Дисертації з теми "Staff control"

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1

Braddock, Valerie. "Educating Preoperative Staff on Operative Glycemic Control Guideline." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5985.

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Glycemic control of the perioperative patient improves patient outcomes, specifically prevention of surgical-site infections. The prevention of surgical-site infections helps to reduce complications that can increase length of stay and readmissions, thereby increasing healthcare costs. The purpose of this project was to provide an educational module to the same-day surgery nurses on a clinical guideline to maintain glycemic control of the perioperative patient to prevent surgical-site infections. Lewin's change theory guided the development of a clinical practice guideline (CPG) for nurses to standardize the glycemic management of the perioperative patient. This project was conducted to determine whether educating nurses through the implementation of the CPG would help to ensure glycemic control of the perioperative patient. Twenty-nine nurses were educated and tested on the CPG for glycemic management of the perioperative patient; pretest and posttest results were recorded and data were analyzed. Posttest results showed an increase in test scores. Results indicated that nurses' knowledge about glycemic control and understanding of the importance of glycemic management of the perioperative patient increased. These findings can bring positive social change by helping to improve patient outcomes and cost savings through the prevention of surgical-site infections.
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2

Walls, Steven Edward 1956. "Measuring control over nursing practice among hospital staff nurses." Thesis, The University of Arizona, 1992. http://hdl.handle.net/10150/278133.

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An adequate measure of Control Over Nursing Practice (CONP) at the organizational level of the nurse's work unit was needed. The purpose of this study was to estimate the reliability and validity of a new unit-level version of an existing CONP scale using a descriptive survey design. A convenience sample of 91 staff Registered Nurses from two urban hospitals voluntarily completed two versions (individual-level and unit-level) of the CONP scale, and an index of work satisfaction.
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3

Cochran, Glenn A. "Influences on University Staff Members Responsible for Implementation of Alcohol-Control Policies." Thesis, University of Massachusetts Boston, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10267439.

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Excessive college student drinking is a complex problem associated with a range of consequences including deaths, injuries, damage, health risks, legal difficulties, and academic problems. State governing boards, trustees and executives have enacted policies aimed at reducing the negative effects of excessive drinking. This study examined influences on university staff members responsible for implementation of alcohol-control policies. Deeper understanding of factors influencing alcohol-control policy implementation may help leaders improve policy making, implementation and attainment of policy objectives.

This mixed methods study utilized a sequential transformative mixed methods strategy with a quantitative survey, sequenced first, informing the prioritized qualitative multiple case study. Research was conducted at two public universities selected from a single state. In the quantitative phase students (n=1,252) completed a survey measuring student support for 33 alcohol-control measures. Staff (n=27) responsible for policy implementation completed a survey estimating student support for alcohol-control measures. Survey data informed development of the case study interview protocol. In the qualitative phase ten interviews were conducted at each case study site.

The study’s theoretical and conceptual model was based upon Pressman and Wildavsky’s (1973) implementation framework and Kotter’s (1996) eight-stage process for leading change. Findings from the quantitative phase of the study revealed strong levels of support for alcohol-control policies at both campuses while staff members generally underestimated student support for alcohol-control policies. The key findings that emerged after coding case study data included the influences of: (a) executive leadership; (b) leadership transitions and policy saliency; (c) cognition and sensemaking; and, (d) anchoring changes in culture. Student support for alcohol-control policies was found to have no direct influence on staff members responsible for implementation of alcohol control policies.

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4

Jang, Gail. "Latitude of choice among the institutionalized elderly : resident and staff perceptions." Thesis, University of British Columbia, 1990. http://hdl.handle.net/2429/28764.

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Анотація:
The establishment of intermediate care facilities in British Columbia, as well as the establishment of similar facilities throughout the rest of Canada, was and still is a well-intentioned approach to meet the long term care needs of the elderly. The practices and procedures adopted by long term care facilities, however, tend to inhibit the personal autonomy of residents (Thomasma, 1985). Specifically, a facility's practices and procedures tend to inhibit residents' latitude of choice regarding daily living activities. Residents' latitude of choice may also be lessened when nurses implement well-intentioned helping interventions based on their own motivations and goals, rather than those of elderly residents. Latitude of choice measures the extent to which an individual's perceived degree of choice includes activities of importance to him/her. At present, there is limited research addressing both resident and staff perceptions regarding the autonomy (freedom of choice) of residents, particularly in relation to their daily activities. Accordingly, this study's purpose was to determine the institutionalized elderly residents' and their caregivers' perceptions of residents' latitude of choice regarding activities of daily living. From determining these specific staff and resident perceptions, significant differences were isolated. This study was conducted in two intermediate care facilities located in a large city within the province of B.C. The data collection instruments in this study included selected questions from Hulicka et al.'s (1975) revised Importance, Locus and Range of Activities Checklist, as well as a demographic data sheet developed by the researcher. Forty-five intermediate care 1 residents and forty-five nurses (Registered Nurses, Licensed Practical Nurses and Nurses' Aides) completed the study questionnaire and the demographic data sheet. The researcher studied the residents' and staff's responses to the Importance, Locus and Range of Activities Checklist by using non-parametric techniques for statistical analysis. The researcher used these techniques to determine the existence and location of differences in perceptions among the residents and staff. Significant differences exist in residents' and staff's perceptions when each group's importance ratings are combined with choice ratings. Isolation of the above importance and choice components for individual analyses indicate that the residents and staff had significantly different response patterns regarding a) the importance residents attach to daily living activities and b) the degree of choice residents associate with daily living activities. The above findings indicated that residents' latitude of choice may not be realized to a greater extent if the staff do not attach a degree of importance to a particular activity(ies) similar to that attached by the residents. Residents' latitude of choice may not be recognized to a greater extent if staff do not perceive that residents associate "some" or "no choice" with an activity of particular importance to them.
Applied Science, Faculty of
Nursing, School of
Graduate
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5

Simard, François. "Succeeding where others fail, the control of staff numbers in the Japanese government." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk2/tape15/PQDD_0011/NQ35640.pdf.

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6

Wong, Dorothy Suk Chee. "The permanent search for temporary staff : flexible employment strategies or opportunistic labour control." Thesis, University of Oxford, 1992. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.334319.

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7

Obaze, Doris Adediwura. "Staff Education: Hypertension Management for Adults in Primary Care Settings." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7710.

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Management of hypertension and its complications requires health care providers to understand the reason for developing the disease. Complications of hypertension (HTN) are more prevalent when patient interventions are not consistently performed by staff. A gap in staff knowledge regarding the management of patients with HTN was noted at an outpatient clinic in the southwestern United States. A staff education project based on the Eighth Joint National Committee (JNC-8) guidelines for HTN management was developed to address the gap in knowledge. This DNP project sought to understand the impact of an evidence-based staff education program in improving the knowledge of nursing staff on HTN management. The health belief model and social cognitive theory guided the project. Three expert panelists evaluated the education program content and agreed that the content was relevant to clinical practice and would improve staff knowledge regarding management of HTN. Eight nurses participated in the education program, first completing a pretest questionnaire followed by educational program content in digital format. Participants reviewed the program for 1 week followed by a PowerPoint presentation at a staff meeting. Posttest questionnaires were completed by 7 participants using a 5-point Likert scale ranging from completely unaware to completely aware. Posttest results indicated that nursing staff knowledge increased to completely aware (100%) of the JNC-8 guidelines for HTN management compared with completely unaware before the program. The project emphasizes the potential for positive social change when translating evidence to practice through staff education to improve patient management and outcomes for the treatment of HTN.
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8

Stairs, Mary E. "Dialectic tension of emancipation and control in staff/client interaction at shelters for battered women." Virtual Press, 1996. http://liblink.bsu.edu/uhtbin/catkey/1020184.

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This study investigates the dialectic of emancipation and control in the relationship between staff and clients at shelters for battered women. The dialectic of emancipation and control represents the tension shelter workers feel in trying to empower their clients while, at the same time, maintaining control over the programs and domestic order of the shelter. Past research has introduced this dialectic, but no studies exist which view it in the context of the staff/client relationship. Additionally, very little communication research exists exploring the interaction that takes place in shelters for battered women.Four employees of four different shelters were interviewed by this researcher. Their accounts were recorded, transcribed, and analyzed using the constant comparative review method consistent with grounded theory. The workers' accounts indicated that the nature of their profession requires them to be dominant over their clients in five areas. Additionally, the workers discussed four contradictory aspects of their work which reflect the existence of the dialectic of emancipation and control in their interaction with clients.
Department of Speech Communication
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9

Muensa, Wariya. "Beliefs, Attitudes, Perceived Behavioral Control, and Intention of Staff Nurses to Use Music as Therapy for Premature Infants in Neonatal Intensive Care Unit in Thailand." Case Western Reserve University School of Graduate Studies / OhioLINK, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=case1323474982.

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10

Devreux, Isabelle. "Relationship between staff satisfaction, productivity and patient satisfaction: a study in physical rehabilitation services." Doctoral thesis, Universite Libre de Bruxelles, 2012. http://hdl.handle.net/2013/ULB-DIPOT:oai:dipot.ulb.ac.be:2013/209609.

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Анотація:
La satisfaction du patient et du personnel sont considérés comme des indicateurs importants afin de mesurer la qualité dans le secteur hospitalier.

Dans les services de revalidation, les rencontres thérapeutes-patients présentent une valeur significative par le temps consacré, l'approche thérapeutique mais également la relation qui découle du processus de soin.

L'objectif de la recherche fut d'évaluer la satisfaction du personnel travaillant dans les services de revalidation physique (thérapeutes et techniciens ou assistants) et les différents variables démographiques ou liés à l'environnement du travail ainsi que la satisfaction des patients traités dans ces services.

Une analyse transversale par questionnaire a permis de mesurer la satisfaction au travail et les éléments de productivité dans les services de revalidation. Simultanément, une enquête concernant la satisfaction des patients a été réalisée dans ces mêmes départements. La recherche fut effectuée au sein de dix centres hospitaliers au moyen d'un questionnaire d'enquête commun basé sur le modèle " Effort- Reward Imbalance" ou “déséquilibre efforts-récompenses” et des informations complémentaires sur les conditions de travail ont étés collectées au moyen de questionnaires spécifiques. L’étude met en évidence des variables démographiques tells l'âge, la nationalité, le niveau d'éducation, ainsi que la charge travail et les types de cas traités comme facteurs significatifs influençant le stress au travail.

Les résultats confirment une corrélation positive entre le stress au travail par le déséquilibre Efforts-Récompenses et la performance quantitative (productivité) des thérapeutes en revalidation. Il est basé sur la satisfaction des thérapeutes en fonction des heures de travail, du nombre moyen de patients par jours ainsi que des mesures de productivité élevées du département. En ce qui concerne les récompenses perçues comme positives, le soutien du médecin et du superviseur apparaissent comme facteurs de motivation importants. Il a été également déterminé que les thérapeutes appréciaient la participation et l’expression de son opinion dans la gestion thérapeutique du patient. Bien qu’une corrélation entre la satisfaction des patients et le degré de stress au travail des thérapeutes n’ait pas été démontrée, ces deux mesures varient de manière significative en fonction des types d’hôpitaux et du degré de « Over-commitment » des thérapeutes dans leur travail.

Les déterminants essentiels de la satisfaction des patients en revalidation apparaissent toutefois liés à l’intervention du thérapeute tel que sa capacité à rassurer le patient ou la qualité de l’information liée au plan de traitement et doivent être considérés dans l’approche thérapeutique en revalidation.

Les résultats de l’étude ont permis de concevoir un modèle systémique de satisfaction et de stress au travail résumant les éléments liés de manière significative au déséquilibre des efforts et récompenses dans les services de revalidation physique et qui pourrait inspirer les directeurs ou gestionnaires hospitaliers a promouvoir une atmosphère de travail positive.

Patient and staff satisfaction are considered as important indicators to monitor quality in healthcare. In rehabilitation services the patient and therapist encounters are of significant value by the amount of time, the therapeutic approach but also the personal relations in the care process. The aim of the research was to evaluate the staff job satisfaction in physical rehabilitation services and the related variables as well as its correlations to patients’ satisfaction.

A cross sectional survey approach in the rehabilitation services has measured the job satisfaction and the related elements of productivity. Simultaneously a survey of the patients’ satisfaction was performed. As the research in the physical rehabilitation services was conducted in ten different health care facilities of the Jeddah region, a common assessment tool was utilized based on the Effort Reward Imbalance (ERI) model and complementary information were collected using specifically developed survey questionnaires. Socio-demographic variables such as age, nationality, work specialty, educational levels, as well as the caseload and workload appeared also as significantly influencing job satisfaction.

The findings confirmed a positive correlation between the Effort Reward Imbalance and the quantitative performance (productivity) of the rehabilitation staffs. It is supported by the level of job satisfaction of the therapists which is related to the number of patients per day, caseload, hours of work and high productivity measures. From the aspects of positive rewards, the role of the supervisor and doctors appear as important motivators. It was also found that therapists valued the fact of being given the opportunity to participate and discuss opinions in the patient management and quality improvement.

While no evidence confirmed a positive correlation between patients’ satisfaction about the rehabilitation treatments and the staff job satisfaction, both measured patients’ and staff satisfaction varied significantly according to the hospital type and the degree of Over-commitment.

Essential determinants of patients’ satisfaction appeared however related to the therapists' input, such as the ability to reassure or the quality of information given in the treatment plan and have to be taken into account when delivering the patients’ care.

All the results allowed the design of a systemic model of staff job satisfaction resuming the significant related elements of effort and reward in the rehabilitation services and could be utilized to inspire the hospital leaders, managers and executive directors to promote a healthy work life environment based on a valued human resources approach.


Doctorat en Sciences de la santé publique
info:eu-repo/semantics/nonPublished

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11

Favell, Margaret Elizabeth, and n/a. "Power, control and accountability in a voluntary organisation : the implications for professional staff and service delivery." University of Otago. Department of Social Work and Community Development, 2007. http://adt.otago.ac.nz./public/adt-NZDU20071003.101609.

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Over the last decade government policy has transformed many aspects of the welfare state and contracted out to private or voluntary non-government organisations many of the services previously provided by the state. Currently there is very little research on the benefits or disadvantages regarding standards of professional practice and delivery of these services when controlled by voluntary organisations and this research is a case study investigating these concerns. By using the case study method it is possible to understand issues by incorporating concrete examples of practice within the context that it takes place, as it is only when seen in its proper setting that the general and conceptual significance of practice is understood. This case study explores the relationships of power, control and accountability in one such non-governmental organisation, the Royal New Zealand Plunket Society and the implications these have for professional staff in the delivery of the service. The study uses the archaeology and genealogy methods suggested by Foucault. Archival material was gained from the Minutes of the meetings of the Plunket executive (1917-1984), constitution and rules. These serve to demonstrate the historical power relationships in the organisation, Plunket nurses� working conditions and how some nurses were treated. The dominant discourse in the archaeology contains two major themes, one being volunteers� autonomous 'ownership' of the organisation, and the other, the subordination of professionalism through the discipline and management of the nursing workforce. Those same themes are also dominant in the contemporary data studied in the genealogy, which highlights the constraints imposed by volunteer 'ownership' in the contemporary period. It is a feature of the "path dependency" of the organisation that the belief that volunteers had a right to discipline and control the nursing workforce has remained largely unchanged in the contemporary period. The practice and the context are personalised through interviews with some nurses so that their real-life experiences may give an in-depth understanding of the processes going on for them as professionals. This is one of multiple sources of evidence, including reports, reviews and research, used to triangulate the findings. Through the totality of these methods, insight into Plunket�s decision-making is made possible. These serve to underline the continuing lack of accountability for service delivery of nonprofessional 'owners' of the voluntary organisation and the negative impact it can have on the delivery of professional services although the greater depth in the contemporary data also highlights two new subsidiary themes; the dominance of lay knowledge over both professional and managerial knowledge, and volunteers� motives for volunteering. The contemporary interview data demonstrated how the historical culture of the organisation enabled this process to continue through poor workplace conditions, high staff attrition and, in some cases, severe personal pressure akin to workplace bullying. This study exposes the significance of the culture of organisations, and reveals that the substance of apparent altruistic voluntary organisations may be much more complex and problematic than the ideology would lead us to believe. In a field such as this, where an NGO has sole national responsibility for such an important area and where the outcomes are so poor, change must be considered. While a path dependency explanation is pessimistic about change, it is argued that the only option for professional standards of service for this, and other NGOs, lies in much more accountability and democracy in stakeholder relationships. Recommendations are made in that direction.
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12

Willcocks, Trevor John. "Safety psychology : an investigation of attitudes to risk taking by scientific, research and professional staff in a hazardous and high risk environment." Thesis, University of Liverpool, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.368633.

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13

Jorif, Darien C. "The Perception of Locus of Control and Burnout in Professional School Support Staff Working with Special Education Students." Thesis, Concordia University Chicago, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10928699.

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There is a gap in research regarding examination of the relationship between burnout in special education school support staff members and their perception of locus of control (LOC) in their work environment. The purpose of this concurrent nested mixed methods study is to determine if there is a relationship between burnout and locus of control in professional school support staff (PSSS) working with special education students, by analyzing survey responses of a sample consisting of 86 PSSS in the northeastern United States. This study elicits data for quantitative analysis with Maslach Burnout Inventory and Rotter’s Internal-External LOC Scale utilizing Pearson’s Correlation and multiple regression analyses. The survey contains a contextual qualitative portion consisting of 10 open-ended question sets for thematic analysis.

The findings showed that increased internal locus of control is associated with decreased burnout in the subscales of emotional exhaustion and depersonalization. Notably, findings showed that increased internal LOC is associated with greater burnout in the subscale of reduced personal accomplishment. Recommendations for future research were made to conduct additional quantitative and qualitative research studies that explore the lived experiences of PSSS in special education, as well as to explore the usefulness of Dialectical Behavior Therapy (DBT) and Mindfulness as possible therapeutic approaches to counteract the effects of burnout.

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14

Papangeli, Alexandra. "A longitudinal diary-based study of the demand-control model and effort in a sample of Greek nursing staff." Thesis, University of Hull, 2002. http://hydra.hull.ac.uk/resources/hull:14779.

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The present study employed a diary-based longitudinal framework in order to examine the demand-control model in a homogeneous group of Greek nursing staff. The purpose of the present study is twofold. First, it aimed at examining the demand-control model (Karasek, 1979; Karasek & Theorell, 1990) comprehensively, with the use of different data analytic procedures. Second, it investigated the main and interactive effects of effort, which has been considered to play an important role in the active management of job demands. A pilot study was initially undertaken in order to check the reliability of the diary booklet and the perceived relevancy of the items. Exploratory factor analysis confirmed the dimensionality of the job characteristics, mood and effort items, since they tapped the a priori dimensions. Hierarchical multiple regression analysis provided partial support for the interactive hypothesis and substantial support for the additive model. Enhancing effects of control and support were also observed. The examination of effort indicated that individuals adopted an active, direct coping mode of demand management. Between-individuals cross-sectional analyses failed to provide support for the model. Hierarchical multiple regression analyses of the questionnaire data indicated main effects of resources. Analyses of the aggregated diary data supported the additive model and revealed enhancing effects of job control and social support. The results suggested the possibility of aggregation biases. The examination of the effort variable showed that individuals were operating in a direct coping mode of demand management. Standardised pooled within-individual analyses provided partial support for the demand-control model. The results revealed main effects of demands, control and support for the outcome variables, indicating detrimental effects of demands and beneficial effects of control and support. Negative effects of effort were also found, suggesting that individuals were employing the strain mode of demand management. The longitudinal analysis of the demand - control model failed to indicate any prospective association between the variables under consideration. Possible reasons for the lack of longitudinal effects are considered. Analyses of effort suggested the adoption of a direct, active coping mode of demand management. Methodological contributions and limitations of the present study are discussed, implications of the findings are considered and suggestions for future research are made.
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15

Flecknoe, Paul. "Understanding the factors which influence learning disability direct care staff to spend time in 'focused 1:1 work' with clients : an application of the theory of planned behaviour." Thesis, Open University, 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.286961.

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16

Mbeba, Roland Darlington. "Job engagement and locus of control in relation to organizational citizenship behaviour among academic and non-academic staff of a South African university." Thesis, University of Fort Hare, 2014. http://hdl.handle.net/10353/1633.

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This study investigated the relationship between job engagement and locus of control on the one hand, and organisational citizenship behaviour on the other among non-academic and academic employees of the University of Fort Hare. Job engagement and locus of control were the independent variables and organisational citizenship behaviour was the dependent variable. Data was drawn from a sample of 300 participants. A questionnaire was used to collect the data. It consisted of four sections including biographical and occupation data questionnaire. To measure job engagement, the 18-item Rich et al., (2010) job engagement scale, with a 5-point Likert scale was used. To measure locus of control, the 16-item Spector (1988) work locus of control scale was used, with 6-point Likert scale. To measure organisational citizenship behaviour, the Fox & Spector (2011) 20 item organisational citizenship behaviour questionnaire, with a 5-point Likert scale was used. Data was analysed using various statistical techniques including the Pearson Product Moment Correlation Technique and the generalised linear regression model. The results indicated that job engagement has a significant positive correlation with organisational citizenship behaviour and locus of control also has a significant positive correlation with organisational citizenship behaviour. However the results also indicated that when job engagement and locus of control are put together, they do not account for a significantly higher proportion of variance in organisational citizenship behaviour than each of them separately. Furthermore, as far as OCB-P and OCB-O are concerned, the results indicated a partial support of the research hypothesis that job engagement and locus of control together account for a significantly higher proportion of variance in organisational citizenship behaviour than any of the two separately. The study recommends that managers in organisations must focus on improving job engagement and promoting internal locus of control in order to ensure high levels of organisational citizenship behaviour.
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17

Brunetti, Antonella Luisa. "The effect of an attribution of control to a self-harming client on mental health staff attitudes and choice of clinical management strategies." Thesis, University of Southampton, 2004. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.405527.

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18

Nicholson-Langley, Helen L. "Elder abuse : work locus of control and attitudes towards older people as risk factors for 'unintentional' elder abuse by staff in residential settings." Thesis, University of Leicester, 2006. http://hdl.handle.net/2381/31227.

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The study aimed to determine whether staff working in residential care for the elderly could identify insidiously abusive care practice, and whether this could be predicted by staff attitudes towards older people or work locus of control. Data from 81 nurses and health care assistants was analysed using multiple regression. Results indicated that staff had more positive attitudes towards older people than negative attitudes, and that negative attitudes alone were the greatest significant predictor of staff identification of abuse, i.e. greater negative attitudes were associated with poorer recognition of abuse. 65% of participants were able to identify insidiously abusive care practice, suggesting that a significant proportion (35%) of participants were not. It was hypothesised that negative attitudes reflected a paternalistic approach to care rather than intentionally abusive practice. There was some indication that abuse-related training may moderate the relationship between negative attitude and recognition of abuse, but that training alone does not improve recognition of abuse. These hypotheses require further testing.
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19

Makoni, Axilia-Tanakasei. "An exploration of cultural issues affecting staff compliance with recommended infection prevention and control practices in a 'ring-fenced' acute hospital elective surgical ward." Thesis, University of Essex, 2018. http://repository.essex.ac.uk/21628/.

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Healthcare associated infection (HCAI) poses a serious threat to patients admitted into hospital as well as health care staff. Whilst recommendations for preventing HCAI exist, many research studies, primarily quantitative in nature, have reported serious concerns about the suboptimal infection prevention and control (IPC) practices adopted by healthcare workers (HCWs) within acute clinical settings. However, there remains a lack of understanding about why suboptimal practices persist. Although quantitative studies have identified poor staff compliance with the IPC recommended practices, attempts to tackle the problem have yielded limited success. It is suggested that a key reason for this is the failure to take into account the cultural context in which the non-compliant behaviours take place. This qualitative study, guided by ethnographic principles, uses a combination of focus groups and individual interviews with frontline staff and organisational leaders to explore cultural issues affecting staff compliance with recommended IPC practices in a ring-fenced acute hospital elective surgical ward (ESW). The study reveals that noncompliance with IPC policies and procedures in the ESW was legitimised and subsequently tolerated by both frontline and managerial staff, especially when the acute hospital was under stress. In particular, the ESW operational ring-fencing policy for protecting elective surgical patients from HCAI acquisition was repeatedly breached due to the conflicting pressures and competing demands of a busy hospital environment. The findings challenge the sustainability of the policy of ring-fencing the ESW as a discrete component of a busy acute hospital in order to protect elective surgical patients from HCAI in the context of the current healthcare system. It is highly likely that, as people live longer due to advances in medicine and technology, the demand for trauma and medical emergency beds will increase in the future, rendering the ring-fencing of any bed unsustainable in an acute hospital setting.
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20

James, A. E. C. "Stress in the ambulance service : An investigation into the sources of occupational stress perceived by managerial, control and operational staff of the Devon ambulance service." Thesis, University of Bradford, 1988. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.381016.

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21

Wong, King-shui Phyllis, and 黃敬歲. "Evaluating a staff development programme using an interpersonal-environment approach to facilitating self-determination of adults withintellectual disabilities in Hong Kong: apretest-posttest control group design." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2004. http://hub.hku.hk/bib/B31541070.

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Alexander-Goreá, Trenika. "Development of a Guideline for Hospice Staff, Patients, and Families on Appropriate Opioid Use." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4496.

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Анотація:
There is an identified problem with patients receiving suboptimal pain management at a hospice agency in the northwestern United States. At this agency, undertreatment of pain is prevalent. Evidence indicates that this may be a result of a lack of guidelines, education, and knowledge of appropriate prescribing. Known barriers to the correct prescription and administration of potent opioids in the hospice setting include prevailing beliefs, knowledge, skills, and attitudes, all of which can impact care negatively. Contextually, hospice principles mandate patient comfort and caregiver involvement in continuous quality improvement, which includes adequate and informed pain management. Moreover, hospice metrics demand requisite knowledge, skills, and attitudes for optimal care, including pain management at the end of life. The Academic Center for Evidence-Based Practice (ACE) star model was used to guide the development of an evidence-based, guideline-supported educational program that will improve pain management at the hospice agency when implemented. The purpose of this project was to use transdisciplinary expertise and team collaboration to develop the program and then to conduct a formative and summative evaluation utilizing experts to prepare the guidelines and process for implementation. Ten experts reviewed the guideline, the educational materials, the process, and the evaluation plan and conducted reviews using the AGREE II tool. The panel of experts agreed within the 6 AGREE domains. Future implementation of this guideline, translation process, and evaluation tool will impact social change through the empowerment of the clinical staff, patients, and caregivers to provide the best pain control and comfort at end of life, a vulnerable time for all patients.
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Aronés, Villavicencio Marisol Gabriela, and Fajardo Andrea De Fátima Mendoza. "Guía de labores de control usando herramientas digitalizadas para optimizar los tiempos del staff de Producción en partidas de concreto armado de edificaciones multifamiliares en Lima Metropolitana." Bachelor's thesis, Universidad Peruana de Ciencias Aplicadas (UPC), 2020. http://hdl.handle.net/10757/653223.

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Анотація:
Dentro de las etapas que se tienen en los proyectos de construcción, se encuentra la etapa de monitoreo y control, el cual se encarga de corroborar que el proyecto esté dentro del tiempo, costo y alcance delimitado. Los sistemas de monitoreo que se tienen actualmente consisten en recolectar la información de campo, documentarla manualmente y, posteriormente, digitalizarla. Los responsables de realizar los reportes de obra, mediante este procedimiento, dedican entre el 28% al 41% de su tiempo diariamente para su elaboración. Este proceso tradicional es lento e ineficaz, debido a que la información está dispersa en diferentes documentos, lo que puede generar la omisión de datos, ocasionando así, que no se tomen acciones correctivas de manera oportuna. Asimismo, el sector de la construcción cuenta con poco uso de recursos tecnológicos y por ello, no se cuentan con procesos automatizados, lo que dificulta el monitoreo de los proyectos de construcción de una manera eficiente. En ese sentido, la presente investigación establece la optimización del procedimiento de control, mediante el uso de una herramienta digital para reducir las horas hombre empleadas en el control de avance. Con la implementación de esta propuesta, se redujo las horas que invierte el personal involucrado en las labores de control en un 37%.
In the stages that are in the construction projects, there is the control and monitoring stage, which is responsible for confirming that the project is within the time, cost and limited scope. Currently, the monitoring system consists of collecting the field information, writing it manually and later, on the computer. Those responsible for making the reports through this process, dedicate between 28% and 41% of their time daily for their elaboration. This traditional process is labored and ineffective because the information is dispersed in different documents, so data can be omitted, causing corrective actions not to be taken in time. Likewise, the construction sector has little use of technological resources and therefore, there are no automated processes which makes it easier to monitor construction projects in an efficient way. Due to this, the present investigation proposes the optimization of the control process through the use of a digital tool to reduce the time spent on advance control. With the implementation of this proposal, the hours spent by staff in control work were reduced by 37%.
Tesis
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Rüter, Anders. "Disaster medicine- performance indicators, information support and documentation : A study of an evaluation tool." Doctoral thesis, Linköpings universitet, Institutionen för biomedicin och kirurgi, 2006. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-7990.

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Анотація:
The science of disaster medicine is more a descriptive than analytical type. Research, in most instances, has not employed quantitative methods and there is very sparse knowledge based on analytical statistics. One consequence of this is that similar mistakes are repeated over and over. Lessons that should be learned are merely observed. Moreover, there are almost no practical or ethical ways in which randomised controlled studies can be performed. The management, command and control of situations on different levels of hierarchy has eldom been evaluated and there have been no standards against which performance can be evaluated. Furthermore, the documentation of decisions and staff work is rarely sufficient enough to evaluate command and control functions. Setting standards that may be used as templates for evaluation and research is an issue that is constantly being addressed by leading experts in the field of disaster medicine and this is also an important issue that is expressed in the Utstein Template. Swedish National Board of Health and Welfare, templates of performance indicators were developed. These were tested on reports available from incidents, and our conclusion was that documentation in this form was not adequate enough for use in this method of evaluation. Documentation must be improved and data probably need to be captured and stored with the help of information systems. A template developed for the evaluation of medical command and control at the scene was tested in standardised examinations. When using this template in this setting it was possible to obtain specific information on those aspects of command and control that need to be improved. An information system using on-line Internet technique was studied twice. The first study concluded that in spite of technical disturbances the system was acceptable to the organisation but could not yet be recommended for use during major incidents. The second study concluded that the retrieval of information was, in all respects not as good as the control system, a conventional ambulance file system. In a study of staff procedure skills during training of management staffs in command and control it was concluded that documentation during training sessions was not adequate and this lack of staff procedure skills could possibly be a contributing factor to the fact that lessons in command and control are not learned from incidents. Conclusions in thesis are that measurable performance indicators can be used in the training of command and control. If performance indicators are to be used in real incidents and disasters, functioning information systems have to be developed. This may lead to a better knowledge of command and control and could possibly contribute to a process where lessons are learned and mistakes are not repeated.
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Yupa, Pariona César Augusto. "Mejora del sistema productivo de la empresa Staff Representaciones S.A. a través de la corrección de las deficiencias en el proceso de planificación y control de la producción." Bachelor's thesis, Universidad Nacional Mayor de San Marcos, 2016. https://hdl.handle.net/20.500.12672/13967.

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Анотація:
Busca corregir las deficiencias que se presentan el proceso de planificación y control de producción para mejorar el sistema productivo de la empresa Staff Representaciones S.A. Es una investigación de tipo aplicada y explicativa. La población y muestra está constituida por todos los individuos y objetos que participan en el proceso de planificación y control de producción y el sistema productivo. Las técnicas utilizadas para la recolección de datos es la observación, la consulta de las base de datos del sistema KSD (software ERP de la empresa) y las entrevistas no estructuradas a los responsables de los proceso de planificación, producción, logística, ventas y calidad. Describe la situación del proceso de planificación de la empresa Staff Representaciones S.A. mediante las herramientas de diagrama de flujo y se identifican las causas principales de las deficiencias en dicho proceso. Luego, se realiza la implementación de los elementos de planificación y control de la producción en cuatro pasos. Los resultados obtenidos son que al implementar los elementos de planificación se obtuvieron una mejora del sistema productivo a través del indicador de porcentaje de cumplimiento de entrega de un 54.3% a un 70% en promedio.
Trabajo de suficiencia profesional
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Wong, King-shui Phylis. "Evaluating a staff development programme using an interpersonal-environment approach to facilitating self-determination of adults with intellectual disabilities in Hong Kong a pretest-posttest control group design /." Click to view the E-thesis via HKUTO, 2004. http://sunzi.lib.hku.hk/hkuto/record/B31541070.

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Балицкий, В. В. "Автоматизация контроля знаний медицинских работников по поводу профилактики внутрибольничных инфекций". Thesis, Сумский государственный университет, 2017. http://essuir.sumdu.edu.ua/handle/123456789/65719.

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Анотація:
Целью данного исследования является создание web-приложения, позволяющего провести автоматизированную оценку знаний среднего медицинского персонала по поводу распространения и предотвращения внутрибольничных инфекций при выполнении профессиональных обязанностей.
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Fröström, Martin, and Anna Asplund. "Styrning med inhyrda i personalstyrkan : En kvalitativ fallstudie som undersöker den inhyrda personalens in-/exkludering i olika styrmetoder samt dess effekt på ett målkongruent beteende." Thesis, Linnéuniversitetet, Institutionen för ekonomistyrning och logistik (ELO), 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-89078.

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Анотація:
Bakgrund: Användningen av inhyrd personal har ökat till följd av ett ökat krav på flexibilitet och ingår numera allt oftare i personalstyrkan. Däremot inkluderas sällan den inhyrda personalen i den styrning som utformats för den ordinarie personalen. Styrning används för att påverka personalens beteenden så att de blir målkongruenta. Därför är det intressant att undersöka om inhyrd personal saknar ett målkongruent beteende och således har en negativ inverkan på företagets målkongruens. Syfte: Studiens syfte är att undersöka om och varför beteenden överlag skiljer sig åt mellan inhyrd och ordinarie personal hos ett valt företag. Forskningen skapar en djupare förståelse för hur inkludering/exkludering i olika styrmekanismer kan påverka de inhyrdas bidrag till målkongruens. Metod: Studien tillämpar en kvalitativ forskningsstrategi med en induktiv ansats. Den forskningsdesign som tillämpats är en enfallsstudie. Empirin till studien har samlats in genom kvalitativa intervjuer med både inhyrd och ordinarie personal samt deras närmsta chef. Materialet har sedan analyserats och tolkats för att besvara forskningsfrågorna. Slutsats: Studien fann att de inhyrda medarbetarna har ett mindre målkongruent beteende än de ordinarie. Skillnaden beror framförallt på de inhyrdas exkludering från företagets formella styrmetoder. Att de inhyrda för det mesta inkluderas i de informella styrmetoderna förklarar varför de inhyrda till viss del ändå uppvisar ett målkongruent beteende.
Background: The use of temporary staff has increased as a result of an increased demand for flexibility and is now increasingly included in the personnel force. Despite that, the temporary staff are rarely included in the control designed for the ordinary staff. Control is used to influence staff behavior so that they become goal-congruent. Therefore, it is interesting to investigate if the temporary staff lack a goal congruent behavior and thus have a negative impact on the company's goal congruence. Purpose: The purpose of the study is to investigate whether and why behaviors differ between temporary and ordinary staff, at a chosen company. The research creates a deeper understanding about how the inclusion/ exclusion in different control mechanisms influence the temporary staff to contribute to the target congruence Method: The study applies a qualitative research strategy with an inductive approach. The research design that has been applied is a case study at a chosen company. The empirical study has been collected through qualitative interviews with both temporary and ordinary staff and their closest manager. The material has then been analyzed and interpreted to answer the research questions. Conclusion: The study found that the temporary staff have a less goal-congruent behavior than the ordinary staff. The difference is mainly due to the temporary’s exclusion from the company's formal control methods. For the most part, the temporary staff is included in informal control methods, which explains why the they to some extent still have a goal-congruent behavior.
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El, Ghoul Fares. "Agila Staber : En utveckling och utvärdering av ett agilitetsmätande verktyg för staber inom kärnkraftsdomänen." Thesis, Linköpings universitet, Institutionen för datavetenskap, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-110627.

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Анотація:
Kärnkraftverk är högteknologiska system med hög komplexitet och utan att hantera den här komplexiteten kan små olyckor få katastrofala följder. Närvaron av komplexitet försämrar förmågan att förstå situationer, minskar kontroll samt ökar risken för incidenter. Stabsarbete inom kärnkraftsdomänen kräver ett agilt beteende för att hantera den höga närvaron av komplexitet. Agilitet är förmågan hos en enhet att framgångsrikt genomföra, hantera och/eller utnyttja förändrade omständigheter. Syftet med arbetet är att utveckla ett mätverktyg för att identifiera indikatorer på agilt beteende i stabsverksamhet inom kärnkraftsdomänen. Mätverktyget ska kunna tillämpas av individer utan djup teoretisk kunskap om agilitet och verktyget har testats och utvärderats i en iterativ process på ett kärnkraftverk i Sverige under ett flertal övningar. Utvecklingen av verktyget skedde i samråd med en expert inom stabsarbete. De största skillnaderna i det mätverktyget som utvecklats i den här rapporten gentemot dess föregångare är att det här mätverktyget har kärnkraftsdomänen som måldomän samt att det tillkom ett femte steg där resultatet får en visuell representation. Verktyget kan tillämpas inom andra kärnkraftverk än kärnkraftverket det användes på men om verktyget ska tillämpas inom andra domäner krävs det att det anpassas till den nya måldomänen.
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Fernandes, Antonio Tadeu. "Percepções de profissionais de saúde relativas à infecção hospitalar e às práticas de controle de infecção." Universidade de São Paulo, 2008. http://www.teses.usp.br/teses/disponiveis/5/5137/tde-29012009-135158/.

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Анотація:
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
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Горбунова, Альона Олександрівна. "Удосконалення управління персоналом підприємства на засадах контролінгу". Bachelor's thesis, КПІ ім. Ігоря Сікорського, 2019. https://ela.kpi.ua/handle/123456789/28268.

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Анотація:
Дипломна робота на тему: «Удосконалення управління персоналом підприємства на засадах контролінгу» містить 108 сторінок, 32 таблиці, 17 рисунків, 2 додатки. Перелік посилань нараховує 33 найменування. Метою роботи є обґрунтування необхідності удосконалення інструментарію контролінгу, що використовується в процесі управління персоналом підприємства, надання відповідних рекомендацій та доведення їх економічної ефективності. Для аналізу дослідження та розробки пропозицій в роботі використанні: методи групування, графічний, ілюстрації, методи вертикального та горизонтального аналізу, логічні методи. В роботі доведено доцільність удосконалення методів контролінгу в системі управління персоналом. Метою впровадження запропонованих заходів є підвищення ефективності використання кадрів ТОВ «XXX», зниження рівня плинності кадрів та, як наслідок, збільшення обсягів прибутку. Аналітичні дослідження дозволили розробити рекомендації щодо доцільності використання запропонованих заходів для ТОВ «XXX». Також було розраховано економічний ефект від впровадження запропонованих заходів. Об’єкт дослідження – процес управління персоналом підприємства на прикладі ТОВ «XXX». Предмет дослідження – удосконалення управління персоналом підприємства на засадах контролінгу. Ключові слова: людські ресурси, персонал, система управління персоналом, контролінг персоналу, продуктивність праці, ефективність використання персоналу, кадрова структура, плинність кадрів, принципи управління персоналом.
Bachelor's thesis includes 108 pages, 32 tables, 17 drawings, 2 attachments. The bibliography list consists of 33 items. The topic of bachelor's thesis is «Improvement of HR management of the enterprise on the basis of controlling». The purpose of the work is to justify the need to improve the control tools used in the process of staffing the company, providing relevant recommendations and prove their economic efficiency. To analyze research and development of proposals grouping methods, graphic, illustration, methods of financial analysis and logical methods were used in the study. The work proves the need to improve controlling methods in the personnel management system. The purpose of implementation of the suggested measures is to increase the efficiency of the use of personnel of LLC Delta Tex, reduce the rate of staff turnover and, consequently, increase its profits. Analytical research allowed to elaborate recommendations on the feasibility of using the proposed measures for LLC Delta Tex. Also, the economic effect of the implementation of the proposed measures was calculated. The object of research - the process of HR management of the enterprise on the basis of LLC Delta Tex. Subject of research - the іmprovement of HR management of the enterprise on the basis of controlling. Key words: human resources, personnel, personnel management system, staff control, productivity, staff utilization efficiency, personnel structure, personnel turnover, principles of personnel management.
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Galindez, Araujo Luis J. "Factors surrounding and strategies to reduce recapping used needles by nurses at a Venezuelan public hospital." [Tampa, Fla] : University of South Florida, 2009. http://purl.fcla.edu/usf/dc/et/SFE0003166.

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Persson, Blom Jenny. "Förskolechefers följsamhet till arbetsmiljöregler om hygien och smittskydd : En tvärsnittsstudie." Thesis, Högskolan i Skövde, Institutionen för hälsovetenskaper, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-19278.

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Анотація:
Introduktion: Infektioner är vanligt bland barnen i förskolan. Vissa infektioner är av mer allvarlig karaktär, som antibiotikaresistenta bakterier. Det ger konsekvenser för samhället och folkhälsan, men innebär även en arbetsmiljörisk för personal på förskolan.Syfte: Att undersöka hur väl förskolechefer/rektorer följer arbetsmiljölagstiftningens krav på hygien och förebyggande smittskyddsåtgärder.Metod: Kvantitativ studie där en webbenkät skickades ut till 163 förskolechefer/rektorer i kommunala och fristående förskolor i tre olika regioner (Västra Götaland, Stockholm och Västmanland). Svaren analyserades med hjälp av statistikprogrammet SPSS, version 27.Resultat: Svarsfrekvens på webbenkäten var 39,9% (65 svar utav 163 skickade enkäter). Skillnad (p < 0,001) mellan regionerna kunde påvisas beträffande hygienutbildning av personal. Det var att vanligare att personalen fick hygienutbildning inom kommunalaförskolor jämfört med fristående förskolor (p=0,049) och att kommunala förskolor städas dagligen till skillnad mot fristående (p=0,016). Personal som varit yrkesverksamma en längre tid var bättre på att informera vikarier om hygienrutiner (p=0,005), förskolor med fler än 45 barn hade en högre frekvens av daglig städning (p=0,002) och förskolor med 5 eller fler avdelningar var bättre på att ge personal hygienutbildning (p=0,043). Samtliga förskolor svarade att de använder ytdesinfektionsmedel för rengöring av skötbord.Slutsats: Det finns signifikanta skillnader i hur vanligt det är att personalen fick hygienutbildning mellan regionerna och mellan kommunala och fristående förskolor. Det är vanligare med daglig städning av lokaler på kommunala förskolor. Samtliga förskolor använde ytdesinfektionsmedel och engångshandskar vid behov. Vid framtida studier skulle urvalet behöva vara större, framförallt andelen fristående förskolor och ett större deltagande eftersträvas.
Introduction: Infections are common among preschool children. Some infectious agents, such as antibiotic-resistant bacteria have consequences for society and public health and pose a risk to the occupational health and safety of preschool staff.Aim: To investigate how well preschool principals comply with occupational health and safety legislation's requirements for preventive measures against risks of infections.Methods: A cross-sectional quantitative study was implemented. This study consisted of a web-based survey, sent via an e-mail link to 163 preschool principals in municipal and private preschools in three different regions of Sweden (Västra Götaland, Stockholm and Västmanland). Data were analyzed using the statistical program SPSS, version 27.Results: Of 163 email surveys sent, 65 responses (39.9%) were received. A difference (p < 0.001) between regions was demonstrated in terms of hygiene training of personnel. It was more common with hygiene training of personnel in municipal preschools (p=0.049) and daily cleaning was more common among municipal preschools (p=0.016). Staff who had worked for a longer time were better at informing substitutes about hygiene practices (p=0.005), preschools with more than 45 children had a higher frequency of daily cleaning(p=0.002) and preschools with 5 or more departments were better at hygiene training of personnel (p=0.043). All preschools used surface disinfectants to clean changing tables.Conclusion: There were differences in the level of hygiene training of personnel between regions and between municipal and private preschools. Daily cleaning among municipal preschools was more common. All preschools use surface disinfectants and disposable gloves when needed. Future surveys should include a larger sample size and focus on higher participation.
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Sörebäck, Julia. "Salutogent perspektiv i arbetslivet : En intervjustudie gällande faktorerna krav, kontroll, socialt stöd och stress, bland personal i hemtjänsten efter införandet av ett ny arbetsmetod." Thesis, Högskolan i Gävle, Avdelningen för arbets- och folkhälsovetenskap, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-24544.

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The purpose of this study was to investigate the experiences of the factors demand, control, social support and stress among the staff in home care service and establish how these factors have changed after the introduction of the new working method Vanguardin 2014. The method of the study had a qualitative approach and the data collection was done using semistructured interviews. Four interviews were conducted with staff in a home care service group. The study selection was targeted and the participants were recruited by contacting a manager of a municipal home care service group in a town in central of Sweden.The interviews were recorded, transcribed and analyzed with a manifest thematic content analysis, with a phenomenological element. The results showed that the factors demand, controll, social support and stress have improved since the introduction of the new working method. The results showed that the work-related demands have changed from being a negative factor that caused stress, to instead being something positive that develops staff as individuals. Participation and influence increased in the workplace as staff themselfes began to plan their work. This contributed to an increased sense of control. Social support improved in the workplace since they became smaller groups and thus became better acquainted with each other. Stress is no longer due to high workload but occurs rather if problems arise in the work group. The conclusion is that demands, control, support and stress are important factors in working life that either affect health negatively or positively. Vanguard as aworking method has contributed positively in the investigated group and improved the perceived health of the workers.
Syftet med studien var att undersöka hemtjänstpersonalens upplevelser av krav, kontroll, stöd och stress och utröna hur dessa faktorer förändrats efter införandet av den nya arbetsmetoden Vanguard år 2014. Metoden i studien utgjordes av en kvalitativ ansats och datainsamlingen utfördes genom semi-strukturerade intervjuer. Fyra intervjuer genomfördes med personer som arbetar i hemtjänsten. Studiens deltagare rekryterades till följd av att en chef för en kommunal hemtjänstgrupp i Mellansverige kontaktades. Intervjuerna spelades in, transkriberades och analyserades genom en manifesttematisk innehållsanalys med ett fenomenologiskt inslag. Resultatet visade att faktorerna krav, kontroll, stöd och stress har förbättrats sedan införandet av den nya arbetsmetoden Vanguard. Resultatet visade att de arbetsrelaterade kraven har förändrats från att vara en negativ faktor som orsakade stress, till att istället vara något positivt som personalen utvecklas av som individer. Delaktighet och inflytande ökade på arbetsplatsen i och med att personalen själva började planera sitt arbetet, vilket bidrog till en ökad känsla av kontroll. Socialt stöd förbättrades när de under förändringsarbetet blev mindre grupper och på så vis lärde känna varandra bättre. Stress är inte längre som tidigarerelaterat till hög arbetsbelastning, utan uppkommer snarare om problem uppstår inom arbetsgruppen. Slutsatsen är att krav, kontroll, stöd och stress är viktiga faktorer i arbetslivet som antingen påverkar hälsan negativt eller positivt. Vanguard som arbetsmetod har bidragit med en positiv inverkan på den undersökta arbetsgruppen och förbättrat den upplevda hälsan hos arbetstagarna.
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Cocosco, Anca Elena. "Control of walking in a quadruped robot with stiff legs." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape11/PQDD_0023/MQ50598.pdf.

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Biehn, Neil David. "Implicit Runge-Kutta Methods for Stiff and Constrained Optimal Control Problems." NCSU, 2001. http://www.lib.ncsu.edu/theses/available/etd-20010322-165913.

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The purpose of the research presented in this thesis is to better understand and improve direct transcription methods for stiff and state constrained optimal control problems. When some implicit Runge-Kutta methods are implemented as approximations to the dynamics of an optimal control problem, a loss of accuracy occurs when the dynamics are stiff or constrained. A new grid refinement strategy which exploits the variation of accuracy is discussed. In addition, the use of a residual function in place of classical error estimation techniques is proven to work well for stiff systems. Computational experience reveals the improvement in efficiency and reliability when the new strategies are incorporated as part of a direct transcription algorithm. For index three differential-algebraic equations, the solutions of some implicit Runge-Kutta methods may not converge. However, computational experience reveals apparent convergence for the same methods used when index three state inequality constraints become active. It is shown that the solution chatters along the constraint boundary allowing for better approximations. Moreover, the consistency of the nonlinear programming problem formed by a direct transcription algorithm using an implicit Runge-Kutta approximation is proven for state constraints of arbitrary index.

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37

Amay, Jawayriya. "En kvalitativ studie om hemtjänstpersonalens erfarenheter av arbetsförändringar till följd av Covid-19." Thesis, Mälardalens högskola, Akademin för hälsa, vård och välfärd, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:mdh:diva-54523.

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38

Scott, Rob. "Forging an unusual intelligence partnership : Operation Rusty and the rise of the CIA: how did the newly created CIA get involved with former Nazi military and security staff of the Hitler regime? How and why did the CIA agree to take over control of the Gehlen Organisation from the US Army Intelligence Division?/ Rob Scott." Title page, table of contents and introduction only, 2005. http://web4.library.adelaide.edu.au/theses/09AR/09ars4251.pdf.

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39

Kabanyoro, Ruth. "Responses of the weed Digitaria Abyssinicia (A. Rich.) Stapf to selective grass herbicides in Ugandan cotton." Thesis, University of Newcastle Upon Tyne, 2001. http://hdl.handle.net/10443/515.

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Successful weed control is essential for economical cotton production in Uganda. Weeds compete with cotton for moisture, nutrients and light. The greatest competition usually occurs early in the growing season. Therefore, post emergence herbicides such as fluazifop-butyl and sethoxydim were used in this study to control the grass weed species which grow faster than cotton during its initial growth stage. Field trials were conducted on the sandy loam/loam soils at Namulonge Research Institute and Bukalasa Technology Verification Centre in Uganda during the 1995/96 and 1997/98 cotton seasons to investigate the control of the tropical couch grass (Digitaria abyssinica (A. Rich. ) Stapf) using the post emergence herbicides. This weed is a rhizomatous grass and difficult to control. The efficacy of the reduced dose rates of the grass selective post emergence herbicides sethoxydim and fluazifop-butyl was investigated for the control of D. abyssinica and other grass weed species in cotton so as to determine the appropriate dose rate(s). The herbicides were supplemented with two hand weedings. Hand weeding (5 times) during the growing season was included in the treatments. The results obtained from the field trials showed the potential of reduced dose rates in the control of grasses. The application of fluazifop-butyl (138,162 and 188 g a. i. ha 1) and sethoxydim (405,502 and 579 g a. i. ha 1) gave a significant density reduction of D. abyssinica and other annual grasses at 35 days after herbicide application. No significant differences were observed amongst the dose rates of both herbicides in the percentage weed control of D. abyssinica and other grass weed species in the two seasons. The percentage weed control ranged between 79-96%. The assessment showed that fresh and dry weights of D. abyssinica shoots/foliage were reduced by 70-80% irrespective of the dose rates for both herbicides at the two sites during the two seasons. Reduced dose rates below half of the full dose rates were investigated in the greenhouse in UK. A markedly reduction of D. abyssinica shoots and rhizomes was noted following the application of fluazifop-butyl (38,66,94,188 g a. i. ha 1) and sethoxydim (116,203, 290,579 g a. i. ha 1) compared to the control. An average percentage reduction of 43.2- 62% for fresh and dry shoots, and 65.9-78% for fresh and dry rhizomes was observed. Although analysis of variance indicated that there were no significant differences amongst dose rates, low percentage reduction was noted from the lowest dose rate of fluazifopbutyl (38 g a. i. ha 1). 1 As part of the plant stress assessment, results indicated that sethoxydim and fluazifopbutyl inhibited chlorophyll accumulation in the treated leaves of D. abyssinica. A reduction of 40-70% of chlorophyll content was noted. It was noted that sethoxydim had higher inhibitory effect on chlorophyll content than fluazifop-butyl. Results obtained from the measurements of fluorescence parameters showed significant reduction of Fv/Fm in the leaves of D. abyssinica due to sethoxydim and fluazifop-butyl, suggesting significant alteration of the normal fluorescence yield. Interference with the normal fluorescence of D. abyssinica was associated with the inhibition of the flow of electron transport which resulted to plant stress. Further investigation on plant stress was studied by comparing the activity levels of the intracellular proteases of D. abyssinica and cotton plants after the application of sethoxydim. The activity level of alanyl aminopeptidase was not affected by the herbicide both in D. abyssinica and cotton. It was however noted that there was significant decrease in the activity levels of argninyl aminopeptidase (arginyl-ap) (36.1%) and tripeptidyl aminopeptidase (Tap) (51.8%) in the treated plants of D. abyssinica with time after herbicide application. While in cotton, significant increase was observed in the activity level of and tripeptidyl aminopeptidase with time after herbicide application. Therefore it can be assumed that the activity levels of these enzymes in the two plant species may have an influence on their responses to the herbicide. Data on crop performance indicated that seedcotton yields realised from herbicides dose rates combined with two hand weedings were high as or higher than the yields obtained from the hand weeding (5 times). Seedcotton yields were noted high (1793-2993 kg/ha) in 1995/96 compared to 1997/98 (665.1-1184.2 kg/ha). The present study has indicated that integration of reduced dose rates with two hand weeding supplements can reduce the number of weedings and improve cotton production.
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Flemmer, Henrik. "Control Design and Performance Analysis of force Reflective Teleoperators - A Passivity Based Approach." Doctoral thesis, KTH, Machine Design, 2004. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-3795.

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In this thesis, the problem of controlling a surgical masterand slave system with force reflection is studied. The problemof stiff contacts between the slave and the environment isgiven specific attention. The work has been carried out at KTHbased on an initial cooperation with Karolinska Sjukhuset. Theaim of the over all project is to study the possibilities forintroduction of a force reflective teleoperator in neurologicalskullbase operations for the particular task of bone millingand thereby, hopefully, increase patient safety, decreasesurgeon workload and cost forthe society.

The main contributions of this thesis are:

Derivation of a dynamical model of the master andoperator’s finger system and, experimental identificationof ranges on model parameter values. Based on this model, theinteraction channel controllers optimized for transparency arederived and modified to avoid the influence of the uncertainmodel parameters. This results in a three channel structure. Todecrease the influence of the uncertain parameters locally atthe master, a control loop is designed such that the frequencyresponse of the reflected force is relatively unaffected by theuncertainties, a result also confirmed in a transparencyanalysis based on the H-matrix. The developed teleoperatorcontrol structure is tested in experiments where the operatorcould alter the contact force without facing any problems aslong as the slave is in contact with the environment.

As a result of the severe difficulties for the teleoperatorto move from free space motion to in-contact manipulationwithout oscillative behaviour, a new detection algorithm basedon passivity theory is developed. The algorithm is able todetect the non-passive behaviour of the actual teleoperatorinduced by the discrete change in system dynamics occurring atthe contact instant. A stabilization controller to be activatedby the detection algorithm is designed and implemented on themaster side of the teleoperator. The detection algorithm andthe stabilization controller are shown highly effective in realexperiments.

All major research results presented in the thesis have beenverified experimentally.

KeywordsTeleoperator, Force Feedback, Passivity, StiffContacts, Control, Robustness, Transparency, Bone Milling,Uncertainty

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Paťha, Radim. "Rekonstrukce letiště Brno - Tuřany." Master's thesis, Vysoké učení technické v Brně. Fakulta stavební, 2012. http://www.nusl.cz/ntk/nusl-225602.

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This diploma thesis describes the reconstruction of the operation parts in the international airport in Brno and proposal of a new arrivals hall. The diploma thesis also shows the specific management of the airport, connection with the existing concourse and design of an appropriate concept of addition of new buildings with currently missing services. The reconstruction deals with the insufficient capacity of the arrivals hall and current bad technical conditions and its inconvenient capacity of arrivals and departures. In this concept, the airport capacity is doubled, up to 2 000 000 passengers per year. This concept, based on axial and mutual synergy of building parts, contains a design of two objects, the central part with public services (clearance, waiting hall, restaurant, control tower, areas for rent, arrivals and departures support), and arrivals hall (inspection, luggage clearance hall). The diploma project is developed in the range of a study. It is based on a previous urban study of the airport in connection to following-up the development of neighboring towns and surrounding area.
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Silva, Naiana Braga da. "Efeito do óleo essencial de Cymbopogon citratus (DC) Stapf. no controle químico do biofilme dentário." Universidade Estadual da Paraíba, 2016. http://tede.bc.uepb.edu.br/tede/jspui/handle/tede/2463.

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The dental biofilm is responsible for promoting infectious oral diseases, but it can control both mechanically and chemically. Phytotherapy comes up as an alternative, and the essential oil of lemon grass shows promising as an auxiliary method on chemical biofilm control. In this context, the aim of the study was to perform the chemical analysis of essential oil of Cymbopogon citratus, obtained in a company that is reference on essence and essential oil distribution, as well as to investigate the in vitro antimicrobial and antibiofilm effects of the oil, and its toxicity on human cells. For the chemical analysis, gas chromatography-mass spectrometry was used, and to identify the antimmicrobial effect, we determinate the Minimum Inhibitory Concentration (MIC) on standard strains of Streptococcus mutans UA159 and Candida albicans ATCC90029,by the microdilution method on well technic. The obtained MIC served as a reference for the antibiofilm test. To determinate the antibiofilm activity, we developed a multispecies biofilm, with Streptococcus mutans and Candida albicans, verifying the inhibitory actions of biofilm formation and the mature biofilm removal, with spectrophotometry evaluation, through a plate reader at a wavelength of 525 nm. To identify the hemolytic activity, we used blood samples from five healthy donors, subjecting the erythrocytes preparation tho the serial concentrations of the essential oil on test, with later spectrophotometry reading, at 560nm. The data was tabulated, statistically analyzed and presented as tables and charts. The main compound of the essential oil was the citral. It was evidenced the antimicrobial activity of the product at bacterial MIC of 1000 µg/mL and fungal MIC at 125µg/mL, as well as the inhibitory effect on biofilm formation on every evaluated concentrations (p<0,05). However, the essential oil was not able to remove mature biofilm. Observed that the essential oil showed protective effect over human erythrocytes on concentrations less than 500µg/mL. Based on the used methodology, checks that the Cymbopogon citratus essential oil has antibiofilm potential, not being toxic to the human erythrocyte membrane.
O biofilme dentário é responsável por promover doenças bucais de caráter infeccioso, podendo ser controlado mecânica e quimicamente. A fitoterapia surge como uma alternativa e o óleo essencial de capim-santo se mostra promissor como método auxiliar no controle químico do biofilme. Nesse contexto, o objetivo deste estudo foi realizar análise química do óleo essencial de Cymbopogon citratus, obtido em empresa de referência na distribuição de essências e óleos essenciais, bem como investigar os efeitos antimicrobiano e antibiofilme do óleo essencial de in vitro, além da toxicidade sobre células humanas. Para análise química, foi utilizada a cromatografia gasosa acoplada a espectrometria de massas e, para identificação do efeito antimicrobiano, foi determinada a Concentração Inibitória Mínima (CIM) sobre cepas padrão de Streptococcus mutans UA 159 e de Candida albicans ATCC 90029, pelo método da microdiluição na técnica de poços. A CIM encontrada serviu de referência para o teste antibiofilme. Para determinação da atividade antibiofilme, foi desenvolvido biofilme multiespécie com os microrganismos Streptococcus mutans e Candida albicans, verificando-se ações de inibição da formação de biofilme e remoção de biofilme maduro, com avaliação em espectrofotometria, por meio de um leitor de placas, em comprimento de onda de 525 nm. Para identificação da atividade hemolítica, foram utilizadas amostras sanguíneas de cinco doadores saudáveis, submetendo o preparado de eritrócitos às concentrações seriadas do óleo essencial em teste, com posterior leitura em espectrofotometria, a 560 nm. Os dados foram tabulados, analisados estatisticamente e apresentados na forma de tabelas e quadros. O principal composto do óleo essencial foi o citral. Foi evidenciada atividade antimicrobiana do produto, com CIM bacteriana de 1000 µg/mL e CIM fúngica de 125 µg/mL, bem como forte efeito inibidor da formação de biofilme em todas as concentrações avaliadas (p<0,05). Entretanto, o óleo essencial não foi capaz de remover biofilme maduro. Também foi observado que o fitoterápico apresentou efeito protetor sobre eritrócitos humanos em concentrações inferiores a 500µg/mL. Com base na metodologia adotada, verifica-se que o óleo essencial de Cymbopogon citratus possui potencial antibiofilme, não sendo tóxico à membrana de eritrócitos humanos.
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43

Westfelt, Lisa. "Migration som straff? : Utvisning på grund av brott 1973-2003 med fokus på flyktingskydd." Doctoral thesis, Stockholms universitet, Kriminologiska institutionen, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-8242.

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Deportation due to criminal activity is often viewed as a neutral administrative practice and has to date received little research attention. This study views the phenomenon as part of a broader field focused on regulating people’s mobility. It also looks at the balance between the state’s interest in deporting non-citizens who commit crime and the goal of protecting refugees. Deportation due to criminal activity is first discussed from five perspectives: as alien control, as punishment and the spatial separation of criminal “others”, as migratory movement and forcible repatriation, in relation to human rights and as a “second asylum hearing”, and as border practice. The study then examines deportation in district courts between 1973 and 2003, via a quantitative study of all convictions involving deportation. Deportation practice differs between persons who are and are not registered as residents. Residents are deported for more serious offences than others and increasingly often over time for crimes against the person and drug crime. The number of non-residents deported increases greatly from 1985, which cannot be explained by an increase in convictions or by legislative changes. The study finally examines the reasoning of courts on possible impediments to deportation when the person convicted had refugee or equivalent status. The court collected an opinion from the Swedish Immigration Board in 80 percent of such cases. The opinions are very brief, often identical for different individuals and seem to be based on general guidelines for different countries rather than the individual’s fear of persecution at sentencing time. In the other cases the court makes its own assessment of impediments to deportation, but the risks faced by those convicted are rarely discussed in the court judgements. In 17 cases, the individual was deported despite the Board’s opinion noting a risk of persecution.
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Rodrigues, Elisangela Ronconi [UNESP]. "Controle biológico de Brachiaria decumbens Stapf em área de reserva legal em processo de recuperação, na região do Pontal do Paranapanema, São Paulo, Brasil." Universidade Estadual Paulista (UNESP), 2010. http://hdl.handle.net/11449/100639.

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
O Pontal do Paranapanema, a segunda região mais pobre do Estado de São Paulo, tem histórico de devastação florestal recente: até 1942, toda a região possuía cobertura florestal nativa protegida por lei, a chamada “Grande Reserva do Pontal”, a qual foi transformada em grandes fazendas de pastagem por meio de desmatamentos ilegais e grilagem de terras, transformando a área num mosaico altamente fragmentado. No entanto, é no Pontal do Paranapanema que encontramos a maior área contínua de Floresta Estacional Semidecidual, contida no Parque Estadual Morro do Diabo. Este histórico torna claro que ações que promovam a restauração de áreas degradadas na região tem importância indiscutível na conservação e perpetuação do bioma Floresta Estacional e sua biodiversidade, que inclui espécies raras e ameaçadas de extinção, como o mico-leão preto (Leontophitecus chrysopygus). Diante do exposto esta pesquisa teve por objetivos: caracterizar florísticamente um plantio realizado para restauração de reserva legal e testar o uso de espécies nas entrelinhas deste plantio para controle das invasoras, hoje citadas como um dos maiores empecilhos aos projetos de restauração. Para tal, foram demarcadas 16 parcelas de 20 x 30 metros, representando quatro tratamentos em três repetições, com uma testemunha par cada tratamento. Os quatro tratamentos correspondem a espécies de leguminosas que foram testadas nas entrelinhas, sendo elas: Lab-lab (Dolichos lablab), Crotalária (Crotalaria spectabilis) Mucuna-Preta (Mucuna aterrina), e Java, leguminosa híbrida obtida do cruzamento e seleção de dois cultivares de Macrotyloma axillare. Os resultados mostraram que as leguminosas tem efeito sobre o desenvolvimento de Brachiaria decumbens apenas no início de seu ciclo de vida. Duas espécies de leguminosas (Mucuna aterrina e Macrotyloma axillare) foram eficientes no controle...
The Pontal do Paranapanema, the second poorest region in the state of São Paulo, has a history of recent forest destruction: up to 1942, the entire region had native forest protected by law, the Grande Reserva do Pontal, which was transformed on grazing on large farms by illegal logging and land grabbing, transforming the region into a highly fragmented mosaic. However, it is in the Pontal that it is found the largest continuous area of seasonal semideciduous forest, contained in the Morro do Diabo State Park. This history makes clear that actions to promote the restoration of degraded areas in the region has a key importance in the preservation and perpetuation of seasonal forest biome and its biodiversity, including rare and endangered species such as the black lion tamarin (Leontophitecus chrysopygus). This study aimed to characterize floristically an area of restoration for a legal reserve and test the use of some species for weed control, today cited as one of the biggest impediments to restoration projects. For this purpose, 16 plots with 20 x 30 meters each were demarcated, representing four treatments and a control in three replicates . The four treatments correspond to legumes species that were tested, namely: Dolichos lablab, Crotalaria spectabilis, Mucuna aterrima, “Java”, a legume hybrid obtained from crossing and selection of two cultivars of Macrotyloma axillare. The results show that the pulses have an effect on the development of Brachiaria decumbens in the beginning of its life cycle. Two species of legumes (Mucuna aterrima and Macrotyloma axillare) were efficient in controlling B.decumbens during the whole period of analyses, but also led to death of all tree species in these plots, showing the need for management of these species when used in biological control
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45

Wenisch, Jan. "Ferromagnetic (Ga,Mn)As Layers and Nanostructures : Control of Magnetic Anisotropy by Strain Engineering." kostenfrei, 2008. http://www.opus-bayern.de/uni-wuerzburg/volltexte/2009/3455/.

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Soler-Font, Mercè 1991. "Prevention and management of musculoskeletal pain at work in nursing staff : Design, implementation and evaluation of a multifaceted intervention in the workplace." Doctoral thesis, TDX (Tesis Doctorals en Xarxa), 2021. http://hdl.handle.net/10803/672387.

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Objectiu: Dissenyar, implementar i avaluar una intervenció multifacètica en el lloc de treball per prevenir i gestionar el dolor musculoesquelètic (DME). Mètodes: Es va dissenyar, implementar i avaluar (efectivitat, procés i cost-efectivitat) un assaig controlat aleatoritzat per clústers d'un any. La intervenció va incloure ergonomia participativa, promoció de la salut i gestió de casos. Resultats: Als 12 mesos, el grup d’intervenció va mostrar una disminució estadísticament significativa del risc de dolor d’espatlles, cervical i dorsal en comparació amb el control. No es va trobar cap efecte estadísticament significatiu per a DME en altres parts del cos, incapacitat temporal ni capacitat funcional. L’ergonomia participativa va mostrar un alt nivell d’implementació, la promoció de la salut va diferir segons l’activitat i la gestió de casos va mostrar un baix nivell d’implementació. Per reduir 1-punt-percentual extra el dolor d’espatlles, cervical i dorsal es necessitaven 3,63€ (perspectiva social) i 1,69 € (perspectiva del sistema sanitari). Conclusions: Aquesta intervenció va ser efectiva i cost-efectiva per reduir el dolor d’espatlles, cervical i dorsal, i es va implementar majoritàriament com es pretenia.
Objective: To design, implement and evaluate a multifaceted intervention in the workplace to prevent and manage musculoskeletal pain (MSP). Methods: A two-armed multifaceted cluster randomized controlled trial of one year duration was designed, implemented, and evaluated (effectiveness, process and cost-effectiveness). The intervention included participatory ergonomics, health promotion, and case management. Results: At 12 months, the intervention group showed a statistically significant decrease of the risk in neck, shoulders and upper-back pain compared to the control. No statistically significant effect was found for MSP in other locations, sickness absence nor work functioning. Participatory ergonomics showed a high implementation level, health promotion differed according to the activity and case management showed a low implementation level. To achieve 1-extra-percentual point reduction of MSP in neck, shoulders and upper-back were needed €3.63 (societal perspective) and €1.69 (health system perspective). Conclusions: This intervention was effective and cost-effective to reduce neck, shoulder and upper-back pain and predominantly implemented as intended.
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Rodrigues, Elisangela Ronconi. "Controle biológico de Brachiaria decumbens Stapf em área de reserva legal em processo de recuperação, na região do Pontal do Paranapanema, São Paulo, Brasil /." Rio Claro : [s.n.], 2010. http://hdl.handle.net/11449/100639.

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Orientador: Reinaldo Monteiro
Banca: Alessandro Camargo Angelo
Banca: Osmar Cavassan
Banca: Fábio Socolowski
Banca: Marco Antonio de Assis
Resumo: O Pontal do Paranapanema, a segunda região mais pobre do Estado de São Paulo, tem histórico de devastação florestal recente: até 1942, toda a região possuía cobertura florestal nativa protegida por lei, a chamada "Grande Reserva do Pontal", a qual foi transformada em grandes fazendas de pastagem por meio de desmatamentos ilegais e grilagem de terras, transformando a área num mosaico altamente fragmentado. No entanto, é no Pontal do Paranapanema que encontramos a maior área contínua de Floresta Estacional Semidecidual, contida no Parque Estadual Morro do Diabo. Este histórico torna claro que ações que promovam a restauração de áreas degradadas na região tem importância indiscutível na conservação e perpetuação do bioma Floresta Estacional e sua biodiversidade, que inclui espécies raras e ameaçadas de extinção, como o mico-leão preto (Leontophitecus chrysopygus). Diante do exposto esta pesquisa teve por objetivos: caracterizar florísticamente um plantio realizado para restauração de reserva legal e testar o uso de espécies nas entrelinhas deste plantio para controle das invasoras, hoje citadas como um dos maiores empecilhos aos projetos de restauração. Para tal, foram demarcadas 16 parcelas de 20 x 30 metros, representando quatro tratamentos em três repetições, com uma testemunha par cada tratamento. Os quatro tratamentos correspondem a espécies de leguminosas que foram testadas nas entrelinhas, sendo elas: Lab-lab (Dolichos lablab), Crotalária (Crotalaria spectabilis) Mucuna-Preta (Mucuna aterrina), e Java, leguminosa híbrida obtida do cruzamento e seleção de dois cultivares de Macrotyloma axillare. Os resultados mostraram que as leguminosas tem efeito sobre o desenvolvimento de Brachiaria decumbens apenas no início de seu ciclo de vida. Duas espécies de leguminosas (Mucuna aterrina e Macrotyloma axillare) foram eficientes no controle... (Resumo completo, clicar acesso eletrônico abaixo)
Abstract: The Pontal do Paranapanema, the second poorest region in the state of São Paulo, has a history of recent forest destruction: up to 1942, the entire region had native forest protected by law, the "Grande Reserva do Pontal", which was transformed on grazing on large farms by illegal logging and land grabbing, transforming the region into a highly fragmented mosaic. However, it is in the Pontal that it is found the largest continuous area of seasonal semideciduous forest, contained in the Morro do Diabo State Park. This history makes clear that actions to promote the restoration of degraded areas in the region has a key importance in the preservation and perpetuation of seasonal forest biome and its biodiversity, including rare and endangered species such as the black lion tamarin (Leontophitecus chrysopygus). This study aimed to characterize floristically an area of restoration for a legal reserve and test the use of some species for weed control, today cited as one of the biggest impediments to restoration projects. For this purpose, 16 plots with 20 x 30 meters each were demarcated, representing four treatments and a control in three replicates . The four treatments correspond to legumes species that were tested, namely: Dolichos lablab, Crotalaria spectabilis, Mucuna aterrima, "Java", a legume hybrid obtained from crossing and selection of two cultivars of Macrotyloma axillare. The results show that the pulses have an effect on the development of Brachiaria decumbens in the beginning of its life cycle. Two species of legumes (Mucuna aterrima and Macrotyloma axillare) were efficient in controlling B.decumbens during the whole period of analyses, but also led to death of all tree species in these plots, showing the need for management of these species when used in biological control
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48

Larsson, Patrik. "Hur uppnås balans i styrningen av en organisation med konkurrerande logiker? : En kvalitativ studie med fokus på straff och vård." Thesis, Högskolan i Gävle, Avdelningen för ekonomi, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-30830.

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Syfte: Att med fokus på obalans och balans öka förståelsen för hur konkurrerande logiker hanteras i styrningen av kriminalvården i Sverige. Metod: Den kvalitativa studien genomfördes med en hermeneutisk utgångspunkt där 7 semi-strukturerade intervjuer genomfördes med öppna frågor, där den enskilde individen har fått beskriva sin upplevelse av straff och vård. Uppsatsen har en abduktiv ansats då en kontinuerlig växelverkan mellan teori och empiri har gjorts. En analys har sedan genomförts, baserat på det empiriska resultatet och den teoretiska referensramen. Resultat & slutsats: Ur organisationens perspektiv, uppnås balans mellan de konkurrerande logikerna straff och vård genom att anstalten försöker motivera klienterna till förändring i tankesätt och handlingsmönster, och erbjuder klienterna arbete, programverksamhet, utbildning, fritidsaktiviteter, och har samarbetsavtal med externa organisationer inför frihetsförberedande åtgärder som permissioner och utsluss. Uppsatsens bidrag: Studien har bidragit till ökad förståelse hur de konkurrerande logikerna straff och vård hanteras med hjälp av styrmedel, med fokus på obalans och balans. Ur studien framkom att den öppna anstalten omfattas av styrmedel som påverkar balansen mellan straff och vård, där obalans är dominerat av straff, balans mer balans mellan straff och vård. Studien kartlagde styrmedel som påverkar balansen mellan obalans eller balans, styrmedel som orsakar obalans, och styrmedel för att uppnå balans. Förslag till fortsatt forskning: En fördjupad studie hur styrmedel hanteras på en anstalt av högre säkerhetsklass med fokus på obalans och balans mellan de konkurrerande logikerna straff och vård, och jämföra med de resultat som framkommit i denna studie
Aim: Focusing at imbalance and balance increase the understanding of how competing logics is managed in the management by the correctional care in Sweden. Method: The qualitative study was made with a hermeneutic starting, with 7 semistructured interviews which were made, and where the individual respondents described their own experience of punishment and care. The paper uses an abductive approach where a continuous interaction between theory and empirical data has been used. The analysis was based on the empirical result and the theoretical frame of reference. Result & Conclusion: From the perspective of the organization, balance is achieved between the two competing logics “punishment” and “care” thanks to the prison trying to motivate the prisoners to change their thoughts and behaviours, and to offer the client work, different programs, education, leisure activity, and to have cooperation contracts with external organizations before freedom preparing actions like permissions. Contribution of thesis: The study has contributed to an increased understanding how the competing logics punishment and care manages with help by controls, focusing at imbalance and balance. Out of the study it emerged that the low-risk prison comprises by controls like affect the balance between punishment and care, where imbalance is dominated by punishment, balance more balance between punishment and care. The study maped controls which affect the balance between imbalance and balance, controls which cause imbalance, and controls to reach balance. Suggestions for future research: Further study would be how controls managing at a prison of higher security focusing on imbalance and balance between the competing logics of punishment and care, and compare the results with the results from this study.
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49

Doubek, Rostislav. "Stavebně technologický projekt objektů skládky Úholičky." Master's thesis, Vysoké učení technické v Brně. Fakulta stavební, 2015. http://www.nusl.cz/ntk/nusl-227710.

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In this diploma thesis two steel frame objects of a waste dump in Úholičky are solved. The aim is to resolve the chosen parts of a construction-technological project. The main topics for selected technological phases are transportation, bill of quantities, technological regulations, construction organization’s principles, time schedule, machinery, control and testing plan, work safety and worker’s health protection. These topics are prepared for the technological phases of ground works, fundamental contruction, upper load-bearing structure, construction of the floor and sheathing of the object. The thesis has also other parts which include static solution of a prestressed unit, budget by items, calculation of the object’s maintenance cost, handbook for bulding’s occupancy and proposal of construction contract.
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50

Hart, Peter Bartholomew. "A plm implementation for aerospace systems engineering-conceptual rotorcraft design." Thesis, Georgia Institute of Technology, 2009. http://hdl.handle.net/1853/28278.

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The thesis will discuss the Systems Engineering phase of an original Conceptual Design Engineering Methodology for Aerospace Engineering-Vehicle Synthesis. This iterative phase is shown to benefit from digitization of Integrated Product&Process Design (IPPD) activities, through the application of Product Lifecycle Management (PLM) technologies. Requirements analysis through the use of Quality Function Deployment (QFD) and 7 MaP tools is explored as an illustration. A "Requirements Data Manager" (RDM) is used to show the ability to reduce the time and cost to design for both new and legacy/derivative designs. Here the COTS tool Teamcenter Systems Engineering (TCSE) is used as the RDM. The utility of the new methodology is explored through consideration of a legacy RFP based vehicle design proposal and associated aerospace engineering. The 2001 American Helicopter Society (AHS) 18th Student Design Competition RFP is considered as a starting point for the Systems Engineering phase. A Conceptual Design Engineering activity was conducted in 2000/2001 by Graduate students (including the author) in Rotorcraft Engineering at the Daniel Guggenheim School of Aerospace Engineering at the Georgia Institute of Technology, Atlanta GA. This resulted in the "Kingfisher" vehicle design, an advanced search and rescue rotorcraft capable of performing the "Perfect Storm" mission, from the movie of the same name. The associated requirements, architectures, and work breakdown structure data sets for the Kingfisher are used to relate the capabilities of the proposed Integrated Digital Environment (IDE). The IDE is discussed as a repository for legacy knowledge capture, management, and design template creation. A primary thesis theme is to promote the automation of the up-front conceptual definition of complex systems, specifically aerospace vehicles, while anticipating downstream preliminary and full spectrum lifecycle design activities. The thesis forms a basis for additional discussions of PLM tool integration across the engineering, manufacturing, MRO and EOL lifecycle phases to support business management processes.
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