Coronavirus (COVID-19): Patient experience-Administrative services on the frontline during crisis.

The COVID-19 pandemic has had a dramatic impact on care delivery among health care institutions and providers in the United States. As a categorical cancer center, MD Anderson has prioritized care for our patients based on acuity of their disease. We continue to implement measures to protect patients and employees from acquiring the infection within our facilities, and to provide acute management of cancer patients with concomitant COVID-19 infections who are considered at high risk of death. The Division of Patient Experience, formerly established in October 2016, has played an integral role in the institution's pandemic response from its inception. The team actively supported programs and processes in anticipation of the pandemic's effect on our patients and employees. We will describe how the team continues to serve in the ever-dynamic environment as we approach the expected surge in COVID-19 cases among our patient population, our employees, and in our community.

Explanatory limitations of cognitive-developmental approaches to morality.

In response to Gibbs' defense of neo-Kohlbergian models of morality, the authors question whether revisions in Kohlberg's model constitute a coherent refinement of the cognitive-developmental approach. The authors argue that neo-Kohlbergian measures of moral development assess an aspect of morality (the most sophisticated forms of moral reasoning available to people) that plays a relatively minor role in determining the moral judgments and behavioral decisions people make in their everyday lives. Attempts to conceptualize stages as schema and to redefine moral decision-making in terms of automaticity will not solve these problems. Flexibility is an important aspect of moral maturity. Observed relations between stages of moral development and various forms of social conduct do not establish that the structures of moral reasoning that define stages of moral development exert a significant causal impact on moral behavior. Although cognitive-developmental approaches are equipped to account for some aspects of morality, a more general framework that organizes the insights from other theoretical approaches is needed.

Toward a more pragmatic approach to morality: a critical evaluation of Kohlberg's model.

In this article, the authors evaluate L. Kohlberg's (1984) cognitive- developmental approach to morality, find it wanting, and introduce a more pragmatic approach. They review research designed to evaluate Kohlberg's model, describe how they revised the model to accommodate discrepant findings, and explain why they concluded that it is poorly equipped to account for the ways in which people make moral decisions in their everyday lives. The authors outline in 11 propositions a framework for a new approach that is more attentive to the purposes that people use morality to achieve. People make moral judgments and engage in moral behaviors to induce themselves and others to uphold systems of cooperative exchange that help them achieve their goals and advance their interests.