Clinician's Commentary on Cott et al.

Aiken, Alice

doi:10.3138/physio.63.3.276

Cited by 4 publications

(4 citation statements)

References 6 publications

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“…Socorristas en Red en Argentina, Women on Web a nivel internacional, y otros dispositivos locales de acompañamiento en aborto por fuera del sistema for mal de salud, generaron evidencia que publicaron en renombradas revistas médicas sobre la seguridad y la viabilidad del aborto en la casa, con acompañamiento y supervisión a distancia, por parte, principalmente, pero no exclusivamente, de per so nas no profesionales. 92,93,94 El modelo de Socorristas, si bien requiere mayor investigación en términos clínicos, también demostró ser una alternativa via ble y segura para acompañar abortos a distancia durante el segundo trimestre, en contextos legalmente restringidos. 95 Como ocurrió con otros movimientos por el derecho en salud, como las perso nas viviendo con VIH o las per so nas trans, 96 quienes requerían un aborto en contextos de clandestinidad pasaron de ser excluidas de las tecnologías y los conocimientos médicos, a ser "pacientes expertas" 97 que generaban, desarrollaban y difundían un saber que no solo brindó respuestas a sus necesidades en salud sino que permitió generar una evidencia que fue mucha más all á de los propios límites del sistema médico y del marco legal y normativo entonces vigente.…”

Section: Otras Formas De Construir Conocimientosunclassified

Los aportes de las luchas por el aborto legal en Argentina

Szwarc

2024

Critical Times

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Abstracto En este ensayo sostengo que el aborto, como práctica y como consigna política, cuestiona los enfoques tradicionales y hegemónicos en salud y abona a construir un enfoque feminista de la salud. Me centro en las experiencias y los activismos por el aborto legal de la Argentina contemporánea, tomando algunos ejemplos de otros contextos. En primer lugar, sostengo que el aborto pone de manifiesto en qué medida los procesos de salud-enfermedad están atravesados por aspectos simbólicos situados, asociados a un fuerte estigma, que forjan la vivencia de su práctica. Analizo cómo se fueron modificando estos sentidos en Argentina, de la mano del activismo feminista. En segundo lugar, argumento que el aborto como práctica de salud contribuye a romper las dicotomías tradicionales entre prevención-intervención y salud-enfermedad, así como a modificar los mecanismos jerarquizados de toma de decisiones. En el caso argentino, garantizar el acceso al aborto en instituciones públicas de salud, de la mano de profesionales activistas, permitió ampliar los enfoques biomédicos hacia abordajes más integrales. En tercer lugar, analizo cómo la difusión del aborto con medicamentos puso en cuestión los procesos monopolizados y excluyentes de construcción e institucionalización de los conocimientos legítimos en salud.

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Section: Otras Formas De Construir Conocimientosunclassified

Los aportes de las luchas por el aborto legal en Argentina

Szwarc

2024

Critical Times

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“…Furthermore, in ARGs, story fragments are deeply embedded into game challenges: the ARG narrative is an integral part of the storyline. In the ARG MetaCortechs, for example, NPC employee directory entries were encoded in binary ( Figure 2) [1]. To make sense of the plot and characters, and uncover new story fragments, players had to find and decode the encoded database entries.…”

Section: Integrated Participatory Narrativementioning

confidence: 99%

“…This may have impacted the effectiveness of the visual markers we used to highlight factual from fictional data (e.g., "public" versus "private" wiki entries described in section 4. 1…”

Section: Pervasive Transmedia Interfacementioning

confidence: 99%

Playing for real

Bonsignore

Hansen

Kraus

et al. 2013

Proceedings of the 12th International Conference on Interaction Design and Children

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An Alternate Reality Game (ARG) is a form of transmedia storytelling that engages players in scavenger hunt-like missions to collectively uncover, interpret, and reassemble the fragments of a story that is distributed across multiple media, platforms, and locations. ARGs are participatory experiences, because players have a central role in reconstructing the storyline. Furthermore, players interact with the game as themselves, not via avatars. Although transmedia formats like ARGs have garnered increasing attention in entertainment and education, most have been targeted for adults 18 and older. Few studies have explored the design process of education-based ARGs for children. In this paper, we detail the design and implementation of an ARG for middle school students (13-15 years old). We describe the strategies we used to distribute story elements across various media and to encourage players to participate in an authentic inquiry process. We found that a "protagonist by proxy", or in-game character with whom players related closely, served as a strong motivator and a model for positive participation. We highlight student interactions and offer insights for designers who implement ARGs and similar immersive learning experiences.

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“…Providing adequate nurse staffing may be a cost-effective hospital management strategy to improve quality of care and safety. However, cutting expenses at the cost of reduced number of nurses staffed or a downgraded level of skill mix may be detrimental (Rothberg et al, 2005;Needleman et al, 2006;Aiken et al, 2014). This may be particularly true for the Intensive Care Unit (ICU) where increased nurse staffing is associated with reduced mortality, morbidity, and shortened ICUstay in several meta-analyses (Kane et al, 2007;Aragon Penoyer, 2010;Numata et al, 2006;West et al, 2009;McGahan et al, 2012).…”

Section: Introductionmentioning

confidence: 99%

Predicting patient nurse-level intensity for a subsequent shift in the intensive care unit: A single-centre prospective observational study

Decock

Casaer

Güiza

et al. 2020

International Journal of Nursing Studies

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BackgroundA dynamic optimized nurse staffing model for the Intensive Care Unit (ICU), requires a tool for monitoring nurse-level intensity with validated cut-offs to identify patients requiring 1:1, 2:1 or 3:1 patient-to-nurse ratios. ObjectivesWe aimed to determine the Nursing Activities Score (NAS) cut-off values which can best distinguish between high, average and lower nurse-level intensity as unanimously perceived by care providers, and to evaluate whether these NAS cutoffs allow to predict nurse-level intensity in the next shift or the same shift the next day. DesignA prospective observational study. Setting9 ICUs in a Belgian tertiary care center. ParticipantsAll 3295 patients admitted between March 20, 2013, and September 12, 2013 were included. NAS was quantified at the end of each shift using automatically derived and manually entered care information. Additionally, 412 nurses, 24 nurse managers and 37 physicians rated perceived nurse-level intensity. MethodsWe first assessed concordance between nurses', nurse managers' and physicians' perceptions of lower (3:1 patient-to-nurse ratio), average (2:1 patient-to-nurse ratio) and high (1:1 patient-to-nurse ratio) nurse-level intensity. Next, receiver operating characteristic (ROC) analysis was applied to determine the NAS cut-offs that best distinguish between different levels of perceived intensity for cases with concordant opinions. Last, logistic regression analysis was applied to estimate the ability of these NAS cut-offs to predict low and high perceived intensity during the next shift and during the same shift the next day. ResultsNurses', nurse managers' and physicians' perceptions were concordant in 57.1% (n = 4693) of cases, mostly concerning lower or average intensity. Optimal NAS cut-offs for lower and high intensity patients equaled 52.7% and 69.8%, respectively. The lower intensity NAS cut-off showed 74.0% accuracy to predict lower intensity in the next shift and 75.9% accuracy to predict lower intensity for the same shift the next day. The high intensity NAS cut-off showed 67.9% accuracy to predict high intensity in the next shift and 72.0% accuracy to predict high intensity for the same shift the next day. ConclusionsNAS cut-offs could contribute considerably in predicting patient nurse-level intensity, and thus patient-to-nurse staffing ratios, in the next shift or day. Identification or prediction of high intensity, nevertheless, appears most complex and requires further study. Future studies need to account for the many confounding variables which complicate nurse staffing planning.

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Clinician's Commentary on Cott et al.

Cited by 4 publications

References 6 publications

Los aportes de las luchas por el aborto legal en Argentina

Los aportes de las luchas por el aborto legal en Argentina

Playing for real

Predicting patient nurse-level intensity for a subsequent shift in the intensive care unit: A single-centre prospective observational study

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