Internet Technology in Service of Personal Health Care Management: Patient Perspective

Internet technology has become an informational resource for most health care consumers. Online information, discussion, and support groups, in the form of message boards, listservs, and chat rooms are emerging as parts of virtual self-health-care network. This paper examines the extent to which participation in online health discussion groups was reported to be helpful in increasing medical knowledge and in enhancing the participatory patient role of health care consumers in interaction with health care service professionals. Data for this study was collected from 350 patients who participated in Internet discussion groups for cancer patients. The findings of the study indicated the important impact of Internet health discussion groups on health care management practices as perceived by health care consumers, including empowerment through knowledge and proactive participation in cancer care management. This research contributes to understanding the patient perspective and assesses the perceived importance of Internet groups by health care consumers.     

Change is an Ongoing Ethical Event: Levinas,Bakhtin and the Dialogical Dynamics of Becoming

In this article, we use the intersubjective ethics of Bakhtin and Levinas and a case illustration to explore change in therapy as an ethical phenomenon. We follow Lakoff and Johnson in their emphasis on the way our conceptions of change seem permeated by metaphors. Bakhtin and Levinas both suggest through a language in which metaphors play a crucial role, that human existence—the consciousness and the subject—emerge within the dialogue of the encounter. They both describe the dynamics of human existence as ethical in their origin. Following this, we argue that change may be seen as an ongoing ethical event and that the dynamics of change are found in the ways we constantly become in this event. We investigate the ethical dynamics of this ongoing event through three themes illuminating the contributions of both Bakhtin and Levinas: (1) we become as responsible, (2) we become in speaking, (3) we become in answering the unknown. We explore these themes through a case illustration. Finally, we briefly point out some possible implications for mental health practice.     

Attitudes Toward Women in Health Care Organizations: A Turkish Case Study

Abstract

The aim of this article is to examine the health care employees’ attitudes toward women in health care organizations in Turkey. It was measured using a 25-item scale by Spence, Helmreich, and Stapp (1973 Spence, J. T., Helmreich, R., & Stapp, J. (1973). A short version of the Attitudes toward Women Scale (AWS). Bulletin of the Psychonomic Society, 2(4), 219–220. doi:10.3758/BF03329252[Crossref] , [Google Scholar]). The study was conducted on 541 employees: 279 males and 262 females. Structural equation model (SEM) was applied to analyze the relationship between gender, marital status, and income and attitudes toward woman. The result of this analysis showed that the relations between gender, marital status, and income and attitudes toward woman were statistically significant. All three hypotheses were statistically supported. This result indicated that employees’ marital status and (monthly) income significantly predicted their scores of attitudes toward woman in a positive direction. Besides, employees’ gender significantly predicted their scores of attitudes toward woman in an inverse direction. Future research can focus on investigating the effects of the attitudes toward women on other elements (e.g., performance, motivation, job satisfaction) or a wider sample to reach more generalized results.     

Kinship care or upbringing by relatives? The need for ‘new’ understandings in research

This article addresses knowledge production on formal kinship foster care. In spite of growing interest in this phenomenon, little attention has been paid to how kinship care should be understood in research – as a service under child protective services or as upbringing by relatives. Each of these understandings leads to different research questions and creates guidelines for what falls into or outwith the focus of research. In kinship care research, this phenomenon has primarily been studied as a service. Research that seeks to evaluate the effect of kinship care compared to non-kinship care is used as a case to discuss the implications for the type of knowledge that researchers produce. While we acknowledge the importance of this research, we demonstrate the many challenges it involves and why this should not be the primary focus in kinship care research. On the background of these limitations, we argue in favour of approaching kinship care as upbringing by relatives – as ways in which family life can be organised and structured. This can lead to relevant knowledge that will enable us to obtain a better understanding of what kinship care is and involves.     

Privacy encounters in Teledialogue

Privacy is a major concern when new technologies are introduced between public authorities and private citizens. What is meant by privacy, however, is often unclear and contested. Accordingly, this article utilises grounded theory to study privacy empirically in the research and design project Teledialogue aimed at introducing new ways for public case managers and placed children to communicate through IT. The resulting argument is that privacy can be understood as an encounter, that is, as something that arises between implicated actors and entails some degree of friction and negotiation. An argument which is further qualified through the philosophy of Gilles Deleuze. The article opens with a review of privacy literature before continuing to present privacy as an encounter with five different foci: what technologies bring into the encounter; who is related to privacy by implication; what is entailed by the spaces of Teledialogue; how privacy relates to projected futures; and how privacy is also an encounter between authority and care. In the end, it is discussed how privacy conceptualised as an encounter is not already there surrounding people or places but rather has to be traced in the specific and situated relations between implicated actors, giving rise to different normative concerns in each case.     

Subset selection of superior populations when the number of populations is large

The situation where k populations are partitioned into one inferior group and one superior group is considered. The statistical problem is to select a random size subset of superior populations while trying to avoid including any inferior populations. A selection procedure is assumed to satisfy the condition that the probability of selecting at least one superior population is bounded below by P¹<1. The performance of a procedure is measured by the probability of including an inferior population.The asymptotic performance, as k→∞ of Gupta's traditional maximum type procedure ψ^G is considered in the location-model. For normally distributed populations, ψ^G turns out to be asymptotically optimal, provided the size of the inferior group does not become infinitely larger than the size of the superior group.     

Culture: A key to management communication between the Asian-Pacific area and Europe

Western culture, and therefore Western management methods and thinking, has devalued other cultures, and it has been assumed that the high culture of dominant nations has taken over. But this is not so; cultures of everyday life are complex and not easily destroyed. They are also systems in motion, that can adapt easily.Tzöl Zae Chung explains the striking differences between Asian and European thinking and ways of managing and doing business. Misunderstandings can occur if two cultures meet without adequate prior preparation. But increasingly, Japanese management methods are revitalizing Asian values and attracting attention. The cultural factor in globalization — especially in the ‘triad’ of trade between the US, the Asian-Pacific region and Europe is becoming critically important.     

Does emotional intelligence as ability predict transformational leadership? A multilevel approach

This study assesses to what extent emotional intelligence as ability (EI) can predict transformational leadership. Norwegian executives (N = 104) completed measures of personality (NEO PI-R) and EI (MSCEIT), and were rated on transformational leadership (MLQ 5X) by subordinates (N = 459). This study improves upon previous studies in three ways: First, because the validity and reliability of the scores from MSCEIT has been questioned, an alternative set of scales from MSCEIT were included, which provide reliable and interpretable scores (Føllesdal & Hagtvet, 2009). Second, in addition to personality, general mental ability (GMA) was controlled for by utilizing Monte Carlo studies. Third, a multilevel approach was used to analyze the scores, due to their hierarchical structure. Neither the four branch scores, nor the Total EI score from MSCEIT predicted transformational leadership. A suppression effect was found, however, among two subscales from Perceiving Emotions. The validity of scores from MSCEIT is questioned.