This study aimed to examine the associations between religious Jewish nurses' exposure to sexual harassment by patients, the ward's listening climate, the quality of nursing care and nurses' avoidance of therapeutic contact with harassing patients.A few studies have examined nurses' exposure to sexual harassment by patients, but this phenomenon has not been studied among religious Jewish nurses.This is a cross-sectional study of 85 nurses who study at a religious Jewish nursing school. Respondents completed self-administered structured questionnaires. Multiple regression analysis was performed to reveal antecedents of the quality of nursing care provided to sexually harassing patients.The more religious the nurses, the more they avoided therapeutic contact with harassing patients. The strongest predictor of reported quality of care for harassing patients was the avoidance of therapeutic contact. Forty-two per cent of the variance in reported quality of nursing care was explained by the employment type and by the avoidance of therapeutic contact, which was related to the nurses' level of religiosity.Nurses' level of religiosity is related to the quality of care provided to sexually harassing patients.Nursing leadership must raise awareness of sexual harassment by patients and develop policy and implementation programmes with sensitivity to religious nurses.
This study assessed the variation of concerns about expressing emotions in social relations, emerging from the increasing use of smartphones.Fifty respondents from the continental U.S.A participated through an application of Mind-Genomics Science.Two mind-set segments emerged.People in the first mind-set were concerned about the increasingly use of smartphones for social interaction, and the need for instant feedback.People in this segment stressed the need to put on a mask when presenting only a happy successful face.This segment was also preoccupied with our changing language skills, and with the increasing lack of privacy because everything one with smartphones is trackable.People in the second mind-set segment expressed concerns regarding the negative social effects of using smartphones to express emotions: less interaction at meals, isolation from personal relationships, fewer expressions of feelings, losing patience more quickly, and emerging health issues.A PVI (personal viewpoint identifier) is presented to allow discovery of these two mind-sets among new individuals, enabling a deeper understanding of the mind-sets by future researchers.
Abstract Background There is little dispute that the ideal moral standard for surgical informed consent calls for surgeons to carry out a disclosure dialogue with patients before they sign the informed consent form. This narrative study is the first to link patient experiences regarding the disclosure dialogue with patient-surgeon trust, central to effective recuperation and higher adherence. Methods Informants were 12 Israelis (6 men and 6 women), aged 29–81, who underwent life-saving surgeries. A snowball sampling was used to locate participants in their initial recovery process upon discharge. Results Our empirical evidence indicates an infringement of patients’ right to receive an adequate disclosure dialogue that respects their autonomy. More than half of the participants signed the informed consent form with no disclosure dialogue, and thus felt anxious, deceived and lost their trust in surgeons. Surgeons nullified the meaning of informed consent rather than promoted participants’ moral agency and dignity. Discussion Similarity among jarring experiences of participants led us to contend that the conduct of nullifying surgical informed consent does not stem solely from constraints of time and resources, but may reflect an underlying paradox preserving this conduct and leading to objectification of patients and persisting in paternalism. We propose a multi-phase data-driven model for informed consent that attends to patients needs and facilitates patient trust in surgeons. Conclusions Patient experiences attest to the infringement of a patient’s right to respect for autonomy. In order to meet the prima facie right of respect for autonomy, moral agency and dignity, physicians ought to respect patient’s needs. It is now time to renew efforts to avoid negligent disclosure and implement a patient-centered model of informed consent.
Abstract The ideal moral standard for surgical informed‐consent calls upon surgeons to carry out a disclosure dialogue with patients so they have as full as possible an understanding of the procedure before they sign the informed‐consent form. This study is the first to empirically explore patient preferences regarding disclosure dialogue. Twelve Israelis who underwent life‐saving surgeries participated in a narrative study. Three themes emerged from the analysis: objectification of patients, anxiety provoking processes and information, and lack of information that was essential for patients. Findings contribute to existing debates among surgeons regarding the scope and importance of some disclosure components. Analysis led to our formulation of an augmented subjective model of information disclosure that participants prefer, which extends beyond the immediate present of the surgery to the period after discharge, and until return to routine. Surgeons should be aware of patient preferences in disclosure, and gaps between perceptions of surgeons, and preferences and needs of patients.
Purpose The purpose of this paper is to gain an understanding of consumer preferences and mind‐set regarding the transition to using renewable energy. Design/methodology/approach The approach taken is an experimental design of messaging (conjoint analysis). Findings The study uncovered different segments of individuals, with different mind‐sets, needing different types of messaging. Results show what marketing messages might best work to interest consumers in the transition to renewable energy. The study revealed two different mind‐set segments among respondents. The first segment comprised residents who preferred a gradual transition toward using 80 percent renewable energy, and 20 percent conventional energy, with no specific transition time span, and with no tax increases. The second segment comprised residents who preferred a five year, fixed‐time plan for the conversion to renewable energy sources (RES), along with service plans, and an accompanying “money back” guarantee. Research limitations/implications The study did not include the testing of pricing elements to the messaging about the transition to “green” process. Thus, insights concerning the interaction of financial concerns with mind‐sets in the transition to “green” are yet to be studied. Practical implications After identifying the segment to which each individual belongs, data permit the creation of a “typing tool” to identify segment membership, thus allowing more targeted and effective messaging when building awareness and demand for green power. Originality/value This is a pioneering study that looks at the “mind” of the customer, to investigate how different ideas and messaging drive the consumer's comfort level regarding the use of RES, and the future of their energy consumption and transitional needs. This is a multi‐disciplinary study incorporating public policy and marketing together with practical application.
Although ample marketing literature focuses on different aspects of market sensing, theoretical, and empirical studies as well as a comprehensive and holistic view are still limited. In this chapter, we present the conceptual linkages of the market sensing and marketing research. We shed light on practices associated with market sensing and marketing research. Our Mind-Genomics research suggests three different mind-set segments of heart failure patients, which differ by responses to messages on taking medication. Certain different high-impact messages appeal to each segment but what appeals to one group may repel the other group. It is important to discover and then to more deeply understand what messaging is effective for each mind-set. The mind-set viewpoint identifier we developed allows professionals to identify patients by mind-sets of the sample and provide one-on-one facts-driven patient counseling, based on mind-sets. As a result we improve patient trust, enhance adherence, and reduce patient re-admissions.
In Islam, religious directives regarding death are derived from the Quran and Islamic tradition, but there is a variety of death rituals and practices, lived by Muslims across contexts and geographies. This narrative study explored the dynamics of death and bereavement resulting from COVID-19 death among religious Muslims in Israel. Narrative interviews were conducted with 32 religious Muslims ages 73–85. Findings suggest several absent death rituals in COVID-19 deaths (i.e., the physical and spiritual purification of the body, the shrouding of the body, the funeral, and the will). Theoretically, this study linked death from COVID-19 with patient-centered care, highlighting disenfranchised grief due to the clash of health authority guidelines with religious death practices. Methodologically, this narrative study voices the perspectives of elder religious Muslims in Israel. Practically, this study suggests ways to implement the cultural perspective in COVID-19 deaths and enable a healthy bereavement process.
Type 2 diabetes is a major cause of increasing mortality incurring vast expenditures.Direct costs of type 2 diabetes account for $1.31 trillion and additional indirect costs account for 35% of the total burden [1].Type 2 diabetes is one of five leading causes of premature death in high-income countries [2].In 2017, around 415 million adults suffered from Type 2 diabetes [2].Estimates suggest that over the next decade, 642 million adults will suffer from type 2 diabetes [2].Moreover, type 2 diabetes, thus far diagnosed among adults, is now expanding to adolescents and children, making it THE epidemic of the 21 st century [3].So far, all interventions to maintain Glycemic control achieved sub-optimal outcomes [3-7].Lack of Glycemic control leads to progress of type 2 diabetes resulting in a range of health complications, morbidity and disability [2].Tremendous efforts to halt the expansion of type 2 diabetes involved: behavior-modification programs, pharmacological interventions and educational interventions.Whereas policy makers viewed these efforts as promising means to affect modifiable determinants of type 2 diabetes
