Transformaciones de la escritura : una experiencia desde el enfoque sociocultural

RESUMEN: Nuestro trabajo de profundización se ocupa de la deconstrucción y transformación de las prácticas pedagógicas relacionadas con la enseñanza de la escritura asumida como proceso desde una perspectiva sociocultural. Para ello, diseñamos, implementamos y evaluamos tres secuencias didácticas a partir de tópicos locales: lugares emblemáticos, personajes representativos y sitios comerciales. Lo anterior fue orientado desde el paradigma cualitativo a partir del método de Investigación Acción, recopilando las voces de los participantes y los detalles del proceso a través de instrumentos como el diario de campo y la entrevista semiestructurada, que seguido constituyen las categorías de análisis en el proceso de triangulación. De esta forma, concluimos que es posible transformar nuestras prácticas de aula partiendo de nuevas formas de configurar la enseñanza de la escritura, una escritura que se conecte con la vida y la realidad de nuestros contextos, yendo más allá de los muros de la escuela y al mismo tiempo de nuestras viejas concepciones.ABSTRACT: Our work of deepening takes care of the deconstruction and transformation of the pedagogical practices related to the teaching of the writing assumed like process from a sociocultural perspective. To this end, we design, implement and evaluate three didactic sequences from local topics: emblematic places, representative characters and commercial sites. The above was oriented from the qualitative paradigm from the action research method, Gathering the voices of the participants and the details of the process through instruments such as the field diary and the semi-structured interview, configuring these in categories of analysis for triangulation In this way we come to the conclusion that it is possible to transform our classroom practices starting from new ways of setting up the teaching of scripture, a scripture that connects with the life and reality of our contexts, going beyond the walls of the school and at the same time of our old conceptions

Evaluation of a quality improvement intervention to reduce anastomotic leak following right colectomy (EAGLE): pragmatic, batched stepped-wedge, cluster-randomized trial in 64 countries

Background Anastomotic leak affects 8 per cent of patients after right colectomy with a 10-fold increased risk of postoperative death. The EAGLE study aimed to develop and test whether an international, standardized quality improvement intervention could reduce anastomotic leaks. Methods The internationally intended protocol, iteratively co-developed by a multistage Delphi process, comprised an online educational module introducing risk stratification, an intraoperative checklist, and harmonized surgical techniques. Clusters (hospital teams) were randomized to one of three arms with varied sequences of intervention/data collection by a derived stepped-wedge batch design (at least 18 hospital teams per batch). Patients were blinded to the study allocation. Low- and middle-income country enrolment was encouraged. The primary outcome (assessed by intention to treat) was anastomotic leak rate, and subgroup analyses by module completion (at least 80 per cent of surgeons, high engagement; less than 50 per cent, low engagement) were preplanned. Results A total 355 hospital teams registered, with 332 from 64 countries (39.2 per cent low and middle income) included in the final analysis. The online modules were completed by half of the surgeons (2143 of 4411). The primary analysis included 3039 of the 3268 patients recruited (206 patients had no anastomosis and 23 were lost to follow-up), with anastomotic leaks arising before and after the intervention in 10.1 and 9.6 per cent respectively (adjusted OR 0.87, 95 per cent c.i. 0.59 to 1.30; P = 0.498). The proportion of surgeons completing the educational modules was an influence: the leak rate decreased from 12.2 per cent (61 of 500) before intervention to 5.1 per cent (24 of 473) after intervention in high-engagement centres (adjusted OR 0.36, 0.20 to 0.64; P < 0.001), but this was not observed in low-engagement hospitals (8.3 per cent (59 of 714) and 13.8 per cent (61 of 443) respectively; adjusted OR 2.09, 1.31 to 3.31). Conclusion Completion of globally available digital training by engaged teams can alter anastomotic leak rates. Registration number: NCT04270721 (http://www.clinicaltrials.gov)