Micro intervención en capital psicológico

Treball Final de Màster Universitari en Psicologia del Treball, de les Organitzacions i en Recursos Humans. Codi: SBE013. Curs acadèmic: 2017/2018The Psychological Capital is associated with the individual psychological resources that people of an organization have to face adversity, propose challenges and achieve goals. The development of Psychological Capital is a great challenge for organizations and a healthy organizational practice. This TFM (Master’s Final Project) aims to make a proposal to implement the Psychological Capital in a volunteer team of the Programa Pisos Solidarios of the Jaume I University from Castellón, Spain. To achieve this goal, it is proposed to perform a micro intervention in Psychological Capital in the team. To analyze and measure the impact of the intervention, the PCQ-12 Questionnaire will be applied pre- and post-intervention. Both, research and theory, supports that the relationship between the components that make up the Psychological Capital (self-efficacy, optimism, hope and resilience) have positive results at the individual and organizational levels. Based on these results, there is an interest to apply it and develop it in the team of volunteers of the Programa Pisos Solidarios.El Capital Psicológico está asociado con los recursos psicológicos individuales que tienen las personas de una organización para afrontar adversidades, proponerse desafíos y cumplir metas. El desarrollo del Capital Psicológico en las personas trabajadoras supone un gran desafío para las organizaciones y una práctica organizacional saludable. El presente Trabajo Final de Máster tiene por objetivo realizar una propuesta para implementar el Capital Psicológico en un equipo de trabajo voluntario del Programa Pisos Solidarios de la Universidad Jaume I. Con el fin de lograr este objetivo, se propone realizar una micro intervención en Capital Psicológico en el equipo. Para analizar y medir el impacto de la intervención se aplicará el Cuestionario PCQ-12 pre y post intervención. Tanto la investigación como la teoría respalda que la relación entre los componentes que conforman el Capital Psicológico (autoeficacia, optimismo, esperanza y resiliencia) tienen resultados positivos a nivel individual y organizacional. En base a estos resultados surge el interés de aplicarlo y desarrollarlo en el equipo de voluntarios del Programa Pisos Solidarios de la UJI

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)