Satisfação e comprometimento organizacional afetivo: um estudo com docentes universitários do curso de Ciências Contábeis

The higher education establishments, as well as any other organization, seek to survive in an increasingly competitive market. In this scenario, there is a constant concern for improving the quality of life within the work environment whose aim is to keep workers satisfied. Studies show that the degree of worker’s satisfaction at work is directly related to how committed to the organization he is and also these factors could influence the performance of the worker. Therefore both the worker’s satisfaction and the organization commitment are of great importance since these higher education establishments are responsible for promoting the exchange of knowledge through teaching. The objective of the present research is to analyze the relationship between degree of satisfaction and affective commitment organizational of university teachers of the Accounting´s course. The group used on this research was made of by accounting professors of two higher education establishments that hold the highest evaluation grades in Ceará. It was concluded that the satisfaction and the affective commitment have moderate levels of positive correlation between them. In addition, the skills and knowledge related to the work as well as peer relationship are determinant factors of their level of satisfaction within work.As Instituições de Ensino Superior, assim como qualquer outra organização, buscam sobreviver em um mercado cada vez mais competitivo. Nesse cenário, há uma preocupação constante com a otimização da qualidade de vida no trabalho cujo intuito é manter os trabalhadores satisfeitos. Estudos apontam que o funcionário satisfeito no trabalho tende a se comprometer com a organização que o emprega e que esses fatores acabam por influenciar o desempenho do profissional. Em razão disso, tanto a satisfação no trabalho como o comprometimento organizacional se revestem de grande valia, já que essas instituições são responsáveis por promover a transmissão de conhecimento através dos docentes. Assim, o objetivo da presente pesquisa é analisar a relação entre o grau de satisfação e o nível de comprometimento organizacional afetivo dos docentes universitários do curso de Ciências Contábeis. A população é composta pelos professores do curso de Ciências Contábeis das duas instituições cearenses com as maiores notas no Índice Geral de Cursos. Foi possível concluir que a satisfação e o comprometimento organizacional afetivo apresentam níveis moderados de correlação positiva entre si e que as “habilidades e conhecimento relacionado à variável trabalho” como também o “relacionamento com colegas” são fatores determinantes da satisfação dos docentes no trabalho.

Effect of lung recruitment and titrated Positive End-Expiratory Pressure (PEEP) vs low PEEP on mortality in patients with acute respiratory distress syndrome - A randomized clinical trial

IMPORTANCE: The effects of recruitment maneuvers and positive end-expiratory pressure (PEEP) titration on clinical outcomes in patients with acute respiratory distress syndrome (ARDS) remain uncertain. OBJECTIVE: To determine if lung recruitment associated with PEEP titration according to the best respiratory-system compliance decreases 28-day mortality of patients with moderate to severe ARDS compared with a conventional low-PEEP strategy. DESIGN, SETTING, AND PARTICIPANTS: Multicenter, randomized trial conducted at 120 intensive care units (ICUs) from 9 countries from November 17, 2011, through April 25, 2017, enrolling adults with moderate to severe ARDS. INTERVENTIONS: An experimental strategy with a lung recruitment maneuver and PEEP titration according to the best respiratory-system compliance (n = 501; experimental group) or a control strategy of low PEEP (n = 509). All patients received volume-assist control mode until weaning. MAIN OUTCOMES AND MEASURES: The primary outcome was all-cause mortality until 28 days. Secondary outcomes were length of ICU and hospital stay; ventilator-free days through day 28; pneumothorax requiring drainage within 7 days; barotrauma within 7 days; and ICU, in-hospital, and 6-month mortality. RESULTS: A total of 1010 patients (37.5% female; mean [SD] age, 50.9 [17.4] years) were enrolled and followed up. At 28 days, 277 of 501 patients (55.3%) in the experimental group and 251 of 509 patients (49.3%) in the control group had died (hazard ratio [HR], 1.20; 95% CI, 1.01 to 1.42; P = .041). Compared with the control group, the experimental group strategy increased 6-month mortality (65.3% vs 59.9%; HR, 1.18; 95% CI, 1.01 to 1.38; P = .04), decreased the number of mean ventilator-free days (5.3 vs 6.4; difference, −1.1; 95% CI, −2.1 to −0.1; P = .03), increased the risk of pneumothorax requiring drainage (3.2% vs 1.2%; difference, 2.0%; 95% CI, 0.0% to 4.0%; P = .03), and the risk of barotrauma (5.6% vs 1.6%; difference, 4.0%; 95% CI, 1.5% to 6.5%; P = .001). There were no significant differences in the length of ICU stay, length of hospital stay, ICU mortality, and in-hospital mortality. CONCLUSIONS AND RELEVANCE: In patients with moderate to severe ARDS, a strategy with lung recruitment and titrated PEEP compared with low PEEP increased 28-day all-cause mortality. These findings do not support the routine use of lung recruitment maneuver and PEEP titration in these patients. TRIAL REGISTRATION: clinicaltrials.gov Identifier: NCT01374022