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Hospitals must systematically support employees in innovative ways to uphold a culture of care that strengthens the system. At a leading Canadian academic pediatric…
Hospitals must systematically support employees in innovative ways to uphold a culture of care that strengthens the system. At a leading Canadian academic pediatric rehabilitation hospital, over 90 percent of clinicians viewed Schwartz Rounds™ (SR) as a hospital priority, resulting in its formal implementation as a quality improvement initiative. The purpose of this paper is to describe how the hospital implemented SR to support the socio-emotional impact of providing care.
This quantitative descriptive study provides a snapshot of the impact of each SR through online surveys at four assessment points (SR1-SR4). A total of 571 responses were collected.
All four SR addressed needs of staff as 92.9-97.6 percent of attendees reported it had a positive impact, and 96.4-100 percent of attendees reported each SR was relevant. Attendees reported significantly greater communication with co-workers after each SR (p<0.001) and more personal conversations with supervisors after SR2 and SR4 (p<0.05) compared to non-attendees. Attending SR also increased their perspective-taking capacity across the four SR.
As evidenced in this quality improvement initiative, SR addresses staff’s need for time to process the socio-emotional impacts of care and to help reduce those at risk for compassion fatigue. SR supports and manages the emotional healthcare culture, which has important implications for quality patient care.
This research details an organization’s process to implement SR and highlights the importance of taking care of the care provider.
One can easily see that there is abundant opportunity for the introduction of harmful impurities unless every care is taken to avoid contamination due to impure ingredients or by metals, if used, in the plant. The Departmental Committee already referred to considered that the maximum permissible quantity of arsenic in any colouring substance used for food purposes should be 1/100th of a grain a pound, and that the total amount of lead, copper, tin and zinc should not exceed 20 parts per million. Thus a dyestuff should be of a high degree of purity in spite of the fact that it is only added in very small proportions to food. In America the Food and Drug Authorities issue certificates for each batch of dyestuff after it has passed thorough physiological and chemical tests. There is no doubt that if such tests were carried out in this country by officially appointed chemists and physiologists the health of the community would be more securely safeguarded from the possible ill effects of ingested dyestuffs. Under the present system it is apparently no one's business to detect the presence of harmful colours in food other than those actually prohibited, for obviously such work does not come within the scope of the Public Analyst. My last point is concerning the labelling of food containing added colouring matter. It has already been seen that colours are very frequently added to conceal inferior quality, or to simulate a valuable ingredient which is not actually present in the food. Therefore, in my opinion, the presence of added colouring matter should definitely be declared to the purchaser either by a label attached to the article or by a notice displayed in the shop. Such a declaration would help to counteract unfair competition. It is true that the Departmental Committee reported that “If a list of permitted colours is prepared in the way we have suggested, we do not think that, as far as health considerations are concerned, a declaration of their use need be required.” It is obvious that the Committee made that recommendation from health reasons alone and did not take into account cases where colour was added to conceal inferior quality. The food laws of this country lag far behind those of some others, and the tightening up of legislation in this respect is overdue. It is interesting to note that the following countries make the declaration of added colours to some or all types of food compulsory: The United States of America, Canada, New Zealand, Australia, Germany, Italy and France. Argentina takes a bold stand and prohibits absolutely the use of artificial colours in food, only harmless natural colours in certain instances are allowed. In America a food is not covered by a declaration of the addition of colouring if it is added to make the food appear of better quality or of greater value than it is. Also in America the labels of compound food such as confectionery must have a list of the quantities of the separate ingredients, exemption being allowed where there is of necessity insufficient space on the label to accommodate all the statements and information required. Unpacked confectionery, owing to the difficulty of labelling satisfactorily, is exempt. It has been remarked that a certain proposed label for use in America looked like a newspaper, and even the Readers' Digest could not condense it! Still, I feel sure that the intelligent purchaser would far rather have too much information, if that is possible, regarding the quality of the food he eats rather than too little, and those who, owing to lack of knowledge, are less discriminating in their choice of food, need to be protected. In conclusion, then, in my view, there is no objection to the artificial colouring of food provided that the colouring agent employed has no adverse effect upon the human organism, that it is not added to imply superior quality or to otherwise deceive, and that its presence, where practicable, is declared to the purchaser.
This study empirically tested Hersey and Blanchard’s situational leadership theory (SLT) among 151 senior executives within service and manufacturing businesses of a large…
This study empirically tested Hersey and Blanchard’s situational leadership theory (SLT) among 151 senior executives within service and manufacturing businesses of a large Fortune 100 company. SLT focuses on the interaction of the leader’s behaviour and follower readiness to determine leader effectiveness. SLT suggests that the appropriate level of task and relationship behaviour is the one that “matches” the level of follower readiness. A variety of statistical techniques were used to test the central hypotheses of SLT and the matching concept. The study produced 18 matches and 126 mismatches. One statistical technique, the partitioned test, was found to provide the most insight about SLT and the concept of matching. The researchers recommend its utilization in future research of SLT. The researchers conclude that SLT remains intuitively appealing and empirically contradictory. The concepts of SLT and matching are engaging and further research is recommended.
This paper uses a representative sample of U.S. workers to examine how self-employment may reduce work-life conflict. We find that self-employment prevents work from…
This paper uses a representative sample of U.S. workers to examine how self-employment may reduce work-life conflict. We find that self-employment prevents work from interfering with life (WIL), especially among women, but it heightens the tendency for life to interfere with work (LIW). We show that self-employment is connected to WIL and LIW by different causal mechanisms. The self-employed experience less WIL because they have more autonomy and control over the duration and timing of work. Working at home is the most important reason the self-employed experience more LIW than wage and salary workers.
During the great post–World War II economic expansion, modernization theorists held that the new American capitalism balanced mass production and mass consumption, meshed…
During the great post–World War II economic expansion, modernization theorists held that the new American capitalism balanced mass production and mass consumption, meshed profitability with labor's interests, and ended class conflict. They thought that Keynesian policies insured a near full-employment, low-inflation, continuous growth economy. They viewed the United States as the “new lead society,” eliminating industrial capitalism's backward features and progressing toward modernity's penultimate “postindustrial” stage.7 Many Americans believed that the ideal of “consumer freedom,” forged early in the century, had been widely realized and epitomized American democracy's superiority to communism.8 However, critics held that the new capitalism did not solve all of classical capitalism's problems (e.g., poverty) and that much increased consumption generated new types of cultural and political problems. John Kenneth Galbraith argued that mainstream economists assumed that human nature dictates an unlimited “urgency of wants,” naturalizing ever increasing production and consumption and precluding the distinction of goods required to meet basic needs from those that stoke wasteful, destructive appetites. In his view, mainstream economists’ individualistic, acquisitive presuppositions crown consumers sovereign and obscure cultural forces, especially advertising, that generate and channel desire and elevate possessions and consumption into the prime measures of self-worth. Galbraith held that production's “paramount position” and related “imperatives of consumer demand” create dependence on economic growth and generate new imbalances and insecurities.9 Harsher critics held that the consumer culture blinded middle-class Americans to injustice, despotic bureaucracy, and drudge work (e.g., Mills, 1961; Marcuse, 1964). But even these radical critics implied that postwar capitalism unlocked the secret of sustained economic growth.
WE are informed that a sufficient number of people have decided to participate in the visit to Paris at Easter to ensure the success of the project. We are asked to announce that further entries can be received until the end of this month, when the list will be closed definitely. The visit is a weekend one, costing seven guineas, a not unreasonable price nowadays, seeing that it covers everything. The headquarters will be the American Library in Paris, one of the most interesting libraries in Europe.
AN older librarian, we think, looking at the Annual Report of the Library Association, which is the principal publication of June, must almost rub his eyes in bewilderment at the recent progress made. In the outer world of libraries, that part which the public sees, there are symptoms, and actual signs, of development; new branch libraries, such as those at Sheffield, at Croydon, and at Dartford, are portents of a sort—pleasant substitutes, and most effective ones, for the larger, orthodox (in size at least) branches such as Yardley Wood, Crossgates, Firth Park and Leith. Greater development must be a problem for a few years to come, as every librarian must acknowledge. It is in the development of librarianship and bibliology that this record of the L.A. is so significant. The bare fact that the Centenary Year sees the L.A. with a membership rapidly approaching ten thousand and an income of £36,000 seems almost incredible. Even more so is the fact, not quite so pleasing, that by £347 this income proved insufficient; but, on reflection, that, too, is a sign of activity. The Association has almost ceased what was once thought to be its main pre‐occupation; its own organization, or, as one of our writers called it, “the moving about of its domestic furniture.” It is now deeply concerned with international librarianship, an attitude which in no small measure it owes to Mr. H. M. Cashmore and to Mr. Welsford's flair as host at Chaucer House; its gradual adjustment of its benefits, including the education ones, so that they appeal to other than public librarians, as they formerly did, and to such an extent that over one thousand special and university librarians are grouped in it; the immense, for it is that, educational and examination scheme, which from the accounts appears to cost: the administration about £1,900 more than the candidates' fees provide; its extending publishing business, now costing in all £12,150 a year, but bringing in returns more valuable than the substantial sales would suggest, and the quite remarkable library, information, and research work. The Association has become a large business, influencing the life of every librarian and energizing most of the work now done in libraries. The Report has a general acknowledgment paragraph recording the debt owed to the chairmen of committees. It is a modest tribute to a group of men who give great labours to our interests. To be the chairman of a Library Association Committee today is to be a leader and hard‐driven worker. We owe them much. And this does not reduce our admiration for the manner in which the official staff of the Association do their work.
Media power plays a role in determining which news is told, who is listened to and how subject matter is treated, resulting in some stories being reported in depth while…
Media power plays a role in determining which news is told, who is listened to and how subject matter is treated, resulting in some stories being reported in depth while others remain cursory and opaque. This chapter examines how domestic violence and abuse (DVA) is reported in mainstream and social media encompassing newspapers, television and digital platforms. In the United Kingdom, newspapers have freedom to convey particular views on subjects such as DVA as, unlike radio and television broadcasting, they are not required to be impartial (Reeves, 2015).
The gendered way DVA is represented in the UK media has been a long-standing concern. Previous research into newspaper representations of DVA, including our own (Lloyd & Ramon, 2017), found evidence of victim blaming and sexualising violence against women. This current study assesses whether there is continuity with earlier research regarding how victims of DVA, predominantly women, are portrayed as provoking their own abuse and, in cases of femicide, their characters denigrated by some in the media with impunity (Soothill & Walby, 1991). The chapter examines how certain narratives on DVA are constructed and privileged in sections of the media while others are marginalised or silenced. With the rise in digital media, the chapter analyses the changing patterns of news media consumption in the UK and how social media users are responding to DVA cases reported in the news. Through discourse analysis of language and images, the potential messages projected to media consumers are considered, together with consumer dialogue and interaction articulated via online and social media platforms.