OBJECTIVE To analyze the contradictions and ambiguities which permeate nurses' motivation for exercising leadership in management positions, in a university hospital. METHOD This study has a qualitative approach and is exploratory and descriptive, and used a total of 33 semi-structured interviews which were submitted to thematic analysis. RESULTS The information converged on five categories...

This paper discuss findings of a follow-up study with alumni of three graduate courses known as "professional master" oriented toward institutional innovation in management of science and technology, offered by Oswaldo Cruz Foundation to its employees. The study analyzed alumni profile and characteristics, identified evidence of changes in their original workplace and assessed the relationship ...

INTRODUCTION No definitive data are available regarding the value of switching to an alternative TNF antagonist in rheumatoid arthritis patients who fail to respond to the first one. The aim of this study was to evaluate treatment response in a clinical setting based on HAQ improvement and EULAR response criteria in RA patients who were switched to a second or a third TNF antagonist due to fail...

Methods A study was performed in October 2010 in a General Surgery Clinic in a hospital in Belgrade and in February 2011 in seven surgery clinics in a hospital in Novi Sad. Data concerning preoperative health status, type and duration of surgery and parameters of antimicrobial prophylaxis (drug choice, timing of first dose, number of dosis and duration of prophylaxis) were collected. Rresults a...

This paper is an attempt to study the Professional commitment and social factors affecting it. This article is based on a survey, from 230 respondents (37.4 percent were males and 60.9 percent females). The average age was 35 years old and the average salary was 471 $. Among them, 31.5 percent were single and 68.5 percent were married. The average work experience is 10.5 years and classes are ...

BACKGROUND Leading a ward round is an essential skill for hospital consultants and senior trainees but is rarely assessed during training. OBJECTIVES To investigate the key attributes for ward round leadership and to use these results to develop a multisource feedback (MSF) tool to assess the ward round leadership skills of senior specialist trainees. METHODS A panel of experts comprising f...

Governance regimes for major investment projects comprise the processes and systems that need to be in place on behalf of the financing party to ensure successful investments. This would typically include a regulatory framework to ensure adequate quality at entry, compliance with agreed objectives, management and resolution of issues that may arise during the project, etc., and standards for qu...

Patient dignity is a complex yet central phenomenon. Disrespect for dignity can mean retention of sick role, loss of self-care and control, decreased participation and therefore influence healing. At the same time, nurses have an obligation to respect dignity, and patients expect it. In clinical practice, with the focus on efficiency and economy, dignity can be compromised. The surgical patient...

BACKGROUND Although future climate is predicted to have more extreme heat conditions, the available evidence on the impact of these conditions on pregnancy length is very scarce and inconclusive. OBJECTIVES We investigated the impact of maternal short-term exposure to extreme ambient heat on the length of pregnancy. METHODS This study was based on a cohort of births that occurred in a major...