Suchergebnisse

Objective: to analyze current Mental Health policies, discriminating health care defined for the post-discharge period of psychiatric hospitalization, with a focus on Nursing care. Method: this is a quantitative, reflective study, based on research in 27 institutional, legislative or officially recognized documents that regulate the area of Mental Health regarding the return of the person to the home after psychiatric discharge. Results: 15 documents were identified that reveal Mental Health care focused on hospital productivity, with difficulty in establishing community structures and interventions. There is a insufficiency and variability in the distribution of human resources and interventions, with lack of uniformity among the various caregivers. In a multidisciplinary logic, nursing intervention is essential to ensure continuity of care. However, it is verified that the intervention of the specialist nurse is insufficiently integrated in the Mental Health policies. Conclusion: Portuguese Mental Health policies are still falling short in the definition and provision of transitional health care specific to the psychiatric post-discharge home. Descriptors: Patient Discharge; Psychiatric Department, Hospital; Health Policy; Psychiatric Nursing; Continuity of Patient Care; Nursing.ResumoObjetivo: analisar as políticas de Saúde Mental atuais, discriminando os cuidados de saúde definidos para o período pós-alta da hospitalização psiquiátrica, com um enfoque sobre os cuidados de Enfermagem. Método: trata-se de um estudo quantitativo, tipo reflexivo, a partir da pesquisa em 27 documentos de caráter institucional, legislativo ou oficialmente reconhecidos que regulam a área de Saúde Mental no que concerne ao regresso da pessoa à casa pós-alta hospitalar psiquiátrica. Resultados: identificaram-se 15 documentos que revelam cuidados de Saúde Mental centrados ainda na produtividade hospitalar, com dificuldade em estabelecer estruturas e intervenções comunitárias. Verificam-se uma insuficiência e a variabilidade na distribuição de recursos humanos e de intervenções, com falta de uniformidade entre os diversos prestadores de cuidados. Constitui-se, em uma lógica multidisciplinar, a intervenção de Enfermagem como essencial para assegurar a continuidade de cuidados. Verifica-se, porém, que a intervenção do enfermeiro especialista está insuficientemente integrada nas políticas de Saúde Mental. Conclusão: mantêm-se as políticas de Saúde Mental portuguesas aquém na definição e prestação de cuidados de saúde transicionais específicos ao pós-alta hospitalar psiquiátrico para a casa. Descritores: Alta do Paciente; Unidade Hospitalar de Psiquiatria; Política de Saúde; Enfermagem Psiquiátrica; Continuidade da Assistência ao Paciente, Enfermagem.ResumenObjetivo: analizar las políticas actuales de Salud Mental, discriminando la atención de salud definida para el período posterior al alta de hospitalización psiquiátrica, con un enfoque en la atención de Enfermería. Método: este es un estudio cuantitativo, reflexivo, basado en la investigación en 27 documentos institucionales, legislativos u oficialmente reconocidos que regulan el área de Salud Mental con respecto al regreso de la persona al hogar después del alta psiquiátrica. Resultados: se identificaron 15 documentos que revelan la atención de Salud Mental centrada en la productividad hospitalaria, con dificultad para establecer estructuras e intervenciones comunitarias. Existe una insuficiencia y variabilidad en la distribución de recursos humanos e intervenciones, con falta de uniformidad entre los distintos cuidadores. En una lógica multidisciplinaria, la intervención de Enfermería es esencial para garantizar la continuidad de la atención. Sin embargo, se verifica que la intervención del enfermero especializado está insuficientemente integrada en las políticas de Salud Mental. Conclusión: las políticas portuguesas de Salud Mental siguen sin cumplir con la definición y la provisión de atención de salud de transición específica para el hogar psiquiátrico posterior al alta. Descriptores: Alta del Paciente; Servicio de Psiquiatría en Hospital; Política de Salud; Enfermería Psiquiátrica; Continuidad de la Atención al Paciente; Enfermería. ; Objetivo: analisar as políticas de Saúde Mental atuais, discriminando os cuidados de saúde definidos para o período pós-alta da hospitalização psiquiátrica, com um enfoque sobre os cuidados de Enfermagem. Método: trata-se de um estudo quantitativo, tipo reflexivo, a partir da pesquisa em 27 documentos de caráter institucional, legislativo ou oficialmente reconhecidos que regulam a área de Saúde Mental no que concerne ao regresso da pessoa à casa pós-alta hospitalar psiquiátrica. Resultados: identificaram-se 15 documentos que revelam cuidados de Saúde Mental centrados ainda na produtividade hospitalar, com dificuldade em estabelecer estruturas e intervenções comunitárias. Verificam-se uma insuficiência e a variabilidade na distribuição de recursos humanos e de intervenções, com falta de uniformidade entre os diversos prestadores de cuidados. Constitui-se, em uma lógica multidisciplinar, a intervenção de Enfermagem como essencial para assegurar a continuidade de cuidados. Verifica-se, porém, que a intervenção do enfermeiro especialista está insuficientemente integrada nas políticas de Saúde Mental. Conclusão: mantêm-se as políticas de Saúde Mental portuguesas aquém na definição e prestação de cuidados de saúde transicionais específicos ao pós-alta hospitalar psiquiátrico para a casa. Descritores: Alta do Paciente; Unidade Hospitalar de Psiquiatria; Política de Saúde; Enfermagem Psiquiátrica; Continuidade da Assistência ao Paciente, Enfermagem.AbstractObjective: to analyze current Mental Health policies, discriminating health care defined for the post-discharge period of psychiatric hospitalization, with a focus on Nursing care. Method: this is a quantitative, reflective study, based on research in 27 institutional, legislative or officially recognized documents that regulate the area of Mental Health regarding the return of the person to the home after psychiatric discharge. Results: 15 documents were identified that reveal Mental Health care focused on hospital productivity, with difficulty in establishing community structures and interventions. There is a insufficiency and variability in the distribution of human resources and interventions, with lack of uniformity among the various caregivers. In a multidisciplinary logic, nursing intervention is essential to ensure continuity of care. However, it is verified that the intervention of the specialist nurse is insufficiently integrated in the Mental Health policies. Conclusion: Portuguese Mental Health policies are still falling short in the definition and provision of transitional health care specific to the psychiatric post-discharge home. Descriptors: Patient Discharge; Psychiatric Department, Hospital; Health Policy; Psychiatric Nursing; Continuity of Patient Care; Nursing.ResumenObjetivo: analizar las políticas actuales de Salud Mental, discriminando la atención de salud definida para el período posterior al alta de hospitalización psiquiátrica, con un enfoque en la atención de Enfermería. Método: este es un estudio cuantitativo, reflexivo, basado en la investigación en 27 documentos institucionales, legislativos u oficialmente reconocidos que regulan el área de Salud Mental con respecto al regreso de la persona al hogar después del alta psiquiátrica. Resultados: se identificaron 15 documentos que revelan la atención de Salud Mental centrada en la productividad hospitalaria, con dificultad para establecer estructuras e intervenciones comunitarias. Existe una insuficiencia y variabilidad en la distribución de recursos humanos e intervenciones, con falta de uniformidad entre los distintos cuidadores. En una lógica multidisciplinaria, la intervención de Enfermería es esencial para garantizar la continuidad de la atención. Sin embargo, se verifica que la intervención del enfermero especializado está insuficientemente integrada en las políticas de Salud Mental. Conclusión: las políticas portuguesas de Salud Mental siguen sin cumplir con la definición y la provisión de atención de salud de transición específica para el hogar psiquiátrico posterior al alta. Descriptores: Alta del Paciente; Servicio de Psiquiatría en Hospital; Política de Salud; Enfermería Psiquiátrica; Continuidad de la Atención al Paciente; Enfermería.

Purpose
Interest in the relationship between organizational culture and performance is not new but it still attracts considerable attention from researchers. In the literature on organizational learning, organizational culture is mainly conceived as an essential condition to facilitate and support learning and consequently as an important feature in achieving organizational performance nowadays. In the scope of this research topic, the purpose of this paper is to analyze the effect of organizational learning culture on two organizational outcomes – profitability and customer satisfaction, and the mediation effect of total quality management (TQM) in these relationships.


Design/methodology/approach
The data were collected from 107 firms and the technique used for data analysis was structural equation modeling.


Findings
The results reveal a positive direct impact of organizational learning culture on organizational profitability and a positive indirect effect, through TQM, on customer satisfaction.


Originality/value
These findings support to a body of literature that claims the relevance of developing a cultural orientation toward learning in organizations in order to contribute to organizational success. This study also takes into account some methodological features in order to increase the quality of culture-performance research.

La transition pour le jeune atteint de maladie chronique vient s'inscrire dans un processus adolescent et de renégociation des places intrafamiliales et modes d'alliances. À partir d'un cas clinique, les enjeux de la transition sont d'abord décrits dans leur inscription dans le processus de fin d'adolescence. Les dimensions relationnelles aussi bien avec l'équipe de soin qu'avec la famille sont ensuite abordées via les changements dans la place et le rôle de chacun et dans les difficultés rencontrées. Apparaît en conclusion l'importance de définir et d'articuler clairement les objectifs et enjeux de la transition dans une perspective centrée sur l'individu et son environnement soignant, psychosocial et affectif afin d'en apporter une modélisation conceptuelle et opérationnelle.

The process of Competences Recognition, Validation and Certification , also known as Accreditation of Prior Learning (APL), is an innovative means of attaining school certificates for individuals without an academic background. The main objective of this process is to validate what people have learned in informal contexts, in order to attribute academic certificates. With the increasing interest of the qualification of workers and governmental support, more and more Portuguese organizations promote this process within their facilities and their work hours. This study explores the relationship between the promotion of this Human Resource Development Programme and employee's attitudes (Job Satisfaction and Organizational Commitment) and behaviours (Extra-role Organizational Citizenship Behaviours) towards the organization they work for. Results of a cross-sectional survey of Portuguese Industrial Workers (N=135) showed that statistical significant results are in the higher levels of Voice Behaviours (a dimension of Extra-role Organizational Citizenship Behaviour in the groups of workers who were involved or had graduated from the firm promoted APL process.

Abstract

Background and Purpose
Incorporating autonomy in teams has been an increasingly popular practice, but the mechanisms that make autonomous teams effective still need to be completely understood. Adopting a multidimensional approach to team effectiveness, the aim of this study was to analyse the mediating role of team members' supportive behaviours in the relationship between team autonomy and team effectiveness (team performance, team viability, quality of group experience and team process improvement).


Methods:
This research adopts a group-level analysis with a sample of 90 teams of 40 organisations from different sectors. Regression analysis was used to analyse the data, namely the product of the coefficients method.


Results
A positive relationship between team autonomy and supportive behaviours, which, in turn, is positively related to the four criteria of team effectiveness, was found, suggesting that supportive behaviours are a team process that explains the relationship between team autonomy and team effectiveness.


Conclusion
This research enriches our knowledge of the antecedents of team effectiveness and explains the mechanisms through which team autonomy relates to team effectiveness, encouraging organisations to incorporate autonomy into teams' design to enhance supportive behaviours and team effectiveness.

Despite the growing attention which green human resource management (GHRM) has been gaining, the field is still remarkably young, and conceptual clarity is yet to be attained. A bibliometric review of GHRM from 2010 to 2020 was conducted on the Web of Science and analyzed using the VOSviewer software package, version 1.6.16 developed by Van Eck and Waltman (Leiden, The Netherlands). The results show the exponential growth of this topic, although there seems to be no consensus regarding its definition, conceptualization and measurement. Concerning its conceptual development, GHRM seems to currently fit the second stage of development (evaluation and augmentation) of Reichers and Schneider's three-stage model of the evolution of constructs. Future research seems to point in the direction of establishing the barriers separating GHRM from other human resource management topics, defining green practices and determining the antecedents and consequences of GHRM.

This study explores the relationship between team cohesion and team learning by adopting a nonlinear approach. A quantitative study with a sample composed of 82 organizational teams was conducted. Radial basis function (RBF) interpolation models were used, and results showed that the best predicting ability was obtained by the Thin Plate RBF model, which revealed that an increase in both dimensions of cohesion leads to an increase in team learning up to a certain threshold. Moreover, our results showed that the maximum value of team learning is obtained at higher values of task cohesion and moderate values of social cohesion.