Forecasting life and career satisfaction in midlife from young adult depressive symptoms

This 14-year, six-wave longitudinal study of 583 university graduates examined whether trajectories of depressive symptoms from age 23 to 30 predicted life and career satisfaction outcomes at age 37, after controlling for (a) time-varying associations of marriage and unemployment with depressive symptoms, (b) sociodemographic characteristics (age, sex, parents' education), and (c) family and labor market experiences assessed at age 37 (marriage and divorce, raising children, income, spells of unemployment, occupational status). Net of the effects of all covariates, lower depressive symptoms at age 23 predicted higher life and career satisfaction at age 37, and steeper declines in depressive symptoms predicted higher life satisfaction. From age 23 to 30, being married was associated with fewer depressive symptoms, and more unemployment (in months) was associated with more depressive symptoms. The course of depressive symptoms through young adulthood carries over into midlife, showing continuity even after accounting for family and labor market experiences.     

Mind the gap: the lack of common language in healthcare ethics

Ethics consultation services provide support to staff, patients, and family members who find themselves in morally difficult situations in healthcare settings. Not unlike other clinical consultation services, ethics consultation activities should be well documented. Good documentation allows for evaluation of the consultation process and the ability to refer back to consults when needed, and provides data for future research in healthcare ethics (HCE). In our exploration of existing HCE documentation systems, we identified two main points of interest. First, HCE information documentation systems are powerful tools for providing information on ethics consultation services.These documentation systems can be used to produce detailed reports on various HCE activities both institutionally and cross-institutionally. Second, our findings indicate greater agreement in the language and terminology of HCE needs to be established. Cultivation of such common language is needed in order to develop a standard healthcare ethicists can use to document and categorize consults. Standardization of language would allow data to be readily comparable and lead to more consistency in documentation of ethics consultations. Ultimately, standardization of documentation can also constitute a standard of practice for HCE in general.The development of such standards is essential for any developing profession, and will be required for HCE as it moves in towards professionalization in Canada.     

Marriage and ministry in midlife women

This study of 15 midlife women seminarians or clergy and 13 of their husbands focuses upon the tension between a commitment to family life and a commitment to ordained ministry. The women were preparing to become Protestant clergy or were already in this vocation, while their husbands were middle-class, successful professional people. The study examines the impact of the new cultural self-development ethic upon the lives and religious faith of the women. Husbands' responses to the wives' changes are considered, and suggestions are made to supervising judicatories regarding assistance that may be given to the couples.He is an ordained minister of the Lutheran Church in America as well as a licensed psychologist in the state of Pennsylvania.     

Varsity medical ethics debate 2018: constant health monitoring - the advance of technology into healthcare

The 2018 Varsity Medical Ethics debate convened upon the motion: “This house believes that the constant monitoring of our health does more harm than good”. This annual debate between students from the Universities of Oxford and Cambridge is now in its tenth year. This year’s debate was hosted at the Oxford Union on 8th of February 2018, with Oxford winning for the Opposition, and was the catalyst for the collation and expansion of ideas in this paper.New technological devices have the potential to enhance patient autonomy, improve patient safety, simplify the management of chronic diseases, increase connectivity between patients and healthcare professionals and assist individuals to make lifestyle changes to improve their health. However, these are pitted against an encroachment of technology medicalising the individual and home, an exacerbation of health inequalities, a risk to the security of patient data, an alteration of the doctor-patient relationship dynamic and an infringement on individual self-identity. This paper will draw upon and develop these concepts, while contending arguments for and against constant health monitoring. This is not a review of medical devices and health monitoring, but a reflective development and more detailed elaboration of the main points highlighted in the 2018 Varsity Medical Ethics debate.     

Proactive career behaviours and career success during the early career

The current article tests a longitudinal model of the process of proactive career behaviours and career success with two samples of graduates making the transition from college to work. Using structural equation modelling, we tested a theoretical model that specified the relationships between career progress goals, career planning, networking behaviours, and career success. A longitudinal panel study was conducted within two samples using a 3‐year (sample 1) and 1‐year (sample 2) time lag between the first and second data collection. The results support the process model and suggest that at graduation, career planning is affected by the goal of making career progress. In turn, career planning is positively associated with networking behaviours. Both career planning and networking at graduation are positively related to career planning and networking 1 year later (sample 1) but in sample 2, in which a 3‐year time lag was used, these relationships were no longer significant. Support is found for the relationship between networking during the early career and objective and subjective career success. The findings are discussed in terms of their general implications for understanding the proactive career behaviour process through which graduates affect their career success during the first years of their professional career.     

The impact of career boundarylessness on subjective career success: The role of career competencies, career autonomy, and career insecurity

Based on the theoretical frameworks of the career enactment and the stress perspectives, this study develops and tests a model in which career boundarylessness affects subjective career success through its effect on three career competencies—knowing-why, knowing-how, and knowing-whom—and career autonomy and career insecurity. The results provided empirical support for the importance of career autonomy, career insecurity, and the development of knowing-why and knowing-how competencies in the successful pursuit of a boundaryless career. The implications of these findings are discussed.