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At least 1,279 records · Page 71Linked to original sources
PubMedDate not supplied

Successful internal program builds employee morale; reduces turnover. Washington Hospital Center, Washington, DC.

The Washington Hospital Center in Washington, D.C. is an example of what good can happen when a health care institution commits to developing a first-class internal communications program. The hospital center created a program that includes one-on-one dialogue between supervisors and staff, "town hall meetings, newsletters, memos, intranet, employee recognition and special events." The program builds employee morale and reduces turnover. It also has increased the quality of care and attention that patients receive.

District of Columbia↗
PubMed1998

[Persistent vegetative state: medical, moral, legal and economic aspects].

The classical definition of persistent vegetative state describes patient who is wakeful but not awake, and indicates intact function of the brain stem and no function of brain cortex. The presence and the degree of awareness is most difficult to assess and causes moral and legal controversies concerning the management of persistent vegetative state. The absence of the perceptual awareness may be the most important clinical characterization for diagnosis. Differential diagnosis includes coma, brain death, locked-in syndrome and minimally responsive state. The pressure of economical factors (managed care) on medical care makes this problem even more complicated.

Brain Death↗
PubMed1998

[Regenerationist Usage of Water's Symbology Between Decaying Spa Resorts Movement and Kneippist Morals].

At the end of the 19th century coexisted in Spain several therapies based on the use of water. Some of them were considered orthodox therapies, some were applied as unorthodox medicines, but all of them relied on the symbolism of water to obtain patients. From the point of view of the orthodoxy, the discourse of medical hydrology, thalassotherapy and hydrotherapy tended to exclude unscientific values. The naturist and kneippist movements, on the other hand, frequently used images of water (especially cold water) as a support for their regenerational projects, using both the material and the moral aspects. Therefore, Kneipp's therapy became a kind of Spanish interpretation of the social catholic reforming attitude.

Balneology↗
PubMed1999

[Moral elements in medical curriculum in Warsaw between wars].

The article is a continuation of the one published in number 4/1997 Archiwum Historii i Filozofii Medycyny. On the Medical Faculty moral elements were teaching in lectures of propedeutics (J. Brudzinski, A. Sokolowski, Fr. Giedroyc, L. Zembrzuski), ethics (H. Nusbaum, L. Zembrzuski) and medical history (Fr. Giedroyc, L. Zembruzuski). Lecturers published also manuals: about propedeutics - A. Sokolowski, about ethics - H. Nusbaum, about medical history - L. Zembrzuski. H. Nusbaum and L. Zembrzuski explained ethics also for students of dentistry.

Curriculum↗
PubMedDate not supplied

Disease: a sign of piety?: some moral associations of disease in medieval society.

Al-Jāhiz, an Arab writer and philosopher of the ninth century C.E., one of the most brilliant intellectuals of the Abbasid period, suggested in his work "Kitāb al-Bursān wa'l-'urjān wa'l-umyān wa'l-hulan" ("The Book of the lepers, lame, blind, and cross-eyed") that disease and physical imperfections should not be considered to be social stigma, but rather signs of special divine blessings. Cripples and sick persons, in his opinion, received spiritual compensation from G-d. This idea may not seem at first glance to belong to medieval Islamic tradition. This paper tries to analyze its place in that culture and its relation to other views on disease accepted there. I will especially try to analyze the correlation between piety and disease: Was it specific to this case or characteristic of the society. The problem of the association of disease and piety and divine favor, the problems of the moral implications of disease in general is certainly a vast one. This study is restricted to some of the ethical conceptions connected with illness in medieval Moslem society, including the religious minorities which were in a sense an integral part of that society.

Asia, Western↗
PubMed1995

[The Hippocratic heritage about moral duty in Arabic medicine].

The Hippocratic heritage in the Arabic tradition is very rich. We have three different texts about medical moral obligations: an Oath, called 'Ahd or Qasam, which is quite similar to the Greek one; a law, called Nāmūs, and a Commandment or Will, called wasiyyah, which is probably a pseudo-hippocratic writing. In this article the author explains the functions, the usage and the necessity of the three different texts, using the Arab historiographical tradition to find the real reason for the existence of the different formulas. At the end of the article the author supplies a translation of the three texts from Arabic to Italian.

Arab World↗
PubMed2001

[Moral aspects of human cloning and relations between humans].

It is usually assumed that there is a strong logical relationship between traditional worldviews and attitudes towards human cloning. I argue that the association is contingent, which can be seen in the analysis of arguments of such leading bioethicists as G. J. Annas, H. Jonas, and J. A. Robertson. Traditional worldviews lack conceptual resources that would enable them to provide normative conclusions about cloning. It is therefore mistake to look to these traditional worldviews in search for moral instruction. Instead, one should appeal to knowledge of psychological and social aspects of human life, and in particular to the process of emotional ties which form relations between humans.

Bioethics↗
PubMed2002

NHS morale. Singing the blues.

Focus groups of clinical directors, managers, doctors and nurses felt morale and motivation were generally low in their organisations. They thought staff no longer felt valued by politicians and that this had affected the public's perception of the NHS. A mismatch between central initiatives and what the local service required was seen as a source of stress. A sense of being valued was seen as the key motivator for staff.

Attitude of Health Personnel↗
PubMed2000

Moral and evaluative reasoning across the life-span.

In a longitudinal/cross sectional study of moral and evaluative reasoning, Armon interviewed 23 females and 19 males, ages ranging from 5 at the first test time (1977) to 86 at the 4th (1989) test-time. Rasch analysis of Armon's data demonstrated that Armon's and Kohlberg's measures tap a single underlying dimension of reasoning; that individual stages across five items measure the same levels of reasoning, and that development on all items progresses at about the same rate. Participants found it easier to apply already available reasoning structures to new areas than to reason at a new stage, implying that stage transition is step-like.

Adolescent↗
PubMed2002

Staff attitude surveys. The morale majority.

Since April 2000, it has been mandatory for all NHS organisations to conduct annual surveys of staff morale. Analysis of staff attitude surveys in 18 trusts and 20 health authorities in 2001 showed that most staff groups were not happy with their pay or the recognition they received. Managers were happy with all aspects of their jobs. Doctors and nurses were concerned about their safety. All employing organisations must act on these results to improve employment practice and help to develop motivation.

Attitude of Health Personnel↗
PubMed2002

The role of public exposure in moral and nonmoral shame and guilt.

Although scholarly traditions assume that shame results more from the public exposure of a transgression or incompetence than guilt does, this distinction has little empirical support. Four studies, using either undergraduate participants' responses to hypothetical scenarios, their remembered experiences, or the coding of literary passages, reexamined this issue. Supporting traditional claims, public exposure of both moral (transgressions) and nonmoral (incompetence) experiences was associated more with shame than with guilt. Shame was also more strongly linked with nonmoral experiences of inferiority, suggesting 2 core features of shame: its links with public exposure and with negative self-evaluation. The distinctive features of guilt included remorse, self-blame, and the private feelings associated with a troubled conscience.

Female↗
PubMed2001

Personal morals and abortion legislation.

Among the many vexing issues raised by the abortion debate is the argument of whether or not it is possible to support the legality of abortion while believing that it is immoral. By relating this issue to the broader goals of legislation, it is pointed out that this is indeed possible because there are distinct differences between what grounds logical justification of public policy and what grounds personal morality.

Abortion, Legal↗
PubMed2003

Moral value transfer from regulatory fit: what feels right is right and what feels wrong is wrong.

People experience regulatory fit (E. T. Higgins, 2000) when the strategic manner of their goal pursuit suits their regulatory orientation, and this regulatory fit feels right. Fit violation feels wrong. Four studies tested the proposal that experiences of fit can transfer to moral evaluations. The authors examined transfer of feeling wrong from fit violation by having participants in a promotion or prevention focus recall transgressions of commission or omission (Studies 1 and 2). Both studies found that when the type of transgression was a fit violation, participants expressed more guilt. Studies 3 and 4 examined transfer of feeling right from regulatory fit. Participants evaluated conflict resolutions (Study 3) and public policies (Study 4) as more right when the means pursued had fit.

Analysis of Variance↗
PubMedDate not supplied

[Nursing care and the invasion of the patient's privacy: an ethical-moral question].

Nurses constantly invade patients' intimacy and privacy when delivering nursing care; however, they rarely discuss the aspects involving such issue. Nursing literature on this theme is scarce, which has motivated the development of this study with the purpose to sensitize nurses as to the relevance of and need for reflection on this matter. Ethical, legal and moral questions that permeate the invasion of privacy are pointed out, thus showing the responsibilities of nursing professionals. The actions of Committees of Ethics in Research as well as those of Nursing Ethics Committees in Organizations are discussed as mechanisms for the control and protection of individuals, mainly approaching the conduct and attitudes of nurses in the care-giving process. This study emphasizes the need for discussions and reevaluations of the roles of such mechanisms and of the quality in nursing care, since protection to patients' privacy is still deficient.

Ethics, Nursing↗
PubMedDate not supplied

Genetics and the moral mission of health insurance.

Deciding whether genetic differences among individuals are morally relevant to health insurance requires us to ask, What kind of good is health care? and, What principles should govern its distribution? There are good reasons to doubt that "actuarial fairness" is an adequate description of genuine fairness in health insurance.

Actuarial Analysis↗
PubMedDate not supplied

[Nursing care of the elderly. Moral and ethical problems].

The article deals with moral and ethical issues involved in nursing care of the elderly during their hospitalization. Nursing interventions resulted in iatrogenic complications as well as nursing dilemmas are also discussed.

Aged↗
PubMed2005

Boosting staff morale helps improve patient satisfaction score.

Boosting staff morale helps improve patient satisfaction score. In less than five years, Methodist Medical Center in Peoria, IL, improved its emergency department's patient satisfaction scores almost five-fold, moving them into the top tier of all hospitals surveyed in 2004. This drastic turnaround involved changes to both the physical and managerial structure of the department, creating new staff positions for patient advocacy, and implementing a regular schedule of meetings targeting quality improvement at multiple levels of care.

Efficiency, Organizational↗