Made available in DSpace on 2014-12-17T14:46:42Z (GMT). No. of bitstreams: 1 JonasSAO_DISSERT.pdf: 1634543 bytes, checksum: e2e2eab18ae6d3622ce5c0fa48e8dbb9 (MD5) Previous issue date: 2009-09-04 / The present study analyses non obligatory and remunerated traineeships in nursing, as a contribution to work process in health and learning of students at nursing technician courses. It objectives to examine the contribution of medium level nursing students on scholarships at a teaching hospital s work force, at Natal/RN. It s a quantitative/qualitative, that uses descriptive statistics and analysis fulfilled with categories that emerged from research, through a dialog between the studied authors in the theoretical reference of nowadays work process, work force, non obligatory and remunerated traineeships, and night shifts. The collaborators of this research were 105 (73,43%) nursing technicians, medium level students on scholarships that fulfill remunerated traineeships at the hospital. The feminine gender was a major part of the collaborators, with 90 (85,70%), in which medium age was 29,71 years, 62 (59,00%) single, 57 (54,30%) don t have kids, 100 (95,23%) students on scholarships with complete medium level, 78,10% with professional experience before their insertion at the remunerated traineeships, 73 (69,50%) referred to enjoy the area, reason for the nursing technician course choice. About the technician course conclusion, 83 (79,00%) affirmed that happened between 2005 and 2008, and about traineeships time in the institution, 38 (36,20%) have between one and six months. About learning, 74 (70,50%) referred to learn with the nursing technicians and all fulfilled specialized courses, or grade up to bond with the school and be able to be trainees. These courses were considered low quality ones, what justifies the number of 54 (51,40%) students with scholarships that said their performance in studies is good and 75 (71,40%) are able to join it with the traineeships without problems. About remuneration as scholarship, 71 (67,60%) referred that helped to keep up with the studies, because this amount has specially this purpose, paying studies. About nonobligatory traineeships, the ABEn-RN affirmed that there s no following process to this traineeship mode, as long as there was never this concern, because obrigatory traineeships demand a lot of the efforts in the meetings. And COREN-RN doesn t supervise this way of contract. The present research observed that there is, in fact, a contribution of medium level nursing students on scholarships work force on the researched institution. Resigned to work circumstances established by the institution, representing the lack of human resources, materials, work conditions, and work insertion in night shifts, it s possible to affirm that the situation is irregular about the students on scholarships, besides the determinant risk factor to their lives and health. In addition to it, the students on scholarships, in order to maintain the quality of trainee in the institution, are obligated to fulfill courses to grade up, or specialized courses in nursing technician, at schools referred as bad quality ones / O presente estudo faz uma an?lise de est?gios n?o obrigat?rios e remunerados em enfermagem, como contribui??o para o processo de trabalho em sa?de e aprendizagem dos estudantes de cursos t?cnicos em enfermagem. Teve como objetivo examinar a contribui??o de bolsistas de n?vel m?dio de enfermagem na for?a de trabalho em um Hospital de Ensino em Natal/RN. Trata-se de uma investiga??o quantitativa/qualitativa, com uso de estat?stica descritiva e an?lise realizada a partir das categorias que emergiram da pesquisa atrav?s de um di?logo com os autores estudados no referencial te?rico do atual mundo do trabalho, for?a de trabalho, est?gio n?o obrigat?rio remunerado e trabalho em turnos e noturno. Os colaboradores desta pesquisa, foram 105 (73,43%) t?cnicos de enfermagem, bolsistas de n?vel m?dio que realizam est?gio remunerado no hospital. Houve predom?nio do sexo feminino com 90 (85,70%), com m?dia de idade de 29,71 anos, 62 (59,00%) solteiros, 57 (54,30%) n?o referiram ter filhos, 100 (95,23%) bolsistas com n?vel m?dio completo, 78,10% tiveram experi?ncia profissional antes de sua inser??o no est?gio remunerado, 73 (69,50%) referiram gostar da ?rea, motivo da escolha do curso t?cnico de enfermagem. Sobre a conclus?o do curso t?cnico, 83 (79,00%) afirmaram ter sido entre 2005 e 2008, e sobre o tempo de est?gio na institui??o, 38 (36,20%) t?m entre um e seis meses. Quanto ? aprendizagem, 74 (70,50%) referiram aprender com os t?cnicos de enfermagem e todos realizam cursos de especializa??o ou aperfei?oamento para ter o v?nculo com a escola e poder estagiar. Esses cursos foram tidos como de baixa qualidade, o que justifica os 54 (51,40%) bolsistas que disseram que o rendimento nos estudos ? bom e 75 (71,40%) conseguem conciliar com o est?gio sem problemas. Quanto ? remunera??o em forma de bolsa, 71 (67,60%) referiram que ajudavam a continuidade dos estudos, pois esse valor tem principalmente esse prop?sito de custear os estudos. Sobre o est?gio n?o obrigat?rio, a ABEn-RN afirmou que n?o existe uma rela??o de acompanhamento dessa modalidade de est?gio, posto que nunca houve essa preocupa??o, uma vez que os est?gios obrigat?rios tomam muito do esfor?o, nas reuni?es. E o COREN-RN n?o fiscaliza essa forma de contrato. Constatou-se na presente pesquisa que h? a contribui??o da for?a de trabalho de bolsistas de n?vel m?dio de enfermagem na institui??o pesquisada. Submetidos ?s circunst?ncias de trabalho estabelecidas pela institui??o, representando a car?ncia de recursos humanos, de materiais, de condi??es de trabalho, inser??o no trabalho em turnos e noturno, pode-se afirmar que esta situa??o ? irregular no contexto dos bolsistas, al?m de determinante fator de riscos para suas vidas e sa?de. Al?m disso, para que os bolsistas se mantenham na qualidade de estagi?rio na institui??o, s?o obrigados a realizar cursos de aperfei?oamento ou especializa??o de t?cnicos de enfermagem, em escolas referidas como de p?ssima qualidade

本論文緣起於本研究者積三十年於醫學教育之教學、研究、服務及醫院臨床經驗之心得，透過近年於國立政治大學商學院EMBA策略管理課程之學習，乃試以北醫大為個案實例，探討大學教學醫院與醫學院資源互惠之最適經營策略，並嘗試提出可能之最適經營模式。 基於管理哲學之建立，首在掌握探討經營目標之界定，運用可能之資源，判別環境之變化，而採取最適經營策略，進而提出最適經營模式。而本研究者，以商學院之理論基礎，檢測台北醫學大學附屬教學醫院之教育目標及使命，深受近年台灣醫學、醫藥之嚴峻挑戰與變遷，以及政府健保政策等之鉅變下，所擁有之有限醫學教育教學資源，必須與現有醫學院系之資源，有所調整與互惠運用之經營策略，故本研究者以近距離觀察，與獨有之醫學教學及臨床實務任務，作此研究，貢獻予台灣各大學教學醫院與醫學院資源互惠之經營策略參考。 關鍵詞：大學教學醫院、醫學院、醫學教育目標及使命、資源互惠、最適經營模式、調整與互惠運用、經營策略 / A study to develop effective cooperation and beneficial collaboration in resources between teaching hospitals and medical schools- a case study of Taipei Medical University Hospital This paper seeks to explore ways through which medical schools and teaching hospitals can better share their medical educational resources. With his thirty odd years of teaching and clinical experience in both Taipei Medical University and the university hospital, coupled with his EMBA structural and management learning, the author plans to develop an effective model drawing on both business management theories and his personal familiarity with the hospital management climate. With a current scarcity in medical education resources, caused by reasons ranging from the government’s recent instatement of the medical care program to the newest wave of changes in medical ethics in Taiwan, the author proposes that Taipei Medical University and its teaching hospital must re-distribute and re-organize the current model with which teaching resources is deployed if it wishes to uphold its vision of educating well-rounded young doctor. To successfully re-invent an effective model, the author proposes to employ a business management approach. According to the basic philosophy of management, a successful model must be established with a firm objective for the institution, an honest evaluation of the institution’s available resources, and careful observation of the current climate of the market. These principles would be the building blocks in the current paper for the development of an efficient model for medical education resource allocation. The following research spans a period of six years, from 2001 to 2007. Done with strict scientific methods, the research aims to provide solutions for medical school and teaching hospitals in Taiwan a better way to allocate medical education resources, and ultimately contribute to the future advancement of medical education and management in Taiwan. Key word：medical school 、teaching hospitals、medical educational resources、effective cooperation and beneficial collaboration in resources、medical education and management、efficient model