• Refine Query
  • Source
  • Publication year
  • to
  • Language
  • 7
  • 3
  • 1
  • Tagged with
  • 12
  • 12
  • 12
  • 7
  • 7
  • 7
  • 4
  • 4
  • 4
  • 4
  • 3
  • 3
  • 3
  • 3
  • 2
  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
1

Effective organisational decision-making : a study of the implementation of the Yorkshire Regional Health Authority strategic plan using personal interviews with health managers

Butrous, Nasir Rufail January 1989 (has links)
No description available.
2

Uma proposta para desenvolver novas práticas para o planejamento da negociação internacional na pequena empresa: o caso do setor médico-hospitalar-odontológico da cidade de Ribeirão Preto / A proposal for developing new actions for planning international negotiation in small business: the case of medical and odontologic sector of Ribeirão Preto town.

Garcia, Sheila Farias Alves 19 January 2007 (has links)
Com a globalização, pessoas, empresas, organizações e países estão cada vez mais interdependentes, dando origem a inúmeros conflitos de interesses. A negociação internacional ganha relevo como meio de solução dos conflitos gerados no processo de globalização. Torna-se ainda mais relevante no contexto da pequena empresa, em que a limitação de recursos e a escassez de conhecimentos podem funcionar como fatores limitantes do processo de internacionalização. Nesse sentido, o presente trabalho propõe desenvolver uma estrutura conceitual que ajude a sistematizar o planejamento da negociação internacional na pequena empresa, a fim de auxiliar os administradores dessas empresas a aperfeiçoar o processo de preparação para a negociação internacional, contribuindo, ainda que indiretamente, para a internacionalização de pequenas empresas, podendo gerar reflexos positivos para a economia brasileira. Para isso, foram estudadas as dificuldades enfrentadas pelas pequenas empresas na negociação internacional e a forma como costumam se preparar para essas situações. Os resultados da pesquisa empírica foram comparados aos modelos de planejamento da negociação encontrados na literatura, a fim de desenvolver uma estrutura conceitual para o planejamento da negociação adaptado ao contexto das pequenas empresas. Foi realizada uma pesquisa empírica, de natureza qualitativa, no setor médico-odontológico de Ribeirão Preto. A pesquisa empírica consistiu de uma fase preliminar, de caráter exploratório, em que se buscou conhecer melhor o setor escolhido como objeto de estudo, através do levantamento de dados secundários, complementados com a realização de entrevistas com as instituições de apoio ao setor ? Associação Brasileira da Indústria de Artigos e Equipamentos Médicos, Odontológicos, Hospitalares e de Laboratórios (ABIMO) e Serviço Brasileiro de Apoio às Micro e Pequenas Empresas (SEBRAE). A seguir, foi realizado um estudo de casos múltiplos (pesquisa qualitativa). As unidades de análise foram as pequenas empresas industriais do setor médicoodontológico da cidade de Ribeirão Preto. / With the globalization process, people, companies, organizations and countries have become more interconnected, fact that can result in several interest conflicts. Thus, international negotiation has been highlighted as a way to solve these conflicts created by the globalization process. It has also become more and more important for a small businesses environment due to the lack of resources and knowledge, factors that can work as a compass for an internationalization process. In this sense, the present study proposes to develop a conceptual structure which can help to systematize the planning of the international negotiation in a small business, in order to assist these businesses? managers to improve the preparation process to the international negotiation, contributing, even in an indirectly way, to the small businesses internationalization creating positive consequences to the Brazilian economy. To reach this the difficulties that small businesses had in the international negotiation and the way they used to get prepared to these situations were studied. The results of the empiric research were compared to the models of the planning of negotiation we have found in the literature in order to develop a conceptual structure to the planning of negotiation adapted to the context of the small businesses. An empiric research was carried out, with a qualitative nature, in the medical and odontologic sector of Ribeirão Preto town. The empiric research consisted of a preliminary phase of an exploratory nature. The research had the goal of knowing the best sector chosen as the object of the study, through the secondary data, complemented with the interviews carried out with the institutions of support to the sector ? Brazilian Medical, Odontologic and Hospital supplies and equipment?s Industry and Laboratory Brazilian Association (ABIMO) and Brazilian Service of Support to Micro and Small Businesses (SEBRAE). After that, a study of multiple cases (qualitative research) was carried out. The units were the industrial small businesses of the medical and odontologic sector of Ribeirão Preto town.
3

Uma proposta para desenvolver novas práticas para o planejamento da negociação internacional na pequena empresa: o caso do setor médico-hospitalar-odontológico da cidade de Ribeirão Preto / A proposal for developing new actions for planning international negotiation in small business: the case of medical and odontologic sector of Ribeirão Preto town.

Sheila Farias Alves Garcia 19 January 2007 (has links)
Com a globalização, pessoas, empresas, organizações e países estão cada vez mais interdependentes, dando origem a inúmeros conflitos de interesses. A negociação internacional ganha relevo como meio de solução dos conflitos gerados no processo de globalização. Torna-se ainda mais relevante no contexto da pequena empresa, em que a limitação de recursos e a escassez de conhecimentos podem funcionar como fatores limitantes do processo de internacionalização. Nesse sentido, o presente trabalho propõe desenvolver uma estrutura conceitual que ajude a sistematizar o planejamento da negociação internacional na pequena empresa, a fim de auxiliar os administradores dessas empresas a aperfeiçoar o processo de preparação para a negociação internacional, contribuindo, ainda que indiretamente, para a internacionalização de pequenas empresas, podendo gerar reflexos positivos para a economia brasileira. Para isso, foram estudadas as dificuldades enfrentadas pelas pequenas empresas na negociação internacional e a forma como costumam se preparar para essas situações. Os resultados da pesquisa empírica foram comparados aos modelos de planejamento da negociação encontrados na literatura, a fim de desenvolver uma estrutura conceitual para o planejamento da negociação adaptado ao contexto das pequenas empresas. Foi realizada uma pesquisa empírica, de natureza qualitativa, no setor médico-odontológico de Ribeirão Preto. A pesquisa empírica consistiu de uma fase preliminar, de caráter exploratório, em que se buscou conhecer melhor o setor escolhido como objeto de estudo, através do levantamento de dados secundários, complementados com a realização de entrevistas com as instituições de apoio ao setor ? Associação Brasileira da Indústria de Artigos e Equipamentos Médicos, Odontológicos, Hospitalares e de Laboratórios (ABIMO) e Serviço Brasileiro de Apoio às Micro e Pequenas Empresas (SEBRAE). A seguir, foi realizado um estudo de casos múltiplos (pesquisa qualitativa). As unidades de análise foram as pequenas empresas industriais do setor médicoodontológico da cidade de Ribeirão Preto. / With the globalization process, people, companies, organizations and countries have become more interconnected, fact that can result in several interest conflicts. Thus, international negotiation has been highlighted as a way to solve these conflicts created by the globalization process. It has also become more and more important for a small businesses environment due to the lack of resources and knowledge, factors that can work as a compass for an internationalization process. In this sense, the present study proposes to develop a conceptual structure which can help to systematize the planning of the international negotiation in a small business, in order to assist these businesses? managers to improve the preparation process to the international negotiation, contributing, even in an indirectly way, to the small businesses internationalization creating positive consequences to the Brazilian economy. To reach this the difficulties that small businesses had in the international negotiation and the way they used to get prepared to these situations were studied. The results of the empiric research were compared to the models of the planning of negotiation we have found in the literature in order to develop a conceptual structure to the planning of negotiation adapted to the context of the small businesses. An empiric research was carried out, with a qualitative nature, in the medical and odontologic sector of Ribeirão Preto town. The empiric research consisted of a preliminary phase of an exploratory nature. The research had the goal of knowing the best sector chosen as the object of the study, through the secondary data, complemented with the interviews carried out with the institutions of support to the sector ? Brazilian Medical, Odontologic and Hospital supplies and equipment?s Industry and Laboratory Brazilian Association (ABIMO) and Brazilian Service of Support to Micro and Small Businesses (SEBRAE). After that, a study of multiple cases (qualitative research) was carried out. The units were the industrial small businesses of the medical and odontologic sector of Ribeirão Preto town.
4

The History of the Growth and Development of the Health Service Program of North Texas State Teachers College from November 1918 through August 1941

Vick, Mildred Wilkerson 05 1900 (has links)
The purpose of this study is to trace the growth and development of the health service program of the North Texas State Teachers College from 1918-1941 through Campus Chat files, the Minute Book of the Board of Regents of the Teachers College, college records, hospital records, and personal interviews with staff members of North Texas State Teachers college who have been affiliated with the program since its beginning in 1918.
5

Environmental health and primary health care: towards a new workforce model

Hanna, Elizabeth Gayle (Liz), lizhanna@netc.net.au January 2005 (has links)
Public health was once synonymous with environmental health. However, as living conditions improved the two fields diverged. Environmental factors are again re-emerging as hazards human health. Increasing global reliance on agricultural and veterinary chemicals (AgVets) over recent decades has is now a serious public health concern. Evidence of their toxicity has prompted international efforts to minimize, monitor and manage exposure risks. Direct involvement of the primary health care workforce is seen as critical to this process, yet little data exists on the health burden on Australian rural communities imposed by these chemicals. The study presented here attempts to explore the impact of these chemicals on two rural communities in Victoria, and ascertain the how the existing primary heath care system responds to AgVet exposure issues. Health determinants are complex, and inter-related, and the client �provider interface is not an entity acting in isolation from other frameworks. The provider-client service relationship has evolved against a background of legislation and provider training. Many external factors also impinge, such as the structure and focus of the health sector, and Australia�s systematic approach to environmental and chemical management. Examination of this underlying infrastructure in Australia provided the background against which the issue of exposure to agricultural and veterinary chemicals was explored. A brief summary of international developments in this area served to provide insight as to what interventions may be introduced to address the issue of chemical exposure. A CATI (Computer Assisted Telephone Interview) survey of 1050 households sought the perspectives from two Victorian agricultural communities to gather self-reported AgVet exposure patterns and health data, and whether respondents perceived their health problems were linked to exposure. Respondents were also asked to comment on the primary health care service experiences from local providers, and which services they preferred to seek for health advice. Perspectives were then sought from all primary health care providers servicing these communities. Information was sought on their level of expertise in diagnosing, and managing exposure related illness, via face-to-face interviews, focus groups and paper surveys. The study revealed rural communities have a long history of hazardous exposure to toxic AgVets. Awareness of toxicity risks is growing, yet further scope exists to improve safe handling of chemicals. High levels of illnesses known be associated with AgVet exposure exist among rural populations. Many believe their own ill-health is linked to exposure, and express strong dissatisfaction with the apparent lack of environmental health expertise especially among their GPs. Health providers demonstrated limited understanding of the health impacts of AgVet exposure. The lack of environmental health expertise among the existing primary health care workforce means that health conditions associated with exposure to AgVets are not being identified, and the absence of health intelligence hampers health planning. In Australia, the health, environment and primary industries sectors function in effect, as distinct silos, with little cross-fertilisation. The United States has combined its agricultural chemical legislative authority to develop a focus on human health, establish direct links, and biomonitoring programs to protect human heath. The U.S. has also developed environmental health expertise at the primary health care level to address community needs as they arise. Strategies are required in Australia to connect the environment, chemical management and health portfolios, with respect to the emerging environmental issues of chemical exposure. There is a need also in Australia to inject environmental health capacity into the primary health care practice.
6

Environmental health and primary health care: towards a new workforce model

Hanna, Elizabeth Gayle (Liz), lizhanna@netc.net.au January 2005 (has links)
Public health was once synonymous with environmental health. However, as living conditions improved the two fields diverged. Environmental factors are again re-emerging as hazards human health. Increasing global reliance on agricultural and veterinary chemicals (AgVets) over recent decades has is now a serious public health concern. Evidence of their toxicity has prompted international efforts to minimize, monitor and manage exposure risks. Direct involvement of the primary health care workforce is seen as critical to this process, yet little data exists on the health burden on Australian rural communities imposed by these chemicals. The study presented here attempts to explore the impact of these chemicals on two rural communities in Victoria, and ascertain the how the existing primary heath care system responds to AgVet exposure issues. Health determinants are complex, and inter-related, and the client �provider interface is not an entity acting in isolation from other frameworks. The provider-client service relationship has evolved against a background of legislation and provider training. Many external factors also impinge, such as the structure and focus of the health sector, and Australia�s systematic approach to environmental and chemical management. Examination of this underlying infrastructure in Australia provided the background against which the issue of exposure to agricultural and veterinary chemicals was explored. A brief summary of international developments in this area served to provide insight as to what interventions may be introduced to address the issue of chemical exposure. A CATI (Computer Assisted Telephone Interview) survey of 1050 households sought the perspectives from two Victorian agricultural communities to gather self-reported AgVet exposure patterns and health data, and whether respondents perceived their health problems were linked to exposure. Respondents were also asked to comment on the primary health care service experiences from local providers, and which services they preferred to seek for health advice. Perspectives were then sought from all primary health care providers servicing these communities. Information was sought on their level of expertise in diagnosing, and managing exposure related illness, via face-to-face interviews, focus groups and paper surveys. The study revealed rural communities have a long history of hazardous exposure to toxic AgVets. Awareness of toxicity risks is growing, yet further scope exists to improve safe handling of chemicals. High levels of illnesses known be associated with AgVet exposure exist among rural populations. Many believe their own ill-health is linked to exposure, and express strong dissatisfaction with the apparent lack of environmental health expertise especially among their GPs. Health providers demonstrated limited understanding of the health impacts of AgVet exposure. The lack of environmental health expertise among the existing primary health care workforce means that health conditions associated with exposure to AgVets are not being identified, and the absence of health intelligence hampers health planning. In Australia, the health, environment and primary industries sectors function in effect, as distinct silos, with little cross-fertilisation. The United States has combined its agricultural chemical legislative authority to develop a focus on human health, establish direct links, and biomonitoring programs to protect human heath. The U.S. has also developed environmental health expertise at the primary health care level to address community needs as they arise. Strategies are required in Australia to connect the environment, chemical management and health portfolios, with respect to the emerging environmental issues of chemical exposure. There is a need also in Australia to inject environmental health capacity into the primary health care practice.
7

Percepções de profissionais de saúde relativas à infecção hospitalar e às práticas de controle de infecção / Perceptions of health professionals regarding to nosocomial infection

Fernandes, Antonio Tadeu 15 May 2008 (has links)
O objetivo deste estudo foi verificar a percepção de médicos, enfermeiros e auxiliares ou técnicos a respeito das infecções hospitalares e de suas práticas de prevenção e controle. Realizou-se entrevista semi-estruturada com oito profissionais de cada categoria, que atuam em hospitais da cidade de São Paulo, com comissão de controle de infecção de acordo com as normas legais. A motivação inicial foi a não aderência dos profissionais de saúde às principais recomendações da CCIH, aliada a sua ineficácia em alterar os comportamentos destes em relação a estas medidas. Observouse que os profissionais de saúde adquiriram na sua prática conhecimentos sobre as infecções hospitalares e sua prevenção, mas sentem dificuldades para incorporar estas medidas no atendimento aos pacientes. Tendem a atribuir sua ocorrência ao acaso, condições inadequadas de trabalho ou buscam culpado. Nos hospitais existe uma divisão hierárquica rígida do trabalho. Os médicos exercem o comando das ações diagnósticas e terapêuticas, e atribuem as infecções hospitalares ao acaso, associado à gravidade do paciente. Os enfermeiros gerenciam os cuidados prestados aos pacientes. Atribuem as infecções hospitalares aos procedimentos invasivos e falhas na atenção prestada aos pacientes. Os auxiliares prestam diretamente o cuidado assistencial e relacionam os casos de infecção a algum culpado, procurando identificar o profissional ou a ação que levou a contaminação. Em relação às medidas de prevenção e controle das infecções hospitalares, os profissionais de saúde reconhecem que a CCIH pode ser uma fonte de informações epidemiológicas e científicas, que os auxilia na prática profissional, porém os papéis não estão claramente delimitados e isto gera conflitos ou omissões. Os médicos enfatizam a consultoria para prescrição de antibióticos. Os enfermeiros destacam o respaldo científico que é dado para suas dúvidas e padronizações. Os auxiliares relatam as aulas que são ministradas. Os principais problemas referidos são a deficiência de formação acadêmica em relação ao tema, dificuldade para o trabalho em equipe, as situações de emergência, quadro funcional deficiente e superpopulação de pacientes. A CCIH é percebida como um órgão de assessoria da direção e não exibe o mesmo rigor para propor medidas corretivas que envolvam a direção, tal como faz com os auxiliares e técnicos, principalmente em situações de aumento da incidência de infecção. A CCIH também é vista como um órgão fiscalizador e de punição. Embora não exista formação acadêmica específica em controle de infecção, os profissionais adquirem-na na sua prática / The objective of this study was to verify the perception of physicians, nurses and auxiliaries or technicians regarding to nosocomial infections and their prevention and control practices. A semi-structured interview was made with eight professionals of each category who work in hospitals in the city of Sao Paulo, with the commission of infection control according to the legal norms. The initial reason of this study was the noncompliance by the healthcare professionals to the main recommendations of CCIH (Center of Nosocomial Infection Control), besides its inefficiency to change their behaviors regarding to those attitudes. It was observed that healthcare professionals acquired in their practice knowledge on nosocomial infection and its prevention, but they have difficulty to incorporate those attitudes in the patient care. They tend to lay the occurrence on the casualty, the inadequate work conditions or look for someone to blame on. There is a rigid hierarchic division of work in the hospitals. The physicians perform the command of therapeutic and diagnostic actions, and they attribute nosocomial infections to the chances, associated to the severity of the patient. The nurses manage the care delivered to the patients. They attribute nosocomial infections to invasive procedures and failures of attention delivered to the patients. The auxiliaries deliver directly the assistance care and relate the infection cases to someone to blame, looking for identifying the professional or the action that led to contamination. Regarding to attitudes toward prevention and control of nosocomial infections, the healthcare professionals recognize that CCIH may be a source of scientific and epidemiological information, which helps them on the professional practice, although the roles are not clearly circumscribed and this generates conflicts or omissions. The physicians emphasize the consultancy to prescribe antibiotics. The nurses stress the scientific basis that is given to their doubts and standardizations. The auxiliaries report the classes given. The main problems mentioned are the deficiency of academic background related to the topic, the difficulty to work with a team, emergency situations, inefficient working board and patient overcrowding. CCIH is perceived as an institution of directory body assessment and it doesnt show the same rigor to propose corrective attitudes to enclose the directory body, as it does with auxiliaries and technicians, mainly in situations of higher infection incidence. CCIH is also seen as an inspection and punishment institution. Although professionals dont have specific academic background in infection control, they acquire it in their practice
8

Percepções de profissionais de saúde relativas à infecção hospitalar e às práticas de controle de infecção / Perceptions of health professionals regarding to nosocomial infection

Antonio Tadeu Fernandes 15 May 2008 (has links)
O objetivo deste estudo foi verificar a percepção de médicos, enfermeiros e auxiliares ou técnicos a respeito das infecções hospitalares e de suas práticas de prevenção e controle. Realizou-se entrevista semi-estruturada com oito profissionais de cada categoria, que atuam em hospitais da cidade de São Paulo, com comissão de controle de infecção de acordo com as normas legais. A motivação inicial foi a não aderência dos profissionais de saúde às principais recomendações da CCIH, aliada a sua ineficácia em alterar os comportamentos destes em relação a estas medidas. Observouse que os profissionais de saúde adquiriram na sua prática conhecimentos sobre as infecções hospitalares e sua prevenção, mas sentem dificuldades para incorporar estas medidas no atendimento aos pacientes. Tendem a atribuir sua ocorrência ao acaso, condições inadequadas de trabalho ou buscam culpado. Nos hospitais existe uma divisão hierárquica rígida do trabalho. Os médicos exercem o comando das ações diagnósticas e terapêuticas, e atribuem as infecções hospitalares ao acaso, associado à gravidade do paciente. Os enfermeiros gerenciam os cuidados prestados aos pacientes. Atribuem as infecções hospitalares aos procedimentos invasivos e falhas na atenção prestada aos pacientes. Os auxiliares prestam diretamente o cuidado assistencial e relacionam os casos de infecção a algum culpado, procurando identificar o profissional ou a ação que levou a contaminação. Em relação às medidas de prevenção e controle das infecções hospitalares, os profissionais de saúde reconhecem que a CCIH pode ser uma fonte de informações epidemiológicas e científicas, que os auxilia na prática profissional, porém os papéis não estão claramente delimitados e isto gera conflitos ou omissões. Os médicos enfatizam a consultoria para prescrição de antibióticos. Os enfermeiros destacam o respaldo científico que é dado para suas dúvidas e padronizações. Os auxiliares relatam as aulas que são ministradas. Os principais problemas referidos são a deficiência de formação acadêmica em relação ao tema, dificuldade para o trabalho em equipe, as situações de emergência, quadro funcional deficiente e superpopulação de pacientes. A CCIH é percebida como um órgão de assessoria da direção e não exibe o mesmo rigor para propor medidas corretivas que envolvam a direção, tal como faz com os auxiliares e técnicos, principalmente em situações de aumento da incidência de infecção. A CCIH também é vista como um órgão fiscalizador e de punição. Embora não exista formação acadêmica específica em controle de infecção, os profissionais adquirem-na na sua prática / The objective of this study was to verify the perception of physicians, nurses and auxiliaries or technicians regarding to nosocomial infections and their prevention and control practices. A semi-structured interview was made with eight professionals of each category who work in hospitals in the city of Sao Paulo, with the commission of infection control according to the legal norms. The initial reason of this study was the noncompliance by the healthcare professionals to the main recommendations of CCIH (Center of Nosocomial Infection Control), besides its inefficiency to change their behaviors regarding to those attitudes. It was observed that healthcare professionals acquired in their practice knowledge on nosocomial infection and its prevention, but they have difficulty to incorporate those attitudes in the patient care. They tend to lay the occurrence on the casualty, the inadequate work conditions or look for someone to blame on. There is a rigid hierarchic division of work in the hospitals. The physicians perform the command of therapeutic and diagnostic actions, and they attribute nosocomial infections to the chances, associated to the severity of the patient. The nurses manage the care delivered to the patients. They attribute nosocomial infections to invasive procedures and failures of attention delivered to the patients. The auxiliaries deliver directly the assistance care and relate the infection cases to someone to blame, looking for identifying the professional or the action that led to contamination. Regarding to attitudes toward prevention and control of nosocomial infections, the healthcare professionals recognize that CCIH may be a source of scientific and epidemiological information, which helps them on the professional practice, although the roles are not clearly circumscribed and this generates conflicts or omissions. The physicians emphasize the consultancy to prescribe antibiotics. The nurses stress the scientific basis that is given to their doubts and standardizations. The auxiliaries report the classes given. The main problems mentioned are the deficiency of academic background related to the topic, the difficulty to work with a team, emergency situations, inefficient working board and patient overcrowding. CCIH is perceived as an institution of directory body assessment and it doesnt show the same rigor to propose corrective attitudes to enclose the directory body, as it does with auxiliaries and technicians, mainly in situations of higher infection incidence. CCIH is also seen as an inspection and punishment institution. Although professionals dont have specific academic background in infection control, they acquire it in their practice
9

Time management sestry manažerky v intenzivní péči / Time management nurse manager in the intensive care

Černohorská, 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...
10

O cuidado colaborativo como dispositivo de promoção da integralidade da atenção à saúde / Collaborative Care as an approach to boosting health care comprehensiveness

Santana, Ricardo Matos 12 December 2014 (has links)
A complexidade da atenção à saúde, como um reflexo da influência de uma diversidade de fatores sobre o processo saúde-doenças das pessoas, requer uma combinação de saberes e fazeres, com as devidas competências técnicas e relações peculiares a cada profissão de saúde, com o estabelecimento de habilidades interpessoais para a produção de relações colaborativas entre os profissionais, os usuários e as organizações de saúde. Nesse contexto, emerge o Cuidado Colaborativo que acontece quando, em uma ação coordenada na tentativa de buscar atingir maior aproximação com a integralidade da atenção de que um usuário precisa, profissionais de vários núcleos de competência e responsabilidade da saúde, diversas organizações de saúde, incluindo os usuários, trabalham juntos cotidianamente para conseguir um benefício compartilhado e obter um objetivo comum. Esse estudo teve como objetivo analisar o processo de organização para implantar o cuidado colaborativo integrante do processo de enfermagem, à adolescente com condições ginecobstétricas, a partir da atenção hospitalar, como dispositivo na contribuição da promoção da integralidade da atenção na rede de serviços do sistema de saúde. Foi desencadeada a realização de uma pesquisa-ação, organizada dentro da estrutura metodológica do processo de enfermagem, tomando por referência a implantação da Linha de Ação Teias do Adolescer, de um núcleo de extensão universitária, em colaboração com mais duas instituições, um hospital materno-infantil e de uma prefeitura, todos de um município do interior da Bahia, compondo o cenário de estudo. Teve como sujeitos do estudo em uma equipe de pesquisa-ação composta por representantes das três instituições do cenário de pesquisa. Os dados empíricos foram coletados por meio da técnica de grupos de discussão. A análise dos dados se deu pelo método de Análise Temática, tendo como apoio para isso o uso do software de tratamento de dados qualitativos NVivo 10, da QSR International. Do material empírico analisado emergiram três conjuntos temáticos: a) O cuidado colaborativo na atenção à saúde na perspectiva da equipe do Teias de Adolescer; b) A integralidade na atenção à saúde na perspectiva da equipe do Teias de Adolescer; e c) O Processo de Enfermagem no contexto do Teias de Adolescer. Os resultados analisados no processo que está, e estará, permanentemente em curso vêm apontando, mesmo de forma incipiente, que o cuidado colaborativo tem potencialidade para contribuir para o cuidado integral e servir como disparador para promoção da integralidade da atenção à saúde, seja por meio da colaboração intraorganizacional e/ou interorganizacional / Health care complexity, as a reflection of the influence of a variety of factors on people\'s health-disease process, requires a combination of knowledge and action, with the necessary technical skills and peculiar relations to each health profession, with the establishment of relational skills for the production of collaborative relationships among healthcare professionals, users and organizations. Within such context, Collaborative Care emerges when, in a coordinated attempt to seek to achieve closer ties with the comprehensive care that a user needs, accountability and specialization health professionals, health organizations, including users, work together on a daily basis to achieve shared goals and benefits. This study aimed to analyze the organization process to apply collaborative care, as constituent of the Nursing Process, to teenagers with gynecobstetric conditions, in the context of hospital care, as an approach to promoting comprehensive care in the service network of the health system. The conducted action research was organized within the methodological framework of the nursing process, with reference to the implementation of the project \"Teias do Adolescer\" (which is part of a university extension teenager health care program), in collaboration with two other institutions: a maternal and child hospital, and a city hall administration, all in a city in the interior of the State of Bahia, Brazil. As study subjects of the action research, representatives of the three mentioned institutions were involved. Empirical data were collected through discussion groups. Data analysis was made by the method of Thematic Analysis, supported by the NVivo 10 of QSR International software. The empirical material analyzed revealed three thematic clusters: a) The collaborative health care from the perspective of the \"Teias do Adolescer\" staff; b) The completeness in health care from the perspective of the \"Teias do Adolescer\" staff; and c) the nursing process in the context of the \"Teias do Adolescer\" project. The results analyzed in the ever-ongoing process have pointed out, even incipiently, that the collaborative care has the potential to contribute to a total care and serve as a trigger for the promotion of integral health care, either through intra-organizational or interorganizational collaboration

Page generated in 0.0891 seconds