Developing a whole campus approach to learning for sustainability: Challenges and opportunities for embedding and sustaining change

Learning for Sustainability (LfS) is a key component of Scottish Education. However, policy interpretation and enactment is a complicated process and there can often be a difference between policy intentions and implementation. The following research explores how one campus (for pupils aged 2-18) in Scotland undertook a year-long all staff career long professional learning programme (CLPL) to develop a whole campus approach to Learning for Sustainability. The aim of this research project was to better understand the implications (opportunities and challenges) at a whole school / campus and teacher level when developing a whole school / campus approach to Learning for Sustainability. Three semi-structured interviews were carried out, with focus groups made up of a small group of teaching staff, members of the senior management team, as well as a follow up interview with the head teacher. A theoretical thematic analysis was used to identify themes from the data and applied to further explore the emergence of these elements from the CLPL discussion forums including contributions from all participating staff members. The three main themes identified were: collaboration and collegiality; processes of change; and attitudes to learning and to change. The study revealed a tension between the need for both teachers and management to have an identified person ‘leading’ the agenda, and the need for that agenda to develop in a culture of collegiately and shared responsibility. There was also an interesting contrast between deep and shallow learning for both teachers and managers. The study also provided useful learning for other organisations leading the agenda for change, which can be summarised into three key recommendations: (1) Organisational leaders should engage with suitable learning prior to developing a leadership of change model for their organisation, which includes a distributed model of leadership. (2) Methods of professional learning for all practitioners should include an engagement with reflective activities, which enables them to access deeper and more transformational learning. (3) Large organisations should work with community-led groups and be sensitive to local contexts to establish a vision, which clearly articulates the imperative is the responsibility of all

Abstracts from the NIHR INVOLVE Conference 2017

n/

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

What does wellbeing mean to young people and how does this relate to policy discourses? A study of teenagers in one secondary school in Scotland

Since the turn of the 21st century there has been a prolific interest in the wellbeing of children and young people globally, nationally and regionally. The interested parties have ranged from politicians, academics, educators and third sector organisations. The sometimes emotionally charged concern of the interested parties has resulted in education being given a greater responsibility for improving the wellbeing of children and young people. A plethora of interventions have been created and implemented to solve the ‘problem’ of childhood fragility, whilst the United Kingdom has experienced severe cuts to children’s services. This study explored what wellbeing means to young people in one secondary school and how this relates to policy discourses on wellbeing. The literature review provided insights into the research practices carried out in the area of wellbeing and schools and showed the different levels of participation in the chosen methods. Child centred practices emerged from the United Nations Convention on the Rights of the Child (1992) and participatory approaches with young people in schools have been embedded to various levels of authenticity in the research studies included in the review. The study illustrates the complexity of the wellbeing agenda and the need for policy making and research practices to be more authentically participatory in nature. Following analysis of the discourses on wellbeing evident in key education policies such as Getting it Right for Every Child and Curriculum for Excellence, the case study design used a thematic analysis to explore how sixteen young people in one secondary school in Scotland understand the term ‘wellbeing’. Young people firstly completed a creative task and then participated in four focus groups to explore their interpretation of the term ‘wellbeing’, specifically the eight wellbeing indicators of ‘Safe; Healthy; Achieving; Nurtured; Active; Respected; Responsible; Included’. The participants were selected from the S1 and S2 cohort in one rural secondary school in the north of Scotland (mean age 12 years and one month in S1 and 13 years in S2). Eight females and eight males participated in the single sex focus groups. The study aimed to gain an insight into the participants’ understanding of wellbeing and to explore how this compared to the definitions used in the Scottish policy context. The policy analysis highlighted the complexity of the definitions used in the Scottish policy context and illustrated how the term ‘wellbeing’ is often ambiguous and interpreted in multifaceted ways, sometimes in one context. The study demonstrated that the young people participating in the focus groups and creative task were fully able to contribute to, and participate in, conversations with their peers which illustrated their understanding of the holistic term ‘wellbeing’. The data analysis revealed that young people in this study referred to a multi-faceted definition of wellbeing with a strong focus on love and trust. Suggestions for the implications flowing from my research data include that the contrasting narratives located in the policy discourses need to be critiqued more deeply to ensure that schools and other educational establishments are making the right choices for those they aim to serve. This could be explored more deeply in specific contexts through working in a participatory manner with those the wellbeing agenda impacts on, facilitating opportunities to capture minority voices

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

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 (Intensive Care Medicine, (2021), 47, 2, (160-169), 10.1007/s00134-020-06234-9)

The original version of this article unfortunately contained a mistake. The members of the ESICM Trials Group Collaborators were not shown in the article but only in the ESM. The full list of collaborators is shown below. The original article has been corrected