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PubMed2005

Bridging the intention-behaviour 'gap': the role of moral norm.

This research examined whether intentions aligned with moral norms better predict behaviour compared with intentions aligned with attitudes. Six data sets predicting behaviours in the health domain (smoking, driving over speed limit, applying universal precautions, exercising) were analysed. Moderated regression analysis indicated that participants whose intentions were more aligned with their moral norm were more likely to perform behaviours compared with participants whose intentions were more aligned with their attitude. However, further analysis indicated that this moderation effect was only present when participants construed the behaviour in moral terms. The findings suggest that the theory of planned behaviour should more clearly acknowledge the importance of internalized norms and self-expectations in the development of one's motivation to adopt a given behaviour.

Adolescent↗
PubMed2005

At the edge of humanity: human stem cells, chimeras, and moral status.

Experiments involving the transplantation of human stem cells and their derivatives into early fetal or embryonic nonhuman animals raise novel ethical issues due to their possible implications for enhancing the moral status of che chimeric individual. Although status-enhancing research is not necessarily objectionable from the perspective of the chimeric individual, there are grounds for objecting to it in the conditions in which it is likely to occur. Translating this ethical conclusion into a policy recommendation, however, is complicated by the fact that substantial empirical and ethical uncertainties remain about which transplants, if any, would significantly enhance the chimeric individual's moral status. Considerations of moral status justify either an early-termination policy on chimeric embryos, or, in the absence of such a policy, restrictions on the introduction of pluripotent human stem cells into early-stage developing animals, pending the resolution of those uncertainties.

Animal Experimentation↗
PubMed1998

Moral reasoning and the meaning of cancer: causal explanations of oncologists and patients in southern Mexico.

Moral themes were a striking feature of the causal explanations for female cancers discussed by oncologists and patients in an ethnographic study of hospital-based cancer care in southern Mexico. These explanations integrate general biomedical explanations with everyday expectations and experiences, giving meaning to otherwise arbitrary events. Analysis of case examples shows that causal models incorporate local constructs about what constitutes a virtuous life, especially in terms of class-and gender-based values. Although patients and physicians draw on similar concepts of moral order, they apply these constructs in distinct ways. Because physicians' explanations are necessarily framed in terms of object, their causal stories employ generalized presumptions about how categories of persons behave (e.g., women, the lower class). In contrast, patients' explanations are framed in terms of subject; they are based on the specific details of their personal history. The article examines the distinct perspectives of physicians and patients, and provides an illustration of how biomedical culture articulates with the local moral constructs of a particular community.

Adult↗
PubMedDate not supplied

Social reconstruction variables and the morale of the aged.

Key variables from the Kuypers and Bengtson social reconstruction model were operationalized to investigate their relationship to selected measures of morale. They were incorporated in a questionnaire that was completed by 229 retired, noninstitutionalized men and women. Social reconstruction variables were found to have stronger correlations with morale measures than were demographic variables such as age and social class. Reconstruction variables were found to have significant relationships with measures of general happiness and self-esteem, but not with Form A of the Life Satisfaction Index. The interactive effect of social reconstruction variables with one another relative to morale was particularly indicative of the potential heuristic value of the model for both theory and practice.

Aged↗
PubMed1999

Formal and informal network factors as sources of morale in a senior center population.

This study examined the relative effects of senior center factors and social network attributes on the morale of a sample of senior center participants in Israel (N = 85), controlling for respondents' background characteristics. The multivariate model accounted for 56 percent of the variance in morale scores. Respondents' health was the primary explanatory factor, followed by selected attributes of participants' informal social networks. The formal network factors had a minor and partly negative effect. The findings suggest that participants' morale was shaped more by the configuration of their interpersonal social networks than by factors related to the senior center environment.

Aged↗
PubMed1999

Morality, ethics, and radiologists' responsibilities.

The goal of this discussion was to address the matter and methodology of ethics and critical thinking and to ask several questions about the relationship between ethics and radiology. Questions about the nature of the moral and how ethics inform decision making raise our awareness and may provide new understanding about moral thinking. Why is medicine a moral endeavor? Overridingness, universalizability, and other-regarding virtues were discussed. How do ethics inform medical decision making? Ethical theories, including parentalism, autonomy, and the engagement model, were discussed. What are radiologists' ethical responsibilities? Our ethical responsibilities as radiologists entail seven briefly described elements: assessing the appropriateness of the imaging examination, participating in the informed consent process, protecting patient interests, providing excellent image interpretation, communicating effectively with physicians and patients, seeking continued learning, and continuously improving quality. Of these responsibilities, competence, loyal concern for the patient's well-being, and respect for his or her person provide the basis for trust in the patient-physician relationship. If the central paradox in medicine is the tension between self-interest and altruism, then responsibility to the patient in this trust has the greatest force and overrides other obligations. Finally, our challenge is to critically examine our and each other's professional role and the extent to which we achieve excellence in our contribution to patient care; to break out of comfortable habits and reflect on new, alternative ways of knowing as caregivers; to think about what we are doing in medicine and the consequences for the human mind and spirit of our patients, our colleagues, and ourselves; and to provide a forum for this important dialogue in our practices, residency programs, and continuing education curricula.

Communication↗
PubMed1989

Relationship of DUI recidivism to moral reasoning, sensation seeking, and MacAndrew alcoholism scores.

115 convicted male DUI offenders were treated with Moral Reconation Therapy during their incarceration. Postrelease recidivism status (arrests) was correlated with the pretest, posttest, and change scores on the MacAndrew Alcoholism Scale, Sensation Seeking Scale, Life-purpose scores, and Moral Reasoning scores. Analysis showed that recidivism correlated positively and significantly with the pretest scores on the MacAndrew scale and approached significance with both pre- and posttest scores on the Sensation Seeking Scale. Recidivism status correlated negatively and significantly with scores on the highest levels of moral reasoning (Scale 6 pretest and posttest and Principled Reasoning pretest).

Adult↗
PubMed1996

Avian companionship in alleviation of depression, loneliness, and low morale of older adults in skilled rehabilitation units.

To assess effects of a companion bird on the depression, morale, and loneliness of 40 older adults in a skilled rehabilitation unit, self-reported measures of depression, loneliness, and morale were completed on admission and 10 days later. With the presence of a companion bird the experimental group (n = 20) showed a significant decrease in depression but none in morale or loneliness from the control group (n = 20) who were without a bird. Use of a companion bird may lessen negative effects of change of residence for older adults.

Aged↗
PubMed2000

Soldiers at risk for individual readiness or morale problems during a six-month peacekeeping deployment to the Sinai.

Longitudinal data were examined to predict soldiers' morale, satisfaction with Army life, and the effects of family issues on performance of duties during an overseas deployment (Sinai peacekeeping force during the spring of 1995). Few variables were significant predictors of the outcome measures; however, rank, leaders' support for families, prior satisfaction with Army life and with information released about the deployment appeared to predict better outcomes during the deployment. Rank and leaders' support for families appeared to be more important for married soldiers while satisfaction with predeployment information seemed to be more important for single soldiers. Those who were worried about the effects of the deployment on their families also tended to report interference with their duty performance because of family concerns, but that effect was offset by perceived leaders' concern for families. In conclusion, it appears to the authors that the pre-existing factors studied had much less to do with deployment outcomes than did leadership success before and during the deployment. That's good news for Army leaders about their power to have a positive effect on soldiers' morale during overseas deployments but may be bad news for anyone hoping to find a "magic bullet" for pre-identification of soldiers most likely to retain high morale, regardless of their leadership's competence during an overseas deployment.

Adult↗
PubMed2002

Individualism and collectivism: cultural orientation in locus of control and moral attribution under conditions of social change.

This study examined the validity of the view that the constructs of individualism and collectivism are coherent cultural manifestations necessarily reflected in an individual's attribution patterns. It was hypothesized that the attribution patterns of locus of control and moral accountability would show divergent individualistic and collectivistic influences in a culture during change from a collectivist culture to an individualist culture. 98 university students from the United States and Puerto Rico were administered the Singelis Individualism-Collectivism Scale, Rotter's Locus of Control Scale, and Miller and Luthar's justice-related moral accountability vignettes. Contrary to expectation, the Puerto Rican sample scored less external in locus of control than the United States sample. No cultural differences in moral accountability were found. No strong correlations were found among the variables at the individual level of analysis. Accounting for these results included the lack of representativeness of the samples, the independence of relation between variables at different levels of analysis, and social change.

Adolescent↗
PubMed1976

Moral behavior, an invitation to enquiry.

The term Moral Behavior is used to designate that behavior which best promotes the cooperation and peaceful coexistance of human beings. The present and future behavior of Executives and Legislators is to a great extent dependent on the moral behavior of those involved with or controlled by authoritative figures. The subject of Moral Behavior has been written about by many disciplines. However, the subject has not been reviewed on a multidisciplinary basis looking to the possibility of making definite recommendations in areas which might effect positive changes.

Humans↗
PubMed2006

Ripple effects in memory: judgments of moral blame can distort memory for events.

Can judging an individual as being morally responsible for a negative act affect memory for details of the act? We presented participants with a story describing an individual (Frank) who committed a crime (he walked out on a restaurant bill). Some participants were told that the negative act was not intentional and that Frank was essentially a good person. Others were told that the negative act was intentional and that Frank actually enjoyed it. Control participants were given no extra information. All the participants then judged Frank's moral responsibility for walking out on the bill. When asked a week later to recall information about the event, the participants who had received negative information about Frank remembered that Frank had walked out on a larger restaurant bill than he actually had. Moreover, the degree of memory distortion was predicted by the degree of moral blame that had been attributed to Frank.

Guilt↗
PubMed2003

A moral imperative to improve the quality of work-life for nurses: building inclusive social capital capacity.

The complexity and incessant change in the corporatised health care workplace has influenced nurses' work choices, morale, quality of work-life and the wellbeing of patients. Thus, there is an urgent moral imperative to improve the quality of work-life for nurses. To this end, it is crucial to re-define progress beyond the sole economic markers of success and profit in the health care workplace. This paper argues for the identification of ethical markers and indicators of organisational success based on bridging and linking social capital which could be used to re-organise health care organisations, hence crafting inclusive moral spaces where nurses can safely work and provide quality care for patients. Social and ethical evaluation is well suited to examine current workplace dilemmas from a psychosocial perspective and provide a framework for best practice in building capacity in effective social relations and family friendly, ethical workplaces.

Attitude of Health Personnel↗
PubMedDate not supplied

Crisis management: strategies for building morale in uncertain times.

In economically stringent times, clinical laboratory managers face additional obstacles to boosting morale. This article describes five time-tested strategies that help strengthen morale in these tough times, including: developing a culture supportive of collaborative problem solving, controlling rumors, building a group identity, making yourself available, and projecting an attitude of hope. By using these strategies, laboratory managers will improve their chances of staying hopeful and positive during this time of crisis and change. In addition to the practical techniques described, managers will also learn that uncertain times require looking beyond the bottom line to their staffs and their needs. Managers must learn how to care and affirm others to truly succeed in building morale in these uncertain times. This article combines practical advice with stories and anecdotes from a variety of settings--from East Indian folklore to the television series "M*A*S*H" Managers will find both ways to stay positive when the joy has gone out of their work and reminders of why we must remain hopeful in the face of crises.

Laboratories, Hospital↗
PubMed1993

Care of the dying: a Catholic perspective. Part IV: Theological, moral, and pastoral response--the transformation of suffering. Catholic Health Association.

People struggle to find meaning in suffering and death. In a culture that cannot depend on religious insights into suffering to address the deeper questions (e.g., Why me?), all kinds of interventions, even euthanasia and assisted suicide, may seem inevitable. Catholic healthcare providers can respond by offering patients, families, and care givers a vision of how suffering can be understood. Based on the power of divine love to transform suffering and death from absolute evils to personal triumphs, the moral principles the Catholic Church upholds can provide a hopeful perspective for healthcare professionals who care for the dying. Three principles support Roman Catholic teaching on conserving health and life: sanctity of life, God's dominion and human stewardship, and the prohibition against killing. These principles by themselves are insufficient as a moral or pastoral response to the care of the suffering and dying. Action is also required. Moral virtues must be reflected in ethical behavior and in pastoral practice so that we may enact our Christian vision in the face of suffering and death. Attention to our character as providers and our ethical practices is of grave importance in these days when euthanasia and assisted suicide are being promoted so aggressively. To carry on Jesus' healing mission by responding to human suffering and death, healing communities must embody virtues that bear convincing witness in both a personal and a corporate manner regarding the care of the dying. Three characteristics of a virtuous community stand out: interdependence, care, and hospitality. By being a virtuous community, we may be able to address many of the concerns that motivate people to consider euthanasia.(ABSTRACT TRUNCATED AT 250 WORDS)

Attitude to Death↗
PubMed1976

[Morals and sex deviations].

Deviance is today more often recognized. It questions norms or established order. Sociology, medicine, law, moral, even if they use the same terms, such as deviance or normality, deal with these realities differentialy. Being more conscious of it allows to define the conditions of a more true and serene dialogue, starting from various disciplines. One wonders more particularly on the specific role of moral. Must the elaboration of moral norms be done in reference to "normality", or do we have to look for lines of sexual humanization?

Belgium↗
PubMed1986

Morale: a spectrum of attitudes among nurses.

Survey research among a sample of just over 900 nurses reveals that at any time there are some factors operating to enhance morale while other factors are constraints upon morale. It is suggested that a number of current problems relating to nursing morale can be solved only by that profession itself. Within the article several avenues for such ameliorative action are suggested or implied. Among many nurses there is evidence of considerable tenacity in their dedication.

Attitude of Health Personnel↗
PubMed1984

Legal, moral concerns in life-support treatment decisions.

Catholic health care facilities' responsibility to ensure that treatment decisions are based on the patient's best interests and sound medical practice rather than on the person's disability poses difficult legal and moral questions in cases involving terminally ill patients and handicapped newborns. For example, hospitals and physicians, to avoid undertreatment, may be induced to use all available life-sustaining technology. Such extraordinary measures, however, may not be in the patient's best interests if they place undue burden on the patient and family. Ordinary care, which usually means nourishment and hydration, also may be deemed morally optional. Some health care professionals, in light of new information about hydration's effects on terminal patients, suggest that no moral obligation to give ordinary care exists in certain "hopeless" cases. The prohibition in many facilities of written "do not resuscitate" orders also is a source of controversy. Appropriate guidelines, however, can help to reduce decision makers' uncertainty and ease the work of hospital personnel. The overriding concern, though, is who should make the decision to withhold or terminate treatment. In most cases the courts have assumed this responsibility themselves or have delegated it to others. Little consensus, however, has formed concerning whether family members, physicians, or hospital ethics committees are better able to make such decisions. Since few court rulings are available to guide those who must make treatment decisions, Catholic health professionals must stay abreast of the developing law and resist efforts to promote philosophies that measure life according to "quality" or productivity potential.

Catholicism↗