由临床病例引发对患者医疗自主权的思考

从医务人员视角结合临床病例浅谈患者医疗自主权。阐述患者医疗自主权的概念及涵盖的内容,包括知情同意原则、意定监护、生前预嘱、预立医疗指示、预立医疗照护计划。分析患者医疗自主权在我国实施所存在的阻力,包括受传统孝道束缚、国民对患者医疗自主权的维护意识不强和认知不足、缺乏死亡教育以及医学技术层面等问题。为了有效推广和实施患者医疗自主权,作为医务人员首先要提高自身意识、加强推广力度,其次对于公众要加强死亡教育,另外医患之间、患者与家属之间的交流沟通也非常重要。

     

Goal orientation and performance adaptation: A meta-analysis

The relationship between goal orientation and performance adaptation across studies was assessed in the present article. The relevance of performance adaptation can be exemplified by the desire to optimize performance and mitigate the negative effects of change in organizational and educational contexts (i.e. new co-workers, new software, emergencies). Three-level meta-analyses were conducted for learning goal orientation (LGO) and performance goal orientation (PGO). Furthermore, within PGO a distinction between avoid performance goal orientation (APGO) and prove performance goal orientation (PPGO) could be made. In moderator analyses the influence of measurement method of performance adaptation (subjective ratings vs objective scores) was assessed amongst others. Although significant effects were found they were primarily visible for subjective ratings and not objective scores.     

高中生成就目标倾向与心理健康状态关系的研究

选取普高和职高的451名学生为研究对象,对高中生的成就目标状况及其与学生心理健康状态之间的关系进行了测查。结果表明,高中生学习目标倾向高于成绩目标倾向,其中,职高学生的学习目标倾向又高于普高学生。高学习目标倾向的学生比低学习目标倾向的学生心理健康状态更好,高成绩目标学生的情感特征较为消极。     

中晚期青少年的个人规划及其与亲子、朋友沟通的关系

采用未来取向问卷（中文版）、亲子沟通和朋友沟通问卷调查了1741名高中生和大学生,从探索和投入两个方面考察了中晚期青少年个人规划的基本特点以及亲子沟通、朋友沟通与个人规划的关系。研究发现：青少年对未来教育的探索和投入水平高于未来职业和婚姻/家庭;从青少年中期到晚期,个体对不同领域的探索与投入遵循不同的发展模式;女青少年对未来教育的投入更多,而男青少年对未来婚姻/家庭的探索和投入更多;城市青少年对未来教育的探索和投入更多,而农村青少年对未来婚姻/家庭的投入更多。亲子沟通对中晚期青少年成就领域的规划具有较大影响,且影响大于朋友沟通,而朋友沟通对青少年未来婚姻/家庭规划的影响更大     

家属对脑卒中患者设立预先指示的态度研究

通过方便取样法,抽取海口市某三级老年病专科医院脑卒中患者家属249名,使用问卷调查法调查家属对脑卒中患者设立预先指示(advance directives,AD)的态度并分析其影响因素。结果显示,在生命终末期治疗的选择上,家属为自己选择的治疗与为患者选择的治疗一致性较差(Kappa=0.249,P<0.01)。家属的代理决策结果受多种因素影响。是否有过住院经历、家属代理决策的结果、家属对AD的态度是影响家属对患者设立AD态度的主要因素。     

Proactive Goal Generation and Innovative Work Behavior: The Moderating Role of Affective Commitment,Production Ownership and Leader Support for Innovation

Building on goal‐regulation theory, we develop and test the hypothesis that proactive goal generation fosters individual innovative work behavior. Consistent with a resource‐based perspective, we further examine two‐three‐way interactions to assess whether the link between proactive goal generation and innovative behavior is jointly moderated by organizational affective commitment and production ownership, or, alternatively, leader support for innovation. In a sample of 442 municipal employees from the administrative division of an Italian city hall, proactive goal generation was positively associated with innovative work behavior. Additionally, as expected, this relationship was stronger when employees were highly affectively committed to their organization and when they exhibited a high level of production ownership or received extensive support for innovation from their supervisors. Theoretical and managerial implications are discussed.