Relationships between individual-level factors and burnout: A meta-analysis of Chinese participants

We meta-analytically tested the relationships between job burnout dimensions (emotional exhaustion, depersonalization, and reduced personal accomplishment) and five factor model personality traits, personal resources, and coping strategies in Chinese participants. It showed that most of the variables considered were significantly related to job burnout dimensions in the expected direction. A comparison of the results of this study with Alarcon’s meta analysis showed that the correlations of burnout with individual level factors were in the same direction, but the magnitudes of the effect sizes differed to a certain extent. Implications of the findings and future research directions were discussed.     

Ethical Challenges Arising in the COVID-19 Pandemic: An Overview from the Association of Bioethics Program Directors (ABPD) Task Force

Abstract

The COVID-19 pandemic has raised a host of ethical challenges, but key among these has been the possibility that health care systems might need to ration scarce critical care resources. Rationing policies for pandemics differ by institution, health system, and applicable law. Most seem to agree that a patient’s ability to benefit from treatment and to survive are first-order considerations. However, there is debate about what clinical measures should be used to make that determination and about other factors that might be ethically appropriate to consider. In this paper, we discuss resource allocation and several related ethical challenges to the healthcare system and society, including how to define benefit, how to handle informed consent, the special needs of pediatric patients, how to engage communities in these difficult decisions, and how to mitigate concerns of discrimination and the effects of structural inequities.     

COVID in NYC: What We Could Do Better

Abstract

New York City hospitals expanded resources to an unprecedented extent in response to the COVID pandemic. Thousands of beds, ICU beds, staff members, and ventilators were rapidly incorporated into hospital systems. Nonetheless, this historic public health disaster still created scarcities and the need for formal crisis standards of care. These were not available to NY clinicians because of the state’s failure to implement, with or without revision, long-standing guidance documents intended for just such a pandemic. The authors argue that public health plans for disasters should be well-funded and based on available research and expertise. Communities should insist that political representatives demonstrate responsible leadership by implementing and updating as needed, crisis standards of care. Finally, surge requirements should address the needs of both those expected to survive and those who will not, by expanding palliative care and other resources for the dying.     

Do 5- and 6-Year-Old Children Attempt to Appear Fair to Others?

Abstract

Children come to prefer fair distributions at the age of 5 to 6?years. But do they actually want to be fair, or do they want to appear fair to others? In three conditions, an experimenter initially distributed chocolates to 5-/6-year-old participants and partners they were paired with. Participants always possessed, through some means, two chocolates when the experimenter returned after a brief absence, and they had to decide whether to take an extra one for themselves. To measure the extent to which children were concerned with actually being fair versus appearing fair, two conditions were created in which children were led to believe that the experimenter did not know that the distributions had become equal. In the windfall condition, a confederate gave one additional chocolate to the participant, and in the partner condition, the partner transferred one chocolate to the participant. Compared to the control condition, participants who passed the false belief task in both of these conditions tried to appear fair in their distribution. Thus 5-/6-year-old children seem to prefer appearing fair to others regardless of the situation.     

Water use scenarios assessment using multicriteria analysis

Water management is a fertile terrain for research, and can be investigated using several methodological instruments and approaches. Multipurpose water resources, which allow for the contemporary presence of in‐stream (fishing, swimming, etc.) and off‐stream uses (agriculture, household, etc.), are particularly difficult to management due to increasing water demand and the conflict between consumptive and not consumptive uses. New scenarios in agricultural policy (Reform of the European Common Agricultural Policy) and new requests from local stakeholders (recreational activities, rising household water demand, etc.) involve use of decision support methods to find a balance between multiple potential uses. This study describes the application of multicriteria decision aid for choosing the best project for water management and local development among a set of alternatives, using the regime method. The regime method can integrate quantitative data with quality judgement and preference index. The study aims to verify if the regime approach is understandable for the decision maker and if it is suitable for use in ambiguous situations where no quantitative information is available. It is not always possible to get the ‘best alternative’ in multicriteria evaluation: in this study we found two top‐rank alternatives, with minor differences, to submit to the decision maker. Copyright © 2011 John Wiley & Sons, Ltd.     

A typological approach of perceived resource fluctuations after job transitions in a representative panel study

ABSTRACT

Job and career transitions are unique experiences that vary within and between persons. One possible reason for the differential effects of transitions is that they can involve resource gains, losses, conservation, or a combination thereof. This study investigates perceived resource fluctuation patterns as possible reasons for differential health outcomes in a representative German panel study (n = 2296). Participants compared six characteristics of their new job with their previous one in three categories (better, same, or worse): (1) job security, (2) working hour regulations, (3) workload, (4) use of professional knowledge, (5) advancement opportunities, and (6) earnings. We conducted multilevel latent class analyses (LCA) with mental and physical health as distal outcomes. Results showed a four-class solution with different probabilities of endorsing that job conditions have fluctuated after the transition. Results also indicated important nuances between the latent classes in terms of mental and physical health outcomes. This study adds to a growing body of knowledge concerning the important role resource fluctuations, and the interplay of various resource dynamics play in the sustenance of mental and physical health. Results also provide implications for career guidance, as well as dealing with organizational newcomers to ensure their well-being, and therefore also their performance.