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The analysis of development of innovation in services starts from the interaction of different actors. This research aimed to identify the dynamics of the mobilization of preferences and capabilities of different actors (political decision-makers, users and servers) in the development of the final characteristics of the service and, consequently, of the innovation in the public health context of a municipality located in the south of Brazil. Was carried out analysis of data from descriptive and inferential statistics of case study. The main results highlight the preponderance of the operation of server capacity for mobilization of different types of innovation, and consequently the production of the final characteristics of the health service. In this context, service innovation can finally be taken as the endogenous decisionmaking process of the organizations that make up the sector and that derive from the very nature of health services. Finally, we described the limitations and future research opportunities.

Since Brazilian healthcare institutions have the duty to care about public health service, they also have the social and financial responsibilities to bring environmentally friendly practices and strategies, including principally a responsible attitude towards hospital waste management. Negligent waste management contributes significantly to polluting the environment. Today, a specific regional context in the southern State of Rio Grande do Sul, Brazil, shows an ambivalent situation in terms of hospital waste management. This study aims to analyze the environmental management practices and innovation strategies of the hospitals of the Serra Gaúcha region, as well as conducting a comparison between the environmental management practices versus the current Brazilian laws. Based on data analysis, it was found that all hospitals employ the practice of waste segregation, preserving public health and environmental quality. However, in respect to hospital waste effluents, 75% of the hospitals of the Serra Gaúcha region do not treat their hospital effluents, not complying with the current Brazilian legislation.

The objective of this study was to analyze the knowledge management perception in managers of a public university in the Brazilian Northeastern Semiarid Region, especially their tactical and strategic processes to produce knowledge about this region. The analysis was conducted according to the perspective of administrators at this university with a view to the sustainable development of the region. This was a qualitative descriptive study. All data were collected through structured interviews, using a questionnaire based on the Knowledge Management Diagnosis as a structuring model. Results showed that Knowledge Management is still a maturing practice. However, knowledge management is making institutional changes feasible and generating organization capacity to implement solutions and promote the sustainable development of the semi-arid region in the Northeastern Brazil.

A simulação como metodologia de ensino-aprendizagem é um instrumento potencialmente transformador da prática formativa em saúde, atentando para a formação de profissionais mais qualificados, produzindo competência técnica, ética e política para o enfrentamento dos problemas de saúde nos quais estejam inseridos. Diante disso, este estudo objetiva analisar a utilização da simulação como estratégia de ensino-aprendizagem em enfermagem. Trata-se de uma revisão integrativa da literatura, a partir de publicações científicas indexadas nas bases de dados on-line Lilacs, Pubmed e Rev Enf., no período de 2010 a 2016. Seguindo os critérios de busca, a amostra foi composta por 39 artigos científicos, predominando artigos no idioma inglês (56%), sendo sua maioria publicada em periódicos internacionais, 59% (23), e 41% (16) publicados em periódicos nacionais. Os resultados demostraram que a maioria dos estudos utilizou a simulação com manequins de alta fidelidade no processo de ensino de enfermagem para o desenvolvimento de conhecimentos e habilidades técnicas. Os 39 artigos estudados foram categorizados em três temas principais, conhecimento e habilidades; segurança do paciente e autoconfiança; pensar criticamente e refletir a prática. A partir da análise desses estudos, concluiu-se que a simulação é uma metodologia ativa que contribui no ensino-aprendizagem de enfermagem, pois dinamiza o ensino através de estratégias inovadoras que possibilitam promover a autonomia, a competência cognitiva e a psicomotora dos estudantes. A simulação é um recurso educacional capaz de promover um novo paradigma em relação ao ensino tradicional.

Os resíduos de serviços de saúde exigem atenção especial e técnicas corretas de manejo e gerenciamento devido ao seu potencial poluente contra o meio ambiente e infeccioso contra a saúde humana. Esse artigo abordou o processo de gerenciamento de resíduos nos serviços públicos de saúde de um município de pequeno porte pertencente à Macrorregião Serra do Rio Grande do Sul. Tratou-se de uma pesquisa exploratória, onde o método de trabalho escolhido foi a pesquisa-ação. Tendo descrito os processos de gerenciamento analisados e pontos críticos encontrados em cada etapa, fez-se um paralelo com a legislação vigente, abordando como os processos deveriam ser realizados e os riscos inerentes ao seu mau gerenciamento. Além disso, discutiu-se os desafios à gestão dos resíduos em serviços públicos de saúde, propondo soluções. Para uma correta ação ambiental, as instituições devem se valer da ética, de forma a garantir a qualidade de vida da população e dos usuários, assim como a proteção ao meio ambiente.Palavras-chave: Gerenciamento de Resíduos; Serviços Públicos de Saúde; Legislação. CHALLENGE IN RESIDUE MANAGEMENT IN PUBLIC HEALTH SERVICES ABSTRACTThe residues of health services require special attention and proper management techniques and management due to potential pollutant of the environment and infectious environment from human health. This article addressed the management of waste in public health services in a municipality belonging to the macro-region Serra in Rio Grande do Sul. This was an exploratory research, where the working method chosen was action research. Having described the processes analyzed, critical points found in each step of the management, there was a parallel with current legislation, addressing how the proceedings should be conducted and the risks of poor management at every step. In addition, they discussed the challenges to waste management in public health services, proposing solutions. For proper environmental action, institutions must rely ethics, ensuring quality of life and users, as well as environmental protection.

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Considering the socio-economic reality of Brazil and from the relevance of the issues related to entrepreneurship and organizational innovation in the country, the importance of sustainability for the organizations could become a solution for the integration of entrepreneurship with innovation. The objective of this research is to highlight the relevance of sustainability for organizations as a way to trigger the integration of entrepreneurship toward innovation in the Brazilian context. Various exploratory and descriptive researches on the dynamics of entrepreneurship, innovation and sustainability in the main organizations of the Serra Gaúcha (RS), Brazil were carried out through the Multidisciplinary Research Group on Innovation and Competitiveness, in partnership with a research Nucleus on Innovation, Entrepreneurship and Sustainability. The main results indicate that the key sectors of this Brazilian regional economy present less "innovation intensity," which are mainly characterized by internal organizational activities of innovation, preventing them to become "regional systems of innovation," and which presupposes the lack of sustainability. Those limitations can be characterized as "innovation ghettos." In that logic, the researchers have also demonstrated the presence of "ghettos of sustainability, ghettos of innovation, and therefore, ghettos of sustainability