The Communication and Bioethical Training (CoBiT) Program for assisting dialysis decision-making in Spanish ACKD units

Healthcare professionals currently working in Advanced Chronic Kidney Disease (ACKD) units must cope with difficult situations regarding assisting patients with the dialysis decision-making process, and they are often untrained for these conversations. Although we have evidence from the literature that these skills can be learned, few professionals feel confident in this area. A Communication and Bioethical Training (CoBiT) Program for ACKD staff (physicians, nurses and allied health professionals) was developed to improve their ability and self-confidence in conducting these conversations. A four-stage study was conducted: (1) development of the CoBiT program, beginning with the creation of an interdisciplinary focus group (N = 10); (2) design of a questionnaire to assess self-confidence based on the areas identified by the focus group. The face validity of the instrument was tested using an inter-judge methodology (N = 6); (3) design of the format and contents of the program; (4) piloting the program. Thirty-six health professionals took an 8-h workshop based on role-playing methodology. Participants assessed their self-confidence in their communication skills before and after the program using self-report measures. The results show that after the program, participants reported significantly higher levels of self-confidence measured with a five-point Likert scale (p < 0.001). Participants felt that communication with colleagues of other professions significantly increased after the workshop (p = 0.004). The CoBiT program improves ACKD Unit healthcare professionals’ self-confidence in their ability to perform a specific communication task.     

Energizing respites from work: a randomized controlled study on respite interventions

Increasing and new work demands drain employees’ energy resources at work. This 4-week longitudinal field experiment investigated the energizing potential of a respite intervention conducted at the workplace (either a simulated savouring nature intervention or a progressive muscle relaxation intervention). First, growth modelling analyses confirmed a linear trend for the growth of vigour and decline in fatigue across the days of the intervention group, indicating a typical upward resource trajectory. No changes appeared in the control group. Mediation analyses indicated that repeatedly engaging in a daily respite intervention influenced more stable energy levels after the intervention period indirectly through the immediate changes in daily energy levels during the intervention period. Findings suggest that, in some cases, respite interventions may present a useful tool to replenish and build energy resources at work. Implications for using respite intervention in organizational research and practice are discussed.     

Rapid naming deficits in dyslexia: a stumbling block for the perceptual anchor theory of dyslexia

According to a recent theory of dyslexia, the perceptual anchor theory, children with dyslexia show deficits in classic auditory and phonological tasks not because they have auditory or phonological impairments but because they are unable to form a ‘perceptual anchor’ in tasks that rely on a small set of repeated stimuli. The theory makes the strong prediction that rapid naming deficits should only be present in small sets of repeated items, not in large sets of unrepeated items. The present research tested this prediction by comparing rapid naming performance of a small set of repeated items with that of a large set of unrepeated items. The results were unequivocal. Deficits were found both for small and large sets of objects and numbers. The deficit was actually bigger for large sets than for small sets, which is the opposite of the prediction made by the anchor theory. In conclusion, the perceptual anchor theory does not provide a satisfactory account of some of the major hallmark effects of developmental dyslexia.     

Individual differences in hypothetic-deductive reasoning: importance of cognitive skills and flexibility

Recent investigations show that people's differential performance when solving reasoning tasks is due to differences not only at computational level, but also at the rational or intentional level. This study is within the framework of this context and it specifically analyses individual differences in hypothetic-deductive reasoning, taking into account the characteristics associated with the task itself (content and instructions) as well as the individuals' differential characteristics. Two hundred and seventy-six students from the University of Santiago de Compostela participated in this study. Several psychometric tests were administered and participants were requested to solve various reasoning tasks. The results obtained confirm that, in effect, the differences between competent and non-competent reasoners are observed at both the above-mentioned levels: cognitive skills and abilities (algorithmic level) and cognitive flexibility (intentional level).     

Gaining access to shiftworkers through labor unions

In this paper, we provide the procedures used to gain access to shiftworkers who served as subjects in a work-sleep study. Our experiences in gaining the cooperation of labor union organizations and their members are described in detail, as are characteristics of the surveyed workers.     

Choices and preferences: testing the effect of nationality

This paper presents exploratory research comparing French and UK life assurance literature. It highlights a number of critical differences in the approaches taken between the two countries, and places these in the context of the literature on cultural differences. The differences are illustrative of Samli's transference of Hofstede's findings to marketing. The implications of these findings are explored. Although there can be a universal Pan European approach, the research indicates the need to take national cultural considerations into account if one is not to perpetrate a jarring counter‐culturalism. It also seems likely that life assurance is not a prime candidate for global branding. Copyright © 2001 Henry Stewart Publications.