By love

«Working with love is to build a house with affection, even as if your beloved were to dwell in that house».

Kahlil Gibran

Reflecting on the testimony of a member of the family of one of the nurses who had committed suicide, in the CHUQ (2010) has received these words on the part of one  human resources employee: «This is not the first who is killed and won't be the last»  I asked myself this question: Health without ethics, it is health?** Is it human to die, get sick, suffer injuries, and become physically handicapped to take care of another human being or to produce?

Ethics, a branch of Philosophy devoted to the rational study of the application of morality, virtue, duty, happiness and quality of life, must be the basis of any human society.

Ethics should be present in the minds of its members, each family, each institution, in its professionals and its leaders. To develop projects, laws, companies, enterprises, to sell services, to make decisions and to interact with people, we must build our behavior on these concepts, if we not reap social chaos.

 Bioethics, derivation of ethics applied to the systematic study of human behavior in relation to biology and medicine, checks the consistency between the universal ethical values and the moral values of professionals working in the field of health.  This science is a valuable tool for driving the limits of 'should do' in a democratic context, based on respect for human rights and the fundamental principles of bioethics[1]: the concepts of human person[2], human dignity[3], autonomy, integrity, fairness, charity, the non-malfeasance, utility.

Ethics is a constant intellectual invitation. This science it involving reflection by examining the professional behavior, placing participants in a continuous space of introspection on their personal values, their personal vision on life, on his profession and its relationship with the human.

Ethics leads us to wonder about the values and principles held by an occupation and its approximation or distance with its own individual personality. Then, this science studies the values and principles in a society. Its usefulness lies in establishing a diagnosis, to face what is currently with what it should be or should be, to encourage greater awareness to the need to improve.

Update on bioethics is not a loss of time or money. On the contrary, it means creating spaces interdisciplinary and multidisciplinary discussion which would allow a more accurate approximation on the State of health or infirmity of the workers in the field of health or any other economic sector. «Are we born to work like animals? » questioned Benito Pérez Galdòs.

«Where is the money that we have to win to be happy and enjoy; where is the money which, after work, stay me for my personal taste, to escape, to live, to enjoy, to dredge or here only one can survive? » singt Miguel Cantilo.

The construction and strengthening of health teams in the hospital or not, to discuss democratically on the Organization, quality of life, respect for the human rights and civil rights begin first with enforcement workers and then by clients.

Health begins with his house to then extend it to the neighbor's House. The employee ceases to be a number and becomes a voice, expressing his knowledge, psychological, moral and legal personality.

Take care of yourself, that is love; take care of hundreds , that's nurse care

Generally, bioethics is designed according to the customer, but it if applies also to the health of workers in occupational health, medicine to work, related professions at work, who by purpose improve or preserve health and protect and improve the quality of life of workers in the workplace. Adjustments in the conditions in which occurs the work, the reorganization of the work itself, the number of staff that executes and the changes in the physical environment can achieve these objectives.

In this sense, bioethics is identified with the objectives of the International Organization (ILO), which makes proposals and is focused on the recommendations to improve the quality of life of workers, demonstrates the poor working conditions, focuses on the importance that every human being has access to decent work (DW)[1] concept framed by ethics and that seeks social justice, competitive wages, gender equity, social security and training.

Nursing as a profession mainly composed by women, faces multiple risks, which transform it into health profession with increased risks for lower-paid and personal health in the field of health, even if it has the sympathy and recognition of the public worldwide.

The time is vitally important in the life of a person, both as health there. Around the time is structured and organized labour in eight hours after the 19th century. Few scientific studies have been made taking into account the time concepts, health and work during the 20th century, but most agree that breaks, with additional breaks by five minutes, breaks pee breaks to eat, increase productivity at work, reduce Visual discomfort, muscular-skeletal and improves the mental health of employees[1]’[2]. The recommendations that emerged from research done by Phd Angelo Soarez, among others, reveal that the health of the health staff is severely affected by the mismanagement of human resources[3].

While women are tired more than men, who by their physical structure, cannot perform considerable physical effort or lift weights, that we need to sleep more than men, that napping is beneficial to health[1] , that logically one cannot live if past 8 hours at work, 8-10 hours intended to sleep, live a life of family, career and social in the short time that remains on 24 hours, a reduction of the workday to six hours would be the best for all the employees[2].

About the breaks, can use the advice given by the University of Toronto[1] who says « 17 minutes pause for 52 minutes of work». And that relates to eat 30 minutes like it says ILO[2].

I opine that it can be used from same breaks best practices for intellectual work[1], by making a slight adjustment: 55 minutes of work, 5 minute break for the first hour of work; as soon as the next few hours, 50 minutes of work, 10 minutes from break*** and to eat, 45 minutes.

The nursing workload, one that provides quality of service, the public security, according to the powers granted by the level of education acquired, do a job without stress, respecting the time for each technique, could arrange as follows; one nurse, two nursing auxiliaries and two beneficiary attendants* to recipients on 4 patients without the complexity of attention (without major health complications)[1] . Three teams are led by a Bachelor's degree in nursing and this depends on the head of unit responsible for its shift. The recommendation of 1 nurse 4 patients is not gratitude new International Council of nurses (CNI). 

 «Live without reading is dangerous: force you to believe in what others say» Mafalda (fictional character, Argentine comics created by Quino). The recommendations of the CNI, it can be inferred that the quality of nursing care is produced by the ratio 1 nurse, 1 patient.

More complex care for the attention of a customer due to their State of health, personal nurse will be necessary with the reduction of the number of patients to load by a team.  In digestive surgery, for example, will be required two nurses, two auxiliary nurses and two attendants to recipients on 4 patients, led by a Bachelor's degree. This organization allows the delegation and participatory action of all members of the care team nurse.  

Out of love for our nurses, by love for our people, for the sake of us - love to ourselves; let's take care of our health and that of the other. Change the negative paradigm of selfishness and violence by a positive and ethical paradigm. The paradigm brings the decent work which respects human dignity and respect for the life. Change for better health for all, for more quality of life. Change at 6-housr Workday. 

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Notes and bibliography

*Beneficiary attendant there arent in South America.

**I am Bachelor of nursing, with 28 years of experience in clinical, supervision and management of health services, trade unionism, face-to-face teaching and remotely (professional ethics, management of health services, community health) counting with a specialty and a master's degree in the field of education, revert as a DEC in Social Communication.

***People who are older need more following breaks

[1] In ethical or moral sense we call principle that practical judgement which derives immediately from acceptance of a value. The most basic value (the value of all human life, of every human being, i.e. its human dignity), is derived from the first and fundamental principle in which all others are based: the attitude of respect that it deserves by the mere fact of belonging to the human species, i.e., by their human dignity.

[2] Philosophical concept in opposition to the human individual.

[3] In knowledge about ourselves and opening of knowledge towards other human beings, we can recognize in US intelligence, will and freedom of man, features that form their human dignity and distance of other beings of nature. This singular value that is human dignity is presented as a call to the unconditional and absolute respect. A respect that should extend to all those who possess it: all human beings. For this reason, even in the case that society decided by consensus to fail to respect human dignity, this would still be a reality present in every citizen.  Thus, if it unites society decides to discriminateagainst a group within it, relegated to a deal unworthy, denying access to work, education, persecuted, locked up in concentration camps or removed, this contempt would not change anything its immeasurable value in both than humans.By its very nature, by the same force of belonging to the human species, by its particular potential genetic - disease is only capable of hiding but that will resurface again if the individual receives timely therapeutic - every human being is in itself worthy and deserving of respect.

[4] Notion of decent work arises as a response to the growing vulnerability of the workers, mainly young people, women, the poor, indigenous, older adults and children. TD implies employment in quantity and quality, load appropriate work, decent and fair, work that includes respect for rights, adequate and equitable income, satisfactory working conditions, social protection, in the context of freedom of Association and social dialogue.

[5] In Canada, most provinces and Territories provide workers only a break for lunch (unpaid) half an hour after each period of five consecutive hours of work. According to the ILO - International Labour Office - among industrialized countries the Canada, the United States and New Zealand are the only countries that do not have pauses minimally regulated. McCann, D. (2005). Working time laws: a global perspective. Geneva: ILO.

[6] En Quebec, según la ley sobre normas del trabajo (LNT), la pausa café y las pausas pipi no son obligatorias, pero deben ser pagadas e incluidas en el cálculo de las horas trabajadas cuando son otorgados por el empleador. Como en otras provincias, la NTA se aborda sólo el almuerzo de 30 minutos, sin pagar, después de un período de 5 horas consecutivas para una comida. Este período debe ser remunerado si el trabajador no puede dejar su puesto de trabajo a comer.

In Quebec, according to the law on labour (LNT) standards, the coffee break and pee breaks are not mandatory, but must be paid and included in the calculation of hours worked when they are granted by the employer. As in other provinces, the NTA is addressed only the 30 minute lunch, without pay, after a period of 5 consecutive hours for a meal. This period must be paid if the worker cannot work to eat.

[7] Soares, Angelo. (2010).  The quality of life among the members of the "APTS, the CSN and the FIQ at CSSS Ahuntsic/Montréal-Nord. The ill health of the management. Spotted 09-05-16 http://www.fiqsante.qc.ca/publicfiles/documents/2010-03-23_la-sante-malade-de-gestion_etude-soares_apts-csn-fiq_csssamn.pdf

[8] Pfizer. (2016) The energizing effects of napping. Spotted 09-05-16 http://www.plusquedesmedicaments.ca/fr/article/index/power_of_napping

[9] L’Obs.(2015). Sweden tests the day of 6 hours. And it works! Spotted 09-05-16 http://tempsreel.nouvelobs.com/bien-bien/20151001.OBS6854/la-suede-teste-la-journee-de-6-heures-et-ca-fonctionne.html 

[10] Universidad de Toronto. (2014). The time We need to work. Spotted 09-05-16 https://ejempla.com/negocios/la-cantidad-de-tiempo-que-debemos-trabajar

[11]  ILO. (2005). Food at work. Spotted 09-05-16 http://www.ilo.org/public/spanish/bureau/inf/download/s_foodatwork.pdf

[12] Study techniques. (n.d.). The study session. Spotted 09-05-16 http://www.tecnicas-de-estudio.org/tecnicas/tecnicas4.htm

[13] Recommendation given by the International Council of nurses (ICN) based on research showing that patient outcomes are better when the number of nurses is high in relation to patients. Cited in Aladefe. (n.d.). Coefficients of patients per nurse. Spotted 09-05-16 http://www.aladefe.org/articulos/Coeficientes_pacientes_enfermera.pdf


ALL RIGHTS RESERVED © ON THE TEXT, RE CECILIA, 2016. You can quote this text by the following: RE, Cecilia (2016). For Love (Article). Spotted (date) https://lovethics.blogspot.ca/