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Atendimento à parada cardiorrespiratória por leigos: estudo de caso de um processo educativo; Compliance with cardiac arrest by laypersons: a case study of an educational process

Pineda, Aline Fagnani Pereira
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 28/01/2013 Português
Relevância na Pesquisa
17.87551%
Pesquisa de abordagem qualitativa que consistiu em avaliar o potencial de leigos para atuar como circunstantes nos procedimentos de reanimação cardiorrespiratória e no manejo do desfibrilador externo automático (DEA). Teve como objetivos: descrever o perfil dos participantes; realizar um processo de capacitação dos participantes sobre os primeiros atendimentos à PCR, utilizando o protocolo de atendimento à PCR da AHA para leigos; destacar as habilidades apontadas por eles e analisar suas percepções sobre o processo de atendimento inicial à PCR e o manejo do DEA. Pela especificidade do objeto de estudo, a metodologia utilizada foi pesquisa-ação. A investigação foi realizada na cidade de Marília/SP. O local foram selecionados por meio de mapeamentos específicos e de acordo com a legislação estadual e municipal sobre quais deveriam atender as exigências ao disponibilizar pessoas com capacitação específica, além da manutenção do dispositivo DEA. Selecionou-se um local público, o Terminal de Transporte Urbano de Marília/SP, segundo o número de circulação de pessoas por dia. Os sujeitos deste estudo foram pessoas voluntárias, leigas, trabalhadores de diversas categorias profissionais e ocupacionais do Terminal. Os sujeitos participaram de reuniões informativas sobre a pesquisa e a importância dos procedimentos iniciais à PCR. Realizou-se-se o curso de capacitação e...

Da Universidade ao mercado de trabalho : o papel de uma incubadora de resolução de briefings na promoção dos estudantes universitários : uma aplicação aos estudantes universitários de marketing da Faculdade de Ciências Humanas da Universidade Católica Portuguesa

Estreitinho, Roberto Luís Nóbrega
Fonte: Universidade Católica Portuguesa Publicador: Universidade Católica Portuguesa
Tipo: Dissertação de Mestrado
Publicado em 01/10/2012 Português
Relevância na Pesquisa
38.494673%
No contexto económico, social e laboral que Portugal atravessa, muitas perguntas se levantam ao nível da melhor forma de abordar o mercado de trabalho, quais os níveis indicados de formação e qual o nível de dependência de factores que escapam ao nosso domínio. São questões como estas que tornam mais complexa a análise do que é necessário para conseguir, após o período de estudos académicos, começar a trabalhar na área pretendida e manter estabilidade a esse nível. A proposta que apresento visa explorar esta questão ao nível da transição do mundo académico para o mundo profissional, através da criação de uma incubadora de resolução de briefings. Em primeiro lugar, esta traduzir-se-á numa nova forma de enquadrar as matérias estudadas para uma vertente mais prática. Em segundo lugar, significará uma nova forma de promover estudantes universitários, sendo que neste caso focarei a área do marketing. O objectivo principal é ajudar os estudantes universitários de marketing da Faculdade de Ciências Humanas da Universidade Católica Portuguesa na tarefa de obter uma oportunidade no mercado de trabalho actual. Desta forma, poderemos dar um novo passo em frente no que diz respeito à sua própria promoção...

Análise da comunicação no binómio cinotécnico: Estudo comparativo entre duas linguagens de comunicação no binómio cinotécnico: O sistema tradicional e sistema Signal, Meaning and Form (SMAF)

Fernandes, Hélder
Fonte: Academia Militar. Direção de Ensino Publicador: Academia Militar. Direção de Ensino
Tipo: Outros
Publicado em 01/08/2011 Português
Relevância na Pesquisa
48.168193%
O presente Trabalho Investigação Aplicada (TIA) subordinado ao tema “Estudo comparativo entre duas linguagens de comunicação no Binómio Cinotécnico: o sistema tradicional e o sistema Signal, Meaning And Form (SMAF) ”, que visa esclarecer as vantagens que poderão advir da implementação da Linguagem SMAF no Grupo de Intervenção Cinotécnico da Guarda Nacional Republicana (GNR). Na sequência do presente estudo formularam-se hipóteses e questões de investigação que procuraram dar resposta à questão central levantada: “Quais as vantagens que poderão advir da implementação da linguagem SMAF no Grupo de Intervenção Cinotécnico?” Para a realização do estudo em questão, efectuou-se uma exaustiva pesquisa bibliográfica, que serviu de base para a elaboração da parte prática em que se compararam estatisticamente as avaliações de binómios treinados segundo a linguagem tradicional com a de um grupo criado exclusivamente para este estudo, com recurso à linguagem SMAF. Esses resultados foram posteriormente clarificados através de entrevistas semi-directivas, dirigidas a um conjunto de militares seleccionados de acordo com a sua experiência e conhecimento do tema. Após a análise de dados efectuada conclui-se que a linguagem SMAF poderá constituir uma mais-valia para o GIC...

The human factor: the critical importance of effective teamwork and communication in providing safe care

Leonard, M; Graham, S; Bonacum, D
Fonte: BMJ Group Publicador: BMJ Group
Tipo: Artigo de Revista Científica
Publicado em /10/2004 Português
Relevância na Pesquisa
27.337856%
Effective communication and teamwork is essential for the delivery of high quality, safe patient care. Communication failures are an extremely common cause of inadvertent patient harm. The complexity of medical care, coupled with the inherent limitations of human performance, make it critically important that clinicians have standardised communication tools, create an environment in which individuals can speak up and express concerns, and share common "critical language" to alert team members to unsafe situations. All too frequently, effective communication is situation or personality dependent. Other high reliability domains, such as commercial aviation, have shown that the adoption of standardised tools and behaviours is a very effective strategy in enhancing teamwork and reducing risk. We describe our ongoing patient safety implementation using this approach within Kaiser Permanente, a non-profit American healthcare system providing care for 8.3 million patients. We describe specific clinical experience in the application of surgical briefings, properties of high reliability perinatal care, the value of critical event training and simulation, and benefits of a standardised communication process in the care of patients transferred from hospitals to skilled nursing facilities. Additionally...

Teamwork, Communication, Formula-One Racing and the Outcomes of Cardiac Surgery

Merry, Alan F.; Weller, Jennifer; Mitchell, Simon J.
Fonte: American Society of ExtraCorporeal Technology Publicador: American Society of ExtraCorporeal Technology
Tipo: Artigo de Revista Científica
Publicado em /03/2014 Português
Relevância na Pesquisa
37.343362%
Most cardiac units achieve excellent results today, but the risk of cardiac surgery is still relatively high, and avoidable harm is common. The story of the Green Lane Cardiothoracic Unit provides an exemplar of excellence, but also illustrates the challenges associated with changes over time and with increases in the size of a unit and the complexity of practice today. The ultimate aim of cardiac surgery should be the best outcomes for (often very sick) patients rather than an undue focus on the prevention of error or adverse events. Measurement is fundamental to improving quality in health care, and the framework of structure, process, and outcome is helpful in considering how best to achieve this. A combination of outcomes (including some indicators of important morbidity) with key measures of process is advocated. There is substantial evidence that failures in teamwork and communication contribute to inefficiency and avoidable harm in cardiac surgery. Minor events are as important as major ones. Six approaches to improving teamwork (and hence outcomes) in cardiac surgery are suggested. These are: 1) subspecialize and replace tribes with teams; 2) sort out the leadership while flattening the gradients of authority; 3) introduce explicit training in effective communication; 4) use checklists...

Concepções e práticas da psicologia escolar :um olhar através do estágio curricular supervisionado

Câmara, Rosa Angélica de Mendonça
Fonte: Universidade Federal do Rio Grande do Norte; BR; UFRN; Programa de Pós-Graduação em Psicologia; Psicologia, Sociedade e Qualidade de Vida Publicador: Universidade Federal do Rio Grande do Norte; BR; UFRN; Programa de Pós-Graduação em Psicologia; Psicologia, Sociedade e Qualidade de Vida
Tipo: Dissertação Formato: application/pdf
Português
Relevância na Pesquisa
27.98623%
School psychology can be considered a growing professional field in Brazil, in spite of the difficulties concerning both the role of the psychologists in the schools and the restrictions of the labor market. Professional training is one of the most problems faced by the area. The present study is an attempt to investigate the conceptions of school psychology and the practice of the school psychologists inside de educational agencies, from the point of view of the professional training, expressed by curricular supervised training. The reason for this choice was the important role played by supervised training in the process of professional training. To carry out this study, supervised training reports written in the 1980s and the 1990s used in the student evaluation process were examined. As the main results, we point out the co-existence during the 1980-decade of two models of psychological practice: the clinical and the educational, with the dominance of the first one. During the 1990-decade, we can observe the co-existence of the same models with the dominance (but not the hegemony) of the educational model, as shown by the activities of the students. In the 1980s, for instance, the most common activities were observation of the children (45.9%)...

Analysis of the Public Works Service Request Process For Naval Facilities Engineering Command Northwest

Siegner, Sarah; Lazo, Terilynn; Graver, Cecilia; Gordon, Wendy; SGFT Consulting
Fonte: Monterey, California. Naval Postgraduate School Publicador: Monterey, California. Naval Postgraduate School
Tipo: Tese de Doutorado
Português
Relevância na Pesquisa
28.17232%
EMBA Project Report; EXECUTIVE SUMMARY: The goal of this project is to analyze the service request portion of the Public Works Business Line (PWBL) processes for Naval Facilities Engineering Command (NAVFAC) Northwest. All four PWBL Product Lines are included in the analysis. These Product Lines are Facility Management and Sustainment (FM&S), Facility Service Contract Management and Facility Services (FMFS), Base Support Vehicles and Equipment (BSVE), and Utilities and Energy Management (UEM). The perceived problem is that there are instances of confusion and inaccuracies regarding funding responsibilities and service levels resulting from prior years of organizational changes and functional transfers. The research examines the process used to contact NAVFAC to request service, the process NAVFAC uses to validate that the requested service is funded and authorized, and applicable documents, agreements, and information used by the participants. By conducting interviews with fifty process participants, sufficient information is gathered to map the current service request process. Process maps are provided for each product line. The maps show the decision points involved in the interaction between the customer and NAVFAC field staff in the request process. The interview results confirm that the perceived problems do exist in some areas and product lines. Interviewed personnel credit NAVFAC for improvements already accomplished in many areas. Remaining problems common to multiple product lines and cited most often include limited resources...

Assessing the ESSENCE Biosurveillance System as Used by the Navy and Marine Corps: User Training, System Employment, and Perceived Value (Student Research Briefing)

Fricker, Ronald D.; Korman, Randi
Fonte: Escola de Pós-Graduação Naval Publicador: Escola de Pós-Graduação Naval
Tipo: Conferência ou Objeto de Conferência
Português
Relevância na Pesquisa
27.29512%
Student Research Briefings: Biosurveillance, Defense Threat Deduction Agency, November 2010.

Airmanship on the ground: how the aviation industry can fundamentally change the way first responders manage complex emergencies

Fields-Spack, Ryan
Fonte: Monterey, California: Naval Postgraduate School Publicador: Monterey, California: Naval Postgraduate School
Tipo: Tese de Doutorado
Português
Relevância na Pesquisa
27.899531%
Approved for public release; distribution is unlimited; Police and fire departments today are challenged with an increasing frequency of complex emergencies and a continuing cultural divide. Devoted people from both agencies are actively working to improve their response capability. Rather than solving the problem solely in house, other disciplines may be able to help. This thesis investigated what the aviation industry could teach the emergency services field about how to approach complex life-sensitive problems. A structured focused comparison model was used to evaluate aviation’s use of Crew Resource Management, the pre-flight briefing, and the concept of airmanship in relation to how they may benefit the response capability of police and fire commanders at a combined emergency response. The research concludes that police and fire departments in the United States would immediately benefit from instituting joint pre-shift briefings and discipline training. It is recommended that FEMA amend its ICS procedures to reflect the benefit of instituting a pre-shift briefing. By building relationships with a police or fire counterpart during briefings and showing discipline on an emergency scene, the public at large will immediately benefit.

The recruitment of African-American high school students in the Naval Reserve Officers Training Corps; NA

Pompey, Wanda G.
Fonte: Monterey, California. Naval Postgraduate School Publicador: Monterey, California. Naval Postgraduate School
Tipo: Tese de Doutorado Formato: xvi, 75 p.;28 cm.
Português
Relevância na Pesquisa
37.722136%
This thesis addresses the recruitment of African-American high school students for Naval Reserve Officers Training Corps (NROTC) programs, with an emphasis on programs located at Historically Black Colleges and Universities. The study seeks to determine if the current recruitment process is adequate to meet the needs of the Secretary of the Navy's "Enhanced Opportunities for Minorities Initiative." This initiative is a recruiting strategy designed to increase the number of minorities on active duty and to create a culturally diverse force that reflects the racial composition of the United States. This thesis draws upon information from Pers-61, Navy Recruiting Command, the Center for Navy Education and Training, and NROTC units, as well a survey conducted with current and former recruiters. Also examined are statements by the Chief of Naval Operations, Chief of Naval Personnel, Commander of Naval Recruiting Command and numerous other Flag Officers in briefings held at the 1998 National Naval Officers Association Conference. A major theme that emerged from the study is that the Navy should enhance its visibility and use more African-Americans in minority recruiting programs for the officer corps.; NA; U.S. Navy (U.S.N.) author.

Effects of types of cognitions on performance in oral briefings.

Williams, Thomas B.
Fonte: Monterey, California. Naval Postgraduate School Publicador: Monterey, California. Naval Postgraduate School
Tipo: Tese de Doutorado Formato: 115 p.;28 cm.
Português
Relevância na Pesquisa
48.151465%
Approved for public release; distribution is unlimited; An empirical study was conducted to determine whether individuals' interpretations of oral briefing situations create functional mind sets or dysfunctional anxiety that impact performance, and to determine what implications such interpretations have for the training of Logistics Officers. Functional mind sets were measured using a variation of the Stress Resiliency Profile. Communications Apprehension (anxiety) was measured using variations of the 'Personal Report of Communication Apprehension.' Significant correlations were found between interpretive styles and communications apprehension, and between communications apprehension and performance. These relationships have positive implications for the identification and training of logistics officers who have potential for experiencing difficulties in conducting oral briefings; http://archive.org/details/effectsoftypesof00will; Lieutenant Commander, Supply Corps, United States Navy

Chris Eagle: Attacking Obfuscated Code with IDA Pro-(Partial Japanese)

Eagle, Chris
Fonte: Escola de Pós-Graduação Naval Publicador: Escola de Pós-Graduação Naval
Tipo: Áudio
Português
Relevância na Pesquisa
47.337856%
Virtually every virus and worm that circulates the Internet today is ""protected"" by some form of obfuscation that hides the code's true intent. In the Window's world where worms prevail, the use of tools such as UPX, ASPack, and teLock has become standard. Protection of malicious code is not the only goal of binary obfuscators however which can be used to protect intellectual property. In the Linux world, tools such as Burneye and Shiva exist which can be used in ways similar to any Window's obfuscation tool. To fight such methods, analysts have created specific tools or techniques for unraveling these code obfuscators in order to reveal the software within. To date, in the fight against malware, anti-virus vendors have had the luxury of focusing on signature development since obfuscation of malware has presented little challenge. To combat this, malware authors are rapidly morphing their code in order to evade quickly developed and deployed signature-matching routines. What will happen when malware authors begin to morph their obfuscation techniques as rapidly as they morph their worms? While not designed specifically as a malware protection tool, one program, Shiva, aims to do exactly that. Shiva forces analysis of malicious code to be delayed while analysts fight through each novel mutation of Shiva's obfuscation mechanism. This...

Unplanned, urgent and emergency care: what are the roles EMS provide for older people with dementia? An integrative review of policy, professional recommendations and evidence

Buswell, Marina; Lumbard, Philip; Prothero, Larissa; Lee, Caroline; Martin, Steven; Fleming, Jane; Goodman, Claire
Fonte: BMJ Group Publicador: BMJ Group
Tipo: Article; accepted version
Português
Relevância na Pesquisa
37.912883%
This is the accepted manuscript. The final version is available from BMJ Group at http://dx.doi.org/10.1136/emermed-2014-203941; Objective: To synthesise the existing literature on the roles emergency medical services (EMS) play in unplanned, urgent and emergency care for older people with dementia (OPWD), to define these roles, understand the strength of current research and to identify where the focus of future research should lie. Design: An integrative review synthesised reports, briefings, professional recommendations and evidence. English language articles were included if they made any reference to the role of EMS in the urgent or emergency care of OPWD. Preparatory scoping and qualitative work with frontline ambulance and primary care staff and carers of OPWD informed our review question and subsequent synthesis Results: Seventeen literature sources were included. Over half were from the grey literature. There was no research that directly addressed the review question. There was evidence in reports, briefings and professional recommendations of EMS addressing some of the issues they face in caring for OPWD. Three roles of EMS could be drawn out of the literature, emergency transport, assess and manage and a ?last resort? or safety net role. Conclusions: The use of EMS by older people with dementia is not well understood...