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1.
Paidéia (Ribeirão Preto, Online) ; 33: e3306, 2023. tab, graf
Article in English | WHO COVID, LILACS (Americas) | ID: covidwho-2325518

ABSTRACT

Abstract The COVID-19 exacerbated violence against women. This study evaluated the possible efficacy of using advertising pieces containing the hypocrisy paradigm, the contrast principle, and moral disengagement mechanisms to prevent and reduce violence against women. We conducted two studies which included exclusively men as participants. Study 1 (n=400; M age =21.69; Me=20.00; SD=5.79) used traditional pieces on violence against women, manipulating only their moral disengagement phrases. Results suggest that the phrase combined with traditional images is either ineffective or has a rebound effect. Study 2 (n=303; M age =21.38; Me=20.00; SD=4.94) manipulated the image in Study 1, showing more effective results regarding hostility. However, physical aggression showed no significant differences. Finally, some pieces generated a rebound effect, increasing participants' self-perception of aggression. The use of advertising can act as an ally or an enemy of public policies if their effectiveness lacks proper testing.


Resumo A violência contra mulheres é um problema pandêmico agravado pela COVID-19. Esta pesquisa objetivou verificar a eficácia de peças publicitárias em reduzir a violência contra mulheres por meio do paradigma de hipocrisia, o princípio de contraste e os mecanismos de desengajamento moral. Realizaram-se dois estudos com amostras masculinas. O Estudo 1 (n=400; M idade =21,69; Me=20,00; DP=5,79) utilizou peças tradicionais, manipulando apenas as frases de desengajamento moral. O resultado sugere que a frase combinada com imagens tradicionais são ineficazes ou geram efeito rebote. O Estudo 2 (n=303; M idade =21,38; Me=20,00; DP=4,94) manipulou a imagem e os resultados indicam maior efetividade das peças em relação à hostilidade. Entretanto, a agressão física não demonstrou diferenças significativas. Finalmente, algumas peças geraram efeito rebote, levando ao incremento da autopercepção de agressividade dos participantes. O uso da publicidade pode prejudicar políticas públicas de combate a violência contra mulheres quando sua eficácia não é devidamente testada.


Resumen La violencia contra la mujer es un problema pandémico agravado por el COVID-19. Esta investigación verificó el grado de eficacia de anuncios publicitarios para reducir la violencia contra la mujer utilizando el paradigma de la hipocresía, el principio de contraste y los mecanismos de desconexión moral. Se diseñaron dos estudios con muestras masculinas. El Estudio 1 (n=400; M edad =21,69; Me=20,00; DT=5,79) utilizó anuncios tradicionales, manipulando únicamente las frases de desconexión moral. El resultado sugiere que la frase combinada con imágenes tradicionales es ineficaz o tiene efecto rebote. El Estudio 2 (n=303; M edad =21,38, Me=20,00; DT=4,94) manipuló la imagen, y los resultados indican mayor eficacia respecto a la hostilidad. Pero la agresión física no mostró diferencias significativas. Finalmente, algunos anuncios generaron efecto rebote, incrementando la autopercepción de la agresividad. Así, el uso de la publicidad puede actuar como enemiga de las políticas públicas contra la violencia a la mujer cuando no se comprueba adecuadamente su eficacia.


Subject(s)
Propaganda , Violence Against Women , Culturally Appropriate Technology , Morale
4.
BMJ ; 380: 114, 2023 01 16.
Article in English | MEDLINE | ID: covidwho-2193720
5.
6.
BMC Health Serv Res ; 22(1): 1508, 2022 Dec 10.
Article in English | MEDLINE | ID: covidwho-2162364

ABSTRACT

BACKGROUND: Job morale is thought to be particularly low in Kazakhstan, adversely affecting job motivation, job satisfaction and burnout rates. Previous research suggests that high job morale has a better effect on patient outcomes and care quality. We, therefore, conducted a qualitative study to explore experiences underpinning positive and negative job morale, and to generate potential strategies for improving job morale of physicians and dentists working in public healthcare settings in Kazakhstan prior to the COVID-19 pandemic. METHODS: Three focus groups containing 23 participants and 30 individual interviews were conducted, evidencing respondents' explanations of what affects job morale, and possible strategies to improve it. Data was synthesised using a thematic analysis. RESULTS: The themes about what influences job morale were: being unfairly rewarded for work; feeling vulnerable and undervalued; poor working styles and practices; and high internal value-based motivation. Various strategies were identified by participants to improve job morale, and these included: ensuring adequate and equitable financial income; improving the current malpractice system; eliminating poor working styles and practices; and creating a shared responsibility for health. CONCLUSIONS: The current study has found that despite prevailing threats, job morale amongst physicians and dentists working in public healthcare settings in Astana have been prevented from becoming negative by their strong sense of calling to medicine and the satisfaction of helping patients recover. Emphasising this rather traditional understanding of the role of physicians and dentists may be a way to improve job morale throughout training and practice.


Subject(s)
Burnout, Professional , COVID-19 , Humans , Pandemics , COVID-19/epidemiology , Morale , Job Satisfaction , Burnout, Professional/prevention & control , Burnout, Professional/epidemiology
7.
Geneva; World Health Organization; 2022. (WHO/2019-nCoV/Policy_brief/Mandatory_vaccination/2022.1).
in English, Spanish, Portuguese, French | WHOIRIS | ID: gwh-354585
8.
Bioethics ; 36(4): 469-471, 2022 05.
Article in English | MEDLINE | ID: covidwho-1831966
9.
Int J Environ Res Public Health ; 19(8)2022 04 14.
Article in English | MEDLINE | ID: covidwho-1798898

ABSTRACT

COVID-19, as a global pandemic, was a public health inflection point for individuals affected by intimate partner violence (IPV) and those who provide IPV services. Public health guidelines that were intended to reduce risk of exposure to the virus impacted vulnerability factors for IPV survivors and associated systems of services. We aimed to (1) explore the effect of COVID-19 on survivors of IPV; (2) assess the effect of COVID-19 on IPV-related service provisions and service providers; and (3) explore challenges and opportunities in the wake of COVID-19 on broader IPV services and advocacy. METHOD: Twelve directors of IPV shelter, criminal justice, and other advocacy services within a diverse, Midwestern metropolitan area were recruited to participate in in-depth, semi-structured interviews in June-August 2020. Interviews were transcribed verbatim and analyzed using Dedoose. Data were coded and analyzed through thematic analysis. RESULTS: Four major themes, contextualized by COVID-19 and racial injustice, emerged from the data analysis: (1) IPV-related trends; (2) impact on IPV survivors, services, and agency morale; (3) inter-agency collaborations; and (4) future opportunities for innovative service delivery. Gaps and opportunities for developing culturally congruent, trauma-informed services were identified. CONCLUSION: Findings suggest that responsive and accessible IPV resources and associated advocacy services can make the difference between life and death for survivors.


Subject(s)
COVID-19 , Intimate Partner Violence , COVID-19/epidemiology , Humans , Morale , Pandemics , Survivors
11.
J Infect Dis ; 225(6): 934-937, 2022 03 15.
Article in English | MEDLINE | ID: covidwho-1740886

ABSTRACT

The world's first coronavirus disease 2019 human challenge trial using the D614G strain of severe acute respiratory syndrome 2 (SARS-CoV-2) is underway in the United Kingdom. The Wellcome Trust is funding challenge stock preparation of the Beta and Delta variant for a follow-up human challenge trial, and researchers at hVIVO are considering conducting these trials. However, little has been written thus far about the ethical justifiability of human challenge trials with SARS-CoV-2 variants of concern. We explore 2 specific characteristics of some variants that may initially be thought to make such trials unethical and conclude that SARS-CoV-2 variant challenge trials can remain ethical.


Subject(s)
COVID-19 Vaccines/administration & dosage , COVID-19/prevention & control , Ethics, Research , SARS-CoV-2/genetics , COVID-19 Vaccines/adverse effects , COVID-19 Vaccines/immunology , Ethics , Humans , United Kingdom , Vaccines
15.
Int J Environ Res Public Health ; 18(16)2021 08 19.
Article in English | MEDLINE | ID: covidwho-1369765

ABSTRACT

The present study investigated predictors of psychological coping with adversity responses during the COVID-19 pandemic and an armed conflict. Two paired samples that represented the Israeli population that was exposed to both adversities were compared. Respondents rated five different psychological coping responses associated with the two adversities, such as anxiety or individual resilience. Perceived security, pandemic, economic, and political risks, as well as level of morale, were rated. Two major findings were disclosed by two path analyses. Morale improved the predictions of the varied coping responses in both the pandemic and conflict and was the best predictor of four out of five responses and the second-best predictor of the fifth response. Contrary to previous studies, our findings revealed that the concept of a single major predictor of coping responses under distress is an overgeneralization. In both cases, the coping responses were better explained by other perceived risks rather than by the risk of the investigated adversity. Rather than assume that a perceived security threat accounts for low levels of public moods, it is vital to study the antecedents of coping responses and to empirically examine additional potential predictors.


Subject(s)
COVID-19 , Pandemics , Adaptation, Psychological , Armed Conflicts , Humans , Morale , SARS-CoV-2 , Stress, Psychological/epidemiology
16.
Span J Psychol ; 24: e42, 2021 Aug 13.
Article in English | MEDLINE | ID: covidwho-1356527

ABSTRACT

Analyze whether the content of three moral messages (deontological, ethical utilitarianism, ethical virtue) and a control message differentially affect the probability of engaging in four behaviors: Washing their hands, participating in public gatherings, staying at home/avoiding social contact, and forwarding the message to inform more people. In our study, the sender of the message is a university professor. These variables are measured in terms of their behavioral intentions and others' behavioral intentions (beliefs about others' behavior). Randomized Controlled Trial. Our study includes the analysis of the possible moderating effect of the country of residence (Spain n = 1,122, Chile n = 1,107, and Colombia n = 1,433). The message with content referring to ethical virtue and staying at home obtains statistically significant lower scores on the probability of carrying out public health behaviors and sharing the message received. Regarding beliefs about the behavior of others, the message of ethical virtue has the same negative effect, but only on the likelihood of other people washing their hands, staying at home, and sharing the public health message. Institutional messages aimed at promoting public health behaviors are necessary in a pandemic situation. Our recommendation is to use deontological and utilitarian, or non-moral, content.


Subject(s)
COVID-19/prevention & control , Communicable Disease Control , Hand Disinfection , Health Promotion , Morals , Persuasive Communication , Public Health , Adolescent , Adult , Aged , Aged, 80 and over , Chile , Colombia , Ethical Theory , Ethics , Female , Humans , Male , Middle Aged , Physical Distancing , Public Policy , SARS-CoV-2 , Spain , Virtues , Young Adult
18.
J Med Ethics ; 47(8): 529-530, 2021 08.
Article in English | MEDLINE | ID: covidwho-1327703
19.
BMJ Open Qual ; 10(3)2021 07.
Article in English | MEDLINE | ID: covidwho-1322830

ABSTRACT

INTRODUCTION: Junior doctors are working in an increasingly overstretched National Health Service. In 2018, Kettering General Hospital (KGH) was awarded £60 800 of government funds to create high-quality rest facilities and improve junior doctor well-being. METHODS: An audit and survey in KGH identified the structural and functional improvements needed. From November 2019 to June 2020, £47 841.24 was spent on creating new rest facilities. On completion, a postaction review assessed how the changes impacted morale, well-being and quality of patient care. RESULTS: The majority of doctors were happy with the new rest areas (60%), a majority felt that they would use the on-call room area (63%) and the renovation improved morale and well-being. There was an increased ability to take breaks. However, the majority of doctors are not exception-reporting missing breaks: 79% (2019), 74% (2020). CONCLUSIONS AND IMPLICATIONS: This report recommends the maintenance of increased staffing levels and rest facilities during the recovery phase of COVID-19. The remaining £12 958.76 should be directed at sustaining the quality of KGH rest facilities. Lastly, the rate of exception-reporting must be increased through improving awareness, exploring alternative methods and supporting the action when necessary. The continual investment into rest facilities ensures workforce well-being and translates into patient safety.


Subject(s)
Fatigue/prevention & control , Hospital Design and Construction/methods , Medical Staff, Hospital/psychology , Shift Work Schedule , Sleep , Humans , Morale , Patient Safety , Quality Improvement , State Medicine , Surveys and Questionnaires , United Kingdom
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