A qualidade da criatividade como mais valia para a educação

Qualidade é uma palavra extremamente usada em muitos dos discursos políticos, empresariais e educativos. Corre, por isso, o risco de perder o seu amplo significado. Filósofos, desde o tempo de Platão e Aristóteles, interessaram-se pelo debate acerca da definição de qualidade - ou de excelência - e perceberam o quão difícil é chegar a uma noção objectiva e universal. "A complexidade e ambivalência do conceito de qualidade revela-se na sua convivência com os termos de eficácia e de excelência; sinónimos, por vezes, traduzindo uma certa gradação entre eles" (Sanches, 1997). Situado numa encruzilhada de perspectivas, torna-se "bastante difícil definir tal conceito. Para alguns representa algo de utópico; finalidade desejável, sim, mas inatingível. Para outros não é possível nem necessário defini-la. Quando existe, ela é visível, imprime marca original" (Sanches, 1997), detecta-se, prova-se, sabemos o que ela é.

Nos enredos da liderança: o que eu quero é que vivam felizes

O professor, pelo seu posicionamento no universo relacional dos alunos, pelo exemplo modelar que evidencia, pelo tempo e dedicação que entrega aos seus discentes, entre outras razões, é, para os alunos, e em muitas circunstâncias, um líder. O jovem, que necessita, para viver o presente e encarar com optimismo o futuro, de independência, autoconfiança, adaptabilidade, auto-disciplina e forte sentido dos seus valores, pode encontrar no professor a pessoa ideal para permitir e incentivar o desenvolvimento destas competências e atitudes

O Desenvolvimento Pessoal e o Ambiente Físico - Notas Singelas de/para uma Breve Reflexão.

O desenvolvimento pessoal de cada um passa, como lapidarmente escreve Almada-Negreiros, por um trabalho de artista na compreensão e materialização permanentes da nossa própria essência como pessoas. Ser relacional e social por natureza, o homem tem "tendência a percepcionar aquilo que é congruente com o seu pré-existente conceito de eu" (Silva e Cardodo, 1993) e, depois, este vai determinar tudo o que o rodeia (tudo é visto, ouvido, avaliado e compreendido em função dessa marca própria). Mas essa percepção das realidades tem, aquando do estabelecimento de relações na cena social, que ser confrontada com a reciprocidade, com a assimetria e com a relação dialéctica

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