South Africa as a country producing certain commodities is experiencing profound changes as a result of globalisation. Globalisation refers to the sourcing of goods from locations around the world to take advantage of national differences in the cost and quality of factors of production, such as labour, energy, land and capital. By doing this, companies hope to lower their overall cost structure and improve the quality or functionality of their product offering, thereby allowing them to compete more effectively. To remain competitive in a global environment, having personnel who are accountable for what they have control over, can help revitalise the business character, strengthen the global competitiveness of corporations, heighten innovation, improve the quality of products and services produced by companies’ world wide, and increase the responsiveness of organisations to the needs and wants of customers. Continental Tyre South Africa (CTSA) is a local and global supplier of tyres, and the global sourcing for tyres by sales divisions, requires CTSA to remain competitive on price in the global market. The overall purpose of the research was to assess the current level of personnel accountability on all levels within manufacturing at CTSA and to formulate recommendations to address the shortfalls identified through the research. The research methodology for this study comprised of the following steps: Firstly, the contextual elements that define accountability were researched; Secondly, the appropriate research methodology techniques were researched and applied. The current level of accountability was assessed in an empirical study which involved completing a questionnaire during structured interviews with respondents; and Thirdly, the data obtained from the questionnaires were analysed showing some areas of accountability, but shortfalls in other areas. The final step of this study entailed the formulation of recommendations to address the shortfalls identified in the different levels and elements of accountability namely: Responsibility, Ability, Means, Authority and Measurement.

To examine evidence-based interventions for nurses to use when supporting cancer survivors self-manage their symptoms. Part I: A systematic review to determine the effect of shared medical appointments (SMAs) on patients with a physical chronic illness (excluding diabetes mellitus), their healthcare providers and the healthcare system. Nine randomized controlled trials were included; one focused on breast cancer survivors. This trial was feasible and showed no difference in outcomes compared to usual care. Part II: A descriptive study to adapt and evaluate the acceptability of an evidence-informed symptom practice guide (SPG) for use by nurses for the assessment, triage, and management of patients experiencing dyspnea due to cancer treatment-related cardiotoxicity. Guided by the CAN-IMPLEMENT© methodology, evidence from seven guidelines on heart failure was added to the original SPG. Eleven participants indicated the adapted SPG was comprehensive and easy to follow, and would be helpful for handling symptom calls from patients.

Document (1) highlights some of the important career development factors connected with self management and (2) describes proposal, preparation and execution of socio-psychological trainning session of first career development which aims to help high school students find the way to start their working career correctly.

Impulse to write master's thesis was effort to use knowledge from book "7 habits of highly effective people" by Stephen Covey in practice in company Green Ways. Experiment was chosen as method of research. The goal of master's thesis was verifying hypothesis that certain volume of (non)work activities should lead to better work results in concrete amount. Experimental stimulus as (non)work activities influenced experimental group (10 people from company Green Ways) but did not infulenced control group (another 10 people from company Green Ways). Research lasted from the 2nd September till 3rd November 2013. As conclusion it was realised that hypothesis was not confirmed. This certain volume of activities did not lead to supposed work results (quantitative results). As people from experimental group are concerned, side effect of research for them were different findings from (non)work topics (qualitative results of survey).

Background: Much social network analysis in health related research has focused on the impact of social networks in the genesis of long term conditions and associated inequalities. However, there has been little research on the role of social networks in the management of such conditions. This is significant at a time when increasing policy emphasis is placed on individual self-care and assumptions are often made about social support, and familial support in particular. The management of chronic illness is complex involving the interplay of personal and contextual factors and comprised of a number of daily activities which include the ongoing negotiation of management into existing roles and the degree of individual engagement with self-management. Little is known about how these aspects interact to shape and influence management, what constitutes a social network for individuals with long term conditions and whether this changes over time.Methods: This study was embedded within the Whole Systems Informing Self-management Engagement (WISE) randomised control trial. It used a longitudinal qualitative design with initial face to face in-depth interviews, telephone follow-ups over a year and final face-to-face interviews where sociograms were also used to elicit network structure.Results: The findings suggest that who is in the social network, and the types of relationships which are present, influence how management practices are framed and the extent to which they are engaged with. Resources available to an individual through the network support, or undermine, engagement and changed over time. Networks included family, friends, GP, nurses and companion animals. The amalgamation of the different types of relationships that constitute the social networks are characterised by three typologies; the family focused network, the friend focused network and the health care professional focused network. These network types reflected where support was sought in times of crisis. In the absence of 'typical' sources accounts highlighted the substitutability of network members which was often narrowly sought from key individuals. Changes in illness management, either positive or negative, were framed around critical moments as they challenged existing norms of practice and involved significant network members. Further, co-morbid conditions placed an additional complexity to management and priorities were shaped by the recursive relationship with health services which seemingly influences patients' orientation in becoming either active assessors of health care or less engaged through being overwhelmed. Conclusions: This thesis challenges the notion of 'self'-management as an individual construct as many of the practices of illness management involved the support and/or negotiation of roles with others. Critical moments are a key point where normalised management practices are challenged and have particular relevance for future interventions which could foster these critical points to facilitate such changes in routines. Interventions and education need to reflect this wider setting in which chronic illness management occurs for the practices of management to become normalised into everyday routines.

Background: Self-management after a stroke is a challenge because of multifaceted care needs and complex disabling consequences that cause further hindrance to patient participation. A 13-week stroke patient empowerment intervention (Health Empowerment Intervention for Stroke Self-management [HEISS]) was developed to enhance patients' ability to participate in self-management. Purpose: To examine the effects of the empowerment intervention on stroke patients' self-efficacy, self-management behavior, and functional recovery. Methods: This is a single-blind randomized controlled trial with stroke survivors assigned to either a control group (CG) receiving usual ambulatory rehabilitation care or the HEISS in addition to usual care (intervention group [IG]). Outcome data were collected at baseline (T0), 1 week (T1), 3 months (T2), and 6 months (T3) postintervention. Data were analyzed on the intention-to-treat principle. The generalized estimating equation model was used to assess the differential change of self-efficacy in illness management, self-management behaviors (cognitive symptom management, communication with physician, medication adherence, and self-blood pressure monitoring), and functional recovery (Barthel and Lawton indices) across time points (baseline = T0, 1 week = T1, 3 months = T2, and 6 months = T3 postintervention) between the two groups. Results: A total of 210 (CG = 105, IG = 105) Hong Kong Chinese stroke survivors (mean age =69 years, 49% women, 72% ischemic stroke, 89% hemiparesis, and 63% tactile sensory deficit) were enrolled in the study. Those in IG reported better self-efficacy in illness management 3-month (P=0.011) and 6-month (P=0.012) postintervention, along with better self-management behaviors at all follow-up time points (all P<0.05), apart from medication adherence (P>0.05). Those in IG had significantly better functional recovery (Barthel, all P, 0.05; Lawton, all P<0.001), compared to CG. The overall dropout rate was 16.7%. Conclusion: Patient empowerment intervention (HEISS) may influence self-efficacy in illness management and improve self-management behavior and functional recovery of stroke survivors. Furthermore, the HEISS can be conducted in parallel with existing ambulatory stroke rehabilitation services and provide added value in sustaining stroke self-management and functional improvement in the long term.

O fenômeno da economia solidária no Brasil tem se expandido como resposta ao desemprego e a exclusão social. É constituído por empreendimentos econômicos solidários cujo propósito é a geração de trabalho e renda para aqueles trabalhadores que, num dado momento, ficaram alijados do mercado formal de trabalho, como na situação de massas falidas de empresas privadas. Neste contexto a cooperativa é tida como a forma típica de empreendimento econômico solidário, alicerçada em pressupostos de igualdade de participação na gestão e na posse coletiva dos meios de produção aos seus associados, pela via de práticas de autogestão. Contudo a literatura da economia solidária admite que esta modalidade de gestão não se constitua na única forma de gestão presente no interior das cooperativas, ou seja, nestas ocorrem também práticas heterogestionárias oriundas da sociedade de mercado regida sob as bases do capitalismo. A coexistência destes padrões, a princípio, antagônicos de gestão implica em práticas paradoxais, que por sua vez, se refletem na qualidade de vida no trabalho dos cooperados. Deste modo, esta tese objetivou compreender como o paradoxo entre autogestão e heterogestão se reflete na qualidade de vida no trabalho percebida pelos cooperados de uma cooperativa oriunda de massa falida. Para tal, foi realizada uma pesquisa exploratória-interpretativista, por meio de um estudo de caso qualitativo na cooperativa Cotravic, utilizando como procedimentos metodológicos entrevistas espontâneas e semi-estruturadas, e observação de campo, tendo sido os dados tratado mediante análise de conteúdo. Os resultados evidenciaram a existência do paradoxo autogestão e heterogestão principalmente nas práticas de gestão relativas à organização das instâncias de tomada de decisão, participação democrática e remuneração do trabalho realizado, revelando oscilações quanto à satisfação com a qualidade de vida no trabalho em função de padrões autogestionários e heterogestionários. O presente estudo defende a gestão do paradoxo numa concepção de complementaridade em que a ambiguidade entre autogestão e heterogestão seja reconhecida e sintetizada como uma alternativa de gestão em prol da eficiência produtiva da cooperativa e do bem-estar individual e coletivo de seus cooperados. / The phenomenon of solidarity economy in Brazil has expanded in response to unemployment and social exclusion. It consists of solidarity economic enterprises which have the purpose of generating employment and income for those workers who, at a given moment, were shut out of the formal labor market, as in the situation of bankrupt estates of private companies. In this context, cooperative associations are regarded as the typical form of economic solidarity enterprises, based on assumptions of equal participation in the management and collective ownership of the means of production by its members, through practices of self-management. But the literature of the solidarity economy admits that this type of management does not constitute the only form of management present within the cooperative, that is, at these cooperatives also occur hetero-management practices arising from market society governed under the foundations of neoliberal capitalism. The coexistence of these management patterns implies in antagonistic paradoxical practices, which in turn are reflected in the quality of work life of members. Thus, this thesis is aimed at understanding how the paradox between hetero and self-management is reflected in the quality of work life perceived by a cooperative of cooperatives survey arising from the bankruptcy estate. For this purpose, a exploratory-interpretive was conducted, through qualitative case study on cooperative Cotravic, using as instruments mainly spontaneous interviews and semi-structured interviews and field observation, proceeding to an analysis of the outcome. The results confirmed the existence of the self versus hetero management paradox and mainly in management practices relating to: organization of instances of decision-making, democratic participation of members and remuneration for work performed, resulting in improving the quality of life at work perceived by the cooperative Cotravic members, revealing oscillations regarding satisfaction with the quality of work life in terms of and self-managed hetero-managed standards. The conclusion of the study points to the importance of the paradox between self versus hetero management embedded in management practices of the Cooperative for reflecting on the quality of work life perceived by members. In this sense, the present study proposes a management paradox conception of complementarity in which ambiguity can be leveraged in support of the productive efficiency of the cooperative and the welfare of their individual and collective members.

Made available in DSpace on 2016-07-18T17:54:23Z (GMT). No. of bitstreams: 1 ANA_MARIA Dissertacao_final_(2) revisada.pdf: 351667 bytes, checksum: 2e12a1716aa5fb2434edd3d3e4e91457 (MD5) Previous issue date: 2014-08-28 / This dissertation is part of the research line "Educational Institution: Organization and Management", of the Masters program at the University of Oeste Paulista, which covers investigations of the philosophical, political, social, psychosocial, cultural, technological and managerial aspects of educational institutions. This is a qualitative and exploraty research with a bibliographical and documentarian basis. Its study object are the foundations of proposed libertarian education constructed within the anarchist paradigm. More specifically it is an introductory study of the political principles, social fundamentals and concepts and education that organized the project libertarian education. In harmony there will be discussed the ideas of self-management and its implications in the formulation of the libertarian educational pedagogies and practices within the school education. Given the breadth and variety of anarchist ideals, it was decided to focus the analysis on how such questions were devised and implemented in the project and in the educational and pedagogical practices proposed by Francisco Ferrer y Guàrdia. It is important to problematize the distances and similarities between the idealized and the implemented in terms of society and educational projects. We work with a theory based on theoretical assumption that social relations are mediated by conflicts and contradictions as they crossed the struggle between classes, individuals and social groups, which debate around values, necessities and opposing and divergent interests. Its main objectives are: a) raise and present the main ideas, concepts and political principles that organize the anarchist ideology and base their projects of social and political organization; b) verify and present the principles and concepts that underlie and organize the ideas of libertarian education; c) investigate and present conceptions of anarchist self-management and its implications in the proposed pedagogy libertarian and self-management, d) study and present experiences of libertarian education held in Brazil and Spain. The procedures for textual analysis of the literature sources are in accordance with Minayo that guides for: 1. The initial reading of the material; 2. The extensive contact with the selected statements; 3. A detailed reading and distribution into themes; 4. thematic and conceptual analysis of the categories of initial analysis and those that arise in the course of work. We believe that our work will help to provide meaningful and reflective elements to develop knowledge about the social and historical construction of other senses, practices and possibilities for thinking about the idealizations and educational practices both past and present, as in their future projections. / Esta dissertação insere-se na linha de pesquisa Instituição Educacional: Organização e Gestão , do Programa de Mestrado da Universidade do Oeste Paulista, a qual abrange investigações dos aspectos filosóficos, políticos, sociais, psicossociais, culturais, gestionários e tecnológicos das instituições educacionais. Trata-se de investigação de natureza qualitativa e exploratória, com base bibliográfica e documental. O seu objeto de estudo são os fundamentos das propostas de educação libertária construídas no âmbito do paradigma anarquista. Mais particularmente, constitui um estudo introdutório dos princípios políticos, fundamentos e conceitos de sociedade e educação que organizaram o projeto de educação libertária. Em consonância, serão discutidos o ideário de autogestão e suas implicações na formulação das pedagogias e práticas educativas libertárias, no âmbito da educação escolar. Diante da amplitude e variedade dos ideais anarquistas, optou-se por focar a análise no modo como tais questões foram idealizadas e concretizadas no projeto e nas práticas educacionais e pedagógicas propostas por Francisco Ferrer y Guàrdia. Também foi importante problematizar os distanciamentos e aproximações entre o idealizado e o executado, em termos de projetos de sociedade e educacionais, pois trabalhamos com hipótese baseada na linha teórica segundo a qual as relações sociais são mediadas por conflitos e contradições que, atravessadas pela luta entre classes, sujeitos e grupos sociais, digladiam em torno de valores, necessidades e interesses opostos e divergentes. Nesse contexto, os principais objetivos da pesquisa são: a) levantar e apresentar as principais ideias, conceitos e princípios políticos que organizam o ideário anarquista e fundamentam seus projetos de organização social e política; b) verificar e apresentar os princípios e conceitos que organizam e fundamentam o ideário da educação libertária; c) investigar e apresentar as concepções de autogestão anarquista e suas implicações na proposta de pedagogia e autogestão libertária; d) estudar e apresentar experiências de educação libertária realizadas no Brasil e na Espanha. Os procedimentos de análise textual das fontes bibliográficas estão em conformidade com Minayo, que orienta para: 1. a leitura flutuante do material; 2. o contato exaustivo com os enunciados selecionados; 3. a leitura detalhada e distribuição em temas; 4. a análise temática e conceitual das categorias de análise iniciais e daquelas que surgirem no decorrer do trabalho. Entendemos que a pesquisa contribuirá para oferecer elementos reflexivos e significativos de modo a elaborar saberes sobre a construção social e histórica de outros sentidos, práticas e possibilidades para se pensar as idealizações e práticas educacionais, tanto no passado e presente como em suas projeções futuras.

Bakgrund: Antalet patienter med kroniska sjukdomar ökar i världen, vilket ställer krav på sjuksköterskans stödjande roll i form av patientundervisning. Sjuksköterskan kan vägleda patienten till ett hälsosamt samt reflektivt förhållningssätt som ger utrymme för dennes lärande och egenvård. En del av egenvård är att hitta en vardag som bringar känsla av kontroll och hälsa. Syfte: Belysa sjuksköterskors erfarenheter av patientundervisning vid kroniska sjukdomar. Metod: En litteraturöversikt över vetenskapliga artiklar. Resultat: Resultatet visar att förståelse och att se patientens livsvärld upplevs som betydelsefullt. Stöd och vägledning möjliggör både en god hälsa samt egenvårdsförmåga. Faktorer som begränsar eller försvårar patientundervisningen kan vara bristande följsamhet, patientens ekonomiska situation, anhöriga samt tidsbrist i arbetet. Konklusion: Patientundervisning för att stärka patientens egenvårdsförmåga visar sig vara ett omfattande område. Sjuksköterskor belyser flera aspekter i patientundervisningen som bidrar till en god egenvårdsförmåga hos patienten. En personcentrerad vård skapar ett samarbete mellan sjuksköterska och patient där fokus ligger på gemensamma mål och förståelse för patientens livsvärld. Sjuksköterskan behöver i arbetet med patientundervisning vara medveten om eventuella barriärer som kan förekomma där ett lösningsorienterat och inlyssnande arbetssätt måste beaktas. / Background: The number of patients with chronic diseases is increasing worldwide, which increases the demand for the nurse's supportive role in the form of patient education. The nurse can guide the patient to a healthy and reflective approach that provides space for the patient's learning and self-management. A part of self-care is to find an everyday life that brings a sense of control and health. Aim: Explore nurse’s experience of patient education in case of chronic disease. Method: The study is a literature review of scientific articles. Findings: The results show that understanding and seeing the patient's world as important. Support and guidance enable good health and self-management ability. Factors that limit or complicate patient education can be lack of compliance, the patient's financial situation, relatives and lack of time at work. Conclusion: Patient education to strengthen the patient's self-management ability turns out to be an extensive area. Nurses highlight several aspects that help the patient's self-management. A person-centered care creates a collaboration between nurse and patient where the focus is on common goal and understanding of the patient's world. Nurse’s need to be aware of barriers, where a solution-oriented and listening approach must be considered.

This research investigates the mutual influence between self-management as organizational structure and intuition in decision-making. Self-management as organizational structure has recently developed as a response to current challenges in society and business, thus constitutes an emerging research field. This study is contributing empirically to this under-research field while at the same time building on the well-researched field of decision-making. In particular, this study is building on the positive view of intuition in decision-making that comes along with dual-process theories. The empirical contribution of this study is collected through semi-structured interviews with a multiple-case study research design. This study’s main finding is the confirmation of a mutual influence, even more, a positive mutual influence, between self-management as organizational structure and intuition in decision-making. Furthermore, first findings on how they are influencing each other are brought forward as well as insights into the diversity of decision-making processes when applying self-management as organizational structure.