Children’s everyday mobilities: combining ethnography, GPS and mobile phone technologies in research.

Este artigo discute o desenvolvimento de uma abordagem com métodos mistos para o estudo da mobilidade diária das crianças. O estudo aqui apresentado combinou pesquisa etnográfica com a tecnologia de GPS (Global Positioning System) e um questionário interativo que as crianças completaram via telefone celular. Esta metodologia permitiu produzir uma compreensão mais ampla dos movimentos cotidianos das crianças por meio de um rico conjunto de dados, documentando as experiências subjetivas das crianças, as observações sistemáticas, o mapeamento e levantamento de dados. Conclui-se que o sucesso de uma pesquisa usando métodos mistos requer uma estreita cooperação através do diálogo interdisciplinar e engajamento mútuo e coordenação de atividades e perspectivas

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

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

‘There is nothing here for us..!’ How girls create meaningful places of their own through movement

This article focuses on how girls create places of meaning and opportunity through collective movement. It is based on an ethnographic study of the everyday experiences and mobility of 10–13 year old girls living in a suburb of Copenhagen, Denmark. 1 The girls ventured for a sense of freedom and a ‘place of their own’ to pursue their interests and social relationships. For some girls the creation of places where they felt ‘at home’ would entail breaking rules and transgressing spatial boundaries set by adults

Is children's independent mobility really independent? A study of children's mobility combining ethnography and GPS/mobile phone technologies

This article proposes the need for a critical examination of the notion of children's 'independent mobility', a concept rather uncritically accepted by social science and human geography research. It examines the theoretical and conceptual underpinnings of the concept by drawing on data from a study of children's mobility in a suburban area of Copenhagen and two villages in Jutland, Denmark. The study combined ethnography with GPS-tracking and a rolling mobile phone survey. This produced a rich data set that allows us to show that children's mobility has to be recognized as primarily social, and that companionship pervades every aspect of the activity. The findings suggest that researchers need to attend to the diversity of children's mobility patterns, the local geographical contexts of children's movements and the different relations of interdependency that children's mobility involves