktingar. Lagstiftningen, som endast tillåter en begränsad vård för den gruppen, kan anses stå i konflikt med de mänskliga rättigheterna och sjukvårdspersonalens yrkesetiska koder.</p><p>Syftet med studien var att undersöka hur sjukvårdspersonal som arbetar inom landstinget kan uppleva vård av gömda flyktingar och vilka etiska konflikter som kan vara kopplade till detta. Studien, som är en intervjustudie med kvalitativ deskriptiv design, baseras på åtta semistrukturerade intervjuer. Informanterna utgjordes av sjuksköterskor och barnmorskor på akutmottagning, BB-avdelning och en vårdcentral för flyktingar.</p><p>Informanternas erfarenhet av att vårda gömda flyktingar var begränsad. Det framkom av studien att kunskapen om lagar och riktlinjer gällande vård av gömda flyktingar hos den intervjuade sjukvårdspersonalen var bristfällig. Informanterna förutsatte att det skulle vara psykiskt påfrestande om lagen hindrade dem att ge vård till en patient.</p><p>Den brist på kunskap om lagar och riktlinjer som framkom av intervjuerna, leder till en osäkerhet för både patienten och personalen. Ökad kunskap om lagar och ordentliga riktlinjer på arbetsplatsen skulle underlätta vården av gömda flyktingar.</p><p> </p>