Aim/Purpose: As e-Learning becomes increasingly pervasive, students’ engagement in online settings emerges as a central challenge, as it is often more demanding to ensure in this context. The core importance of engagement for e-Learning, places a focus on various instruments and strategies that can be deployed to foster its enhancement. Background: Gamification is often depicted as a significant instrument to drive engagement, behavior change, and loyalty, which can be of great significance to online learning. This paper aims to examine the relationship between the application of gamification tools and the level of engagement in e-Learning websites. Methodology: This research used two methods: the analysis of e-Learning websites and an online survey with a convenience and purposive sample of e-Learning and/or gamification experts. Contribution: This paper adds to the existing body of research by placing and emphasis on and examining the positive role of gamification as an engagement instrument with valuable potential for e-Learning. Findings: The results showed that the majority of the selected e-Learning websites use gamification and engagement elements and that the tools that are more commonly used were deemed as the most effective, by the experts. It became equally evident that the deployment of a larger number of gamification and engagement elements have positive repercussions in the enhancement of engagement, which can have constructive ramifications for the effectiveness of e-Learning. Recommendations for Practitioners: From a practitioner’s viewpoint the findings can assist both learning designers and teachers in the creation of gamification strategies to enhance students’ engagement. As a central challenge of e-Learning courses, engagement requires a multifaceted approach to be addressed effectively and knowing the strategies that have positive outcomes is a step forward in ensuring that the students can enroll in online courses and not be compromised with respect to their engagement. Finally, the lack of engagement can have serious repercussions not only on the learning experience of the students, but also on their actual academic performance. Hence, it is important to guide educators towards good design practices that can maximize engagement in these settings. Recommendation for Researchers: From a research perspective, these findings add to a growing body of studies that focus on the benefits of gamification by highlighting its positive repercussions on engagement and identifying which elements are more effective. In addition, the use of different sources of data provided a wider illustration of what is currently the use of gamification elements by functioning e-Learning websites and how those who apply them in practice in their courses perceive these elements. Future Research: Future research endeavours can focus on exploring students’ perceptions of gamification and how it influences their leaning performance.
Introdução: A gestão clínica dos recém-nascidos nas unidades de cuidados intensivos neonatais implica a colocação de diversos dispositivos médicos invasivos que necessitam de controlo radiográfico. O principal objetivo deste trabalho consistiu em realizar uma revisão narrativa sobre as boas práticas a adotar na aquisição de imagens radiográficas, em unidades de cuidados intensivos neonatais, para o controlo de dispositivos médicos de acordo com a literatura publicada e a experiência dos autores. Material e Métodos: Realizou-se uma revisão narrativa da literatura. Recorreu-se às bases de dados científicas PubMed; Science Direct; Google Scholar e Portal RCAAP, para a recolha de documentos de análise. Foram, ainda, consultados livros das coleções particulares dos autores. Resultados: A revisão narrativa incidiu sobre 39 documentos, dos quais 26 artigos científicos, quatro guidelines/consensos/recomendações e nove livros/capítulos de livro. Desenvolvimento: A colocação de cateteres intravasculares, sondas nasogástricas e tubos endotraqueais são procedimentos interventivos habitualmente utilizados na prestação de cuidados a recém-nascidos prematuros internados nas unidades de cuidados intensivos neonatais. O posicionamento preciso destes dispositivos é essencial e a radiografia do tórax e abdómen desempenha um papel de extrema relevância no controlo e monitorização da colocação destes dispositivos. Os desafios técnicos inerentes à realização destes exames radiográficos assumem uma exigência suplementar atendendo aos ajustes ao posicionamento e parâmetros de exposição em relação à população adulta. Os parâmetros de aquisição, bem como o pós-processamento da imagem, deverão ser otimizados de forma a permitirem visualizar o trajeto dos dispositivos médicos em toda a sua extensão e demonstrarem inequivocamente a posição da sua extremidade distal. Ao mesmo tempo a imagem terá de apresentar leitura anatómica suficiente para a monitorização de eventuais lesões iatrogénicas. Conclusão: O célere reconhecimento radiográfico de dispositivos incorretamente colocados, assim como, as complicações que podem originar, é essencial para uma rápida intervenção que permita a prevenção do agravamento do estado clínico do recém-nascido.
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