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Distribuição do tempo de trabalho das enfermeiras em unidade de emergência / Nurses´ time distribution in emergency unitEliana de Araujo Garcia 01 June 2009 (has links)
As dificuldades encontradas para a operacionalização dos métodos de dimensionamento de pessoal de enfermagem nas unidades de emergência estão diretamente relacionadas à escassez de estudos e de parâmetros que instrumentalizem as enfermeiras para a determinação do quadro de pessoal. Diante deste cenário, este estudo teve por objetivo identificar e analisar a distribuição do tempo de trabalho das enfermeiras em uma unidade de emergência, bem como calcular o tempo médio despendido por estas profissionais na execução das intervenções/atividades de enfermagem. Trata-se de uma pesquisa de natureza quantitativa, descritiva, do tipo estudo de caso, realizada em um Hospital geral, universitário, localizado no município de São Paulo. Para alcançar os objetivos do estudo foi utilizado o método de amostragem de trabalho. A identificação das atividades de enfermagem, realizadas pelas enfermeiras, ocorreu mediante avaliação das fichas de atendimento dos pacientes e da observação direta das enfermeiras no cotidiano do trabalho na Unidade, que foram, posteriormente, categorizadas de acordo com um sistema padronizado de linguagem (NIC) e classificadas em intervenções de cuidado direto, intervenções de cuidado indireto, atividades associadas e de tempo pessoal. Os dados foram coletados no período de 11 a 14 de novembro de 2008, por seis observadoras de campo, treinadas especificamente para a realização deste procedimento. Obteve-se 1512 amostras das atividades realizadas pelas enfermeiras, verificando-se que as intervenções e atividades de enfermagem que mais utilizaram o tempo de trabalho das enfermeiras foram: Passagem de Plantão (8,79%), Cuidado na Admissão (7,40%), Documentação (6,74%), Troca de Informações sobre Cuidados de Saúde (5,42%), Delegação (4,36%), Transporte (3,44%), Supervisão de Funcionários (2,91%) e Plano de Alta e Administração de Medicamentos EV (2,12%). Observou-se que 35% do tempo das enfermeiras foram dedicados às intervenções de cuidado indireto, 35% às intervenções de cuidado direto de enfermagem, 18% às atividades de tempo pessoal e 12% às atividades associadas. A produtividade média destas profissionais correspondeu à 82%, considerado excelente, conforme os critérios de avaliação da produtividade propostos na literatura. A análise comparativa dos tempos identificados com os tempos estimados pela NIC permitiu verificar que 54,4% apresentaram correspondência com os intervalos de tempo estimados pela NIC. Com este estudo evidenciam-se perspectivas para a realização de novas investigações que contribuam para a identificação de parâmetros que subsidiem o processo de dimensionar pessoal de enfermagem nos serviços de emergência / The difficulties found to make operational the nursery personnel sizing methods at the emergency units are directly related to the lack of studies and parameters that would give nurses resources to determine the nursing staff. Facing that scenario, this study`s aim was to identify and analyze the work time distribution of nurses in an emergency unit as well as calculate the average time spent by these professionals at nursing activities. This is a prospective, quantitative, exploratory-descriptive type field research, conducted in a large, general, universitary hospital in the city of São Paulo. To achieve the above mentioned objectives a working sample method was used. To identify the nurses activities, patient charts were used as well as the observation of the nurses routine at Unit, which were later categorized in accordance with the standard language system (NIC) and classified as direct care and indirect care interventions, associated activities and personal time. Data were collected between November 11th through 14th, 2008, by six field observers, specifically trained for this task. 1512 samples were obtained from the nurses activities. The nursing activities and interventions that most used work time of the nurses were, showing that the activities that took more time from the nurses were: Shift Report (8,79%), Admission Care (7,40%), Documentation (6,74%), Health Care Information Exchange (5,42%), Delegation (4,36%), Transport (3,44%), Staff Supervision (2,91%) and Discharge Planning and Medication Administration: Intravenous (IV) (2,12%). It was observed that 35% of the nurses time was dedicated to indirect care interventions, 35% to direct care nursing interventions, 18% to personal time activities and 12% to related activities. The average productivity of these professionals achieved 82%, considered an excellent standard according to evaluation criteria shown in specific literature. The comparative analysis of the identified time estimated by NIC allowed to verify that 54,4% presented time intervals aligned by those estimated by NIC. This study gives perspectives to new investigations that could contribute to the identification of new parameters that could help to establish the necessary nursing staff for emergency services
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Improving Time Management in the PDA : A Design SuggestionGlenne, Jonas, Gustavsson, Hanna January 2002 (has links)
Many of those who buy a PDA today do it for the purpose of time management. The PDA is meant to replace other artifacts like paper diaries and notebooks but in practice the PDA cannot be used as the sole resource for time management. We think that to succeed in making time management with a PDA more useful the design has to be grounded in an understanding of the existing technology and how it is used in practice. We achieved this understanding of the time management with a PDA by conducting an ethnographical study to find out how the PDA is used in practice, making a technical investigation of the PDA and cooperated with the PDA users throughout the design process. In this thesis we describe our design suggestion that improves the applications for time management in the PDA and take it a step closer to be the replacement for other time management artifacts that the users wanted.
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Managing a real-time massively-parallel neural architecturePatterson, James Cameron January 2012 (has links)
A human brain has billions of processing elements operating simultaneously; the only practical way to model this computationally is with a massively-parallel computer. A computer on such a significant scale requires hundreds of thousands of interconnected processing elements, a complex environment which requires many levels of monitoring, management and control. Management begins from the moment power is applied and continues whilst the application software loads, executes, and the results are downloaded. This is the story of the research and development of a framework of scalable management tools that support SpiNNaker, a novel computing architecture designed to model spiking neural networks of biologically-significant sizes. This management framework provides solutions from the most fundamental set of power-on self-tests, through to complex, real-time monitoring of the health of the hardware and the software during simulation. The framework devised uses standard tools where appropriate, covering hardware up / down events and capacity information, through to bespoke software developed to provide real-time insight to neural network software operation across multiple levels of abstraction. With this layered management approach, users (or automated agents) have access to results dynamically and are able to make informed decisions on required actions in real-time.
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Syndrom vyhoření u studentů Fakulty podnikohospodářské Vysoké školy ekonomické v Praze. / Burnout syndrome among students of the Faculty of Business Administration (FBA) at the University of Economics, PragueŘehková, Lenka January 2014 (has links)
The main essence of this Master's thesis is to examine students of the Faculty of Business Administration (FBA) at the University of Economics, Prague and then determine whether students are at risk of burnout or already suffering from it. The theoretical part deals with the explanation of the terms - particularly burnout syndrome, its risk factors, symptoms and stages. Then there is the section dedicated to the prevention and treatment of burnout syndrome. Also noteworthy is the comparison of relations between burnout syndrome and stress, depression, and time management. The next chapter is about the characteristics of people who may be at risk of burnout, and a description of professions, which are most affected by burnout. The end of this part is about the University of Economics, Prague, the Faculty of Business Administration and its students. The theoretical part is followed by the practical part, which is based on questionnaire survey, which shows whether students of the Faculty of Business Administration (FBA) at the University of Economics, Prague are at risk of burnout syndrome or already suffering from it. After evaluation of the questionnaires and evaluate hypotheses at the end of the work a few recommendations for students.
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Distribuição do tempo das enfermeiras: identificação e análise em unidade médico-cirúrgica / Nursery time distribution: identification and analysis in a medical-surgical unitLuiz Carlos Bordin 11 June 2008 (has links)
Diante do impacto da distribuição do tempo de trabalho da profissional enfermeira na determinação de parâmetros adequados para a operacionalização do processo de dimensionar pessoal de enfermagem, este estudo teve por objetivo identificar e analisar a distribuição do tempo de trabalho das enfermeiras em uma unidade de internação médico-cirúrgica. Trata-se de uma pesquisa de campo, prospectiva, de abordagem quantitativa, do tipo exploratório-descritiva, realizada em um Hospital geral, privado, de grande porte da cidade de São Paulo. Para a consecução dos objetivos da pesquisa considerou-se, como população estatística, as atividades de enfermagem realizadas pelas enfermeiras durante os turnos de trabalho. O tamanho da amostra e o período amostral foram estabelecidos a partir da determinação de critérios relacionados à probabilidade mínima de ocorrência das atividades realizadas pelas enfermeiras, bem como do número de enfermeiras por turno e do intervalo estipulado para a realização das observações das atividades executadas pelas enfermeiras. A identificação das atividades de enfermagem realizadas pelas enfermeiras ocorreu mediante solicitação de que cada enfermeira relacionasse, por escrito, as atividades executadas no cotidiano de trabalho da Unidade, que foram, posteriormente, categorizadas de acordo com um sistema padronizado de linguagem (NIC) e classificadas em intervenções de cuidado direto, intervenções de cuidado indireto, atividades associadas e de tempo pessoal. Os dados foram coletados no período de 15 a 19 de outubro de 2007, por quatro observadoras de campo, contratadas e treinadas especificamente, para a realização deste procedimento. Obteve-se 1032 amostras das atividades realizadas pelas enfermeiras, verificando-se que as intervenções e atividades de enfermagem que mais utilizaram o tempo de trabalho das enfermeiras foram Documentação (18,4%), Tempo Pessoal (17,8%), Supervisão (11,4%), Atividades Associadas (9,7%), Delegação (9,3%), Passagem do Plantão (4,8%), Apoio ao Médico (3,9%) e Cuidados na Admissão (3,1%). Observou-se que 50% do tempo das enfermeiras foram dedicados às intervenções de cuidado indireto, 22% às intervenções de cuidado direto de enfermagem, 18% às atividades de tempo pessoal e 10% às atividades associadas. Estes dados corroboram a indicação de pesquisadores que apontam a necessidade de serem considerados o tempo pessoal dos trabalhadores de enfermagem e a realização das atividades associadas nos métodos de dimensionamento de pessoal preconizados pelos órgãos oficiais. Com este estudo evidenciam-se perspectivas para a realização de novas investigações no sentido de contribuir para o aperfeiçoamento dos parâmetros relacionados à temática dimensionamento de pessoal de enfermagem em instituições hospitalares / The aim of this study was to identify and to analyze the work time distribution of nurses in a medical-surgical unit, considering the impact of the work time distribution of nurses to determine the adequate parameters for the process to measure nursery personnel .This is a prospective, quantitative, exploratory-descriptive type field research, conducted in a large, private, general hospital in the city of São Paulo. The activities performed by nursery personnel during work shifts were considered as statistical population to reach our objectives. Sample size and period were established after determining the criteria related to the minimum occurrence possibility of activities performed by the nurses, as well as the number of nursery personnel per shift and the specific interval to perform activities by the nurses. The identification of the nursing activities occurred by asking each nurse to write a report mentioning their daily activities at the Unit, which were later categorized in accordance with the standard language system (NIC) and classified as direct care and indirect care interventions, associated activities and personal time. Data were collected during the period from the 15th to the 19th of October, 2007, by four field observers, specifically hired and trained for this procedure. 1032 samples were obtained from the nurses\' activities. The nursing activities and interventions that most used work time of the nurses were: Documents (18,4%), Personal Time (17,8%), Supervision (11,4%), Associated Activities (9,7%), Assignment (9,3%), Shift Change (4,8%), Doctor\'s Support (3,9%) and Admission Care (3,1%). It was observed that 50% of the nurses\' time was dedicated to indirect care interventions, 22% to direct care nursing interventions, 18% to personal time activities and 10% to related activities. These data corroborated with the researcher\'s indication that showed the need to consider personal time of the nurse\'s work and the performance of associated activities within the methods of personnel measurement recommended by official institutions. New investigations are needed to contribute to the improvement of the parameters related to the nursing personnel measurement in hospital institutions
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Incremento de productividad en el proceso de tejeduría a través de la implementación del estudio del trabajo en la empresa textil Cumpi Perú S.A.C.Villar Romero, Alex, Portella Flores, Edson Josue 16 July 2021 (has links)
La industria del sector textil abarca un abanico de posibilidades de desarrollo de productos, desde las fibras, hilos, tejidos, telas, acabados, hasta la confección de prendas de vestir. Asimismo, en los últimos años se han registrado variaciones de producción en la industria textil del país. Como parte del presente trabajo de tesis, se ha utilizado información de los últimos cinco años de la empresa Textil Cumpi Perú S.A.C., especialista en el desarrollo de telas alternativas para una variedad de productos textiles dirigidos al mercado nacional e internacional.
La hipótesis de la presente tesis sostiene que la aplicación de la metodología del estudio del trabajo incrementará la productividad del proceso de producción de tejeduría, estandarizando los procesos de producción y permitiendo identificar y reducir defectos de los rollos de tela en la empresa citada.
El problema identificado en dicha empresa es la elevada cantidad de defectos (producto no conforme) de los rollos de tela en el proceso de tejeduría, que viene superando el nivel máximo permitido por ésta. La variedad de defectos de los rollos de tela comprende lo siguiente: motas, contaminación de tela, mechas de hilo y caídas de tela. En base a ello, se revisaron y estudiaron a profundidad bibliografía y trabajos de investigación indexados referentes a la metodología del estudio del trabajo, así como sobre el uso de herramientas de ingeniería industrial y casos de éxito de la industria textil para mejorar los procesos e incrementar la productividad en el proceso de tejeduría.
Luego de realizar las evaluaciones correspondientes, y con la autorización de la empresa, se desarrolló un plan piloto y simulaciones con un software para validar los resultados reales de la implementación, donde se concluyó que, al aplicar la metodología del estudio del trabajo, se logró incrementar la productividad en 11%, a partir de la reducción de más de 480 rollos de tela no conformes en el proceso e tejeduría y obteniendo ahorros de más de $48,000 dólares anuales.
Se espera que el presente estudio sea motivo de investigación dentro de la industria textil. / The textile industry encompasses a range of product development possibilities, from fibers, yarns, fabrics, textile finishes, to garment manufacturing. Likewise, in recent years there have been production variations in the nation’s textile industry. As part of this thesis work, data from the last five years of the company Textil Cumpi Perú S.A.C. have been used, a specialized enterprise in the development of alternative fabrics for a variety of textile products aimed at the national and international market.
The hypothesis of the present thesis suggests that the application of the work study methodology will increase the weaving production process’ productivity, standardizing production processes and allowing the identification and reduction of defects of the fabric rolls in the aforementioned company.
The problem identified in this enterprise is the high number of defects (nonconforming product) of the fabric rolls in the weaving process, which has been exceeding the maximum level allowed by the company. The variety of fabric roll defects includes the following: speckles, fabric contamination, yarn wicks and fabric sags. Based on this, an in-depth literature review was performed, which included indexed research studies referring to the work study methodology, use of industrial engineering tools and success stories of the textile industry for improving processes and increase productivity in the weaving process.
After conducting the corresponding evaluations, and with the authorization of the company, a pilot plan and simulations with software were developed to validate the real results of the implementation, where it was concluded that, by applying the work study methodology, it was possible to increase productivity by 11%, from the reduction of more than 480 nonconforming fabric rolls in the weaving process and obtaining savings of more than $48,000 (USD) annually.
It is expected that this study becomes a reason for research within the textile field and industry. / Trabajo de Suficiencia Profesional
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Propuesta de reducción de los tiempos de viajes de los vehículos a través de la gestión de la infraestructura vial en la av. 28 de julio entre el ovalo Jorge Chávez y la av. Arequipa en el distrito de Lima, Perú / Solution proposal to reduce travel times through the management of road infrastructure in av. july 28 between el ovalo jorge chávez and av. arequipa in the district of lima, peruHuaranga Amaro, Ronald, Vasquez Gutierrez, Juan José 16 July 2021 (has links)
La presente tesis propone una solución a la congestión vehicular a través de una microsimulación con el software Vissim v9 de la Av. 28 de julio entre el ovalo Jorge Chávez y la Av. Arequipa en el distrito de Lima. La microsimulación se realizó mediante los parámetros de Wiedemann, los cuales fueron utilizados en la calibración y validación del modelo, tratando de aproximarlo a la realidad, considerando la geometría del área de estudio.
En el primer capítulo se encontrará el problema de la congestión vehicular en Perú y Lima, algunos antecedentes de estudios similares, la hipótesis y los objetivos de la investigación. En el segundo capítulo se desarrolló el marco teórico que respalda los criterios con los que se ha desarrollado tanto el modelo de microsimulación como la propuesta de mejora. Aquí podremos encontrar la definición de los diferentes tipos de modelos y los fundamentos de la microsimulación a través del software Vissim 9. El tercer capítulo describe la metodología que se utiliza desde la recolección de datos de campo hasta el desarrollo del modelo. En el cuarto capítulo se presenta la microsimulación debidamente calibrado y validado. Estos resultados nos permiten analizar las demoras por control con un valor de 50.09 y el nivel de servicio actual del ovalo Jorge Chávez en “F”, los cuales tras la gestión de la infraestructura vial se mejoraron a un valor de demoras de control 39.06 y el nivel de servicio mejorado a “E”, según la HCM (2010). En el último capítulo se encontrarán las conclusiones y recomendaciones a las que se llegaron respondiendo así el objetivo general de la presente tesis. / This thesis proposes a solution to traffic congestion through a microsimulation with Vissim v9 software on Av. 28 de Julio between the Jorge Chávez oval and Av. Arequipa in the district of Lima. The microsimulation was carried out using the Wiedemann parameters, which were used in the calibration and validation of the model, trying to approximate it to reality, considering the geometry of the study area and the psychology of the drivers.
In the first chapter are studies, the problem of traffic congestion in Peru and Lima, some similar antecedents, the hypothesis and the objectives of the investigation. In the second chapter, the theoretical framework that supports the criteria with which both the microsimulation model and the improvement proposal have been developed was developed. Here we can find the definition of the different types of models, the fundamentals of microsimulation through the Vissim v9 software. The third chapter describes the methodology used from field data collection to model development. The fourth chapter presents the properly calibrated and validated microsimulation. These results allow us to analyze the control delays with a value of 50.09 and the current service level of the Jorge Chavez oval in “F”, which after the management of the road infrastructure were improved to a value of control delays 39.06 and the service level improved to “E”, according to the HCM (2010). In the last chapter you will find the conclusions and recommendations that were reached, thus responding to the general objective of this thesis. / Tesis
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Colegio público con espacios compartidos en Manchay / Public School in ManchayVega Chavez, Roberto Daniel 15 July 2021 (has links)
El presente proyecto se basó en desarrollar un colegio que busca la interacción entre la comunidad donde se emplaza y los espacios que el mismo edificio ofrece compartir. Es por ello, que se plantea una nueva tipología de colegio público que propone espacios colaborativos donde la gente pueda participar en actividades de aprendizaje técnico - profesionales, deportivas y culturales.
Actualmente la infraestructura de los colegios públicos a nivel nacional consiste en espacios rígidos que entorpecen el desplazamiento, la interacción y la exploración de nuevas experiencias de los alumnos, ya que carecen de ambientes óptimos que ofrezcan una adecuada atmosfera para una educación más activa. Por lo general, encontramos colegios que se encapsulan en sí mismos con grandes muros ciegos que fomentan la inseguridad y generan que la comunidad no reconozca al edificio como suyo.
Ante la problemática existente se propone un colegio compartido con la comunidad mediante la gestión del tiempo, para generar conciencia de cómo emplazar en el entorno las nuevas edificaciones educativas y que estas, al mismo tiempo, sean permeables y concebidas para las personas de la comunidad.
Así mismo, dentro del colegio se proponen ambientes polivalentes en los pasillos, escaleras, patios de recreo, plazas cívicas, aulas temáticas e ingresos a espacios compartidos para generar espacios de encuentro de educación activa para las relaciones interpersonales y espaciales. Educación y socialización en base a la experiencia. / This project was based on developing a school that seeks interaction between the community where it is located and the spaces that the same building offers to share. That is why a new type of public school is proposed that encourages collaborative spaces where people can participate in technical-professional, sports and cultural learning activities.
Currently, the infrastructure of public schools nationwide consists of rigid spaces that hinder the movement, interaction and exploration of new experiences of students, since they lack optimal environments that offer an adequate atmosphere for a more active education. In general, we find schools that encapsulate themselves with large blind walls that promote insecurity and cause the community not to recognize the building as theirs.
Faced with the existing problem, a shared school with the community is proposed through time management, to generate awareness of how to locate the new educational buildings in the environment and that these, at the same time, are permeable and conceived for the people of the community.
Likewise, within the school, multipurpose environments are proposed in the corridors, stairways, playgrounds, civic squares, thematic classrooms and access to shared spaces to generate meeting spaces for active education for interpersonal and spatial relationships. Education and socialization based on experience. / Tesis
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Management osobního rozvoje / Management of Personality DevelopmentKrejčířová, Alena January 2014 (has links)
Diploma thesis „Management of personality development“ is focused on analysis of issues in case of managers of the company Advantage Consulting s.r.o. Theoretical analysis is focused on time management, stress management, personality development and then issue of personality types follows. The analysis of individual managers in all mentioned fields is given and recommendations for increasing level of management of personality development are for-mulated.
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Reporting vybrané firmy / Reporting of the Selected FirmNěmec, Vlastimil January 2014 (has links)
This work deals with reporting as a tool for the creation of a comprehensive system of data and indicators testifying about the company's activities in an understandable and user-compact format. Further demonstrated by the practical use of examples and forms of reports to highlight the crucial and often repetitive deficiencies and errors in the use of business information. Based on detailed analyzes are evaluated selected reports and recommendations are defined to make the process of reporting more effective. Selected reports are supplemented by a range of new information that will enhance the management process and therefore lead to savings. These savings are discussed in detail in one of the recommendations of the work on the introduction of CRM IS.
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