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Interdependencies of circular business model dimensions : analyzing the role of supply chain partners
No full textFamily Systems Care ‒ expert consensus on ethics behind committed practice
Get PDFBackground: Ethically challenging situations often arise in interactions between healthcare professionals (HCPs) and families. Although the Calgary models offer guidance for practical work and are beneficial in various challenging situations, explicit awareness and recognition of the ethical concepts and theories underlying Family Systems Care (FSC) is generally lacking.
Method - Research aim: This study examined the basis of FSC in virtue ethics, deontology, and teleology.
Research design: Utilizing a qualitative design, an expert consensus was conducted through two focus group interviews, a Delphi group, and an expert panel.
Participants and research context: The expert consensus consisted of 23 professionals in FSC from various specialities, including nurses (n = 18), midwives (n = 4), and a general practitioner, who explored ethical considerations in clinical practice.
Ethical considerations: The research project was conducted in accordance with the ethical principles of participants’ informed consent and the Declaration of Helsinki.
Findings: Participants recognized the significance of classical virtues such as faith, fortitude, hope, and caritas in FSC. They emphasized that these virtues not only guide HCPs in their practice but also empower families to rediscover their strengths amid suffering. Additionally, the integration of deontological principles and teleological perspectives highlighted the importance of balancing individual and collective well-being, and fostering compassionate relationships while navigating ethical complexities in therapeutic conversations.
Conclusion: This study highlights the importance of virtue ethics, deontology, and teleology in guiding HCPs’ moral reasoning within FSC. Participants emphasized respect and appreciation as essential values for maintaining trust with families during ethical challenges. By integrating ethical theories into practice, HCPs can navigate complex situations effectively, fostering compassionate and dignified care
Psychologische Sicherheit durchgespielt : dramafreie Zusammenarbeit in psychologisch sicheren Kreisen schaffen
No full textDie digitale Playbox mit Online-Ressourcen Suchen, stöbern, entdecken – in der digitalen Playbox findest du (Copyleft):
1. ein Drehbuch zur schnellen Heranführung deines Teams an das Thema psychologische Sicherheit – kompakt in neunzig Minuten,
2. das Microsoft-Forms-Template unseres Luzerner Fragebogens zur Messung psychologischer Sicherheit,
3. die Sechzig-Minuten-Challenge »Arche« – für ein dramafreies Zusammenarbeiten durch Visualisierung und Stärkung eurer psychologisch sicheren Kreise (gratis und open source).
4. einen bewährten Werkzeugkasten (einhundert Folien) mit mentalen Landkarten und Übungen zur psychologischen und inneren Sicherheit – erprobt in meinen Weiterbildungen,
5. ein Dossier zum Thema innere Sicherheit – inklusive einer Lieblingsbodyscan- und Meditationsanleitung des Autors,
6. eine Übersicht gratis verfügbarer Interventionssammlungen zur Förderung psychologischer Sicherheit,
7. Leseempfehlungen zur psychologischen Sicherheit – meine persönliche Shortlist zur Vertiefung. Alle Folien sind kommentierbar – ich freue mich auf dein Feedback und deine Fragen!Arbeiten Sie bereits in sicheren Kreisen, die psychologische Sicherheit bieten? In welchen Konstellationen gelingt es, erfolgreich zusammenzuarbeiten, ohne dass Drama, Stress oder defensive Reaktionen wie Fight, Flight, Freeze oder Fawn das Gruppenklima belasten? Antworten liefert Dr. Joe Maiers neues Buch. Denn psychologische Sicherheit ist der stärkste Prädiktor für Teamperformance. Sie zeigt sich in gleichberechtigten Redeanteilen, sozialer Sensibilität und angstfreier Kommunikation – Merkmale, die in der Zusammenarbeit leicht messbar sind. Doch Führungskräfte neigen dazu, sowohl das Niveau psychologischer Sicherheit im Team als auch ihren eigenen positiven Einfluss darauf systematisch zu überschätzen. Der wahre Endgegner auf dem Weg zu psychologischer Sicherheit ist darum allzu oft die innere Sicherheit der Führungskraft selbst. Mit einem Reigen praxisnaher und mitunter spielerischer Methoden, allen voran der vom Autor selbst entwickelten Onlinereise »Arche«, stärken Sie die innere Sicherheit aller Teammitglieder, erkennen bereits bestehende psychologisch sichere Kreise und lernen, wie Sie auf dieser sicheren Basis psychologische Sicherheit im Team aufbauen, systematisch messen und pflegen können. Bodenständig, konkret und direkt anwendbar erhalten Sie einen Schlüssel zur dramafreien Zusammenarbeit
Post-acute withdrawal syndrome (PAWS) after stopping antidepressants : a systematic review with meta-narrative synthesis
Get PDFAims: The literature on persistent antidepressant withdrawal symptoms is sparse. This systematic review is the first to examine the prevalence, duration, severity, risk/protective factors and treatment strategies for post-acute withdrawal syndrome (PAWS) following the discontinuation of antidepressant medications.
Methods: We searched PubMed, Web of Science and PsycInfo, focusing on newer-generation antidepressants. The electronic database search was complemented with handsearching reference lists of pivotal studies. We included original studies in adults reporting on PAWS and providing data about epidemiology and clinical management of withdrawal symptoms persisting for at least 6 weeks.
Results: The literature search yielded 1286 results, with 26 records assessed for eligibility, and seven studies fulfilled our selection criteria. Prevalence data were sparse, with one small cohort study reporting a 15% prevalence rate for PAWS in patients with panic disorder and agoraphobia. The duration of PAWS varied considerably across studies, ranging from 1.5 to 166 months. Long-term paroxetine use emerged as a potential risk factor for the development of PAWS. There was no reliable evidence to support the effectiveness of various treatment strategies, including the reinstatement of antidepressant medication, the use of benzodiazepines and the provision of cognitive-behavioral therapy.
Conclusions: The current evidence on PAWS is sparse and predominantly of low certainty. The presence of withdrawal symptoms, lasting several months and possibly even years in some patients, underscores the need for further research with rigorous methodology. Large prospective cohort studies are needed to assess the epidemiology of PAWS, while randomized controlled trials are quired to test the efficacy of clinical interventions to treat PAWS
Das polizeirechtliche Veranstaltungsverbot im Kanton St. Gallen
No full textVeranstaltungen können die öffentliche Sicherheit und Ordnung stören. Gleichzeitig stellt ein präventives Verbot von Veranstaltungen eine schwerwiegende Grundrechtseinschränkung dar. Der Kanton St. Gallen hat dementsprechend hohe Hürden in seinem Polizeigesetz für ein solches Verbot vorgesehen. Der vorliegende Beitrag untersucht anhand eines Anwendungsfalls die praktische Umsetzbarkeit von Art. 50quater des Polizeigesetzes des Kantons St. Gallen (PG/SG)[Polizeigesetz vom 10. April 1980 des Kantons St. Gallen (PG SG, sGS 451.1)]
Von Überlingen nach Strassburg : Staatshaftung aus Unterlassung und die Dekarbonisierung
No full textThe prevalence of compassion fatigue among midwives in German-speaking Switzerland : a quantitative cross-sectional study
No full textProblem: Reports indicate that many midwives suffer from compassion fatigue (CF) as a result of exposure to heavy workloads, traumatic events, and other stressful situations.
Background: Studies have shown that CF often drives midwives to leave the profession. It also negatively affects their ability to provide compassionate care.
Aim: The study aimed to determine the prevalence of CF among midwives in German-speaking Switzerland and to examine the associations between demographic and work-related factors with CF.
Methods: A cross-sectional study was conducted between September and December 2022, using the validated "Professional Quality of Life" (ProQOL) questionnaire to assess compassion fatigue. Relevant demographic and professional characteristics were added to the questionnaire. Descriptive statistics, bivariable analyses and the generalised additive model (GAM) were applied.
Findings: Of the 374 participating midwives, 31.8 % (n = 119) were affected by compassion fatigue. The GAM model indicated that frequent exposure to traumatic events had the strongest impact on compassion fatigue scores (estimate: 5.17). A smaller impact was observed for attending traumatic births occasionally (estimate: 4.16), followed by being rather/much dissatisfied with their job (estimate: 3.31) and experiencing psychological burden (estimate: 1.93). The weakest effect was found in midwives who were rather satisfied with their job (estimate: 1.49).
Discussion: Factors associated with CF are multidimensional and multifactorial. Identifying potential solutions and preventive measures can be complex.
Conclusion: Further research is essential to support midwives affected by compassion fatigue and to develop effective preventive measures
Dynamisierung der Stromversorgung : unter Berücksichtigung rechtlicher Grundlagen und Grundsätze für digitale Plattformen
No full textModerne Stromnetze und intelligente Messsysteme erlauben eine Dynamisierung der Stromversorgung. Damit einher geht eine intensive Bearbeitung von Daten. Mit digitalen Plattformen lassen sich unterschiedliche Kundengruppen erschliessen und Netzwerkeffekte erzielen. Plattformtechnologie stösst auf eine akteursbezogene, letztlich limitierende Regulierung im Netzbereich. Zudem sind die Grundsätze des Datenschutzrechts sowie des entstehenden Datensicherheitsrechts einzuhalten. Das Potenzial für innovative Lösungen dürfte dort am grössten sein, wo die Regulierung nicht greift (und Wettbewerb besteht) oder wo sich Bruchstellen ergeben
How large language models are transforming teachers' assessment of student competency : a case study on LLM-based report writing
No full textEvaluating student competencies is critical to fostering academic success, but the traditional process of assessment and report generation is time-consuming and labor-intensive for teachers. The emergence of Large Language Models (LLMs) presents an opportunity to automate this process, potentially reducing the workload for educators. However, concerns such as hallucinations in LLM outputs and the lack of usability studies involving teachers raise questions about their reliability and practical application. In response, we developed an LLM-based report writing system specifically designed for real-time competency evaluation. To assess its effectiveness, we conducted a case study involving five educational experts, each with over 15 years of experience. These experts used the system to generate student competency reports and found them to be both sensible and specific. While they expressed concerns about issues like insufficient detail, they recognized the system's significant time-saving benefits. Our findings demonstrate that LLMs can positively impact teachers' competency assessments by streamlining the reporting process, offering valuable support for educators
Parametric nonlinear Volterra series via machine learning : transonic aerodynamics
No full textThis study introduces an approach for modeling unsteady transonic aerodynamics within a parametric space using the Volterra series to capture aerodynamic responses and machine learning to enable interpolation. The first- and second-order Volterra kernels were derived from indicial aerodynamic responses obtained through computational fluid dynamics, with the second-order kernel calculated as a correction to the dominant linear response. Machine learning algorithms, specifically artificial neural network and Gaussian process regression, were used to interpolate kernel coefficients within a parameter space defined by the Mach number and angle of attack. The methodology was applied to two- and three-dimensional test cases in the transonic regime. The results underscore the benefit of including a second-order kernel to address strong nonlinearity and demonstrate the effectiveness of neural networks. The approach achieved a level of accuracy that appeared sufficient for use in conceptual design