A Code of Ethics for Health Care Ethics Consultants: Journey to the Present and Implications for the Field

For decades a debate has played out in the literature about who bioethicists are, what they do, whether they can be considered professionals qua bioethicists, and, if so, what professional responsibilities they are called to uphold. Health care ethics consultants are bioethicists who work in health care settings. They have been seeking guidance documents that speak to their special relationships/duties toward those they serve. By approving a Code of Ethics and Professional Responsibilities for Health Care Ethics Consultants, the American Society for Bioethics and Humanities (ASBH) has moved the professionalization debate forward in a significant way. This first code of ethics focuses on individuals who provide health care ethics consultation (HCEC) in clinical settings. The evolution of the code's development, implications for the field of HCEC and bioethics, and considerations for future directions are presented here.     

Generation to Generation: Passing on Religious and Spiritual Beliefs and Practices

Many families face difficulties in maintaining healthy relationships. Past research has identified that religious and/or spiritual beliefs and practices can enhance family well-being. Research has also shown that religious and/or beliefs and practices can shape the aging process. Yet there exists little information on the methods through which religious and/or spiritual beliefs are passed on to future generations. This study utilized Eriksonian conceptual ideas, and grounded theory methods to conduct interviews with 13 older adults on the process through which religious and/or spiritual beliefs are passed on to children and grandchildren. Ideas are discussed for practitioners based on study findings.     

Does early-career underemployment impact future career success? A path dependency perspective

Whereas many studies have shown that underemployed people experience lower objective career success and lower subjective career success while being underemployed, little research has been done on the lasting effects of underemployment. This study addresses the role of time in career success research by examining the impact of level underemployment, content underemployment and contingent employment on subsequent objective (i.e. salary) and subjective career success (i.e. job satisfaction). Our 10-year longitudinal dataset of 335 Dutch university graduates permits us to examine the impact of preceding underemployment as well as the specific timing of the underemployment in one's career. The multilevel analysis results illustrate that level and contingent underemployment have a negative impact on future pay, whereas content underemployment negatively affects job satisfaction five years later. In addition, for level underemployment also the timing turns out to matter, suggesting that the signal that it sends to employers may differ depending on when in one's career it happened. Taken together, these findings point to the importance of using a path-dependency perspective when trying to understand people's career success.     

Individual Differences in Social Dominance Orientation Predict Support for the Use of Cognitive Ability Tests

This study investigates the personality processes involved in the debate surrounding the use of cognitive ability tests in college admissions. In Study 1, 108 undergraduates (M_age = 18.88 years, 60 women, 80 Whites) completed measures of social dominance orientation (SDO), testing self‐efficacy, and attitudes regarding the use of cognitive ability tests in college admissions; SAT/ACT scores were collected from the registrar. Sixty‐seven undergraduates (M_age = 19.06 years, 39 women, 49 Whites) completed the same measures in Study 2, along with measures of endorsement of commonly presented arguments about test use. In Study 3, 321 American adults (M_age = 35.58 years, 180 women, 251 Whites) completed the same measures used in Study 2; half were provided with facts about race and validity issues surrounding cognitive ability tests. Individual differences in SDO significantly predicted support for the use of cognitive ability tests in all samples, after controlling for SAT/ACT scores and test self‐efficacy and also among participants who read facts about cognitive ability tests. Moreover, arguments for and against test use mediated this effect. The present study sheds new light on an old debate by demonstrating that individual differences in beliefs about hierarchy play a key role in attitudes toward cognitive ability test use.     

EMS Perspectives on Coping with Child Death in an Out-of-Hospital Setting

To understand the ways that EMS providers cope with pediatric death in an out-of-hospital setting, eight focus groups were conducted with 98 urban, rural, and suburban EMS providers. Sixty-eight of the participants also completed a short questionnaire about a specific event. In both the focus groups and questionnaire, participants were asked how they individually coped with the death, how they coped as a team, and what coping strategies were most and least helpful. Specific coping strategies were found to be helpful to EMS providers, and could be classified as Solve, Solace, Dismiss, and Escape based on whether they approached or avoided the problem or the emotion.     

Alcohol Use and Church Attendance Among Seventh Through Twelfth Grade Students,Dominican Republic, 2011

Excessive alcohol consumption increases the years of life lost to premature death and disability worldwide. Religion is a mitigating factor in alcohol consumption. A survey in the Dominican Republic showed increasing church attendance by middle and high school students (N = 3,478) was associated with a delay in age at first alcoholic drink, fewer students who had consumed alcohol in the past month (current drinkers), lower alcohol consumption levels, fewer episodes of inebriation, and less heavy episodic alcohol consumption (all P < 0.0001). The results suggested that it may be useful to conceive of church-attending youth as a subset of the adolescent social network when planning primary alcohol prevention programs for young people.     

Attention deficit hyperactivity disorder among inmates in Bergen Prison

The aim of this study was to investigate whether clinical findings are consistent with research indicating a high prevalence of attention deficit hyperactivity disorder (ADHD) among prison inmates. Forty‐three male inmates who were referred for ADHD assessment at the health service in Bergen prison participated. Although most of them reported symptoms in accordance with ADHD both in childhood and adulthood, only 35% of the referred inmates fulfilled the criteria for ADHD when a comprehensive assessment was conducted. The results emphasize the importance of a comprehensive assessment when diagnosing ADHD among prison inmates.