A Cross-Sectional Study to Assess the Knowledge Regarding Rights and Responsibilities of Nurses at a Selected Tertiary Care Hospital

.Health care system could not function efficiently, if nurses were not present to perform their part. Nurses do their work responsibly and passionately to serve the mankind and the needy ones. Sense of responsibility makes a person more accountable to their duty, while the knowledge of the rights gives personal security and confidence. It is essential for the nurses to be well aware of their rights and responsibilities to provide comprehensive care to the patients. A cross-sectional survey was carried out at AIIMS, New Delhi, to assess nurses'#39; knowledge regarding rights and responsibilities. Convenient sampling was used to select 210 samples from ICU, ward, OPD, OT and emergency department. Structured knowledge questionnaire was used to collect the data. The study found that nurses had good knowledge regarding nurse'#39;s rights (mean score 27'plusmn;3.7). Similarly the nurses were well aware of their responsibilities with mean knowledge score of 15'plusmn;1.29. Knowledge regarding the rights of the nurses was significantly associated with age (p=0.034), educational qualification (p=0.018) and years of experience (p=0.003) whereas knowl- edge regarding the responsibility of the nurses was independent of socio-demographic variables; 65.7 percent of subjects had attended empowerment programmes. To conclude, nurses were well aware about their rights and responsibilities. Formal educational and empowerment programme are proved to be helpful in enhancing their knowledge. Therefore, the employers should plan an ongoing, appropriate empowerment programme for the nurses to keep them updated.

The socio-economic effects of covid-19 / Os efeitos socioeconômicos da covid-19

Abstract The covid-19 epidemic has spread rapidly all around the world since December 8, 2019, from China, the world's largest exporter of goods. The outbreak quickly spread throughout the countries, affecting the health sector, and causing economic, environmental, and social challenges. Therefore, the article discusses the impacts of covid-19, to provide a better understanding to the public and the researchers regarding its impact on the society, education, communication, and economy of infected countries. The study followed a qualitative case study approach, including literature review and document analysis. The review was done on a wide range of data sources including journal articles, books, government documents, newspaper articles, and policy reports. The covid-19 is rigorously disrupting the global economy and almost all countries are trying to slow down the spread of the disease by increasing the testing, facilitating treatments of infected patients, quarantining suspected cases via contact networks, implementing social distancing by restricting large gatherings, maintaining countrywide or partial lock down, and etc. However, these aspects are highly challenging to the maintenance of the society's daily life and addressing difficulties raised by the public to implement correct strategies to face the pandemic situations globally is necessary.

Resumo A epidemia de covid-19 espalhou-se rapidamente por todo o mundo desde 8 de dezembro de 2019, a partir de China, o maior exportador mundial de comodities. O surto espalhou-se rapidamente pelos países, afetando o setor de saúde e resultando em desafios econômicos, ambientais e sociais. Dessa forma, o artigo discute os impactos da covid-19, para fornecer ao público e aos pesquisadores um melhor entendimento dos seus impactos na sociedade, na educação, na comunicação e na economia dos países infectados. O estudo seguiu uma abordagem de estudo de caso qualitativo, incluindo revisão de literatura e análise documental. A revisão foi realizada a partir de uma larga gama de fontes de dados incluindo artigos de revistas, livros, documentos governamentais, artigos de jornal e relatórios de políticas. A covid-19 está rigorosamente impactando a economia e quase todos os países estão tentando diminuir o avanço da doença aumentando a quantidade de testes, facilitando o tratamento de pessoas infectadas, quarentemando casos suspeitos pela rede de contatos, implementando distanciamento social ao restringir grandes aglomerações, mantendo lockdown total ou parcial e etc. Entretanto, esses aspectos causam grandes problemas para a manutenção da vida diária da sociedade e é necessário lidar com as dificuldades levantadas pelo público para implementar estratégias corretas para enfrentar situações de pandemia globalmente.

Legal Psychological Assessment in Custody Processes in Brazil: Professional Practices / Avaliação Psicológica Jurídica em Processos de Guarda no Brasil: Práticas Profissionais

This research aimed to understand the structuring of psychological assessments in custody actions and, on the other hand, to identify the existence of homogeneity or heterogeneity in these practices. Twenty-nine Brazilian legal psychologists participated in this study and answered an online questionnaire built based on the literature. The analysis of the results was carried out through deductive and semantic Thematic Analysis, whose previous categories were created based on national and international guidelines. The most salient results indicate some divergences from the literature, but that its actions and dimensions are compatible with those found in the literature. Based on these results, a guide of systematized practices is proposed, aiming to promote greater uniformity in parental assessment.

Resumo Esta pesquisa teve como objetivos, por um lado, compreender a estruturação das avaliações psicológica em ações de guarda e, por outro, identificar a existência de homogeneidade ou heterogeneidade nessas práticas. Participaram neste estudo 29 psicólogos jurídicos brasileiros, que responderam a um questionário online construído com base na literatura. A análise dos resultados foi realizada através da Análise Temática dedutiva e semântica, cujas categorias prévias foram criadas com base em orientações nacionais e internacionais. Os resultados mais salientes indicam algumas divergências face à literatura, mas que as suas ações e dimensões são compatíveis com as encontradas na literatura. Com base nestes resultados, propõe-se um roteiro de práticas sistematizadas, visando promover uma maior uniformidade na avaliação parental.

Hidden Dimensions: Marx’s Health Thought in Das Kapital / 中国医学伦理学

Marx’s health thought is implied in Das Kapital. Based on the concern for the health of the public health environment, Marx revealed the inherent contradiction of capitalist production through the presentation of public health crisis in capitalist society. Under the analysis of the background of the formation of Marx’s health thought, this paper explained and drew inspiration from four aspects of working class’s physical health, mental health, moral health, and family health, including the emphasis on social reality investigation and research, the need for everyone to maintain health justice, the essence of public health crisis being an institutional crisis, and all members of society should bear public ethical responsibilities.

National Survey of Pharmacy and Therapeutic Committees in Saudi Arabia: Scope, Structure and Responsibilities

Objectives: The Pharmacy and Therapeutics (PTC) committee, sometimes aptly named the Formulary Committee. PTC is charged with determining the hospital formulary, decisions are made about the inclusion or exclusion of new pharmacotherapeutic and diagnostic agents for inpatients and outpatients. This committee is typically composed of a multidisciplinary team of pharmacy, physician, nursing and hospital clinical and administrative leadership. The aim of the study was to explore the Therapeutic Committee at MOH hospitals in Saudi Arabia: scope, structure and responsibilities. Methods: It is a 4-month cross-sectional survey of National Survey of Pharmacy and Therapeutic Committee at MOH hospitals in Saudi Arabia. The survey consisted of 93 questions divided in two parts: the first part collects the demographic information, the second part contains questions on 4 domains: (1) scope, structure and responsibilities, that is including questions about the pharmacy and therapeutic committee membership, clear mission, vision and values of the pharmacy and therapeutic committee, the responsibilities of the PTC committee and the Sub-committees of Pharmacy and Therapeutic Committee, (2) formulary management system, (3) evaluation of drug formulary and decision-making, (4) committee meetings organization and management. The survey was distributed to the fifty-drug information centers at Ministry of Health hospitals. The survey was in an electronic format with analyzed scope, structure and responsibilities through the survey monkey system. Results: The total number responders were fifty drug information centers. Of those, 48 (96%) was Saudi and 2 (4%) was non-Saudi. There were 16 (32%) females and 34 (68%) were males. Most of the PTC committee members consisted of a chief of pharmacy department 45 (90%), medical director 41 (82%), physician medical 40 (80%) and head of drug information center 32 (64%). The highest score statements related to committee were the functions of PTC (3.78), objectives (3.61), mission (3.57), with least one was a vision (3.56) and values (3.5). The most responsibility scoring statement was distributed the addition and deletion (4.08), all the departments receive the copy of the revised formulary (4.04), drug evaluation and selection for the hospital was (3.9), drug policy development was (3.9), while the lowest scores were Holds educational programs within the hospital (3.25) and drug monitoring system was (3.57). Most of the subcommittee existed antibiotic committee 38 (76%), medication safety committee 38 (76%), followed by drug utilization committee 9 (18%) and therapeutic guidelines committee 9 (18%). Conclusion: One-third of hospital missed drug information center pharmacist as the member of PTC committee and the pharmacy qualifications of committee members need to improve. Update the committee system and close monitoring required for all MOH hospitals in Saudi Arabia.

Relations among adolescents' life purpose, household chores, and school performance / Relações entre projetos de vida, tarefas domésticas e desempenho escolar em adolescentes / Relaciones entre proyectos de vida, tareas domésticas y desempeño escolar en adolescentes

This study investigated relations among adolescents' life purposes, household responsibilities, and school impairment. Participants were 113 Brazilian adolescents, between 14 and 16 years old, students from municipal schools. The instruments were a record of biosociodemographic data, the Household and Sibling Care Questionnaire, and a written testimony of life purpose. Results indicated a significant difference for the relation among household responsibilities level and purposes related to material goods (t = -2.88, p = 0.00), and no significant results for school performance variables. However, when the sample was stratified by sex, different relations were found, and school impairment was only found in the female group (t = -3.13, p = 0.00). We concluded that there are relations among the investigated variables, which justifies new studies, and that the sex variable should be considered when analyzing these relations.

Este estudo investigou relações entre projetos de vida, tarefas domésticas e prejuízos no desempenho escolar em adolescentes. Participaram 113 adolescentes brasileiros, de 14 a 16 anos, alunos de escolas municipais. Foram utilizados uma ficha de dados biossociodemográficos, o Questionário de Tarefas Domésticas e de Cuidado entre Irmãos (QTDCI) e um depoimento escrito sobre projetos de vida. Os resultados indicaram diferença significativa para a relação entre tarefas domésticas e projetos relacionados a bens materiais (t = -2,88, p = 0,00), e nenhuma diferença significativa nas variáveis de desempenho escolar. Contudo, quando estratificada a amostra por sexo, encontraram-se relações diferentes, e prejuízo escolar apenas no grupo feminino (t = -3,13, p = 0,00). Concluiu-se que há relações entre as variáveis investigadas, o que justifica a realização de novos estudos, e que se deve considerar a variável sexo quando se analisam essas relações.

Este estudio investigó relaciones entre proyectos de vida, tareas domésticas y prejuicios en el desempeño escolar en adolescentes. Participaron 113 adolescentes brasileños, de 14 a 16 años, alumnos de escuelas municipales. Se utilizó una ficha de datos biosociodemográficos, el Cuestionario de Tareas Domésticas y Cuidado entre Hermanos y un testimonio escrito sobre proyectos de vida. Los resultados indicaron diferencia significativa para la relación entre tareas domésticas y proyectos relacionados con bienes materiales (t = -2,88, p = 0,00), y ninguna diferencia significativa en las variables de desempeño escolar. Sin embargo, cuando estratificada la muestra por sexo, se encontraron relaciones diferentes, y perjuicio escolar sólo en el grupo femenino (t = -3,13, p = 0,00). Se concluyó que hay relaciones entre las variables investigadas, lo que justifica la realización de nuevos estudios, y que se debe considerar la variable sexo cuando se analizan esas relaciones.

Adoção de medidas de precaução diante dos riscos no uso das inovações tecnocientíficas / Adoption of precautionary measures regarding risks in the use of technoscientific innovations

Identifico medidas de precaução que devem ser adotadas para prevenir ou reduzir o risco dos efeitos danosos possivelmente ocasionados pelos usos das inovações científicas. Meu argumento se vale em especial de situações em que há incerteza a respeito dos riscos envolvidos. Sustenta que medidas eticamente adequadas precisam ser informadas pelos resultados das pesquisas científicas empreendidas (sob as estratégias metodológicas apropriadas) com o fim de identificar, tanto quanto possível, os efeitos danosos possíveis e a variedade dos mecanismos que levem à sua efetiva ocorrência, bem como as condições em que eles atualmente ocorreriam, e com qual magnitude e probabilidade, bem como descobrir como prevenir a ocorrência deles ou reduzir o seu impacto a níveis aceitáveis por meio de regulamentos apropriadamente fiscalizados. Assim, ao final, discuto as responsabilidades dos cientistas e suas instituições na condução da pesquisa necessária para informar as medidas de precaução.

I identify precautionary measures that ought to be adopted to prevent or reduce the risk of harmful effects possibly occasioned by the uses of scientific innova-tions. My argument pays special attention to situations in which there is uncertainty about the risks involved. It maintains that ethically adequate measures need to be infor-med by the results of scientific research conducted (under appropriate methodological strategies) with the aim of identifying, as far as possible, not only the potential harmful effects and the various mechanisms that may lead to their actual occurrence, but also the conditions by which they would actually occur and their magnitude and probability, as well as discovering how to prevent them or reduce their impact to acceptable levels by means of appropriately enforced regulations. Then, in the final section, I discuss the responsibilities of scientists and their institutions when conducting the research needed to inform the precautionary measures.

Family Responsibilities And Involuntary Job Absenteeism Among Nurses In Teaching Hospital

@#Dual competing responsibilities between work and family are the challenges faced by most of the healthcare staff. Ineffective handling of these responsibilities may contribute to absenteeism which further disrupt the quality of work and reduce customer satisfaction. The aims of this study were to determine the prevalence of job absenteeism and to identify the association between family responsibilities and job absenteeism among nurses in teaching hospital. This was a cross sectional study targeted to nurses working in medical and surgical field based in a hospital. Questionnaires were distributed using stratified random sampling. Those with working services of less than one year were excluded. The mean age was 35.9 (SD=6.44) years old. Majority were female (94.0%) and Malay (96.0%). The one-year prevalence of absenteeism was 78.0% and majority were due to emergency leaves. Taking care of elderly and no help obtained for taking care of child showed significant associations with job absenteeism which both yielded four times higher odds for being absent. Employees with additional family responsibilities should receive support by the organisation to prevent further job absenteeism among nurses.

Consent from new patient at first registration

Just as the patient can take a proper decision only if full information is available to him/her, the doctor can take the most appropriate decision for a patient only if the patient provides full and up-to-date information. Unfortunately this does not happen all the time. The Ministry of Health and Family Welfare recommends the Charter of Patients Rights which also includes a specific section on responsibilities of patients and their family members. Based on the legal principle that consent is a contract between two parties, we followed a systematic procedure to develop consensus recommendation for obtaining patient consent in the normal practice setting at first registration/ presentation.

Gender, Health and Retired Healthcare Professional Women / Género, Salud y Mujeres Profesionales de la Salud Retiradas

ABSTRACT This article focusses on issues that may impact the health and well-being of women who have retired from the healthcare professions. Gender ideologies that interconnect with social situations, economic conditions and family responsibilities are highlighted as these may influence the health status of these women. Women in health professions contribute significantly to the health status of our population at large. They may be able to contribute significantly to health-care even in their retirement years if their needs are known and addressed. It is intended that persons reading this article will become sensitive to the needs of these women and take steps to address them.

RESUMEN Este artículo se centra en problemas que pueden afectar la salud y el bienestar de las mujeres que se han retirado de profesiones de atención a la salud. Se destacan las ideologías de género que se interconectan con las situaciones sociales, las condiciones económicas y las responsabilidades familiares, ya que pueden influir en el estado de salud de estas mujeres. Las mujeres en profesiones de atención a la salud contribuyen significativamente al estado de salud de nuestra población en general. Ellas pueden contribuir significativamente a la atención a la salud incluso en sus años de jubilación, si sus necesidades son conocidas y atendidas. Se pretende que las personas que lean este artículo se sensibilicen con las necesidades de estas mujeres y tomen medidas en tal sentido.

Discussion on the role of blood bank in the work of blood donation / 中国输血杂志

The work of blood donation has its own characteristics,including high demand of the blood quality and safety,the limited period of blood validity,blood donation is not a necessary behavior of the people、the particularity of blood donation publicity and so on.We are now facing the downward trend of blood donation,the employees'quality is not high enough,the fragility of blood donation and so on.In facing of the difficulties,we should start from our own,clear our thinking,assume the responsibilities and with the rigorous attitude,at the same time we should steadfastly promote the blood donation publicity.

Analysis on hierarchical medical system based on hospital, insurance and pharmacy synergy / 中华医院管理杂志

Hierarchical medical system empowers the current healthcare reform on the medical supply side in China, a key to resolving the contradictions in the healthcare sector. This study analyzed the necessity and obstacles for such a system with synergy between hospitals, insurance and pharmacy, putting forward suggestions for building a scientific and rational hierarchical system.

Os desafios de conciliar trabalho, família e cuidados: evidências do "familismo" nas políticas sociais brasileiras / The challenges of conciliating work, family and care: evidence of "familyism" in brazilian social policies

O artigo problematiza as noções de cuidado e de articulação e conciliação entre família e trabalho, com destaque para as políticas de apoio aos trabalhadores e às trabalhadoras com responsabilidades familiares, buscando evidenciar a importância dessa discussão na realidade brasileira. Considera as mudanças ocorridas nas famílias, no mundo do trabalho e suas implicações nas responsabilidades familiares, e aborda as noções de cuidado e de conciliação entre família e trabalho a partir de diferentes perspectivas de análise. A despeito da previsão no sistema legal brasileiro de algumas medidas voltadas à conciliação, destaca-se o alcance limitado e a baixa provisão de serviços de apoio às famílias com responsabilidades familiares.

This article problematizes concepts of care and the coordination and or conciliation between family and work, highlighted by policies to support men and women workers who have family responsibilities, presenting the importance of this discussion in the Brazilian reality. It considers the changes that have occurred in families and in the world of labor and their implications for family responsibilities. It also addresses the concepts of care and conciliation between family and work based on different analytical perspectives. Although the Brazilian legal system includes measures to conciliate work with family responsibilities, the limited scope and provision of family support services with family responsibilities stands out.

Reflexões sobre a prática profissional do assistente social: relação teoria-prática, historicidade e materialização cotidiana / Reflections on the professional practice of social workers: theory-practice relationship, historicity and materializing everyday

Este ensaio traz um estudo exploratório de cunho bibliográfico acerca do debate em torno da prática profissional dos assistentes sociais. O objetivo é refletir sobre o conceito de prática profissional tratando especificamente de três características: sua historicidade; a relação teoria/prática; sua materialização no cotidiano, as três ancoradas, sobretudo, em autores como: Heller (1992), em relação ao cotidiano; Iamamoto (2007), sobre a historicidade; e Santos (2006) no debate em torno da relação teoria. Neste âmbito, busca-se refletir sobre as potencialidades profissionais almejando contribuir para o debate da categoria e a produção de conhecimento.

This essay reports an exploratory study of bibliographical character concerning the debate on the professional practice of social workers. The goal here is to reflect about the concept of professional practice dealing specifically with three characteristics: it's historicity; the relationship between theory/practice; it's materialization on daily. The three were anchored, mainly, on authors such as Heller (1992), in relation to daily life; Iamamoto (2007), about the historicity; and Santos (2006) on the debate about the theory's relationship. On this context, it was sought to reflect on the professional potentialities, aiming to contribute to the debate on the category and the knowledge's production.

Negative impacts of out-of-balance organizational elements on the reform of public hospitals and its countermeasures / 中华医院管理杂志

The authors analyzed the negative impacts on hospital public welfare performance,caused by such organizational elements imbalances of public hospitals,as objective structure,allocation of rights and responsibilities,and budget resources.In view of these setbacks,they proposed countermeasures for timely solution of such imbalances and maxim optimal combination,for the purpose of more effective reform of such hospitals.

Experiencia-modelo piloto de los talleres de seguridad vial, como alternativa a la pena privativa de libertad en los delitos contra la seguridad vial / Experiência-modelo-piloto das ofi cinas da segurança rodoviária, como uma alternativa para a pena privativa da liberdade em crimes contra a segurança rodoviária / Pilot experience-model of road security workshops as an alternative to incarceration in the case of crimes against road security

Algunos de los delitos contra la seguridad vial en España tienen asignada la pena de trabajos en benefi cio de la comunidad (TBC). Y en la práctica se han percibido problemas en su implementación, entre otros motivos por el aumento de la comisión de los delitos de tránsito y la escasez de puestos de trabajo social para poder llevar a cabo los trabajos comunitarios. Tanto la reciente modificación del Código Penal, como de la normativa reguladora de esta sanción, permite desarrollar los TBC por medio de la realización de talleres. En este artículo se presenta la experiencia-modelo piloto de los talleres de seguridad vial que dan contenido a la pena de TBC, como alternativa a la pena privativa de libertad, lo que resulta de especial interés al ser una de las primeras experiencias de estanaturaleza en España. Para ello se describen los talleres desarrollados, mensualmente, durante 2010, a saber: su primer año de funcionamiento en Gipuzkoa (España), detallando su estructura, dinámica y tareas –tanto formativas como de utilidad pública– que realizaron los penados. La implementación de estos talleres ha paliado las defi ciencias percibidas en la aplicación de la pena de TBC, dotándola de contenido, y superando así las críticas a las que esta sanción se había visto expuesta. Los talleres de seguridad vial responden de forma efectiva al papel preventivo que se le ha otorgado a este tipo de sanciones en el ámbito de la seguridad vial

For some of the offenses against road security in Spain, the current punishment is the so-called “trabajos en benefi cio de la comunidad” –TBC– (community benefi t work). But, in practice, implementation problems have been found and particularly, among others, by the increasing commission of traffic offenses and the lack of enough social work posts or vacancies required to perform these community tasks. Both the recent amendment of the Criminal Code and the regulatory legislation help develop the “TBCs” by means of road security workshops described in this article. They seem to give a purpose to this alternative to custodial sentences or detention orders and have become of utmost interest as one of the fi rst experiences of this nature in Spain. The workshops that were developed on a monthly basis during 2010 are described, from their fi rst year of experience in Guipuzcoa (in the Basque autonomous Community) by detailing their structure, dynamics and tasks of both training and public interest nature carried out by the inmates. The implementation of these workshops has mitigated the differences perceived in the application of the TBC punishment by providing it with a purpose and overcoming the criticism to which it had been exposed. These workshops have responded in an efficient matter to the preventive role they have been attributed in terms of road security

Alguns dos crimes contra a segurança rodoviária na Espanha recebem pena de trabalho em benefício da Comunidade (TBC). E na prática, os problemas são percebidos em sua implementação, nomeadamente pelo aumento na comissão de crimes de trânsito e a falta de postos de trabalho social para realizar o trabalho de comunidade. Tanto a recente alteração do Código penal, como das normas que regem este castigo, permite desenvolver o TBC através de ofi cinas. Este artigo apresenta a experiência-modelo-piloto de workshops de segurança rodoviária que dão conteúdo à pena do TBC, como uma alternativa para a pena privativa da liberdade, que é de especial interesse por ser uma das primeiras experiências desta natureza em Espanha. Este artigo descreve os workshops desenvolvidos, mensalmente, durante o ano de 2010, ou seja: seu primeiro ano de operação na província de Guipúzcoa (Espanha), detalhando a sua estrutura, dinâmica e tarefas - tanto formativas como de utilidade pública - que fi zeram os condenados. A implementação destes workshops tem mitigado as defi ciências percebidas na aplicação da pena de TBC, dando-lhe o conteúdo e assim superar as críticas a que havia sido exposta esta penalidade. Os workshops da segurança rodoviária respondem efi cazmente à função preventiva que tem sido dada a este tipo de sanções no domínio da segurança rodoviária

Aportes del patrimonio cultural de la salud al fortalecimiento del sistema público de salud de Chile: experiencia de doce años (2000-2011) / Contribution of health cultural assets to the strengthening of the Chilean Public Health Care System, 2000-2011

Al transcurrir doce años desde la fecha en que el Ministerio de Salud empezó a dar sus primeros pasos para el rescate del valioso patrimonio cultural del Sistema Público de Salud tanto tangible como intangible, es importante dejar constancia de sus hechos principales, sus avances y retrocesos, sus dudas y certezas, con la finalidad de reflexionar y enfocar con mayor precisión los nuevos desafíos en el siglo XXI. El presente documento pretende contribuir a plantearnos nuestra responsabilidad personal y social en el rescate histórico de la memoria de la salud pública chilena y su real proyección latinoamericana. Se inicia con una breve recopilación de los antecedentes más importantes del proceso de su desarrollo en el Ministerio de Salud, a partir de la decisión tomada al más alto nivel ministerial en septiembre del año 2000. Continúa con el marco de referencia conceptual sobre el patrimonio cultural de la salud material e inmaterial, y con los aspectos más significativos de las acciones desarrolladas sobre el patrimonio cultural de la salud en el período 2000-2011. Finalmente se señalan nuevos caminos de acción patrimonial en salud y desafíos aún pendientes.

In September 2000 the Chilean Ministry of Health started a retrieval program of the valuable cultural assets – both tangible and intangible - of the national public health care system. Program activities – 2000-2011 – are described. The personal and social responsibilities involved and the challenges for the future are discussed in detail.

Study to determine the behavior expression system of hospitals' social responsibilities / 中华医院管理杂志

By means of literature review,the authors initiated the behavior expression system of hospitals' social responsibilities,which is further refined and revised with questionnaires and Delphi method.13 expressions of such behavior expressions were determined,namely “providing quality of care to patients”,“undertaking rescue assignment for emergencies”,and “fulfilling government-assigned tasks”.All of the 13 expressions were supported by 75％ of the experts during the second round of experts consultation.

Necessidades de capacitação e aperfeiçoamento dos profissionais de equipes de saúde da família da 4ª Coordenadoria Regional de Saúde do Estado do Rio Grande do Sul / Necessities of professionals of the family health teams from the "4ª Coordenadoria Regional de Saúde do Estado do Rio Grande do Sul" for training and improvement

Este estudo objetivou verificar as necessidades para a capacitação e aperfeiçoamento dos profissionais das equipes de saúde da família dos 31 municípios que compõe a 4ª Coordenadoria Regional de Saúde do Estado do Rio Grande do Sul. A coleta de dados foi realizada através da aplicação de um questionário com questões objetivas, composto de duas partes: campo e núcleo de competências. Para análise dos dados obtidos, foram utilizados testes de normalidade, qui-quadrado e teste G para as atribuições fáceis e difíceis indicadas pelos profissionais. Os profissionais mostraram menores dificuldades com atribuições genéricas, relacionadas a métodos e técnicas básicas de cada área de formação. Porém, revelaram dificuldades tais como a busca de parcerias nas comunidades, estimulação da participação popular na discussão sobre direitos à saúde e o preenchimento dos formulários do SIA/SIAB. Mesmo após doze anos da criação do Programa de Saúde da Família (PSF), observam-se ainda várias dificuldades em atuar de forma adequada e necessária a este novo modelo de trabalho em saúde. São propostas medidas que visam auxiliar e consolidar o PSF em seus diversos níveis.

This study had the aim to verify the necessities of training and improvement of the 4th Regional Coordination in Health of Rio Grande do Sul State family health teams. The data collection was carried out through the application of questionnaires with objective questions, composed by two parts: field and competence nucleus. For data analyses, Normality, Chi-Square and G tests were used as statistical procedures for Easy and Difficult attributions indicated by the professionals. Professionals have shown less difficulty with generic attributions, related with basic methods and techniques of each health area. However, they have revealed a lot of difficulties with attributions relating to the search of new partners in health inside communities, stimulation of the people participation in the discussion of health rights, and completion of the SIA/SIAB forms, and others. Even after 12 years of the foundation of the Family Health Program (PSF), several difficulties are still observed concerning the way to work with this new health strategy in Brazil. Proposals are made for the complete understanding and improvement of the PSF strategy.

La muerte en el rostro del otro / Death on the oteer's face / A mort no rosto do outro

El presente artículo quiere mostrar la reflexión levinasiana sobre la muerte y su relación con el tiempo. El punto de partida es un diálogo crítico con Heidegger, el cual, según Lévinas, ha querido pensar el tiempo a partir de la muerte, y la muerte a partir de la angustia de la nada, fin del ser finito. Lévinas propone una inversión: pensar la muerte a partir del tiempo. Esto solamente podrá llevarlo a cabo si renuncia a la idea de ser y -por implicación- a aquella de la nada. La propuesta levinasiana es pensar la muerte desde su positividad y no como angustia, solamente aparece el carácter negativo de la misma cuando ocasiono la muerte del otro o lo dejo morir.

This article aims to show levinasiana reflection on death and its relationship with time. The starting point is a critical dialogue with Heidegger, which, according to Lévinas, wanted to think from the time of death from the anguish of nothingness, of being so finite. Lévinas proposes an investment: think about death from time. This may done only renouncing the idea of being and, by implication, a person from scratch. The proposal is to think levinasiana positivity death from anguish and not only see the negative of it when killing the Other or let die.

O presente artigo quer mostrar a refl exão levinasiana sobre a morte e sua relação com o tempo. O ponto de partida é um diálogo crítico com Heidegger, o qual, segundo Lévinas, tem querido, pensar no tempo apartir da morte e a muerte apartir da angústia do nada, fi m do ser fi nito. Lévinas propõe uma inversão: pensar na morte apartir do tempo. Isto somente poderá leválo a cabo se renuncia à idéia de ser e –por implicação- àquela do nada. A proposta levinasiana é pensar na morte desde sua positividade e não como angústia, somente aparece o caráter negativo da mesma quando ocasionou a morte do outro ou o deixou morrer.