300 research outputs found
Social work in the United States of America
Social work in the United States maintains a longstanding history of education and practice on the policy, community, and micro level. Such education and practice is grounded in social justice and is driven by values that distinguish social work from other professions. The authors describe social work in the United States to include education, scope of practice, and the state of the workforce. They conclude with a discussion of trends for the future.El trabajo social en los Estados Unidos mantiene una larga historia de educación y práctica profesional en la política, en la comunidad y en el nivel micro. Este tipo de educación y práctica, se basa en la justicia social y se orienta por los valores que distinguen el trabajo social de otras profesiones. Los autores describen el trabajo social en los Estados Unidos incluyendo la educación, el ámbito de la práctica y la situación de la profesión. Concluyen con una discusión de las tendencias para el futuro.Il servizio sociale negli Stati Uniti ha una lunga storia di formazione e pratica: sulla politica, sulla comunità e a livello micro. Tale formazione e tale pratica si basano sulla giustizia sociale e sono guidate dai valori che contraddistinguono il servizio sociale dalle altre professioni. Gli autori descrivono il servizio sociale negli Stati Uniti includendo la formazione, l'ambito della pratica e lo stato della forza lavoro. Concludo-no il saggio con una riflessione sulle tendenze futur
PROPUESTA DE MEJORAMIENTO DE INDICADORES DE SERVICIO Y GESTION PARA LA EMPRESA KENTUCKY FRIED CHICKEN KFC-BARRANQUILLA
This paper presents an improvement plan for the company KFC Barranquilla, located in the Mall Buena Vista. It consists of two related projects that seek to provide an improved service system and enterprise management.
The first is an analysis of the waiting line by queuing theory. It begins by calculating the performance parameters through the M/M/1 queuing model, and subsequently develops the model M / M / S.
Once the analyzes based on the characterization of the arrival of guests, length of service and the definition of the performance parameters, we propose an improvement plan that defines an optimal number of servers, whose main component is the value of performance parameter average waiting time in queue. This would improve the level of customer satisfaction in accordance with the quality policy timeout of the company and customer.
In the second, a diagnosis is made the management system of the company through a survey of workers containing criteria Colombian Award for Quality Management. Based on the results of the survey is designed improvement plan that identifies the strengths and weaknesses of the quality of the company, the latter are proposed as improvement opportunities that will serve the company to improve aspects such as: Personal internal processes, work methods, tools and meeting strategic interest groups associated.Este trabajo presenta un plan de mejora para la empresa KFC Barranquilla, ubicada en el Centro Comercial Buena Vista. Está compuesto por dos proyectos relacionados que buscan ofrecer una mejoría en el sistema de servicio y de gestión de la empresa.
En el primero se realiza un análisis a la línea de espera mediante teoría de colas. Se empieza por calcular los parámetros de rendimiento mediante el modelo de colas M/M/1 y, posteriormente, se desarrolla el modelo M/M/S.
Una vez realizado los análisis basados en la caracterización de la llegada de los clientes, el tiempo de servicio y la definición de los parámetros de rendimiento, se propone un plan de mejora que defina un número óptimo de servidores, cuyo componente principal es el valor del parámetro de rendimiento Tiempo medio de espera en cola. Con esto, se mejoraría el nivel de satisfacción del cliente conforme a la política de calidad de tiempo de espera de la empresa y de atención al cliente.
En el segundo, se realiza un diagnostico al sistema de gestión de la empresa a través de una encuesta realizada a los trabajadores que contiene los criterios del Premio Colombiano a la Calidad de la Gestión. En base a los resultados de la encuesta se diseña un plan de mejora en el cual se identifican las fortalezas y debilidades de la calidad de la empresa, estas últimas, se proponen como oportunidades de mejora que le sirvan a la empresa para mejorar aspectos como: procesos internos de personal, métodos de trabajo, herramientas estratégicas y la satisfacción de los grupos de interés asociados
A golf and country club with nite club and restaurant facilities for Meadowdale, Illinois
Thesis (B. Arch.)--Massachusetts Institute of Technology, Dept. of Architecture, 1957."May 13, 1957."Includes bibliographical references (leaf 42 [i.e. 43]).by Leonard W. Besinger, Jr.B.Arch
Septic Malleolar Bursitis in a Patient with an Ankle Electronic Monitoring Device: A Case Report
Introduction: Septic malleolar bursitis is a rare cause of ankle pain and swelling. It has been described in certain occupational and recreational activities that involve tight-fitting boots, such as figure skating. Court-ordered electronic monitoring devices are often worn on the ankle. It is not known whether these devices are a risk factor for the development of malleolar bursitis.
Case report: We describe a 41-year-old male under house arrest with an electronic monitoring device on his right ankle who presented to our emergency department with several days of progressive pain and swelling over the medial malleolus. Point-of-care ultrasound revealed a thick-walled cystic structure consistent with medial malleolar bursitis. Bursal aspiration was performed. Fluid culture yielded Staphylococcus aureus.
Discussion: Emergency physicians regularly see patients with ankle pain and swelling and must consider a comprehensive differential diagnosis. Septic malleolar bursitis is an uncommon but important cause of ankle pain and swelling that requires prompt diagnosis and intervention. Point-of-care ultrasonography may aid in the diagnosis. Additionally, emergency physicians should be aware of potential complications related to electronic monitoring devices
Introducing Medical Students into the Emergency Department: The Impact upon Patient Satisfaction
Introduction: Performance on patient satisfaction surveys is becoming increasingly important for practicing emergency physicians and the introduction of learners into a new clinical environment may impact such scores. This study aimed to quantify the impact of introducing fourth-year medical students on patient satisfaction in two university-affiliated community emergency departments (EDs).
Methods: Two community-based EDs in the Indiana University Health (IUH) system began hosting medical students in March 2011 and October 2013, respectively. We analyzed responses from patient satisfaction surveys at each site for seven months before and after the introduction of students. Two components of the survey, “Would you recommend this ED to your friends and family?” and “How would you rate this facility overall?” were selected for analysis, as they represent the primary questions reviewed by the Center for Medicare Services (CMS) as part of value-based purchasing. We evaluated the percentage of positive responses for adult, pediatric, and all patients combined.
Results: Analysis did not reveal a statistically significant difference in the percentage of positive response for the “would you recommend” question at both clinical sites with regards to the adult and pediatric subgroups, as well as the all-patient group. At one of the sites, there was significant improvement in the percentage of positive response to the “overall rating” question following the introduction of medical students when all patients were analyzed (60.3% to 68.2%, p=0.038). However, there was no statistically significant difference in the “overall rating” when the pediatric or adult subgroups were analyzed at this site and no significant difference was observed in any group at the second site.
Conclusion: The introduction of medical students in two community-based EDs is not associated with a statistically significant difference in overall patient satisfaction, but was associated with a significant positive effect on the overall rating of the ED at one of the two clinical sites studied. Further study is needed to evaluate the effect of medical student learners upon patient satisfaction in settings outside of a single health system
Quantitative Myasthenia Gravis Score: a Brazilian multicenter study for translation, cultural adaptation and validation
Brazilian-Portuguese translation, cross-cultural adaptation and validation of the Myasthenia Gravis Composite scale. A multicentric study
Parental problems, case plan requirements, and service targeting in child welfare reunification
Optimization and validation of a mobile application for the support of idea management
Arbeit an der Bibliothek noch nicht eingelangt - Daten nicht geprüftAbweichender Titel nach Übersetzung der Verfasserin/des VerfassersDurch die Sammlung von Vorschlägen zur Optimierung innerhalb eines betrieblichen Umfelds entstehen Vorteile in Form von Kostenersparnissen und Effizienzsteigerungen. Viele Unternehmen sind allerdings nicht in der Lage das Innovationspotential ihrer Arbeitskräfte zur Gänze zu nutzen. Eine Grundvoraussetzung dafür ist ein funktionierendes Ideenmanagement. Aktuelle Ansätze im Ideenmanagement führen allerdings oftmals zu geringer Akzeptanz und Motivation der Mitarbeitenden. Im Rahmen der vorliegenden Arbeit werden Konzepte zur Gestaltung des digitalen Ideenmanagements erarbeitet und auf eine softwarebasierte Applikation zur Ideengenerierung angewandt, um deren Auswirkungen anhand eines praktischen Beispiels zu demonstrieren. Dabei wird darauf abgezielt, die Applikation hinsichtlich Benutzerfreundlichkeit sowie Akzeptanz bzw. Motivation von Mitarbeitenden zu optimieren und validieren. Aufbauend auf theoretischen Grundlagen des digitalen Ideenmanagements sowie dem aktuellen Stand der Technik industrieller Ideenmanagementsysteme wird die Applikation in Kooperation mit Industriepartnern einer Engpassanalyse unterzogen und eine Formulierung von Anforderungen an die Applikation angestellt. Die Anforderungen dienen als Grundlage für eine anschließende Optimierung sowie softwaretechnische Umsetzung. Es erfolgt eine Validierung der Applikation in Labor- sowie Industrieumgebung anhand von Fragebögen und Interviews. Diesbezüglich wird eine durchschnittliche Zufriedenheit von ca. 88% mit der Applikation mittels des Post Study System Usability Questionnaires gemessen, was auf hohe Benutzerfreundlichkeit schließen lässt. Dahingehend lässt sich feststellen, dass die optimierte Applikation Bedürfnisse von Mitarbeitenden im Ideenmanagement abdeckt. Anhand qualitativer Ergebnisse der Interviews wurde zudem ermittelt, welche Ausprägungen einer softwarebasierten Applikation im digitalen Ideenmanagement zu Motivations- bzw. Akzeptanzsteigerung von Mitarbeitenden führen. Maßgeblich sind eine universelle Ausführung der Applikation unabhängig von Betriebssystem sowie Endgerät, eine zentrale Speicherung von Vorschlägen sowie eine Feedbackerteilung hinsichtlich des Bearbeitungsstatus von eingereichten Vorschlägen.By gathering suggestions for optimization within an operational environment, benefits are created in form of cost savings and efficiency gains. However, many companies are not able to fully utilize the innovation potential of their workforce. The basic prerequisite for this is a functioning idea management. However, current approaches often lead to low acceptance and motivation of employees.In this thesis, concepts for the design of digital idea management are developed and applied to a software-based application for idea generation in order to demonstrate its effects by means of a practical example. The aim is to optimize and validate the application in terms of usability and employee acceptance and motivation. Based on theoretical principles of digital idea management as well as the current state of the art of industrial idea management systems, the application is subjected to a bottleneck analysis in cooperation with industry partners and a formulation of requirements for the application is made. The requirements serve as a basis for the optimization and software implementation.The application is validated in laboratory and industrial environments by means of questionnaires and interviews. An average satisfaction of approximately 88% with the application is measured by means of the Post Study System Usability Questionnaire, which indicates high usability. In this respect, it can be determined that the optimized application meets the needs of employees in idea management. Qualitative results from the interviews were also used to determine which features of a software-based application in digital idea management lead to increased motivation and acceptance among employees. The key factors are universal execution of the application independent of the operating system and the used device, central storage of ideas, and feedback regarding the processing status of submitted ideas.12
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