The Health Professional Ethics Rubric: Practical Assessment in Ethics Education for Health Professional Schools

A barrier to the development and refinement of ethics education in and across health professional schools is that there is not an agreed upon instrument or method for assessment in ethics education. The most widely used ethics education assessment instrument is the Defining Issues Test (DIT) I & II. This instrument is not specific to the health professions. But it has been modified for use in, and influenced the development of other instruments in, the health professions. The DIT contains certain philosophical assumptions (??Kohlbergian?? or ??neo-Kohlbergian??) that have been criticized in recent years. It is also expensive for large institutions to use. The purpose of this article is to offer a rubric??which the authors have named the Health Professional Ethics Rubric??for the assessment of several learning outcomes related to ethics education in health science centers. This rubric is not open to the same philosophical critiques as the DIT and other such instruments. This rubric is also practical to use. This article includes the rubric being advocated, which was developed by faculty and administrators at a large academic health science center as a part of a campus-wide ethics education initiative. The process of developing the rubric is described, as well as certain limitations and plans for revision.     

Examining Walkability and Social Capital as Indicators of Quality of Life at the Municipal and Neighborhood Scales

Walkability has been linked to quality of life in many ways. Health related benefits of physical exercise, the accessibility and access benefits of being able to walk to obtain some of your daily needs, or the mental health and social benefits of reduced isolation are a few of the many positive impacts on quality of life that can result from a walkable neighborhood. In the age of increasing energy costs and climate considerations, the ability to walk to important locations is a key component of sustainable communities. While the health and environmental implications of walkable communities are being extensively studied, the social benefits have not been investigated as broadly. Social capital is a measure of an individual’s or group’s networks, personal connections, and involvement. Like economic and human capital, social capital is considered to have important values to both individuals and communities. Through a case study approach this article argues that the generation and maintenance of social capital is another important component of quality of life that may be facilitated by living in a walkable community. Residents living in neighborhoods of varying built form and thus varying levels of walkability in three communities in New Hampshire were surveyed about their levels of social capital and travel behaviors. Comparisons between the more walkable and less walkable neighborhoods show that levels of social capital are higher in more walkable neighborhoods.     

Forever Young: Pastoral Care and the Experience of “Aging,” Reconsidered

As we age, we inevitably experience diminishment in our physical functioning yet this need not yield a diminished sense of self. Our personal interior life and our ability to find grace in the midst of challenges are not adequately defined by the psychological, medical, or theological understandings of aging that we have inherited. Rather, there is positive potential in aging, particularly if we hone our adaptive coping skills. Pastoral care providers can facilitate enrichment of individuals’ and faith communities’ capacity for adaptive coping and ability to view the aging process as filled with new adventures of grace.     

Explaining inconsistencies in Shakespeare's character Henry V on the basis of the emotional undertones of his speeches

Shakespeare's character Henry V is infamous, among 20th-century analysts of drama, for his inconsistent disposition. Some analysts highlight this character's reformation and others his Machiavellian tendency to moderate his disposition in tune with changing situations. The Dictionary of Affect in Language (Whissell, 2009) was used to score the emotional undertones of words in Henry V's dialogue. Analyses of these undertones, described in terms of Pleasantness and Activation, demonstrated that the character Henry V was, in overall terms, emotionally average, that there was minimal evidence of growth or reform in him across time, and that situational factors (e.g., revelry, kingship, courtship, battle) were associated with the dramatic changes in his speeches. The character employed more passive language in private and personal situations and more active language in his (public) royal role. Four categories of Henry V's speeches (Condescension, Control, Self-definition, and the Courtship of Good Opinion), represented in both public and private discourse, reflected increasing pleasantness in emotional undertones.     

Challenging an authorial attribution: vocabulary and emotion in a translation of Goethe's Faust attributed to Samuel Taylor Coleridge

This article disputes the stylometric attribution of an anonymous English 1821 translation of Goethe's German verse drama Faust to the poet an critic Samuel Taylor Coleridge. The translation was compared to four known Coleridgean dramas, two of which were translations from German. Evidence challenging Coleridge's authorship came from words used proportionally more often by Coleridge, words used proportionally more often by the unknown translator, differential employment of parallel word forms ("O" and "hath" for Coleridge, "oh" and "has" for the translator), and differences in the undertones of the two vocabularies, as measured by the Dictionary of Affect in Language (Coleridge's undertones were less pleasant and more abstract). Some problems with the stylometry of the challenged attribution to Coleridge are noted.     

A parametric analysis of errors of commission during discrete-trial training

We investigated the effects of systematic changes in levels of treatment integrity by altering errors of commission during error-correction procedures as part of discrete-trial training. We taught 3 students with autism receptive nonsense shapes under 3 treatment integrity conditions (0%, 50%, or 100% errors of commission). Participants exhibited higher levels of performance during perfect implementation (0% errors). For 2 of the 3 participants, performance was low and showed no differentiation in the remaining conditions. Findings suggest that 50% commission errors may be as detrimental as 100% commission errors on teaching outcomes.     

Check-in/check-out: a systematic evaluation and component analysis

Tier 2 interventions are implemented similarly across students and thus serve as an efficient and cost-effective method of behavior support in school settings. Check-in/check-out is a Tier 2 intervention with documented effectiveness (e.g., Hawken & Horner, 2003; Todd, Campbell, Meyer, & Horner, 2008). Key features of the intervention include brief morning and afternoon meetings with the intervention coordinator, use of a point card on which the teacher monitors student behavior, and teacher feedback at predetermined times. The present study sought to add to the literature by examining the relative contributions of the teacher-feedback components of check-in/check-out via the use of a component analysis. Working with 4 children in a general education setting, we first evaluated the effectiveness of the procedure using reversal designs. Next, we systematically removed teacher-feedback components to assess effects on problem behavior and academic engagement. For 3 of 4 participants, we were able to remove all teacher-feedback sessions and the point card; for the 4th participant, we removed only 2 of 3 teacher-feedback sessions due to time constraints.     

The effects of culture and friendship on rewarding honesty and punishing deception

The present research explores whether the type of relationship one holds with deceptive or honest actors influences cross-cultural differences in reward and punishment. Research suggests that Americans reward honest actors more than they punish deceptive perpetrators, whereas East Asians reward and punish equally (Wang & Leung, 2010). Our research suggests that the type of relationship with the actor matters for East Asians, but not for Americans. East Asians exhibit favoritism toward their friends by rewarding more than punishing them, but reward and punish equally when the actors are strangers (Experiment 1 and 2); Americans reward more than they punish regardless of the type of relationship (Experiment 2). Furthermore, the findings were replicated when the proposed mechanism – social mobility – was manipulated within the same culture (Experiment 3). We discuss the implications of these findings for understanding how friends versus strangers are rewarded and punished in an increasingly relationally complex world.     

Infant physiological regulation and maternal risks as predictors of dyadic interaction trajectories in families with a preterm infant

This longitudinal study examined predictors of rates of growth in dyadic interaction quality in children born preterm who did not experience significant neurological findings during neonatal intensive care unit (NICU) hospitalization. Multiple methods were used to collect data from 120 preterm infants (48% girls, 52% boys) and their mothers. Infant heart rate variability (HRV), gestational age, neonatal health, feeding route, and maternal socioeconomic (SES) risks were assessed at NICU discharge (mean of 36 weeks postconception). Mother-child interactions were observed at 4, 9, 16, and 24 months postterm and analyzed with hierarchical linear modeling. On average, children's quality of play, interest, and attention increased over time while their dysregulation and irritability decreased, whereas average maternal positive affect and involvement declined in quality (ps < .05), although there was individual variation in rates of change. Mothers of infants with higher postfeeding HRV (i.e., vagal regulation) exhibited less decrease in positive affect and involvement between 4 months and 24 months, compared with mothers of infants with lower HRV (p < .05). Although infants with higher postfeeding HRV showed less positive affect and communication at 4 months, they exhibited significantly greater increases in positive affect and social competence and decreases in dysregulation and irritability between 4 months and 24 months, compared with infants with lower HRV (ps < .05). Dyads experiencing more SES risks showed less optimal interactions at 4 months; this difference remained as children grew older (ps < .05). Results have implications for our understanding of social development in preterm infants.