Estimating the effect of a randomized treatment and the effect that is transmitted through a mediator is often complicated by treatment noncompliance. In literature, an instrumental variable -based method has been developed to study causal mediation effects in the presence of treatment noncompliance. Existing studies based on the IV-based method focus on identifying the mediated portion of the intention-to-treat effect, which relies on several identification assumptions. However, little attention has been given to assessing the sensitivity of the identification assumptions or (...) mitigating the impact of violating these assumptions. This study proposes a two-stage joint modeling method for conducting causal mediation analysis in the presence of treatment noncompliance, in which modeling assumptions can be employed to decrease the sensitivity to violation of some identification assumptions. The use of a joint modeling method is also conducive to conducting sensitivity analyses to the violation of identification assumptions. We demonstrate our approach using the Jobs II data, in which the effect of job training on job seekers’ mental health is examined. (shrink)
To understand how compliance develops both in everyday and corporate environments, it is crucial to understand how different mechanisms work together to shape individuals’ compliant behavior. Existing compliance studies typically focus on a subset of theories to understand how key variables from one or several of these theories shape individual compliance. The present study provides a first integrated understanding of compliance, rooted in complexity science, in which key elements from these theories are considered simultaneously, and their relations to compliance and (...) each other are explored using network analysis. This approach is developed by analyzing online survey data about compliance with COVID-19 mitigation measures. Traditional regression analysis shows that elements from nearly all major compliance theories are associated with compliance. The network analysis revealed groupings and interconnections of variables that did not track the existing compliance theories and point to a complexity overlooked in existing compliance research. These findings demonstrate a fundamentally different perspective on compliance, which moves away from traditional narrow, non-network approaches. Instead, they showcase a complexity science understanding of compliance, in which compliance is understood as a network of interacting variables derived from different theories that interact with compliance. This points to a new research agenda that is oriented on mapping compliance networks, and testing and modelling how regulatory and management interventions interact with each other and compliance within such networks. (shrink)
Increasingly complex working environments of school principals inevitably led them to face moral dilemmas in daily life. The aim of this research is to reveal which kinds of moral dilemmas principals fall into mostly, how principals follow the road to making decisions in the moral dilemmas, and if the nature of management affects the decision-making process of their moral dilemmas or not. For data collection process snowball sampling was used. Semi-structured interviews and vignettes which were designed by researchers were used (...) for data collection. According to results, principals in Turkey have experienced moral dilemmas based on self-interests instead of ethic of critique which is experienced by Canadian principals. Moreover, taking into consideration the decision-making process, although principals in Canada follow the same procedure as the Turkish principals, they have two extra steps: “considering the students’ benefit” and “considering teachers’ and parents’ needs.” Lastly, it is seen that the Turkish and Canadian principals’ natures which affect the moral dilemma decision-making process are totally different. The possible reasons for these differences and suggestions were discussed within this context. (shrink)
Incorporation of the behavioral issues of the decision maker (DM) is among the aspects that each Multicriteria Decision Making (MCDM) method implicitly or explicitly takes into account. As postulated by regret theory, the feelings of regret and rejoice are among the behavioral issues associated with the entire decision making process. Within the context of MCDM, the DM may feel regret, when the chosen alternative is compared with another one having at least one better criterion value. PROMETHEE II is a widely (...) known MCDM method that makes no explicit incorporation of regret attitude of the DM. In this paper, we elaborate on the applicability of regret theory to MCDM context. In particular, we investigate the findings of regret theory and explore the parallel between regret theory and PROMETHEE II method. Relying on the concepts of regret theory, we demonstrate how a decision that is made using a PROMETHEE II based outranking method conforms to the regret attitude of the DM. (shrink)
Medical paternalism has long been a common medical practice. However, patient autonomy in healthcare has been recently adopted by doctors and patients alike. This study explored whether doctors and patients in a tertiary care hospital in Saudi Arabia preferred autonomy or paternalism in shared decision-making. A total of 118 participants (51 patients requiring total knee replacement, owing to stages 3–4 of osteoarthritis, and 67 doctors) from the Eastern province, Saudi Arabia. responded to a 17-question category-based questionnaire involving four scales of (...) autonomy. Descriptive statistics and chi-square test results revealed that in this hospital, patients preferred a paternalistic approach toward their medical care along with a full disclosure of the risks related to surgical procedures. We recommend health education regarding the specific autonomy subscales (doctor knows best, patient should decide, right to non-participation, and obligatory risk information), and the implementation of protocols that protect patients' rights and enhance personal autonomy. (shrink)
Background: Promoting patients’ rights is essential for defining the standards of clinical services within a country. Given their responsibilities, nurses can be the primary target for research to investigate the issue of patients’ rights within a healthcare system. As such, assessing the knowledge of nurses about patients’ rights is an essential step toward improving the quality of healthcare in limited resource settings like Sudan. Objectives: We aimed to assess the level of knowledge about patients’ rights among the nursing staff at (...) Friendship Teaching Hospital in Sudan. Methods: This hospital-based cross-sectional study was carried out at the Friendship Teaching Hospital in Sudan. We surveyed the totality of nurses at the hospital using an amended survey. The data were analyzed in SPSS software using descriptive and inferential statistics. Ethical consideration: The study was approved by the Research Unit of Khartoum Ministry of Health and the Hospital administration. All respondents gave verbal consent prior to participating in the study. Results: Only 48.4% of the participants knew about the existence of the Sudanese Charter of patients’ rights. Nonetheless, our analysis found that 65.8% of nurses had acceptable level of knowledge of patients’ rights, and none of the participant scored less than 50% of the total knowledge score. Finally, we found no statistical association between the knowledge score and demographic data, educational level, whether the participant knows about the existence of the Charter or not and a number of other factors. Conclusion: Nurses’ lack of knowledge about the existence of the Sudanese Charter of patients’ rights adopted in 2009 rights confirms the need for further efforts by Ministry of Health to promote the document. Furthermore, further research is needed to investigate the disconnect between nurses’ lack of knowledge about the existence of the charter and their awareness of the rights within the charter as well as the actual implementation of rights. (shrink)
Bu makale genel olarak karşılaştırmalı teoloji alanını Türkçe okuyucuya tanıtmayı amaçlamaktadır. Karşılaştırmalı teoloji, son yıllarda Batıda yeniden yorumlanmış ve ötekinden öğrenme düsturuyla yola çıkan akademik bir disiplin alanıdır. Bu makale karşılaştırmalı teolojiyi tanıtmakla beraber Hristiyan teolojisi içindeki yerini de sorgulayacaktır. Bu bağlamda, karşılaştırmalı teolojinin dinler teolojisine bir alternatif olup olmadığı, karşılaştırmalı teolojinin dinler teolojisinden bağımsız bir alan olarak değerlendirilip değerlendirilemeyeceği, dinler teolojisi içerisinde bir tipoloji olarak görülüp görülmediği gibi sorunlara da cevap arayacaktır. Nihayetinde bu makalede karşılaştırmalı teolojinin dinler teolojisine alternatif (...) olarak görülemeyeceği, aynı zamanda dinler teolojisi içerisinde üç veya dört yönlü tipolojilerden biri olarak da değerlendirilemeyeceği sonucuna varılmıştır. Sonuçta karşılaştırmalı teoloji ve dinler teolojisinin birbirinden bağımsız ama birbirlerini tamamlayan iki alan olduğu iddia edilecektir. (shrink)
This report summarises a study examining preservice elementary teachers? geometry content knowledge with a focus on parallelogram. It was a descriptive study examining 45 preservice teachers? reasoning in the process of determining which quadrilateral can be classified as a parallelogram. Findings have revealed that these elementary teachers do not possess sound understanding of parallelogram and class inclusion between parallelogram and trapezoid at the expected level.
From earliest times, Homer was regarded as an authority in education, and in shaping social and political life. For Homer in Iliad and Odyssey describes the dominant values, moral virtues of the Greek culture via its heroes. In fact, this narration has opened the way for him to be regarded as the first teacher of the Greeks. His most famous students are Achilles and Telemachus. He talks about Achilles’ education in Iliad, Telemachus’ in Odyssey through his teachers. But the education (...) of these two heroes is both similar and different in some ways. From the moment Achilles was born, he knows the values of the class he belongs to, who he is. On the contrary, Telemachus as a child without a father does not know who he is. Yet, their education which is centered around not only words but also deeds, makes these two heroes know what to say and what to do. In the end, they gain the honor of becoming a Homeric hero. So the aim of this paper is to elaborate both different and similar educations of these heroes. (shrink)