Navegando por Palavras-chave "Employee performance appraisal"
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- ItemAcesso aberto (Open Access)Avaliação de um programa para computador de mão no auxílio ao ensino de oftalmologia para estudantes de medicina(Sociedade Brasileira de Oftalmologia, 2010-12-01) Pinto, Vladimir Camelo [UNIFESP]; Costa, Thiago Martini da [UNIFESP]; Grottone, Gustavo Teixeira [UNIFESP]; Schor, Paulo [UNIFESP]; Pisa, Ivan Torres [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)OBJECTIVE: In the last decade the handheld computers have been popularized among health professionals, on the USA, for instance, among 60-70% of medical students already use them. Make clinical information available on these devices can aid teaching medical practices, however, the way they are structured may influence students' satisfaction and learning. The purpose of this paper is to present MDFluxo evaluation, a program developed in handheld computers to aid ophthalmology teaching. METHODS: The program was developed with structured flowcharts extracted from The Ophthalmology Guide book. The assessment was placed comparing 20 medical under-graduating students' performance solving clinical cases aided by the program, a book, or no material. RESULTS: The results shown that the performance of students in the evaluation with book was equivalent to MDFluxo in etiology (p <0.01) and conduct (p <0.05) on clinical cases solving and better performance than without the use any material. CONCLUSION: On MDFluxo user satisfaction evaluation 82.5% of students approved it's use on clinical case solving.
- ItemAcesso aberto (Open Access)Capacitação de profissionais da saúde no componente peri-neonatal da atenção integrada às doenças prevalentes na infância: conhecimento e percepção de mudança na prática clínica em região Amazônica(Universidade Federal de São Paulo (UNIFESP), 2010-06-30) Cavalcante, Rejane Silva [UNIFESP]; Almeida, Maria Fernanda Branco de [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Introdução: Apesar de relatos sobre a Atenção Integrada às Doenças Prevalentes na Infância (AIDPI) melhorar a assistência à saúde da criança até cinco anos, não são identificados estudos direcionados ao componente peri-neonatal dessa estratégia. Objetivo: avaliar, após a capacitação em AIDPI Neonatal, o conhecimento e a percepção de médicos e enfermeiros quanto à assistência à gestante e à criança do nascimento até os dois meses de vida, e sua aplicabilidade prática em uma região da Amazônia. Método: estudo de coorte constituída de 31 médicos e 61 enfermeiros provenientes de 24 municípios, que participaram de sete capacitações em seis Pólos Regionais de Saúde no interior do Pará, Amazônia, realizado de abr/2006 a dez/2008. O estudo foi conduzido em duas fases, consistindo a 1ª fase na aplicação presencial de cinco questionários antes (T1) e imediatamente após 24 horas (T2) de capacitação em AIDPI Neonatal, conforme diretrizes da OPAS em 2007, adaptadas ao nosso meio. A 2ª fase compreendeu a aplicação presencial dos mesmos questionários aos 92 profissionais, em média 16 (14-20) meses após a 1ª fase (T3). Os questionários abordaram dados demográficos dos profissionais em T1, o conhecimento sobre assistência à gestante, reanimação neonatal, puericultura e doenças até dois meses em T1, T2 e T3, além da avaliação da capacitação em T2 e da percepção das condições de assistência no município e no local de prática clínica em T1 e T3. Para estimar as diferenças entre os tempos e as categorias profissionais foram criados escores de zero (inadequação completa) a 100 (adequaçãocompleta) comparados por meio da análise de variância com medidas repetidas. Resultados: os 92 profissionais caracterizaram-se por ser do sexo feminino (83%), nascidos (74%) e graduados (79%) no Pará, atender crianças duas ou mais vezes por semana (86%) e possuir pós-graduação (63%). Os médicos eram graduados há 17 (1-35) anos e os enfermeiros há nove (0-31) anos (p<0,001). Os primeiros relataram maior atuação em pediatria, e qualificação específica, com residência ou especialização, do que os últimos. Observou-se variação do conhecimento de acordo com o tempo (T1, T2 e T3) e a profissão (médicos>enfermeiros: p<0,001). Entre T1 e T2 constatou-se acréscimo deconhecimento dos profissionais sobre a assistência à gestante (p=0,026), reanimação neonatal (p<0,001), puericultura (p<0,001) e doenças até dois meses (p<0,01). Tal conhecimento perdurou, no mínimo, após 16 meses da capacitação nas áreas de reanimação neonatal (p=0,028) e doenças até dois meses (p<0,001). A capacitação teve avaliação positiva dos profissionais (94%) que perceberam melhora na prática clínica no seu local de trabalho (p<0,001), porém sem relato de alteração nas condições de saúde do município (p=0,066) entre T1 e T3. Conclusão: os médicos e enfermeiros apresentaram acréscimo, no mínimo por 16 meses, no conhecimento sobre a assistência à gestante e à criança até dois meses, além de perceberem melhora em sua condição de prática clínica após a capacitação em AIDPI Neonatal. Essa capacitação pode servir de modelo a ser aplicado em outras regiões com semelhante contexto epidemiológico
- ItemAcesso aberto (Open Access)Competência profissional do enfermeiro de urgência e emergência: desenvolvimento do processo de avaliação(Universidade Federal de São Paulo (UNIFESP), 2016-05-25) Holanda, Flavia Lilalva de [UNIFESP]; Cunha, Isabel Cristina Kowal Olm Cunha [UNIFESP]; http://lattes.cnpq.br/8695765272291430; http://lattes.cnpq.br/4048315298523475; Universidade Federal de São Paulo (UNIFESP)Objectives: To develop a process to create an instrument to evaluate the professional competencies of nurses in emergencies and to evaluate the evidence of validity and internal consistency of the proposed competencies. Method: Quantitative study with a non-experimental, descriptive and methodological design, carried out from 2011 to 2016, in a public university in the city of São Paulo, Brazil, based on the psychometric benchmark. In order to meet the criteria of the types of research and the use of this reference in the elaboration of an instrument to measure human behavior, the study was developed in stages, according to Pasquali. These steps were carried out in different and consecutive ways in the necessary Theorical, Empirical and Analytical Procedures to direct the investigation to its final objective. As for the theorists, the objective was to base the construction to scientifically support the instrument to be elaborated with necessary actions to the competent practice of the nurse in emergencies. It was dedicated to the survey of the literature and to the Construction of a Professional Competency Matrix of the nurse in emergency services. In this construction, it is considered empirical to evidence already obtained knowledge and experience of the researchers to establish the quantitative and nominal aspects, as well as the constitutive and operational definitions of the process. The Matrix was composed of Basic and Associated Competences and from it a Professional competency profile of nurses working in emergency services was proposed, aligned with the market trends, the particularities of Nursing in emergencies, the existing studies and the opinion of experts who considered the ownership of the actions to the performance Nurses in this area necessary for the definition of the construct. The Competence Assessment Instrument was organized into five parts: a spreadsheet with measurable actions at five levels of competence; Scale of evaluation of the degree of professional competence of nurses in emergencies; Personal and professional characterization data of the research subject and three fictitious cases. In Empirics, the sample, the application of the pilot instrument and the data collection were calculated and defined, and the psychometric quality of the instrument was evaluated. The Analytics were descriptive and inferential. Results: From the eight Basic Competences and the 32 Associated Competencies indicated in the Matrix, there were 56 attitudes / behaviors represented by actions named Identifying Issues generating the Competence Profile. After verifying the evidence of validity based on the content of the Identification Questions by nurse experts in the subject, we searched for evidence of validity of the item of the construct proposed in the instrument. 448 nurses participated in this process, with 407 self-assessments and 41 managers responding to 407 hetero-evaluations, making a total of 814 instruments applied in hospitals, Emergency Care Units 24h (AMA) and Mobile Medical Emergency Services (SAMU). The exploratory factorial analysis of the 81 items indicated the existence of seven factors that, after excluding three of these items, explained 66.5% of the total data variance. Alpha Cronbach ranged from 0.79 to 0.98. The evaluation of the scores by characteristics verified different means by gender, institutions, specialists and nurses with different courses inherent in emergencies. Conclusion: A process was developed for the creation of an Instrument for the Evaluation of Professional Competences of nurses in emergencies with evaluation of validity evidences throughout the study.
- ItemAcesso aberto (Open Access)Estudo das correlações entre a função pragmática da linguagem e a produção textual escrita(Universidade Federal de São Paulo (UNIFESP), 2009-01-28) Paolucci, Juliana Faleiros [UNIFESP]; Ávila, Clara Regina Brandão de [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Objective: To characterize the performance of students from public and private school using a test of pragmatic function and writing tasks, according to their grade and educational system and investigate the potential correlations between the pragmatic function of language and the production of narrative text. Method: 160 students (96 girls) from 4th to 7th grades of elementary school (ranging between 8 and 12 years old), were screened and evaluated for writing tasks (dictation and textual production) and pragmatic language - Test of Pragmatic Language. Results: In a general analysis comparisons provided an evidence of statistically significant difference, with better results displayed by private school in orthographic performance, but there was no statistically significant difference in the total number of linguistic variables (nouns, verbs, verbs in the past, adverbial phrases, adjectives, time markers and number of words) used in the textual production, except for the time marker "when", more frequent in the productions of 5ths and 7ths grades. The occurrence of complete and incomplete sentences was similar in both educational systems. The 4th grade made more incompletes sentences. There were a greater number of events cited by the private schools. Schools performance improved significantly with grade progression. The private school showed more events. The performance became better with grade progression. The public school showed a fewer number of micro and general macrostructures. Essential macrostructures became more frequent with grade progression. There was no significant difference between the educational system or grade regarding the pragmatic function of language. The total number of orthographic errors under dictation and the number of events correlated negatively. Also the use of the temporal marker “after” and the quotient values of the Test of Pragmatic Language. Better the scores of pragmatic language test parameters, bigger the number of microstructures. Conclusions: Students from the private schools had a better performance regarding orthographic writing and the production of micro and macrostructures of the text. The grade progression influenced the writing tasks’ performance (orthographic, text production and number of essential macrostructures). Forth grade showed more incomplete productions. The identification of macrostructure became better with grade progression. Regarding the pragmatic function of language, the students did not presented differences in the performance of the tasks that evaluated it, no matter their grade or educational system. The statistical analyses indicated the presence of correlation between orthographic writing and the quality of textual production in the aspects of quantity of events and elements of microstructure cited.