The aim of the study was to report the results of a systematically conducted literature review of empirical studies about healthcare organizations’ ethics and management or leadership issues. Electronic databases MEDLINE and CINAHL yielded 909 citations. After a two stage application of the inclusion and exclusion criteria 56 full-text articles were included in the review. No large research programs were identified. Most of the studies were in acute hospital settings from the 1990s onwards. The studies focused on ethical challenges, dilemmas (...) in practice, employee moral distress and ethical climates or environments. Study samples typically consisted of healthcare practitioners, operational, executive and strategic managers. Data collection was mainly by questionnaires or interviews and most of the studies were descriptive, correlational and cross-sectional. There is need to develop conceptual clarity and a theoretical framework around the subject of organizational ethics and the breadth of the contexts and scope of the research needs to be increased. (shrink)

Reviewed by Heli Tissari Reviewed by Heli Tissari Research Unit for Variation, Contacts and Change in English Department of Modern Languages University of Helsinki, Finland heli[email protected]...

A problem is a situation in which an agent seeks to attain a given goal without knowing how to achieve it. Human problem solving is typically studied as a search in a problem space composed of states (information about the environment) and operators (to move between states). A problem such as playing a game of chess has possible states, and a traveling salesperson problem with as little as 82 cities already has more than different tours (similar to chess). Biological neurons (...) are slower than the digital switches in computers. An exhaustive search of the problem space exceeds the capacity of current computers for most interesting problems, and it is fairly clear that humans cannot in their lifetime exhaustively search even small fractions of these problem spaces. Yet, humans play chess and solve logistical problems of similar complexity on a daily basis. Even for simple problems humans do not typically engage in exploring even a small fraction of the problem space. This begs the question: How do humans solve problems on a daily basis in a fast and efficient way? Recent work suggests that humans build a problem representation and solve the represented problem—not the problem that is out there. The problem representation that is built and the process used to solve it are constrained by limits of cognitive capacity and a cost–benefit analysis discounting effort and reward. In this article, we argue that better understanding the way humans represent and solve problems using heuristics can help inform how simpler algorithms and representations can be used in artificial intelligence to lower computational complexity, reduce computation time, and facilitate real-time computation in complex problem solving. (shrink)

Within the class environment, particularly in the language learning setting, stress is considered to be the most common mental condition educators experience in their work, and due to the effect of stress on teachers, burnout similarly occurs because English as a foreign language teachers periodically experience affective trauma while participating and engaging in their careers. To solve the problem, one must consider teacher self-efficacy, a significant construct that can mitigate the probability of burnout by preventing the occurrence of stress at (...) work that also plays a key role in enhancing positive upshots. To emphasize the impact of teachers’ stress and burnout on the one hand and the mediator role of teachers’ efficacy, on the other hand, this mini-review attempted to study the issue. Finally, some scholastic recommendations are pinpointed. (shrink)

En un mundo que enfrenta cada día un mayor número de problemáticas ambientales, el presente trabajo busca demostrar la creciente necesidad de proveeduría en el sector de bienes y servicios ambientales en las distintas regiones, además, busca dar un panorama general de la competitividad y el crecimiento de las pymes en la Ciudad de Chihuahua, México, enfocadas en este sector. Con base en la construcción de un sector de estudio por medio de datos estadísticos, el análisis de las regulaciones de (...) políticas para pymes y la perspectiva de actores que forman parte de la región. (shrink)

ABSTRACTThis article sheds light on the period of revolutionary turbulence by demonstrating how the concept of revolution was introduced in the Finnish print culture through foreign news reports during the early nineteenth century. The examination draws on the use of multilingual digital newspaper collections provided by the National Library of Finland. By combining key word searches to a close reading of newspaper texts, the article explores the ways in which different revolutionary movements were present in the Finnish newspapers during the (...) early decades of the nineteenth century. The article proposes that the role of foreign news flow was crucial in the process of shaping the understanding of revolution in Finland. (shrink)

The aim of this article is to give a general idea of how meanings of single emotion words, and configurations between words, change historically, reflecting changes in people’s understanding of emotions. The article provides a selective overview of linguistic research on the histories of a number of English words for emotions. It focuses on changes in the words emotion and mood as well as analyzing terms for the specific emotions of anger, fear, happiness, joy, love, pride, respect, and sorrow. This (...) article also suggests that it is possible to use linguistic data in order to recover some “psychological” information about emotions, such as information on people’s responses to them. (shrink)

In nursing, the concept of advocacy is often understood in terms of reactive or proactive action aimed at protecting patients' legal or moral rights. However, advocacy activities have not often been researched in the context of everyday clinical nursing practice, at least from patients' point of view. This study investigated the implementation of nursing advocacy in the context of procedural pain care from the perspectives of both patients and nurses. The cross-sectional study was conducted on a cluster sample of surgical (...) otolaryngology patients (n = 405) and nurses (n = 118) from 12 hospital units in Finland. The data were obtained using an instrument specially designed for this purpose, and analysed statistically by descriptive and non-parametric methods. According to the results, patients and nurses have slightly different views about which dimensions of advocacy are implemented in procedural pain care. It seems that advocacy acts are chosen and implemented rather haphazardly, depending partly on how active patients are in expressing their wishes and interests and partly on nurses' empowerment. (shrink)

The intervention method of Developmental Dialogue, originally developed by Laura Mott , has been further elaborated to promote employees’ professional development and well-being. The aim of formative interventions is to enhance the agency of participants. There is particular interest in transformative agency, which is defined as participants’ capacity to take purposeful actions to change their work activity. By applying six types of agency expressions, this paper examines how transformative agency emerges in an interaction between a DD participant and the interventionist. (...) The agency expressions are analysed in the context of explicit and implicit intervention tools and objects of talk. The analysis yields a new category called reframing agency which is of interest particularly from a work-related well-being perspective. We interpret the findings with the notion of a contradictory object within the cycle model of professional development. The case suggests that changes in work, as interpreted by the researchers do not always fully grasp the participant’s sense of collective work. Finally, at the end of the paper we propose ideas for further research. (shrink)

The article considers the future prospects of the struggle for gender equality in light of the growing appeal and electoral success of parties embracing populist nationalism and anti-immigration as their platform. Considering many such parties are known for viewing the promotion of gender equality as unnecessary or even harmful – except when they highlight immigration as a threat to female emancipation – it is important to explore what, if anything, the electoral success of populist-nationalist parties means for the direction of (...) gender equality policies. The article examines this question in the Finnish context. Though the Finnish state’s commitment to gender equality is well-established, questions can be asked about the future prospects of gender equality policies in light of the electoral rise of the populist anti-immigration party Perussuomalaiset, especially since the party joined government in May 2015. The article scrutinises the recent record of PS in parliament and government, elucidating on the challenges that populist-nationalist parties create for gender equality in ‘women-friendly’ welfare states. The case study particularly focuses on gender equality in the context of balancing work and family and freedom from violence, discrimination and harassment. It raises questions that are of broader relevance to the future of gender equality in Europe, considering the Nordic states have been viewed as models for a gender egalitarian society and frontrunners in the promotion of gender equality within the EU. (shrink)

This article presents an alternative rationale for corporate philanthropy based on managerial values of benevolence and integrity. On the one hand, top managers with benevolence and integrity values are more likely to spread their intrinsic concern for others into the wider society in the form of corporate philanthropy. On the other hand, top managers high in benevolence and integrity are likely to contribute to improved managerial credibility and trusting firm-stakeholder relationships, thereby improving corporate financial performance. Therefore, the article makes the (...) argument that both corporate philanthropy and corporate financial performance can better be interpreted as resulting from managers’ benevolence and integrity values. (shrink)

Deprivation of liberty in psychiatric hospitals is common world-wide. The aim of this study was to find out whether patients had experienced deprivation of their liberty during psychiatric hospitalization and to explore their views about it. Patients (n = 51) in two acute psychiatric inpatient wards were interviewed in 2001. They were asked to describe in their own words their experiences of being deprived of their liberty. The data were analysed by inductive content analysis. The types of deprivation of liberty (...) in psychiatric hospital care reported by these patients were: restrictions on leaving the ward and on communication, confiscation of property, and various coercive measures. The patients' experiences of being deprived of their liberty were negative, although some saw the rationale for using these interventions, considering them as part of hospital care. (shrink)

This article looks at negotiations with state authorities and the evidentiary criteria they create in culturally contrasting contexts when phenomena deal with elements that for the dominant society are conceptualized as “supernatural.” We draw from the level of experiences of other-than-human beings, especially spirits and “ungraspable” presences, as social practices in and of themselves as well as acts of mobilizing those which are meaningful for knowledge production in Indigenous Amazonia and North European contexts. Our two cases show how in state (...) territorial protection debates and health services, visibility, quantification, measurability, Euro-American dominant, mainly binary, and bounded concepts are employed to create the grounds of validity. Yet, for actual individual or collective experiences, new types of evidence work can emerge in collaborations. Thus, this article sheds light on the needs for contextual and communicative actions to overcome contrasting onto-epistemologies in the context of the state. (shrink)

Although the subjective expected utility (SEU) theory is more than 60 years old, it was recently discovered by Hartmann (Econometrica 88(1):203–205, 2020, https://doi.org/10.3982/ECTA17428) that one of the original seven postulates is redundant, i.e., it is implied by the other six postulates. In this brief communication, we show that this redundant axiom is the only one that is implied by the other axioms, thereby establishing that the remaining six postulates form an independent axiomatic system. This result further streamlines the preference assumptions (...) underlying the SEU theory. (shrink)

To fight climate change, firms must adopt effective and feasible carbon management practices that promote collaboration within supply chains. Engaging suppliers and customers on carbon management reduces vulnerability to climate-related risks and increases resilience and adaptability in supply chains. Therefore, it is important to understand the motives and preconditions for pursuing supply chain engagement from companies that actively engage with supply chain members in carbon management. In this study, a relational view is applied to operationalize the supply chain engagement concept (...) to reflect the different levels of supplier and customer engagement. Based on a sample of 345 companies from the Carbon Disclosure Project’s supply chain program, the determinants of engagement were hypothesized and tested using multinomial and ordinal logistic estimation methods. The results indicate that companies that integrate climate change into their strategies and are involved in developing environmental public policy are driven by moral motives to engage their suppliers and customers in carbon management. All these factors make a stronger impact on supplier engagement than on customer engagement. Moreover, companies operating in greenhouse gas-intensive industries are driven by instrumental motives to engage their suppliers and customers because increasing greenhouse gas intensity positively influences engagement level. Company profitability appears to increase supplier engagement, but not customer engagement. Interestingly, operating in a country with stringent environmental regulations does not appear to influence supply chain engagement. By utilizing relational capabilities and collaboration, buyers can increase their suppliers’ engagement to disclose emissions, which ultimately will lead to better results in carbon management. (shrink)

The book studies philosophical and mathematical-logical problems of modal notions. Its starting points are possible worlds semantics and Kripke models, and it also concentrates on proof-theoretic methods.

Performance is a forum for social action, embodied interaction and shared authority. The Embodiment of Authority discusses the relationship between authorial questions and performances via the following topics: shared authorities, ontologies of art work, diverse roles of rehearsals in the performance process, and embodied knowledge.

Reino Virtanen. CHAPITRE VII LA FIN D'UNE TRAJECTOIRE « Valéry est notre Lucrèce », écrivait Alain '. Mais où est La Nature des Choses de Valéry ? Il a nié en effet la possibilité d'une telle œuvre dans la France de son époque. Il disait ...

Feminist legal efforts to make sense of the external migration policies of the European Union (EU) have focused almost exclusively on the EU’s initiatives against trafficking in women. This article examines one of the more neglected areas of EU immigration policy—the return of ‘illegal immigrants’. It analyses the so-called 2008 Returns Directive in the light of the multidimensional inequalities experienced by migrant women, which affect their migration status and expose some of them to the threat of removal. Owing to insecurities (...) over external migration, the Directive constructs even the most vulnerable migrants as a threat to be controlled and is likely to result in detrimental consequences for many migrants, and in particular already vulnerable women who are likely to be further disadvantaged by it. (shrink)

Our review essay contributes to the long-standing and vibrant discussion in science and technology studies (STS) on methods, methodologies, and theory–method relationships. We aim to improve the reflexivity of research by unpacking the often implicit assumptions that imbue research conduct and by offering practical tools through which STS researchers can recognize their research designs and think through them in a new way. To achieve these aims, we analyze different compositions of theories, methods, and empirics in three different STS approaches—actor–network theory, (...) the biography of artifacts and practices, and ethnomethodology—by employing the concept of a theory–methods package (TMP). A selection of theoretical cornerstone texts and case studies in infrastructure research from each tradition serves as our material. Our findings point, first, to differences between the TMPs of the reviewed approaches and to the internal diversity of theory–method relationships in each approach. Second, we found some intriguing similarities between the approaches and discuss potential complementarities of their theory–method fits. (shrink)

The amount of social support literature in the field of interpersonal communication has increased steadily. In the last decade, however, no one has pushed for a conclusion as to what kind of phenomenon social support is. This article aims to describe the essence of social support. The essence is what must be present in all the phenomena that claim to be social support. The study uses phenomenological reduction and imag¬inative variation (1) on social support definitions and (2) on the empirical (...) material of support in men’s friendships. The synthesis of the two sets of material deduces the essence of social support both theoretically and empirically. According to the phenomenological reduction the essence of social support is the awareness of a real or potential void in a person’s life experience, and of otherness that intends to alter that experience to achieve wholeness. Supportive communication is the manifestation of the essence of social support in interpersonal relationships. (shrink)

Recently the role of customary local institutions in the conservation of biological diversity has become a topic of widespread interest. In this paper the conservation value of one such institution, traditionally protected forest, is studied with regard to its ecological representativity and institutional persistence. On the basis of a case study from Mozambique the paper concludes that traditionally protected forests do have a practical conservation value, especially as fire refuges and in the preservation of metapopulations of endangered species. However, it (...) is also important to recall their spiritual aspect, which is crucial for their continuing appreciation and upholding. Even though customary institutions are still strong in the study area, they are subject to power struggles at both local and national levels. In the present context of political transition, any outside interventions regarding such local institutions as sacred forests, which have high symbolic value, should be considered carefully. (shrink)

Paradoxes are an unavoidable part of work life. The unusualness of attempting to simultaneously satisfy contradictory imperatives can result in creative outcomes that simultaneously satisfy both imperatives by inducing search for, and selection of, novel and useful solutions. Likewise, extant research suggests that paradoxes can also result in anxiety, defensiveness, and persistence of old ways of doing things. However, there is little work attempting to describe how paradoxes affect cognition and when it results in higher or lower creativity. To tackle (...) this issue, a theory of paradoxical creativity is developed. Paradoxical creativity is the attempt by an individual to creatively resolve a contradiction by simultaneously achieving competing demands. The theory is implemented into a computational model and a simulation is used to describe how paradoxes affect creative cognitive process and how these processes in turn result in higher or lower degrees of creativity. The results show that creative output is enhanced when paradoxes have a balanced effect on the cognitive processes responsible for an individual’s capacity to search for new information and willingness to tolerate new ideas. Hence, individuals with high baseline levels of creative cognition are more likely to suffer negative creative performance consequences resulting from contradictory demands. For those individuals, contradictory demands may produce more alternatives, which increases uncertainty and time to insight (if insight is ever reached). This suggests that incentives or rewards to resolve contradictions may have the unintentional effect of reducing creative output in some circumstance. (shrink)

This paper introduces a new solution concept for games with incomplete preferences. The concept is based on rationalizability and it is more general than the existing ones based on Nash equilibrium. In rationalizable strategies, we assume that the players choose nondominated strategies given their beliefs of what strategies the other players may choose. Our solution concept can also be used, e.g., in ordinal games where the standard notion of rationalizability cannot be applied. We show that the sets of rationalizable strategies (...) are the maximal mutually nondominated sets. We also show that no new rationalizable strategies appear when the preferences are refined, i.e., when the information gets more precise. Moreover, noncooperative multicriteria games are suitable applications of incomplete preferences. We apply our framework to such games, where the outcomes are evaluated according to several criteria and the payoffs are vector valued. We use the sets of feasible weights to represent the relative importance of the criteria. We demonstrate the applicability of the new solution concept with an ordinal game and a bicriteria Cournot game. (shrink)

Sexual and reproductive health is a challenge worldwide, and much progress is needed to reach the relevant UN Sustainable Development Goals. This paper presents cross-sectional data collected in Sierra Leone on sexual and gender-based violence, family planning, child, early and forced marriage, and female genital mutilation using an innovative method of measurement: situational judgment tests, as a subset of questions within a larger survey tool. For the SJTs, respondents saw hypothetical scenarios on these themes and had to indicate how they (...) would react. The objective is to give an impression of beliefs and norms on specific behaviors, which provide insights for social and behavior change interventions. Data was collected by enumerators traveling to villages randomly selected in six districts of the country. The sample is composed of 566 respondents. Results show that FGM in particular seem to be a priority topic, in comparison to the other topics for which the norms seem to be stronger against those practices. Age differences emerged and suggest priority groups to be targeted. In terms of validity of the measurement methods, situational judgment test answers correlated positively with other items in the survey, but the magnitude of the association is often small, and sometimes not significant. Thus, more studies are needed to further explore the validity of this measure by comparing against a reference value. Using SJTs could complement other data collection tools to perform community assessment, and orient the direction of the program in its planning phase. (shrink)

ObjectiveThis study investigated the effects of a school-based skill-training intervention in attention control and executive functions for pupils with hyperactivity-impulsivity and cognitive control deficits. The main aim was to examine whether the intervention differently influenced H-I and CC, and whether cognitive abilities or conduct problems moderated response to the intervention.MethodElementary school pupils from 41 schools participated the study and were divided into an intervention group and a waitlist control group. Intervention outcomes were assessed with an inventory assessing executive function difficulties (...) completed by classroom teachers.ResultsSignificant intervention effects and positive changes were detected in CC but not in H-I. Significant intervention effects were found mainly among pupils with low levels of conduct problems.ConclusionsThe results suggest that a skill-training intervention has specific positive effects on CC, but conduct problems may diminish response to intervention. (shrink)

Background Immense volumes of personal health information are required to realize the anticipated benefits of artificial intelligence in clinical medicine. To maintain public trust in medical research, consent policies must evolve to reflect contemporary patient preferences. Methods Patients were invited to complete a 27-item survey focusing on: broad versus specific consent; opt-in versus opt-out approaches; comfort level sharing with different recipients; attitudes towards commercialization; and options to track PHI use and study results. Results 222 participants were included in the analysis; (...) 83% were comfortable sharing PHI with researchers at their own hospital, although younger patients were more uncomfortable than older patients. While 56% of patients preferred broad consent, 38% preferred specific consent; 6% preferred not sharing at all. The majority of patients preferred to be asked for permission before entry into a contact pool. Again, this trend was more pronounced for younger patients. Approximately half of patients were uncomfortable sharing PHI with commercial enterprises. Most patients preferred to track PHI usage, with the highest proportion once again reported by the youngest patients. A majority of patients also wished to be notified regarding study results. Conclusions While most patients were willing to share their PHI with researchers within their own institution, many preferred a transparent and reciprocal consent process. These data also suggest a generational shift, wherein younger patients preferred more specific consent options. Modernizing consent policies to reflect increased autonomy is crucial in fostering sustained public engagement with medical research. (shrink)

Background Rapid ethical access to personal health information to support research is extremely important during pandemics, yet little is known regarding patient preferences for consent during such crises. This follow-up study sought to ascertain whether there were differences in consent preferences between pre-pandemic times compared to during Wave 1 of the COVID-19 global pandemic, and to better understand the reasons behind these preferences. Methods A total of 183 patients in the pandemic cohort completed the survey via email, and responses were (...) compared to the distinct pre-pandemic cohort ; all were patients of a large Canadian cancer center. The survey covered broad versus study-specific consent; opt-in versus opt-out contact approach; levels of comfort sharing with different recipients; perceptions of commercialization; and options to track use of information and be notified of results. Four focus groups were subsequently conducted to elucidate reasons motivating dominant preferences. Results Patients in the pandemic cohort were significantly more comfortable with sharing all information and biological samples, sharing information with the health care institution, sharing information with researchers at other hospitals, sharing PHI provincially, nationally and internationally compared to the pre-pandemic cohort. Discomfort with sharing information with commercial companies remained unchanged between the two cohorts. Significantly more pandemic cohort patients expressed a wish to track use of PHI, and to be notified of results. Thematic analysis uncovered that transparency was strongly desired on outside PHI use, particularly when commercialization was involved. Conclusions In pandemic times, patients were more comfortable sharing information with all parties, except with commercial entities, where levels of discomfort remained unchanged. Focus groups identified that the ability to track and receive results of studies using one’s PHI is an important way to reduce discomfort and increase trust. These findings meaningfully inform wider discussions on the use of personal health information for research during global crises. (shrink)