scholarly journals Assisted suicide: Perception of nursing students about professional performance on this topic

2020 ◽  
Vol 17 (3) ◽  
pp. 305-316
Author(s):  
D. Timóteo-Costa ◽  
V. Marinalva-de Barros ◽  
D.M. Rodrigues-da Silva ◽  
I.D. Lima-Cavalcanti ◽  
J.M. De Aquino ◽  
...  

Introduction: Assisted suicide is considered an action in which a patient, wishes to terminate his/her life due to the pain and suffering caused by a disease and requests the necessary help from the healthcare professionals. The right to decide about ending one’s own life and the impact attributed to the experienced suffering are the main questions regarding assisted suicide. Objective: Characterize the perceptions of nursing students about professional performance in the face of assisted suicide. Methods: The research comprised a descriptive analysis with a qualitative approach, based on the application of semi-structured interviews on nursing students enrolled in the curricular 9th period, during 2014, in the city of Recife-PE, Brazil. The sample consisted of 19 students. The data, were analyzed and categorized using the Collective Subject Discourse (CSD) method. Results and Discussion: The obtained data suggest that students consider assisted suicide as a way of preserving dignity in the face of procedures that will make the death an inevitably painful process. Indicate that euthanasia and assisted suicide should remain illegal, and they would not get involved professionally. But others assured their willingness to participate because they would be satisfying the patient's wishes, however, for its legalization it is necessary to create principles that would guide the execution of these procedures. Conclusion: The students consider, that the professional can eliminate real possibilities of treatment and recovery of the patient by accepting his request for suicide. However, some students are in favor of this procedure, arguing that the patient is free to conduct his own life.

2020 ◽  
Vol 10 (2) ◽  
pp. 130-145
Author(s):  
Asih Nurakhir ◽  
Fiqih Nindya Palupi ◽  
Cornelia Langeveld ◽  
Devi Nurmalia

Background: The skills in effective communication and critical thinking are essential for nurses to apply appropriate judgments in the delivery of patient care. Classroom debates are evident to be an effective strategy that can be used to improve such skills. Unfortunately, research focusing on classroom debates to promote critical thinking and oral communication skills among nursing students has not been extensively explored.   Purpose: This study aimed to explore nursing students’ views of classroom debates as a learning strategy to enhance critical thinking and oral communication skills.Methods: A descriptive qualitative research design was employed in this study. Twelve students of the undergraduate program in nursing with classroom debate experiences and willingness to participate were purposively recruited for semi-structured interviews. Open-ended questions were used, and probing questions were also generated from the participants to get more detailed information. The interviews were transcribed verbatim and analyzed using the inductive content analysis. Results: The results of the study identified five themes, including the acquisition of new knowledge, awareness and responsiveness to diverse viewpoints and arguments, learning structuring ideas and appropriate ways of presentation, development of other necessary skills, and challenges of classroom debates in nursing education.  Conclusion: Classroom debates promoted the development of critical thinking and oral communication skills, and offered students an opportunity to develop other necessary skills in the face of today’s complex healthcare. Classroom debates can be integrated into the curriculum and teaching practices of any nursing educational institutions.  


Homeopathy ◽  
2021 ◽  
Author(s):  
Renata Lemonica ◽  
Karina Pavao Patricio

Abstract Background Homeopathy has been experiencing a period of expansion in Brazil due to its practical relevance in the face of new global and national health demands, culminating in the launch in 2006 of the National Policy for Integrative and Complementary Practices (NPICP) by the Ministry of Health of Brazil, which standardized and regularized the position of homeopathy within the Brazilian Unified Health System (SUS). Aims To understand the impact of the guidelines proposed by the NPICP on homeopathy services in the SUS, specifically in the south-east region of Brazil, according to the perceptions of their managers. Methods This is a descriptive, exploratory research study with a qualitative approach, conducted in homeopathy services in the south-east region of Brazil, through semi-structured interviews and with data processed using content analysis. Results The data show the importance of the NPICP in regulating and offering homeopathy in the services studied. However, the NPICP's objective of promoting and fully developing integrative and complementary practices has not been achieved because it has failed to translate strategies into actions. Conclusions Though important to the development of homeopathy services in any given location, policies stated in the NPICP were revealed to have limited impact on the implementation and development of new services. Without further legislation, training programs and appropriate budget allocation, new services will be unable to thrive and their users unable to benefit from a more comprehensive approach to healthcare.


1995 ◽  
Vol 4 (1) ◽  
pp. 92-97 ◽  
Author(s):  
Franklin G. Miller

The problem of physician-assisted death (PAD), assisted suicide and active euthanasia, has been debated predominantly in the ethically familiar vocabulary of rights, duties, and consequences. Patient autonomy and the right to die with dignity vie with the duty of physicians to heal, but not to kill, and the specter of “the slippery slope” from voluntary euthanasia as a last resort for patients suffering from terminal illness to PAD on demand and mercy killing of “hopeless” incompetent patients. Another dimension of the debate over PAD concerns the evaluative question of what constitutes a good death. At stake are Issues of character and virtue in the face of death and dying and their Implications for legitimizing the practice of PAD. Critics of PAD argue that “natural” death in the context of comfort care, as provided by hospice programs, is the good death. In contrast, PAD amounts to an easy way out, an evasion of the ultimate human challenge and task of dying. Because hospice care is clearly preferable to PAD, the former should be encouraged and the latter remain prohibited.


2019 ◽  
Vol 25 (1) ◽  
pp. 72
Author(s):  
Janet Stajic ◽  
Stephen Harfield ◽  
Alex Brown ◽  
Anna Dawson ◽  
Carol Davy ◽  
...  

A Masterclass Program was developed to strengthen the research capacity of staff within Aboriginal Community-Controlled Health Organisations (ACCHOs) and featured three Masterclasses delivered across Australia, including Understanding Research, Undertaking Research and Research Evaluation. A mixed-method process and impact evaluation of the Masterclass Program was undertaken. The process evaluation examined the reach of the Program and the impact evaluation comprised an online survey (n=45) and semi-structured interviews (n=21) with Masterclass participants. During 2014–17, 27 Masterclasses were delivered to 260 people, including predominantly ACCHO personnel but also Indigenous doctors and research institute staff who work closely with the ACCHO sector. Most survey respondents felt the Masterclasses improved their understanding of research and their willingness to participate in and undertake research. The qualitative analysis confirmed this and suggested that Masterclasses were implemented in a supportive learning environment which led to increased research capacity (increased research awareness, changed perceptions, increased understanding, critical thinking and new confidence) and ultimately enhanced research engagement (willingness to participate, motivating others, empowered critique of research partners and proposals, interest in further research training). Barriers to research engagement and areas for improvement of the Masterclass Program before, during and after Masterclasses were also identified.


Author(s):  
Gertrud Tauber

Purpose – This research aims to examine three housing projects implemented by local non-governmental organizations (NGOs) and planned by local architects after the Indian Ocean tsunami of 2004 in rural South India. The key to the acceptance of post-disaster houses lies in meeting the peoples’ wishes and needs, and in integrating local know-how into the course of the project process (a premise intensively discussed in theory). After the tsunami of 2004, many (NGOs) appointed architects, assuming that these professionals would be qualified to facilitate the implementation of people-oriented houses (and villages). However, the architects’ roles vary significantly, which had, as will be shown here, a considerable impact on the degree of success of the project. Design/methodology/approach – Primary data for this study were gathered through household questionnaires (110); informal interaction; participant-observation (work assignment: 2.5 years; field survey: 4 months); semi-structured interviews (NGO representatives, architects and engineers). Secondary literature was studied on post-disaster housing, building cultures and cultures of knowledge. Findings – This study reveals that, in the course of rural post-disaster reconstruction, there is a crying need to appoint the “right” personnel having, first of all, the capacity to comply with the social dynamics at project level, and, second, being able to address those aspects critical for the realization of people-oriented housing. Architects can be a valuable resource for both the NGO and the villagers. However, this paper shows that key to this is, among other considerations, a thorough understanding of the rural (building) culture, its abilities and requirements, the strategic interplay of various roles and abilities during the course of an intricate building process and the design of appropriate roles for adequately-skilled architects. Originality/value – To this date, the debate on the role of architects in the context of post-disaster housing has neglected to examine empirically the implications of appointing these professionals in rural post-disaster contexts. This paper addresses this imbalance and complements the existing corpus of work by examining the impact of different roles of architects on the degree of success of the project at village level.


2020 ◽  
Vol 17 (4) ◽  
pp. 452-463
Author(s):  
V. A. Nikolayev ◽  
D. I. Troshin

Introduction. To solve the problem of accelerating the construction of roads, improving their quality, it is advisable to use a continuous action unit to form a underlying layer. The main working bodies of this unit are buckets, which cut off the soil layer from below and on the side. At the same time, the bottom knife cuts off the ground layer from below, the right knife on the side, and the console knife partially cuts the top layer of soil from below for the next bucket. In particular, the analysis of interaction with the soil of the right knife of the continuous action unit is of theoretical and practical interest. To do this, the right knife is divided into elements and analyzed the interaction of these elements with the ground. The consistent impact on the soil of many right knives, within the width of the grip of the unit, is replaced by the impact on the ground of one conventional right knife at a distance necessary for the development of one cubic meter of soil. The forces of interaction of the conventional right knife with the ground are called conditional forces.The method of research. The method for calculating the energy costs during punching the right knife into the ground is shown: on separating the formation of the ground from its body, on overcoming the ground friction on the edge of the blade, on overcoming the ground pressure on the edge of the blade, on accelerating the ground of the blade by means of the axle, on overcoming the ground friction on the shelf, to overcome the ground friction against the outside surface.The total energy costs of interacting with a soil of one cubic meter are derived from the addition of private energy costs. The method of calculating the horizontal longitudinal force needed to move the right knife is given.Results. On the basis of the methodology developed, energy costs are calculated when introducing the right knife into the ground: on separating the soil from its body, on overcoming the friction of the ground on the edge of the blade, on overcoming the pressure of the ground on the face of the blade, on the acceleration of the ground with a fascia blade, on overcoming the ground friction on the face. The total energy costs of the right knife interact with the soil of one cubic meter. The horizontal long-lived force needed to move the right knife has been determined.Conclusion. As a result of the calculations: the energy needed to cut the ground with the right knives, more than 71 J/cube. The horizontal longitudinal force needed to move the right knife is 730 N. To determine the total energy spent on cutting the ground by buckets of the unit to remove the top layer of soil from the underlying layer of the road, it is necessary to analyze the interaction with the soil of other elements of the bucket.


2021 ◽  
pp. 220-241
Author(s):  
Carlos Lema Añón

The COVID-19 pandemic has particularly affected Spain in 2020. Although the specific causes and Spain’s response—as well as the aspects to be improved—are yet to be evaluated, many experts agree that this crisis has magnified some of the problems of the Spanish health system, highlighting the problems derived from the cuts in the capacities of the health and public health systems. We assess the current situation from the perspective of the right to health in its twofold dimension: health care and social determinants. For this purpose, we look into the configuration of the right to health in Spain and how the economic crisis and austerity policies affected it. In particular, we consider the impact both on institutional health care systems and in terms of social determinants of health. Finally, we make several proposals for strengthening the right to health.


Author(s):  
Jasmine Zea Raziah Radha Rashid-Radha ◽  
Andrew Lockwood ◽  
Eimear-Marie Nolan-Davis

This research focuses on how the design of backpacker hostels influences social interaction among guests and how this could enhance or spoil their service experience. There are opposing views on how different aspects of hostel design and services contribute towards guests’ evaluation of their hostel stay. On one hand, it is suggested that a hostel environment which encourages social interaction adds value to the service experience while on the other hand, an environment that offers extra privacy, such as en-suite bedrooms, is more valued. The present research therefore argues that some aspects of the hostel’s current design and core services may now be redundant for certain market segments of the hostel guest. Empirical evidence is needed to illustrate the extent to which hostels are providing the right design and services to meet the current requirements of their target market. At this stage of the research, a pilot study has been carried out using semi-structured interviews with individuals who have stayed in backpacker hostels. Using the Critical Incident Technique (CIT), respondents were asked to recall a specific incident where they had interacted with other hostel guests. Details about the environment in which the interaction took place, as well as how the respondents felt about the interaction, were asked during the interview. It is expected that the findings of this research will shed light on which aspects of a hostel’s design and guests’ interaction would contribute towards enhancing the service experience.  


Author(s):  
Mohamed Galaleldin ◽  
Justine Boudreau ◽  
Hanan Anis

Engineering design courses often include a team-based project. Project-based learning offers a great opportunity for engineering students to learn about teamwork and collaboration. It also gives students a chance to learn about themselves and improve their conflict management skills. Choosing the right team members for a specific project is not trivial, as the choice of the team often affects the project outcome and the students’ experience in the course. Moreover, there is a debate among engineering educators as to whether it is better to force team composition or not. In this paper, we investigate the impact of team composition and formation on project outcomes and student satisfaction in a second-year engineering design course at the University of Ottawa. The course is open to all engineering students and has an accessibility theme. Students work in teams with a client that has a specific accessibility need. Students meet the client three times during the semester and deliver a physical prototype by the end of the semester. For this study, students in the design course were divided into two groups. Students in the first group were allowed to pick their teams, while the instructor created the teams in the second group based on multidisciplinary composition and year of study. Both groups had the same instructor and the same course material, labs, project choices, etc. Semi-structured interviews were conducted with a few teams in each group.


2011 ◽  
Vol 19 (2) ◽  
pp. 252-260 ◽  
Author(s):  
Emanuelle Caires Dias Araújo Nunes ◽  
Luzia Wilma Santana da Silva ◽  
Eulina Patricia Oliveira Ramos Pires

This study identifies the perceptions of undergraduate nursing students concerning their education to provide transpersonal care. This qualitative study was conducted in four public universities in Bahia, Brazil with 16 seniors (non-probabilistic sampling) through semi-structured interviews, analyzed through the Collective Subject Discourse. The results expressed the students’ feelings in the face of the challenge to provide transpersonal care; the psycho-cognitive competencies required by inter-subjective praxis; their perceptions concerning the curriculum in relation to the psycho-emotional dimension of being, untying critical knots; strategies suggested. The final reflections indicate the need to implement changes in the professional education of nurses in order to recover the humanistic view while preserving the scientific view. Undergraduate courses should develop an interactive methodology capable of supporting a more humane, sensitive and inter-subjective care praxis.


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