CONSIDERAÇÕES SOBRE O ENSINO DO PACIENTE CIRÚRGICO

O ensino do paciente cirúrgico tem sido considerado como uma estratégia de atuação do enfermeiro, com o objetivo de facilitar a recuperação e minimizar as conseqüências que possam repercutir na qualidade de vida pós-cirúrgica. O objetivo deste estudo é apresentar considerações sobre o ensino do paciente cirúrgico no período perioperatório.Teaching of surgical patients is an established approach of nursing care aimed at promoting the recovery of the patient and lessening the untoward consequences wich may affect post-surgery life. The requirements about teaching surgical patient are discussed in this study

Building consensus in strategic decision-making : system dynamics as a group support system

Contains fulltext : 28724.pdf (publisher's version ) (Open Access)System dynamics was originally founded as a method for modeling and simulating the behavior of industrial systems. In recent years it is increasingly employed as a Group Support System for strategic decision-making groups. The model is constructed in direct interaction with a management team, and the procedure is generally referred to as group model-building. The model can be conceptual (qualitative) or a full-blown (quantitative) computer simulation model. In this article, a case is described in which a qualitative system dynamics model was built to support strategic decision making in a Dutch government agency. Since people from different departments held strongly opposite viewpoints on the strategy, the agency had discussed its strategic problem for more than a year, but was obviously not able to reach consensus. The application of group model-building was successful in integrating opposite points of view, as well as in fostering consensus and creating commitment. The purpose of the article is twofold: first, to illustrate the process of group model-building with system dynamics; second, to evaluate why it was successful. Evaluation results reveal the importance of both systemic thinking through model-building and the role of the facilitator in catalyzing the strategic decision-making process