Moral Distress: The State of the Science

2004 ◽  
Vol 18 (1) ◽  
pp. 73-93 ◽  
Author(s):  
Debra R. Hanna
Keyword(s):  
Moral Distress ◽  
The State ◽  
Natural Order ◽  
Life And Death ◽  
Current State ◽  
Technological Advances ◽  
Adequate Definition ◽  
Clinically Significant ◽  
State Of The Science ◽  
Topical Area

Moral distress, a complex human experience, has lacked a clear, complete definition. Intuitively, clinicians know that moral distress might be occurring for patients with increasing frequency due to technological advances that alter the natural order of life and death. Yet clinicians have not been able to evaluate the presence or extent of moral distress. To date, moral distress has been investigated mainly as an occupational issue using Jameton’s (1984) definition, which has been problematic for several reasons. Without an adequate definition, moral distress can be unrecognized, yet have a silent, clinically significant impact on health. The literature is discussed from several perspectives to show the current state of the science in this topical area, and its potential future.

scholarly journals Assessing the Exposome with External Measures: Commentary on the State of the Science and Research Recommendations

2017 ◽  
Vol 38 (1) ◽  
pp. 215-239 ◽  
Author(s):  
Michelle C. Turner ◽  
Mark Nieuwenhuijsen ◽  
Kim Anderson ◽  
David Balshaw ◽  
Yuxia Cui ◽  
...  
Keyword(s):  
Exposure Assessment ◽  
The State ◽  
External Exposure ◽  
Research Needs ◽  
External Assessment ◽  
Current State ◽  
Technological Advances ◽  
The Life Course ◽  
State Of The Science ◽  
External Exposures

The exposome comprises all environmental exposures that a person experiences from conception throughout the life course. Here we review the state of the science for assessing external exposures within the exposome. This article reviews (a) categories of exposures that can be assessed externally, (b) the current state of the science in external exposure assessment, (c) current tools available for external exposure assessment, and (d) priority research needs. We describe major scientific and technological advances that inform external assessment of the exposome, including geographic information systems; remote sensing; global positioning system and geolocation technologies; portable and personal sensing, including smartphone-based sensors and assessments; and self-reported questionnaire assessments, which increasingly rely on Internet-based platforms. We also discuss priority research needs related to methodological and technological improvement, data analysis and interpretation, data sharing, and other practical considerations, including improved assessment of exposure variability as well as exposure in multiple, critical life stages.

Endovascular management of ruptured abdominal aortic aneurysms and acute aortic dissections

VASA ◽  
2019 ◽  
Vol 48 (1) ◽  
pp. 35-46
Author(s):  
Stephen Hofmeister ◽  
Matthew B. Thomas ◽  
Joseph Paulisin ◽  
Nicolas J. Mouawad
Keyword(s):  
Abdominal Aortic Aneurysms ◽  
Rapid Identification ◽  
Aortic Aneurysms ◽  
Endovascular Interventions ◽  
Current State ◽  
Technological Advances ◽  
Abdominal Aortic ◽  
Ruptured Abdominal Aortic Aneurysms ◽  
Vascular Emergencies ◽  
Aortic Dissections

Abstract. The management of vascular emergencies is dependent on rapid identification and confirmation of the diagnosis with concurrent patient stabilization prior to immediate transfer to the operating suite. A variety of technological advances in diagnostic imaging as well as the advent of minimally invasive endovascular interventions have shifted the contemporary treatment algorithms of such pathologies. This review provides a comprehensive discussion on the current state and future trends in the management of ruptured abdominal aortic aneurysms as well as acute aortic dissections.

Congenital defects: An evaluation and assessment of the state of the science

1981 ◽  
Author(s):  
Allen S. Goldman ◽  
James W. Lash ◽  
Delbert Dayton ◽  
Daniel Nebert
Keyword(s):  
The State ◽  
Congenital Defects ◽  
State Of The Science ◽  
Evaluation And Assessment

On the Development of Islamic Jurisprudence

1999 ◽  
Vol 16 (1) ◽  
Author(s):  
Murad Wilfried Hofmann
Keyword(s):  
The State ◽  
Current State ◽  
Islamic Jurisprudence ◽  
The Status ◽  
Sensitive Issues ◽  
Status Of Women ◽  
Islam And Democracy

This article examines the state of Islamic jurisprudence with regard to many sensitive issues, such as the status of women and minorities in Islam, Islam and Democracy, hudud punishments. The author explores the current state of Islamic discourse on jurisprudence and identifies three approaches-traditional, secular and reformist. The paper explores the positions of the traditional ulama and the reformist muj­tahids on the mentioned topics and finds the reformist position more sensible and closer to the position of ihe Qur'an and Sunnah. This paper while advocating neo-ijtihad, makes an impressive case for the merit???? and Islamic credibility of the reformist jurisprudence.

The Daily Routine of Students in the Classroom

2020 ◽  
Vol 8 (3) ◽  
pp. 157-163
Author(s):  
Lilian Marques Silva
Keyword(s):  
Elementary School ◽  
Public School ◽  
Data Collection ◽  
New Technologies ◽  
Sao Paulo ◽  
The State ◽  
Daily Routine ◽  
São Paulo ◽  
Access To Information ◽  
Technological Advances

The almost instantaneous access to information provided by technological advances has revolutionized the behavior of people and of the classrooms too. Teachers had to adapt themselves to new technologies to maintain students interested and attentive to the discipline being taught. In this work, the behavior of the students of the 6th grade of elementary school II during class was observed. The school chosen is a public school in the State of São Paulo (Brazil). The research was based on data collection. The students were observed by being filmed during six months. The results showed that the students were interested in the classes and committed to the activities. The place that the student chooses to sit in the classroom influences the behavior of the teacher, because the more distant the teacher, the less he participates in the class.

Diversity and Group Creativity

2019 ◽  
pp. 32-49
Author(s):  
Paul B. Paulus ◽  
Karen I. van der Zee ◽  
Jared B. Kenworthy
Keyword(s):  
The State ◽  
Group Creativity ◽  
Future Directions ◽  
Integrative Framework ◽  
Group Members ◽  
Potential Impact ◽  
Elaboration Model ◽  
State Of The Science

It is often presumed that diversity of group members will enhance group creativity. However, the evidence for this has been mixed. This chapter summarizes the state of the science in this area and provides an integrative framework based on the categorization elaboration model of van Knippenberg and colleagues. It focuses on the factors that influence the expression of diverse perspectives, attention to such expressions, the elaboration of the shared ideas, and how these lead to creative outcomes. It evaluates the importance of identity factors in this process and discusses the potential impact on both divergent and convergent creativity. It notes some of the gaps in the literature and suggests future directions.

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