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The Positive Psychosocial Implications of Using a Family Centered Care Approach for School Aged Children with Cerebral Palsy and Their Families
No full textThis paper is to discuss the positive psychosocial implications of a family centered care approach on school aged children with Cerebral Palsy, as well as their family. The purpose of this research is to demonstrate the importance of implementing a family centered care approach within the healthcare system as a standard of care. The research question is: How does the implementation of a family centered care approach impact school aged children with Cerebral Palsy? For the methods I included articles form 2004 to present and from different countries to represent a worldwide view of the topic. Specific search terms included Cerebral Palsy, school age, family centered care, healthcare system, family support, siblings, developmental impact, child life, quality of life, and hospitalization. The key findings show that the implementing a family centered care approach with school aged children who have Cerebral palsy correlates with overall better physical and mental wellbeing, reaching milestones, and participating in rehabilitation exercises more effectively. This approach also promoted greater wellbeing for parents, as well as siblings. Recommendations would be to conduct further research including the school and community in the family centered care approach, it would also be helpful to compare the experience of parents and siblings as well to better understand how they cope with the chronic condition. It would also be recommended to have more literature on how the medical providers view the family centered care approach and what results they have found when implementing this approach with their patients and families
GERENCIAMENTO DE FINANÇAS PESSOAIS EM FAMÍLIAS DA ALDEIA DE RUNTA, DO MUNICÍPIO DE TUNJA
Get PDFThis article analyzes the management of personal finances of rural families in the village of Runta in Tunja municipality, whose purpose is to identify the variables that indicate the management of their economic resources and, therefore, the making of sound decisions that affect their economic stability and quality of life. The methodology followed is characterized by its quantitative descriptive-correlational approach, which seeks to detail the economic dynamics in terms of income, expenditure, savings, investment, and budget derived from the activities carried out by rural families based on a sample of 244 people. Among the results obtained, it was identified that the lack of financial education influences access to financial savings instruments that allow them to increase their profitability and diversify the rural economy, indicating the establishment of financial inclusion policies to promote agro-industry.El presente artículo analiza la gestión de las finanzas personales de las familias rurales de la vereda Runta, del municipio de Tunja, cuyo propósito se centra en identificar las variables que indicen en la gestión de sus recursos económicos y, por ende, en la toma de decisiones acertadas que afectan su estabilidad económica y calidad de vida. La metodología seguida se caracteriza por su enfoque cuantitativo de tipo descriptivo-correlacional, que busca detallar las dinámicas económicas en cuanto a ingresos, gastos, ahorro, inversión y presupuesto derivados de las actividades realizadas por las familias rurales a partir de una muestra de 244 personas. Dentro de los resultados obtenidos, se identificó que la escasa educación financiera influye en el acceso a instrumentos financieros de ahorro, que les permitan aumentar su rentabilidad y a diversificar la economía rural, lo que indica el establecimiento de políticas en materia de inclusión financiera para potenciar la agroindustria.Este artigo analisa a gestão das finanças pessoais de famílias rurais do vilarejo de Runta no município de Tunja, cujo objetivo é identificar as variáveis que indicam a gestão de seus recursos econômicos e, portanto, a tomada de decisões acertadas que afetam sua estabilidade econômica e qualidade de vida. A metodologia seguida caracteriza-se por sua abordagem quantitativa descritivo-correlacional, que busca detalhar a dinâmica econômica em termos de renda, despesa, poupança, investimento e orçamento derivado das atividades realizadas pelas famílias rurais a partir de uma amostra de 244 pessoas. Dentre os resultados obtidos, identificou-se que a falta de educação financeira influencia o acesso a instrumentos de poupança financeira que lhes permitam aumentar sua lucratividade e diversificar a economia rural, indicando o estabelecimento de políticas de inclusão financeira para fomentar a agroindústria
Are Hospitals Too Restrictive: Assessing the Effect of Hospital Visitation Policies on Pediatric Patient Stress
No full textThe purpose of this study was to assess the impact of hospital visitation and accessibility policies on the wellbeing of pediatric patients and their families. The research questions addressed in this study were, Does hospital visitation policy predict pediatric patient and family stress levels as perceived by child life staff on a hospital stress scale? and, Does limited accessibility and use of restrictive medical equipment also predict pediatric patient and family stress levels as perceived by child life staff? Participants are 21 female Child Life Specialists with a broad spectrum of age and experience, all working at various inpatient settings, split up into a summer and fall cohort based on response submission. These professionals were recruited through the Association of Child Life Professionals webpage, and answered questions based on their perceptions of patient and family stress as well as the policies of the hospital they work at. The fall cohort surveys indicated that there is a significant correlation between restrictive accessibility policies and patient and family stress. Also documented were high rates of families feeling that restrictive policies impacted their ability to care for their child and negatively affected family bonding. Recommendations include continued advocacy and policy changes to make family longues and playrooms more accessible, remove barriers to family bonding in the hospital, and institute creative ways for patient group play activities
Girando a Conversa da Cosmovisão da Nasa No Território de Mosoco, Páez-Cauca
Get PDFWe\u27wenxi\u27s umna Kwe\u27sx pudna Museukwe Kiwete aims to approach the ancestral knowledge of the Nasa indigenous community, since the cultural practices that are woven in the territory have been weakened over time, because the transmission of knowledge from generation to generation nowadays experiences social, economic, cultural and political gaps. The main objective aimed to create a didactic strategy to strengthen the ancestral memory and the cosmovision of the Nasa territory, through the collection of data on the experiences, knowledge and customs of the community of the Mosoco indigenous reservation in the municipality of Paez (Belalcazar). The theoretical approach focuses on intercultural education as the perspective that highlights cultural identity as a collective fabric, which fosters a new mode of social and educational relationship, where an approach to ethnographic research that seeks the recognition of diverse knowledge and practices from the ethnic and ancestral point of view is conducted. To achieve this, it was used the instruments such as participant observation, the interview and the minga of thought as a pedagogical tool that collects and systematizes millenarian knowledge. As a result of the study, voices of the community regarding ancestral practices, cosmogonic principles, and the cosmovision of the Nasa indigenous people were systematized through dialogue of knowledge, participant observation of Mingas de pensamiento held through tulpas, and analysis of texts, articles, and books documenting cultural memory.We´wenxi´s umna Kwe´sx pudna Museukwe Kiwete tiene como intención pedagógica hacer un acercamiento al saber ancestral de la comunidad indígena Nasa, ya que las prácticas culturales que se tejen en el territorio se han debilitado con el andar del tiempo, a causa de que la transmisión de saberes de generación a generación hoy vive brechas sociales, económicas, culturales y políticas. El objetivo general era crear una estrategia didáctica que fortaleciera la memoria ancestral y la cosmovisión del territorio Nasa, a través de la recolección de datos sobre las vivencias, saberes y costumbres de la comunidad del resguardo indígena de Mosoco del municipio de Páez (Belalcázar). El abordaje teórico se centra en la educación intercultural como la perspectiva que destaca la identidad cultural como un tejido colectivo, que propicia un nuevo modo de relación social y educativa, donde se realiza un acercamiento a la investigación etnográfica que busca el reconocimiento de saberes y prácticas diversas desde lo étnico y ancestral. Para lograr esto, se utilizaron los instrumentos de la observación participante, la entrevista y la minga de pensamiento como herramienta pedagógica que recolecta y sistematiza el saber milenario. Como resultado de la indagación, se obtuvo que se sistematizaron las voces de la comunidad frente a las prácticas ancestrales, los principios cosmogónicos y la cosmovisión del pueblo indígena Nasa, mediante el diálogo de saberes, la observación participante de las Mingas de pensamiento que se tejen a través de las tulpas, el análisis de textos, artículos y libros, que documentan sobre la memoria cultural. do Umna Kwe\u27sx pudna Museukwe Kiwete de We\u27wenxi é aproximar-se do conhecimento ancestral da comunidade indígena Nasa, uma vez que as práticas culturais que são tecidas no território se enfraqueceram ao longo do tempo, devido a que a transmissão do conhecimento de geração em geração A geração atual experimenta lacunas sociais, econômicas, culturais e políticas. O objetivo geral foi criar uma estratégia de ensino que fortalecesse a memória ancestral e a visão de mundo do território Nasa, por meio da coleta de dados sobre as experiências, saberes e costumes da comunidade da reserva indígena Mosoco no município de Páez (Belalcázar). A abordagem teórica centra-se na educação intercultural como a perspectiva que destaca a identidade cultural como um tecido colectivo, que fomenta um novo modo de relação social e educativa, onde se realiza uma abordagem à investigação etnográfica que procura o reconhecimento de saberes e práticas diversas de. origens étnicas e ancestrais. Para isso, foram utilizados os instrumentos de observação participante, entrevista e minga de pensamento como ferramenta pedagógica que coleta e sistematiza conhecimentos antigos. Como resultado da investigação obteve-se que as vozes da comunidade foram sistematizadas a respeito das práticas ancestrais, dos princípios cosmogônicos e da visão de mundo do povo indígena Nasa, por meio do diálogo de saberes, da observação participante dos Mingas de pensamento que são tecidas através de tulpas, a análise de textos, artigos e livros, que documentam a memória cultural
Projetos Pedagógicos Produtivos e Economia Familiar Derivados da Batata Quincha Nativa, No Município de Soracá, Boyacá, 2022
Get PDFPart of the proposals that stand for a new development plan in Colombia, aims to carry out the objectives established in the Peace Agreement signed in Havana, Cuba, in 2016. In this agreement, which promotes the paradigm of a stable and lasting peace, item number discusses the topic "Towards a New Colombian Countryside: Integral Rural Reform", which, motivated by its bets, seeks to strengthen rural production processes and its integrated mechanisms, oriented towards solidarity, family and peasant economies This research process aims to identify the potential of the municipality, its social and cultural patterns, supported by human capital options. It is also highlighted by a historical framework that reinforces the capabilities of the educational institution "Simon Bolivar", which distinguishes itself annually in its formation through various productive pedagogical projects. Such projects encompass needs and good cognitive business practices, transforming this municipality into a powerhouse of immaterial and gastronomic wealth. The above is considered from a holistic perspective, in an integral and transversal manner, which might be a position without limits to boost a possibility of family and rural economy at a large dimension, while keeping in mind the subjective and intersubjective knowledge acquired. However, in order to integrate a public and cultural policy that recognizes the efforts established in that territory, it becomes a priority to make academic efforts to make visible these rural bets of local-regional nature. This process will be based on a methodology with analytical paradigms, integrated by a qualitative approach and descriptive, hermeneutic and participatory action research typologies.Parte de las propuestas que se erigen para un nuevo plan de desarrollo en Colombia, propone llevar a cabo los propósitos establecidos en el tratado de paz firmado en La Habana, Cuba, en el año 2016. En este tratado, que promueve el paradigma de una paz estable y duradera, el punto número aborda el tema “Hacia un Nuevo Campo Colombiano: Reforma Rural Integral”, que, motivados por sus apuestas, busca fortalecer los procesos de producción rural y sus mecanismos integrados, orientados hacia economías solidarias, familiares y campesinas Este proceso de investigación tiene como objetivo identificar las potencialidades del municipio, sus patrones sociales y culturales, respaldado por las opciones de capital humano. Se destaca además por un marco histórico que refuerza las capacidades de la institución educativa “Simón Bolívar”, la cual sobresale anualmente en su formación gracias a diversos proyectos pedagógicos productivos. Estos proyectos enmarcan necesidades y buenas prácticas empresariales cognitivas, convirtiendo a esta municipalidad en una potencia de riqueza inmaterial y gastronómica. Lo anterior se considera desde una perspectiva holística, de manera integral y transversal, que podría ser una postura sin límites para impulsar una posibilidad de economía familiar y rural a gran escala, sin dejar de lado el conocimiento subjetivo e intersubjetivo adquirido. Sin embargo, para integrar una política pública y cultural que reconozca los esfuerzos establecidos en ese territorio, se vuelve prioritario realizar esfuerzos académicos para visibilizar estas apuestas rurales de carácter local-regional. Este proceso tendrá una metodología con paradigmas analíticos, integrado por un enfoque cualitativo y unas tipologías descriptivas, hermenéuticas y de investigación acción participativa.Parte das propostas que estão sendo erguidas para um novo plano de desenvolvimento na Colômbia, propõe a concretização dos propósitos estabelecidos no tratado de paz assinado em Havana, Cuba, em 2016. Neste tratado, que promove o paradigma de uma paz estável e duradoura, o número do ponto aborda o tema “Rumo a um Novo Campo Colombiano: Reforma Rural Integral”, que, motivado por seus compromissos, busca fortalecer os processos de produção rural e seus mecanismos integrados, orientados para as economias solidárias, familiares e camponesas. potencial do município, seus padrões sociais e culturais, apoiados em opções de capital humano. Destaca-se também por um enquadramento histórico que reforça as capacidades da instituição educativa “Simón Bolívar”, que anualmente se destaca na sua formação graças a diversos projetos pedagógicos produtivos. Estes projetos enquadram necessidades e boas práticas empresariais cognitivas, transformando esta cidade numa potência de riqueza intangível e gastronómica. O acima exposto é considerado a partir de uma perspectiva holística, de forma abrangente e transversal, o que poderia ser uma posição ilimitada para promover a possibilidade de uma economia familiar e rural em grande escala, sem deixar de lado o conhecimento subjetivo e intersubjetivo adquirido. Contudo, para integrar uma política pública e cultural que reconheça os esforços estabelecidos naquele território, torna-se prioritário realizar esforços académicos para tornar visíveis estas apostas rurais de carácter local-regional. Este processo terá uma metodologia com paradigmas analíticos, integrada por uma abordagem qualitativa e tipologias de investigação-ação descritiva, hermenêutica e participativa
Gig economy en Latinoamérica y sus implicaciones jurídicas
Get PDFThe gig economy, or on-demand economy, is a phenomenon that has emerged through digital platforms and presents legal gaps that require regulation in Latin America, especially in Brazil and Colombia. These countries have thoroughly studied the issue and have generated debates through legislative projects, although regulations have not yet been implemented. Platform economy, on-demand economy, and gig economy are interconnected. The main groups in this economy are platform workers, the digital platforms themselves, and consumers, who are considered autonomous, implying that they must bear the costs related to social security, insurance, health, and retirement. Digital platforms act as intermediaries, connecting workers and consumers. However, there is debate about whether these platforms are truly intermediaries or should be considered employers, as they do not provide social security or protection. Consumers are the ones who pay for the services provided through these platforms. It is necessary to analyse this phenomenon from an economic, social, and legal perspective. The proposed bills in Argentina, Chile, Colombia, Mexico, and Brazil address the regulation of the gig economy. These countries share the challenge of regularization of workers, although they focus on specific aspects such as health, insurance, retirement plans, and access to information. Additionally, it is important to address the issue of big data, as worker and consumer information is hidden and may be used to benefit digital platforms at the expense of user privacyLa gig economy, o economía sobre demanda, es un fenómeno que ha surgido a través de plataformas digitales y presenta vacíos legales que requieren regulación en Latinoamérica, especialmente en Brasil y Colombia. Estos países han estudiado a fondo el tema y han generado debates a través de proyectos legislativos, aunque aún no se han implementado regulaciones. La economía de plataformas, la economía bajo demanda y la gig economy están interrelacionadas. Los grupos principales en esta economía son los trabajadores de las plataformas, las propias plataformas digitales y los consumidores, considerados autónomos, lo que implica que deben asumir los gastos relacionados con la seguridad social, seguros, salud y jubilación. Las plataformas digitales actúan como intermediarios, conectando a los trabajadores y a los consumidores. Sin embargo, se cuestiona si estas plataformas son realmente intermediarios o si deberían ser consideradas empleadores, ya que no brindan seguridad social ni protección. Los consumidores son quienes pagan por los servicios prestados a través de estas plataformas. Es necesario analizar este fenómeno desde una perspectiva económica, social y legal. Los proyectos de ley presentados en Argentina, Chile, Colombia, México y Brasil abordan la regulación de la gig economy. Todos estos países tienen en común la problemática de la regularización de los trabajadores, aunque se centran en aspectos específicos como la salud,los seguros, los planes de jubilación y el acceso a la información. Además, es importante abordar el tema del big data, ya que la información de los trabajadores y consumidores se encuentra oculta y posiblemente se utilice para beneficiar a las plataformas digitales a costa de la privacidad de los usuarios. 
Cognitive Functions of Elementary School Students’ Play in Relation to Applied Behavior Analysis: A Review of Literature
No full textThere are many avenues and behaviors that children with autism engage in. Hence, learning about the positive effects of Applied Behavior Analysis (ABA) therapy on cognitive functions during play is significant because it can help autistic children improve essential cognitive skills all while having fun and developing crucial play skills. The purpose of this study is to identify the effects of Applied Behavior Analysis in elementary school children with autism, specifically analyzing the positive effects on cognitive functions during play. Using an extended literature review, the specific research question addressed is the following: How does Applied Behavior Analysis influence the cognitive functions of elementary school play in children with autism? This extended literature review will use a qualitative, argumentative approach to answer the question because this paper is understanding children’s’ attitudes and behaviors using Applied Behavior Analysis. Key findings were categorized into four themes: the effectiveness of ABA therapy, young age of entry for ABA therapy, cognitive functioning gains from ABA therapy, and common play styles among those with autism spectrum disorder (ASD). The effectiveness and success of ABA therapy and the young age at the start of ABA services indicate clear recommendations for the field of autism to continue this specific treatment regarding play growth
Development and Implementation of a Data Tracking Tool to Identify Reasons for Scheduled Gaps in the Surgery Schedule
No full textThe operating room (OR) of any hospital is a significant part of the profitability of the healthcare system. It is estimated that forty to seventy percent of a hospital’s entire revenue comes from the OR (Bovim et al., 2020; Kaye et al., 2019; Jung et al., 2019; Welder et al., 2016). Gaps in the surgery schedule result in lost revenue, lost productivity of staff assigned to the operating room, and the potential for a decrease in the number of patients receiving the surgery needed.
This quality improvement (QI) project represents an intervention to develop and implement a data tracking tool to determine the reason for scheduled gaps in the surgery schedule. Baseline data collected prior to the QI project demonstrated a significant loss in revenue due to the number of gap minutes discovered during a consecutive three-month period.
Background: Data collected prior to initiating the QI project showed lost revenue over one million dollars per month for two consecutive months due to the number of scheduled gap minutes in the surgery schedule. A system data analyst collects general information related to surgical times that include first case on time starts (FCOTS), turnover times (TOT), and gaps in the surgical schedule. There is currently no tool or process in place to look at causes of the scheduled gaps in the surgery schedule. Method: A data collection tool was developed and implemented to track identifying causes for the scheduled gaps in the surgical schedule. The project team discussed different data points for tracking, and this resulted in multiple iterations of the data tracking tool.
Results: There are 12 specialty clinics and 69 physicians at this Midwest Level I Pediatric Trauma Center. The data collected from the tracking tools identified the primary cause of scheduled gaps, 94%, were linked to physicians being unavailable due to clinic scheduling. In addition, the data revealed one specialty clinic to have a significantly higher incidence of gap minutes and attributed to two primary physicians. Conclusion: Additional data collection is needed to explore possible QI interventions to decrease the number of scheduled gap minutes. The author developed four iterations of the data tracking tool in collaboration with the project team to further refine additional data points. The intervention would benefit from implementation of a QI process within the identified specialty clinic and with the specific physicians identified as key contributors
Experiences of Children with Sensory Sensitivities in Emergency Departments: A Narrative Literature Review
No full textChildren with sensory sensitivities face a wide range of difficult sensory experiences and related adversities in the hospital, especially emergency departments (EDs). This narrative literature review investigates the specific challenges that these children and their families encounter in EDs and the supports that hospital policy and providers can apply to mitigate them. An extensive review of existing literature was performed, which consisted of qualitative and quantitative research studies. Reviewed articles utilized date collected from parents/caregivers of children with sensory processing difficulties, healthcare providers, and children with autism spectrum disorder (ASD). Key findings were challenges such as child characteristics, the ED environment and processes, and inadequate training and education; supports to counteract these included training and education, environmental changes, process changes, communication methods, and resource availability. Recommendations based on the findings for policymakers include process improvements, environmental adaptations, and increased education and training. Providers should seek out education and training opportunities related to sensory sensitivities and adapt their communication method to meet the patients; furthermore, future research should address more conditions associated with sensory processing difficulties, identify key differences between urgent care and EDs for these families, and examine the critical sensory tools to have available in EDs to support children
La ciencia y la filosofía como constructoras de conocimiento
Get PDFThis paper exposes science as a human creation based on experiences, needs and questions that start from observation, through experimentation and the issuance of conclusions, where man, reasons and issues assumptions that later become a thesis, laws and principles; On the other hand, the philosophical is born of reflection, motivated by the daily life in different times and diverse social and natural principles. The philosophy of science is taken as an epistemology of the scientific birth, it focuses on the generation of doubts, reasons in a way critical and scientific, and builds new ideas that seek to solve problems, methods are applied as procedures to intervene this set of problems and correct procedures are applied at appropriate times where the mind will propose future situations. The text also deals with scientific knowledge and the philosophy of science conjugated in the creation of new knowledgeEn este escrito se expone a la ciencia como una creación humana basada en las vivencias, necesidades e interrogantes que parten desde la observación, pasando por la experimentación y la emisión de conclusiones, donde el hombre, razona y emite supuestos que posteriormente se convierten en tesis, leyes y principios; por otra parte la filosófica nace de la reflexión, motivada por el vivir diario en diversas épocas y diversos principios sociales y naturales, Se toma la filosofía de la ciencia como una epistemología del nacer científico, se enfoca en la generación de dudas, razona de forma crítica y científica, y construye nuevas ideas que procuran solucionar problemas, se aplican métodos como procedimientos para intervenir este conjunto de problemas y se aplican procedimientos acertados en los momentos adecuados donde la mente propondrá situaciones futuras. El texto también trata sobre el conocimiento científico y la filosofía de la ciencia conjugados en la creación de nuevo conocimiento