La Aproximación Europea a las Microcredenciales

During last years an increasing demand of short learning programs has taken place all over the world in order to reskill and upskill knowledge and professional skills. This education is offered not only by the traditional educational institutions, but also by private undertakings, governmental and non-governmental institutions, professional associations. Even if these programs are broadly accepted, they present different problems, mainly regarding their quality assurance and recognition. European institutions are quite aware of these problems and they have proposed their own solution. In this work we approach the open questions regarding microcredentials and the European approach to solve them.En los últimos años se observa una creciente demanda de pequeñas unidades formativas encaminadas a lograr la actualización o profundización de determinados conocimientos y capacidades. Esta formación ha salido del entorno educativo tradicional para ser ofertada por empresas, organizaciones gubernamentales y no gubernamentales, asociaciones profesionales, etc. Con todo, las instituciones educativas tradicionales en los distintos niveles de la formación están realizando importantes esfuerzos por no quedarse atrás. Pese a su creciente aceptación, estas unidades formativas cortas plantean importantes interrogantes; sobre todo, desde el punto de vista del aseguramiento de la calidad y el reconocimiento, a fin de colmar la asimetría informativa entre proveedor y alumno. Las instituciones europeas son conscientes de los retos planteados y han presentado distintas iniciativas para abordarlos. En esta ponencia damos cuenta de los problemas planteados y del enfoque europeo para resolverlos

Diseño de un modelo de preparación de la defensa y exposición pública del Trabajo Final de Máster

Memoria ID-0014. Ayudas de la Universidad de Salamanca para la innovación docente, curso 2015-2016

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Correction to: Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

The original version of this article unfortunately contained a mistake