The Brain Drain : Myth and Reality - What it is and What Should be Done (Working Paper 13)

The brain drain debate has been marked by a considerable amount of confusion and frustration, largely because there has been relatively little hard data available, and that which exists has often been twisted into very different forms by those with competing policy agendas. The first goal of this paper is to pull together and summarize the available evidence regarding the size and nature of the outflows, thus establishing an empirical basis from which the issue can be addressed. The second goal is to address some of the major related policy issues. This begins with some general brain drain policy principles. The personal income tax cuts solution is then addressed with simulations of the effects on government revenues and the associated costs “per brain”, thus putting such discussions on a much firmer empirical footing. A number of alternative proposals are then suggested for various problem groups of brain drain workers.

Effect of reading sport chronicles on the perception of justice and the predisposition to protest actions in soccer

In this study three chronicles from national newspapers (one generalist and two sport press) were analyzed. The chronicles belong to Spain’s soccer final of the King’s Cup in 2014. The aim of the study was to know if there was any influence on the readers’ perception of justice and consequently if this influence could cause a particular predisposition to participate in acts of protest. 462 university students participated. The results showed that different chronicles caused differences in the perception of justice depending on the chronicle read. However, a clear influence on the willingness to participate in acts of protest was not obtained. These results should make us think about the impact of sport press and its influence, and to be aware of the indirect responsibility of every sector on the antisocial behaviors generated by soccer in our country.

De la moral del sacrificio a la conciencia de la precariedad. Un análisis cualitativo de los discursos sobre la evolución de la crisis en España

La larga crisis económica que padece España está teniendo importantes consecuencias sociales. La más comentada por académicos, mass media y parte del arco político es la fractura social que se está abriendo en el país, ante el aumento de las desigualdades económicas que generan el enorme desempleo y las duras políticas de ajuste del gasto público. Sin embargo, más allá de cuestiones económicas la crisis está haciendo mella de forma muy profunda en el imaginario social del país en relación a las razones y consecuencias de la crisis, tanto a corto como a largo plazo. El objetivo de este artículo es el realizar una valoración de esas percepciones sociales de la ciudadanía en relación con la crisis, centrándonos en un aspecto como es el de la relación de la población española con el consumo de bienes y servicios públicos, en un escenario de hegemonía de la austeridad como única receta anti-crisis. Para ello, realizaremos un análisis de los discursos recogidos en una investigación cualitativa realizada en el año 2014 mediante grupos de discusión. Los resultados muestran un pesimismo enorme de la población en relación al futuro del Estado del Bienestar y de la propia clase media española, junto a una frustración que puede anunciar futuros ciclos de movilización social.

Moral Emotions in Palliative Care: Empirical Insights from Austria and Canada

Research aims: Moral emotions as one specific group of emotions play a vital role in delivering palliative care as e.g. ethical issues and moral distress belong to daily routine.
Moral emotions are oriented to the welfare of other persons or the society as a whole. To better understand moral emotions in Palliative Care the aims of the presented study are to ana- lyze care situations from Austria and Canada in different care settings and identify families of moral emotions on one hand and describe influencing contextual factors on the other hand. Methods: Within a qualitative study design a reanalysis of Austrian narratives on ethical issues and Canadian narra- tives on moral distress were conducted. Data in Austria encompass 36 narratives that were generated through qual- itative questionnaires in nursing homes. Canadian data are based on qualitative interviews with home care palliative specialists and encompass 47 critical incidents. The reanal- ysis of data was conducted with narrative analysis. Results: Preliminary results show that moral emotions in palliative care can be found in families around “empathy and relatedness”, “sadness, isolation and bereavement”, “anger, frustration and powerlessness”, “guilt and shame” and “being touched and feel close”. Contextual factors influencing moral emotions can be summarized as “suffer- ing and decline of client”, “expectations and dynamics of family”, “structural conflicts and power issues” and “lack of resources and information”.
Conclusion: The diversity of moral emotions reflects the everyday experiences in palliative care. It became obvious that most of the moral emotions that have been expressed appear to be interconnected within a bundle of other emo- tions. Contextual factors influencing moral emotions in pal- liative care are relatively independent of care settings. In Palliative Care moral emotions and their contextual factors constitute an important source of insight for reflection in organizational ethics.

GPs’ and community pharmacists’ opinions on medication management at transitions of care in Ireland

Objective. The aim of this study was to survey GPs and community pharmacists (CPs) in Ireland regarding current practices of medication management, specifically medication reconciliation, communication between health care providers and medication errors as patients transition in care.
Methods. A national cross-sectional survey was distributed electronically to 2364 GPs, 311 GP Registrars and 2382 CPs. Multivariable associations comparing GPs to CPs were generated and content analysis of free text responses was undertaken.
Results. There was an overall response rate of 17.7% (897 respondents—554 GPs/Registrars and 343 CPs). More than 90% of GPs and CPs were positive about the effects of medication reconciliation on medication safety and adherence. Sixty per cent of GPs reported having no formal system of medication reconciliation. Communication between GPs and CPs was identified as good/very good by >90% of GPs and CPs. The majority (>80%) of both groups could clearly recall prescribing errors, following a transition of care, they had witnessed in the previous 6 months. Free text content analysis corroborated the positive relationship between GPs and CPs, a frustration with secondary care communication, with many examples given of prescribing errors.
Conclusions. While there is enthusiasm for the benefits of medication reconciliation there are limited formal structures in primary care to support it. Challenges in relation to systems that support inter-professional communication and reduce medication errors are features of the primary/secondary care transition. There is a need for an improved medication management system. Future research should focus on the identified barriers in implementing medication reconciliation and systems that can improve it.

The Emerging Church Movement: A Sociological Assessment

With so many voices, groups, and organizations participating in the Emerging Church Movement (ECM), few are willing to “define” it, though authors have offered various definitions. Emerging Christians themselves do not offer systematic or coherent definitions, which contributes to frustration in isolating it as a coherent group – especially for sociologists who strive to define and categorize. In presenting our understanding of this movement, we categorize Emerging Christianity as an orientation rather than an identity, and focus on the diverse practices within what we describe as “pluralist congregations” (often called “gatherings,” “collectives” or “communities” by Emerging Christians themselves). This leads us to define the ECM as a creative, entrepreneurial religious movement that strives to achieve social legitimacy and spiritual vitality by actively disassociating from its roots in conservative, evangelical Christianity. Our findings are extensively developed in The Deconstructed Church: Understanding Emerging Christianity (Marti and Ganiel 2014).

New pairing scheme to overhaul BCS theory

In a superconductor pair occupancy probabilities are doubly defined with conflicting values when normal and umklapp scattering coexist with the same destination momentum. To resolve this issue a new pairing scheme is introduced to assert normal–umklapp frustration under such circumstances. Superconductivity then arises solely from residual umklapp scattering to destination momenta not reached by normal scattering. Consequent Tc calculations from first principles for niobium, tantalum, lead and aluminum turn out to be accurate within a few percent. A new perspective is revealed to support Matthias׳ rule. New light is also shed relevant to the future study of metallic hydrogen.

Faktorer som bidrar till ett stabilare mående hos patienter med emotionellt instabil personlighetsstörning i heldygnsvård : en kvalitativ intervjustudie ur ett patientperspektiv

Bakgrund: Patienter med emotionell instabil personlighetsstörning upplevs som en svårbehandlad patientgrupp inom heldygnsvården. Omvårdnadspersonalens kunskap kring bemötande och behandling av denna patientgrupp är varierande vilket gör att vården ser olika ut. Detta kan resultera i ett ökat lidande hos patienten och frustration i personalgruppen. Syfte: Studiens syfte var att beskriva faktorer som bidrar till stabilare mående hos patienter med emotionellt instabilt personlighetsstörning under heldygnsvård. Metod: Som metod har använts en kvalitativ design med induktiv ansats. Studien baserades på sex intervjuer där informanterna var patienter med diagnosen emotionellt instabil personlighetsstörning. Intervjuerna analyserades med hjälp av kvalitativ innehållsanalys. Resultat: Resultatet visade att bemötandet och engagemang hos personal var av stor vikt. Struktur och delaktighet var andra viktiga faktorer för att nå ett stabilare mående. Det framkom att heldygnsvården kunde bidra med ett avbrott i vardagen och att meningsfulla aktiviteter under vårdtiden var en annan viktig faktor. Slutsats: Patienterna upplevde att bli bemött som en individ av engagerad personal och att få vara delaktig i sin vård som två viktiga faktorer i processen mot ett stabilare mående. Heldygnsvårdens struktur och miljöombytet stod för återhämtning och en möjlighet att återfå rutiner. Det framkom även en önskan om fler meningsfulla aktiviteter såsom fysisk aktivitet och psykoedukation för att på bästa sätt ta tillvara på vårdtiden.

Stress e Emergência Médica: níveis e factores de stress em profissionais de emergência pré–hospitalar

O stress é a doença da actualidade, devido à exigência e à pressão emocional que o meio pode exercer sobre todas as pessoas, quer no seu ambiente pessoal quer no ambiente profissional. O termo stress serve cada vez mais como justificação ou forma de expressão de irritações, mal-estar físico e mental, cansaço, ansiedade e depressões. Todavia torna-se pertinente percebermos a evolução do stress enquanto conceito e enquanto doença. Neste trabalho contextualizamos o stress no âmbito da Emergência Pré – Hospitalar, explorando-o, avaliando-o e analisando-o, de modo a podermos perceber os níveis de stress e de que forma os Profissionais de Emergência a ele estão sujeitos. Considerando a base teórica deste estudo definimos, como objectivo geral do trabalho, a avaliação de níveis e factores de stress percepcionados pelos profissionais de emergência médica e como objectivos específicos do estudo a descrever e caracterizar, a nível da região centro, os indivíduos que desempenham funções na emergência préhospitalar, verificar a percepção dos mesmos no que respeita ao stress na sua vida profissional, conhecer como percepcionam os níveis de stress em situações profissionais de emergência e identificar a sua percepção no que concerne aos níveis de stress diário no seu quotidiano. Com estes objectivos, utilizamos uma amostra de 184 profissionais de Emergência Médica divididos por quatro profissões [Médicos, Enfermeiros, Técnicos de Ambulância de Emergência (TAE) e Operadores de Central de Emergência Médica(OPCEM)], com idades compreendidas entre os 20 e os 56 anos. Realizámos ainda um estudo descritivo explorando os questionários de stress no INEM (Instituto Nacional de Emergência Médica) e o Questionário de Vulnerabilidade do Stress com variáveis do estudo demográfico. Podemos concluir que o stress está presente nas actividades de emergência. A sua presença relaciona-se, por um lado, com uma maior ou menor discriminação dos factores stressantes e, por outro, numa maior ou menor centração no sujeito, nomeadamente, um maior perfeccionismo e intolerância à frustração que se apresentam como distressantes para a actividade profissional de emergência. Os aspectos estudados permitem-nos clarificar o sentido e a utilidade do conceito, a sua operacionalidade e a sua importância nos profissionais de emergência. / Stress is the disease of our time, due to the requirement and emotional pressure that the media can have on all people, both in their personal environment and in the professional environment. The word stress increasingly serves as a justification or form of expression of irritation, physical discomfort and mental fatigue, anxiety and depression. However it is pertinent to realize the evolution of stress as a concept and as a disease. In this work, we contextualize under the stress of the Pre - Hospital Emergency, exploring it, assessing it and analyzing it, so you can see the stress levels and how the Emergency Professionals are subject to it. Whereas the theoretical basis of this study as a strategic objective of the work, the assessment of levels and stress factors perceived by medical emergency professionals and specific objectives of the study description and characterization, the level of the center, individuals who perform functions in pre-hospital emergency, check their perception with regard to the stress in your life, know how they experience the stress levels of professionals in emergency situations and identify the perceptions of individuals regarding the levels of daily stress in their daily lives. For this we used a sample of 184 professionals of Medical Emergency divided by four professions [(Doctors, Nurses, Technicians Ambulance Emergency (TAE), Operators of Emergency Medical Center (OPCEM)], aged 20 to 56 years. We conducted a descriptive study also exploring the questionnaires of stress in INEM(National Institute of Medical Emergency) and Vulnerability Questionnaire Stress with variables of the study population. We can conclude that stress is present in emergency activities. Its presence is related to, first, with more or less stressful factors of discrimination and, secondly, a greater or lesser concentration on the subject, in particular, greater perfectionism and intolerance to frustration that stand as unstressed for the activity of emergency professionals. The areas studied will clarify the meaning and usefulness of the concept, its operation and its importance in day-to-day occupation of emergency.

Contribuição do Estágio Curricular para a Formação Académica e Profissional dos Estagiários: estudo de caso numa instituição de ensino superior

O estágio curricular, quando bem fundamentado, estruturado e orientado, configura-se como um importante componente do processo de formação académica e profissional, no qual o aluno se prepara para a inserção no mercado de trabalho mediante a participação em situações reais de trabalho podendo o aluno pode exercer de forma inicial a sua profissão e as funções inerentes à mesma. A presente dissertação parte de uma investigação qualitativa, realizada a dezasseis alunos da licenciatura de Marketing de uma instituição de ensino portuguesa em particular, bem como aos restantes intervenientes do processo de estágios (coordenador de estágios da instituição e gerentes de uma empresa acolhedora), tendo como objectivos analisar a importância do estágio curricular para o desenvolvimento profissional e académico dos estagiários; verificar se o estágio possibilita a aplicação prática dos conhecimentos adquiridos no curso; e entender quais são as contribuições que o estágio oferece à vida académica e profissional dos estudantes. A pesquisa exploratória realizada envolveu, inicialmente, um levantamento biográfico, apresentado por meio de uma revisão da literatura, e um estudo de caso, onde o instrumento utilizado para a recolha de dados foi a entrevista semi-estruturada. Os resultados apontam que, de uma maneira geral, os estágios contribuem para o desenvolvimento académico e profissional dos estudantes, na medida em que funcionam como uma útil ferramenta de preparação prática do estudante onde o mesmo pode aplicar os conhecimentos teóricos numa esfera prática e assim experimentar pela primeira vez a sua futura profissão. Contudo, verificou-se que o estágio, ao contrário das expetativas dos estagiários, não se traduziu em emprego efectivo na empresa acolhedora e não funcionou como uma ferramenta de inserção profissional evidenciando o facto de que o estágio curricular está, por vezes, a ser usado pelas empresas como forma de flexibilização do trabalho e contratação de mão-de-obra qualificada a baixo custo. Verificou-se ainda que existem muitas lacunas no processo de estágio, nomeadamente, ao nível do acompanhamento e supervisão prestado aos estagiários, tanto pela instituição de ensino como pela empresa acolhedora, o que empobrece a experiência vivenciada pelos alunos e diminui a sua satisfação. Espera-se que esta pesquisa possa contribuir para algumas reflexões ou futuras pesquisas que demonstrem qual a perceção destes factos nas demais instituições e, assim, refletir sobre a realidade do ensino superior português e dos estágios curriculares como um todo. / When well organized, structured and supervised the traineeship becomes one of the major components in the professional and academia training. In the traineeship, the student is trained for his first contact with the real work world by facing and dealing with real work situations in a certain company, being able to apply his former knowledge and performing the required work tasks. The present Master’s thesis resulting from an executed qualitative analysis by interviewing sixteen students with the 1st Degree in Marketing, at a certain portuguese teaching institution, as well as those involved in the whole process taking place during the traineeship of a student such as the host academia coordinator and those from the working institution (companies) where the traineeship takes place. The enquiry mainly consisted in the role and importance of the traineeship in the final academia and starting professional life of the students. This exploratory research was firstly based in a carefully elaborated state-of-the-art (literature review) as well as in a case-study in which data was collected using a semi-structured oral interview. Generally, the results appear to point out that the traineeship is very important and effectively contributes to the final academia and starting professional improvement of the students since the traineeship is a most useful tool in the practical training and effective application of the students knowledge in order to face and cope with their first job. Nevertheless, it was also verified that, against the expectations of the students, the traineeship carried out at a certain company did not result in their first effective job experience at the same place, i.e., the traineeship did not become their way of getting their first job at the same company where the traineeship was carried out. The students also revealed, at that time, their frustration since they were hoping that the traineeship would be an effective tool for them acquire professional placing to get their first job in the same place where it was carried out, sometimes accusing the companies of using it as low-cost unqualified hand labour. Finally, a few gaps in the whole process of the traineeship were also identified namely the lack of proper advisement and/or supervision of the students by the host institution itself as well as by the companies where the traineeship takes place. Therefore, this gap is the basis for the traineeship becoming a very poor experience and resulting in the students low degree of satisfaction. Hopefully, this thesis will contribute for further reflections and/or future researches demonstrating the reality of the Portuguese Academia Institutions and the aims of their traineeship.

Att möta patienter med psykisk ohälsa : Sjuksköterskans attityder och erfarenheter av att vårda patienter med psykisk ohälsa inom den somatiska vården

Bakgrund: Psykisk ohälsa ökar i hela världen, även i Sverige, främst hos den unga, kvinnliga befolkningen. Psykiska problem är ofta kopplade till somatisk ohälsa. Kvaliteten på den somatiska vården blir ofta sämre, mycket på grund av att många sjuksköterskor inte har tillräckligt med kunskap och erfarenhet inom psykiatriska omvårdnaden. Syfte: Föreliggande arbete avser att undersöka sjuksköterskors attityder och erfarenheter av patienter med psykisk ohälsa inom den somatiska vården. Metod: Litteraturöversikt av vetenskapliga artiklar. Litteratursökning i databaser med hjälp av lämpliga sökord. Artiklarnas kvalitet granskas sedan med hjälp av granskningsmallar. Resultat: Sammanlagt granskades 15 artiklar, varav 8 kvalitativa och 7 kvantitativa. Undersökningen visar att sjuksköterskor ofta har negativa erfarenheter av att vårda patienter med psykisk ohälsa. En förklaring kan vara bristande kunskap och färdigheter, vilket leder till rädsla, frustration och stress i mötet med dessa patienter. Även miljön nämns som som en stress- och orsaksfaktor till detta. Dessa faktorer leder till att sjuksköterskor till övervägande del har negativa attityder mot denna patientgrupp. Slutsats: Slutsatsen av undersökningen visar att de identifierade bristerna när det gäller kunskap och färdigheter bland annat leder till otrygghet vid vård av patienter med psykisk ohälsa inom den somatiska vården. Förbättring av detta tillstånd kan uppnås genom att höja sjuksköterskors kompetens, t.ex. genom att lägga större vikt på den psykiatriska omvårdnaden inom den praktiska utbildningen.

Climbing Up the Leaderboard: An Empirical Study of Applying Gamification Techniques to a Computer Programming Class

Conventional taught learning practices often experience difficulties in keeping students motivated and engaged. Video games, however, are very successful at sustaining high levels of motivation and engagement through a set of tasks for hours without apparent loss of focus. In addition, gamers solve complex problems within a gaming environment without feeling fatigue or frustration, as they would typically do with a comparable learning task. Based on this notion, the academic community is keen on exploring methods that can deliver deep learner engagement and has shown increased interest in adopting gamification – the integration of gaming elements, mechanics, and frameworks into non-game situations and scenarios – as a means to increase student engagement and improve information retention. Its effectiveness when applied to education has been debatable though, as attempts have generally been restricted to one-dimensional approaches such as transposing a trivial reward system onto existing teaching materials and/or assessments. Nevertheless, a gamified, multi-dimensional, problem-based learning approach can yield improved results even when applied to a very complex and traditionally dry task like the teaching of computer programming, as shown in this paper. The presented quasi-experimental study used a combination of instructor feedback, real time sequence of scored quizzes, and live coding to deliver a fully interactive learning experience. More specifically, the “Kahoot!” Classroom Response System (CRS), the classroom version of the TV game show “Who Wants To Be A Millionaire?”, and Codecademy’s interactive platform formed the basis for a learning model which was applied to an entry-level Python programming course. Students were thus allowed to experience multiple interlocking methods similar to those commonly found in a top quality game experience. To assess gamification’s impact on learning, empirical data from the gamified group were compared to those from a control group who was taught through a traditional learning approach, similar to the one which had been used during previous cohorts. Despite this being a relatively small-scale study, the results and findings for a number of key metrics, including attendance, downloading of course material, and final grades, were encouraging and proved that the gamified approach was motivating and enriching for both students and instructors.

Exploring the Impact of a Difficult Breastfeeding Experience on Maternal Identity: A Narrative Analysis

Introduction: Due to the implied health benefits for mother and baby, breastfeeding has become a key public health issue. Literature reviewed highlighted the ‘medical’ and ‘natural’ mother discourse which surrounds motherhood and impacts on women’s decisions to breastfeed. Whilst the emotional and physical strains of a difficult experience have been explored, it is unclear how these experiences impact on women’s identities as mothers and in what ways women are able to narrate and share their embodied experiences. Methods: Seven first time mothers who described themselves as having had a difficult breastfeeding experience were interviewed to gather data pertaining to how mothers construct narratives of breastfeeding and the impact of these narratives on their identity as mothers. An interest in both socio-political discourse and embodiment theory derived from the literature review led to the use of visual methods in eliciting narratives and the employment of a critical narrative analysis in exploring the data gathered. Findings: The participants’ narratives drew from ‘medical’ and ‘natural’ mother discourses and were found to constrain subjective experience and leave participants with feelings of guilt, frustration and loss. A prevailing assumption that unruly, excessive bodies must be controlled by a rational ‘mind’ led to the body becoming a site for control and resistance for participants as they attempted to conform to norms of motherhood and breastfeeding. Discussion: Results identified the ways in which women as mothers can see their subjective experiences diminished and their voices silenced due to a lack of available discourse and entrenched ideologies surrounding the ‘good’ mother. It is suggested that adopting a social justice agenda within therapeutic practice might prevent the internalisation of oppressive discourse which can lead to mothers’ psychological distress. Moreover, it is suggested that exploring the body in therapy might resist a mind/body dualism and lead to increasingly compassionate and accepting relationships with our bodies; in turn increasing awareness of subjective experience.

Development of Effortful Control as a Moderator of the Longitudinal Relations of Negative Reactivity and Symptoms in Preschool

Thesis (Ph.D.)--University of Washington, 2016-08

Upplevelsen av kommunikation när en person diagnosticerats med afasi ur ett närståendeperspektiv : En litteraturstudie

Introduktion: Var sjätte person världen över drabbas av stroke någon gång under sin livstid. Av alla strokepatienter drabbas cirka 38% av någon form av språkdefekt, så kallad afasi. När en person får afasi drabbas även närstående såsom partners, barn, syskon, föräldrar och nära vänner. Syfte: Syftet med litteraturstudien var att belysa närståendes upplevelse av kommunikation när en person diagnosticerats med afasi till följd av stroke. Metod: Metoden som användes var en litteraturstudie. 10 vetenskapliga artiklar hämtades ur databaserna CINAHL och PubMed, som efter kvalitetsgranskning utgjorde grunden för resultatet i litteraturstudien. Resultat: I resultatet framkom ett huvudtema: Begränsningar, och tre underteman: Frustration, Skyddande beteende och Anpassning av kommunikation. Närstående upplevde att kommunikationen begränsats sedan afasidiagnosen; något som manifesterades genom att närstående upplevde frustration, att de föll in i ett skyddande beteende samt en anpassning av kommunikationen. Slutsats: Kommunikationen, och bristen av densamma, har fått konsekvenser på sättet närstående anpassar sin vardag till personen med afasi. Därför är det av största relevans att sjuksköterskan genom forskning på området, kan ge närstående de nycklar som krävs för att underlätta vardagen med en person med afasi.