The (Soft) Power of Commitment:The EU and Conflict Resolution in Northern Ireland

This paper examines the potential of international actors to contribute to conflict resolution by analysing the evolving role of the European Union (EU) in embedding Northern Ireland's peace process. Scrutiny of the EU's approach to conflict resolution in Northern Ireland offers useful insights into the scope and potential of soft power for facilitating behavioural change from governmental to grass-roots levels. This paper traces the development of the EU's approach to conflict resolution in Northern Ireland from one concentrated on encouraging state-level agreement, to nurturing peace through multilevel funding, through now to consolidating the peace by facilitating regional-level empowerment. The core argument is that, in sum, the most critical element of the EU's contribution to peace in Northern Ireland has been, quite simply, that of enduring commitment.

An outpatient respiratory rehabilitation program:Findings from a community hospital

Objectives: To determine patient satisfaction with a community hospital's respiratory rehabilitation program and to assess changes in patient physical and emotional function and quality of life. Design: Pre- and post-program measures were made on a variety of physiological and psychosocial factors. A modified version of the Chronic Respiratory Disease Questionnaire was administered before and after the 8-week multidisciplinary and comprehensive respiratory rehabilitation program. The post-program questionnaire also included a number of service delivery and patient satisfaction and quality-of-life questions. Setting: Respiratory Rehabilitation Program at St. Joseph's Hospital, a community hospital in Brantford, Ont., in active partnership with the Brant County Lung Association. Brant County is located in Central West Ontario, and has both urban and rural areas and a population of approximately 125 000 people. Participants: Twenty-nine patients, with a diagnosis of moderate to severe chronic obstructive pulmonary disease (COPD) who were referred to the Fall 1997 and Spring 1998 programs, were enrolled in the study. Outcome measures: Changes in physical and emotional function, health knowledge, skills mastery, quality of life and satisfaction with the program. Results: Twenty-one of 29 patients completed the program. Statistically significant and clinically important improvements were found between all pre- and post-program evaluation scores (distance walked, fatigue, dyspnea, emotional function, skills mastery and health knowledge). Participants were very satisfied with the program and felt it improved their quality of life. Conclusion: The positive outcomes reported rom randomized controlled trials of respiratory rehabilitation programs can be achieved in a community hospital setting.

The Irish High Court Issues its First Order on a Commitment Agreement between the NCA and an Undertaking (Fitflop)

The Irish Competition (Amendment) Act 2012 introduced court-endorsed commitment agreements to Irish competition law. The new section 14B of the principal Competition Act 2002 provides for making commitment agreements between the Irish Competition and undertakings an order of the Irish High Court. This piece, first, investigates the prior Irish practice regarding commitment or settlement agreements and its legal basis. It looks then into the newly introduced rules on court-endorsed commitment agreements. Finally, before concluding, it points to the first instance of their application — to an order issued by the High Court in the FitFlop case in December 2012, which came into effect in February 2013.

72 Potential for airborne bacterial contamination in an outpatient respiratory clinic

The spectrum of paediatric cardiac disease presenting to an outpatient clinic in Malawi

BACKGROUND: As progress is made towards attaining Millennium Development Goal 4, further reductions in paediatric mortality will only be achieved by concentrating on the burden of non-communicable or neglected diseases. The literature relating to paediatric cardiac disease in sub-Saharan Africa is sparse. There are no published descriptions of paediatric cardiac disease from Malawi, making it impossible to estimate the contribution it makes to childhood morbidity and mortality.

FINDINGS: In 2008, a paediatric cardiac clinic with echocardiogram scanning was established in Blantyre, southern Malawi. Between January 2009 and February 2011, the age and cardiac diagnosis of every child with an abnormal echocardiogram was recorded in a database. Of 250 children, 139 (55.6%) had congenital heart disease, and 111 (44.4%) acquired heart disease. Ventricular septal defect (VSD) (24%), Tetralogy of Fallot (10%) and patent ductus arteriousus (7.2%) were the commonest forms of congenital heart disease. Rheumatic heart disease (RHD) (22.4%) and dilated cardiomyopathy (13.6%) were the commonest acquired diseases. The mean age of presentation was 3 years 2 months for VSD and 11 years 6 months for RHD.

CONCLUSIONS: In this cohort of children from one centre in Malawi, acquired heart disease - in particular rheumatic heart disease was almost as common as congenital heart disease. Most presented late. It is likely that untreated cardiac disease causes a large number of childhood deaths in Malawi. In addition to renewing secondary preventative efforts against rheumatic heart disease, adequate and accessible cardiothoracic surgical services should be established at a regional level.

Abordagem neuropsicológica das alterações na atenção e memória no sindroma de Burnout

O sindroma de Burnout, quadro psicofisio-patológico tem sido objecto de investigação intensiva, desde o artigo de Freudenberger (1974) intitulado "Staff Burnout", com dois objectivos: compreendê-lo melhor, através de meios de diagnóstico, e criar técnicas de intervenção terapêutica. Na realidade, desde essa altura, foram efectuados e publicados um número avultado de trabalhos de investigação, nos campos do diagnóstico e caracterização do Burnout, e da sua resolução terapêutica. O pensamento dominante, nessa altura e ainda hoje, é de tendência analítica e/ou psico-social. Este quadro, espoletado por uma sucessão de episódios emocionalmente negativos em contexto ocupacional em indivíduos com provável predisposição genética e sujeitos a situações de pressão laboral, dos mais diversos tipos (podendo ir do “simples” stress por acumulação de tarefas até às situações de mobbing), tem efeitos frequentemente dramáticos ao nível da dinâmica biopsico- social, nos seus mais diversos aspectos. Estes estendem-se, quase sempre, muito para lá das problemáticas laborais, prejudicando, de forma mais ou menos grave, as interacções sociais com particular impacto ao nível da dinâmica familiar. Por outro lado, o Burnout propicia o aparecimento de patologias diversas, já que toda a estrutura psiconeuro-endocrino-imunulógica estará posta em causa, potenciando situações de fragilidade sistémica. No entanto, há aspectos correlacionáveis com este quadro disfuncional que têm sido muito pouco abordados – alterações cognitivo-operativas ou neuropsicológicas. Aliás os trabalhos que sobre eles incidem são em número muito reduzido. Assim após termos registado queixas, acentuadas, ao nível da capacidade de concentração e da memória em pessoas com burnout observadas na clínica hospitalar e privada, decidimos investigar estas situações, usando uma metodologia clínica de tipo qualitativo, e constatámos que, na realidade, as queixas eram pertinentes. Posto isto, achámos que a situação deveria ser aprofundada e partimos para um trabalho mais sistematizado, este, com o objectivo de caracterizar melhor o tipo de disfunções atencionais e mnésicas. Para isso, após uma selecção prévia, a partir de um grupo de 192 enfermeiros que responderam à Escala de Maslach, avaliámos uma amostra de risco constituída por 40 enfermeiros e enfermeiras, de Instituições Psiquiátricas da Grande Lisboa, trabalhando em urgência e enfermaria, que comparámos com uma amostra de igual número de enfermeiros, desenvolvendo a sua actividade na consulta externa ou em ambientes mais protegidos de stress ocupacional continuo. Para o efeito, e após uma anamnese cuidada, aplicámos provas de atenção e memória, sensíveis a qualquer tipo de compromisso encefálico seja ele funcional ou patológico. Para a componente atenção/concentração e a componente vísuo-grafo-espacial usámos a prova de Toulouse-Piéron, assim como as séries de dígitos ou digit span, para a vertente audio-verbal. A dinâmica mnésica foi avaliada através da prova de memória associativa (Escala de Memória de Wechsler) para testar a variante áudio-verbal, e a reprodução de figuras (Escala de Memória de Wechlser). Os resultados, após uma dupla análise clínica e estatística, comprovaram globalmente as hipóteses, indicando uma correlação significativa entre o grau de Burnout e os défices neuropsicológicos detectados: alteração da atenção/concentração e dismnésia, de natureza limitativa face às exigências quotidianas dos indivíduos. Finalmente, com base na revisão da literatura e os resultados deste estudo, foi esquematizado um Modelo Neuropsicológico do sindroma de Burnout, que nos parece espelhar as relações entre este quadro clínico, as alterações cognitivooperativas encontradas e as principais estruturas encefálicas, que julgamos, implicadas em toda a dinâmica do processo disfuncional.

Generation Y : affektives Commitment von Mitarbeitern in Unternehmen der Metropolregion Hannover-Braunschweig Göttingen Wolfsburg

Vertreter der Generation Y, Personen, die in den 1980er Jahren geboren wurden, drängen verstärkt in den Arbeitsmarkt. Ihre Wert- und Erwartungshaltung ist deshalb von großem Interesse für Unternehmen, die mit Themen wie dem Fachkräftemangel und demografischen Wandel konfrontiert sind und die Leistungsträger langfristig binden müssen. Ziel dieser Hausarbeit ist herauszufinden, wie ausgeprägt die emotionale Bindung der Generation Y in Unternehmen allgemein ist und unter welcher Voraussetzung affektives Commitment bei der Generation Y entsteht. Ein weiteres Ziel ist die Erarbeitung von Handlungsempfehlungen bezüglich des Personalmanagements von Generation Y in Unternehmen. Generation Y hat hohe Erwartungen an Arbeitsinhalt, Selbstverwirklichungsmöglichkeiten, Aus- und Weiterbildungsmaßnahmen, Unternehmenswerte und -ethik, Sinnhaftigkeit der Tätigkeit und Teamarbeit. Vertreter dieser Generation wünschen sich Wertschätzung, eine gute Beziehung zum Vorgesetzten, viele Partizipationsmöglichkeiten, regelmäßiges Feedback und Flexibilität. Weiterhin sind Work-Life-Balance, Karriereoptionen, Einkommen, digitale Vernetzung und Arbeitsplatzsicherheit wichtige Themen für diese Generation. Affektives Commitment entsteht durch Erfüllung von Erwartungen. Generation Y ist nur bedingt affektiv gebunden, tendiert zu häufigen Unternehmenswechseln und ist durch eine schwache Loyalität gekennzeichnet. Dies liegt hauptsächlich daran, dass die Erwartungen dieser Generation nicht erfüllt werden. Es wird empfohlen HR-Maßnahmen zu implementieren, die auf Erfüllung der Erwartungen von Generation Y abzielen.

Generation Y: Arbeitsbezogene Erwartungen und affektives Commitment

Die Erwartungen der Generation Y zu kennen, ist wichtig für Unternehmen, die Leistungsträger aus dieser Generation langfristig binden wollen. Die affektive Bindung der Generation Y gegenüber einer Organisation, der Zusammenhang zwischen der Erfüllung arbeitsbezogener Erwartungen und affektivem Commitment sowie der Fluktuationsneigung der Generation Y werden empirisch überprüft. Die Generation Y hat hohe Erwartungen an Unternehmenswerte und Unternehmenskultur. Es wurden Zusammenhänge zwischen der Erfüllung von Erwartungen und der affektiven Bindung gegenüber einer Organisation gefunden. Es wird empfohlen Personalmanagementmaßnahmen zu implementieren, die passgenau auf die Erfüllung der Erwartungen der Generation Y ausgerichtet sind.

Authentic Leadership and Behavioral Integrity as Drivers of Follower Commitment and Performance

The literatures on both authentic leadership and behavioral integrity have argued that leader integrity drives follower performance. Yet, despite overlap in conceptualization and mechanisms, no research has investigated how authentic leadership and behavioral integrity relate to one another in driving follower performance. In this study, we propose and test the notion that authentic leadership behavior is an antecedent to perceptions of leader behavioral integrity, which in turn affects follower affective organizational commitment and follower work role performance. Analysis of a survey of 49 teams in the service industry supports the proposition that authentic leadership is related to follower affective organizational commitment, fully mediated through leader behavioral integrity. Next, we found that authentic leadership and leader behavioral integrity are related to follower work role performance, fully mediated through follower affective organizational commitment. These relationships hold when controlling for ethical organizational culture.

Reform, Standards and Teacher Identity: Challenges of Sustaining Commitment

Teacher commitment has been found to be a critical predictor of teachers’ work performance, absenteeism, retention, burnout and turnover, as well as having an important influence on students’ motivation, achievement, attitudes towards learning and being at school (Firestone (1996). Educational Administration Quarterly, 32(2), 209–235; Graham (1996). Journal of Physical Education, Recreation and Dance, 67(1), 45–47; Louis (1998). School Effectiveness and School Improvement, 9(1), 1–27; Tsui & Cheng (1999). Educational Research and Evaluation, 5(3), 249–268). It is also a necessary ingredient to the successful implementation, adaptation or resistance reform agendas. Surprisingly, however, the relationship between teachers’ motivation, efficacy, job satisfaction and commitment, and between commitment and the quality of their work has not been the subject of extensive research. Some literature presents commitment as a feature of being and behaving as a professional (Helsby, Knight, McCulloch, Saunders, & Warburton (1997). A report to participants on the professional cultures of Teachers Research Project, Lancaster University, January). Others suggest that it fluctuates according to personal, institutional and policy contexts (Louis (1998). School Effectiveness and School Improvement, 9(1), 1–27) and identify different dimensions of commitment which interact and fluctuate (Tyree (1996). Journal of Educational Research, 89(5), 295–304). Others claim that teachers’ commitment tends to decrease progressively over the course of the teaching career (Fraser, Draper, & Taylor (1998). Evaluation and Research in Education, 12 (2), 61–71; Huberman (1993). The lives of teachers. London: Cassell). In this research, experienced teachers in England and Australia were interviewed about their understandings of commitment. The data suggest that commitment may be better understood as a nested phenomena at the centre of which is a set of core, relatively permanent values based upon personal beliefs, images of self, role and identity which are subject to challenge by change which is socio-politically constructed.