In nursing, the concept of advocacy is often understood in terms of reactive or proactive action aimed at protecting patients' legal or moral rights. However, advocacy activities have not often been researched in the context of everyday clinical nursing practice, at least from patients' point of view. This study investigated the implementation of nursing advocacy in the context of procedural pain care from the perspectives of both patients and nurses. The cross-sectional study was conducted on a cluster sample of surgical (...) otolaryngology patients (n = 405) and nurses (n = 118) from 12 hospital units in Finland. The data were obtained using an instrument specially designed for this purpose, and analysed statistically by descriptive and non-parametric methods. According to the results, patients and nurses have slightly different views about which dimensions of advocacy are implemented in procedural pain care. It seems that advocacy acts are chosen and implemented rather haphazardly, depending partly on how active patients are in expressing their wishes and interests and partly on nurses' empowerment. (shrink)

Background:Advance care planning gives patients and their family members the possibility to consider and make decisions regarding future care and medical procedures.Aim:To explore the view of people in the early stage of dementia on planning for future care.Research design:The study is a qualitative interview study with a semistructured interview guide. The data were analyzed according to the Qualitative Analysis Guide of Leuven.Participants and research context:Dementia nurses assisted in the recruiting of people with dementia for participation in the study. Study information (...) was mailed to 95 people with early stage dementia. Ten people with dementia and eight caregiver spouses participated in the study.Ethical considerations:People with dementia belong to a vulnerable patient group, and care was taken in the areas of informed consent and accessible information.Findings:The views of people with dementia are characterized by a complex storyline involving tensions and movement within the themes of wants, beliefs, and levels of insight. Participants wanted to think about the future but also wanted to live in the here and now.Discussion:High demands are placed on the advance care planning process for people with dementia and their family caregivers. A dignity-enhancing approach in dementia care emphasizes the dignity of and respect for this vulnerable and care-dependent patient group.Conclusion:The process of advance care planning in dementia care needs to go beyond person-centered care to a relationship-centered process. The illness trajectory and the impact on autonomy need to be taken into consideration. (shrink)

Reviewed by Heli Tissari Reviewed by Heli Tissari Research Unit for Variation, Contacts and Change in English Department of Modern Languages University of Helsinki, Finland heli[email protected]...

A problem is a situation in which an agent seeks to attain a given goal without knowing how to achieve it. Human problem solving is typically studied as a search in a problem space composed of states (information about the environment) and operators (to move between states). A problem such as playing a game of chess has possible states, and a traveling salesperson problem with as little as 82 cities already has more than different tours (similar to chess). Biological neurons (...) are slower than the digital switches in computers. An exhaustive search of the problem space exceeds the capacity of current computers for most interesting problems, and it is fairly clear that humans cannot in their lifetime exhaustively search even small fractions of these problem spaces. Yet, humans play chess and solve logistical problems of similar complexity on a daily basis. Even for simple problems humans do not typically engage in exploring even a small fraction of the problem space. This begs the question: How do humans solve problems on a daily basis in a fast and efficient way? Recent work suggests that humans build a problem representation and solve the represented problem—not the problem that is out there. The problem representation that is built and the process used to solve it are constrained by limits of cognitive capacity and a cost–benefit analysis discounting effort and reward. In this article, we argue that better understanding the way humans represent and solve problems using heuristics can help inform how simpler algorithms and representations can be used in artificial intelligence to lower computational complexity, reduce computation time, and facilitate real-time computation in complex problem solving. (shrink)

Within the class environment, particularly in the language learning setting, stress is considered to be the most common mental condition educators experience in their work, and due to the effect of stress on teachers, burnout similarly occurs because English as a foreign language teachers periodically experience affective trauma while participating and engaging in their careers. To solve the problem, one must consider teacher self-efficacy, a significant construct that can mitigate the probability of burnout by preventing the occurrence of stress at (...) work that also plays a key role in enhancing positive upshots. To emphasize the impact of teachers’ stress and burnout on the one hand and the mediator role of teachers’ efficacy, on the other hand, this mini-review attempted to study the issue. Finally, some scholastic recommendations are pinpointed. (shrink)

En un mundo que enfrenta cada día un mayor número de problemáticas ambientales, el presente trabajo busca demostrar la creciente necesidad de proveeduría en el sector de bienes y servicios ambientales en las distintas regiones, además, busca dar un panorama general de la competitividad y el crecimiento de las pymes en la Ciudad de Chihuahua, México, enfocadas en este sector. Con base en la construcción de un sector de estudio por medio de datos estadísticos, el análisis de las regulaciones de (...) políticas para pymes y la perspectiva de actores que forman parte de la región. (shrink)

ABSTRACTThis article sheds light on the period of revolutionary turbulence by demonstrating how the concept of revolution was introduced in the Finnish print culture through foreign news reports during the early nineteenth century. The examination draws on the use of multilingual digital newspaper collections provided by the National Library of Finland. By combining key word searches to a close reading of newspaper texts, the article explores the ways in which different revolutionary movements were present in the Finnish newspapers during the (...) early decades of the nineteenth century. The article proposes that the role of foreign news flow was crucial in the process of shaping the understanding of revolution in Finland. (shrink)

The aim of this article is to give a general idea of how meanings of single emotion words, and configurations between words, change historically, reflecting changes in people’s understanding of emotions. The article provides a selective overview of linguistic research on the histories of a number of English words for emotions. It focuses on changes in the words emotion and mood as well as analyzing terms for the specific emotions of anger, fear, happiness, joy, love, pride, respect, and sorrow. This (...) article also suggests that it is possible to use linguistic data in order to recover some “psychological” information about emotions, such as information on people’s responses to them. (shrink)

The intervention method of Developmental Dialogue, originally developed by Laura Mott , has been further elaborated to promote employees’ professional development and well-being. The aim of formative interventions is to enhance the agency of participants. There is particular interest in transformative agency, which is defined as participants’ capacity to take purposeful actions to change their work activity. By applying six types of agency expressions, this paper examines how transformative agency emerges in an interaction between a DD participant and the interventionist. (...) The agency expressions are analysed in the context of explicit and implicit intervention tools and objects of talk. The analysis yields a new category called reframing agency which is of interest particularly from a work-related well-being perspective. We interpret the findings with the notion of a contradictory object within the cycle model of professional development. The case suggests that changes in work, as interpreted by the researchers do not always fully grasp the participant’s sense of collective work. Finally, at the end of the paper we propose ideas for further research. (shrink)

The article considers the future prospects of the struggle for gender equality in light of the growing appeal and electoral success of parties embracing populist nationalism and anti-immigration as their platform. Considering many such parties are known for viewing the promotion of gender equality as unnecessary or even harmful – except when they highlight immigration as a threat to female emancipation – it is important to explore what, if anything, the electoral success of populist-nationalist parties means for the direction of (...) gender equality policies. The article examines this question in the Finnish context. Though the Finnish state’s commitment to gender equality is well-established, questions can be asked about the future prospects of gender equality policies in light of the electoral rise of the populist anti-immigration party Perussuomalaiset, especially since the party joined government in May 2015. The article scrutinises the recent record of PS in parliament and government, elucidating on the challenges that populist-nationalist parties create for gender equality in ‘women-friendly’ welfare states. The case study particularly focuses on gender equality in the context of balancing work and family and freedom from violence, discrimination and harassment. It raises questions that are of broader relevance to the future of gender equality in Europe, considering the Nordic states have been viewed as models for a gender egalitarian society and frontrunners in the promotion of gender equality within the EU. (shrink)

This article presents an alternative rationale for corporate philanthropy based on managerial values of benevolence and integrity. On the one hand, top managers with benevolence and integrity values are more likely to spread their intrinsic concern for others into the wider society in the form of corporate philanthropy. On the other hand, top managers high in benevolence and integrity are likely to contribute to improved managerial credibility and trusting firm-stakeholder relationships, thereby improving corporate financial performance. Therefore, the article makes the (...) argument that both corporate philanthropy and corporate financial performance can better be interpreted as resulting from managers’ benevolence and integrity values. (shrink)

Deprivation of liberty in psychiatric hospitals is common world-wide. The aim of this study was to find out whether patients had experienced deprivation of their liberty during psychiatric hospitalization and to explore their views about it. Patients (n = 51) in two acute psychiatric inpatient wards were interviewed in 2001. They were asked to describe in their own words their experiences of being deprived of their liberty. The data were analysed by inductive content analysis. The types of deprivation of liberty (...) in psychiatric hospital care reported by these patients were: restrictions on leaving the ward and on communication, confiscation of property, and various coercive measures. The patients' experiences of being deprived of their liberty were negative, although some saw the rationale for using these interventions, considering them as part of hospital care. (shrink)

To fight climate change, firms must adopt effective and feasible carbon management practices that promote collaboration within supply chains. Engaging suppliers and customers on carbon management reduces vulnerability to climate-related risks and increases resilience and adaptability in supply chains. Therefore, it is important to understand the motives and preconditions for pursuing supply chain engagement from companies that actively engage with supply chain members in carbon management. In this study, a relational view is applied to operationalize the supply chain engagement concept (...) to reflect the different levels of supplier and customer engagement. Based on a sample of 345 companies from the Carbon Disclosure Project’s supply chain program, the determinants of engagement were hypothesized and tested using multinomial and ordinal logistic estimation methods. The results indicate that companies that integrate climate change into their strategies and are involved in developing environmental public policy are driven by moral motives to engage their suppliers and customers in carbon management. All these factors make a stronger impact on supplier engagement than on customer engagement. Moreover, companies operating in greenhouse gas-intensive industries are driven by instrumental motives to engage their suppliers and customers because increasing greenhouse gas intensity positively influences engagement level. Company profitability appears to increase supplier engagement, but not customer engagement. Interestingly, operating in a country with stringent environmental regulations does not appear to influence supply chain engagement. By utilizing relational capabilities and collaboration, buyers can increase their suppliers’ engagement to disclose emissions, which ultimately will lead to better results in carbon management. (shrink)

Feminist legal efforts to make sense of the external migration policies of the European Union (EU) have focused almost exclusively on the EU’s initiatives against trafficking in women. This article examines one of the more neglected areas of EU immigration policy—the return of ‘illegal immigrants’. It analyses the so-called 2008 Returns Directive in the light of the multidimensional inequalities experienced by migrant women, which affect their migration status and expose some of them to the threat of removal. Owing to insecurities (...) over external migration, the Directive constructs even the most vulnerable migrants as a threat to be controlled and is likely to result in detrimental consequences for many migrants, and in particular already vulnerable women who are likely to be further disadvantaged by it. (shrink)

Paradoxes are an unavoidable part of work life. The unusualness of attempting to simultaneously satisfy contradictory imperatives can result in creative outcomes that simultaneously satisfy both imperatives by inducing search for, and selection of, novel and useful solutions. Likewise, extant research suggests that paradoxes can also result in anxiety, defensiveness, and persistence of old ways of doing things. However, there is little work attempting to describe how paradoxes affect cognition and when it results in higher or lower creativity. To tackle (...) this issue, a theory of paradoxical creativity is developed. Paradoxical creativity is the attempt by an individual to creatively resolve a contradiction by simultaneously achieving competing demands. The theory is implemented into a computational model and a simulation is used to describe how paradoxes affect creative cognitive process and how these processes in turn result in higher or lower degrees of creativity. The results show that creative output is enhanced when paradoxes have a balanced effect on the cognitive processes responsible for an individual’s capacity to search for new information and willingness to tolerate new ideas. Hence, individuals with high baseline levels of creative cognition are more likely to suffer negative creative performance consequences resulting from contradictory demands. For those individuals, contradictory demands may produce more alternatives, which increases uncertainty and time to insight (if insight is ever reached). This suggests that incentives or rewards to resolve contradictions may have the unintentional effect of reducing creative output in some circumstance. (shrink)

The aim of the study was to report the results of a systematically conducted literature review of empirical studies about healthcare organizations’ ethics and management or leadership issues. Electronic databases MEDLINE and CINAHL yielded 909 citations. After a two stage application of the inclusion and exclusion criteria 56 full-text articles were included in the review. No large research programs were identified. Most of the studies were in acute hospital settings from the 1990s onwards. The studies focused on ethical challenges, dilemmas (...) in practice, employee moral distress and ethical climates or environments. Study samples typically consisted of healthcare practitioners, operational, executive and strategic managers. Data collection was mainly by questionnaires or interviews and most of the studies were descriptive, correlational and cross-sectional. There is need to develop conceptual clarity and a theoretical framework around the subject of organizational ethics and the breadth of the contexts and scope of the research needs to be increased. (shrink)

ObjectiveThis study investigated the effects of a school-based skill-training intervention in attention control and executive functions for pupils with hyperactivity-impulsivity and cognitive control deficits. The main aim was to examine whether the intervention differently influenced H-I and CC, and whether cognitive abilities or conduct problems moderated response to the intervention.MethodElementary school pupils from 41 schools participated the study and were divided into an intervention group and a waitlist control group. Intervention outcomes were assessed with an inventory assessing executive function difficulties (...) completed by classroom teachers.ResultsSignificant intervention effects and positive changes were detected in CC but not in H-I. Significant intervention effects were found mainly among pupils with low levels of conduct problems.ConclusionsThe results suggest that a skill-training intervention has specific positive effects on CC, but conduct problems may diminish response to intervention. (shrink)

Purpose: This study is aimed to preliminary investigate whether transcranial alternating current stimulation could affect explosive power considering genetic background in sport subjects.Methods: Seventeen healthy sports volunteers with at least 3 years of sports activities participated in the experiment. After 2 weeks of familiarization performed without any stimulation, each participant received either 50 Hz-tACS or sham-tACS. Before and after stimulation, subjects performed the following tests: the squat jump with the hands on the hips ; countermovement jump with the hands on (...) the hips ; countermovement jump with arm swing ; 15-s Bosco’s test; seated backward overhead medicine ball throw ; seated chest pass throw with a 3-kg rubber medicine ball; and hand-grip test. Additionally, saliva samples were collected from each participant. Genotyping analysis was carried out by polymerase chain reaction.Results: No significant differences were found in sport performance of subjects after 50 Hz-tACS. Additionally, we did not find any influence of genetic background on tACS-related effect on physical performance. These results suggest that tACS at gamma frequency is not able to induce an after-effect modulating sport performance. Further investigations with larger sample size are needed in order to understand the potential role of non-invasive brain stimulation techniques in motor performances.Conclusions: Gamma-tACS applied before the physical performance fails to improve explosive power in sport subjects. (shrink)

Gayatri Chakravorty Spivaks seminal contribution to contemporary thought defies disciplinary boundaries. From her early translations of Derrida to her subsequent engagement with Marxism, feminism and postcolonial studies and her recent work on human rights, the war on terror and globalization, she has proved to be one of the most vital of present-day thinkers. In this book Stephen Morton offers a wide-ranging introduction to and critique of Spivaks work. He examines her engagements with philosophers and other thinkers from Kant to Paul (...) de Man, feminists from Cixous to Helie-Lucas and literary texts by Charlotte Bronte, J. M. Coetzee, Mahasweta Devi and Jean Rhys. Spivaks thought is also situated in relation to subaltern studies. Throughout the book, Morton interrogates the materialist basis of Spivaks thought and demonstrates the ethical and political commitment which lies at the heart of her work. Stephen Morton provides an ideal introduction to the work of this complex and increasingly important thinker. (shrink)

English summary: Now that it has managed to become a science, history must remain the symposium theatre which allows us to converse with the dead. Our "connected" world delivers us up, defenceless, to the tyranny of every instant. History could be the antidote, inasmuch as it is a depository of people's collective experience. It lifts shadows up from the depth of the ages to make us share what we have learned from being who we are. We have undertaken a boundless (...) dialogue with the living. This book proposes to restore the dialogue with the dead by revisiting, through a succession of brief texts in the form of short essays and short stories, a number of episodes of universal history in an attempt to cull some lessons from it. At a time when history's progress has led to an excessive specialisation which has caused many scholars to withdraw into their ivory towers to enjoy, among experts, the fruit of their research, Michel De Jaeghere wants us to resume meditating on examples that have nourished human thought since ancient times. French description: Ils ont ete pharaons, empereurs romains, rois de France, croises, missionnaires, conquerants, batisseurs de palais et de cathedrales, decouvreurs de mondes nouveaux. Ils ont connu l'ivresse de la gloire, l'amertume de la defaite, ils ont peine dans les travaux. Ils ont incarne l'aventure de l'Occident jusqu'aux extremites de la terre, ils ont du faire face a la barbarie, a la guerre, a la terreur et a la tyrannie totalitaires. De la profondeur de l'Egypte ancienne aux conflits qui ont ouvert le XXIe siecle, ils offrent la plus etonnante des galeries de portraits. Marc Aurele y croise Christophe Colomb, Louis XVI, Honore d'Estienne d'Orves ou Helie de Saint Marc. Ils forment la compagnie des ombres, surgie du passe pour nous offrir un tete a tete. Un dialogue singulier avec les morts.L'histoire est trop souvent traitee comme un cadavre par des medecins legistes si attentifs aux organes qu'ils prelevent sur le corps dont ils font l'autopsie que leur echappe son mystere, ce qui lui donnait sa vie meme. Elle est, ailleurs, consideree comme le divertissement d'un jour, l'occasion d'une promenade sans enjeu. Les textes reunis ici comme en un recueil de nouvelles voudraient s'inscrire dans une autre tradition, celle d'une histoire meditative: une histoire tournee vers la recherche de ce qu'elle a a nous dire d'essentiel, de vital sur nous-meme. Ils se proposent de convoquer les ombres du passe pour nous donner a contempler ce qui n'est pas mort avec elles. Nous doutons aujourd'hui que l'histoire puisse etre maitresse de vie: magistra vitae, disait Ciceron. Nous voulons croire que nous n'avons plus rien a apprendre d'elle. Il nous manque d'avoir les yeux ouverts sur ce qui fait echapper ses protagonistes a leur condition mortelle; ce qui leur donne leur part d'eternite. (shrink)

Publication of four fragments of ballot-boxes with grooves which illustrate exactly the description of the kleroteria given by Aristotle, AP, 64. They were probably used to choose the members of the Helie in independent Delos.

_ Source: _Volume 35, Issue 1, pp 35 - 60 The early-modern French translations of Erasmus’ Praise of Folly show an astonishing adaptability to its ever changing readerships. Much attention has been paid recently to the two sixteenth-century translations and their intended readers—royal and bourgeois respectively. The three French translations of the seventeenth and eighteenth centuries are less known but all the more intriguing. In 1642 Folly addresses herself to the French pre-classicist readers, adepts of Richelieu’s new Académie Française—although her (...) translator, Hélie Poirier, was a Protestant refugee, recently settled in the Netherlands. In 1671 Folly seeks her readers in the Parisian salons, satirizing the same societal wrongs as her great contemporary Molière in Tartuffe and Les femmes savantes. The successful translation by Nicolas Gueudeville is also a chameleon: originally translated and printed in Leiden, the text gradually becomes more Parisian with each passing edition. Folly’s language is bowdlerized according to the principles of bienséance, and Vianen’s illustrations, based on Holbein, are discarded as rude and old-fashioned. In 1751 they are replaced by Charles Eisen’s elegant, long-limbed, periwigged figures, dressed to the latest fashion. Although she changes her name, her language, her appearance and attire, Folly remains much the same through the ages—everlasting and omnipresent, just as the vices she laughs at. (shrink)