Addressing bullying behaviour by patients and families

2019 ◽  
Vol 32 (4) ◽  
pp. 224-227
Author(s):  
Renate Ilse ◽  
David Neilipovitz
Keyword(s):  
Environmental Factors ◽  
Patient Experience ◽  
Ethical Dilemma ◽  
Well Being ◽  
Care Team ◽  
Decision Makers ◽  
Ethical Implications ◽  
Health Support ◽  
Substitute Decision Makers

This article explores the ethical dilemma of maintaining patient experience and care team well-being when faced with coercive behaviour, specifically bullying by patients, families and substitute decision-makers, which is directed toward providers and health support workers. We discuss some of the contributing societal and environmental factors, the ethical implications for health leaders, and suggest some practical options for managing bullying situations in hospitals.

A Multicenter Qualitative Investigation of the Experiences and Perspectives of Substitute Decision Makers Who Underwent Organ Donation Decisions

2018 ◽  
Vol 28 (4) ◽  
pp. 343-348 ◽  
Author(s):  
Aimee J. Sarti ◽  
Stephanie Sutherland ◽  
Andrew Healey ◽  
Sonny Dhanani ◽  
Angele Landriault ◽  
...  
Keyword(s):  
Organ Donation ◽  
Information Needs ◽  
Family Members ◽  
Well Being ◽  
Decision Makers ◽  
Tissue Donation ◽  
Next Of Kin ◽  
Family Experiences ◽  
Donation Process ◽  
Substitute Decision Makers

Background: Organ donation research has centered on improving donation rates rather than focusing on the experience and impact on substitute decision makers. The purpose of this study was to document donor and nondonor family experiences, as well as lasting impacts of donation. Methods: We used a qualitative exploratory design. Semistructured interviews of 27 next-of-kin decision makers were conducted, transcribed verbatim, and entered into qualitative software. We analyzed the process-based reflections using inductive coding and thematic analysis techniques. Results: Four broad and interrelated themes emerged from the data: empathetic care, information needs, donation decision, and impact and follow-up. The donation experience left lasting impacts on family members due to lingering, unanswered questions. Suggested solutions to improve the donor experience for families included providers employing multimodal communication, ensuring a proper setting for family meetings, and the presence of a support person. Discussion: We now have improved our understanding of the donation process from the perspective of and final impression from the next of kin. To our knowledge, this is the largest cohort interviewed in Canada. We have explored families’ experiences, which included but did not end with donation. We learned that despite being appreciative of nurses, physicians, and organ and tissue donation coordinators, family members were often troubled by unanswered questions. Conclusion: This study described donor and nondonor family experiences with donation as well as lasting impacts. Addressing unanswered questions should be done in a place sufficiently remote from the donation event to enhance the family members’ understanding and well-being.

scholarly journals Spatiotemporal Heterogeneity of Ecological Policy Compromises Human Well-Being and Giant Panda Habitat Conservation in Giant Panda National Park

2021 ◽  
Vol 13 (9) ◽  
pp. 5013
Author(s):  
Dan Zhu ◽  
Degang Yang
Keyword(s):  
Environmental Factors ◽  
Socioeconomic Factors ◽  
National Park ◽  
Structural Equation ◽  
Giant Panda ◽  
Conservation Status ◽  
Well Being ◽  
Habitat Conservation ◽  
Spatiotemporal Heterogeneity ◽  
Panda Habitat

Identifying how policy, socioeconomic factors, and environmental factors influence changes in human well-being (HWB) and conservation efficiency is important for ecological management and sustainable development, especially in the Giant Panda National Park (GPNP). In this study, we systematically analyzed the differences in the conservation status of the giant panda habitat and changes in HWB over 15 years in the GPNP, which includes six mountain sites, Minshan (MS), Qionglai (QLS), Xiaoxiangling (XXL), Liangshan (LS), Qinling (QL), and Daxiangling (DXL). Redundancy analyses were used to determine the factors contributing (policy, socioeconomic factors, and environmental factors) to HWB and giant panda habitat conservation (HC). In addition, using a structural equation model (SEM), we investigated the relationship between the aforementioned three factors and their direct and indirect effects on HWB and HC. The results indicated that there was spatiotemporal heterogeneity of HWB and HC in our study area. There was an increasing number of plant species as well as an increased number of giant panda in GPNP. Generally, HWB in 2015 showed an increasing trend compared with that in 2000. Socioeconomic factors (23.6%) have the biggest influence on HWB and HC, followed by policy (23.2%) and environmental factors (19.4%). Conservation policy had a significantly positive influence on HWB (0.52), while it negatively influenced HC (−0.15). Socioeconomic factors significantly negatively influenced HWB (−0.38). The formulation and implementation of policies to promote economic development will contribute to the protection of giant pandas and their habitat. Our results provide insight on the conservation status of the giant panda habitat, HWB, and factors influencing them in different mountain sites in the GPNP, as well as having implications for the future management of the GPNP.

scholarly journals Mobile bystanders and rubbernecks, disaster tourists, and helpers. Towards a theoretical framework for critically studying action possibilities at accident sites

2021 ◽  
pp. 205015792098482
Author(s):  
Linus Andersson ◽  
Ebba Sundin
Keyword(s):  
Digital Media ◽  
News Media ◽  
Well Being ◽  
Theoretical Framework ◽  
Communication Studies ◽  
Mobile Media ◽  
Ethical Implications ◽  
Theoretical Perspectives ◽  
Media And Communication ◽  
Media Practices

This article addresses the phenomenon of mobile bystanders who use their smartphones to film or take photographs at accident scenes, instead of offering their help to people in need or to assist medical units. This phenomenon has been extensively discussed in Swedish news media in recent years since it has been described as a growing problem for first responders, such as paramedics, police, and firefighters. This article aims to identify theoretical perspectives that are relevant for analyzing mobile media practices and discuss the ethical implications of these perspectives. Our purpose is twofold: we want to develop a theoretical framework for critically approaching mobile media practices, and we want to contribute to discussions concerning well-being in a time marked by mediatization and digitalization. In this pursuit, we combine theory from social psychology about how people behave at traumatic scenes with discussions about witnessing in and through media, as developed in media and communication studies. Both perspectives offer various implications for normative inquiry, and in our discussion, we argue that mobile bystanders must be considered simultaneously as transgressors of social norms and as emphatic witnesses behaving in accordance with the digital media age. The article ends with a discussion regarding the implications for further research.

scholarly journals Recovery priorities of people with psychosis in acute mental health in-patient settings: a Q-methodology study

2021 ◽  
pp. 1-14
Author(s):  
Catherine Douglas ◽  
Lisa Wood ◽  
Danny Taggart
Keyword(s):  
Mental Health ◽  
Q Methodology ◽  
Final Analysis ◽  
Well Being ◽  
Symptom Reduction ◽  
Personal Recovery ◽  
Mental Health Support ◽  
Health Support ◽  
Mental Health Hospital ◽  
Health Hospital

Abstract Background: Personal recovery from psychosis has been explored extensively in community samples but there has been little exploration with people currently receiving care from an acute mental health in-patient setting. Aims: The aim of this study was to explore the personal recovery priorities of people experiencing psychosis who are currently receiving care from an acute mental health in-patient ward. Method: A Q-methodology mixed-methods approach was adopted. Thirty-eight participants were recruited from an outer London acute mental health hospital. They were required to sort 54 statements regarding personal recovery from most important to least important to reflect their recovery priorities. Thirty-six were included in the final analysis. Results: Analysis revealed four distinct viewpoints relating to factors that promote recovery in the acute mental health in-patient setting. These were: stability, independence and ‘keeping a roof over your head’; hope, optimism and enhancing well-being; personal change, self-management and social support; and symptom reduction through mental health support. Conclusions: Acute mental health in-patient wards need to ensure that they are considering the personal recovery needs of in-patients. Symptom reduction was valued by some, but broad psychosocial factors were also of priority.

Gaming the gamer? – The ethics of exploiting psychological research in video games

2016 ◽  
Vol 14 (2) ◽  
pp. 106-123 ◽  
Author(s):  
Johnny Hartz Søraker
Keyword(s):  
Video Games ◽  
Social Relations ◽  
Video Game ◽  
Game Design ◽  
User Behavior ◽  
Well Being ◽  
Psychological Research ◽  
Rating Systems ◽  
Content Type ◽  
Ethical Implications

Purpose The purpose of this paper is to investigate the ethical implications of video game companies employing psychologists and using psychological research in game design. Design/methodology/approach The author first argues that exploiting psychology in video games may be more ethically problematic than familiar application domains like advertising, gambling and political rhetoric. Then an overview of the effects particular types of game design may have on user behavior is provided, taking into account various findings and phenomena from behavioral psychology and behavioral economics. Findings Finally, the author concludes that the corresponding ethical problems cannot – and should not – be addressed by means of regulation or rating systems. The author argues instead that a more promising countermeasure lies in using the same psychological research to educate gamers (children in particular) and thereby increase their capacity for meta-cognition. Originality/value The importance of this lies in the tremendous effect these behavior-modifying technologies may have upon our self-determination, well-being and social relations, as well as corresponding implications for the society.

Leveraging blockchain based decentralized apps for the Tokyo Olympics amid the COVID-19 pandemic

First Monday ◽  
2021 ◽  
Author(s):  
Rishi Sabarigirisan ◽  
Aditi Biswas ◽  
Ridhi Rohatgi ◽  
Shyam KC ◽  
Shekhar Shukla
Keyword(s):  
Public Health ◽  
Health And Safety ◽  
Well Being ◽  
Decision Makers ◽  
Contact Tracing ◽  
Strategic Objectives ◽  
Crowd Management ◽  
Blockchain Technology ◽  
Smooth Contact ◽  
Public Health And Safety

The COVID-19 pandemic has induced a cloud of uncertainty over the mega sports event, the 2021 Tokyo Olympics. Cancelling or re-scheduling the event could have serious repercussions on the economic, social and environmental well-being for the involved stakeholders. Thus, it becomes critical to conduct events of this magnitude by adopting appropriate public health measures. In this research, we primarily focus on two main premises relative to public health and safety, contact tracing and crowd management. We explore and evaluate the usability of blockchain based decentralized apps in crowd management and contact tracing for the Tokyo Olympics using value-focused thinking (VFT). A VFT framework aids in narrowing fundamental and strategic objectives that need to be addressed for smooth contact tracing and crowd management by understanding stakeholder viewpoints. We established an equivalence of the objectives identified through VFT with blockchain technology properties. Further, we also present a conceptual ideation of contact tracing and crowd management through blockchain based decentralized apps for the Tokyo Olympics. This work could potentially assist decision-makers, researchers and stakeholders involved in organizing the Tokyo Olympics in understanding and analysing the utility of blockchain based decentralized apps for crowd management and contact tracing.

scholarly journals Withdrawing Versus not Offering Cardiopulmonary Resuscitation: Is There a Difference?

2015 ◽  
Vol 22 (1) ◽  
pp. 20-22 ◽  
Author(s):  
Simon JW Oczkowski ◽  
Bram Rochwerg ◽  
Corey Sawchuk
Keyword(s):  
Mechanical Ventilation ◽  
Cardiopulmonary Resuscitation ◽  
Health Care Providers ◽  
Case Law ◽  
Decision Makers ◽  
Court Decisions ◽  
Medical Team ◽  
Care Providers ◽  
Substitute Decision Makers ◽  
The Individual

Conflict between substitute decision makers (SDMs) and health care providers in the intensive care unit is commonly related to goals of treatment at the end of life. Based on recent court decisions, even medical consensus that ongoing treatment is not clinically indicated cannot justify withdrawal of mechanical ventilation without consent from the SDM. Cardiopulmonary resuscitation (CPR), similar to mechanical ventilation, is a life-sustaining therapy that can result in disagreement between SDMs and clinicians. In contrast to mechanical ventilation, in cases for which CPR is judged by the medical team to not be clinically indicated, there is no explicit or case law in Canada that dictates that withholding/not offering of CPR requires the consent of SDMs. In such cases, physicians can ethically and legally not offer CPR, even against SDM or patient wishes. To ensure that nonclinically indicated CPR is not inappropriately performed, hospitals should consider developing ‘scope of treatment’ forms that make it clear that even if CPR is desired, the individual components of resuscitation to be offered, if any, will be dictated by the medical team’s clinical assessment.

scholarly journals A conceptual simulation workflow to guide design decisions regarding the effects of daylight on occupants’ alertness

2021 ◽  
Vol 2042 (1) ◽  
pp. 012116
Author(s):  
Pierson Clotilde ◽  
Soto Magán Victoria Eugenia ◽  
Aarts Mariëlle ◽  
Andersen Marilyne
Keyword(s):  
Light Exposure ◽  
Well Being ◽  
Research Field ◽  
Decision Makers ◽  
Spectral Simulation ◽  
Design Decisions ◽  
Computational Tools ◽  
Recent Developments ◽  
The Impact

Abstract Recent developments in the lighting research field have demonstrated the importance of a proper exposure to light to mediate several of our behavioral and physiological responses. However, we spend nowadays around 90% of our time indoors with an often quite limited access to bright daylight. To be able to anticipate how much the built environment actually influences our light exposure, and how much it may ultimately impact our health, well-being, and productivity, new computational tools are needed. In this paper, we present a first attempt at a simulation workflow that integrates a spectral simulation tool with a light-driven prediction model of alertness. The goal is to optimize the effects of light on building occupants, by informing the decision makers about the impact of different design choices. The workflow is applied to a case study to provide an example of what learnings can be expected from it.

scholarly journals Application of the non-infectious epidemiology bases to solve hygiene problems

2020 ◽  
Vol 99 (11) ◽  
pp. 1182-1187
Author(s):  
Nikolay V. Rusakov ◽  
Yury A. Rakhmanin ◽  
Ekaterina V. Rusakova
Keyword(s):  
Environmental Factors ◽  
Human Health ◽  
Medical Science ◽  
Well Being ◽  
Human Diseases ◽  
Relevant Research ◽  
Extensive Experience ◽  
Scientific Justification

The efforts of various branches of medical science, among which hygiene and epidemiology are of leading importance, aim at preventing human diseases. They have much in common since they aim at studying the causes, mechanisms, patterns, and consequences of human diseases and scientific justification of ways to prevent them. Although there are already more than the extensive experience of their joint use to combat various health pathologies, epidemiological approaches and methods of relevant research in hygiene are not to be applied appropriately. In hygienic studies, somebody paid more attention to the investigation of the properties, characteristics, and features of various positive and, especially, adverse environmental factors than to their impact on human health, the development and registration of the resulting health or pathological processes, including the analysis of the features of the manifestation and course of environmentally caused diseases of the population. Since the health of the population is mostly determined by sanitary-epidemiological and hygienic well-being, this article highlights the need for interaction of these disciplines.

scholarly journals Predictors of Seeking Health Information and Mental Health Support in U.S. Prisons: A Study Using 2014 PIAAC Data

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 337-337
Author(s):  
Candidus Nwakasi ◽  
Darlingtina Esiaka ◽  
Janardan Subedi
Keyword(s):  
Mental Health ◽  
General Population ◽  
Health Information ◽  
Support Groups ◽  
Social Trust ◽  
Well Being ◽  
Mental Illnesses ◽  
Literacy Skill ◽  
Mental Health Support ◽  
Health Support

Abstract Being in prison increases the vulnerability to poor health, especially mental illnesses. This is evident in the documented health disparities between prison inmates and the general population. For example, suicide rates among inmates are higher than in the general population. There is an urgent need to understand how inmates experience mental well-being. This is important as some inmates serve long/life sentences and some will need to successfully re-integrate into the society. Although they have a constitutional right to health care access through the Eight Amendment, little is known of the health information and mental health support seeking patterns among inmates. The current study examined factors associated with the amount of health information accessed, and participation in mental health support groups in US prisons. Data (N= 645) from the Program for the International Assessment of Adult Competencies (2014) were analyzed using linear and logistic regressions. Sample weights were applied in the analyses. Results show statistically significant relationships between amount of health information acquired and age (66 years and above), race, health-status, readiness to learn, literacy skill, and numeracy skill. Social trust moderated the effect of education on the odds of participating in mental health support groups. Also, gender, work duration, attending substance abuse support and life skills groups were significant predictors. Our study may provide insight for stakeholders (e.g., policymakers, clinicians, social workers, and wardens, etc.) working in partnership to deliver a more tailored health interventions for inmates, by highlighting key contextual issues predicting mental health and well-being within prison settings.

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