Abstract Objective: To analyze the existing state legislation, including not only the ordinary laws, but also their infralegal regulation and the state legislation on Hospital Dentistry. Material and Methods: A survey was carried out in the databases of the Legislative Assemblies of the Brazilian States and the Federal District, as well as the Regional and Federal Councils of Dentistry in Brazil. Subsequently, a survey was carried out in the databases of the Ministry of Health, State Dental Councils and Federal Dental Council in Brazil. Results: Only 8 Brazilian states have legislation in force regarding hospital dentistry, which represents 29.63% of the federative units. Among the Brazilian regions, the Midwest presented the highest prevalence of the laws found (37.50%), followed by the North (25%) and the other regions with the same coverage (12.50%). Also, an orientation and an ordinance from the Ministry of Health, six resolutions from the Federal Council of Dentistry, and a technical note from the National Health Surveillance Agency were found. Conclusion: Several States do not have rules on the subject, making it imperative to create a federal rule that not only imposes the presence of the dentist, but also regulates the proportion of the team, workload, and availability.

This work, in dialogue with the theoretical-methodological assumptions of the Dialogical Perspective of Language, developed by the Bakhtin Circle (BAKHTIN, 2008 [1963]; VOLOCHINOV [1920] (2017), aims to present an analysis of statements in the commentary genre online regarding the video “How to put together a curriculum for Homeschooling”, part of the YouTube channel entitled “Canal Educalar. “Homeschooling”, conceptualized in this work as domestic schooling (PENNA, 2019; TRAVERSINNI and LOCKMANN, 2022), is a phenomenon educational system in which the right of the family to replace, in the domestic space, the formal schooling commonly carried out in the school space is claimed. This phenomenon gained prominence for being affiliated with the neoliberal and conservative assumptions disseminated throughout the Bolsonaro government (2018-2022). Thus, the analysis of the 41 comments, present in the video, was based on the methodological paths present in Volochínov (2017) , Rodrigues (2005) and Remenche and Rohling (2016) , in which we focused on observing, firstly, the social dimension of the online comment genre to later analyze the verbal dimension. From the analysis of the comments, we noticed the derogatory construction of the school space as a space harmful to the student's development, as well as the discursivization of homeschooling as a possibility of protecting diversity social and students with specific educational needs. The link to neoliberal and conservative projects was also present, as responsive attitudes of positive valuation to such discursivities. Furthermore, in linguistic materiality, there was the use of derogatory emojis in relation to the school, which highlights the socio-communicative potential of the genre in the evaluative accent of the statement.

Este trabalho, em diálogo com os pressupostos teórico-metodológicos da Perspectiva Dialógica da Linguagem, elaborada pelo Círculo de Bakhtin (BAKHTIN, 2008 [1963]; VOLOCHINOV [1920] (2017), destina-se a apresentar uma análise de enunciados do gênero comentário online a respeito do vídeo “Como montar um currículo para Homeschooling”, integrante do canal de Youtube intitulado “Canal Educalar. O “Homeschooling”, conceituado neste trabalho como escolarização doméstica (PENNA, 2019; TRAVERSINNI e LOCKMANN, 2022), é um fenômeno educacional em que se reclama o direito de a família substituir, no espaço doméstico, a escolarização formal realizada comumente no espaço escolar. Tal fenômeno ganhou destaque por filiar-se aos pressupostos neoliberais e conservadores difundidos ao longo do governo Bolsonaro (2018-2022).  Desse modo, a análise dos 41 comentários, presentes no vídeo, pautou-se nos percursos metodológicos presentes em Volochínov (2017) , Rodrigues (2005)  e Remenche e Rohling (2016) , em que nos debruçamos a observar, primeiramente, a dimensão social do gênero comentário online para, posteriormente, analisarmos a dimensão verbal.A partir da análise dos comentários, percebeu-se a construção depreciativa do espaço escolar como um espaço prejudicial ao desenvolvimento do aluno, bem como a discursivização do homeschooling como possibilidade de proteção à diversidade social e a alunos com necessidades educacionais específicas. Mostrou-se presente, também, a vinculação aos projetos neoliberais e conservadores, como atitudes responsivas de valoração positiva a tais discursividades. Além disso, na materialidade linguageira, houve o uso de emojis depreciativos em relação à escola, o que evidencia o potencial sociocomunicativo do gênero no acento valorativo do enunciado.

Abstract Objective To assess the efficacy, safety, and acceptability of misoprostol in the treatment of incomplete miscarriage. Data sources The PubMed, Scopus, Embase, Web of Science, Cochrane Library, and Clinical Trials databases (clinicaltrials.gov) were searched for the relevant articles, and search strategies were developed using a combination of thematic Medical Subject Headings terms and text words. The last search was conducted on July 4, 2022. No language restrictions were applied. Selection of studies Randomized clinical trials with patients of gestational age up to 6/7 weeks with a diagnosis of incomplete abortion and who were managed with at least 1 of the 3 types of treatment studied were included. A total of 8,087 studies were screened. Data collection Data were synthesized using the statistical package Review Manager V.5.1 (The Cochrane Collaboration, Oxford, United Kingdom). For dichotomous outcomes, the odds ratio (OR) and 95% confidence interval (CI) were derived for each study. Heterogeneity between the trial results was evaluated using the standard test, I2 statistic. Data synthesis When comparing misoprostol with medical vacuum aspiration (MVA), the rate of complete abortion was higher in the MVA group (OR = 0.16; 95%CI = 0.07–0.36). Hemorrhage or heavy bleeding was more common in the misoprostol group (OR = 3.00; 95%CI = 1.96–4.59), but pain after treatment was more common in patients treated with MVA (OR = 0.65; 95%CI = 0.52–0.80). No statistically significant differences were observed in the general acceptability of the treatments. Conclusion Misoprostol has been determined as a safe option with good acceptance by patients.

Resumo Objetivo Avaliar a eficácia, segurança e aceitabilidade do misoprostol no tratamento do aborto incompleto. Fontes de dados Os bancos de dados PubMed, Scopus, Embase, Web of Science, Cochrane Library e bancos de dados de Ensaios Clínicos (clinicaltrials.gov) foram pesquisados para os artigos relevantes, e estratégias de busca foram desenvolvidas usando uma combinação de termos temáticos de Medical Subject Headings e palavras de texto. A última pesquisa foi realizada em 4 de julho de 2022. Nenhuma restrição de idioma foi aplicada. Seleção dos estudos Foram incluídos ensaios clínicos randomizados com pacientes com idade gestacional até 6/7 semanas com diagnóstico de aborto incompleto e que foram manejadas com pelo menos um dos três tipos de tratamento estudados. Um total de 8.087 estudos foram selecionados. Coleta de dados Os dados foram sintetizados usando o pacote estatístico Review Manager V.5.1 (The Cochrane Collaboration, Oxford, United Kingdom). Para resultados dicotômicos, o odds ratio (OR, na sigla em inglês) e o intervalo de confiança (IC) de 95% foram derivados para cada estudo. A heterogeneidade entre os resultados do ensaio foi avaliada usando o teste padrão, estatística I2. Síntese dos dados Ao comparar misoprostol com aspiração a vácuo médico (MVA, na sigla em inglês), a taxa de aborto completo foi maior no grupo MVA (OR = 0,16; IC95% = 0,07–0,36). Hemorragia ou sangramento intenso foi mais comum no grupo do misoprostol (OR = 3,00; 95%CI = 1,96–4,59), mas a dor após o tratamento foi mais comum em pacientes tratados com MVA (OR = 0,65; 95%CI = 0,52–0,80). Não foram observadas diferenças estatisticamente significativas na aceitabilidade geral dos tratamentos. Conclusão O misoprostol tem se mostrado uma opção segura e com boa aceitação pelos pacientes.

Abstract The complexity of the problems related to the harmful use of substances requires regular questioning of practices. This article aims to explore the acceptability and applicability of an intervention programme for patients with problematic substance use. Qualitative study. Data collection, through a focus group with 6 nurses and 6 semi-structured interviews with patients under treatment. We have used lexicographic textual analysis. From the focus group, 151 text segments were analysed, retaining 85.8% of the total for the creation of five classes. An analysis of similarity led to the formation of two central nuclei, represented by the words “Nursing” and “Intervention”. From interviews, 252 text segments were analysed, retaining 71.83% for the creation of 5 classes. An analysis of similarity led to the formation of three central nuclei, represented by the words “want”, “programme” and “see”. Nurses recognise the need for a more structured and flexible approach focused on people’s needs. Users also affirm the need for flexible interventions, without a pre-established time frame, that promote labour integration, therapeutic support for abstinence and management of comorbidities.

Resumo A complexidade dos problemas relacionados com o uso problemático de substâncias requer questionamento regular das práticas. O objetivo deste artigo é explorar a aceitabilidade e a aplicabilidade de um programa de intervenção com pessoas dependentes de substâncias. Estudo qualitativo. Recolha de dados, realizada através de 1 grupo focal com 6 enfermeiros e 6 entrevistas semiestruturadas a usuários em tratamento. Utilizou-se à análise textual lexicográfica. No grupo focal, foram analisados 151 segmentos de texto, retendo 85,8% do total para a criação de cinco classes. A análise de similitude conduziu à formação de dois núcleos centrais, representados pelas palavras: Enfermeiro e Intervenção. Das entrevistas, foram analisados 252 segmentos de texto, retendo 71,83% para a criação de 5 classes. A análise de similitude conduziu à formação de três núcleos centrais, representados pelas palavras: querer, programa e ver. Os enfermeiros reconhecem a necessidade de uma abordagem mais estruturada, centrada nas necessidades das pessoas e flexível. Os usuários, acrescentam a necessidade de ser flexível, sem tempo definido à partida, promovendo trabalho, suporte terapêutico para abstinência e gestão das comorbilidades.

Abstract Supported by Chou’s Octalysis Framework (2016) in the design of activities, this article investigates how Octalysis framework-based reading and writing activities can be conducive to foster the learning of reading and writing in English as a Foreign Language by primary education pupils in a collaborative project-based learning context. A case study was carried out in a third-grade classroom in a Portuguese private school. The sessions, developed in face-to-face and online modes, were organized according to pupils’ answers to a questionnaire - to identify their learning preferences. Qualitative data, collected through sessions’ audio and video recordings, pupils’ assignments, group assessments, and cloze tests became the basis of this paper. Results revealed that pupils were motivated and engaged in performing reading and writing tasks, having improved their reading and writing skills, and also promoted the development of social and cognitive soft skills.

Resumen Apoyado en el modelo Octalysis (2016) en el diseño de actividades, este artículo analiza como las actividades de lectura y escritura pueden ser provechosas para fomentar aprendizajes de lectura y escritura en inglés, como lengua extranjera, por alumnos del 3º año en contexto de aprendizaje colaborativa basada en proyectos en la resolución de problemas en colaboración. Fue realizado un estudio de caso en una escuela privada portuguesa. Las sesiones, presenciales y online, fueron organizadas según las respuestas de los alumnos a un cuestionario, para identificar preferencias en el aprendizaje. Los dados cualitativos, recogidos en grabaciones audiovisuales de las sesiones, trabajos de los alumnos, heteroevaluaciones y testClozese volvieron la base de este trabajo. Los resultados revelaron que los alumnos que estaban motivados y empeñados en las actividades de lectura y escritura, mejoraban sus capacidades de lectura y escritura y promovieron el desenvolvimiento de competencias sociales y cognitivas.

Resumo Apoiado no modelo Octalysis (2016) na conceção das atividades, este artigo analisa como as atividades de leitura e escrita podem ser conducentes a fomentar as aprendizagens da leitura e escrita em inglês língua estrangeira por alunos do 3º ano em contexto de aprendizagem colaborativa baseada em projetos na resolução de problemas. Foi realizado um estudo de caso numa escola privada portuguesa. As sessões, presenciais e on-line, foram organizadas de acordo com as respostas dos alunos a um questionário, para identificar preferências na aprendizagem. Os dados qualitativos, recolhidos em gravações audiovisuais das sessões, trabalhos dos alunos, heteroavaliações e testes Cloze tornaram-se a base deste trabalho. Os resultados revelaram que os alunos estavam motivados e empenhados nas atividades de leitura e escrita, tendo melhorado as suas capacidades de leitura e escrita e promovido o desenvolvimento de competências sociais e cognitivas.

Abstract The complexity of the problems related to the harmful use of substances requires regular questioning of practices. This article aims to explore the acceptability and applicability of an intervention programme for patients with problematic substance use. Qualitative study. Data collection, through a focus group with 6 nurses and 6 semi-structured interviews with patients under treatment. We have used lexicographic textual analysis. From the focus group, 151 text segments were analysed, retaining 85.8% of the total for the creation of five classes. An analysis of similarity led to the formation of two central nuclei, represented by the words “Nursing” and “Intervention”. From interviews, 252 text segments were analysed, retaining 71.83% for the creation of 5 classes. An analysis of similarity led to the formation of three central nuclei, represented by the words “want”, “programme” and “see”. Nurses recognise the need for a more structured and flexible approach focused on people’s needs. Users also affirm the need for flexible interventions, without a pre-established time frame, that promote labour integration, therapeutic support for abstinence and management of comorbidities.

Resumo A complexidade dos problemas relacionados com o uso problemático de substâncias requer questionamento regular das práticas. O objetivo deste artigo é explorar a aceitabilidade e a aplicabilidade de um programa de intervenção com pessoas dependentes de substâncias. Estudo qualitativo. Recolha de dados, realizada através de 1 grupo focal com 6 enfermeiros e 6 entrevistas semiestruturadas a usuários em tratamento. Utilizou-se à análise textual lexicográfica. No grupo focal, foram analisados 151 segmentos de texto, retendo 85,8% do total para a criação de cinco classes. A análise de similitude conduziu à formação de dois núcleos centrais, representados pelas palavras: Enfermeiro e Intervenção. Das entrevistas, foram analisados 252 segmentos de texto, retendo 71,83% para a criação de 5 classes. A análise de similitude conduziu à formação de três núcleos centrais, representados pelas palavras: querer, programa e ver. Os enfermeiros reconhecem a necessidade de uma abordagem mais estruturada, centrada nas necessidades das pessoas e flexível. Os usuários, acrescentam a necessidade de ser flexível, sem tempo definido à partida, promovendo trabalho, suporte terapêutico para abstinência e gestão das comorbilidades.

Abstract The demands of high-quality zucchini fruits by the consumer market make studies regarding the improvement of cultivation systems, such as plant nutrition and salinity tolerance. Considering the demands of the consumer market for the high quality of zucchini fruits, it is necessary studies regarding the improvement of production systems for this improvement, such as nutrition and salinity tolerance to plant. Thus, this study aimed to evaluate the zucchini fruits quality characteristics, grown in soilless, under N:K ratios, and levels of electrical conductivity of the nutrient solution. The experiment was conducted in a protected environment in pots with 8.2 dm3 of volumetric capacity filled with commercial substrate. The trial design adopted was randomized blocks, with three replicates, in a 5x3 factorial scheme, with five levels of electrical conductivity (1.0; 2.0; 3.0; 4.0; and 5.0 dS m-1) and three N:K ratios (2:1; 1:1; and 1:2), both in the nutrient solution. The application of the nutrient solution was by fertigation through drip irrigation. Throughout the experiment, variables related to fruit quality and total plant biomass production were analyzed. The increase of the electrical conductivity in the nutrient solution provided an increase in the values of fruits organoleptic properties. Regarding the nutrient solution N:K ratios, the 1:2 ratio provided larger fruits and a higher percentage of water.

Abstract The aim of this study was to investigate uterine involution using ultrasonography techniques during postpartum. Postpartum ultrasonography evaluation (B-mode, color Doppler and Acoustic Radiation Force Impulse elastography) of the uterus was performed by transabdominal approach at immediate after birth and sequentially every 48 hours, during 30 days. The uterine echotexture did not present significant variations (P >0.05) being homogeneous in most evaluations; echogenicity of the uterus increased along the evaluation period (P =0.0452). Progressive and remarkable decrease of the total uterine diameter (UD) were observed (P <0.0001), especially during the first days postpartum. The thickness of uterine wall gradually decreased, as well the endometrial, myometrium and lumen diameters (P <0.0001). Uterine blood flow was assessed by Doppler and decreased during postpartum period, being significantly lower (P=0.0225) on the 30th day of postpartum. Uterine parenchyma presented as homogeneous dark areas (not deformable) on qualitative ultrasound elastography and the means shear velocity values of the uterine wall on quantitative elastography did not differ. This is the first study that evaluate the stiffness of uterine wall in healthy ewes, providing baseline data about quantitative and qualitative stiffness of the normal uterus, and it may be a useful tool for early diagnosis of uterine alterations during the postpartum period, using the reference parameter established for the assessment of uterine integrity during postpartum period.

SUMMARY OBJECTIVE: The objective of this study was to determine adverse maternal and perinatal outcomes in pregnant women with hypertensive disorders of pregnancy. METHODS: An analytical cross-sectional study was conducted on women admitted with hypertensive disorders of pregnancies to a university maternity hospital from August 2020 to August 2022. Data were collected using a pretested structured questionnaire. Variables associated with adverse maternal and perinatal outcomes were compared using multivariable binomial regression. RESULTS: Of 501 women with pregnancies, 2, 35, 14, and 49% had eclampsia, preeclampsia, chronic hypertension, and gestational hypertension, respectively. Women with preeclampsia/eclampsia had significantly higher risks of cesarean section (79.4 vs. 65%; adjusted RR, 2,139; 95%CI, 1,386–3,302; p=0.001) and preterm delivery at <34 weeks’ gestation (20.5 vs. 6%; adjusted RR, 2.5; 95%CI, 1.19–5.25; p=0.01) than those of women with chronic/gestational hypertension. Risks of prolonged maternal hospitalization (43.9 vs. 27.1%), neonatal intensive care unit admission (30.7 vs. 19.8%), and perinatal mortality (23.5 vs. 11.2%) were higher among women with preeclampsia/eclampsia. CONCLUSIONS: Women with preeclampsia/eclampsia had a higher risk of adverse maternal and neonatal outcomes than those with chronic or gestational hypertension. This major maternity care center requires strategies for preventing and managing preeclampsia/eclampsia to improve pregnancy outcomes.

Resumo Contexto: Na saúde, a satisfação com os cuidados recebidos é um indicador relevante para a qualidade e é fundamental para a adesão terapêutica dos utentes. Objetivos: Caraterizar a satisfação com os cuidados de enfermagem numa população atendida por enfermeiros num programa de suporte medicamentoso para pessoas dependentes de substâncias. Métodos: Estudo quantitativo, observacional de corte transversal. Amostra de conveniência acedida em janeiro 2019. Elaborou-se um questionário para caraterização sociodemográfica e psicossocial, e utilizada a “Escala da satisfação dos utentes com os cuidados de enfermagem no centro de saúde”, com 22 itens [resposta entre 0-66], que avaliam a satisfação em 6 dimensões (Qualidade na assistência; Envolvimento do utente; Formalização da informação; Promoção de elo de ligação; Informação de recursos; Individualização da informação). Obteve-se o parecer positivo de uma comissão de ética. Resultados: Participaram 181 (n) pessoas. Obteve-se um Alpha de Cronbach da escala, de 0,892. A média apurada foi 59,36 dp=8,19 [23-66]. A subescala que revelou maior índice de satisfação foi “Individualização da informação” (itens relacionados com explicação da informação, de forma compreensível, por parte dos enfermeiros, assim como garantir que o utente percebeu a informação). Com menor índice de satisfação “Informação de recursos” (preocupação em envolver os familiares, informação sobre utilização de outros recursos disponíveis ou serviços de saúde). Conclusões: A satisfação é elevada, sendo a maior dificuldade apontada à inclusão de outros agentes no processo de acompanhamento e a informação de outros recursos disponíveis. Os resultados mantêm aberta a discussão sobre a melhor forma de fazer investigação sobre satisfação.

Abstract Background: In health, satisfaction with received care is a relevant indicator for quality and is fundamental for the users' therapeutic adherence. Aim: To characterize satisfaction with nursing care in a population attended by nurses in a medication-based support program for people dependent on substances. Methods: Quantitative, observational cross-sectional study. Convenience sample accessed in January 2019. A questionnaire was designed for sociodemographic and psychosocial characterization and the “User satisfaction scale with nursing care at the health center” was used, with 22 items [answer between 0-66], that assess satisfaction in 6 dimensions (Quality of care; User involvement; Formalization of Information; Promotion of a link; Information of resources; Individualization of information). Positive opinion of an ethics committee was obtained. Results: 181 (n) people participated. A Cronbach's Alpha of 0.892 was obtained. The mean found was 59.36 SD = 8.19 [23-66]. The subscale that showed the highest level of satisfaction was “Individualization of information” (items related to explanation of information in an understandable way by nurses, as well as ensuring that the user perceived the information). With lower satisfaction index “Resource information” (concern with involving family members, information on the use of other available resources or health services). Conclusions: Satisfaction is high, with the greatest difficulty being the inclusion of other agents in the monitoring process and information about other available resources. The results keep open the discussion about the best way to do research on satisfaction.

Resumo Este artigo tem como objetivo medir o desenvolvimento do estado de Minas Gerais sob a abordagem das capacitações. Para tal, foi elaborado e calculado um Índice de Ausência de Privação sob duas óticas para as mesorregiões e municípios do estado: municipal e de esforço orçamentário; e domiciliar. Os resultados de ambos os índices indicaram um forte antagonismo, com maior vulnerabilidade do norte e maior desenvolvimento do sul do estado, o qual é intensificado quando as privações são observadas a partir dos índices de bem-estar domiciliares. Ademais, foi possível observar maior desigualdade intrarregional na perspectiva municipal e maior desigualdade inter-regional na perspectiva domiciliar.

Abstract This article aims to measure the development of the state of Minas Gerais under the capabilities approach. To this end, an Absence of Deprivation Index was elaborated and calculated from two perspectives for the state's mesoregions and municipalities: municipal and budgetary effort, and household. The results of both indexes indicated a strong antagonism, with greater vulnerability in the north and greater development in the south of the state, which is intensified when deprivations are observed from the rates of household well-being. Moreover, it was possible to observe greater intraregional inequality from the municipal perspective and greater inter-regional inequality from the household perspective.

Resumo A punção lombar é comumente realizada em Pediatria. Complicações frequentes associadas a este procedimento incluem cefaleia e dor ligeira no local da punção. Outras complicações, como coleção epidural de líquor, raramente são descritas em crianças e adolescentes. Os autores apresentam o caso clínico de uma adolescente com coleção epidural de líquor sintomática após a realização de uma punção lombar não traumática. É descrito o diagnóstico (incluindo achados na ressonância magnética), tratamento, curso clínico e prognóstico associado à coleção epidural de líquor.

Abstract Lumbar puncture is commonly performed in Pediatrics. Common complications include headache and mild pain at the puncture site. Uncommon complications after the procedure, such as epidural cerebrospinal fluid collection, have rarely been described in children and adolescents. The authors present the clinical report of an adolescent with symptomatic epidural cerebrospinal fluid collection following a non-traumatic lumbar puncture. Diagnosis (including magnetic resonance imaging findings), treatment, clinical course, and prognosis associated with epidural cerebrospinal fluid collection are reported.

RESUMO Objetivos: descrever o clima organizacional percebido pelos enfermeiros de um hospital vinculado à Empresa Brasileira de Serviços Hospitalares e os motivos de intenção de rotatividade. Métodos: mistos, do tipo triangulação concomitante. Dados qualitativos analisados segundo o Discurso do Sujeito Coletivo; e dados quantitativos, análise descritiva, correlação de Pearson e regressão linear múltipla. A coleta de dados ocorreu mediante entrevista semiestruturada com 116 enfermeiros. Resultados: os discursos foram apresentados em cinco categorias: Apoio da chefia e organização; Recompensa; Conforto físico; Controle/pressão; e Coesão entre os colegas. Evidenciou-se que, com aumento do fator Recompensa, há uma diminuição da intenção de rotatividade; e, com a diminuição do Conforto físico, há um aumento da intenção de rotatividade. Conclusões: o clima organizacional percebido pelos enfermeiros encontra-se dicotomizado, e a intenção de rotatividade foi justificada, principalmente, por motivos pessoais. Acredita-se que isso decorra dos recentes processos de reorganização institucional e contratação de pessoal vivenciados.

ABSTRACT Objectives: to describe the organizational climate perceived by nurses of a hospital linked to the Brazilian Hospital Services Company and the reasons for the turnover intention. Methods: mixed, concomitant triangulation type. Qualitative data were analyzed according to the discourse of the collective subject, in addition to quantitative data analysis, descriptive analysis, Pearson correlation, and multiple linear regression. Data collection was carried through a semi-structured interview with 116 nurses. Results: the study presented the speeches in five categories: Leadership and organization support; Reward; Physical comfort; Control/pressure; and Cohesion among colleagues. It showed that, with increased Reward factor, there is a decrease in turnover intention; and, with decreased Physical comfort, there is an increase in turnover intention. Conclusions: there is a dichotomy in the organizational climate perceived by nurses, and personal reasons mainly justify the turnover intention. The reason could be the current processes of institutional reorganization and the hiring of experienced staff.

RESUMEN Objetivos: describir el clima organizacional percibido por enfermeros de un hospital vinculado a la Empresa Brasileña de Servicios Hospitalarios y los motivos de intención de reemplazo. Métodos: mixtos, del tipo triangulación concomitante. Datos cualitativos analizados según el Discurso del Sujeto Colectivo; y datos cuantitativos, análisis descriptivo, correlación de Pearson y regresión lineal múltiple. Recolecta de datos ocurrió mediante entrevista semiestructurada con 116 enfermeros. Resultados: discursos presentados en cinco categorías: Apoyo de la jefatura y organización; Recompensa; Conforto físico; Control/presión; y Cohesión entre los colegas. Evidenciado que, con aumento del factor Recompensa, hay una disminución de la intención de reemplazo; y, con la disminución del Conforto físico, hay un aumento de la intención de reemplazo. Conclusiones: el clima organizacional percibido por enfermeros está dicótomo, y la intención de reemplazo fue justificada, principalmente, por motivos personales. Cree que eso suceda de los recientes procesos de reorganización institucional y contratación de personal experimentados.

Abstract Paper aims This study analyzes the comprehension of production engineering students about the influence of some key variables on the process performance measures in a service process. Originality This paper points out the need for educators to re-evaluate their approaches to teaching the Operations Management (OM) principles related to process flow measures. Research method This study used scenario-based role-playing experiments with 2×2×2 between-subject factorial design with three independent variables (variability of activities, capacity utilization, and resource pooling) and four dependent variables related to key internal process performance measures (Flow Time, Overall Quality of service, Quality of service employees, and Queue Size). The sample was composed of 178 undergraduate production engineering students from a large university in Brazil from various institution units. Main findings These results show that students perceived the use of resource pooling as an impactful practice. However, the students did not correctly identify the effects of increasing resource utilization and the variability on flow time and queue size when activities are pooled. Implications for theory and practice The teaching of basic concepts of OM requires the support of computational tools. Undergraduate courses that contemplate subjects in the field of OM should work more intensely on simulation-based learning.