“Simple acts” – “atos simples” das intervenções de enfermagem

Um artigo que valoriza os “atos simples” das intervenções de enfermagem

“THE HUMAN SPIRIT IS precious; strong and fragile at the same time. Nursing has given me a perspective on this spirit that I would’ve missed had I chosen a different path. In my career of more than 30 years, I’ve seen the effect a nurse can have on that spirit and recognize that often it’s the little things we do that impact our patients most.(…)

Retaining dignity

A simple act can preserve the dignity of the human spirit. Mr. R was another hospice patient who was known to our staff when admitted. Healthcare provider orders included “shave patient.” This became our ritual each time I cared for him. When he became too weak to speak, he’d pantomime his request for a shave. This was just a simple act by me but it was so important to Mr. R, allowing him to retain his dignity and just a little control in a situation that stripped all other control from him.

Human touch

The smallest act of kindness can mean so much to a patient. Fear can be overwhelming for patients facing a life-altering illness and can be intensified by personal issues. The simple touch of another can help calm that fear.

Mr. L was the first patient admitted to our unit with a diagnosis of AIDS. This was early in the AIDS epidemic and despite all the literature regarding transmission, many in healthcare felt uneasy about the potential for becoming infected by the virus.

I was assigned as his primary nurse. After giving him time to get settled, I introduced myself and we talked, getting to know each other a little. Mr. L confessed he felt very anxious about his parents, who were coming that night to visit. He told me, “I not only have to break the news that I have AIDS, but they don’t even know I’m gay.” I offered the only thing I could: “Do you need a hug?” He immediately, almost hungrily, accepted the offer and confided, “You’re the first person to touch me in weeks, since I was told I had AIDS.” My heart ached realizing the unnecessary isolation he’d endured when just the simple touch of another would have meant so much.

Immeasurable impact

The interventions nurses make on a daily basis, some potentially lifesaving, can’t be minimized. But it’s just as important to acknowledge the value of all the “simple” acts we perform every day: things you may not find in a nursing textbook or require an advanced degree but define the reason we chose this profession in the first place, to care for and about others. The simple act of a hug, the touch of your hand on theirs, a soothing voice over the phone, or just knowing when to listen, affects our patients in ways that can’t be measured. It’s been more than 20 years since I worked in that inpatient unit and I vividly remember these patients and many others-not because of any impact I had on them, but because of the impact they had on me.”

May 2015
Volume 45   Number 5
Simple acts

Maureen Goodhue Polizzi LPN

– See more at: http://www.nursingcenter.com/lnc/JournalArticle?Article_ID=2813469&Journal_ID=54016&Issue_ID=2813292#sthash.qC2oSwyX.dpuf

“Top 50 Bioethics Journals and Top 240 Most Cited Bioethics Articles Published Since 2009″

Top 50 Bioethics Journals and Top 240 Most Cited Bioethics Articles Published Since 2009

“Bioethics is an interdisciplinary field that has been growing tremendously over the last 40 years. There are now over 50 journals publishing scholarly work closely related to bioethics with an aggregated production of over 16,000 articles over the last six years, or about 7 articles a day!

Here are the top 240 most cited articles from 50 select bioethics journals published in 2009 through 2014.

View the Top Articles by Year: 2014, 2013, 2012, 2011, 2010, 2009.

View the Top 50 Bioethics Journal Ranking for 2009 to 2014.

About this Analysis

Inspired by the blog posts “top 20 bioethics journals in the world” and “top 30 bioethics journals on earth” I have calculated impact factors for these journals to find the overall ranking for the period from 2009 to 2014. For this analysis I used Harzing’s Publish or Perish to calculate the h5-index for journal impacts (because some journals were not included in Google’s automatic metric due to not reaching the minimum number of publications per year). This ranking is based on Harzing’s citation analysis method for creating an index h, which is an aggregated score of how many highly cited articles an author publishes each year, but for a five year period and a journal rather than individual:

“A scientist has index h if h of his/her Np papers have at least h citations each, and the other (Np-h) papers have no more than h citations each.” Harzing 2005

If 27 articles have 27 citations each over five years, the h5-index for that journal is 27. If they had 29 cited 27 each, it’s still 27. Or if they had 100 cited 10 each, it’s 10. Here are the data I gathered for this analysis, including the 16,000 articles in a spreadsheet. If you’d like to use it in a publication just let me know.”

Author: Mark T Hakkarinen, M.A.

 Top Bioethics Articles by Year –  2014

*As of March, 2015. Rankings for 2014 will skew more heavily than usual towards articles published earlier in the year.

  1. Addressing the ethical challenges in genetic testing and sequencing of children“. EW Clayton, LB McCullough, LG Biesecker…. The American Journal … 21 cites
  2. In vitro eugenics“. R Sparrow. Journal of medical ethics 18 cites
  3. Withdrawing artificial nutrition and hydration from minimally conscious and vegetative patients: family perspectives“. C Kitzinger, J Kitzinger. Journal of medical ethics 17 cites
  4. Assessing the likely harms to kidney vendors in regulated organ markets“. J Koplin. The American Journal of Bioethics 16 cites
  5. Egalitarianism and moral bioenhancement“. R Sparrow. The American Journal of Bioethics 16 cites
  6. Changing the conversation about brain death“. RD Truog, FG Miller. The American Journal of Bioethics 15 cites
  7. The ethics of advertising for health care services“. Y Schenker, RM Arnold, AJ London. The American Journal of … 14 cites
  8. Pascal’s wager: health insurance exchanges, Obamacare, and the Republican dilemma“. DK Jones, KWV Bradley…. Journal of health politics, … 14 cites
  9. Voluntary moral enhancement and the survival-at-any-cost bias“. V Rakić. Journal of medical ethics 13 cites
  10. Thinking ahead on deep brain stimulation: An analysis of the ethical implications of a developing technology“. V Johansson, M Garwicz, M Kanje†…. … neuroscience 13 cites
  11. Treatment decision making for incapacitated patients: is development and use of a patient preference predictor feasible?“. A Rid, D Wendler. Journal of Medicine and Philosophy 13 cites
  12. Use of a Patient Preference Predictor to help make medical decisions for incapacitated patients“. A Rid, D Wendler. Journal of Medicine and Philosophy 13 cites
  13. Transnational gestational surrogacy: Does it have to be exploitative?“. J Kirby. The American Journal of Bioethics 12 cites
  14. A costly separation between withdrawing and withholding treatment in intensive care“. D Wilkinson, J Savulescu. Bioethics 12 cites
  15. Structuring a written examination to assess ASBH health care ethics consultation core knowledge competencies“. BD White, JB Jankowski, WN Shelton. The American Journal of … 11 cites
  16. Patient and citizen participation in health: The need for improved ethical support“. L Williamson. The American Journal of Bioethics 11 cites
  17. The recent history of Christian bioethics critically reassessed“. HT Engelhardt. Christian Bioethics 11 cites
  18. Brave new love: The threat of high-tech “conversion” therapy and the bio-oppression of sexual minorities“. BD Earp, A Sandberg, J Savulescu. AJOB neuroscience 11 cites
  19. Approaches to suffering at the end of life: the use of sedation in the USA and Netherlands“. JAC Rietjens, JR Voorhees, A van der Heide…. Journal of medical … 10 cites
  20. Moral bioenhancement: a neuroscientific perspective“. MJ Crockett. Journal of medical ethics 10 cites

Günter Grass – RIP


“A memória assenta em memórias que, por sua vez, vão à procura de outras memórias. Assemelha-se assim à cebola que, a cada casca que cai, põe a nú coisas há muito esquecidas, até aos dentes de leite da meninice; mas depois a faca afiada ajuda a conseguir um outro propósito: cortada, camada por camada, provoca lágrimas que turvam a vista” (p.246).