La imagen y la narrativa como herramientas para el abordaje psicosocial en escenarios de violencia. Departamentos de Boyacá, Cundinamarca, Valledupar.

El Diplomado De Profundización Acompañamiento Psicosocial en Escenarios de Violencia nos brinda herramientas de aprendizaje y conceptuales para ofrecer un acompañamiento psicosocial en los diferentes escenarios de violencia, comprendiendo la subjetividad como fuentes de acciones transformadoras y afrontamiento. La realización de este trabajo colaborativo se abordaron diferentes casos de violencia, siendo este contexto el que más afecta el país. Se destaca el acompañamiento de las poblaciones afectadas, quienes han tenido consecuencias económicas, política, social etc., dejando secuelas en la población afectada y la vulneración de sus derechos, En esta actividad se hace el reconocimiento de las historias narradas por las víctimas de violencia psicosocial. La narrativa ha permitido analizar y reflexionar acerca de propuestas para hacer un abordaje psicosocial, en el relato de Ana Ligia quien fue víctima del desplazamiento forzado, la población de Peñas Coloradas y la foto voz en donde se muestra los diferentes tipos de violencia que viven las comunidades, logrando la transformación de estos hechos violentos. Las victimas durante el proceso de afrontamiento, han apoyado en la reconstrucción de su memoria histórica, la aceptación y afrontamiento de las situaciones traumáticas que han marcado su vida. Como profesionales es importante implementar una herramienta que nos acerque a la víctima y ganar la confianza, pudiendo recolectar información que permita realizar un trabajo eficaz para la solucione de sus problemas. Durante el proceso de acompañamiento psicológico se busca la conservación de la salud mental, haciendo un análisis de los relatos, generando espacios de acompañamiento e implementando la narrativa como una herramienta que permita comprender la memoria colectiva. Finalmente, a partir de los análisis que se realizan de los relatos expuestos se elige el caso de Ana Ligia y se crean las preguntas estratégicas, de análisis y reflexivas orientadoras, identificando el impacto que el conflicto ha dejado en el ser humano, y reconocer los emergentes psicosociales.The Diploma Deepening Psychosocial Accompaniment in Violence Scenarios provides us with learning and conceptual tools to offer psychosocial support in the different scenarios of violence, understanding subjectivity as sources of transformative actions and coping. Carrying out this collaborative work will be addressed in different cases of violence, this context being the one that most affects the country. The accompaniment of the affected populations stands out, who have had economic, political, social consequences, etc., leaving consequences in the affected population and the violation of their rights, this activity recognizes the stories told by the victims of psychosocial violence. The narrative has allowed us to analyze and reflect on proposals to make a psychosocial approach, in the story of Ana Ligia who was a victim of forced displacement, the population of Peñas Coloradas and the photo voice where the different types of violence experienced by women are shown. communities, achieving the transformation of these violent events. During the coping process, the victims have supported the reconstruction of their historical memory, acceptance and coping with the traumatic situations that have marked their lives. As professionals, it is important to implement a tool that brings us closer to the victim and gain trust, being able to collect information that allows effective work to be done to solve their problems. During the process of psychological accompaniment, the preservation of mental health is sought, making an analysis of the stories, generating accompaniment spaces and implementing the narrative as a tool that allows understanding the collective memory. Finally, from the analyzes carried out of the exposed stories, the case of Ana Ligia is chosen and the strategic, analytical and reflective guiding questions are created, identifying the impact that the conflict has left on the human being, and recognizing the psychosocial emergencies

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries