This intervention study examined the effects of a career crafting training on physicians' perceptions of their job crafting behaviors, career self-management, and employability. A total of 154 physicians working in two hospitals in a large Dutch city were randomly assigned to a waitlist control group or an intervention group. Physicians in the intervention group received an accredited training on career crafting, including a mix of theory, self-reflection, and exercises. Participants developed four career crafting goals during the training, to work on (...) in the subsequent weeks, after which a coaching conversation took place over the phone. Physicians in the control group received no intervention. A pre- and post-test 8 weeks later measured changes in job crafting and career self-management and employability of 103 physicians that completed the pre- and post-test. RM ANOVAs showed that the intervention enhanced perceptions of career self-management and job crafting behavior to decrease hindering job demands. No support was found for the effect of the intervention on other types of job crafting and employability. This study offers novel insights into how career crafting can be enhanced through training, as this is the first empirical study to examine a career crafting intervention. HR managers can use the outcomes to develop tailored career policies and career development practices. (shrink)

Le débat sur les relations esprit–cerveau a été centré sur des questions relatives au libre arbitre. J’examine ce débat et conclus que les neurosciences n’ont pas de raisons méthodologiques, ontologiques ou théoriques convaincantes, pas plus que de raisons empiriques, pour rejeter la notion de libre arbitre. Parallèlement, je reconnais que la question est très controversée, à la fois en science et dans la société. Le problème se situe dans l’incompatibilité entre notions scientifiques du cerveau et notions pré-scientifiques de l’esprit. Par (...) conséquent, je propose d’envisager les relations esprit–cerveau sur une base empirique plus profonde et incontestée que l’on peut trouver dans la psychophysique. Je discute deux cas dans lesquels le contenu d’une expérience psychophysique, et sa dynamique, correspondent à la dynamique cérébrale. Dans un cas, la correspondance est une identité de type; dans l’autre, il s’agit d’une instanciation multiple : plusieurs types radicalement différents d’activités donnent lieu à la même dynamique perceptive. Ces deux exemples illustrent que, bien que l’identité des types soit possible, elle peut être souvent hautement contextualisée. Par conséquent, on doit appréhender les relations esprit–cerveau une par une plutôt que les fonder d’un seul bloc. (shrink)

Le débat sur les relations esprit–cerveau a été centré sur des questions relatives au libre arbitre. J’examine ce débat et conclus que les neurosciences n’ont pas de raisons méthodologiques, ontologiques ou théoriques convaincantes, pas plus que de raisons empiriques, pour rejeter la notion de libre arbitre. Parallèlement, je reconnais que la question est très controversée, à la fois en science et dans la société. Le problème se situe dans l’incompatibilité entre notions scientifiques du cerveau et notions pré-scientifiques de l’esprit. Par (...) conséquent, je propose d’envisager les relations esprit–cerveau sur une base empirique plus profonde et incontestée que l’on peut trouver dans la psychophysique. Je discute deux cas dans lesquels le contenu d’une expérience psychophysique, et sa dynamique, correspondent à la dynamique cérébrale. Dans un cas, la correspondance est une identité de type; dans l’autre, il s’agit d’une instanciation multiple : plusieurs types radicalement différents d’activités donnent lieu à la même dynamique perceptive. Ces deux exemples illustrent que, bien que l’identité des types soit possible, elle peut être souvent hautement contextualisée. Par conséquent, on doit appréhender les relations esprit–cerveau une par une plutôt que les fonder d’un seul bloc. (shrink)

Most accounts of Jeremy Bentham deal with him as a prophet of either utilitarianism or of liberal democracy. This book discusses a less familiar but very important aspect of his political thought: his theory of how government institutions should be organised in order to function as efficient and yet responsive guardians of the community's interests. It thus focuses on his programme for he executive and judicial branches of government rather than for the legislature and the electorate. Dr Hume suggests that (...) eighteenth-century political thought was richer in ideas about government that has usually been allowed, but that Bentham's special qualities of mind enabled him to widen and deepen those ideas much further than his contemporaries could have foreseen. (shrink)

Background Informed consent is an integral component of good medical practice. Many researchers have investigated measures to improve the quality of informed consent, but it is not clear which techniques work best and why. To address this problem, we propose developing a core outcome set to evaluate interventions designed to improve the consent process for surgery in adult patients with capacity. Part of this process involves reviewing existing research that has reported what is important to patients and doctors in the (...) informed consent process. Methods This qualitative synthesis comprises four phases: identification of published papers and determining their relevance; appraisal of the quality of the papers; identification and summary of the key findings from each paper while determining the definitiveness of each finding against the primary data; comparison of key themes between papers such that findings are linked across studies. Results Searches of bibliographic databases returned 11,073 titles. Of these, 16 studies met the inclusion criteria. Studies were published between 1996 and 2016 and included a total of 367 patients and 74 health care providers. Thirteen studies collected data using in-depth interviews and constant comparison was the most common means of qualitative analysis. A total of 94 findings were extracted from the primary papers and divided into 17 categories and ultimately 6 synthesised findings related to: patient characteristics, knowledge, communication, the model patient, trust and decision making. Conclusions This qualitative meta-aggregation is the first to examine the issue of informed consent for surgery. It has revealed several outcomes deemed important to capture by patients and clinicians when evaluating the quality of a consent process. Some of these outcomes have not been examined previously in research comparing methods for informed consent. This review is an important step in the development of a COS to evaluate interventions designed to improve the consent process for surgery. Registration The study protocol was registered on the international prospective register for systematic reviews. (shrink)

In Wrong Medicine, Lawrence J. Schneiderman, M.D., and Nancy S. Jecker, Ph.D., address issues that have occupied the media and the courts since the time of Karen Ann Quinlan. The authors examine the ethics of cases in which medical treatment is offered--or mandated--even if a patient lacks the capacity to appreciate its benefit or if the treatment will still leave a patient totally dependent on intensive medical care. In exploring these timely issues Schneiderman and Jecker reexamine the doctor-patient relationship and (...) call for a restoration of common sense and reality to what we expect from medicine. They discuss economic, historical, and demographic factors that affect medical care and offer clear definitions of what constitutes futile medical treatment. And they address such topics as the limits on unwanted treatment, the shift from the "Age of Physician Paternalism" to the "Age of Patient Autonomy," health care rationing, and the adoption of new ethical standards. (shrink)