Home About us Contact
|
Home About us Contact | ||
|
|
||
Encouragement
Selected AbstractsEthical leadership across cultures: a comparative analysis of German and US perspectivesBUSINESS ETHICS: A EUROPEAN REVIEW, Issue 2 2009Gillian S. Martin This paper examines beliefs about four aspects of ethical leadership ,Character/Integrity, Altruism, Collective Motivation and Encouragement, in Germany and the United States using data from Project GLOBE (Global Leadership and Organizational Behavior Effectiveness) and a supplemental analysis. Within the context of a push toward convergence driven by the demands of globalization and the pull toward divergence underpinned by different cultural values and philosophies in the two countries, we focus on two questions: Do middle managers from the United States and Germany differ in their beliefs about ethical leadership? And, do individuals from these two countries attribute different characteristics to ethical leaders? Results provide evidence that while German and US middle managers, on average, differed in the degree of endorsement for each aspect, they each endorsed Character/Integrity, Collective Motivation and Encouragement as important for effective leadership and had a more neutral view of the importance of Altruism. The findings are reviewed within the social-cultural context of each country. [source] Business Group Affiliation, Firm Governance, and Firm Performance: Evidence from China and IndiaCORPORATE GOVERNANCE, Issue 4 2009Deeksha A. Singh ABSTRACT Manuscript Type: Empirical Research Question/Issue: This study seeks to understand how business group affiliation, within firm governance and external governance environment affect firm performance in emerging economies. We examine two aspects of within firm governance , ownership concentration and board independence. Research Findings/Insights: Using archival data on the top 500 Indian and Chinese firms from multiple data sources for 2007, we found that group affiliated firms performed worse than unaffiliated firms, and the negative relationship was stronger in the case of Indian firms than for Chinese firms. We also found that ownership concentration had a positive effect on firm performance, while board independence had a negative effect on firm performance. Further, we found that group affiliation , firm performance relationship in a given country context was moderated by ownership concentration. Theoretical/Academic Implications: This study utilizes an integration of agency theory with an institutional perspective, providing a more comprehensive framework to analyze the CG problems, particularly in the emerging economy firms. Empirically, our findings support, as well as contradict, some of the conventional wisdom, and suggest useful avenues for future research. Practitioner/Policy Implications: This study shows that reforms in general and CG reforms in particular are effective in emerging economies, which is an encouraging sign for policy makers. However, our research also suggests that it may be time for India and China to stop the encouragement for the empire building through group formation in the corporate world. For practioners, our findings suggest that firms need to balance the need for oversight with the need for advice, while selecting independent directors. [source] PUBLIC PREFERENCES FOR REHABILITATION VERSUS INCARCERATION OF JUVENILE OFFENDERS: EVIDENCE FROM A CONTINGENT VALUATION SURVEY,CRIMINOLOGY AND PUBLIC POLICY, Issue 4 2006DANIEL S. NAGIN Research Summary: Accurately gauging the public's support for alternative responses to juvenile offending is important, because policy makers often justify expenditures for punitive juvenile justice reforms on the basis of popular demand for tougher policies. In this study, we assess public support for both punitively and nonpunitively oriented juvenile justice policies by measuring respondents' willingness to pay for various policy proposals. We employ a methodology known as "contingent valuation" (CV) that permits the comparison of respondents' willingness to pay (WTP) for competing policy alternatives. Specifically, we compare CV-based estimates for the public's WTP for two distinctively different responses to serious juvenile crime: incarceration and rehabilitation. An additional focus of our analysis is an examination of the public's WTP for an early childhood prevention program. The analysis indicates that the public is at least as willing to pay for rehabilitation as punishment for juvenile offenders and that WTP for early childhood prevention is also substantial. Implications and future research directions are outlined. Policy Implications: The findings suggest that lawmakers should more actively consider policies grounded in rehabilitation, and, perhaps, be slower to advocate for punitive reforms in response to public concern over high-profile juvenile crimes. Additionally, our willingness to pay findings offer encouragement to lawmakers who are uncomfortable with the recent trend toward punitive juvenile justice policies and would like to initiate more moderate reforms. Such lawmakers may be reassured that the public response to such initiatives will not be hostile. Just as importantly, reforms that emphasize leniency and rehabilitation can be justified economically as welfare-enhancing expenditures of public funds. The evidence that the public values rehabilitation more than increased incarceration should be important information to cost-conscious legislators considering how to allocate public funds. Cost-conscious legislatures may become disenchanted with punitive juvenile justice policies on economic grounds and pursue policies that place greater emphasis on rehabilitation. They may be reassured, on the basis of our findings, that the public will support this move. [source] A Perspective on Achieving Equality in Mathematics for Fourth Grade Girls: A Special CaseCURRICULUM INQUIRY, Issue 2 2001Christine G. Renne How can and do teachers create equal access within everyday classroom lessons and establish opportunities for girls to participate fully? What contexts contribute to equity? In contrast to classrooms where boys receive more attention, encouragement, and content-area instruction, Ms. Jeffreys conducts whole class lessons in her fourth grade classroom where girls participate equally and successfully with boys during mathematics. To ascertain what contributes to the equal participation, I use interactional analysis to closely examine two mathematics lessons. Part of Ms. Jeffreys' success lies in altering normative classroom discourse and in the assertive context created and sustained by the math, science, and technology magnet school setting. However, another layer of complexity is introduced: to teach her students at their instructional level, Ms. Jeffreys groups her students by their ability to pass timed multiplication tests. By instituting a form of tracking, Ms. Jeffreys also legitimates girls as knowledgeable, both socially and academically, by their membership in the top math group. While policy guidelines exhort teachers to provide equal access to curriculum, actually accomplishing a first step of access to participation in the routine day-to-day classroom talk remains extremely difficult. [source] Wild Flowers at WakehurstCURTIS'S BOTANICAL MAGAZINE, Issue 1 2004Arthur Hoare Summary. There are over three hundred species of native or naturalised plants found growing wild in Wakehurst Place. Certain areas away from the formal beds have been left wild, but are managed for the encouragement of wild flowers and a visitor taking a gentle stroll around the gardens will have no difficulty in finding many of them. [source] MANAGING EDUCATIONAL TRANSFORMATION IN THE GLOBALIZED WORLD: A DEWEYAN PERSPECTIVEEDUCATIONAL THEORY, Issue 4 2009Maura Striano In the globalization scenarios we currently face, educational systems are challenged by different and sometimes competing pressures and requests. These call for a deep transformation of the organization, role, and social function of educational systems. Within this context, the very concept of education has come to be understood in different ways, which sometimes distort its moral and social value. In this essay, Maura Striano contends that from a Deweyan perspective, educational transformation must be seen as strictly connected to social change, and education should be understood as a process that facilitates and supports social growth and development. In order to be effective and fruitful, Striano suggests, this transformation must occur from the inside of educational systems and can only be brought about by reflective and inquiry-based inner processes if it is to have a sound moral and social impact within the changing framework of the globalized world. That education shares in the confusion of transition, and in the demand for reorganization, is a source of encouragement and not of despair. It proves how integrally the school is bound up with the entire movement of modern life. ,John Dewey, The Educational Situation [source] Electromyographic and kinematic indicators of fatigue in horses: a pilot studyEQUINE VETERINARY JOURNAL, Issue S33 2001G. R. COLBORNE Summary Muscle fatigue can be quantified using Fourier analysis of the recorded EMG signal. Median frequency is the frequency at which the Fourier profile is bisected, and this measure typically shifts to smaller values during fatigue. This technique was combined with kinematic analysis to describe the time course of fatigue in horses galloping on an inclined treadmill. It was hypothesised that EMG median frequency would decrease in tandem with changes in kinematic variables through the exercise test. Three fit Thoroughbred horses had retroreflective markers placed on their hooves and withers. Surface electrodes were attached to the skin over the forelimb deltoid muscle. After warm-up at walk and trot, each horse galloped at 110% VO2max on a treadmill inclined to 7.5% until fatigue onset. Kinematic data were recorded at 200 Hz for 5 s at 30s intervals, and raw EMG data were recorded at 1024 Hz for 3 s at 15 s intervals. Fatigue onset was the point in time when the horse could not keep up with the treadmill speed with minimal encouragement. One horse performed the entire exercise test on the same lead, while the other 2 horses changed leads periodically, interrupting the changes in both the EMG and kinematic measurements. Overall, through the course of the trials, mean stride length increased by 0.34 m and stride duration increased by 0.03 s. Vertical excursion of the trunk marker increased by 0.03 m. For the horse that did not change lead, median frequency of the EMG signal decreased by 36%. In the other 2 horses, lead changes were interspersed between smaller decreases in median frequency, whereupon median frequency recovered to starting levels immediately following a lead change. The median frequency decreased by 12-20% between lead changes. Kinematic changes are more global indictors of fatigue, while the EMG indicators are dependent upon lead changes. [source] Dealing with the offer of drugs: the experiences of a sample of pre-teenage schoolchildrenADDICTION, Issue 7 2003James McIntosh ABSTRACT Aims To investigate the ways in which pre-teenage children anticipate and deal with the offer of drugs. Design A qualitative study based on semi-structured interviews with 10,12-year-old schoolchildren. Setting The cities of Glasgow (Scotland) and Newcastle (England), UK. Participants A sample of 216 pre-teenage children. Forty-three had used drugs on at least one occasion, 42 had been offered but had not used drugs and 131 had neither used drugs nor been offered them. Most of the results reported in the paper relate to the experiences of the 42 children who had declined the offer of drugs. Findings While children who had not been exposed to drug offers expressed a high degree of confidence in their ability to deal with them, those who had actually had to cope with such offers experienced a variety of difficulties. The ease with which an offer could be declined appeared to depend upon two main factors: who was making the offer and the context in which it was being made. According to the children, offers from people with whom they had a close relationship and those in which pressure or encouragement were involved were particularly difficult to deal with. Conclusions The paper concludes that there is a need to equip young people better with the interpersonal tools they require to deal with the various situations they are likely to encounter in which drugs may be offered. It is suggested that a broadly based life skills approach to drug education may provide the best way of helping young people to deal with these situations. [source] A dental practice placement scheme: benefits for practitioners and undergraduatesEUROPEAN JOURNAL OF DENTAL EDUCATION, Issue 4 2001A. K. H. Pau Objectives: To report the feedback from general dental practitioners (GDPs) and dental undergraduates who participated in a general dental practice placement scheme. Methods:Subjects All 61 students in a year made 2 to 3 full day visits, individually or in pairs, to 44 general dental practices allocated to them. Thirty four GDPs completed and returned the questionnaire, representing a response rate of 77%. Data collection Formal feedback from the students and GDPs were obtained through 6 structured seminar sessions and a postal questionnaire respectively. Analysis Sifting, indexing and charting the data according to key issues and themes. Results: All 61 students attended the feedback sessions, 34 GDPs (response rate 77%) returned the questionnaire. The two most common themes that students reported having gained insight into were personal/professional development and practice management. The common positive aspects reported by the GDPs included exposure to the General Dental Service (GDS), motivation for undergraduate training and benefits for GDPs. These benefits included encouragement for the GDPs to reflect critically on their clinical practice, focus on their practice facilities and management, and stay in touch with developments in dental education. Through their visits and assignments, students gained skills in observation, interviewing, communication, relation-building and report writing. Conclusions: Placements of dental undergraduates in general dental practices enable students to gain insight into the GDS, develop key transferable skills and undergo professional socialisation. They are also beneficial and enjoyable for the GDPs who participated. [source] Self-Interest, Foreign Need, and Good Governance: Are Bilateral Investment Treaty Programs Similar to Aid Allocation?FOREIGN POLICY ANALYSIS, Issue 3 2006ERIC NEUMAYER Bilateral investment treaties (BITs) have become the most important legal mechanism for the encouragement and governance of foreign direct investment (FDI) in developing countries. Yet practically no systematic evidence exists on what motivates capital-exporting developed countries to sign BITs earlier with some developing countries than with others, if at all. The theoretical framework from the aid allocation literature suggests that developed countries pursue a mixture of self-interest, foreign need and, possibly, good governance. We find evidence that both economic interests of developed countries' foreign investors and political interests of developed countries determine their scheduling of BITs. However, foreign need as measured by per capita income is also a factor, whereas good governance by and large does not matter. These results suggest that BIT programs can be explained using the same framework successfully applied to the allocation of aid. At the same time, self-interest seems to be substantively more important than developing country need when it comes to BITs. [source] Power and Powerlessness: Brecht's Poems to Carola NeherGERMAN LIFE AND LETTERS, Issue 3 2000Joyce Crick This essay is a study of Brecht's poems to Carola Neher: the two versions of 'Rat an die Schauspielerin C.N.' (?1930, ?1956) and 'Das Waschen' (1937). Their dating and textual authority in the three main editions of Brecht's works are a matter of some uncertainty, but the essay suggests a sequence for them that makes sense in the overall pattern of Brecht's life and poetry. They are analysed with two leading questions, particularly acute in the 1930s, in view: what is the nature of the poet's authority; what is the relation of poetry to action? The 'original version' (Elisabeth Hauptmann's term) of the two poems of advice is read as the product of Brecht and Neher's shared success with Die Dreigroschenoper:the poet is in command; the situation is intimate, but the mood is imperative, the gesture as invasive as it is tender; the director is instructing his leading lady how to perform - exemplarily. 'Das Waschen', written from Brecht's exile in Dennmark to Neher in prison in Moscow, is read as the gesture of one powerless to help, but writing into the dark, as a reminder of a - Brecht's word is 'menschenwürdigere' - situation: subdued though it is, the poem carries a charge of memory and muted encouragement. The third porm, a variant of the first, is read as a retreat, lacking the purposeful authority of the first and the paradoxical power in powerlessness of the second. The poems move from celebration to reminder to wish-fulfilment - which is both less and more than Brecht sert out to require of poetry. [source] Estimating treatment effects in randomized clinical trials with non-compliance: the impact of maternal smoking on birthweightHEALTH ECONOMICS, Issue 5 2001Barton H. Hamilton Abstract This paper assesses the causal impact of late-term (8th month) maternal smoking on birthweight using data from a randomized clinical trial, in which some women were encouraged not to smoke, while others were not. The estimation of treatment effects in this case is made difficult as a result of the presence of non-compliers, women who would not change their smoking status, regardless of the receipt of encouragement. Because these women are not at risk of changing treatment status, treatment effect distributions may be difficult to construct for them. Consequently, the paper focuses on obtaining the distribution of treatment impacts for the sub-set of compliers found in the data. Because compliance status is not observed for all subjects in the sample, a Bayesian finite mixture model is estimated that recovers the treatment effect parameters of interest. The complier average treatment effect implies that smokers give birth to infants weighing 348 g less than those of non-smokers, on average, although the 95% posterior density interval contains zero. The treatment effect is stronger for women who were moderate smokers prior to pregnancy, implying a birthweight difference of 430 g. However, the model predicts that only about 22% of the women in the sample were at risk of changing their smoking behaviour in response to encouragement to quit. Copyright © 2001 John Wiley & Sons, Ltd. [source] Structural basis of MHC class I recognition by natural killer cell receptorsIMMUNOLOGICAL REVIEWS, Issue 1 2001Mark W. Sawicki Summary: Natural killer (NK)-cell function is regulated by NK receptors that recognize MHC class I (MHC-I) molecules on target cells. Two structurally distinct families of NK receptors have been identified, the immunoglobulin-like family (killer cell immunoglobulin-like receptors (KIRs), leukocyte immunoglobulin-like receptors (LIRs)) and the C-type lectin-like family (Ly49, CD94/NKG2A, NKG2D, CD69). Recently, the three-dimensional structures of several NK receptors were determined, in free form or bound to MHC-I. These include those of unbound KIRs, NKG2D, CD69, LIR-1 and the CD94 subunit of the CD94/NKG2A heterodimer. Together, these structures define the basic molecular architecture of both the immunoglobulin-like and C-type lectin-like families of NK receptors. In addition, crystal structures have been reported for the complex between Ly49A and H-2Dd, and for KIR2DL2 bound to HLA-Cw3. The complex structures provide a framework for understanding MHC-I recognition by NK receptors from both families and reveal striking differences in the nature of this recognition, despite the receptors' functional similarity. This research was supported, in part, by National Institutes of Health grants R01 AI47900 and R37 36900 (RAM) and a fellowship from the Cancer Research Institute (MWS). We are grateful to DW Wolan and IA Wilson for providing coordinates of NKG2D prior to publication, and to members of our laboratories for encouragement. [source] IL-5-induced airway eosinophilia , the key to asthma?IMMUNOLOGICAL REVIEWS, Issue 1 2001Eckard Hamelmann Summary: Bronchial asthma is a chronic inflammatory airway disease defined by reversible airway obstruction and non-specific airway hyper-responsiveness (AHR). Although profound insights have been made into the pathophysiology of asthma, the exact mechanisms inducing and regulating the disease are still not fully understood. Yet, it is generally accepted that the pathological changes in asthma are induced by a chronic inflammatory process which is characterized by infiltration of the bronchial mucosa with lymphocytes and eosinophils, increased mucus production and submucosal edema. There is increasing evidence that an imbalance in the T-helper (Th) cell response of genetically predisposed individuals to common environmental antigens plays a pivotal role in the pathogenesis of allergic bronchial asthma and other atopic disorders. Following allergic sensitization, T cells from atopic patients tend to produce elevated levels of Th2-type cytokines, especially interleukin (IL)-4, IL-13, IL-5 and IL-6, which induce and regulate IgE production and eosinophil airway infiltration. In this review, the role of Th2-type cytokines, IgE and airway eosinophils in the induction of airway inflammation and AHR is discussed, and animal studies of asthma and AHR, mainly in rodents will be considered. A better understanding of the underlying mechanisms leading to asthma pathology may yield more specific immunological strategies for the treatment of this disease which is increasing worldwide. I thank the many colleagues in the laboratory of Dr. E. W. Gelfand, National Jewish Research Center, Denver CO, USA, for continuous support and encouragement. E.H. is a fellow of the Deutsche Forschungsgemeinschaft (DFG Ha 2162/1-1 and 2-1). [source] Cosmopolitan peacekeeping and peacebuilding in Sierra Leone: what can Africa contribute?INTERNATIONAL AFFAIRS, Issue 6 2007DAVID CURRAN The article is organized into two main parts. First, it presents the termination of the conflict in Sierra Leone as a case-study to examine the degree to which cosmopolitan values connecting peacekeeping and peacebuilding are (or are not) evident. The case-study looks at the United Nations Mission in Sierra Leone (UNAMSIL) as a model of successful peacekeeping in the sense that everyday security was provided for the people of Sierra Leone through the deployment of a robust peacekeeping mission. This assessment needs to be qualified in relation to serious deficits still to be addressed in post-conflict peacebuilding, yet the success of this mission does provide encouragement for those who see the construction of a cosmopolitan security architecture for Africa as both desirable and achievable. Second, it explores the degree to which an appropriate model of cosmopolitan peacekeeping might emerge at regional and continental levels in Africa through the development of the African Standby Force (ASF). What the case-study presented here and the survey of the African Union (AU)/ASF in the second part of the article have in common is that taken together, they provide some evidence to suggest that, however fragile, the AU is beginning to define an agenda that represents a continent wide and, in that sense at least, a cosmopolitan response to African security issues. [source] Evaluation of antioxidant properties of dermocosmetic creams by direct electrochemical measurementsINTERNATIONAL JOURNAL OF COSMETIC SCIENCE, Issue 5 2005C. Guitton Cyclic voltammetry and linear sweep voltammetry were preliminarily used in order to evaluate the global antioxidant properties of dermocosmetic creams. Experiments were performed by introducing electrodes directly into the creams without any pretreatment of the samples. Current,potential curves showed significant anodic current depending on the antioxidant-containing cream studied. In comparison, little amperometric response was recorded with an antioxidant-free cream base. Aqueous solutions of the corresponding antioxidants showed analogous anodic waves and similar peak potentials. A correlation between the global anodic peak and the presence of the antioxidant species in the cream was made with eleven skin creams, attesting to the reliability of the method. Among the tested electrode materials, platinum gave the best results in terms of electrochemical kinetics and measurement precision (current peak standard deviation <5%). Exposure of a depilatory cream to oxidizing agents (e.g. hydrogen peroxide, air, or light) caused a decrease in peak current as expected. This methodology enabled us to evaluate the evolution of the total antioxidant capacity under oxidative stress and gives encouragement to further development of a voltammetric method to quantify cream antioxidant power. [source] Implementation of Standardized Nomenclature in the Electronic Medical RecordINTERNATIONAL JOURNAL OF NURSING TERMINOLOGIES AND CLASSIFICATION, Issue 4 2009Joan Klehr RNC MPH PURPOSE., To describe a customized electronic medical record documentation system which provides an electronic health record, Epic, which was implemented in December 2006 using standardized taxonomies for nursing documentation. DATA SOURCES., Descriptive data is provided regarding the development, implementation, and evaluation processes for the electronic medical record system. Nurses used standardized nursing nomenclature including NANDA-I diagnoses, Nursing Interventions Classification, and Nursing Outcomes Classification in a measurable and user-friendly format using the care plan activity. CONCLUSIONS AND IMPLICATIONS., Key factors in the success of the project included close collaboration among staff nurses and information technology staff, ongoing support and encouragement from the vice president/chief nursing officer, the ready availability of expert resources, and nursing ownership of the project. Use of this evidence-based documentation enhanced institutional leadership in clinical documentation. [source] Self-report treatment techniques used by dentists to treat dentally anxious children: a preliminary investigationINTERNATIONAL JOURNAL OF PAEDIATRIC DENTISTRY, Issue 1 2003H. Buchanan Summary. Objective. To investigate the extent to which dentists report their encouragement to dentally anxious children to blunt (distract from the procedure) or monitor (give information about the procedure) during treatment. Setting. British Society of Paediatric Dentistry conference. Subjects and methods. One hundred and two of 155 delegates (66% response rate) completed a Monitor Blunter Treatment Checklist (MBTC), which was included in their conference pack. Participants were asked to tick all of the 10 statements (five monitoring and five blunting) that reflected how, in general, they would treat a dentally anxious child. Results. Dentists chose significantly more monitoring than blunting statements. Treatment strategies relating to explaining procedures were endorsed by the majority of dentists, while distraction was chosen by less than a third. Conclusion. Dentists tend to use monitoring strategies that adhere generally to the principles of the Tell-Show-Do technique. This may have implications if the anxious child has a ,blunting' coping style. [source] Patient responses to an integrated service, initiated by community pharmacists, for the prevention of osteoporosisINTERNATIONAL JOURNAL OF PHARMACY PRACTICE, Issue 2 2008Dr. Judith A. Crockett project officer Objective This study aimed to develop, implement and evaluate an integrated service provided by pharmacists to consumers based on the results of a risk-assessment survey carried out by the pharmacist and testing of bone mineral density (BMD) by a radiographer. It also investigated whether measurement of BMD in the pharmacy increased the effectiveness of the service and pharmacist referral in terms of adherence to advice and uptake of referral compared with the same service offered without BMD testing. Setting Community pharmacists in urban and rural settings in New South Wales, Australia, delivered the service. Method The adherence to advice or referral given by 12 community pharmacists during 2003 to 217 participants about the prevention of osteoporosis following screening with either a BMD test plus risk-assessment questionnaire or a risk-assessment questionnaire only was compared. Key findings No significant between-group differences in adherence to advice or referral were found. However, participants valued the BMD service significantly more highly than the non-BMD service as measured by satisfaction scores. Conclusions Consumers were interested in receiving information about osteoporosis and their own risk of it and even greater interest in BMD testing in the pharmacy. There was no difference in uptake of referral or advice following either questionnaire only or questionnaire plus BMD testing. Low uptake of referral and advice overall by those deemed to be at high risk is of concern. Far greater education and encouragement for consumers to follow through is required. [source] Person-environment fit and transfer of trainingINTERNATIONAL JOURNAL OF TRAINING AND DEVELOPMENT, Issue 1 2002Enoch A. Awoniyi Results support the hypothesis that individuals transfer their training to the job when their ,real' environment matches or fits the preferred ,ideal' environment. Five aspects of environment were assessed: supervisory encouragement, sufficient resources, worker's perceived freedom, workload pressures, and perceived worker creativity. In addition to the traditional criteria of hiring people whose skills match the job, organizations might consider creating environments to match employees' needs. [source] Factors Affecting Training Effectiveness in the Context of the Introduction of New Technology,A US Case StudyINTERNATIONAL JOURNAL OF TRAINING AND DEVELOPMENT, Issue 4 2001Constantine Kontoghiorghes The purpose of this exploratory study was to identify the key factors within and outside the training context that could affect training effectiveness. The most important variables that were found to facilitate trainee learning and training transfer are: measurement of trainee knowledge before and immediately after training; supervisory support and encouragement for the application of new skills and knowledge; intrinsic rewards for applying newly learned skills and knowledge; a participative/sociotechnical organisation that is characterised by a high degree of employee involvement; and, a continuous learning environment that encourages frequent participation in multiskill training and retraining programs. [source] Awareness and determinants of family planning practice in Jimma, EthiopiaINTERNATIONAL NURSING REVIEW, Issue 4 2006A. T. Beekle rgn Background:, The continuing growth of the world population has become an urgent global problem. Ethiopia, like most countries in sub-Saharan Africa, is experiencing rapid population growth. Currently, the country's population is growing at a rate of 3%, one of the highest rates in the world and if it continues unabated, the population will have doubled in 23 years, preventing any gain in the national development effort. Aim:, To determine the level and determinants of family planning awareness and practice in one Ethiopian town. Methodology:, A quantitative study using a descriptive survey design was conducted in Jimma University Hospital. Discussion:, The findings revealed that the knowledge and practice of modern contraception methods was low. Most women's contraceptive knowledge and practice was influenced by socio-cultural norms such as male/husband dominance and opposition to contraception, and low social status of women. A lack of formal education for women was identified as a key factor in preventing change in the patterns of contraceptive knowledge and use by women in this part of Ethiopia. Conclusion:, The support and encouragement for women and men to enter and complete formal education is essential in bringing about a cultural and social change in attitude towards the economic and social value of family planning. This study and others suggest that education can address the imbalance in decision making about contraception and the role of women in society generally. [source] Incidence of In-Hospital Falls in Geriatric Patients Before and After the Introduction of an Interdisciplinary Team,Based Fall-Prevention InterventionJOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 12 2007Wolfgang Von Renteln-Kruse MD Falls are among the most common unwanted events in older hospital inpatients, but evidence of effective prevention is still limited compared with that in the community and in long-term care facilities. This article describes a prevention program and its effects on the incidence of falls in geriatric hospital wards. It was a prospective cohort study with historical control including all 4,272 patients (mean age 80, 69% female) before and 2,982 (mean age 81, 69% female) after introduction of the intervention. The intervention included fall-risk assessment on admission and reassessment after a fall; risk alert; additional supervision and assistance with the patients' transfer and use of the toilet; provision of an information leaflet; individual patient and caregiver counseling; encouragement of appropriate use of eyeglasses, hearing aids, footwear, and mobility devices; and staff education. Measurements included standardized fall-incidence reporting, activity of daily living and mobility status, number of falls and injurious falls, and number of patients who fell. Before the intervention was introduced, 893 falls were recorded. After the intervention was implemented, only 468 falls were recorded (incidence rate ratio (IRR)=0.82, 95% confidence interval (CI)=0.73,0.92), 240 versus 129 total injurious falls (IRR=0.84, 95% CI=0.67,1.04), 10 versus nine falls with fracture (IRR=1.40, 95% CI=0.51,3.85) and 611 versus 330 fallers. The relative risk of falling was significantly reduced (0.77, 95% CI=0.68,0.88). A structured multifactorial intervention reduced the incidence of falls, but not injurious falls, in a hospital ward setting with existing geriatric multidisciplinary care. Improvement of functional competence and mobility may be relevant to fall prevention in older hospital inpatients. [source] Toward a Multidimensional Construct of Social Support: Implications of Provider's Self-Reliance and Request CharacteristicsJOURNAL OF APPLIED SOCIAL PSYCHOLOGY, Issue 7 2004Anat Drach-Zahavy The two studies reported here sought to propose a multidimensional taxonomy for providing social support, and to use an attachment-theory framework to investigate provision of support at work. Additionally, the studies sought to explore the distinct contextual considerations that affect decisions on the type of support provided. In Study 1, case studies were presented to 164 hospital nurses, who, taking the role of the head nurse, were asked to deal with a distressed staff nurse who was either high or low tenured, and whose cause of distress was either personal or job-related. In the second study, 55 nurses with various job tenures described the support behaviors of their superiors. In both studies, support interventions and attachment styles were measured. Results provided partial evidence of the multidimensionality of social support, and indicated that it contains 4 distinct support behaviors: helping, maintenance, referral, and encouragement of self-coping. Furthermore, the distinct support behaviors were affected by different attachment styles and contextual considerations. [source] Application of ECMO in Multitrauma Patients With ARDS as Rescue TherapyJOURNAL OF CARDIAC SURGERY, Issue 3 2007Navid Madershahian M.D. The final rescue therapy for patients with severe hypoxia refractory to conventional therapy modalities is the extracorporeal gas exchange. Methods: We report the management of three polytraumatized patients with life-threatening injuries, severe blunt thoracic trauma, and consecutive ARDS treating by extracorporeal membrane oxygenation (ECMO). Two patients suffered a car accident with severe lung contusion and parenychmal bleeding. Bronchial rupture and mediastinal emphysema was found in one of them. Another patient developed ARDS after attempted suicide with multiple fractures together with blunt abdominal and thoracic trauma. Results: All patients were placed on ECMO and could be rapidly stabilized. They were weaned from ECMO after a mean of 114 ± 27 hours of support without complications, respectively. Mean duration of ICU stay was 37 ± 23 days. Conclusions: Quick encouragement of ECMO for the temporary management of gas exchange may increase survival rates in trauma patients with ARDS. [source] Review paper: more than ringing in the ears: a review of tinnitus and its psychosocial impactJOURNAL OF CLINICAL NURSING, Issue 21 2009Susan Holmes Aim and objectives., To provide an overview of tinnitus, current management and its psychosocial impact offering strategies for managing acute and chronic tinnitus in practice. Background., Tinnitus, characterised by the perception of sound in the absence of external stimuli, is experienced by about 10% of the population at some time in their lives. It may be temporary/longstanding; approximately 5% adults experience severe, persistent tinnitus affecting their lifestyle. Although many adjust successfully, others are disabled by the condition. Though often unrecognised, tinnitus affects many patients regardless of their presenting illness. Design., A literature review including descriptive, theoretical and empirical material. Databases were searched using the keyword ,tinnitus' providing diverse information which was used to address the research questions. Results., Tinnitus represents more than ,simple' ringing in the ears and may be accompanied by many distressing changes. It may be acute or chronic. It is difficult to treat, care may be directed towards management rather than cure. Many patients are, however, told that ,nothing can be done'. Relevance to clinical practice., Despite the high prevalence of tinnitus, there is a paucity of relevant nursing literature suggesting that there is an information deficit amongst nurses. The information provided shows that understanding the full impact of the condition and identification of patients' needs are essential to effective care. Strategies to help affected patients are given. Conclusions., Tinnitus, a widespread, often intractable condition, affects millions of people; there is considerable debate about its causes. Tinnitus is distressing and may be severe enough to affect lifestyle and quality of life. Affected patients need considerable support and advice on healthcare options, encouragement to try different treatments and recognition that help and hope are available. Though patients may have to learn to live with tinnitus, the most important thing is that they recognise that help is available. [source] A systematic review of professional support interventions for breastfeedingJOURNAL OF CLINICAL NURSING, Issue 9 2008Leena Hannula PhD Objectives., The objectives of this systematic review were first, to describe how breastfeeding is professionally supported during pregnancy, at maternity hospitals and during the postnatal period. Secondly, to find out how effective interventions are in supporting breastfeeding. Background., Breastfeeding is an effective way to promote the health of infants. In many countries, the rates for breastfeeding remain lower than recommended. Many studies have examined breastfeeding promotion interventions; some of them are successful and some fail. It is important to find effective combinations of support. Design. Systematic review. Methods., Search of CINAHL, Medline and Cochrane Central Register databases were conducted for data collection. The search was limited to articles published in Finnish, Swedish and English between the year 2000 and March 2006, focusing on breastfeeding and breastfeeding support interventions. Two reviewers independently analysed 36 articles in the final analysis. Results., Interventions expanding from pregnancy to the intrapartum period and throughout the postnatal period were more effective than interventions concentrating on a shorter period. In addition, intervention packages using various methods of education and support from well-trained professionals are more effective than interventions concentrating on a single method. Conclusions., During pregnancy, the effective interventions were interactive, involving mothers in conversation. The Baby Friendly Hospital Initiative (BFHI) as well as practical hands off -teaching, when combined with support and encouragement, were effective approaches. Postnatally effective were home visits, telephone support and breastfeeding centres combined with peer support. Relevance to clinical practice., Professionals need breastfeeding education and support of their organisations to act as breastfeeding supporters. The BFHI -programme is effective and it would be wise to include the core components of the programme in breastfeeding promotion interventions. Mothers benefit from breastfeeding encouragement and guidance that supports their self-efficacy and feelings of being capable and empowered, and is tailored to their individual needs. [source] Comparative Response to a Survey Executed by Post, E-mail, & Web FormJOURNAL OF COMPUTER-MEDIATED COMMUNICATION, Issue 1 2000Gi Woong Yun Recent developments in communication technologies have created alternative survey methods through e-mail and Web sites. Both methods use electronic text communication, require fewer resources, and provide faster responses than traditional paper and pencil methods. However, new survey methodologies also generate problems involving sampling, response consistency and participant motivation. Empirical studies need to be done to address these issues as researchers implement electronic survey methods. In this study we conduct an analysis of the characteristics of three survey response modes: post, e-mail, and Web site. Data are from a survey of the National Association of Science Writers (NASW), in which science writers' professional use of e-mail and the Web is evaluated. Our analysis offers two lessons. First, a caution. We detect a number of potentially important differences in the response characteristics of these three groups. Researchers using multi-mode survey techniques should keep in mind that subtle effects might be at play in their analyses. Second, an encouragement. We do not observe significant influences of survey mode in our substantive analyses. We feel, at least in this case, that the differences detected in the response groups indicate that using multi-mode survey techniques improved the representativeness of the sample without biasing other results. [source] Multi-family groups in the treatment of young adults with eating disordersJOURNAL OF FAMILY THERAPY, Issue 1 2002Mireille Colahan Multi-family group therapy is a variant of family therapy in which members are able to gain insight and learn from each other, provide support and encouragement, alleviate their sense of isolation and improve communication and social functioning. This study describes a series of multi-family groups conducted within the eating disorder service of a large London NHS Hospital. Ratings made by participants indicated that families viewed the treatment favourably. [source] Corporal punishment: Mother's disciplinary behavior and child's psychological profile in Alexandria, EgyptJOURNAL OF FORENSIC NURSING, Issue 1 2009Mostafa A. Abolfotouh Abstract Although all professionals oppose abusive physical punishment, nonabusive physical punishment is still controversial. The aim of the present study was (i) to determine parents' behavior regarding the discipline of their children using corporal punishment or other alternative disciplinary methods, (ii) to identify the different associated factors for corporal punishment, and (iii) to determine the association between exposure of the child to corporal punishment and his or her psychosocial well-being. A representative sample of 400 fifth-grade primary school children and their mothers were subjected to a cross-sectional survey. Mothers were subjected to a questionnaire to assess their behavior on corporal punishment and other disciplinary methods. The children were subjected to Coopersmith Self-Esteem Inventory to assess their self-esteem, and a questionnaire to assess their relationship with others. About three-quarter of children (76.3%) were corporally punished, and about half of them (46.2%) were punished on sites other than the extremities or buttocks. In 59.3% of them the frequency of the punishment ranged from once or twice/week to more than once/day, and it left marks in about 20%. Other disciplinary methods used by mothers were yelling/insulting (43.5%), taking away a toy or privilege (39.3%), discussing/explaining (9.5%), and time out (2.8%). The significant predictors of mothers' use of corporal punishment were male gender of the child (p < 0.01), rural origin of the father (p= 0.02), the mother's bad history of rearing experience (p < 0.01), and poor interparental relationship (p= 0.02). The relation between corporal punishment of children and their self-esteem was not statistically significant; however, corporally punished children scored lower on their relationship with others than noncorporally punished ones (Z= 2.60, p < 0.05). Corporal punishment is a widespread disciplinary method in Alexandria. The use of corporal punishment could have adverse effects on the child especially on his or her relationship with others. Planning an awareness-raising educational program for current and expectant parents is recommended, to promote positive nonviolent methods of child rearing, via the media and campaigns, and encouragement of political, community, and religious leaders; medical personnel; journalists; and sports and entertainment figures to share in these campaigns [source] | |||||||||||||||||||||||||||||||||||||||||||||||||