5,154 research outputs found

    From Aspiration to Actuality under Xi Jinping: Reinterpreting the Outcome-driven Debate towards the Role of Historical Materialism in China’s Rise, 1949–2021

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    DOES THE REVOLUTIONARY IDEOLOGY of socialist rising powers influence their rise to power? If so, how, when, and why? The literature on rising powers works on a set of historical assumptions which, when applied to China’s rise, predict an inevitable rise to power. In this literature, a new world order is imagined with China as a new kind of leading great power. For some, this development represents the correction of imperial China’s historical position in the world. This thesis disagrees with this outcome-based analytical approach to China’s rise. It instead posits another argument: in understanding the dynamics of a socialist rising power, the role of ideology matters more than the rising power literature suggests. In the Chinese context, this means bringing the Communist Party of China back into the story of its rise. This Party- state builds on a genuine belief in historical materialism and a teleology of success which it, presumably, represents. Treating the Xi Jinping era (2012 to the present) as a pivotal moment, this thesis understands the Chinese Dream of Great Rejuvenation as promethean. While it fits within the Chinese tradition of organising China in its own image, as a political actor it is entirely new. China’s rise, then, becomes much more than simply ensuring the Party’s self- perpetuation of its political rule. It is a grand historical narrative which may only be understood, and problema

    Effects of municipal smoke-free ordinances on secondhand smoke exposure in the Republic of Korea

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    ObjectiveTo reduce premature deaths due to secondhand smoke (SHS) exposure among non-smokers, the Republic of Korea (ROK) adopted changes to the National Health Promotion Act, which allowed local governments to enact municipal ordinances to strengthen their authority to designate smoke-free areas and levy penalty fines. In this study, we examined national trends in SHS exposure after the introduction of these municipal ordinances at the city level in 2010.MethodsWe used interrupted time series analysis to assess whether the trends of SHS exposure in the workplace and at home, and the primary cigarette smoking rate changed following the policy adjustment in the national legislation in ROK. Population-standardized data for selected variables were retrieved from a nationally representative survey dataset and used to study the policy action’s effectiveness.ResultsFollowing the change in the legislation, SHS exposure in the workplace reversed course from an increasing (18% per year) trend prior to the introduction of these smoke-free ordinances to a decreasing (−10% per year) trend after adoption and enforcement of these laws (β2 = 0.18, p-value = 0.07; β3 = −0.10, p-value = 0.02). SHS exposure at home (β2 = 0.10, p-value = 0.09; β3 = −0.03, p-value = 0.14) and the primary cigarette smoking rate (β2 = 0.03, p-value = 0.10; β3 = 0.008, p-value = 0.15) showed no significant changes in the sampled period. Although analyses stratified by sex showed that the allowance of municipal ordinances resulted in reduced SHS exposure in the workplace for both males and females, they did not affect the primary cigarette smoking rate as much, especially among females.ConclusionStrengthening the role of local governments by giving them the authority to enact and enforce penalties on SHS exposure violation helped ROK to reduce SHS exposure in the workplace. However, smoking behaviors and related activities seemed to shift to less restrictive areas such as on the streets and in apartment hallways, negating some of the effects due to these ordinances. Future studies should investigate how smoke-free policies beyond public places can further reduce the SHS exposure in ROK

    2023-2024 Catalog

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    The 2023-2024 Governors State University Undergraduate and Graduate Catalog is a comprehensive listing of current information regarding:Degree RequirementsCourse OfferingsUndergraduate and Graduate Rules and Regulation

    Exploring the Relationship between Nurse Supervisor’s Servant Leadership Behavior and Nursing Employee’s Self-Assessment of Engagement and Burnout in Nigeria

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    Burnout is a problem among workers in Nigeria, especially among nurses (Ozumba, & Alabere, 2019). This study examined whether there was a significant relationship between the employee perception of the servant leadership behaviors of the nurse supervisor and the employee’s self-rating of burnout: exhaustion and disengagement, and servant leadership behaviors of the nurse supervisor, and engagement: vigor, dedication, and absorption. Exhaustion refers to an intensive physical, affective, and cognitive strain while disengagement refers to the distancing of oneself from one’s work, and experiencing negative attitudes toward the work object, work content, or one’s work in general (Demerouti et al., 2001). Vigor is characterized by high levels of energy and mental resilience while working, the willingness to invest effort in one’s work, and persistence even in the face of difficulties. Dedication refers to being strongly involved in one\u27s work and experiencing a sense of significance, enthusiasm, inspiration, pride, and challenge. Absorption is characterized by being fully concentrated and happily engrossed in one’s work, whereby time passes quickly, and one has difficulties with detaching oneself from work (Schaufeli & Bakker, 2003). The study also examined if employees at an institution that explicitly endorses the principles of servant leadership behaviors of the supervisor would score higher in vigor, dedication, and absorption and score lower on exhaustion and disengagement. The study took place at three university teaching hospitals in Nigeria: Lagos University Teaching Hospital (172 participants), University of Nigeria Teaching Hospital Enugu (172 participants), and University of Port-Harcourt Teaching Hospital (154 participants). There were 498 participants in the study. Most of the study participants were female (463, 93.0%), while the rest were male (35, 7.0%). This reflected the national average concerning gender of the nursing population in Nigeria. The study utilized already validated psychometric instruments: Linden’s Servant Leadership Scale 7, to measure the servant leadership behaviors of the supervisor. The Utrecht Work Engagement Scale was used to measure employee work engagement, and the Oldenburg Burnout Inventory was used to measure the burnout of the employees. This study found a small significant negative correlation between the employee perception of the servant leadership scale and employee burnout: exhaustion and disengagement. It also found a small positive significant relationship between employee perception of the servant leadership behaviors of the supervisor and employee engagement: vigor, dedication, and absorption among the study participants. However, more servant leadership behaviors did not result in less burnout or more work engagement

    Improving patient safety by learning from near misses – insights from safety-critical industries

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    Background Patients are at risk of being harmed by the very processes meant to help them. To improve patient safety, healthcare organisations attempt to identify the factors that contribute to incidents and take action to optimise conditions to minimise repeats. However, improvements in patient safety have not matched those observed in other safety-critical industries. One difference between healthcare and other safety-critical industries may be how they learn from near misses when seeking to make safety improvements. Near misses are incidents that almost happened, but for an interruption in the sequence of events. Management of near misses includes their identification, reporting and investigation, and the learning that results. Safety theory suggests that acting on near misses will lead to actions to help prevent incidents. However, evidence also suggests that healthcare has yet to embrace the learning potential that patient safety near misses offer. The aims of this research, in support of this thesis, were to explore how best healthcare can learn from patient safety near misses to improve patient safety, and to identify what guidance non-healthcare safety-critical industries, which have implemented effective near-miss management systems, can offer healthcare. As this research progressed the aims were updated to include consideration of whether healthcare should seek to learn from patient safety near misses. Methods This research took a mixed-methods approach augmented by scoping reviews of the healthcare (study 1) and non-healthcare safety-critical industry (study 3) literature. A qualitative case study (study 2) was undertaken to explore the management of patient safety near misses in the English National Health Service. Seventeen interviews were undertaken with patient safety leads across acute hospitals, ambulance trusts, mental health trusts, primary care, and national bodies. A questionnaire was also used to help access the views of frontline staff. A grounded theory (study 4) was used to develop a set of principles, based on learning from non-healthcare safety-critical industries, around how best near misses can be managed. Thirty-five interviews were undertaken across aviation, maritime, and rail, with nuclear later added as per the theoretical sampling. Results The scoping reviews contributed 125 healthcare and 108 non-healthcare safety-critical industry academic articles, published internationally between 2000 and 2022, to the evidence gained from the qualitative case study and grounded theory. Safety cultures and maturity with safety management processes were found to vary in and across the different industries, and there was a reluctance for healthcare to learn about safety and near misses from other industries. Healthcare has yet to establish effective processes to manage patient safety near misses. There is an absence of evidence that learning has led to improvements in patient safety. The definition of a patient safety near miss varies, and organisations focus their efforts on reporting and investigating incidents, with limited attention to patient safety near misses. In non-healthcare safety-critical industries, near-miss management is more established, but process maturity varies in and across industries. Near misses are often defined specifically for an industry, but there is limited evidence that learning from them has improved safety. Information about near misses are commonly aggregated and may contribute to company and industry safety management systems. Exploration of the definition of a patient safety near miss led to the identification of the features of a near miss. The features have not been previously defined in the manner presented in this thesis. A patient safety near miss is context-specific and complex, involves interruptions, highlights system vulnerabilities, and is delineated from an incident by whether events reach a patient. Across healthcare and non-healthcare safety-critical industries the impact of learning from near misses is often assumed or extrapolated based on the common cause hypothesis. The hypothesis is regularly cited in safety literature and is used as the basis for justifying a focus on patient safety near misses. However, the validity of the hypothesis has been questioned and has not been validated for different patient safety near miss and incident types. Conclusions The research findings challenge long-held beliefs that learning from patient safety near misses will lead to improvements in patient safety. These beliefs are based on traditional safety theory that is unlikely to now be valid in the complexity of modern-day systems where incidents are the result of multiple factors and can emerge without apparent warning. Further research is required to understand the relationship between learning from patient safety near misses and patient safety, and whether the common cause hypothesis is valid for different types of healthcare safety event. While there are questions about the value of learning directly from patient safety near misses, the contribution of near misses to safety management systems in non-healthcare safety-critical industries looks to be beneficial for safety improvement. Safety management systems have yet to be implemented in the National Health Service and future research should look to understand how best this may be achieved and their value. In the meantime, patient safety near misses may help healthcare’s understanding of systems and their optimisation to create barriers to incidents and build resilience. This research offers an evidence-based definition of a patient safety near miss and describes principles to support identification, reporting, prioritisation, investigation, aggregation, learning, and action to help improve patient safety

    Doctors at Work: Essays on Medical Careers, Family, and Private Practice

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    Australia has an excellent health system underpinned by a highly trained health workforce. As a critical building block of the health workforce, medical doctors profoundly influence the quality, accessibility, effectiveness and sustainability of the national health system. Australia’s healthcare system is a mix of public and private practice, with private medical practice playing a larger role. Doctors working in private medical practice represent about 80% of medical specialists and most general practitioners (GPs) (Scott et al. 2020). Over the past decade, private healthcare facilities and non-GP specialists in private practice groups have grown rapidly in Australia, which has tended to ‘crowd out’ healthcare provision in the public sector (Brekke & Sørgard 2007). In the wider context of falling private health insurance membership between 2015 and 2020 and reduced growth in the utilisation of personal medical care since the COVID-19 pandemic, the expansion of private practice is likely to put pressure on the public healthcare sector (Hall 2013, Van Doorslaer et al. 2008). Therefore, a good understanding of the distribution of the medical workforce and factors that influence doctors’ choices of public or private practice is important to enhancing the efficiency of healthcare delivery in the national healthcare system. Another issue is that the gender composition of the Australian medical workforce has changed significantly in recent decades, with women constituting an increasing share of medical graduates and the labour force. Despite more women in medicine, however, gender inequality in earnings remains stubbornly persistent. Lower working hours among female doctors are believed to be the main contributor to the remaining gender earnings gap (Ly et al. 2016, Frank et al. 2019). The onset of parenthood can worsen the earnings gap if children and family responsibilities affect the working hours of male and female doctors differently. Among female professions, not limited to medicine, balancing work and life is a challenge, as females remain primarily responsible for childbearing and domestic duties. Therefore, studying how children and family responsibilities impact working hours and earnings is essential to understand the barriers female doctors face in their medical careers.Thesis (Ph.D.) -- University of Adelaide, School of Economics and Public Policy, 202

    Making Connections: A Handbook for Effective Formal Mentoring Programs in Academia

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    This book, Making Connections: A Handbook for Effective Formal Mentoring Programs in Academia, makes a unique and needed contribution to the mentoring field as it focuses solely on mentoring in academia. This handbook is a collaborative institutional effort between Utah State University’s (USU) Empowering Teaching Open Access Book Series and the Mentoring Institute at the University of New Mexico (UNM). This book is available through (a) an e-book through Pressbooks, (b) a downloadable PDF version on USU’s Open Access Book Series website), and (c) a print version available for purchase on the USU Empower Teaching Open Access page, and on Amazon

    Emerging Digital Technologies in Patient Care: Dealing with connected, intelligent medical device vulnerabilities and failures in the healthcare sector

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    The integration of the Internet of Medical Things (IoMT) and Artificial Intelligence (AI) into clinical routines is significantly impacting organisational preparedness at the point of care, raising concerns not only about the resilience of the healthcare infrastructure, but also about how physicians, clinicians, and healthcare professionals respond to, manage, and reduce new risks associated with connected and intelligent medical devices in the interest of patient safety and care. The following report summarises findings from the workshop entitled Emerging Digital Technologies in Patient Care: Dealing with Connected, Intelligent Medical Device Vulnerabilities and Failures in the Healthcare Sector, held on 23 February 2023 at Goodenough College, London. The workshop was organised by members of the Reg-MedTech project, funded by the PETRAS National Centre of Excellence in IoT Systems Cybersecurity (EPSRC grant number EP/S035362/1), in collaboration with project partners at the BSI, the UK’s National Standards Body. Since October 2021, the Reg-MedTech project has investigated the extent to which current regulatory frameworks and standards address the critical cybersecurity, data governance, and algorithmic integrity risks posed by connected and intelligent medical devices. A critical finding from its ongoing research has been the need to develop standards, regulations, and policies that are better informed by the experiences of physicians, clinicians, and healthcare professionals dealing with software-based medical devices or software as a medical device (SaMD) in their day-to-day practice
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