scholarly journals Professional practice of dietitians in the Brazilian School Feeding Program: A multiple case study

2017 ◽  
Vol 30 (4) ◽  
pp. 499-510 ◽  
Author(s):  
Patrícia Fernanda Ferreira PIRES ◽  
Anabelle RETONDARIO ◽  
Claudia Choma Bettega ALMEIDA ◽  
Suely Teresinha SCHMIDT ◽  
Marcia Regina BEUX ◽  
...  

ABSTRACT Objective: To assess dietician’s numerical parameters for school feeding and discuss limitations and possibilities for professional practice in the municipalities of Vale do Ivaí, in Northern Paraná, Brazil. Methods: This is a multiple case study. A semi-structured interview was administered to dietitians working at the School Feeding Program in nine cities located in Vale do Ivaí, Paraná, Brazil. Resolution nº 465/2010, from the Brazilian Federal Board of Dietitians, was used to calculate the adequacy of working hours of dietitians. The legistation of the Brazilian School Feeding Program was applied to discuss professional practice. Results: All the cities had at least one dietitian responsible for the School Feeding Program. The percentage of adequate working hours was from 20 to 66%. Some dietitians were involved in management activities, administration, procurement, and accounting, in addition to dietitian assignments for the School Feeding Program. Most dietitians worked in other sectors of the municipalities such as the health system, social assistance, and at events. This practice could compromise compliance of technical activities that must be met by the dietitians of the School Feeding Program. Conclusion: The number of dietitians in most of cities working at School Feeding Program is not sufficient to meet the number of students. The insuficient workload and excessive activities could hinder the development of dietitian’s private activities. The hiring of nutrition and dietitian technicians and administrative assistants for bureaucratic activies is recommended.

2019 ◽  
Vol 21 ◽  
pp. 104-132
Author(s):  
Muhammad Safdar ◽  
Syeda Hina Batool ◽  
Kanwal Ameen ◽  
Abid Hussain ◽  
Fakhar Abbas

This contribution attempts to discuss the current scenario of rare material available in the libraries of Lahore city. Lahore is capital of Punjab province of Pakistan. The study seeks to explore the various aspects such as acquisition, organization, access, preservation & conservation of rare material of libraries of Lahore, Pakistan. The study is qualitative in nature; based on multiple case study design. A multiple case study helps the researchers in finding the differences among cases. Semi-structured interview guide was used as data collection tool. The observation and document analysis of log registers of the cases (libraries) were also done wherever facilitated. It was found that rare collection is underutilized in the libraries of Lahore. Findings also established that separate funds are not allocated to the public libraries of Lahore for acquisition and management of the rare material. This paper identifies the current status and issues in acquisition, management, access and use of rare material at public libraries of Lahore, Pakistan.


2021 ◽  
Author(s):  
◽  
Sara Jane Michaela Quirke

<p>Suboptimal care of acutely unwell ward patients is of growing concern internationally. As empirical study of the problem is underdeveloped this thesis explores factors affecting suboptimal care of acutely unwell ward patients. In order to bring a theoretical understanding to this area, a concept analysis of the term suboptimal care was undertaken. The results of this concept analysis were then used to inform the design and analysis of this multiple case study. The cases for this study were two general surgical and two general medical wards located in two hospitals in the North Island of New Zealand. Interviews and focus groups with nurses, doctors, and managerial staff were undertaken using a semi structured interview approach informed by the concept analysis. Organisational and ward documentation was also reviewed. Using categorical aggregation and pattern matching, an analytical framework emerged from the data. This framework was then used to conduct within, cross case, and hospital analyses. Key findings of this research reveal that workload, teamwork, communication, leadership, skills and knowledge deficit, and organisational systems and processes are significant factors affecting care of acutely unwell ward patients and that these factors are not unique to specific contexts. Polarised views about workload were expressed by those who manage organisations and those who deliver care at ward level. Current approaches to improving care of the acutely unwell ward patient have involved the introduction of service initiatives. However, this study demonstrates that service initiatives alone are insufficient to improve care for acutely unwell ward patients. Recommendations from this study are that strategies should be put in place to support and develop clinical shift leaders and that staffing resources should be reviewed in the context of contemporary acute care settings. These must be informed by the views of organisational managers and ward staff leading to an integrated hospital-wide understanding of factors affecting care of the acutely unwell ward patient.</p>


Author(s):  
Ana Catarina Nunes da Silva ◽  
António Branco Vasco ◽  
Jeanne C. Watson

Alexithymia has been associated with poor outcomes in psychotherapy. This association has been attributed to a difficulty in patients expressing emotions, engaging in emotional tasks and also poor therapeutic alliances. This study aims to better understand alexithymic patients in psychotherapy. A multiple case study design was used. Cases were selected from a larger research project considering their alexithymia level and outcome status, based on the reliable change index and the client perspective on change. Four cases are presented: with and without alexithymia with good and poor outcome. The therapeutic alliance was included as a process measure, evaluated from both client and therapist. At the end a semi structured interview was conducted with both participants, individually. The analysis concerned the integration and triangulation of the therapist and client experience for each case. Each patient was briefly presented and then a focus was made regarding the perception of both participants on the therapeutic alliance and the emotional processing and change process of the client. Both alexithymic cases and the non-alexithymic poor outcome case showed difficulties in the therapeutic alliance, especially from the perspective of the therapist. In these cases, emotional impairments may have contributed to a poor therapeutic alliance, impacting on the outcome. We suggest that a great focus on the therapeutic alliance with alexithymic patients may increase the quality of treatment and it may be more useful for case conceptualization to consider each feature of the alexithymia construct individual.


2021 ◽  
Author(s):  
◽  
Sara Jane Michaela Quirke

<p>Suboptimal care of acutely unwell ward patients is of growing concern internationally. As empirical study of the problem is underdeveloped this thesis explores factors affecting suboptimal care of acutely unwell ward patients. In order to bring a theoretical understanding to this area, a concept analysis of the term suboptimal care was undertaken. The results of this concept analysis were then used to inform the design and analysis of this multiple case study. The cases for this study were two general surgical and two general medical wards located in two hospitals in the North Island of New Zealand. Interviews and focus groups with nurses, doctors, and managerial staff were undertaken using a semi structured interview approach informed by the concept analysis. Organisational and ward documentation was also reviewed. Using categorical aggregation and pattern matching, an analytical framework emerged from the data. This framework was then used to conduct within, cross case, and hospital analyses. Key findings of this research reveal that workload, teamwork, communication, leadership, skills and knowledge deficit, and organisational systems and processes are significant factors affecting care of acutely unwell ward patients and that these factors are not unique to specific contexts. Polarised views about workload were expressed by those who manage organisations and those who deliver care at ward level. Current approaches to improving care of the acutely unwell ward patient have involved the introduction of service initiatives. However, this study demonstrates that service initiatives alone are insufficient to improve care for acutely unwell ward patients. Recommendations from this study are that strategies should be put in place to support and develop clinical shift leaders and that staffing resources should be reviewed in the context of contemporary acute care settings. These must be informed by the views of organisational managers and ward staff leading to an integrated hospital-wide understanding of factors affecting care of the acutely unwell ward patient.</p>


2016 ◽  
Vol 36 (2) ◽  
pp. 55-72 ◽  
Author(s):  
Daniela M. de Oliveira Beltrame ◽  
Camila Neves Soares Oliveira ◽  
Teresa Borelli ◽  
Raquel de Andrade Cardoso Santiago ◽  
Estelamaris Tronco Monego ◽  
...  

The Brazilian Food Procurement Program (PAA) and the National School Feeding Program (PNAE) were identified by the GEF-funded Biodiversity for Food and Nutrition Project (BFN)¹ as policy instruments with the greatest potential for diversifying institutional food procurement and improving diets while supporting family farming. This paper discusses the opportunities identified for mainstreaming biodiversity through PAA and PNAE, targeted activities undertaken as well as two case studies. The first case study presents findings linked to the implementation of the PNAE in quilombola communities in Goiás, while the second describes results of the inclusion of Juçara fruits (Euterpe edulis Mart.) in school meals in São Paulo. The paper concludes by highlighting some of the key barriers to better biodiversity mainstreaming and institutional food procurement together with some recommendations.


2020 ◽  
Vol 51 (7-8) ◽  
pp. 597-615
Author(s):  
Theodore T. Bartholomew

To understand mental illness in cultural contexts, research should focus on locally informed concepts of illness and the lived experiences of such conditions. Understanding mental illness, its prevalence, and its influence on people’s lives in Namibia represents one such context where attention to the lived experience of mental illness remains understudied. The purpose of the current study was to build upon ethnographic findings about mental illness as madness ( eemwengu) among the Namibian Aawambo. To that end, a multiple case study design was used to explore the lived experience of being omunanamwengu (the mad one). Data were collected from four cases that were bound by the experience of mental illness. Within each case, the individual experiencing illness ( omunanamwengu), family members, and both omunanamwengu and family members were interviewed formally (via a semi-structured interview protocol) or informally due to participants’ preferences for not being recorded. Using Stake’s suggested approach to multiple-case study cross-case analysis, each individual case is described and cross-case themes (Development and Symptoms of Mental Illness; Marginalization and Omunanamwengu; Family Roles in the Lives of the Distressed and Eemwengu; Belief in Treatment) were identified. Findings are discussed in light of the role of beliefs in treatment as well as family involvement, the potential influence of discrimination on mental illness, and implications for practice and cross-cultural psychology.


Author(s):  
Earl Jones Muico

This multiple case study explored the views and insights of Teachers who use Youtube videos in their class. The researcher formulated questions to collect data which was followed by the analysis of results. This research can be an avenue to discover the emerging revelations of teachers in their use of Youtube videos. The study employed the qualitative analysis using the multiple case study method. The participats were identified through purposive sampling. There were 3 participants which served as the primary source of data. The researcher interviewed the participants and the data gathered was generated through a semi-structured interview using validated interview questions as instruments. Transcripts of interviews were analyzed through thematic analysis. The result revealed that participants embraced the differences of their perspective to cope with their experiences. The themes that were generated are the following themes: Improvement, Easy access, Abundance of resource, Supplement, Appropriate, Interest, Time Frame and Familiarity, Motivation and Active learning.


2021 ◽  
Vol 23 (2) ◽  
pp. e1665
Author(s):  
Monalisa Pereira Furtado ◽  
Celina Maria Colino Magalhães ◽  
Agnes de Maria Júnior da Silva ◽  
Juliana Oliveira dos Santos

The current multiple case study was performed in the context of institutional sheltering, it aimed at identifying the perception children have about the sheltering process. Four children that were sheltered in a state shelter located in the north region of Brazil participated in this study. For the data collection were used: questionnaires for social demographic characterization, semi structured interview, drawings, and field diary. The main results indicated: 1) the children are aware of where they are and the reason for sheltering; 2) They report understanding the leisure and basic care activities as positive points of the institution; 3) as negative aspects they highlight the aggressiveness among the children, and the absence of family members. The current study presents the possibility to establish dialog with the children, taking their opinions into consideration, for they are capable of understanding and giving insight about their own situation.


Author(s):  
Shahizan Md. Noh ◽  
Zurina Shafii ◽  
Ainulashikin Marzuki ◽  
Faiezatul Syima Zainal Abidin

This paper aims to identify the competency components of Islamic legacy planners in the event of post COVID-19 pandemic crisis in Malaysia. A qualitative approach using a multiple-case study through semi-structured interview was used. Data was gathered from a representative of full-fledged Islamic trust companies in Malaysia on what constitute as required competency components for Islamic legacy planners. In total, 4 interviews have been performed involving the decision-makers as well as c-level executives of the participating companies. It is found that there are non-standardised guidelines on recruitment of Islamic legacy planners. The majority of the respondents within the group have also chosen fiqh mawarith as the main knowledge to be acquired besides knowledge in product and solution, law and regulations. The results of this study have practical contributions to the regulatory bodies, academicians and professionals. The competency framework is recommended to the industry players in pooling competent talents in the Islamic legacy planning industry. In spite of its limitation to confine only to the full-fledged Islamic trust companies, it sheds light on competency issues within the Islamic organisations. The study would contribute to the practitioners as a guideline in recruiting their Islamic legacy planners and also for succession planning purposes. A competency model for Islamic legacy planners was proposed focusing on several components that can be used as guidance in determining the criteria needed for a competent Islamic legacy planner, which is a new dimension for Islamic legacy planning literature. The sub-objective of determining the elements of competency, as well as understanding the current practice of recruiting the Islamic legacy planners became the input in the moulding of the competency framework.


2021 ◽  
Vol 3 (2) ◽  
pp. 1801-1821
Author(s):  
Luiz de Freitas Ayres ◽  
Maria Sameiro Faria Brandão Soares Carvalho ◽  
Paulo Alexandre da Costa Araújo Sampaio ◽  
Antonio Henriques de Araujo Junior

Original Equipment Manufacturers (OEMs), when focusing on their core business, outsource non-essential processes to their supplier base, a strategy that makes them dependent on their suppliers’ performance. The purpose of this paper is to propose a practical roadmap based on the post-relevant supplier development practices, barriers to be avoided by the managers, and critical success factors identified by the literature reviewed and in five Brazilian companies in the automotive segment. Although supplier development (SD) is widely acknowledged, there is no roadmap to guide the organizational managers when applying it. The roadmap aims to direct managers' activities when developing their suppliers to obtain better results. The method used was a qualitative research and its strategy was a multiple case study with an exploratory character. Data collection was obtained through a semi-structured interview. The research identified 17 relevant practices of supplier development. These practices of supplier development identified by the literature reviewed, coupled with the manager's speech, have enabled the researcher to figure out an empirical roadmap to assist organizational managers in planning and conducting development actions on their supplier base in a structured manner. The results obtained by the managers' speech indicated that OEMs want creative and innovative solutions from their suppliers to be applied to the new generations of their vehicles, far beyond the products or services usually delivered until now. Another important result for the successful supplier development was the top team’s commitment to implement the changes resulting from development practices combined with a preventive rather than corrective posture.


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