RESUMO
This paper aims to propose a concept and an instrument of professional fulfillment (PF), which is theoretically defined as the perception of having attained or being on the right track for attaining one's most important career goals. The Professional Fulfillment Scale (PFS) was developed in order to operationalize PF, being tested across two studies. Regarding Study 1, in which 406 workers took part, results from exploratory factor analysis evidenced construct validity for PFS. In Study 2, in which 270 workers took part, results from confirmatory factor analysis and structural equation modeling presented satisfactory model fit indices for PFS. We conclude that both the professional fulfillment concept and the scale are useful for mapping people's importance and achievement of career goals and evaluation of progress, working as a diagnostic tool for career management. (AU)
O presente artigo visa propor um conceito e um instrumento de realização profissional (RP), definida teoricamente como a percepção de se ter alcançado as metas de carreira mais importantes ou a avaliação positiva de que se está no caminho para alcançar tais metas. A Escala de Realização Profissional (PFS) foi desenvolvida para operacionalizar a RP, sendo sua estrutura testada em dois estudos. No Estudo 1, no qual participaram 406 trabalhadores, resultados da análise fatorial exploratória evidenciaram a validade de construto da PFS. No Estudo 2, no qual participaram 270 trabalhadores, os resultados oriundos da análise fatorial confirmatória e da modelagem por equações estruturais indicaram que a PFS apresenta índices de ajuste do modelo satisfatórios. Conclui-se que tanto o conceito de realização profissional quanto a PFS são úteis para mapear o grau de importância, alcance e progresso das metas de carreira, funcionando como ferramenta de diagnóstico para o gerenciamento de carreira. (AU)
El presente artículo tiene como objetivo proponer un concepto y un instrumento de realización profesional (RP), la cual se define teóricamente como la percepción de haber alcanzado las metas más importantes de la carrera o la evaluación positiva de que se está en camino de lograrlas. La Escala de Realización Profesional (ERP) fue desarrollada para operacionalizar la RP, siendo su estructura puesta a prueba en dos estudios. En el estudio 1, en el cual participaron 406 trabajadores, los resultados del análisis factorial exploratorio mostraron validez de constructo de la ERP. En el estudio 2, en el que participaron 270 trabajadores, los resultados provenientes del análisis factorial confirmatorio y del modelado por ecuaciones estructurales, indicaron que la ERP presenta índices de ajuste de modelo, satifactorios. Como conclusión podemos decir que tanto el concepto como el instrumento de la ERP, son útiles para asignar el grado de importancia, alcance y progreso de las metas de la carrera, funcionando como una herramienta de diagnóstico para la gestión de la misma. (AU)
Assuntos
Humanos , Feminino , Adulto , Satisfação no Emprego , Reprodutibilidade dos Testes , Análise FatorialRESUMO
BACKGROUND: To develop content validity of a comprehensive patient-reported outcome (PRO) measure following current best scientific methodology to standardize assessment of influenza (flu) symptoms in clinical research. METHODS: Stage I (Concept Elicitation): 1:1 telephone interviews with influenza-positive adults (≥18 years) in the US and Mexico within 7 days of diagnosis. Participants described symptom type, character, severity, and duration. Content analysis identified themes and developed the draft Flu-PRO instrument. Stage II (Cognitive Interviewing): The Flu-PRO was administered to a unique set of influenza-positive adults within 14 days of diagnosis; telephone interviews addressed completeness, respondent interpretation of items and ease of use. RESULTS: Samples: Stage I: N = 46 adults (16 US, 30 Mexico); mean (SD) age: 38 (19), 39 (14) years; % female: 56%, 73%; race: 69% White, 97% Mestizo. Stage II: N = 34 adults (12 US, 22 Mexico); age: 37 (14), 39 (11) years; % female: 50%, 50%; race: 58% White, 100% Mestizo. SYMPTOMS: Symptoms identified by >50%: coughing, weak or tired, throat symptoms, congestion, headache, weakness, sweating, chills, general discomfort, runny nose, chest (trouble breathing), difficulty sleeping, and body aches or pains. No new content was uncovered during Stage II; participants easily understood the instrument. CONCLUSIONS: Results show the 37-item Flu-PRO is a content valid measure of influenza symptoms in adults with a confirmed diagnosis of influenza. Research is underway to evaluate the suitability of the instrument for children and adolescents. This work can form the basis for future quantitative tests of reliability, validity, and responsiveness to evaluate the measurement properties of Flu-PRO for use in clinical trials and epidemiology studies.
Assuntos
Influenza Humana/fisiopatologia , Avaliação de Resultados da Assistência ao Paciente , Inquéritos e Questionários , Adulto , Tosse , Feminino , Cefaleia , Humanos , Masculino , México , Dor , Reprodutibilidade dos TestesRESUMO
OBJECTIVE: To determine the effect of patient age on the risk of intracranial hemorrhage (ICH) in premature neonates treated with extracorporeal membrane oxygenation (ECMO). STUDY DESIGN: This was a retrospective cohort study of neonates of <37 weeks' gestation treated with ECMO in the years 1992 through 2000 and reported to the Extracorporeal Life Support Organization Registry (n=1524). The relation between ICH and patient age, defined as gestational age, postnatal age (PNA), and postconceptional age (PCA), was determined with the use of multiple logistic regression analysis. RESULTS: PNA was inversely correlated with ICH in the univariate analysis (P=.01) but not in the multivariate analysis (P=.36). PCA showed a strong univariate correlation with decreasing ICH: 26% of patients