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[Present-day socially significant diseases].

The author concludes that only understanding of the close relationship between the level of economic development, high morals of the society, and population health, and implementation of a complex of political, state, and economic measures will lead to the solution of public health problems.

Acquired Immunodeficiency Syndrome↗

The relative influence of attitudes and subjective norms from childhood to adolescence: between-participant and within-participant analyses.

Children and adolescents (ages 8-16) were asked to indicate their behavioral intentions, attitudes, and subjective norms for 34 behaviors. Between-participant and within-participant analyses demonstrated that attitudes and subjective norms were good predictors of behavioral intentions both singly and in combination. In addition, attitudes generally were better predictors than were subjective norms both across behaviors and across participants. Most importantly, however, there were no differences in the relative importance of attitudes and subjective norms in predicting behavioral intentions across age groups.

Adolescent↗

Navigating towards a moral horizon: a multisite qualitative study of ethical practice in nursing.

This paper reports the results of a qualitative study of nurses' ethical decision-making. Focus groups of nurses in diverse practice contexts were used as a means to explore the meaning of ethics and the enactment of ethical practice. The findings centre on the metaphor of a moral horizon--the horizon representing "the good" towards which the nurses were navigating. The findings suggest that currents within the moral climate of nurses' work significantly influence nurses' progress towards their moral horizon. All too often, the nurses found themselves navigating against a current characterized by the privileging of biomedicine and a corporate ethos. Conversely, a current of supportive colleagues as well as professional guidelines and standards and ethics education helped them to move towards their horizon. The implications for nursing practice and for our understanding of ethical decision-making are discussed.

Decision Making↗

On knowing the 'why'. Particularism and moral theory.

If particularism is right, the broad moral claims we make are usually riddled with exceptions. But such generalizations can still be a useful, even necessary part of moral life. They help us show what we should do, and they are essential for understanding why we should do it.

Ethical Theory↗

Adolescent girls' perceptions of goodness and badness and the role of will in their behavioral decisions.

The present study explored adolescents' ethical self-images and related behavioral decisions. Data were collected from two groups of adolescent girls (N = 49) using an open-ended survey. One group attended a public high school for gifted students and the other group attended an alternative public high school. The results indicate that goodness is connected with altruism, adherence to external standards, or self-beneficial actions. Alternatively, badness is associated with going against social norms, harming others, or violating inner values. In these two groups overall, decisions about how to behave seem influenced by both inner standards and relational pulls. Differences between the two groups are also discussed.

Adolescent↗

Why our ethics curricula don't work.

The impact our ethics curricula have on students seems marginal at best. Students take the ethics courses we offer and pass the tests we give, but no one's behavior changes as a result. We fundamentally see ourselves teaching about ethics, which is slightly different than teaching ethics--and expecting behavior to change as a result of what is taught. The premise of this article is that our ethics courses are inadequate in content and form to the extent that they do not cultivate an introspective orientation to professional life. In some cases they amount to little more than a study of various state dental practice acts or the Code of Ethics of the American Dental Association. Three specific weaknesses are identified in a typical ethics curriculum: 1) failure to recognize that more education is not the answer to everything; 2) ethics is boring; and 3) course content is qualitatively inadequate because it does not foster an introspective basis for true behavioral change. A fourth element, an innovation, is directed to this third weakness and entails implementing a precurriculum very early in the dental educational experience to address the disconnect between knowledge and action.

Curriculum↗

Medicine, meditation, and Osler's aequanimitas.

In this era of near-chaotic changing medical practice, it seems well to reflect on the past standard-bearers of our profession, our present state of mind and morale, and develop new emotional techniques and values suited to our challenges.

Humans↗