The impact of an enhanced recovery pathway on nursing workload: A retrospective cohort study.

BACKGROUND & AIMS: The importance of nursing for surgical patients has been frequently underestimated. The success of enhanced recovery programs after surgery (ERAS) depends on preferably complete fulfilment of the protocol and nurses are an important part of it. Due to the additional nursing action required, such protocols are suspected to increase the nursing workload. The aim of the present study was to observe and measure objectively nursing workload before, during and after systematic implementation of a comprehensive enhanced recovery pathway in colorectal surgery. METHODS: The program ERAS was introduced systematically in our tertiary academic centre 2011, since then our experience is based on more than 1500 ERAS patients. Nursing workload was prospectively assessed for all patients on a routine basis by means of a standardized and validated point system (PRN). In a retrospective cohort study, we compared nursing workload based on prospective data before, during and after ERAS implementation and correlated nursing workload to the compliance with the ERAS protocol. RESULTS: The study cohort included 50 patients before ERAS implementation (2010) and 69 (2011) and 148 (2012) consecutive patients after implementation; the baseline characteristics of the 3 groups were similar. Mean PRN values were 61.2 ± 19.7 per day in 2010 and decreased to 52.3 ± 13.7 (P = 0.005) and 51.6 ± 18.6 (P < 0.002) in 2011 and 2012, respectively. Increasing compliance with the ERAS protocol was significantly correlated to decreasing nursing workload (ρ = -0.42; P < 0.001). CONCLUSIONS: Nursing workload is - against a common belief - decreased by systematic implementation of enhance recovery protocol. The higher the compliance with the pathway, the lower the burden for the nurses!

La importància del tutor dins l'aula inclusiva: Estratègies metodològiques i organitzatives que es troben a les aules inclusives

Actualment, la inclusió a les escoles és molt important. Tots els infants han de sentir-se acollits dins de l’escola, ha de ser un espai segur, afectiu i de confiança per a ells, no hi ha d’haver exclusions. Les escoles inclusives han de respondre a la diversitat de les necessitats de tots els infants, i per aconseguir-ho, cal modificar continguts, estratègies,etc. És a dir, cal una mirada nova davant l’educació. Aquest estudi té com a objectiu investigar la importància que té el tutor dins l’aula inclusiva, també es pretén investigar quines estratègies metodològiques i organitzatives té per atendre a la diversitat. L’estudi es durà a terme mitjançant un estudi de cas realitzat a una aula de P-5.

Minimization of the experimental workload for the prediction of pollutants propagation in rivers. Mathematical modelling and knowledge re-use

The present thesis in focused on the minimization of experimental efforts for the prediction of pollutant propagation in rivers by mathematical modelling and knowledge re-use. Mathematical modelling is based on the well known advection-dispersion equation, while the knowledge re-use approach employs the methods of case based reasoning, graphical analysis and text mining. The thesis contribution to the pollutant transport research field consists of: (1) analytical and numerical models for pollutant transport prediction; (2) two novel techniques which enable the use of variable parameters along rivers in analytical models; (3) models for the estimation of pollutant transport characteristic parameters (velocity, dispersion coefficient and nutrient transformation rates) as functions of water flow, channel characteristics and/or seasonality; (4) the graphical analysis method to be used for the identification of pollution sources along rivers; (5) a case based reasoning tool for the identification of crucial information related to the pollutant transport modelling; (6) and the application of a software tool for the reuse of information during pollutants transport modelling research. These support tools are applicable in the water quality research field and in practice as well, as they can be involved in multiple activities. The models are capable of predicting pollutant propagation along rivers in case of both ordinary pollution and accidents. They can also be applied for other similar rivers in modelling of pollutant transport in rivers with low availability of experimental data concerning concentration. This is because models for parameter estimation developed in the present thesis enable the calculation of transport characteristic parameters as functions of river hydraulic parameters and/or seasonality. The similarity between rivers is assessed using case based reasoning tools, and additional necessary information can be identified by using the software for the information reuse. Such systems represent support for users and open up possibilities for new modelling methods, monitoring facilities and for better river water quality management tools. They are useful also for the estimation of environmental impact of possible technological changes and can be applied in the pre-design stage or/and in the practical use of processes as well.

Preceptor, supervisor, tutor e mentor: quais são seus papéis?

Sempre houve uma preocupação com a preparação daqueles que cuidam da saúde da população. Na educação médica, a figura de um profissional experiente, que auxilia na formação, é uma constante. No decorrer dos tempos até hoje, esse profissional vem recebendo diferentes denominações, entre as quais preceptor, supervisor, tutor e mentor. No Brasil, mesmo em documentos oficiais, não ficam claras as funções, intervenções e atividades ligadas a cada um desses termos. Procuramos, então, analisar o significado dessas diferentes denominações usadas pela comunidade científica nacional e internacional. A partir da análise do conceito que cada uma delas expressa, pretendemos construir uma melhor fundamentação das regulações e práticas de ensino-aprendizagem na graduação e pós-graduação em saúde.

Proyecto tutor gestión internacional evaluación cualitativa de clientes del TGI

Banco del conocimiento

Informe tutor

Banco del conocimiento

Informe de satisfacción 2011 programa tutor entendimiento del cliente

Banco del conocimiento

Presentación Artecámara Tutor 2013

Programas, proyectos y red de portales

Presentación Artecámara Tutor 2013

Programas, proyectos y red de portales

Presentación Artecámara Tutor 2013

Programas, proyectos y red de portales

Presentación Artecámara Tutor 2013

Programas, proyectos y red de portales

Presentación Artecámara Tutor 2013

Programas, proyectos y red de portales

Evaluación al programa de tutorías de la F.I.M.E., de la U.A.N.L. Desempeño del tutor

Proyecto Final de Campo (Maestría en Psicología Laboral y Organizacional) U.A.N.L., 2006

Modelo de competencias requeridas para desempeñar el rol de Tutor en una institución de educación superior

Tesis (Maestría en Ciencias de la Comunicación ) U.A.N.L.