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Copyright of Revista Fatec Zona Sul (REFAS) is the property of Revista Fatec Zona Sul (REFAS) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Decision making in organizational purchases is subject to the influence of several variables, considering that many members can participate of the process of selecting a product. Purchase centers in companies generally include several participants with different interests, levels of authority, status, and persuasiveness. In view of the above, the objective of this work was to identify, in a company in the forestry sector, the actors' perception of their influence on the purchase process and / or replacement of forest harvesting machines. For this, a structured questionnaire was applied where the members of the company, from the strategic, tactical and operational levels, should select which role they played in the decision making to buy the machines, in order to identify if they are in line with their functions. The results showed that, for the company studied, there is a gap between the role perceived by the collaborator and his actual role, and this is more evident for initiator and internal filters, where most of the respondents did not identify with this classification. [ABSTRACT FROM AUTHOR]

Copyright of Saúde e Sociedade is the property of Universidade de Sao Paulo, Faculdade de Saude Publica and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Saúde e Sociedade is the property of Universidade de Sao Paulo, Faculdade de Saude Publica and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The importance of ethical decision making in health sciences has promoted the generation of schemes that guide this process. The objective is to propose a theoretical model of bioethical decision making. We searched and reviewed the literature in databases and electronic libraries with keywords, eleven models of ethical decision making were identified and analyzed according to established parameters and results of studies on the subject were included. The schemes analyzed propose a decision making process based on a variable number of cognitive steps and, in general, provide few elements for their practical application. The Reason-Emotion Integration Model for Bioethical Decision Making in Health Sciences was proposed. This model synthesizes the cognitive steps to make appropriate decisions, by integrating reason and emotion, the possibility of applying various ethical frameworks and implementing an ethical competence and critical thinking skills. [ABSTRACT FROM AUTHOR]

This study aims to integrate the evidence about the uncertainty about the disease in the patient with chronic illness and their family caretaker, guided by the theory of uncertainty about the disease. For this, an integrative synthesis of the literature was carried out during the years 2007 to 2017. The Medline, Science Direct, Ovid Nursing, Scielo, Scopus, CINAHL and Psycinfo databases were used in the English and Spanish languages. To carry out the integrative synthesis, 46 publications were included, with 21 qualitative, 19 quantitative, 2 mixed and 4 reviews. The studies were mostly carried out in patients with cancer, neurodegenerative diseases, organic failures, heart failure, COPD and in palliative care of different diseases. Among the main conclusions of the study, it is suggested that the person with chronic illness and their family caretaker develop uncertainty about the chronic illness due to shortcomings in education about the disease and care, as well as the social support they receive from the health team and its support networks. [ABSTRACT FROM AUTHOR]

The purpose of this article is to identify the relationships between vulnerability and autonomy that academic literature has developed in relation to homeless. For the fulfillment of the objective, a bibliographic search was developed in different databases under the criteria of homeless, autonomy, decision making, vulnerability, bioethics. As a conclusion, it is clear that the mental problems that this population group can present demonstrate the difficulties that exist to resolve the false bioethical dichotomy that exists between autonomy and vulnerability. A new task for bioethics is identified, such as overcoming the presented dichotomy that can provide substantial elements that help to overcome the difficulties that arise for the attention of homeless. [ABSTRACT FROM AUTHOR]

Copyright of Revista Gaucha de Enfermagem is the property of Revista Gaucha de Enfermagem and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

From the methodological foundations underlying the training process in Physiotherapy and considering the tasks of the physiotherapist at Nucleus of Support for Family Health (FHSCs), attempted to identify the points of separation between training and use of the physiotherapist workforce in primary healthcare in João Pessoa/PB. The study is justified by the need to enhance educational processes in Physiotherapy, in order to be compatible with the requirements of their professional practice, particularly in primary healthcare level. This is an exploratory-descriptive and inferential study which quantitative approaches. Data were analyzed from the Hypothesis Test, used as method of decision making. The data analysis showed, with statistical evidences, distances between the students and teachers who say, in the process physiotherapist formation in higher education institutions surveyed, as well as differences between those who attest physiotherapist and managers in relation to the work process in FHSCs of Health Districts of the city. It was concluded that it is necessary a reformulation of methodological bases that make up educational plans related to Collective Health at the institutions which offer the course of graduation at Physiotherapy in João Pessoa, as well as a better use of the workforce of the physiotherapist with the FHSCs, aiming at a redefinition of the practices of this professional at the areas of Primary Health.

O objetivo foi identificar fontes de acesso a informações para a tomada de decisão e barreiras para o uso de periódicos científicos entre Secretários Municipais de saúde do Estado do Paraná, Brasil. Participaram do trabalho Secretários Municipais de Saúde de 181 municípios do Estado do Paraná, no ano de 2014. Foram realizadas entrevistas sobre a frequência e o uso de recursos, para obter informação sobre as evidências científicas relacionadas ao uso de periódicos científicos. Em geral, 40,9% dos participantes tinham entre 18 e 39 anos (média 43 ± 10,2; mediana 42 anos), ocupavam o cargo por um período menor de cinco anos (69,1%), eram do sexo masculino (56,4%) e apenas um a cada três possuía pós-graduação em saúde pública. As principais fontes de informação utilizadas foram “revistas não científicas” (76,2%), “jornais impressos/online” (71,4%)” e “diretrizes do Ministério da Saúde” (71,3%). As principais barreiras reportadas para o uso de periódicos científicos foram a “falta de tempo para leitura” (72,9%), o “custo elevado de periódico” (69,1%) e a “dificuldade de identificar os melhores periódicos” (63,5%). As principais fontes de acesso à informação utilizadas são veículos não científicos e as diretrizes do Ministério da Saúde. O emprego de periódicos científicos é dificultado pela falta de tempo e baixa familiaridade com a linguagem científica. O acesso a informações científicas deve ser facilitado com o emprego de fontes mais acessíveis, assim como o treinamento dos gestores para o uso de periódicos de livre acesso. Tais ações podem auxiliar no conhecimento de evidências atualizadas entre os secretários municipais de saúde.

OBJECTIVES: get to know, analyze and describe the current situation of the Delivery and Birth Plans in our context, comparing the delivery and birth process between women who presented a Delivery and Birth Plan and those who did not.METHOD: quantitative and cross-sectional, observational, descriptive and comparative cohort study, carried out over two years. All women who gave birth during the study period were selected, including 9303 women in the study.RESULTS: 132 Delivery and Birth Plans were presented during the first year of study and 108 during the second. Among the variables analyzed, a significant difference was found in "skin to skin contact", "choice of dilation and delivery posture", "use of enema", "intake of foods or fluids", "eutocic deliveries", "late clamping of the umbilical cord" and "perineal shaving".CONCLUSIONS: the Delivery and Birth Plans positively influence the delivery process and its outcome. Health policies are needed to increase the number of Delivery and Birth Plans in our hospitals.

Introdução: O envelhecimento populacional é um desafio deste século, impactando a sociedade e provocando necessidades de ajustes estruturais. A longevidade envolve inúmeras alterações na vida do idoso e quando associada à incapacidade funcional pode comprometer a funcionalidade, saúde, privando-o de uma vida autônoma e saudável. Objetivo: Observar a relação entre capacidade funcional e capacidade de tomar decisão em longevos. Métodos: Trata-se de uma pesquisa quantitativa descritiva analítica transversal, em longevos (80 anos ou mais) do Rio Grande do Sul. Os instrumentos utilizados foram questionário geral, questionário de interação entre o longevo e sua vida, medidas de independência funcional e capacidade de tomar decisão. Resultados: A amostra foi composta por 47 longevos, divididos em octogenários (19) e nonagená- rios (28). A fase psicológico-moral dos octogenários foi classificada em média como conscienciosa e dos nonagenários como conformista. Os grupos apresentaram maior perda nas decisões relacionadas a atividades no lar. Os nonagenários apresentaram pior capacidade funcional quando comparados aos octogenários, essa observação foi menos acentuada em longevos que se encontravam em fase conscienciosa do desenvolvimento psicológico moral, ou seja, com maior capacidade de tomar decisões. Conclusões: Observamos uma relação positiva entre capacidade funcional e capacidade de tomada de decisão nos longevos estudados. Investigar os fatores que possam contribuir para que o longevo tenha maior independência e autonomia é fundamental para a reestruturação dos serviços, planejar ações de saúde pública e prestar atendimento com dignidade, buscando por maior tempo possível à manutenção da qualidade de vida em longevos

Objective. Describe users' experience with participation in clinical decision-making at Family Health Centers (CESFAM) in the Primary Health Care (PHC) system. Methods. Qualitative descriptive study. Focus groups made up of CESFAM users were held in southeastern Santiago, Chile, and the information was thematically analyzed using Atlas.ti version 6® software. Results. Five focus groups were held (n = 41). The main themes that emerged from the discussions were the passive role of users in decisions and delegated decisionmaking, based on their trust in the health professional. Users' passive role limits their opportunities for participation in clinical decision-making, ceding power to the health professional. However, establishing a therapeutic partnership allows users to feel that they are being treated as unique individuals whom the professional listens to and respects, ensuring that the decisions of the health team can be trusted, since they look out for the users' real interests. Conclusion. Users' participation in clinical encounters is still limited in Chile. However, bolstering that participation is essential for increasing user satisfaction and promoting people-centered care. [ABSTRACT FROM AUTHOR]

Objective. The Perinatal Information System (SIP) represents a milestone in the use of systematized information in the Region of the Americas. What has been learned from the system has contributed to the development of a model based on a set of core indicators (SCI). The objective of the study was to describe the historical and methodological process involved in the development, implementation, and territorial scaling- up of an SCI to monitor and evaluate women's and perinatal health policies, programs, and services geared to management (SIP-GESTIÓN). Methods. The study was conducted in two stages: 1) a four-phase validation of an SCI in a hospital network: a) construction of the theoretical indicator model, b) operations research, c) final selection of the indicators, and d) the definition of reference standards; and 2) territorial scaling-up. Results. A total of 17 indicator models were identified. The initial model included 177 indicators divided into seven dimensions (context, habits, accessibility, use of services, quality of care, maternal and fetal impact, and maternal and neonatal impact), with 21 indicators remaining after three Delphi rounds. The final model (SIPGESTIÓN), which included 40 indicators, was then used to study 240,021 (79.1%) of the 303,559 deliveries attended in 122 selected maternity facilities in 24 jurisdictions (100%) in Argentina. The information is presented in national terms and by health region, province, and hospital. Conclusions. This model has made it possible to achieve high levels of information coverage and quality and territorial scaling-up and is useful for management, research, and the reorientation of programs and policies. [ABSTRACT FROM AUTHOR]

Objective. To analyze the value judgments behind cost--benefit tradeoffs made by health stakeholders in deciding whether or not to incorporate new health technologies and how they should be financed and allocated in limited-resource settings in Brazil. Method. From June 2009 to January 2010, a sample of stakeholders in the public and private health sector was identified and invited to complete an online survey consisting of two questionnaires: one collecting socio-demographic/professional information and one capturing resource allocation preferences in four hypothetical scenarios for the incorporation of new health technologies. Results. A total of 193 respondents completed the survey; more than half were male (53.9%) and the most common age group was 31--40 years (36.8%). Scenario 1 (incorporation of a new drug treatment for chronic disease, by reducing/eliminating resources for existing programs) was rejected by 49.2% of the survey sample, who preferred to maintain the status quo for existing programs. Scenario 2 (incorporation of the same new treatment, but financed by a new tax) was rejected by 58.0%. Scenario 3 (incorporation of a new treatment for a highly lethal disease, by age group--20--75 years versus 75+ years--by reducing/eliminating resources for existing programs), was rejected by 42.0%, while 20.7% supported allocations for both groups, 34.2% supported allocations exclusively for the 20--75-year age group, and 3.1% supported allocations exclusively for the 75+ year age group. For Scenario 4, which consisted of five different resource allocations for prevention and treatment programs for another highly lethal disease, the most preferred option (chosen by 50.8% of respondents) was 75%:25% ( prevention versus treatment). Conclusions. When incorporating a new health technology requires reducing/eliminating other health programs, financing it through a tax, or having to choose certain age groups (e.g., younger, working people versus older people), respondents are likely to reject it. When offered the choice of limiting the scope of the program (e.g., prevention versus treatment), respondents are likely to favor prevention. This was the first study in Brazil to capture value judgments that affect stakeholder decision-making on various resource allocations for different scenarios for health technology introduction in limited-resource settings. Future research should investigate the perspective of society as a whole to determine the best approach for decision-making based on common values and consensus within a particular health care system. [ABSTRACT FROM AUTHOR]

Copyright of Cadernos de Saude Publica is the property of Escola Nacional de Saude Publica Sergio Arouca and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Brasileira em Promoção da Saúde is the property of Revista Brasileira em Promocao da Saude and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Acta Paulista de Enfermagem is the property of Universidade Federal de Sao Paulo, Escola Paulista de Enfermagem and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Corporate and academic research management involves the identification of research lines which lead funds and technical efforts of groups that are devoted to research, development and innovation activities. In the process of decision making which conduct this management, there is a high prevalence of individual experiences and interest of researchers over the objective consultation of different sources which provide information and optimize such process. This paper aims at validating a methodology that links two different perspectives about decision making in research, development and innovation, showing partial results from five actions proposed to identify and strengthen research lines of corporate and academic groups. Such validation demonstrates a sense of belonging, clarity and applicability resulting from the proposed actions which make them useful tools for decision making in research, development and innovation and for the creation of new research lines. [ABSTRACT FROM AUTHOR]

Total time of prehospital care (PHC) is the time elapsing from the inbound call up to the moment when the ambulance is available for serve in another emergency event. This research aims to show that selecting the destination hospital impacts significantly the total PHC time, which influences the survival of the patient being transported as well as the time to make the resource available again (the ambulance). Consequently, a technique for selecting the destination hospital is proposed herein including some dimensions related both to the patient (diagnosis, specialty and insurance company) and to the hospital (occupancy and closeness). The performance was evaluated based on a simulation of discrete events. It is concluded that the proposed technique provides a better PHC time in 73% of the studied cases, with a mean decrease between 40 and 80 minutes as compared to the most commonly used technique (selecting the closest hospital). [ABSTRACT FROM AUTHOR]

This work aims to map, throughout the Catalonian (Spain) public health system and based on the normative documents, the modifications that took place from 2009. It is intended to identify the progress and/or setback in the way how the social control is being institutionalized. This endeavor prioritized the following aspects: organizational design of the public health system and the participation channels; the types and forms of the information enabling the citizen's ability to exercise control; the citizen's right of free access to public information; and the mechanisms for the citizen to be heard. Significant advancements driven towards the social control were confirmed but it is still necessary to provide the citizen with better conditions to control and evaluate the public action so that the relationship State/society be modified, to allow a qualified selection among the different aspects related to the issues of health, and to use the citizen collective action as a tool. [ABSTRACT FROM AUTHOR]

Copyright of Cadernos de Saude Publica is the property of Escola Nacional de Saude Publica Sergio Arouca and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Nursing UFPE / Revista de Enfermagem UFPE is the property of Revista de Enfermagem UFPE and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Nursing UFPE / Revista de Enfermagem UFPE is the property of Revista de Enfermagem UFPE and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista de Administração da UEG is the property of Universidade Estadual de Goias and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Marine conservation has become one of the main factors in the transformation of oceans, reshaping the relations of power which define the future of such zones, with the participation of diverse agents in decision-making. This paper analyzes the creation of Marine Protected Areas in the Corcovado Gulf in Chilean Northern Patagonia. It reveals that these Marine Protected Areas are i) a response to a controversial process of territorial transformation, aggravated by the expansion of the salmon industry and calls for the conservation of biodiversity; ii) the emergence of a conservationist assemblage, based on the idea of collective efforts, and its involvement in a multi-agent network of governance. [ABSTRACT FROM AUTHOR]

Introduction. The steady dynamics of science, technology and innovation plus the volume of information that these subjects have, represent a challenge to the research groups endeavor and to the commitment of the later ones to be knowledge developing units that give significant outputs to its social and academic settings. Therefore, there must be a planning alternative that supports the decisionmaking processes in order to give it a better knowledge founding, to reduce the possible risks and to think ahead the possible changes. This alternative must be supported by an organized, selective and systematic procedure, such as the technological surveillance. Objective. To create a descriptive literature review regarding technological surveillance and a proposal for the technological surveillance method applied to the management of scientific activity of the Estudio Genetico de Enfermedades Complejas (EGEC - Genetic Study for Complex Diseases) research group. Methodology. Descriptive literature review. The following academic databases were consulted: Medline, SciELO, Ebsco e IEEE and Google Scholar search engine. The combination of keywords used when consulting the academic databases, was "vigilancia tecnológica/technological surveillance", "salud/health", "enfermedad/disease", "ejemplos en salud", "universidad" and "investigación". Articles of the last five years are included, while articles that only had to deal with the results dissemination of technological surveillance exercises, were excluded. Based on the literature review analysis of results, a technological surveillance model is proposed which its objective is to manage the EGEC research group's scientific activities. In order to do so, a stages, inputs and funds diagrams that integrated the surveillance model, were created. Thus, the already mentioned diagrams included a cancer pilot test as a validation strategy, and with the test results, the model was subjected to additional adjustments. Results. The Spanish standard UNE 166006:2011 created by the Spanish Association for Standarization and Certification (AENOR), was taken as an international reference whilst the program España y sus Regiones Intercambian Conocimiento con Antioquia (ERICA) and the methodology for technological surveillance Innovaciones a partir de la Vigilancia Tecnológica (InnoViTech), were taken as national referents. Additionally, conceptual stages, good practices for processes execution and defined budget for the development of technological surveillance, are established. The main components for the proposed model include needs identification, plus the planning, collection, auditing, analysis, documentation, and information spreading processes. Conclusions. The proposed model works as a foundation for developing a knowledge management strategy of a research group. Also, the model highlights the importance of climbing towards the usage of competitive intelligence systems within itself. [ABSTRACT FROM AUTHOR]

Copyright of Revista Brasileira em Promoção da Saúde is the property of Revista Brasileira em Promocao da Saude and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Brasileira em Promoção da Saúde is the property of Revista Brasileira em Promocao da Saude and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Panamerican Journal of Neuropsychology / Cuadernos de Neuropsicología is the property of Cuadernos de Neuropsicologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of JBES: Brazilian Journal of Health Economics / Jornal Brasileiro de Economia da Saúde is the property of JBES: Brazilian Journal of Health Economics and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Brazilian Journal of Kineanthropometry & Human Performance is the property of Brazilian Journal of Kineanthropometry & Human Performance and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Gaucha de Enfermagem is the property of Revista Gaucha de Enfermagem and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Nursing UFPE / Revista de Enfermagem UFPE is the property of Revista de Enfermagem UFPE and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Estudos Sociedade e Agricultura is the property of Revista Estudos Sociedade e Agricultura and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The nurse should adopt the managerial administrative practice during the decision-making processes, aiming to achieve better health care results, with the use of permanent education in health so that knowledge production occurs among the team, based on the problems experienced, qualifying and forming the team. The objective was to analyze the nurses' perception about the use of Permanent Education in Health in the management of care. This is an exploratory, descriptive, qualitative approach, in which 15 supervising nurses from a public hospital in the South of Brazil participated. Data were collected from May to July 2014, through the Culture Circle. From the results of the analysis emerged two thematic axes: Permanent Education in Health as a strategy for the improvement of the management of the care indicated that the Permanent Education consists of a valuable strategy to the improvement of the management of the care and; Possibilities and weaknesses in the operationalization of the Permanent Education in Health, in which the intention of the nurses was verified in implanting the logic of the Permanent Education in the institution. However, centralized management was pointed out as a factor that hinders this initiative. It is concluded that despite the institutional and professional fragilities, nurses perceive Permanent Education as a potent strategy to improve the management of care and seek to implement it in the service. [ABSTRACT FROM AUTHOR]

Introduction: Decision making (DM) is among the most important abilities for everyday functioning. However, the most widely used measures of DM come from behavioral paradigms, whose ecological validity and standalone use has been criticized in the literature. Though these issues could be addressed by the use of DM questionnaires as a complementary assessment method, no such instruments have been validated for use in Brazilian Portuguese. Therefore, the aim of this study was to conduct the translation and validation of the Melbourne Decision Making Questionnaire (MDMQ) for use in a Brazilian population. Methods: The adaptation of the MDMQ involved the following steps: translation, back-translation, expert review and pilot study. These steps were followed by factor analysis and internal consistency measurements, which led to the exclusion of 4 items from the scale. The 18-item version of the MDMQ was then administered to a validation sample consisting of healthy adults, as well as patients with bipolar disorder (BD) and major depressive disorder (MDD). Results: The instrument displayed good internal consistency, with the hypervigilance subscale showing the lowest, though still acceptable, Cronbach's alpha value. Its factor structure was comparable to that of the original MDMQ according to confirmatory factor analysis. Nevertheless, the MDMQ was sensitive to both depression severity and the presence of MDD and BD, both of which are known to have an impact on DM ability. Conclusion: The version of the MDMQ produced in the present study may be an important addition to neuropsychological assessment batteries with a focus on DM and related abilities. [ABSTRACT FROM AUTHOR]

Objective: To investigate clinical and laboratory characteristics associated with referral of acutely ill older adults to exclusive palliative care. Methods: A retrospective cohort study based on 572 admissions of acutely ill patients aged 60 years or over to a university hospital located in São Paulo, Brazil, from 2009 to 2013. The primary outcome was the clinical indication for exclusive palliative care. Comprehensive geriatric assessments were used to measure target predictors, such as sociodemographic, clinical, cognitive, functional and laboratory data. Stepwise logistic regression was used to identify independent predictors of palliative care. Results: Exclusive palliative care was indicated in 152 (27%) cases. In the palliative care group, in-hospital mortality and 12 month cumulative mortality amounted to 50% and 66%, respectively. Major conditions prompting referral to palliative care were advanced dementia (45%), cancer (38%), congestive heart failure (25%), stage IV and V renal dysfunction (24%), chronic obstructive pulmonary disease (8%) and cirrhosis (4%). Major complications observed in the palliative care group included delirium (p<0.001), infections (p<0.001) and pressure ulcers (p<0.001). Following multivariate analysis, male sex (OR=2.12; 95%CI: 1.32-3.40), cancer (OR=7.36; 95%CI: 4.26-13.03), advanced dementia (OR=12.6; 95%CI: 7.5-21.2), and albumin levels (OR=0.25; 95%CI: 0.17-0.38) were identified as independent predictors of referral to exclusive palliative care. Conclusion: Advanced dementia and cancer were the major clinical conditions associated with referral of hospitalized older adults to exclusive palliative care. High short-term mortality suggests prognosis should be better assessed and discussed with patients and families in primary care settings [ABSTRACT FROM AUTHOR]

Objective: Describe the significance adolescents and their parents attribute to risks during adolescence. Methodology: Qualitative research with a narrative type hermeneutical phenomenological approach. Seven interviews were conducted with adolescents, and 7 independent interviews with parents. Results: Risk is seen by parents and adolescents from four dimensions: Dangers, excesses, aesthetics and morality and history. Conclusion: Risk turned into a narration shows the different shades in which dangers originating from threats (external events) come in and decision-making (personal choices). [ABSTRACT FROM AUTHOR]

This essay analyzes three elections that had unexpected results: the exit of the United Kingdom from the European Union, the rejection of the peace agreement in Colombia and the election of Trump as president of the United States. It emphasizes three aspects: the predictions were made in a situation of uncertainty based on rules or conventions, the campaigns involved strong emotional elements and the results were affected by cultural factors (identity and religious) and not only economic ones. Standard economics omits such factors although it should take them into account. [ABSTRACT FROM AUTHOR]

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