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- ItemAcesso aberto (Open Access)Acessibilidade e conteúdo de informação eletrônica sobre Cursos de Especialização em Administração em Enfermagem(Universidade de São Paulo, Escola de Enfermagem, 2011-04-01) Meneses, Abel Silva de [UNIFESP]; Sanna, Maria Cristina [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)The objective of this descriptive study was to analyze the accessibility and the content of the information about Specialization Courses in Nursing Administration available on the websites of federal universities in Brazil. From September 2008 to April 2009, evaluations were performed on a total 19 courses that were available on the websites of the universities, regarding the level of access to information and the design of the curricula, in terms of the structure of the knowledge about Nursing Administration: Ideological and Theoretical Bases, Intervention Methods, and Resource Administration Practices. Results showed that, though we are currently in the era of the knowledge society, the electronic access to the teaching programs remain below the expectations in terms of the concepts of information and browsability. In terms of the design of the courses, it was observed that most are many times longer than the what s legally established as a minimum load of hours, and that there has been an appreciation towards studying the Ideological and Theoretical Bases in detriment to the Practices of Human Resources.
- ItemAcesso aberto (Open Access)Aplicação do Student Leadership Practices Inventory (SLPI) nos programas de pós-graduação Stricto senso do Departamento de Oftalmologia e Ciências Visuais da Escola Paulista de Medicina(Universidade Federal de São Paulo (UNIFESP), 2021) Silva, Lucicleide Ferreira Da [UNIFESP]; Scarpi, Marinho Jorge [UNIFESP]; Universidade Federal de São PauloObjective: to evaluate the leadership in the Graduate Program in Ophthalmology and Visual Sciences and in the Professional Master's Degree in Technology, Management and Eye Care at the Departamento de Oftalmologia e Ciências Visuais da Escola Paulista de Medicina. Methods: exploratory and descriptive study carried out in the Professional Master in Technology, Management and Eye Care at UNIFESP-EPM. 161 individuals were invited to participate in the study, with 39 guiding professors and 122 students, which were evaluated using the Student Leadership Practices Inventory - SLPI survey, which aims to identify leadership practices from five domains with six questions each along with a sociodemographic form. The survey was applied through online collection between October 1, 2019 and March 31, 2020. Results: The rate of adherence and response to the questionnaire was 39.7%, which 73.4% were students and 26.6% were faculty advisors, 45.3% were men and 54.68% women aged varying between 28 and 67 years. There was a significant difference between genders (female and male) for the dimension "Enabling the Action of Others" and the dimension "Encouraging the Heart" was the most used by the students and faculty advisors of the MP-TGSO. Conclusion: it's possible to infer a difference in the leadership profile of the participants of the MP-TGSO in the dimension “Encouraging the heart” when compared with the participants of the PPG-OCV and this dimension was more practiced by women. This indicates that MP-TGSO's students and faculty advisors are the ones who most encourage well done work by praise; they encourage others when they are carrying out their activities; they appreciate the contributions of others, they seek to publicly acknowledge people committed to their values and they celebrate achievement.
- ItemAcesso aberto (Open Access)Educação permanente e a redução da mortalidade infantil em um município do Grande ABC – SP: um estudo de caso(Universidade Federal de São Paulo (UNIFESP), 2019-10-04) Walendy, Claudia Helena [UNIFESP]; Nicolau, Stella Maris [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Combating child mortality is a challenge for societies wishing to improve their social development indicators. This study aimed to analyze how the Municipal Health Secretariat of Mauá, SP, carried out between 2013 and 2016 a successful administrative reform in relation to the reduction of child mortality, listing this issue as a priority, with continuing education actions with emphasis on changes. of work processes with a strong sense of responsibility and intense articulation of management collectives, teams among themselves and among the various services and levels of attention of the health network. This is a case study with documentary analysis of reports and municipal ordinances related to actions to reduce child mortality, interviews with managers and health professionals who worked in the maternal child care network during this period. The results indicate that professionals report this experience as remarkable and enriching, and that even after the completion of this management, some work processes implemented were maintained, but without the same strong network articulation promoted by management. On the other hand, there are also reports of excessive pressure for results and care actions had a strong component of control over the lives of pregnant women by the teams in order to reduce child mortality.
- ItemAcesso aberto (Open Access)A metodologia de gestão por processos e a opinião, quanto à sua utilização dos gerentes de equipe de um hospital(Universidade Federal de São Paulo (UNIFESP), 2010) Figueiredo, Mirela Lopes de [UNIFESP]; D'Innocenzo, Maria [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)O Hospital Santa Casa de Montes Claros (MG) implementa mudanças em seus sistemas administrativos, e a Gestão por Processo passou a ser um instrumento de aperfeiçoamento contínuo, ajudando no planejamento, na liderança e no controle de tudo o que é feito, porém, de difícil utilização. Esta pesquisa buscou estudar as dificuldades vivenciadas pelos gerentes na utilização da ferramenta de Gestão por Processo, sendo possível analisar a percepção desses gestores e o grau de dificuldade nesta metodologia, identificando os principais aspectos do processo e analisando as estratégias utilizadas pelos profissionais da saúde, gestores da instituição, para a manutenção da qualidade. O cenário de estudo foi a Irmandade Nossa Senhora das Mercês – Hospital Santa Casa de Montes Claros, classificada como Hospital Geral, possuindo 320 leitos. Os sujeitos pesquisados foram os 24 Gerentes de Equipe tendo como instrumento de coleta de dados o questionário, previamente validado e testado. Ao finalizar todo o processo de análise, pôde-se concluir que a maioria dos gestores tem curso superior e parte deles já tem especialização. A maioria dos envolvidos teve o primeiro contato com esta metodologia na própria Santa Casa e já faz uso das ferramentas administrativas ao longo da trajetória profissional na instituição. Ao implantar esta metodologia, inicialmente, as principais dificuldades da utilização tratavam-se da falta de conhecimento teórico e prático dos gerentes, da cultura organizacional e da resistência às mudanças. Na atualidade, as principais dificuldades apontadas pelos gestores foram outras. O cenário atual aponta como o principal dificultador da utilização da metodologia Gestão por Processo o acúmulo de atividades do Gerente dentro da Santa Casa. Ao analisar a opinião dos pesquisados sobre o que seria realizado no gerenciamento de processos em uma unidade, a maioria compreendeu tratar-se de medição de indicadores, interação de processos e realização de análise crítica do mesmo. Outro ponto que necessitou ser destacado é o fato de o Hospital Santa Casa de Montes Claros oferecer informações sobre Gestão por Processo de forma muito satisfatória para os profissionais que trabalham no processo decisório. Esse envolvimento entre a instituição e os gestores fortaleceu a segurança e o senso crítico dos profissionais, avaliando os processos para que houvesse maior eficácia nos resultados previstos. Essa gestão é a eleita para trabalhar na Santa Casa, e o Gerente de Unidade é o profissional escolhido para realizar o levantamento e controle dessas informações. Assim, é necessário adequar suas atividades e minimizar as dificuldades encontradas utilização da metodologia de processos. Quanto aos benefícios com a implantação da metodologia Gestão por Processos no Hospital Santa Casa, a pesquisa apontou que a maioria acredita ser a constante busca da melhoria na qualidade dos serviços, na obtenção do título de Acreditação Hospitalar, no alinhamento de condutas e na padronização dos processos. Uma vez reconhecidas as implicações do sistema de qualidade pelos próprios profissionais, mais fácil será o caminho para a manutenção de todo o processo e a conquista da excelência no atendimento. Espera-se, portanto, que este estudo possa contribuir para que as equipes reflitam sobre o processo da qualidade, a responsabilidade social, as mudanças de hábitos e dos conceitos embutidos na metodologia de Gestão por Processo.
- ItemSomente MetadadadosMetodologia Lean Seis Sigma para melhoria do fluxo de alta em um centro de terapia intensiva(Universidade Federal de São Paulo (UNIFESP), 2020-04-30) Zimmermann, Guilherme Dos Santos [UNIFESP]; Bohomol, Elena [UNIFESP]; Universidade Federal de São PauloObjective: To improve the discharge process within an adult intensive care unit by applying the Lean Six Sigma Methodology. Methods: A prospective, descriptive, exploratory, quantitative study, which followed the DMAIC (Define-Measure-Analyze-Impove-Control) development method for projects. This method was established in five stages: the project definition, the initial measurement and data collection, results assessment, process improvement and statistics monitoring. It took place within an intensive care unit in a private and tertiary hospital in São Paulo between October 2018 and May 2019. The project was approved by the Ethics Committee and all participants agreed to participate by giving the informed consent form. Results: For the first stage entitled Define, a team was formed to define the work’s scope, to elaborate the project’s definitions and to map the process. For stage two Measure, the data collection occurred to stablish the initial sigma capacity in 0,44σ, followed by stage three Analyze, where a brainstorming was held to create the Cause and Effect Diagram prioritizing three of eighteen identified problems. During Improve stage improvements were identified and applied by doing trainings to the team, stablishing goals and defining protocols. Those were monitored after their conclusion through the I-AM control chart which was made in faze Control. At the end, the sigma capacity was raised from 0.44σ to 1,93σ and caused a reduction of 189 minutes to 75 minutes in the process of the ICU discharge, corresponding to an improvement of 61%. Conclusion: The Lean Six Sigma Methodology demonstrated efficiency in reducing the discharge time in an intensive care unit with the possibility of applying quality tools and institutional process optimization.