ENGAJAMENTO OU ADIÇÃO AO TRABALHO? ESTUDO QUALITATIVO COM GESTORES

As exigências dirigidas aos gestores são consequência da transformação do mundo do trabalho, podendo levar ao aumento da jornada laboral e ao máximo envolvimento físico e mental. Esse estudo tem como objetivo avaliar a tendência de perfil dos gestores de uma empresa de construção civil, considerando os comportamentos de engajamento e adição ao trabalho. O método utilizado foi o descritivo, de abordagem qualitativa. Os dados foram coletados por meio de entrevistas semiestruturadas com seis gestores administrativos e foram analisados pela técnica de análise de conteúdo. Os resultados apontaram que os gestores apresentam uma tendência ao excesso de trabalho, extensão da carga horária laboral e desequilíbrio entre o tempo dedicado ao trabalho, lazer e família. Espera-se que os resultados desse estudo contribuam a continuidade de estudos acerca da adição ao trabalho, fenômeno recente e ainda pouco estudado, de forma a desenvolver estratégias de prevenção, promoção e intervenção, tanto individuais quanto organizacionais.

Barreras para la práctica de actividad física: acuerdo entre las percepciones de padres y niños

O objetivo do presente estudo foi analisar a concordância entre as respostas de crianças de 08 e 09 anos e de seus pais ou responsáveis, por Proxy-report, de um instrumento proposto com esta finalidade sobre barreiras para a prática de atividade física em crianças. Trata-se de um estudo observacional, com delineamento transversal. A amostra foi composta por 70 escolares matriculados em escolas da zona urbana do município de Uruguaiana/RS e, seus pais ou responsáveis. As barreiras para a prática de atividade física em crianças foram coletadas através de um instrumento validado por Proxy-report, composto por 24 questões. O instrumento foi respondido pelas crianças e pelos seus pais ou responsáveis em teste, verificando-se a concordância das respostas (Índice Kappa). Após uma semana o questionário foi reaplicado (reteste) nas mesmas crianças verificando-se a reprodutibilidade (Índice Kappa). Nenhuma das questões obteve concordância entre as respostas dos pais e das crianças sobre as barreiras para atividade física das crianças (Kappa mínimo de 0,4). Quanto à reprodutibilidade das respostas das crianças em teste e reteste, os valores variaram entre 0,10 e 0,68 e 11 das 24 questões obtiveram valores mínimos de concordância. Conclui-se que não houve concordância nas respostas de pais e filhos sobre as barreiras para prática de atividade física de crianças.This paper seeks to analyze the concordance between the responses of children aged 8 to 9 and their parents or guardians, by proxy-report, on the basis of an instrument proposed for this purpose, about barriers to the practice of physical activity in children. This is an observational study, with a cross-sectional design. The sample was composed of 70 students enrolled in schools in the urban area of the municipality of Uruguaiana, Brazil and their parents or guardians. A number of barriers to the practice of physical activity in children were collected through an instrument validated by Proxy-report, consisting of 24 questions. The instrument was answered by the children and their parents or caregivers and the correspondence of the answers was assessed (Kappa Index). After one week the questionnaire was completed again (retest) by the same children, checking the reproducibility (Kappa Index). None of the questions obtained agreement between parents’ and children’s responses on the children’s barriers to physical activity practice (minimum Kappa of 0.4). Regarding the reproducibility of the children’s responses in test and retest, the values ranged from 0.10 to 0.68 and 11 of the 24 questions obtained minimum agreement values. As a conclusion, there was no agreement in the responses of parents and children on the barriers to the practice of physical activity in children.El objetivo de este estudio fue analizar la concordancia entre las respuestas de niños de 8 y 9 años y sus padres o tutores, por Proxy-report, de un instrumento propuesto para tal fin sobre barreras para la práctica de actividad física en niños. Este es un estudio observacional, con diseño de sección transversal. La muestra estuvo conformada por 70 estudiantes matriculados en escuelas del área urbana de la ciudad de Uruguaiana/RS, y sus padres o tutores. Se recogieron barreras a la práctica de actividad física en niños a través de un instrumento validado por Proxy-report, que consta de 24 preguntas. El instrumento fue respondido por los niños y sus padres o tutores en la prueba, y verificada la concordancia de las respuestas (Índice Kappa). Después de una semana, se volvió a aplicar el cuestionario (retest) en los mismos niños, comprobando la reproducibilidad (Índice Kappa). Ninguna de las preguntas obtuvo concordancia entre las respuestas de los padres y los niños sobre las barreras de los niños a la actividad física (kappa mínimo de 0,4). En cuanto a la reproducibilidad de las respuestas de los niños en test y retest, los valores variaron entre 0,10 y 0,68, y 11 de las 24 preguntas tuvieron valores mínimos de concordancia. Se concluye que no hubo concordancia en las respuestas de padres e hijos sobre las barreras para la práctica de actividad física en los niños.Facultad de Humanidades y Ciencias de la Educació

Burnout Syndrome in Psychologists: Systematic Literature Review

Este artigo objetivou levantar e sumarizar os principais resultados de pesquisas realizadas sobre a Síndrome de Burnout em Psicólogos. Foram consultadas as bases de dados PsycINFO, Scielo e PubMed entre os anos de 2009 e 2019. O procedimento de busca definido pelos descritores “Síndrome de Burnout” e “Psicólogos” obteve, após critérios de inclusão e exclusão, 16 artigos que foram avaliados a partir de oito categorias de análise. A análise dos resultados indicou predominância de estudos quantitativos e transversais, realizados nos E.U.A. As variáveis mais investigadas foram sexo e tempo de serviço na profissão. Os achados dos estudos indicam a necessidade de novas pesquisas de método qualitativo, experimental, longitudinal e que enfoquem a influência das características da personalidade do indivíduo, as formas de enfrentamento e as repercussões que o apoio da família ou os conflitos derivados dessa relação possam ocasionar.This paper intended raise and summarize the main researches results about Burnout Syndrome among psychologists in the world. Queries were conducted on PsycINFO, Scielo and PubMed databases in the period 2009-2019. The search procedure defined by descriptors "Burnout Syndrome" and "Psychologists" identified, after inclusion and exclusion criteria, 16 articles that have been evaluated using 8 categories of analysis. The analysis of the results indicated a predominance of quantitative and cross-sectional studies, conducted in the USA. The most investigated variables were sex and time of service in the profession. The findings of the study reinforce the need for further qualitative, experimental and longitudinal research that address the influence of characteristics of the individual's personality, ways of coping and the impacts that support from family, or conflicts arising from this relationship, might cause

Kinetoplastids:related protozoan pathogens, different diseases

Kinetoplastids are a group of flagellated protozoans that include the species Trypanosoma and Leishmania, which are human pathogens with devastating health and economic effects. The sequencing of the genomes of some of these species has highlighted their genetic relatedness and underlined differences in the diseases that they cause. As we discuss in this Review, steady progress using a combination of molecular, genetic, immunologic, and clinical approaches has substantially increased understanding of these pathogens and important aspects of the diseases that they cause. Consequently, the paths for developing additional measures to control these “neglected diseases” are becoming increasingly clear, and we believe that the opportunities for developing the drugs, diagnostics, vaccines, and other tools necessary to expand the armamentarium to combat these diseases have never been better

Can an EASYcare based dementia training programme improve diagnostic assessment and management of dementia by general practitioners and primary care nurses? The design of a randomised controlled trial

Contains fulltext : 70099.pdf ( ) (Open Access)BACKGROUND: Early diagnosis of dementia benefits both patient and caregiver. Nevertheless, dementia in primary care is currently under-diagnosed. Some educational interventions developed to improve dementia diagnosis and management were successful in increasing the number of dementia diagnoses and in changing attitudes and knowledge of health care staff. However, none of these interventions focussed on collaboration between GPs and nurses in dementia care. We developed an EASYcare-based Dementia Training Program (DTP) aimed at stimulating collaboration in dementia primary care. We expect this program to increase the number of cognitive assessments and dementia diagnoses and to improve attitudes and knowledge of GPs and nurses. METHODS: The DTP is a complex educational intervention that consists of two workshops, a coaching program, access to an internet forum, and a Computerized Clinical Decision Support System on dementia diagnostics. One hundred duos of GPs and nurses will be recruited, from which 2/3 will be allocated to the intervention group and 1/3 to the control group. The effects of implementation of the DTP will be studied in a cluster-randomised controlled trial. Primary outcomes will be the number of cognitive assessments and dementia diagnoses in a period of 9 months following workshop participation. Secondary outcomes are measured on GP and nurse level: adherence to national guidelines for dementia, attitude, confidence and knowledge regarding dementia diagnosis and management; on patient level: number of emergency calls, visits and consultations and patient satisfaction; and on caregiver level: informal caregiver burden and satisfaction. Data will be collected from GPs' electronic medical records, self-registration forms and questionnaires. Statistical analysis will be performed using the MANOVA-method. Also, exploratory analyses will be performed, in order to gain insight into barriers and facilitators for implementation and the possible causal relations between the rate of success of the intervention components and the outcomes. DISCUSSION: We developed multifaceted dementia training programme. Novelties in this programme are the training in fixed collaborative duos and the inclusion of an individual coaching program. The intervention is designed according to international guidelines and educational standards. Exploratory analysis will reveal its successful elements. Selection bias and contamination may be threats to the reliability of future results of this trial. Nevertheless, the results of this trial may provide useful information for policy makers and developers of continuing medical education. TRIAL REGISTRATION: ClinicalTrials.gov ID NCT00459784

An implementation strategy to improve the guideline adherence of insurance physicians: an experiment in a controlled setting

<p>Abstract</p> <p>Background</p> <p>The aim of this study was to investigate the efficacy of a newly developed implementation strategy for the insurance medicine guidelines for depression in the Netherlands. We hypothesized that an educational intervention would increase the insurance physicians' (IPs) guideline adherence in a controlled setting.</p> <p>Methods</p> <p>Forty IPs were allocated in a randomised controlled trial (RCT) to an intervention group (IG) (n = 21) and a control group (CG) (n = 19). The IG received tailored training in applying the guidelines for depression, while the CG received an alternative programme. Baseline (T0) and follow-up (T1) measurements were conducted before and after the intervention within a period of two weeks. The intervention consisted of a workshop in which the evidence-based theory of the guidelines was translated for use in practice, with the help of various tools. The IPs had to write a case-report on the basis of video cases, two before and two after the training. Specially trained and blinded test IPs judged the case reports independently on the basis of six performance indicators. Primary outcome measure in the controlled setting of the trial was guideline adherence measured by six performance indicators on a scale of one to seven. Secondary outcome measure was knowledge of the guidelines for depression. Analyses were performed using Linear Mixed Models, and ANCOVA.</p> <p>Results</p> <p>We found significantly higher scores in the IG than in the CG at T1 for both outcomes. The interaction effect (standard error; p-value) of group crossed with time was 0.97 (0.19; p < 0.0005) for guideline adherence in the controlled setting. The group effect at T1 for the knowledge test was 0.86 (0.40; p = 0.038).</p> <p>Conclusions</p> <p>The newly developed implementation strategy for the insurance medicine guidelines for depression improved the guideline adherence of the trained IPs in disability assessments of clients with depression when performed in a controlled setting. Furthermore, the trained IPs showed gains in knowledge of the guidelines for depression.</p> <p>Trial registration</p> <p>Netherlands' Trial Register <a href="http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=1863">NTR1863</a>.</p

Barreras para la práctica de actividad física: acuerdo entre las percepciones de padres y niños

El objetivo de este estudio fue analizar la concordancia entre las respuestas de niños de 8 y 9 años y sus padres o tutores, por Proxy-report, de un instrumento propuesto para tal fin sobre barreras para la práctica de actividad física en niños. Este es un estudio observacional, con diseño de sección transversal. La muestra estuvo conformada por 70 estudiantes matriculados en escuelas del área urbana de la ciudad de Uruguaiana/RS, y sus padres o tutores. Se recogieron barreras a la práctica de actividad física en niños a través de un instrumento validado por Proxy-report, que consta de 24 preguntas. El instrumento fue respondido por los niños y sus padres o tutores en la prueba, y verificada la concordancia de las respuestas (Índice Kappa). Después de una semana, se volvió a aplicar el cuestionario (retest) en los mismos niños, comprobando la reproducibilidad (Índice Kappa). Ninguna de las preguntas obtuvo concordancia entre las respuestas de los padres y los niños sobre las barreras de los niños a la actividad física (kappa mínimo de 0,4). En cuanto a la reproducibilidad de las respuestas de los niños en test y retest, los valores variaron entre 0,10 y 0,68, y 11 de las 24 preguntas tuvieron valores mínimos de concordancia. Se concluye que no hubo concordancia en las respuestas de padres e hijos sobre las barreras para la práctica de actividad física en los niños.This paper seeks to analyze the concordance between the responses of children aged 8 to 9 and their parents or guardians, by proxy-report, on the basis of an instrument proposed for this purpose, about barriers to the practice of physical activity in children. This is an observational study, with a cross-sectional design. The sample was composed of 70 students enrolled in schools in the urban area of the municipality of Uruguaiana, Brazil and their parents or guardians. A number of barriers to the practice of physical activity in children were collected through an instrument validated by Proxy-report, consisting of 24 questions. The instrument was answered by the children and their parents or caregivers and the correspondence of the answers was assessed (Kappa Index). After one week the questionnaire was completed again (retest) by the same children, checking the reproducibility (Kappa Index). None of the questions obtained agreement between parents' and children's responses on the children's barriers to physical activity practice (minimum Kappa of 0.4). Regarding the reproducibility of the children's responses in test and retest, the values ranged from 0.10 to 0.68 and 11 of the 24 questions obtained minimum agreement values. As a conclusion, there was no agreement in the responses of parents and children on the barriers to the practice of physical activity in children.O objetivo do presente estudo foi analisar a concordância entre as respostas de crianças de 08 e 09 anos e de seus pais ou responsáveis, por Proxy-report, de um instrumento proposto com esta finalidade sobre barreiras para a prática de atividade física em crianças. Trata-se de um estudo observacional, com delineamento transversal. A amostra foi composta por 70 escolares matriculados em escolas da zona urbana do município de Uruguaiana/RS e, seus pais ou responsáveis. As barreiras para a prática de atividade física em crianças foram coletadas através de um instrumento validado por Proxy-report, composto por 24 questões. O instrumento foi respondido pelas crianças e pelos seus pais ou responsáveis em teste, verificando-se a concordância das respostas (Índice Kappa). Após uma semana o questionário foi reaplicado (reteste) nas mesmas crianças verificando-se a reprodutibilidade (Índice Kappa). Nenhuma das questões obteve concordância entre as respostas dos pais e das crianças sobre as barreiras para atividade física das crianças (Kappa mínimo de 0,4). Quanto à reprodutibilidade das respostas das crianças em teste e reteste, os valores variaram entre 0,10 e 0,68 e 11 das 24 questões obtiveram valores mínimos de concordância. Conclui-se que não houve concordância nas respostas de pais e filhos sobre as barreiras para prática de atividade física de crianças.Fil: Becker Engers, Patrícia. Universidade Federal do Pampa, Campus Uruguaiana, Brasil.Fil: Cozzensa da Silva, Marcelo. Universidade Federal de Pelotas, Escola Superior de Educação Física, Brasil.Fil: Bergmann, Gabriel Gustavo. Universidade Federal de Pelotas, Escola Superior de Educação Física, Brasil

Development of an instrument in Portuguese to identify barriers for physical activity in children

The aim of this study was to develop an instrument to identify barriers to PA in children. This is a validation study with observational and cross-sectional design. The population consisted of students aged 06-09 years from the city of Uruguaiana/RS. The instrument content was obtained by theoretical matrix, constructed from the literature review and the assessment of barriers through open questions applied by proxy report (n=100) and focus groups conducted with parents/guardians and children. It is a questionnaire consisting of 29 closed questions. After testing the instrument clarity, its implementation was carried out (n = 293) to verify the construct validity and internal consistency. After one week, parents/guardians were asked to answer the questionnaire retest reliability (n = 168) to verify the agreement. Exploratory factor analysis distributed the 29 questions in six factors, with total variance of 55.6%. All items that have defined the factors obtained load greater than 0.4 and eingenvalues above 1.0. In the internal consistency analysis, item-total correlations ranged from 0.23 to 0.64 and the total alpha value was 0.90. Reproducibility values ranged from 0.43 to 0.78. Twenty-four questions met all the criteria adopted for the study. It was concluded that the instrument developed has adequate validity and reliability for the identification of barriers to PA in schoolchildren aged 06-09 years

Barreras para la práctica de actividad física: acuerdo entre las percepciones de padres y niños

This paper seeks to analyze the concordance between the responses of children aged 8 to 9 and their parents or guardians, by proxy-report, on the basis of an instrument proposed for this purpose, about barriers to the practice of physical activity in children. This is an observational study, with a cross-sectional design. The sample was composed of 70 students enrolled in schools in the urban area of the municipality of Uruguaiana, Brazil and their parents or guardians. A number of barriers to the practice of physical activity in children were collected through an instrument validated by Proxy-report, consisting of 24 questions. The instrument was answered by the children and their parents or caregivers and the correspondence of the answers was assessed (Kappa Index). After one week the questionnaire was completed again (retest) by the same children, checking the reproducibility (Kappa Index). None of the questions obtained agreement between parents’ and children’s responses on the children’s barriers to physical activity practice (minimum Kappa of 0.4). Regarding the reproducibility of the children’s responses in test and retest, the values ranged from 0.10 to 0.68 and 11 of the 24 questions obtained minimum agreement values. As a conclusion, there was no agreement in the responses of parents and children on the barriers to the practice of physical activity in children.O objetivo do presente estudo foi analisar a concordância entre as respostas de crianças de 08 e 09 anos e de seus pais ou responsáveis, por Proxy-report, de um instrumento proposto com esta finalidade sobre barreiras para a prática de atividade física em crianças. Trata-se de um estudo observacional, com delineamento transversal. A amostra foi composta por 70 escolares matriculados em escolas da zona urbana do município de Uruguaiana/RS e, seus pais ou responsáveis. As barreiras para a prática de atividade física em crianças foram coletadas através de um instrumento validado por Proxy-report, composto por 24 questões. O instrumento foi respondido pelas crianças e pelos seus pais ou responsáveis em teste, verificando-se a concordância das respostas (Índice Kappa). Após uma semana o questionário foi reaplicado (reteste) nas mesmas crianças verificando-se a reprodutibilidade (Índice Kappa). Nenhuma das questões obteve concordância entre as respostas dos pais e das crianças sobre as barreiras para atividade física das crianças (Kappa mínimo de 0,4). Quanto à reprodutibilidade das respostas das crianças em teste e reteste, os valores variaram entre 0,10 e 0,68 e 11 das 24 questões obtiveram valores mínimos de concordância. Conclui-se que não houve concordância nas respostas de pais e filhos sobre as barreiras para prática de atividade física de crianças.El objetivo de este estudio fue analizar la concordancia entre las respuestas de niños de 8 y 9 años y sus padres o tutores, por Proxy-report, de un instrumento propuesto para tal fin sobre barreras para la práctica de actividad física en niños. Este es un estudio observacional, con diseño de sección transversal. La muestra estuvo conformada por 70 estudiantes matriculados en escuelas del área urbana de la ciudad de Uruguaiana/RS, y sus padres o tutores. Se recogieron barreras a la práctica de actividad física en niños a través de un instrumento validado por Proxy-report, que consta de 24 preguntas. El instrumento fue respondido por los niños y sus padres o tutores en la prueba, y verificada la concordancia de las respuestas (Índice Kappa). Después de una semana, se volvió a aplicar el cuestionario (retest) en los mismos niños, comprobando la reproducibilidad (Índice Kappa). Ninguna de las preguntas obtuvo concordancia entre las respuestas de los padres y los niños sobre las barreras de los niños a la actividad física (kappa mínimo de 0,4). En cuanto a la reproducibilidad de las respuestas de los niños en test y retest, los valores variaron entre 0,10 y 0,68, y 11 de las 24 preguntas tuvieron valores mínimos de concordancia. Se concluye que no hubo concordancia en las respuestas de padres e hijos sobre las barreras para la práctica de actividad física en los niños