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  • 2016

  • Drolet, Marie-Josée; Sauvageau, Anick (2016): Developing professional values. Perceptions of francophone occupational therapists in Quebec, Canada. In: Scandinavian journal of occupational therapy 23 (4), S. 286-296. DOI: 10.3109/11038128.2015.1130168

    DOI: http://www.ncbi.nlm.nih.gov/pubmed/26824179 

    Abstract: Objective Recent literature shows growing interest in the values displayed by occupational therapists. Yet, none of these writings has so far examined the factors that contribute to the development of occupational therapists' professional values. These factors are important, since values play a pivotal role in forging professional identity, which in the case of some occupational therapists remains somewhat ambiguous. This article proposes possible answers to the following question: What do Quebec Francophone occupational therapists perceive as the building blocks of their professional values? Methods Using a phenomenological qualitative method, the subjective experience of occupational therapists in Quebec, Canada was examined. Twenty-six occupational therapists took part in the study. Results As intended, their professional experience was varied. According to the participants, four factors contributed significantly to their professional values: professional experience, university training, personal experience, and professional development. However, fewer than 50% of the participants cited six other factors (workplace, family upbringing, personal development, personality and abilities, professional normative framework, and sociocultural background). Conclusions Most of these results are consistent with those documented in existing works. They point to the relevance of discussing professional values during university training and continuing professional development, as well as encouraging occupational therapists to become exemplars for their colleagues and interns. This study constitutes an initial step in understanding how occupational therapists' axiological identity is formed.

  • Greif, Siegfried; Flarup, Jochen (2016): Training Social Competences for Workers Councils. In: Economic and Industrial Democracy 2 (3), S. 395-398. DOI: 10.1177/0143831X8123006

    Abstract: In 1974 at the Institute od Psychology of the "Freie Universität" (West Berlin), a group was founded which is engaged in different areas of trade-union-oriented research and the application of scientific approaches. In 1978 we formed the association "Arbeit, Bildung und Forschung (ABF) e.V." together with leading members of the large unions of the Federal Republic of Germany. Besides reasearch on stress at work, and the enlargement and use of scientific knowledge by shift workers, the main field of this group is the development and application of programmes for the training of social competence of union members.

  • Hölzel, Lars P.; Ries, Zivile; Kriston, Levente; Dirmaier, Jörg; Zill, Jördis M.; Rummel-Kluge, Christine; Niebling, Wilhelm; Bermejo, Isaac; Härter, Martin (2016): Effects of culture-sensitive adaptation of patient information material on usefulness in migrants. A multicentre, blinded randomised controlled trial. In: BMJ open 6 (11). DOI: 10.1136/bmjopen-2016-012008

    DOI: http://www.ncbi.nlm.nih.gov/pubmed/27881523 

    Abstract: OBJECTIVES To evaluate the usefulness of culture-sensitive patient information material compared with standard translated material. DESIGN Multicentre, double-blind randomised controlled trial. SETTING 37 primary care practices. PARTICIPANTS 435 adult primary care patients with a migration background with unipolar depressive disorder or non-specific chronic low back pain were randomised. Patients who were unable to read in the language of their respective migration background were excluded. Sufficient data were obtained from 203 women and 106 men. The largest group was of Russian origin (202 patients), followed by those of Turkish (52), Polish (30) and Italian (25) origin. INTERVENTIONS Intervention group: provision of culture-sensitive adapted material. CONTROL GROUP provision of standard translated material. MAIN OUTCOME MEASURES Primary outcome: patient-rated usefulness (USE) assessed immediately after patients received the material. SECONDARY OUTCOMES patient-rated usefulness after 8 weeks and 6 months, symptoms of depression (PHQ-9), back pain (Back Pain Core Set) and quality of life (WHO-5) assessed at all time points. RESULTS Usefulness was found to be significantly higher (t=1.708, one-sided p=0.04) in the intervention group (USE-score=65.08, SE=1.43), compared with the control group (61.43, SE=1.63), immediately after patients received the material, in the intention-to-treat analysis, with a mean difference of 3.65 (one-sided 95% lower confidence limit=0.13). No significant differences were found for usefulness at follow-up (p=0.16, p=0.71). No significant effect was found for symptom severity in depression (p=0.95, p=0.66, p=0.58), back pain (p=0.40, p=0.45, p=0.32) or quality of life (p=0.76, p=0.86, p=0.21), either immediately after receiving the material, or at follow-up (8 weeks; 6 months). Patients with a lower level of dominant society immersion benefited substantially and significantly more from the intervention than patients with a high level of immersion (p=0.005). CONCLUSION Cultural adaptation of patient information material provides benefits over high quality translations. Clinicians are encouraged to use culture-sensitive material in their consultations, particularly with low-acculturated patients. TRIAL REGISTRATION NUMBER German Register for Clinical Trials: DRKS00004241, Universal Trial Number: U1111-1135-8043, Results.

  • 2015

  • Schomaker, Hendrik; Schultheiß, Jan; Petermann, Franz; Petermann, Ulrike (2015): Mangelnde soziale Kompetenz im Jugendalter. In: KINDHEIT UND ENTWICKLUNG 24 (2), S. 123-130. DOI: 10.1026/0942-5403/a000167

    Abstract: The JobFit Training, a universal prevention program for adolescents, aims to prevent developmental deviation at the time of transition from school to profession. The present study evaluates the effectiveness of this training, considering adolescents in an educational setting. 78 adolescents, aged between 13.5 and 19.4 years, were the selected from a total sample of 446 adolescents. Inclusion criteria were abnormal prosocial behavior scores assessed with the Strengths and Difficulties Questionnaire (SDQ). The social and learning behavior ratings of the adolescents were assessed with the Student Self-Assessment Scale for Social and Learning Behavior (SSL). The comparison of the pre- and posttraining measurements shows significant differences with small and medium effects in the SSL domain "social behavior" and the related scales "self-control", "self assertion", and "social contact" as well as in the SSL domain "learning behavior" and the related scale "independent learning". These findings confirm that JobFit Training as a tool that encourages social skills within adolescent populations with deficits in personal resources.

  • Volonté, Paolo (2015): Social and Cultural Features of Fashion Design in Milan. In: Fashion Theory 16 (4), S. 399-431. DOI: 10.2752/175174112X13427906403723

    Abstract: The profession of fashion designer varies among the main fashion cities, and therefore has an eminently geographical rationale. Different conceptions of vestimentary creativity are usually tied to the affiliation of the creator with one of the fashion capitals. In this article, the main variables determining the specific features of how the profession is exercised in one city or another are illustrated. The case of Milan is then considered, in order to describe distinctive aspects of the profession of local fashion designers. The discussion is not based on information pertaining to the most successful designers, since it is not the most famous cases that furnish reliable information on the profession. Rather, it draws on twenty-one in-depth interviews with "ordinary" fashion designers conducted as part of an empirical research project carried out over recent years. It concludes that Milanese designers cultivate a "culture of wearability" based on an array of values including respect for the body, creative prudence, attention to the consumer's needs, conservatism, and business profit. In such a culture priority is given, not so much to radical innovation and visual aesthetic quality, as to incremental innovation and functionality with respect to the use made of garments in everyday life.

  • 2014

  • Clyde, Joseph W.; Rodríguez, Melanie M. Domenech; Geiser, Christian (2014): Medical professionalism. An experimental look at physicians’ Facebook profiles. In: Medical Education Online 19 (1). DOI: 10.3402/meo.v19.23149

    DOI: https://doi.org/10.3402/meo.v19.23149 

    Abstract: BACKGROUND: Use of social networking services (SNS) is on the rise. While many users sign in for personal purposes, it is not uncommon for professionals to connect over SNSs with clients, students, and patients. METHODS: The present study used an experimental approach to examine how medical doctors' SNS profiles impacted potential patients' impressions of professionalism. Participants (N=250 students) were randomly assigned to view one of six Facebook profiles. Profiles were populated with 1) solely professional material, 2) personal material that was strictly healthy, or 3) personal material that included unhealthy behavior. Profiles portrayed a male or female physician resulting in a total of six experimental conditions. Medical professionalism was measured with the First Impressions of Medical Professionalism (FIMP) scale, specifically developed for this study. RESULTS: There was a large and statistically significant main effect for profile type, F(2, 250)=54.77, p<0.001, ηp(2)=0.31. Post hoc tests indicated that personal profiles that contained healthy behavior were rated as most professional followed by profiles with strictly professional content. Personal unhealthy profiles were rated as least professional. Additionally, female profiles consistently received higher professionalism ratings across all three profile types [F(1, 250)=5.04, p=0.026, ηp(2)=0.02]. CONCLUSION: Our results suggest that a physician's SNS profile affects a patient's perception of that physician's medical professionalism. A personal, healthy profile may augment a patient's perception of that physician's character virtues if the profile content upholds the decorum of the medical field.

  • 2013

  • Soleimanieh Naeini, Tahereh; Keshavarzi Arshadi, Farnaz; Hatamizadeh, Nikta; Bakhshi, Enayatollah (2013): The effect of social skills training on perceived competence of female adolescents with deafness. In: Iranian Red Crescent medical journal 15 (12). DOI: 10.5812/ircmj.5426

    DOI: http://www.ncbi.nlm.nih.gov/pubmed/24693408 

    Abstract: BACKGROUND Although there are considerable researches on effectiveness of social skills training, little information is available on the effects of such training on perceived competence of adolescents with deafness. OBJECTIVES This study was conducted in special school settings to determine the effects of social skills training on perceived competence of female adolescents with deafness. PATIENTS AND METHODS A prepost quasi-experimental design was used to perform the study. Sixty nine female students with deafness who were enrolled in all of the four different special secondary schools in Tehran, Iran, between 2010 and 2011 participated in this research. Two of four secondary schools were randomly allocated to the intervention group (33 students), and the other two to the control group (36 students). The participants were between 11 and 21 years (Mean = 15.43; SD = 1.89), and more than three fourth of each groups ( i.e. 28 students in each groups) were affected by profound hearing impairment . The intervention group participated in twelve bi-weekly sessions. Pretest and posttest data were collected using the 'Hearing Impaired Children Self-Image Test'. The questionnaire was filled by an interviewer. This questionnaire asks students about their feeling toward their own competence in domains of cognitive, physical, socio-emotional and communication competence and school adjustment. The data was analyzed by using SPSS software, version 16. RESULTS The intervention led to significant improvement in total perceived competence scores of adolescents with deafness (P < 0.001) as well as in three domains of socio-emotional competence (P = 0.003), communication competence (P < 0.001), and school adjustment (P = 0.018). CONCLUSIONS It is likely that learning social skills in adolescents with deafness would improve their sense of competence, and emotional well being.

  • 2012

  • Aoun, Salah G. (2012): Electronic Mail Communication in Health Care. Do Old Fashioned Decorum and Style Still Matter?. In: WORLD NEUROSURGERY 78 (3-4), S. 194-197

    Abstract: Electronic mail (e-mail) has dramatically altered human communication and has had a profound impact on how health care professionals interact. Until recently, written letters were integral to patient-physician and physician-physicianrelationships(4).The“art”and rules of writing professional letters were once rigorously taught at almost all levels of education

  • Resendes, Sarah; Ramanan, Thammi; Park, Angela; Petrisor, Brad; Bhandari, Mohit (2012): Send it. Study of e-mail etiquette and notions from doctors in training. In: Journal of surgical education 69 (3), S. 393-403. DOI: 10.1016/j.jsurg.2011.12.002

    DOI: http://www.ncbi.nlm.nih.gov/pubmed/22483143 

    Abstract: OBJECTIVES Worldwide, more than 247 billion e-mails are sent each day. Little empiric evidence is available to guide how e-mail presentation style, tone, and content affect e-mail recipients and whether these factors impact opinions about the sender and the rapidity of response. In a study of physicians in training assessing a series of 100 e-mail examples, we examined the following: (1) formatting characteristics most and least endorsed, (2) impression of the sender based on the e-mail itself, and (3) factors associated with the decision to respond. We reasoned that our study would provide empiric data to support recommendations for e-mail etiquette, focusing specifically on doctors in training. DESIGN Cross-sectional survey study. SETTING Division of Orthopaedic Surgery at McMaster University, Hamilton, Ontario, Canada. PARTICIPANTS After each e-mail, the participating surgical residents completed a series of questions focusing on their impression of the e-mail appearance, their perception of the sender, and their motivation to respond to the e-mail. RESULTS Thirty-two residents participated in this study. The responses indicate that the key negatively endorsed features of the e-mails included the use of colored backgrounds (84%), difficult-to-read font (83%), lack of a subject header (55%), opening salutations without recipient names (50%), or no salutation at all (42%). The senders of negatively endorsed e-mails were perceived by participants as inefficient (p = 0.03), unprofessional (p < 0.001), and irritating (p = 0.007). E-mails with overall positive endorsements were significantly more likely to have the participants perceive the e-mail senders as professional (p < 0.001), pleasant (p = 0.048), and kind (p = 0.059). The participants were 2.6-fold more likely to respond immediately when they perceived e-mails as favorable compared with disliking them (42% vs 16% of responses, respectively, p < 0.001). CONCLUSION The e-mails perceived as being disliked overall are likely to result in a negative perception of the sender and delays in response time.

  • Xi, Xiao (2012): Chinese Education in Diplomacy. In: CHINA-AN INTERNATIONAL JOURNAL 10 (1), S. 77-92

    Abstract: This article reflects upon contemporary education in Chinese diplomacy covering three aspects: curriculum contents, teaching methods and teaching goals. It argues that the curriculum contents have the following shortcomings: poor awareness of the real problems in China's diplomatic practices, lack of global awareness that is consistent with China's image as a great country, blurring of the boundaries between academic and policy systems, oversight of practices and lack of good understanding of ancient, early modern and contemporary Chinese diplomacy and lack of adequate training in research methodologies. Teaching methods are problematic as the continued dependence on traditional historical research methods has failed to recognise the usefulness of theoretical analytic tools. Also, the value of case studies has not been fully recognised and utilised. With regard to teaching goals, Chinese diplomatic teaching desperately needs some vitality. This article makes recommendations for improving Chinese education in diplomacy, such as applying psychology in diplomatic education, offering a course on comparative diplomacy, developing a course on diplomacy theory, emphasising diplomatic history and improving the training in social sciences research methodologies.

  • 2011

  • Hytonen, Kaisa (2011): Young Diplomats’ Socialization to the Networked Professional Cultures of Their Workplace Communities. In: VOCATIONS AND LEARNING 4 (3), S. 253-273

    Abstract: The purpose of the present investigation was to examine young diplomats' socialization to the professional expert culture of the Ministry for Foreign Affairs of Finland over a six-month on-job training period, as part of their preparation for service in the diplomatic corps. Using social network analysis, we analyzed departments' internal social structures, prevailing social relations, and the young diplomats' role and position in the networks of knowledge acquisition, practical know-how, and professional collaboration. Data collected by contextual event sampling and theme interviews and analyzed by qualitative content analysis were used to characterize the young diplomats' personal social support networks, resources obtained, as well as associated reflections regarding their functioning in and socialization to the departmental workplace community. The results indicated that across the six-month training period, the young diplomats became involved to the workplace communities' networked expertise and were socialized to its expert culture, even if their achieved networking positions differed. The results revealed differences between levels of collective operational practices in the workplace communities as well as the nature of assignments in which the young diplomats participated and for which they were responsible. It was proposed that these differences mirrored distinction between expansive natures of young diplomats' workplace communities as learning environments.

  • Neurauter-Kessels, Manuela (2011): Im/polite reader responses on British online news sites. In: Journal of Politeness Research. Language, Behaviour, Culture 7 (2), S. 187-214. DOI: 10.1515/jplr.2011.010

    Abstract: Impolite and aggressive behaviour of anonymous users appears to be an important feature of online newspaper comments. This paper identifies and investigates how impoliteness is utilized strategically by newspaper readers to attack the author of an article. Empirical data is drawn from "Have-your-say" sections of the Guardian Online, Times Online and Telegraph Online. Results illustrate that impolite moves frequently involve face-threats that question the jourbalists' authority, credibility and trustworthiness. In the main part of the paper a categorization scheme for different types of impolite moves is introduced and a working definition of impoliteness in the context of "Have-your-say" sections presented. After having sketched a number of fundamental methodological and theoretical challenges in impoliteness research, the paper also demonstrates how the communicative setting and medium influence the realization and interpretation of impolite behaviour in those forms of public debates. Given the challenge of identifying and conceptualizing impoliteness in general and more specifically in a computer-mediated environment, etiquette rules prove especially useful for norms of appropriateness. It is also argued that the strength of those face-threats may be boosted by the fact that they are uttered in front of large audience and more specifically the journalist's readership.

  • Pettit, Michael (2011): The con man as model organism. The methodological roots of Erving Goffman’s dramaturgical self. In: History of the Human Sciences 24 (2), S. 138-154. DOI: 10.1177/0952695111398828

    Abstract: This article offers a historical analysis of the relationship between the practice of participant-observation among American sociologists and Erving Goffman's dramaturgical model of the self. He was a social scientist who privileged ethnography in the field over the laboratory experiment, the survey questionnaire, or the mental test. His goal was a natural history of communication among humans. Rather than rely upon standardizing technologies for measurement, Goffman tried to obtain accurate recordings of human behavior through secretive observations. During the 1950s, he conducted three major studies as a participant-observer, disguised from those studied through insincere performances. As originally presented, his dramaturgical theory did not draw upon the theater as the governing metaphor, but rather the confidence game. It is suggested that Goffman's writings exemplify what Gerd Gigerenzer calls the tools-to-theories heuristic. Goffman's depiction of the confidence man's behavior closely mirrored how he and his fellow sociologists described the practice of participant-observation. Both were represented as embedded and attentive yet coolly detached observers skilled at playing different roles as the situation necessitated. The similarities between his own professional behavior and the activities of the confidence man may have suggested to Goffman the latter as a model for human nature

  • 2010

  • Kraemer, Klaus (2010): Propheten der Finanzmärkte. In: Berliner Journal für Soziologie 20 (2), S. 179-201. DOI: 10.1007/s11609-010-0125-9

    Abstract: Financial markets are marked by considerable uncertainty. Actors in financial markets are nevertheless constantly forced to make decisions. This article pursues the question of how they cope with this problem of decision-making. Based on a critical discussion of the concept of "expectations of expectations", Max Weber's concept of charisma is introduced to gain a better understanding of the influence of "stock market prophets" on investment decisions and to explain such influence as a social process.

  • Loras, Joaquin (2010): The cost of a lack of decorum, integrity and transparency in service entrepreneurial contexts. In: SERVICE BUSINESS 4 (2), S. 167-176

    Abstract: This article shows the results of a study whose objective is to identify aspects considered as explanatory variables, which evolve alongside levels of corruption and to analyse the direction of the variation with each explained variable, through the use of multiple regression methodology. Once these variables and the statistical significance of their variations have been identified the cost of, the lack of decorum, integrity and transparency, corruption is deduced. The variables are grouped into those where growth is associated with greater or lower levels of corruption, which will warn of the effect the services sector has on the GDP (GDP in%).

  • 2009

  • Graham, Sage Lambert (2009): Hospitalk. Politeness and hierarchical structures in interdisciplinary discharge rounds. In: Journal of Politeness Research. Language, Behaviour, Culture 5 (1). DOI: 10.1515/JPLR.2009.002

    Abstract: Although linguists have been exploring the nuances of politeness for decades, beginning with the pioneering works of Lakoff (1973), Brown and Levinson (1987) and Leech (1983), there has been little research focusing on impoliteness in medical interaction. Communication between various types of medical caregivers, too, is an under-researched area; most research on medical interaction involves doctor-patient discourse. Using all ethnographic discourse analytic approach, this study begins to address this gap by examining interactions during an interdisciplinary discharge rounds meeting at a major urban teaching hospital. In a teaching hospital, there is potential conflict between physicians-in-training and other members of caregiving teams; while physicians occupy a higher position on the administrative and social hierarchy of the hospital, other caregivers (e. g., registered nurses - who have sometimes had over 20 years of medical experience and spend much more time with patients than medical doctors) must determine how to be politelpolitic in voicing their opinions and suggestions regarding patient care. I explore politeness strategies used by various members of caregiving teams (e. g., registered nurses, social workers) to negotiate patient care decisions within the hospital hierarchy. Results indicate that mitigating strategies are an integral part of the communicative process within the institutional hierarchy of a teaching hospital.

  • 2008

  • Kahn, Michael W. (2008): Etiquette-based medicine. In: The New England journal of medicine 358 (19), S. 1988-1989. DOI: 10.1056/NEJMp0801863

    DOI: http://www.ncbi.nlm.nih.gov/pubmed/18463374 

    Abstract: Patients ideally deserve to have a compassionate doctor, but might they be satisfied with one who is simply well-behaved? When I hear patients complain about doctors, their criticism often has nothing to do with not feeling understood or empathized with. Instead, they object that “he just stared at his computer screen,” “she never smiles,” or “I had no idea who I was talking to.” During my own recent hospitalization, I found the Old World manners of my European-born surgeon — and my reaction to them — revealing in this regard. Whatever he might actually have been feeling, his behavior — dress, manners, body language, eye contact — was impeccable. I wasn't left thinking, “What compassion.” Instead, I found myself thinking, “What a professional,” and even (unexpectedly), “What a gentleman.” The impression he made was remarkably calming, and it helped to confirm my suspicion that patients may care less about whether their doctors are reflective and empathic than whether they are respectful and attentive.

  • 2007

  • Cheney, George; Lee Ashcraft, Karen (2007): Considering "The Professional" in Communication Studies. Implications for Theory and Research Within and Beyond the Boundaries of Organizational Communication. In: Communication Theory 17 (2), S. 146-175. DOI: 10.1111/j.1468-2885.2007.00290.x

    Abstract: This essay positions contemporary "professionalism'' as a contested term and a nexus of important theoretical and practical concerns for communication scholars, including, for example, those engaged in the empirical, interpretive, and critical examinations of culture and the self. We advance communication-based understandings of the meanings and practices of professionalism as a complement to the predominantly sociological conceptions of the rise and place of the professional in modern industrialized societies. We are deliberately playful with the term professionalism in demonstrating the power of its ambiguity for reflecting, shaping, and indexing particular kinds of social relations and expectations for them. Part of our argument concerns the complex interplay of symbolism and materiality in the domains of interaction and artifacts surrounding "the professional,'' and especially its embodiment in work and other settings. This brings us directly to an examination of the "intersectionality'' of aspects of difference in the world of the professional (and by implication, the nonprofessional), including race, gender, and class, and to observe a broad-based cultural dialectic of the civilized and the primitive. Finally, we briefly consider extensions as relevant to domains of communication studies beyond the accustomed domain of organizational communication.

  • Floyd, Raymond (2007): Guide to Business Etiquette [Book review; Cook, R.A. et al.; 2005]. In: IEEE Transactions on Professional Communication 50 (3), S. 266-267. DOI: 10.1109/TPC.2007.902671

    Abstract: [book review] Abstract of the reviewed publication: Designed to answer specific etiquette questions for the busy professional, this book will become your best quick reference resource for answers on how to deal with new situations and with answers to recurring etiquette questions. Readers will learn poise, build confidence, and appear professional by using the essential information in this book and by learning from the practical examples of important etiquette practices in today's changing work environment. Topics include: first impressions; business relationships; communications; business dining and event etiquette; successful meetings; and cross-cultural etiquette. A necessary handbook for anyone in business who wants to avoid etiquette pitfalls.

  • Hatipoğlu, Çiler (2007): (Im)politeness, national and professional identities and context. Some evidence from e-mailed ‘Call for Papers’. In: Journal of Pragmatics 39 (4), S. 760-773. DOI: 10.1016/j.pragma.2006.11.014

    DOI: https://doi.org/10.1016/j.pragma.2006.11.014 

    Abstract: This study aims to uncover whether or not factors such as national and professional identities and the medium of interaction (i.e., e-mails), affect the way Turkish and British conference organisers begin their Call for Papers for international conferences (CFPIC), and when and how they use inclusive ‘we’ pronouns in messages written in English. The survey also examines if there is a relationship between these three factors and the interpretation of (im)politeness by comparing whether or not writers with different cultural backgrounds, while trying to reach their aim (i.e., collect conference papers), (dis)obey some of the politeness rules proposed by Brown and Levinson (1987). The corpus for this study consisted of e-mailed CFPIC collected between January 2002 and February 2006. CFPIC were related to areas such as linguistics, foreign/second language education and literature. The findings of the research suggest intricate and dynamic relations between a number of the micro- and macro-contextual factors, and some features of e-mails in English written by members of Turkish and British cultures. It is hoped that the results of this study will contribute to enhancing knowledge in the field of politeness and electronic communication, raising awareness of the relationship between cultural and professional identities and the interpretation of (im)politeness, thus providing valuable insights into intercultural communication conventions.

  • Jones, James W.; McCullough, Laurence B. (2007): Ethics of unprofessional behavior that disrupts. Crossing the line. In: Journal of vascular surgery 45 (2), S. 433-435. DOI: 10.1016/j.jvs.2006.11.043

    DOI: https://doi.org/10.1016/j.jvs.2006.11.043 

    Abstract: As chief of surgery, you have been contacted by the managing operating room (OR) nurse about Dr Frank N. Stein’s behavior earlier this morning. Dr Stein, a senior surgeon, has long had a reputation for outlandish behaviors in the OR. He is the impeccable gentleman outside that environment, loved by patients and nonoperating personnel alike. He has an international reputation as a master technical surgeon, operates as efficiently as anyone on the planet, and has the largest practice at the medical center. He has survived beyond the generation of tolerance because he has retained the same OR crew that over the years have calloused enough to regard his scurrilousness as just being Dr S. Today, he crossed the line. Dr. Stein, known for his colorful diatribes, trounced decorum when he ordered the operative team, excepting the anesthesiologist, out of the OR and demanded that a new team be substituted. This resulted from a shouting match with a new circulator when she took issue with a personal insult. The transition was accomplished, causing delays in both Dr Stein’s OR and several other ORs where substitute nurses were commandeered. At least one other faculty surgeon has complained about the inconvenience. In your office, Frank, long a colleague, insists that the nurses involved are assassins and refuses to work with them from this day. What should be done?

  • Levin-Sagi, M.; Zinnen, A.; Ziegert, T.; Klug, T.; Carlsson, V.; Pasher, E. (2007) : A Comprehensive Human Factors Analysis of Wearable Computers Supporting a Hospital Ward Round: 4th International Forum on Applied Wearable Computing 2007: Tel Aviv, Israel: IEEE, S. 1-12

    Abstract: This paper focuses on the social computing and usability issues connected to the use of a wearable computer as support of the clinical ward round. An evaluation of a prototype system was performed with a group of doctors and nurses, who physically tried out the system in a simulated ward round scenario and were interviewed about their experiences. Generally, the doctors and nurses felt such system would be helpful in diminishing paper work and enhance collaboration. The most critical component of the prototype system was the navigation in electronic patient documents using gesture interaction. The doctors found the gestures difficult to learn and were worried the patient contact would suffer as a result of too much attention being needed by the gestures.

  • 2006

  • Maier, Thomas (2006): Psychosocial and psychodynamic factors influencing health care utilisation. In: Health care analysis : HCA : journal of health philosophy and policy 14 (2), S. 69-78. DOI: 10.1007/s10728-006-0013-9

    DOI: http://www.ncbi.nlm.nih.gov/pubmed/17195575 

    Abstract: This paper aims to elucidate some dysfunctional aspects of health care utilisation by combining concepts from modern systems theory and from psychoanalysis. Contemporary health care in industrialised countries can be conceived as a social system in terms of modern systems theory. According to this theory, social systems are operating on the basis of a 'guiding difference,' which in the case of health care is the distinction between 'healthy' and 'ill.' Its rigidity in adhering to the healthy-ill dichotomy exposes health care to being collusively entangled in the interpersonal defence arrangements of patients. In the psychoanalytic view, individual conflicts can be warded off from consciousness not only by intrapsychic defence, but also by interpersonal defence mechanisms. These mechanisms involve the patients' close social environment, often including doctors and hospitals. The functioning and the motivational structure of health care itself shows features of neurotic defence: not only its representatives, but health care as a whole act in a rigid, obsessive manner in order to separate the healthy from the ill and to battle against (presumed) diseases. This obsession sometimes results in excessive diagnostic activism and in inconsiderate application of aggressive medical treatments. Both are inappropriate with regard to the salient problem of modern medicine: the increase of chronic nonfatal diseases like depression and chronic pain. The described defence mechanisms are unconscious not only to patients but also to health care professionals (let alone health politicians), and are contributing to dysfunctional health care overuse.

  • 2005

  • Li, S. (2005): Doing criticism in ’symbiotic niceness’. A study of palliative care nurses’ talk. In: SOCIAL SCIENCE 60 (9), S. 1949-1959

    Abstract: This paper examines how palliative care nurses do criticism of other professionals in talk within settings for care of the dying (two hospices and one general hospital). Strategies for the production of moral identities include the use of direct criticism, indirect criticism and quoted speech, hence 'inverted comma criticism'. Criticism is done through the construction and reconstruction of 'atrocity stories'. Atrocity stories are used as a medium by nurses to express their opinions and feelings about doctors who might have behaved insensitively. At the same time, it allows doctors to redeem themselves. The analysis of talk reveals that the voices of absent patients are reactivated and co-opted into the nurses' talk. The stories serve to produce an image of nurses as caring, morally responsible patient advocates and loyal characters to their medical colleagues. Through the analysis of talk, the communication skills and strategies for the maintenance of interactional order are made visible and displayed. Skills for the production of the palliative care team work are also made visible. Emotional labour is analysed as a project for the production of particular kinds of niceness which in turn require particular types of emotional labour. This paper argues that educators should aim to identify and make conscious use of nurses' own available interactional skills, and focus on valuable cultural (rules of decorum) and material resources (the disease process) which are readily available and accessible for nurses, as a starting point in communication training. The theory of an account of co-production of niceness which benefits each other, hence, symbiotic niceness, reveals that being nice to each other can be rewarding and therapeutic in that it helps to smooth, distance and ameliorate problems occurring in the reality of palliative care nurses' and their patients' life-worlds.

  • 2004

  • Galavielle, J. P. (2004): Business ethics is a matter of good conduct and of good conscience?. In: Journal of Business Ethics 53 (1-2), S. 9-16

    Abstract: The myth of an economy where nobody could have a predominant position, has lost its credibility. The presentiment of a high risk of social explosion makes companies undertake tentative moral legitimation. Thus, a new paradigm develops according to which the firm has to care for the satisfaction of public interest if “it wants to try to win forgiveness” for misbehavior towards the decorum rules of the atomicity of competition. Thus, there is a wave of “business ethics industry” building up. However, the stock exchange performances considered as ethical, are not different from others! The market does not seem to be able to say why it might be interesting to invest in stock considered as ethical. Moreover, opinion polls reveal a very significant discrepancy between the characterization of “the responsible company” as defined by itself or by notation agencies and, on the other hand, the hierarchy of criteria according to the answers of polled people. When companies and agencies favor sustainable development and good governance, rejecting child labor and so on, polled people consider that the paramount criterion of ethical conduct is personnel management. The problem is right here. Such is the view of a positively critical economist, situated at the point where macroeconomics meets corporate management.

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