Efectos del estrés por causas laborales en los Docentes

Describir los efectos del estrés por causas laborales en los docentes mediante revisión documental.La presente monografía se desarrolló con la finalidad de identificar los factores que incrementan las afectaciones psicológicas en un ambiente laboral, los cuales desencadenan problemas de salud física y emocional en los educadores. Para ello se lleva a cabo una revisión documental de referentes relacionada con la labor docente, en un lapso comprendido entre los años 2020 y 2022. Este trabajo se efectuó una recolección de información, con un método descriptivo, con la finalidad de analizar investigaciones a nivel nacional. Asimismo, se consideran pertinentes con la temática central del presente trabajo aquellas investigaciones que contribuyan con la explicación de las palabras claves. Entre los resultados se demostró que el estrés laboral desencadena el síndrome de burnout; por otra parte, entre las conclusiones obtenidas se destaca el incremento de estrés como resultado del confinamiento en los hogares por la aparición del Covid-19.This monograph was developed with the purpose of identifying the factors that increase the psychological affectations in a work environment, which trigger physical and emotional health problems in educators. For this purpose, a documentary review of references related to the teaching work is carried out, in a period between the years 2020 and 2022. This work was carried out a collection of information, with a descriptive method, with the purpose of analyzing research at national level. Likewise, research that contributes to the explanation of key words is considered relevant to the central theme of this work. Among the results, it was demonstrated that work stress triggers burnout syndrome; on the other hand, among the conclusions obtained, the increase of stress because of confinement in homes due to the appearance of Covid-19 stands out

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)