Avalia????o do sistema de gerenciamento de res??duos de servi??os de sa??de

Detalhes bibliográficos
Autor(a) principal: Campos, Fabiana dos Santos Pereira
Data de Publicação: 2015
Tipo de documento: Tese
Idioma: por
Título da fonte: Biblioteca Digital de Teses e Dissertações da Uninove
Texto Completo: http://bibliotecatede.uninove.br/handle/tede/1476
Resumo: The objective of the research was to evaluate the performance of management of health care waste systems in hospitals organizations, in view of their managers. Indicators were created and developed a performance evaluation tool for the management of healthcare waste integrated with environmental management systems, occupational health and safety; to further identify the predominant model RSS management in each organization investigated. We used the method of multiple case study, through exploratory research, qualitative in nature. The main sources of evidence in the triangulation of data were: a semi-structured interview and the identification form the predominant model for assessing the RSS management systems in the hospital; structured questionnaires; documentary research, and direct non-participant observation conducted in selected health organizations. There was a content analysis, which had the category and subcategory dimensions (operational, administrative, environmental and financial) and parameters of the assessment tool proposed. The results indicated that all hospitals need improvement. The operational dimension presented greater relevance, while the financial dimension is the lowest maturity by limitations on resources. All hospitals investigated were classified as organizations with an RSS management, but need improvement. The RSS management goes beyond the implementation of an ideal management system for the proper management of RSS, as it is also necessary that the individual has commitment and values of citizenship and ethics, responsibility and solidarity in the exercise of their daily activities in this process. It is believed that this evaluation can help improve the GRSS, serving as instrumental for managers assess the management system of the RSS, with the support of prevailing models, favoring strategic decisions to improvements in all worked dimensions in an integrated way.
id NOVE_6de5b46789a492993a9a6a687026b626
oai_identifier_str oai:localhost:tede/1476
network_acronym_str NOVE
network_name_str Biblioteca Digital de Teses e Dissertações da Uninove
repository_id_str
spelling Piscopo, Marcos Robertohttp://lattes.cnpq.br/3030110438207215Teixeira, Cl??udia Echevengu??http://lattes.cnpq.br/4341905714307969Piscopo, Marcos Robertohttp://lattes.cnpq.br/3030110438207215Teixeira, Cl??udia Echevengu??http://lattes.cnpq.br/4341905714307969Jo??o, Belmiro do Nascimentohttp://lattes.cnpq.br/5455434263444485Borini, Felipe Mendeshttp://lattes.cnpq.br/6635164249130002Rodrigues, Leonel Cezarhttp://lattes.cnpq.br/9075295558587388http://lattes.cnpq.br/7255349126477004Campos, Fabiana dos Santos Pereira2016-06-23T14:59:55Z2015-11-03Campos, Fabiana dos Santos Pereira. Avalia????o do sistema de gerenciamento de res??duos de servi??os de sa??de. 2015. 259 f. Tese( Programa de P??s-Gradua????o em Administra????o) - Universidade Nove de Julho, S??o Paulo.http://bibliotecatede.uninove.br/handle/tede/1476The objective of the research was to evaluate the performance of management of health care waste systems in hospitals organizations, in view of their managers. Indicators were created and developed a performance evaluation tool for the management of healthcare waste integrated with environmental management systems, occupational health and safety; to further identify the predominant model RSS management in each organization investigated. We used the method of multiple case study, through exploratory research, qualitative in nature. The main sources of evidence in the triangulation of data were: a semi-structured interview and the identification form the predominant model for assessing the RSS management systems in the hospital; structured questionnaires; documentary research, and direct non-participant observation conducted in selected health organizations. There was a content analysis, which had the category and subcategory dimensions (operational, administrative, environmental and financial) and parameters of the assessment tool proposed. The results indicated that all hospitals need improvement. The operational dimension presented greater relevance, while the financial dimension is the lowest maturity by limitations on resources. All hospitals investigated were classified as organizations with an RSS management, but need improvement. The RSS management goes beyond the implementation of an ideal management system for the proper management of RSS, as it is also necessary that the individual has commitment and values of citizenship and ethics, responsibility and solidarity in the exercise of their daily activities in this process. It is believed that this evaluation can help improve the GRSS, serving as instrumental for managers assess the management system of the RSS, with the support of prevailing models, favoring strategic decisions to improvements in all worked dimensions in an integrated way.O objetivo da pesquisa foi avaliar o desempenho dos sistemas de gerenciamento de res??duos de servi??os de sa??de em organiza????es hospitalares, na vis??o de seus gestores. Foram criados indicadores e desenvolvido um instrumento de avalia????o de desempenho do gerenciamento de res??duos de servi??os de sa??de integrado com os sistemas de gest??o ambiental, de sa??de e seguran??a ocupacional; para posteriormente identificar o modelo preponderante de gerenciamento de RSS em cada organiza????o investigada. Utilizou-se o m??todo estudo de casos m??ltiplos, por meio de pesquisa tipo explorat??ria, de natureza qualitativa. As principais fontes de evid??ncia na triangula????o dos dados foram: a entrevista semiestruturada e o formul??rio de identifica????o do modelo preponderante para avalia????o dos sistemas de gerenciamento de RSS no hospital; os question??rios estruturados; a pesquisa documental e a observa????o direta n??o participante realizadas nas organiza????es de sa??de selecionadas. Fez-se uma an??lise de conte??do, que teve como categoria e subcategoria as dimens??es (operacionais, administrativas, ambientais e financeiras) e par??metros do instrumento de avalia????o proposto. Os resultados indicaram que todos os hospitais necessitam de melhorias. A dimens??o operacional apresentou maior relev??ncia, enquanto que a dimens??o financeira ?? a de menor maturidade pelas limita????es dos recursos. Todos os hospitais pesquisados foram classificados como organiza????es que possuem um gerenciamento de RSS, mas necessitam aperfei??oamento. O gerenciamento de RSS vai al??m da implanta????o de um sistema de gest??o ideal para o manejo adequado dos RSS, pois ?? necess??rio tamb??m que o indiv??duo tenha comprometimento e valores de cidadania e ??tica, responsabilidade e solidariedade no exercer de suas atividades cotidianas neste processo. Acredita-se que a presente avalia????o possa auxiliar na melhoria do GRSS, servindo de instrumental para os gestores avaliarem o sistema de gerenciamento dos RSS, com o apoio dos modelos preponderantes, favorecendo decis??es estrat??gicas, para a melhoria de todas as dimens??es trabalhadas de forma integrada.Submitted by Nadir Basilio (nadirsb@uninove.br) on 2016-06-23T14:59:55Z No. of bitstreams: 1 Fabiana Dos Santos Pereira Campos.pdf: 2460024 bytes, checksum: 6317b67817bb3e38ae9a77cb0716aab8 (MD5)Made available in DSpace on 2016-06-23T14:59:55Z (GMT). No. of bitstreams: 1 Fabiana Dos Santos Pereira Campos.pdf: 2460024 bytes, checksum: 6317b67817bb3e38ae9a77cb0716aab8 (MD5) Previous issue date: 2015-11-03application/pdfporUniversidade Nove de JulhoPrograma de P??s-Gradua????o em Administra????oUNINOVEBrasilAdministra????ores??duos de servi??o de sa??degest??o ambientalsa??de e seguran??a do trabalhosistema de gest??o integradaavalia????o de sistemas de gerenciamento de RSSwaste health serviceenvironmental managementhealth and safetyintegrated management systemevaluation RSS management systemsCIENCIAS SOCIAIS APLICADAS::ADMINISTRACAOAvalia????o do sistema de gerenciamento de res??duos de servi??os de sa??deWaste management system of evaluation of health servicesinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/doctoralThesis8024035432632778221600info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da Uninoveinstname:Universidade Nove de Julho (UNINOVE)instacron:UNINOVEORIGINALFabiana Dos Santos Pereira Campos.pdfFabiana Dos Santos Pereira Campos.pdfapplication/pdf2460024http://localhost:8080/tede/bitstream/tede/1476/2/Fabiana+Dos+Santos+Pereira+Campos.pdf6317b67817bb3e38ae9a77cb0716aab8MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-82165http://localhost:8080/tede/bitstream/tede/1476/1/license.txtbd3efa91386c1718a7f26a329fdcb468MD51tede/14762016-06-23 11:59:55.779oai:localhost: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Biblioteca Digital de Teses e Dissertaçõeshttp://bibliotecatede.uninove.br/PRIhttp://bibliotecatede.uninove.br/oai/requestbibliotecatede@uninove.br||bibliotecatede@uninove.bropendoar:2016-06-23T14:59:55Biblioteca Digital de Teses e Dissertações da Uninove - Universidade Nove de Julho (UNINOVE)false
dc.title.por.fl_str_mv Avalia????o do sistema de gerenciamento de res??duos de servi??os de sa??de
dc.title.alternative.eng.fl_str_mv Waste management system of evaluation of health services
title Avalia????o do sistema de gerenciamento de res??duos de servi??os de sa??de
spellingShingle Avalia????o do sistema de gerenciamento de res??duos de servi??os de sa??de
Campos, Fabiana dos Santos Pereira
res??duos de servi??o de sa??de
gest??o ambiental
sa??de e seguran??a do trabalho
sistema de gest??o integrada
avalia????o de sistemas de gerenciamento de RSS
waste health service
environmental management
health and safety
integrated management system
evaluation RSS management systems
CIENCIAS SOCIAIS APLICADAS::ADMINISTRACAO
title_short Avalia????o do sistema de gerenciamento de res??duos de servi??os de sa??de
title_full Avalia????o do sistema de gerenciamento de res??duos de servi??os de sa??de
title_fullStr Avalia????o do sistema de gerenciamento de res??duos de servi??os de sa??de
title_full_unstemmed Avalia????o do sistema de gerenciamento de res??duos de servi??os de sa??de
title_sort Avalia????o do sistema de gerenciamento de res??duos de servi??os de sa??de
author Campos, Fabiana dos Santos Pereira
author_facet Campos, Fabiana dos Santos Pereira
author_role author
dc.contributor.advisor1.fl_str_mv Piscopo, Marcos Roberto
dc.contributor.advisor1Lattes.fl_str_mv http://lattes.cnpq.br/3030110438207215
dc.contributor.advisor-co1.fl_str_mv Teixeira, Cl??udia Echevengu??
dc.contributor.advisor-co1Lattes.fl_str_mv http://lattes.cnpq.br/4341905714307969
dc.contributor.referee1.fl_str_mv Piscopo, Marcos Roberto
dc.contributor.referee1Lattes.fl_str_mv http://lattes.cnpq.br/3030110438207215
dc.contributor.referee2.fl_str_mv Teixeira, Cl??udia Echevengu??
dc.contributor.referee2Lattes.fl_str_mv http://lattes.cnpq.br/4341905714307969
dc.contributor.referee3.fl_str_mv Jo??o, Belmiro do Nascimento
dc.contributor.referee3Lattes.fl_str_mv http://lattes.cnpq.br/5455434263444485
dc.contributor.referee4.fl_str_mv Borini, Felipe Mendes
dc.contributor.referee4Lattes.fl_str_mv http://lattes.cnpq.br/6635164249130002
dc.contributor.referee5.fl_str_mv Rodrigues, Leonel Cezar
dc.contributor.referee5Lattes.fl_str_mv http://lattes.cnpq.br/9075295558587388
dc.contributor.authorLattes.fl_str_mv http://lattes.cnpq.br/7255349126477004
dc.contributor.author.fl_str_mv Campos, Fabiana dos Santos Pereira
contributor_str_mv Piscopo, Marcos Roberto
Teixeira, Cl??udia Echevengu??
Piscopo, Marcos Roberto
Teixeira, Cl??udia Echevengu??
Jo??o, Belmiro do Nascimento
Borini, Felipe Mendes
Rodrigues, Leonel Cezar
dc.subject.por.fl_str_mv res??duos de servi??o de sa??de
gest??o ambiental
sa??de e seguran??a do trabalho
sistema de gest??o integrada
avalia????o de sistemas de gerenciamento de RSS
topic res??duos de servi??o de sa??de
gest??o ambiental
sa??de e seguran??a do trabalho
sistema de gest??o integrada
avalia????o de sistemas de gerenciamento de RSS
waste health service
environmental management
health and safety
integrated management system
evaluation RSS management systems
CIENCIAS SOCIAIS APLICADAS::ADMINISTRACAO
dc.subject.eng.fl_str_mv waste health service
environmental management
health and safety
integrated management system
evaluation RSS management systems
dc.subject.cnpq.fl_str_mv CIENCIAS SOCIAIS APLICADAS::ADMINISTRACAO
description The objective of the research was to evaluate the performance of management of health care waste systems in hospitals organizations, in view of their managers. Indicators were created and developed a performance evaluation tool for the management of healthcare waste integrated with environmental management systems, occupational health and safety; to further identify the predominant model RSS management in each organization investigated. We used the method of multiple case study, through exploratory research, qualitative in nature. The main sources of evidence in the triangulation of data were: a semi-structured interview and the identification form the predominant model for assessing the RSS management systems in the hospital; structured questionnaires; documentary research, and direct non-participant observation conducted in selected health organizations. There was a content analysis, which had the category and subcategory dimensions (operational, administrative, environmental and financial) and parameters of the assessment tool proposed. The results indicated that all hospitals need improvement. The operational dimension presented greater relevance, while the financial dimension is the lowest maturity by limitations on resources. All hospitals investigated were classified as organizations with an RSS management, but need improvement. The RSS management goes beyond the implementation of an ideal management system for the proper management of RSS, as it is also necessary that the individual has commitment and values of citizenship and ethics, responsibility and solidarity in the exercise of their daily activities in this process. It is believed that this evaluation can help improve the GRSS, serving as instrumental for managers assess the management system of the RSS, with the support of prevailing models, favoring strategic decisions to improvements in all worked dimensions in an integrated way.
publishDate 2015
dc.date.issued.fl_str_mv 2015-11-03
dc.date.accessioned.fl_str_mv 2016-06-23T14:59:55Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/doctoralThesis
format doctoralThesis
status_str publishedVersion
dc.identifier.citation.fl_str_mv Campos, Fabiana dos Santos Pereira. Avalia????o do sistema de gerenciamento de res??duos de servi??os de sa??de. 2015. 259 f. Tese( Programa de P??s-Gradua????o em Administra????o) - Universidade Nove de Julho, S??o Paulo.
dc.identifier.uri.fl_str_mv http://bibliotecatede.uninove.br/handle/tede/1476
identifier_str_mv Campos, Fabiana dos Santos Pereira. Avalia????o do sistema de gerenciamento de res??duos de servi??os de sa??de. 2015. 259 f. Tese( Programa de P??s-Gradua????o em Administra????o) - Universidade Nove de Julho, S??o Paulo.
url http://bibliotecatede.uninove.br/handle/tede/1476
dc.language.iso.fl_str_mv por
language por
dc.relation.cnpq.fl_str_mv 8024035432632778221
dc.relation.confidence.fl_str_mv 600
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade Nove de Julho
dc.publisher.program.fl_str_mv Programa de P??s-Gradua????o em Administra????o
dc.publisher.initials.fl_str_mv UNINOVE
dc.publisher.country.fl_str_mv Brasil
dc.publisher.department.fl_str_mv Administra????o
publisher.none.fl_str_mv Universidade Nove de Julho
dc.source.none.fl_str_mv reponame:Biblioteca Digital de Teses e Dissertações da Uninove
instname:Universidade Nove de Julho (UNINOVE)
instacron:UNINOVE
instname_str Universidade Nove de Julho (UNINOVE)
instacron_str UNINOVE
institution UNINOVE
reponame_str Biblioteca Digital de Teses e Dissertações da Uninove
collection Biblioteca Digital de Teses e Dissertações da Uninove
bitstream.url.fl_str_mv http://localhost:8080/tede/bitstream/tede/1476/2/Fabiana+Dos+Santos+Pereira+Campos.pdf
http://localhost:8080/tede/bitstream/tede/1476/1/license.txt
bitstream.checksum.fl_str_mv 6317b67817bb3e38ae9a77cb0716aab8
bd3efa91386c1718a7f26a329fdcb468
bitstream.checksumAlgorithm.fl_str_mv MD5
MD5
repository.name.fl_str_mv Biblioteca Digital de Teses e Dissertações da Uninove - Universidade Nove de Julho (UNINOVE)
repository.mail.fl_str_mv bibliotecatede@uninove.br||bibliotecatede@uninove.br
_version_ 1811016870511247360