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  • 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.
61

Potential Uses of Data Envelopment Analysis for Big Data and Machine Learning Integration in Evaluation

Sen, Anuradha 10 January 2025 (has links)
Data science and evaluation are two disciplines that could benefit enormously from successful integration. While data science can provide useful information in terms of statistics for any evaluation process, it as a subject can benefit from incorporating elements that investigate the value addition aspects addressed by evaluation and evaluative thinking. Evaluative thinking when incorporated with the analysis of big data sources can become a powerful tool in our hands that could be used in various sectors, for various purposes, to build equity and justice in society and make us better prepared to deal with exigencies. The new advancements in data science tools and approaches have attracted researchers from various disciplines, including evaluators. However social scientists and evaluators have been slow adopters of data science technologies compared to other fields. If evaluation practitioners and scholars do not pay attention, then the other fields will race ahead with different methods, models, tools, and approaches (Bamberger, Raftree, and Olazabal, 2016). The new and emerging data sources and analytical approaches can not only help the evaluation practitioners to solve problems of various dimensions, but also the integration of disciplines like data science with evaluation has the potential to benefit each other and as well as for the promotion of social good. Data Envelopment Analysis (DEA) is a nonparametric linear programming approach to measure the efficiency and productivity of decision-making units (DMUs), which can be used in both public and private sectors. This approach can enhance the decision-making process by utilizing new emerging data sources. DEA, after being introduced in the late 1970s, has been widely used in the management sector, and over the last few decades, it has gained popularity in various additional fields due to being a data-driven approach. As far back as 1986, DEA was the subject of an entire textit{New Directions for Evaluation} volume, but it has rarely been explored again in the field of evaluation since then. Especially given the increased availability and use of big data in evaluation, there is a need to revisit DEA and explore its potential applications and implications for evaluation. This study is threefold, where it first explores what the published literature reveals about the nature of DEA and its relationship to the core evaluation concepts of evaluative thinking, reasoning, and ethics, using a scoping review. Secondly, it demonstrates a proof of concept of how DEA could be applied and the implications for evaluative thinking and reasoning using big data. Lastly, this study seeks the perspectives of thought leaders on the application of data science technologies and DEA in evaluation. / Doctor of Philosophy / Big data is an important trend worldwide, and most of the innovations and discussions going on around big data are all happening outside evaluation, and this poses a double-sided risk. On one hand, if other fields like data science, management, banking, agriculture, chemistry, healthcare, etc. continue to innovate around big data without the understanding of evaluative thinking, reasoning, and ethics, then the applied inquiry that the researchers have developed and reflected upon within evaluation for decades, will be at risk due to an overly technical approach to data. On the other hand, the field of evaluation faces the problem of being left behind. For evaluation to remain relevant as a field, it must stay up to date with developments in adjacent disciplines. In other words, if evaluation practitioners and scholars do not pay attention, then the other fields will race ahead with different methods, models, tools, and approaches (Bamberger et al., 2016). It is a problem on two levels. One of the biggest challenges with big data is that they lack quality. It thus becomes imperative to make the best use of the data and to convey valid and compelling stories with these data, we must continue to explore different approaches to working with it. This paper explores an approach, Data Envelopment Analysis (DEA), to make sense of the data with potential contribution to decision-making. DEA is a nonparametric linear programming method for measuring the efficiency and productivity of decision-making units (DMUs) in both the public and private sectors. It has maintained popularity in various subject areas that use big data, like operations research, mathematics, environmental science, engineering, material science, etc. After being introduced in the late 1970s, it has been widely used in the management sector, and over the last few decades, has gained popularity in various additional fields due to being a data-driven approach. As far back as 1986, linear optimization, in particular DEA, was the subject of an entire textit{New Directions for Evaluation} volume, but it has rarely been explored again in the field of evaluation since then. Especially given the increased availability and use of big data in evaluation, there is a need to revisit DEA and explore its potential applications and implications for evaluation. As such, this study is divided into three parts, where the first part is a scoping review that explores what the published literature reveals about the nature of DEA and its relationship to the core evaluation concepts of evaluative thinking, reasoning, and ethics. Secondly, this study provides a demonstration of the application of DEA using big data in evaluation. And lastly, this study seeks the perspectives of thought leaders on the application of data science technologies and DEA in evaluation.
62

Gestão do trabalho em saúde: revisão da literatura por meio de scoping review / Work management in healthcare: literature review by scoping review

Viana, Dirce Laplaca 26 February 2013 (has links)
No setor saude no Brasil, o termo gestao do trabalho passou a ser utilizado principalmente apos a 12ª Conferencia Nacional de Saude, por haver criticas ao termo gestao de recursos humanos. Entretanto, o que e gestao do trabalho em saude? O que se tem produzido no Brasil a respeito desse tema? Como essa expressao vem sendo utilizada na producao cientifica brasileira? Esta pesquisa busca analisar a producao cientifica publicada em periodicos brasileiros com relacao a incorporacao da expressao gestao do trabalho em saude. Foi realizado um scoping review na base de dados Lilacs, com exclusao de teses, livros, estudos sem resumo, estudos repetidos, monografias e documentos governamentais. Foram encontrados 495 estudos, submetidos a criterios de inclusao e exclusao por tres juizes, 74 artigos foram considerados na integra para mapeamento. Dos artigos mapeados, 34 foram selecionados para pesquisa. Com relacao as caracteristicas dos estudos, os especialistas do Sudeste e Sul brasileiro produziram mais artigos sobre o tema, com abordagem metodologica predominantemente qualitativa publicados nos periodicos Cadernos de Saude Publica e Ciencia & Saude Coletiva. Tais publicacoes apresentaram crescimento numerico principalmente apos 2006, com a 3ª Conferencia Nacional de Gestao do Trabalho e Educacao em Saude. Com relacao a incorporacao, os dados extraidos resultaram no mapeamento de cinco temas: conceito de gestao do trabalho em saude, formulacao de politicas, participacao dos trabalhadores nos processos de trabalho (desalienacao e autonomia), precarizacao do trabalho e desafios para o gestao do trabalho em saude. Apesar do consenso a respeito da complexidade conceitual da expressao, sao explorados aspectos distintos, de acordo com a interpretacao de cada autor com destaque para alguns desafios na gestao do trabalho em saude: novas exigencias na qualificacao profissional, equipes heterogeneas de trabalho, presenca predominantemente da mulher no mercado de trabalho, burocratizacao e predominio de rotinas e protocolos. As discussoes teoricas sao amplas mas as aplicacoes praticas sao escassas, restando um questionamento que nao foi totalmente desvelado: gestao do trabalho em saude, uma mudanca terminologica ou de paradigma? / The expression work management in healthcare has been used mainly after the 12ª National Conference of Health, because the expression human resour- ce management was being criticized. However, what is work management in healthcare? What has been done concerning this issue in Brazil? How is this expression being used by the Brazilian scientific production? This research aims to analyze the scientific production published in Brazilian journals and related to the expression work management in healthcare. A scoping review was made using the LILACS database as a reference, with the exception of thesis, books, papers without abstract, duplicate studies, monographs and governmental documents. 495 studies were found and subjected to inclusion and exclusion criteria by three judges; 74 articles were fully considered for mapping. From the mapped articles, 34 were used for research. Regarding the studies characteristics, specialists from the Brazilian South and Southeast areas produced more papers about the issue on journals such as Cadernos de Saude Publica and Ciencia & Saude Coletiva, with the predominance of qualitative methodological approach. These publications presented numerical growth especially from 2006 onwards, after the 3rd National Conference of Work Management and Education in Healthcare. Regarding the expression usage, the extracted data resulted on the mapping of five topics: concept of work management in healthcare, policy formulation, participation of workers in the work processes (disalienation and autonomy), precarious work and challenges for the work management in healthcare. Despite the consensus about the conceptual complexity of such expression, distinct aspects are explored according to each authors interpretation highlighting some challenges for work management in healthcare: new job requirements, many kinds of professionals in work team, women in the labor market bureaucratization, routines and protocols. The theoretical discussions are broad and the practical applications are scarce, generating a question that was not completely answered: does work management in healthcare represent a change of terminology or paradigm?
63

Gestão do trabalho em saúde: revisão da literatura por meio de scoping review / Work management in healthcare: literature review by scoping review

Dirce Laplaca Viana 26 February 2013 (has links)
No setor saude no Brasil, o termo gestao do trabalho passou a ser utilizado principalmente apos a 12ª Conferencia Nacional de Saude, por haver criticas ao termo gestao de recursos humanos. Entretanto, o que e gestao do trabalho em saude? O que se tem produzido no Brasil a respeito desse tema? Como essa expressao vem sendo utilizada na producao cientifica brasileira? Esta pesquisa busca analisar a producao cientifica publicada em periodicos brasileiros com relacao a incorporacao da expressao gestao do trabalho em saude. Foi realizado um scoping review na base de dados Lilacs, com exclusao de teses, livros, estudos sem resumo, estudos repetidos, monografias e documentos governamentais. Foram encontrados 495 estudos, submetidos a criterios de inclusao e exclusao por tres juizes, 74 artigos foram considerados na integra para mapeamento. Dos artigos mapeados, 34 foram selecionados para pesquisa. Com relacao as caracteristicas dos estudos, os especialistas do Sudeste e Sul brasileiro produziram mais artigos sobre o tema, com abordagem metodologica predominantemente qualitativa publicados nos periodicos Cadernos de Saude Publica e Ciencia & Saude Coletiva. Tais publicacoes apresentaram crescimento numerico principalmente apos 2006, com a 3ª Conferencia Nacional de Gestao do Trabalho e Educacao em Saude. Com relacao a incorporacao, os dados extraidos resultaram no mapeamento de cinco temas: conceito de gestao do trabalho em saude, formulacao de politicas, participacao dos trabalhadores nos processos de trabalho (desalienacao e autonomia), precarizacao do trabalho e desafios para o gestao do trabalho em saude. Apesar do consenso a respeito da complexidade conceitual da expressao, sao explorados aspectos distintos, de acordo com a interpretacao de cada autor com destaque para alguns desafios na gestao do trabalho em saude: novas exigencias na qualificacao profissional, equipes heterogeneas de trabalho, presenca predominantemente da mulher no mercado de trabalho, burocratizacao e predominio de rotinas e protocolos. As discussoes teoricas sao amplas mas as aplicacoes praticas sao escassas, restando um questionamento que nao foi totalmente desvelado: gestao do trabalho em saude, uma mudanca terminologica ou de paradigma? / The expression work management in healthcare has been used mainly after the 12ª National Conference of Health, because the expression human resour- ce management was being criticized. However, what is work management in healthcare? What has been done concerning this issue in Brazil? How is this expression being used by the Brazilian scientific production? This research aims to analyze the scientific production published in Brazilian journals and related to the expression work management in healthcare. A scoping review was made using the LILACS database as a reference, with the exception of thesis, books, papers without abstract, duplicate studies, monographs and governmental documents. 495 studies were found and subjected to inclusion and exclusion criteria by three judges; 74 articles were fully considered for mapping. From the mapped articles, 34 were used for research. Regarding the studies characteristics, specialists from the Brazilian South and Southeast areas produced more papers about the issue on journals such as Cadernos de Saude Publica and Ciencia & Saude Coletiva, with the predominance of qualitative methodological approach. These publications presented numerical growth especially from 2006 onwards, after the 3rd National Conference of Work Management and Education in Healthcare. Regarding the expression usage, the extracted data resulted on the mapping of five topics: concept of work management in healthcare, policy formulation, participation of workers in the work processes (disalienation and autonomy), precarious work and challenges for the work management in healthcare. Despite the consensus about the conceptual complexity of such expression, distinct aspects are explored according to each authors interpretation highlighting some challenges for work management in healthcare: new job requirements, many kinds of professionals in work team, women in the labor market bureaucratization, routines and protocols. The theoretical discussions are broad and the practical applications are scarce, generating a question that was not completely answered: does work management in healthcare represent a change of terminology or paradigm?
64

Understanding the Concept and Practice of Ecosystem Approaches to Health in the Context of Public Health

Nguyen, Vi 02 May 2011 (has links)
A scoping study of the published literature was used to describe the concept and practice of ecosystem approaches to health (ecohealth) in the context of public health. Analysis of commentaries identified 24 themes, expressed in a mind map showing interconnections between themes, with a table of explanations. Most (27 of 29) primary research articles did not explicitly explain how ecohealth was applied in their research, suggesting a need for some standardization in reporting ecohealth. Additionally, a case study approach was undertaken to identify enablers and impediments of ecohealth and how concepts were integrated into a research project of health and environmental sanitation in Vietnam. The project’s conceptual framework was aligned with ecohealth concepts, but in practice, a variety of challenges were identified. In future, ecohealth research teams should include a self-investigation of their ecohealth process to facilitate a comparison of theory-to-practice; this may serve as a best practice for ecohealth. / Public Health Agency of Canada (PHAC), Community of Practice in Ecosystem Approaches to Health - Canada (CoPEH-Can)
65

Early Childhood Research across Cultures / Early Childhood Research across Cultures: A Scoping Study of Early Childhood Interventions across Language and Country Boundaries

Chapman, Brandon J. January 2019 (has links)
A scoping study of early childhood research in Spanish and Portuguese-speaking countries for improved well-being worldwide through collaboration and knowledge transfer / ABSTRACT BACKGROUND: Research evidence strongly supports the influence of quality nutrition, cognitive stimulation and nurturing care on the extent that a child reaches full development. Reaching developmental milestones results in positive outcomes for individual health and well-being as well as communal stability and prosperity. Interventions to improve early childhood development are not a recent concept; however, the interaction of one early childhood development outcome on others form a complex, often interdependent, relationship. The complexity of a child's development also includes the child's family, home environment, community and national context. The complex and dynamic setting for implementing early childhood interventions requires more than efficiency or knowledge. It requires patience, cultural competency and a compassion to engage and support a child's family, society and nation. Interventions that are effective in multiple cultures or can be scaled up to a regional or global level are rare and usually focus on one aspect of early childhood development (ECD), like protein intake to prevent stunting. Context does matter, and ECD research is dispersed over vastly different political systems and often focused on specific people groups or subcultures. The scope and intensity of ECD research in the world has not been described and is often unknown to English-speaking researchers who are not personally connected by relationship or literacy to other languages and cultures. PURPOSE: The purpose of this scoping study is to answer the research question: "What is being researched related to early childhood development interventions with children six years old and younger in Spanish and Portuguese-speaking countries?” A scoping study of published, peer-reviewed literature on interventions in early childhood development in English, Spanish and Portuguese was performed to understand the concepts in research on early childhood development (ECD). The thesis presents interventions in early childhood development and their usage in Mexico, Central and South America in particular and also in Europe and Africa because of the Spanish and Portuguese languages spoken there. The thesis highlights risk factors, assessment tools and interventions from peer-reviewed research providing a scope of ECD interventions for this world area. SEARCH METHODS
: Databases searched were related to global health, health sciences, nursing and allied health, psychology and education. They were Global Health, Embase, Medline with PubMed e-ahead of print, PsycInfo, CINAHL, ERIC, LILACS and IBECS. The search strategy and data collection was guided by the research question to be thorough and methodical. Exclusion criteria were utilized to screen more than seven hundred articles to retrieve eighty-six articles that included the correct populations, relevant countries, ECD interventions and early childhood outcomes. FINDINGS: Macro and micro-context risk factors in early childhood development were highlighted across the literature. They were lower maternal education, informal maternal employment, larger household size, lower wealth index and rural residence. Findings related to child or home-centered interventions revealed varied but some positive outcomes in national programmes in Mexico, Brazil, Ecuador, Nicaragua, Colombia and Portugal. The research across all countries in literature found positive impact on early childhood development from age-dependent nutrition, higher socio-economic status and education in mothers, stimulating parent-child interactions and nurturing home environment. CONCLUSIONS: 
While a scoping study of ECD provides an overview of the work happening and of the relevant key concepts, the eighty-six included studies can hardly be considered representative of all childhood development interventions being implemented or researched. Some state or national governments and non-government organizations implement early childhood interventions without publishing in a peer-reviewed journal. Many more interventions are not evaluated or monitored. Increased collaboration and networking between researchers and countries is needed. Necessary partnerships between educators, researchers and policy-makers based on national strengths across the globe can facilitate better sharing of knowledge and assessment of appropriate interventions for a population's needs. Further monitoring, evaluation and publishing of interventions in this region of the world is required. M.Sc. Thesis - Brandon James Chapman; McMaster University - Global Health / Thesis / Master of Science (MS) / Development during the earliest years of life includes physical, mental and social development. This thesis is a study on the research for early childhood development in Spanish and Portuguese-speaking countries and describes what is happening with a global health perspective. The thesis discusses how research can impact knowledge and what is done to support and improve development for children, their families and their country.
66

Análise do Comportamento aplicada à promoção da saúde: uma revisão de escopo

Cruz, Luiz Felipe Monteiro da 16 December 2015 (has links)
Made available in DSpace on 2016-04-29T13:17:57Z (GMT). No. of bitstreams: 1 Luiz Felipe Monteiro da Cruz.pdf: 1120633 bytes, checksum: d3555ee9c2eb1c9cd6a982a89aefd3bf (MD5) Previous issue date: 2015-12-16 / Behavior Analysis, as a descriptive and experimental science, capable to indicate the causes of complex behaviors, offers a mean to study and modify many social issues. However, the field of public health, and more specificaly the field of health promotion, has been seldom studied by behavior analysts. As a scoping review, the presente study researched the data produced by studies in the application of Behavior Analysis to health promotion, with the purpose of identifying the types of intervention that are being applied, as well as possible methodological and conceptual gaps in researches. Studies were coleted from five databases: Lilacs, PubMed, ERIC, Scopus e PsycINFO. Studies were analyzed for bibliometrics, type of research, target behaviors and population, research designs and also in relation to criteria for the evaluation of health promotion initiatives, proposed by the WHO (social participation, empowerment, equity, sustainability, multi-strategic actions and a holistic conception of health). Publications should match inclusion criteria to be considered a Behavior Analysis study. A total of 89 studies were analyzed. Data collection indicated that the majority of the studies were conducted in the United States (89,8%). Most represented types of research were predictores/determinants studies (34,8%), interventions (25,8%) and discussion papers (25,8%). Among the studies that planned some form of intervention, the majority (77%) reache no more than three, of the six WHO criteria of evaluations. Based in these data, we argue for a higher approach by behavior analysts to modern discussions in health promotion / A Análise do Comportamento, enquanto ciência descritiva e experimental, capaz de apontar as causas dos comportamentos mais complexos, oferece meios de estudar e modificar uma grande gama de problemas sociais. Entretanto, uma área de atuação pouco estudada por analistas do comportamento é a saúde pública, mais especificamente a promoção da saúde. Como uma revisão de escopo, a atual pesquisa buscou levantar dados produzidos por estudos em Análise do Comportamento aplicada à promoção da saúde, com o objetivo de identificar tipos de intervenção sendo utilizados, possíveis lacunas metodológicas ou conceituais e a extensão desses estudos. Estudos foram coletados em cinco bases de dados: Lilacs, PubMed, ERIC, Scopus e PsycINFO. Estudos foram analisados a partir de dados bibliométricos, dados relacionados ao tipo de estudo conduzido, classes de comportamentos alvos, população alvo, delineamentos de pesquisa e também em relação a critérios para avaliação de intervenções de promoção da saúde propostos pela OMS (participação social, empoderamento, equidade, sustentabilidade, ações multi-estratégicas e concepção holística de saúde). Publicações deveriam preencher critérios de inclusão para serem consideradas pesquisas em Análise do Comportamento. Um total de 89 pesquisas foram analisadas. A coleta de dados indicou que a maioria dos estudos foi realizada nos Estados Unidos (89,8%). Tipos de pesquisa com maior representação foram estudos de preditores/determinantes (34,8%), intervenções (25,8%) e artigos de discussão (25,8%). Entre estudos que planejaram algum tipo de intervenção, a maioria (77%) atingiu até três, dos seis critérios de avaliação da OMS. Com base nesses dados, discute-se por uma aproximação maior de analistas do comportamento a discussões atuais na área da promoção da saúde
67

Interações entre linhas de transmissão e a biodiversidade : uma revisão sistemâtica dos efeitos induzidos por esses empreendimentos

Biasotto, Larissa Donida January 2017 (has links)
A crise na biodiversidade tem se agravado como resultado das atividades humanas. Identificar os efeitos ecológicos causados por empreendimentos, como linhas de transmissão de energia elétrica (LTs), é essencial para o planejamento dessas estruturas e para melhor informar seu processo de tomada de decisão. A Avaliação de Impacto Ambiental (AIA) é um importante instrumento para a minimização de impactos na biodiversidade. No entanto, uma das maiores deficiências para a mitigação de impactos está na ausência da antecipação dos mesmos na fase de planejamento das estruturas. Um dos objetivos deste estudo foi listar e descrever os potenciais efeitos ambientais causados pelas LTs, sua natureza e os componentes bióticos afetados. A partir de uma abordagem de revisão sistemática, a síntese dos estudos mostrou que as interações das linhas com a biodiversidade têm sido investigadas em uma grande amplitude de organismos, abordando doze diferentes efeitos no ambiente. No entanto, é notável a ausência de estudos relacionados a grupos funcionais de menor mobilidade e sobre efeitos como a perda de habitat. Além de listar e descrever os efeitos das LTs, este trabalho estruturou um modelo conceitual para auxiliar na definição do escopo das AIAs. Nós acreditamos que o reconhecimento antecipado do espectro de potenciais impactos, além de ser importante para a compreensão das cadeias causais pelas quais as ações de cada empreendimento conduzem efeitos, auxilia na qualificação do processo de licenciamento, direcionando os estudos para impactos prioritários. Como a forma mais efetiva de evitamento de impactos, nós recomendamos fortemente que iniciativas de espacialização dos mesmos sejam desenvolvidas para a futura incorporação no planejamento da expansão da rede de transmissão de energia. / The biodiversity crisis has worsened in the last decades, as a result of human activities. Identifying the ecological effects caused by infrastructure developments, such as electric power transmission lines (TLs), is essential for planning these developments and for better informing the decision-making process. Environmental Impact Assessment (EIA) is an important instrument to ensure the minimization of impacts on biodiversity. However, one of the major shortcomings for mitigation of impacts is the lack of anticipation in the planning phase of these developments. One of the objectives of this study was to list and describe the potential environmental effects caused by TLs, their nature and the affected biotic components. From a systematic review approach, the synthesis of the studies reveal that line interactions with biodiversity have been investigated over a wide range of organisms, addressing twelve different effects on the environment. However, the absence of studies related to functional groups of lower mobility and other effects, such as habitat loss, is notable. In addition to listing and describing the effects of LTs, this work structured a conceptual model to help define the scope of EIAs. We believe that the early recognition of the spectrum of potential impacts, in addition to being important for understanding the causal chains through which the actions of each undertaking have effects, helps in the qualification of the licensing process, directing the studies to priority impacts. As the most effective way of avoiding impacts, we strongly recommend that spatial analysis and investigation should be developed and incorporated in planning the expansion of the power transmission network.
68

Health and Social Consequences of Caregiving for Family and Friend Caregivers of Older Adults

Lucas, Sarah J Unknown Date
No description available.
69

The Influence of Context on Utilizing Research Evidence for Pain Management in Jordanian Pediatric Intensive Care Units

Ismail, Ahmad 29 November 2018 (has links)
Background: Little is known about the use of pain management evidence in Jordanian Pediatric Intensive Care Units (PICUs). Purpose: To assess the existence, content, and the factors influencing the use of pain management evidence in Jordanian PICUs. Methods: Three studies were guided by the Promoting Action on Research Implementation in Health Services (PARiHS) framework. 1. A scoping review of the literature to identify pain management interventions in the PICU; 2. A cross-sectional and multisite survey to determine the current pain management practices, and the availability and content of practice guidelines in Jordanian PICUs; 3. A correlational and multisite survey to examine the relationship between the contextual factors and nurses’ use of pain management research evidence in Jordanian PICUs. Results: 1. Twenty-seven studies were included in the scoping review. The majority of the studies focused mainly on pharmacological interventions (n= 21, 78%). Morphine and fentanyl were the most commonly used pharmacological agents for pain management in the PICUs. The use of non-pharmacological interventions was limited. 2. Four of six eligible PICUs participated in the cross-sectional study. All four units had written pain management guidelines. Fentanyl was the most commonly used pharmacological agent in two units. Intravenous infusions of opioids were not administered for patients on mechanical ventilation in two units. The use of non-pharmacological interventions was reported in one unit. 3. From the four participating units, 73 nurses completed the correlation study survey. Social capital predicted both the instrumental and conceptual research use for pain management by Jordanian PICU nurses. Structural and electronic resources predicted the instrumental research use for pain management by Jordanian PICU nurses. Conclusions: Pain management practices and supporting guidelines varied in Jordanian PICUs. Context influences Jordanian PICU nurses’ use of research for pain management. Not all of the pain management practices in Jordan are evidence informed. There is an opportunity for improvement in pain management in Jordanian PICUs.
70

Interações entre linhas de transmissão e a biodiversidade : uma revisão sistemâtica dos efeitos induzidos por esses empreendimentos

Biasotto, Larissa Donida January 2017 (has links)
A crise na biodiversidade tem se agravado como resultado das atividades humanas. Identificar os efeitos ecológicos causados por empreendimentos, como linhas de transmissão de energia elétrica (LTs), é essencial para o planejamento dessas estruturas e para melhor informar seu processo de tomada de decisão. A Avaliação de Impacto Ambiental (AIA) é um importante instrumento para a minimização de impactos na biodiversidade. No entanto, uma das maiores deficiências para a mitigação de impactos está na ausência da antecipação dos mesmos na fase de planejamento das estruturas. Um dos objetivos deste estudo foi listar e descrever os potenciais efeitos ambientais causados pelas LTs, sua natureza e os componentes bióticos afetados. A partir de uma abordagem de revisão sistemática, a síntese dos estudos mostrou que as interações das linhas com a biodiversidade têm sido investigadas em uma grande amplitude de organismos, abordando doze diferentes efeitos no ambiente. No entanto, é notável a ausência de estudos relacionados a grupos funcionais de menor mobilidade e sobre efeitos como a perda de habitat. Além de listar e descrever os efeitos das LTs, este trabalho estruturou um modelo conceitual para auxiliar na definição do escopo das AIAs. Nós acreditamos que o reconhecimento antecipado do espectro de potenciais impactos, além de ser importante para a compreensão das cadeias causais pelas quais as ações de cada empreendimento conduzem efeitos, auxilia na qualificação do processo de licenciamento, direcionando os estudos para impactos prioritários. Como a forma mais efetiva de evitamento de impactos, nós recomendamos fortemente que iniciativas de espacialização dos mesmos sejam desenvolvidas para a futura incorporação no planejamento da expansão da rede de transmissão de energia. / The biodiversity crisis has worsened in the last decades, as a result of human activities. Identifying the ecological effects caused by infrastructure developments, such as electric power transmission lines (TLs), is essential for planning these developments and for better informing the decision-making process. Environmental Impact Assessment (EIA) is an important instrument to ensure the minimization of impacts on biodiversity. However, one of the major shortcomings for mitigation of impacts is the lack of anticipation in the planning phase of these developments. One of the objectives of this study was to list and describe the potential environmental effects caused by TLs, their nature and the affected biotic components. From a systematic review approach, the synthesis of the studies reveal that line interactions with biodiversity have been investigated over a wide range of organisms, addressing twelve different effects on the environment. However, the absence of studies related to functional groups of lower mobility and other effects, such as habitat loss, is notable. In addition to listing and describing the effects of LTs, this work structured a conceptual model to help define the scope of EIAs. We believe that the early recognition of the spectrum of potential impacts, in addition to being important for understanding the causal chains through which the actions of each undertaking have effects, helps in the qualification of the licensing process, directing the studies to priority impacts. As the most effective way of avoiding impacts, we strongly recommend that spatial analysis and investigation should be developed and incorporated in planning the expansion of the power transmission network.

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