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Factors contributing to long waiting time at Blouberg Health Centre, Capricorn District, Limpopo ProvinceMani, Tshiangwa Adolphina January 2020 (has links)
Thesis (M. A. (Nursing)) -- University of Limpopo, 2020 / Background: Long patient waiting time for services is demonstrated by daily long queues of patients in Primary Health Care (PHC) and hospitals Outpatients departments.
Aim: The aim of the study was to determine the factors contributing to long waiting time at
Blouberg Health Centre (BHC), Capricorn District, Limpopo Province.
Methods: A quantitative, descriptive and cross-sectional research design was used to
describe factors contributing to long waiting time. The study population consisted 31356
patients in the financial year 2017/2018. Simple random probability sampling was used to
select 395 respondents. Data were collected using self-developed questionnaire. All
questionnaires were completed and returned. The 395 questionnaires were then analyzed
using the Statistical Package for Social Sciences (SPSS, version 25). Descriptive statistics were used to analyze and describe and summarized data.
Findings: The findings were presented in the form of distribution graphs and tables. Inferential statistics were used based on probability and allowed judgement to be made about variables. The study revealed factors considered most important were lack of commitment; full time study leaves at the same year; workshops; sick leaves; increased population; sitting in tearoom for hours; many foreign national without passports; staff shortages; laissez faire working style and transfers or escorting patients, while the nearby Hellen Franz Hospital (HFH) also transfer to the same hospitals, leading to mismanagement of budget reduced manpower and increased
death rate. Recommendations: The study recommends that all Primary Health Care (PHC) settings should use numbers for patients when entering facilities to monitor the queuing and prevent dissatisfaction that can result from long waiting.
Conclusion: It is of paramount importance to provide clearer, transparent information to the recipients of the Primary health care services that they might receive. The provincial
coordinators are accountable to the waiting time management with the assistance of the PHC specialist nurse and Nursing Management.
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Propuesta de mejora del proceso de fabricación de ventiladores utilizando la metodología Lean Manufacturing para mejorar el nivel de servicio / Proposal to improve the fan manufacturing process using the Lean Manufacturing methodology to improve the level of serviceVásquez Nuñez, Armando, Quispe Huayhua, Milagros Natali 02 May 2021 (has links)
Este estudio revela el problema de una empresa metalmecánica que se dedica a la fabricación de ventiladores Industriales, colectores de polvo, lavadores de gases, etc. Se analizó el problema principal de la empresa KT PERU SAC que es en el retraso de entrega de sus pedidos hacia sus clientes, provocando constantes quejas y retraso de pagos.
El estudio de tiempos se realizó en el proceso de fabricación del ventilador centrífugo, ya que era el que mayores ventas nos generó en los últimos años y también el que mayor tiempo tarda un técnico de fabricarlo. Después de haber realizado el estudio de tiempos guiándonos de artículos, se implementaron herramientas Lean Manufacturing para reducir los tiempos improductivos y en consecuencia entregar los pedidos a tiempo y calidad.
Para el diagnóstico del problema utilizamos el VSM y grafica de control por variables, las herramientas de ingeniería que implementamos fueron el SLP y 5´S para el primer motivo de Tiempos Improductivos, luego el Kanban para los reprocesos de fabricación y finalmente gestión de Inventarios para un abastecimiento eficiente de materiales. Con estas herramientas de ingeniería seleccionados llegaremos a cumplir con la entrega a tiempo de pedidos a los clientes, por lo cual no habría quejas y los pagos serían a tiempo. / This study reveals the problem of a metalworking company that is dedicated to the manufacture of Industrial fans, dust collectors, gas scrubbers, etc. The main problem of the company KT PERU SAC was analyzed, which is the delay in the delivery of its orders to its customers, causing constant complaints and late payments.
The time study was carried out in the centrifugal fan manufacturing process, since it was the one that generated the highest sales in recent years and also the one that took the longest time for a technician to manufacture it. After having carried out the study of times guiding us of articles, Lean Manufacturing tools were implemented to reduce unproductive times and consequently deliver orders on time and quality.
For the diagnosis of the problem we used the VSM and variable control graph, the engineering tools that we implemented were the SLP and 5´S for the first reason for Downtime, then the Kanban for manufacturing reprocesses and finally Inventory management for an efficient supply of materials. With these selected engineering tools we will be able to deliver on time orders to customers, so there would be no complaints and payments on time. / Trabajo de Suficiencia Profesional
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Revisorers upplevelser av tidsstyrningens påverkan på arbetstillfredsställelsen / Auditors’ experiences of the impact of time management on job satisfactionAbo-Hareb, Elias, Ahmad, Daniel January 2023 (has links)
Revisorer anses som revisionsbolagens viktigaste resurs och många revisorer har valt att lämna revisionsbranschen. En av de grundläggande faktorerna till revisorernas beslut att lämna revisionsbyråerna är minskad arbetstillfredsställelse. Inom revisionsbranschen är tidsstyrningen den dominerande styrformen som främst påverkar revisorsassistenter och seniora revisorer. Tidsstyrningen har däremot under de senaste åren blivit allt stramare, vilket i sin tur leder till högre krav på att utföra arbetet under betydligt striktare tidsramar. Med en stramare tidsstyrning tillkommer ökad tidspress och stress som kan inverka på revisorernas arbetstillfredsställelse och därmed deras beslut att lämna branschen. För en vidare förståelse för hur tidsstyrningen kan tänkas inverka på revisorernas arbetstillfredsställelse beaktades självbestämmandeteorin, som betonar betydelsen av de grundläggande psykologiska behoven kompetens, samhörighet och autonomi. Genom beaktandet av självbestämmandeteorin kunde en mer nyanserad förståelse erhållas för hur tidsstyrningen påverkade revisorernas arbetstillfredsställelse. Tidigare studier har främst fokuserat på hur dysfunktionella beteenden utvecklas på grund av en stramare tidsstyrning. Dock, finns det begränsade studier kring hur tidsstyrning inverkar på revisorernas arbetstillfredsställelse, vilket har medfört att en kunskapslucka identifierats. Därav är syftet med denna studie att öka förståelsen för hur revisorsassistenter och seniora revisorer inom revisionsbranschen upplever att tidsstyrningen påverkar deras arbetstillfredsställelse. För att uppnå syftet har en kvalitativ metod tillämpats i form av semistrukturerade intervjuer. 15 intervjuer genomfördes med revisorsassistenter och seniora revisorer som alla arbetade på någon av de fyra stora revisionsbyråerna. Resultatet av studien visar att tidsstyrningen upplevs bland revisorerna som något positivt i relation till hur de trivs på arbetsplatsen. Revisorerna upplevde att tidsstyrningen gav upphov till tydliga mål, planering, struktur och kompetensutveckling vilket ökade deras arbetstillfredsställelse. De revisorer som däremot inte upplevde arbetstillfredsställelse hänvisade till underbemanningen som en faktor som medförde ökad arbetsbelastning och i sin tur lägre arbetstillfredsställelse. Studien kan därmed sägas öka förståelsen för hur revisorsassistenter och seniora revisorer upplever tidsstyrningens påverkan på deras arbetstillfredsställelse. / Auditors are considered the most important resource of audit firms, yet many auditors have chosen to leave the auditing industry. One of the fundamental factors for auditors’ decision to leave audit firms is decreased job satisfaction. In the audit industry, time management, is the dominant form of control that primarily affects audit associates and senior auditors. However, time management has become increasingly tighter in recent years, leading to higher demands for completing the audit within significantly tighter time frames. Tighter time management leads to increased time pressure and stress, which can affect auditors’ job satisfaction, and their decision to leave the audit industry. To further understand how time management may influence auditors’ job satisfaction, self-determination theory was considered, emphasizing the importance of basic psychological needs such as competence, relatedness and autonomy. By considering self-determination theory, a more nuanced understanding was obtained of how time management affected auditors’ job satisfaction. Previous studies have mainly focused on how dysfunctional behaviours develop due to tighter time management. However, there are limited studies on how time management impacts auditors’ job satisfaction, resulting in an identified knowledge gap. Therefore, the purpose of this study is to increase understanding of how audit associates and senior auditors in the audit industry perceive that time management affects their job satisfaction. To achieve this purpose, a qualitative method was applied. 15 interviews were conducted with audit associates and senior auditors working at one of the Big Four audit firms. The results of the study show that auditors perceive the time management as something positive for their job satisfaction. The auditors experienced that time management provided clear goals, planning, structure, and opportunities for professional development, which increased job satisfaction. However, those auditors who did not experience job satisfaction referred to understaffing as a factor that resulted in increased workload and, consequently, lower job satisfaction. Therefore, the study can be said to contribute to a better understanding of how audit associates and senior auditors perceive the impact of time management on their job satisfaction.
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RekUpp – Utvecklingsprocessen bakom ett systemför självreflektion och kursutvecklingWindefelt, Andreas January 2022 (has links)
Ett hinder inom utbildningar på högre nivå har sedan länge varit att det är svårt förlärare att få en bild över hur det går för studenterna som överensstämmer medverkligheten. De områden som förmodas vara svåra kanske inte upplevs som detav studenterna, och vice versa. Utöver direkta frågor från studenter så behöverlärarna gissa sig fram till vad studenterna upplever som svårt, vilket inte ger en sannbild.Inom vissa tekniska och matematiska utbildningar rekommenderar lärare övningarsom studenterna förväntas göra för att skapa en förståelse för området. Det finnsen risk att studenter inte genomför uppgifterna löpande utan i stället spenderarmycket tid vid kursens slut. Det ger inte samma djupa kunskap som att kontinuerligtstudera.Lärare publicerar vanligen de uppgifter som rekommenderas i en textfil påtillgänglig utbildningsplattform, vilket inte ger möjlighet att lösa de problem somtidigare nämnts. Förslaget är därför RekUpp (Rekommenderade Uppgifter), enwebbapplikation som lärarna ska kunna använda för att föreslå uppgifter somstudenterna bör utföra. Programmet är skräddarsytt för att engagera studenternai reflektion angående sin egen prestation samt ge förutsättningar för att bättrehantera sin egen studietid. Informationen och den data som uppstår kan lärarnaanvända på bästa sätt för att övergripande analysera studenternas prestationer påkursen. Programmet förväntas både bidra till att lösa problemet med brist påinformation och till att engagera studenter.I det här arbetet redovisas utvecklingsprocessen. Denna baseras på tidigareforskning kring självreglering, självreflektion och digitala verktyg för att på bästamöjliga sätt engagera studenter och samtidigt få ut information som lärare kananvända för att justera och förbättra undervisningen. Tanken är att utvecklingen avsystemet, och de slutsatser som presenteras, ska kunna användas somutgångspunkt eller ramverk för att utveckla liknande system. / An obstacle in higher education has for a long time been that it is difficult forteachers to get an overview for how the students are performing. The parts of thecourse that are believed to be hard may not be, and vice versa. Beyond directquestions from students, teachers must guess from the best of their ability aboutwhich exercises that the students experience as difficult.Within certain technical and mathematical educations, it is common for teachersto recommend exercises that the students are expected to complete to get anunderstanding of the field. There is a risk that students don’t do these exercisescontinuously and instead spend a lot of time studying ahead of an exam at the endof the course. This does not give the same deep knowledge as continuous studydoes.Teachers tend to publish these exercises in a text file on an available learningplatform, this does not solve the problems mentioned previously. A suggestion fora solution is RekUpp (from the Swedish translation of Recommended exercises), aweb application that teachers can use to publish which exercises students aremeant to do. The program is tailored to engage students in self-reflection abouttheir performance and give them prerequisites for better time management. Theinformation and data that is created can be used by teachers to analyze how thestudents are performing. The system is expected to contribute to solving both theproblem of a lack of information and to continuously engage students.In this report the development process is described. This is based on previousresearch about self-regulation, self-reflection, and digital tools to engage studentsin the best possible way and at the same time transfer information that teacherscan use to adjust and improve their courses. The intention is that the developmentof the program, and the conclusions that are presented, can be used as a startingpointor framework to develop similar systems.
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Wann bin ich endlich dran?: Entwicklung von Raumkonzepten für Wartebereiche in NotaufnahmenWintz, Daniela 08 July 2022 (has links)
Die Unzufriedenheit der Patient:innen steht oft in Kohärenz mit überfüllten Notaufnahmen. Dabei sind besonders die Überschreitung der Ressourcen und Verzögerungen bei der Wartezeit zusammenhängend zu betrachten. In den 1990er Jahren wurde nach einem System zur Verbesserung des Zeitmanagements gesucht. Dies führte zur Methode der Triage. Trotz der Einführung der Triage ist die Patientenunzufriedenheit immer noch ein häufiges Gesprächsthema, wenn es um die Notaufnahme geht. Unter Berücksichtigung des architekturpsychologischen Aspekts stellt sich die Frage: „Wie kann die Raumgestaltung des Wartebereiches architektonisch an das individuelle Empfinden von Patient:innen bei einer Triage angepasst werden?“. Um diese Frage zu beantworten, wurde eine Umfrage mit verschiedenen Sichtweisen von Personen durchgeführt. Betrachtet wurden einerseits Patient:innen, sowie Begleitpersonen und andererseits Personen, die noch gar nicht in der Notaufnahme waren. Anhand der Umfrageergebnisse wurden Hauptkriterien ermittelt, die sich auf die Empfindungen der Patient:innen und Begleitpersonen beziehen. Resümierend haben sich zum einen die Privatsphäre, sowie Ausruhmöglichkeiten und zum anderen Gesichtspunkte wie Ablenkung und eine gute Atmosphäre als Hauptkriterien eines Warteraumes ergeben. Aus den aufgestellten Kriterien wurden verschiedene, raumgestaltende Elemente entwickelt, die sich den Bedürfnissen der wartenden Patient:innen und deren Begleitpersonen anpassen. Sie dienen als Gestaltungsempfehlungen.
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Mensuração da carga de trabalho de enfermeiros em central de quimioterapia.Souza, Célia Alves de 11 May 2012 (has links)
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Previous issue date: 2012-05-11 / The increasing of attendances in the Chemotherapy Center has demanded from the nurses a better standard of time management and productivity. Considering this, the measurement of the work load becomes fundamental. This investigation, which is based on observation, has used the sample work technique and it presents the following aims: 1- identifying and validating the activities developed by nurses in a Chemotherapy Center and; 2- to measure the work load and productivity. The stage is a Chemotherapy Central placed in the South-East of Brazil. Nine assistant nurses have taken part (moments 1 and 2) and other seven of them (moments 3 and 4) during the period from May, 2010 to March, 2011. The study has been conducted in four moments: 1- identification of the interventions/activities, 2- validation of content, 3. pilot test and, 4- measuring of work load. In order to identify the activities performed by the nurses, a device was built using triangulation of data, combining three sources of information: semi-structured interview, documents analysis and questionnaire. The activities mapped have been categorized according to the language patterned by the Nurse Intervention Classification (NIC). Afterwards, the device has been submitted to content validation through meetings with the members. The final instrument was formed by 35 interventions and 48 activities organized in five areas (basic physiologic and complex physiologic, behaviorist, security and health system) and 11 classes. The pilot test using the instrument, conducted by two nurses during four consecutive days, has totaled 1000 samples and has resulted in 38 interventions and 88 activities. The sample size has been statistically established. The observations have been conducted during five days totalizing 1.487 samples of interventions/activities. It has been observed that 43,2% of the nurses time have been spent in indirect care, 33,2% indirect care, 11,6% in associated activities and 12% in personal activities. The average productivity has corresponded to 88%. This study has allowed the mapping and the validation of interventions/activities conducted during the attendance process. There has been concluded that nurses from the investigated unit have spent most of their time performing activities of indirect care. It has highlighted, furthermore, productivity indexes above the recommended ones present in the literature. / O aumento do volume de atendimento em central de quimioterapia tem exigido dos enfermeiros melhor gestão do tempo de trabalho e produtividade para atender a demanda. Dessa forma, a mensuração da carga de trabalho torna-se de fundamental importância. Essa investigação, de natureza observacional, utilizou técnica de amostragem de trabalho e teve como propósitos: 1- identificar e validar as atividades desenvolvidas por enfermeiros em Central de Quimioterapia e; 2- mensurar a carga de trabalho e produtividade. O cenário constitui-se em uma central de quimioterapia localizada na região sudeste do Brasil. Participaram do estudo nove enfermeiros assistenciais (momentos 1 e 2) e sete(momentos 3 e 4) durante o período de maio de 2010 a de março de 2011.O estudo foi realizado em quatro momentos: 1- identificação das intervenções/atividades, 2- validação de conteúdo, 3- teste piloto e, 4- mensuração de carga de trabalho. Para identificar as atividades realizadas pelos enfermeiros foi construído um instrumento utilizando triangulação de dados, combinando três fontes de informações: entrevista semiestruturada, análise de documento e questionário. As atividades mapeadas foram categorizadas segundo a linguagem padronizada pela Classificação de Intervenção de Enfermagem (NIC). Posteriormente, o instrumento foi submetido à validação de conteúdo através de reuniões com os participantes. O instrumento final foi composto por 35 intervenções e 48 atividades organizadas em cinco domínios (fisiológico básico e fisiológico complexo, comportamental, segurança e sistema de saúde) e 11 classes. O teste piloto com o instrumento, conduzido por duas enfermeiras durante quatro dias consecutivos, totalizou 1000 amostras e resultou em 38 intervenções e 88 atividades. O tamanho amostral foi estabelecido estatisticamente. As observações foram conduzidas durante cinco dias totalizando 1.487 amostras de intervenções/atividades. Observou-se que 43,2% do tempo dos enfermeiros foram consumidos em cuidados indiretos, 33,2% em cuidados diretos, 11,6% em atividades associadas e 12% em atividades pessoais. A produtividade média correspondeu a 88%. Este estudo permitiu mapear e validar as intervenções/atividades realizadas durante o processo assistencial. Concluiu que enfermeiros da unidade investigada consumiram a maior parte de seu tempo em atividades de cuidados indiretos. Revelou, ainda, índice de produtividade acima dos recomendados na literatura.
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Harmonizace práce a rodinného života u žen zaměstnankyň a podnikatelek / Harmonization between work and family life of employed women and businesswomenNováková, Nikola January 2015 (has links)
The aim of this thesis is to gather data within the harmonization proces between work and family life at addressed families where is the woman´s role either an employee or businesswoman. The theoretical part deals with aspects which help women with easier harmonization between two lifes areas - work and family. Specifically, this part deals with various forms of child care and types of financial support provided by the state. The thesis also solves the forms of flexible working hours, with emphasis on their current use across the European Union countries. The practical part is focused on mapping strategies in addressed families with a woman who is in labour-law relation and families with a businesswoman. For these purposes were chosen families (men and women) with which we were making inteviews and questionnaires focused on the time allocated to various tasks in one day.
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Time management sestry manažerky v intenzivní péči / Time management nurse manager in the intensive careČernohorská, Jitka January 2016 (has links)
Subjects: This diploma thesis is dedicated to the topic of time management in nursing - it deals with four generations of time management and with its different techniques. Furthermore it describes functions and roles of a manager. Objectives: The main objective of this thesis is to analyse time management issues that concern nurse managers working in intensive care. The main goal of the research is to answer following question: How do nurse managers in intensive care use and organise their working time? Secondary goals are: to name priorities of nurse managers on an ordinary working day, to find out which timekeeping devices do nurse managers use for direct measuring of time consumption, to analyze managerial strategies used by nurse managers for their time management, to sum up the most frequent tasks postponed by nurse managers for a later time and find the reasons of procrastination. Methodology: Data were gained through a combined quantitative and qualitative research design. Quantitative research was done through the use of a time frame of a working day and a working week of nurse managers. Results were presented in boxes and charts to provide a better overview. Data for qualitative analysis were gained through semi-structured interviews in three focus groups. Qualitative data were processed...
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The impact of welfare reform on the well-being of single mothers: a perspective of time allocation.January 2011 (has links)
He, Xiaoyue. / "July 2011." / Thesis (M.Phil.)--Chinese University of Hong Kong, 2011. / Includes bibliographical references. / Abstracts in English and Chinese. / Chapter 1. --- Introduction --- p.1 / Chapter 1.1. --- Background --- p.1 / Chapter 1.2. --- Theoretical Model --- p.4 / Chapter 2. --- Literature Review --- p.7 / Chapter 3. --- Data and Methodology --- p.12 / Chapter 3.1. --- Data --- p.12 / Chapter 3.2. --- Methodology --- p.13 / Chapter 3.3. --- Definition of Key Variables --- p.14 / Chapter 4. --- Descriptive Results of DID Analysis --- p.15 / Chapter 5. --- Regression Approach --- p.20 / Chapter 6. --- Time Allocation of Single Mothers of Differing Education Levels --- p.25 / Chapter 7. --- Changes in Leisure Inequality Among Single Mothers --- p.31 / Chapter 8. --- Single Mothers by Demographic Characteristics --- p.33 / Chapter 8.1. --- Single Mothers by Race --- p.33 / Chapter 8.2. --- Single Mothers by Age --- p.35 / Chapter 9. --- Discussion and Policy Implications --- p.36 / Chapter 10. --- Conclusion and Directions for Further Research --- p.39 / Tables and Figures --- p.42 / Appendices --- p.62 / References --- p.82
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The impact of block scheduling on students and teachers in a high school : a descriptionJudikis-Preller, Juan C. January 1999 (has links)
The general purpose of this study completed in 1999 was to create an accurate, documented description of the experiences of nine students, three faculty members and two administrators in higher education in Chile during the military government 1973 - 1990.A qualitative approach was selected as the most appropriate methodology to' complete the study. A variety of methods and data collection strategies were used. The major data collection strategies were interviews and reviewing of primary and secondary written sources. The interviews were used to collect evidence concerning interviewees' experiences, as well as their attitudes, and perceptions regarding the events that occurred in higher education during the rule of the military government 1973 - 1990.The researcher decided to use a judgment sample of interviewees from the population based on their knowledge about the topic and their willingness to share their knowledge and experiences. Geographical representation, position within the institutions, kind of institution represented, and gender were major the considerations at the moment of selecting the sample too.Thanks to the U.S.A. Freedom of Information Act, which established an effective statutory right to access by any person or organization to federal government information, the researcher found official information that allowed for triangulation of evidence.The findings showed that the changes the military government implemented through their modernization of the educational system did not follow the historical trend of educational development in Chile. Furthermore, under the military government, policymaking in higher education was circumscribed to autocratic arenas, which usually coincided with government policy. Education was utilized to serve the purpose of the government. The educational system 1973 - 1990 failed to serve those with special needs. Free-market policies profoundly transformed education from a right available to all, to a commodity available in varying quantity and quality according to purchasing power of individuals.The impact of military government on higher education during the military rule was notorious and huge. Even though they were destructive in some aspects the military government did good things for the educational system. The issue in discussion is the price that was paid. / Department of Educational Leadership
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