Patient Perspectives on the Learning Health System: The Importance of Trust and Shared Decision Making

We conducted focus groups to assess patient attitudes toward research on medical practices in the context of usual care. We found that patients focus on the implications of this research for their relationship with and trust in their physicians. Patients view research on medical practices as separate from usual care, demanding dissemination of information and in most cases, individual consent. Patients expect information about this research to come through their physician, whom they rely on to identify and filter associated risks. In general, patients support this research, but worry that participation in research involving randomization may undermine individualized care that acknowledges their unique medical histories. These findings suggest the need for public education on variation in practice among physicians and the need for a collaborative approach to the governance of research on medical practices that addresses core values of trust, transparency, and partnership.     

Production workers' reactions to a plant closing: The role of transfer,stress, and support

Abstract

This study investigated the reactions of Canadian unionized production workers following a plant closing announcement. Workers who had been transferred reported significantly greater job security, more trust in the company, greater commitment to the company, and higher job performance than workers who remained at the plant. They also reported less trust in their union than the remaining workers. Perceived supervisor support was positively related to company trust and company commitment and perceived union support was positively associated with union trust and union commitment. High stress appraisal (perceived injustice and job insecurity) was associated with increased strain, lower job performance, reduced trust in the company, and reduced company commitment, but had no significant effect on the union-related outcomes. The implications of these findings for companies and unions are discussed.     

Cognition- and Affect-Based Trust and Feedback-Seeking Behavior: The Roles of Value,Cost, and Goal Orientations

We examined how subordinates’ cognition- and affect-based trust in supervisors influences their feedback-seeking behavior (FSB) by considering the different cost/value perception of FSB and goal orientation (i.e., learning and performance goal orientations). Using data from 194 supervisor-subordinate dyads in South Korea, we conducted multiple regression analyses to test our hypotheses. The results showed that, whereas subordinates’ cognition-based trust in supervisors positively influenced their FSB through increasing the perceived value of feedback received from supervisors, their affect-based trust in supervisors positively influenced their FSB through decreasing the perceived value of FSB. Additionally, we found that, when subordinates had high levels of learning goal orientation, the increasing influence of cognition-based trust on the value of feedback was stronger; in contrast, when subordinates had low levels of performance goal orientation, the decreasing influence of affect-based trust on the cost of FSB was stronger. The theoretical and practical implications, limitations, and suggestions for future research were discussed.     

群际信任的增进:社会认同与群际接触的方法

群际信任是衡量群际关系的一个重要尺度.群际信任指人们在群际互动中对其他群体成员的行为或意向做积极预期而且愿意承受相应的风险,这种信任主要是由群体成员所属的社会身份所决定的,表现为内群体成员对外群体成员的信任.影响群际信任的因素包括社会群体身份及其表征和群体之间的接触经验,增进群际信任的方法主要包括社会认同与群际接触两大类方法.未来的研究需结合已有进展和社会现实问题对中国的群际信任问题及增进方法进行深入和系统的探讨.     

儿童社会认识论:儿童对信息提供者的选择性信任

个体掌握的知识很多来自于他人的传授。从4岁起,儿童就意识到不同的信息提供者在可靠性上存在差异。他们根据与提供者间的熟悉程度、提供者过往陈词的准确性、以及来自他人的线索等策略对于信息提供者的可靠性进行评估,从而决定谁更值得信任。未来关于儿童对于信息提供者选择性信任的研究应从扩展探究的知识领域、对于信息提供者其他特征的操纵、以及潜在文化差异检验等方面进行。     

学经济学降低人际信任?经济类专业学习对大学生人际信任的影响

本研究试图证明,经济类专业学习会降低大学生的人际信任.研究者测量了某财经类重点高校经济类和非经济类专业的大一和大三共290名本科生的人际信任水平,发现专业类型和年级存在显著交互作用,大一的经济类学生和非经济类学生在人际信任水平上无显著差异,而大三的经济类学生在人际信任水平上却显著低于非经济类专业.这说明经济类专业学习时间的增加可能是学生人际信任水平下降的原因,可能的机制是,学习经济学会使个体逐渐接受和认同“理性人假设”所包含的人性观点,认为他人的行为都是基于自私和功利的目的.     

The Spirit of Truth

This article reflects on the theme of the “spirit of truth” in a post-truth era – a time in which objective truth seems to no longer exist, any given claim can be substantiated, and it is no longer possible to tell falsehood and truth apart. Focusing on the objectivity of science, the humanity of truth, and the spirit of truth revealed by divinity, the article argues for the adoption of a humane and ecological wisdom, seeing it as a way to deal with humanity’s immense knowledge in a way that is conducive to life, to avoid optimizing humans in a “trans-human” way and making the earth uninhabitable.     

企业员工对团队领导的信任结构研究——基于IT企业团队的研究

基于IT企业任务复杂度和合作需求较高的现状,加强团队内信任成为管理中的一个重点。本研究在Mayer和Mcknight的信任模型基础上对IT企业员工的组织信任结构进行分析。对四家IT公司239人进行问卷调查,并用Amos5．0进行分析后得到拟合度良好的模型结构,结果显示：①个体信任倾向对员工信任意向的影响不显著;②个体信任倾向影响员工对领导的可信任性感知和基于企业制度的信任;③基于制度的信任显著影响对领导的可信任性感知,但是对信任意向的影响不显著;④对领导的可信任性感知显著影响个体的信任意向;⑤卷入度在基于制度的信任和对领导的可信任性感知之间起缓冲作用。     

The Emergence and Evolution of the Expression “Conflict of Interests” in <Emphasis Type="Italic">Science</Emphasis>: A Historical Overview, 1880–2006

The tendency is strong to take the notion of "conflict of interests" for granted as if it had an invariant meaning and an ethical content independent of the historical context. It is doubtful however, from an historical and sociological point of view, that many of the cases now considered as instances of "conflicts of interests" would also have been conceived and perceived as such in, say, the 1930s. The idea of a "conflict of interests" presupposes that there are indeed interests in conflict. Conversely, as long as there is a consensus among the different groups involved, they will not conceive and even less denounce a given practice as being an instance of a "conflict of interests". In this article we will show that the content of the discussions over conflicts of interests has changed over time in close relation with the transformations of the research system. In other words: there are social conditions for the emergence of "conflicts of interests". The changing meaning of the notion is assessed by analyzing the presence of the expression "conflicts of interests" in the magazine Science over the past century. Three different meanings emerge and their content has evolved in close link with the changing structure of the relations between the scientific community first with the State and then with industry. It moved from a situation external to the scientific community to a debate going on inside the scientific community generated by the growing relations between university and industries.     

品牌信任的前因后果驱动机制研究

本研究通过大样本问卷调查,采用结构方程建模的方法探讨品牌信任的前因后果驱动机制.结果表明:品牌的直接经验和间接经验通过品牌态度和品牌信任的中介作用对品牌绩效发生影响,其中品牌直接经验比品牌间接经验对品牌态度的影响更大.这说明只有消费者对品牌产生了亲身体验以后,才会实质性地改变对品牌的态度和信任.品牌信任是导致品牌绩效的直接因素.