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4.
Nursing ; 51(4): 54-56, 2021 Apr 01.
Artículo en Inglés | MEDLINE | ID: mdl-33759866

RESUMEN

ABSTRACT: Healthcare professionals who raise concerns about workplace safety or other problems should be praised as heroes and changemakers. However, some whistleblowers face retaliation for speaking out, and the incidence of retaliation cases against these employees has spiked during the COVID-19 pandemic. This article reflects on the role of whistleblowers and their importance to public accountability.


Asunto(s)
Prestación de Atención de Salud/organización & administración , Rol Profesional , Denuncia de Irregularidades , Humanos , Seguridad , Responsabilidad Social , Lugar de Trabajo
5.
Sci Rep ; 11(1): 2147, 2021 01 25.
Artículo en Inglés | MEDLINE | ID: mdl-33495534

RESUMEN

We analyze data from Twitter to uncover early-warning signals of COVID-19 outbreaks in Europe in the winter season 2019-2020, before the first public announcements of local sources of infection were made. We show evidence that unexpected levels of concerns about cases of pneumonia were raised across a number of European countries. Whistleblowing came primarily from the geographical regions that eventually turned out to be the key breeding grounds for infections. These findings point to the urgency of setting up an integrated digital surveillance system in which social media can help geo-localize chains of contagion that would otherwise proliferate almost completely undetected.


Asunto(s)
/epidemiología , Monitoreo Epidemiológico , Pandemias/prevención & control , Medios de Comunicación Sociales/estadística & datos numéricos , /prevención & control , Interpretación Estadística de Datos , Europa (Continente)/epidemiología , Predicción/métodos , Humanos , Pandemias/estadística & datos numéricos , Denuncia de Irregularidades
6.
PLoS One ; 15(8): e0237713, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32813685

RESUMEN

Germinal studies have described the prevalence of sex-based harassment in high schools and its associations with adverse outcomes in adolescents. Studies have focused on students, with little attention given to the actions of high schools themselves. Though journalists responded to the #MeToo movement by reporting on schools' betrayal of students who report misconduct, this topic remains understudied by researchers. Gender harassment is characterized by sexist remarks, sexually crude or offensive behavior, gender policing, work-family policing, and infantilization. Institutional betrayal is characterized by the failure of an institution, such as a school, to protect individuals dependent on the institution. We investigated high school gender harassment and institutional betrayal reported retrospectively by 535 current undergraduates. Our primary aim was to investigate whether institutional betrayal moderates the relationship between high school gender harassment and current trauma symptoms. In our pre-registered hypotheses (https://osf.io/3ds8k), we predicted that (1) high school gender harassment would be associated with more current trauma symptoms and (2) institutional betrayal would moderate this relationship such that high levels of institutional betrayal would be associated with a stronger association between high school gender harassment and current trauma symptoms. Consistent with our first hypothesis, high school gender harassment significantly predicted college trauma-related symptoms. An equation that included participant gender, race, age, high school gender harassment, institutional betrayal, and the interaction of gender harassment and institutional betrayal also significantly predicted trauma-related symptoms. Contrary to our second hypothesis, the interaction term was non-significant. However, institutional betrayal predicted unique variance in current trauma symptoms above and beyond the other variables. These findings indicate that both high school gender harassment and high school institutional betrayal are independently associated with trauma symptoms, suggesting that intervention should target both phenomena.


Asunto(s)
Ética Institucional , Mala Conducta Profesional/estadística & datos numéricos , Trauma Psicológico/epidemiología , Instituciones Académicas/ética , Acoso Sexual/estadística & datos numéricos , Estudiantes/psicología , Adolescente , Femenino , Humanos , Masculino , Prevalencia , Trauma Psicológico/psicología , Psicología del Adolescente , Estudios Retrospectivos , Instituciones Académicas/organización & administración , Sexismo/psicología , Sexismo/estadística & datos numéricos , Acoso Sexual/prevención & control , Acoso Sexual/psicología , Denuncia de Irregularidades/psicología
8.
Psychol Trauma ; 12(S1): S159-S161, 2020 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-32478553

RESUMEN

In this commentary, researchers, health care consumers, and medical providers reflect on institutional betrayal during the COVID-19 pandemic in American and Canadian health care systems. Examples of institutional betrayal experienced by patients and their family members, as well as medical providers, are described. Although such examples may be more evident to the general public during the current pandemic, they do not represent new problems. (PsycInfo Database Record (c) 2020 APA, all rights reserved).


Asunto(s)
Instituciones de Vida Asistida , Infecciones por Coronavirus , Prestación de Atención de Salud , Personal de Salud , Pandemias , Neumonía Viral , Denuncia de Irregularidades , Adulto , Instituciones de Vida Asistida/normas , Canadá , Infecciones por Coronavirus/terapia , Prestación de Atención de Salud/normas , Personas con Discapacidad , Familia , Humanos , Pacientes , Neumonía Viral/terapia , Confianza , Estados Unidos
9.
Lab Anim (NY) ; 49(6): 154, 2020 06.
Artículo en Inglés | MEDLINE | ID: mdl-32461591
10.
Lab Anim (NY) ; 49(6): 154-155, 2020 06.
Artículo en Inglés | MEDLINE | ID: mdl-32461592
11.
Lab Anim (NY) ; 49(6): 153-154, 2020 06.
Artículo en Inglés | MEDLINE | ID: mdl-32461593
12.
Lab Anim (NY) ; 49(6): 155, 2020 06.
Artículo en Inglés | MEDLINE | ID: mdl-32461594
14.
PLoS One ; 15(3): e0230312, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32155232

RESUMEN

What factors predict the underreporting of sexual harassment in academe? We used logistic regression and sentiment analysis to examine 2,343 reports of sexual harassment involving members of university communities. Results indicate students were 1.6 times likely to not report their experiences when compared to faculty. Respondents in the life and physical sciences were 1.7 times more likely to not report their experiences when compared to respondents in other disciplines. Men represented 90% of the reported perpetrators of sexual harassment. Analysis of respondents' written accounts show variation of overall sentiment based on discipline, student type, and the type of institution attended, particularly with regard to mental health. Our results suggest that institutional and departmental barriers driven by power asymmetries play a large role in the underreporting sexual harassment among students-especially those in STEM disciplines.


Asunto(s)
Acoso Sexual/estadística & datos numéricos , Universidades/estadística & datos numéricos , Docentes/estadística & datos numéricos , Femenino , Humanos , Masculino , Notificación Obligatoria , Acoso Sexual/legislación & jurisprudencia , Estudiantes/estadística & datos numéricos , Encuestas y Cuestionarios , Denuncia de Irregularidades
17.
Metas enferm ; 23(1): 25-32, feb. 2020. tab
Artículo en Español | IBECS | ID: ibc-189186

RESUMEN

OBJETIVO: examinar las barreras comunicativas que tienen los profesionales sanitarios cuando se enfrentan a un efecto adverso. MÉTODO: estudio cualitativo de orientación fenomenológica, desarrollado en el Servicio de Urgencias del Hospital de Tortosa Virgen de la Cinta (Tarragona), entre octubre y diciembre de 2018. Muestreo por conveniencia. Se llevaron a cabo dos grupos focales formados por seis-siete profesionales sanitarios que se agrupan en función del tiempo de experiencia profesional (mayor o menor a tres años). Los candidatos a participar se diferencian por edad, sexo y categoría profesional. Se usa el programa Atlas.Ti para el análisis. Se identifican tres categorías analíticas y 14 subcategorías. RESULTADOS: participaron 13 profesionales en dos grupos focales. Categorías que emergen del discurso: definición de efecto adverso, información y mejoras. Se normaliza la frecuencia de los errores. Hablan de errores leves y graves, diferenciando su actuación y los sentimientos. Refieren que parte de su aprendizaje es debido al ensayo-error de la práctica. Expresan miedo a informar en situaciones de gravedad. Hay una infrautilización del sistema de registro. Coinciden en dar la información en equipo, previo consenso, y expresan desprotección institucional. Proponen la implantación de los debriefings, identificación positiva, comunicación entre servicios, informatización y un cambio de turno estructurado. CONCLUSIÓN: el miedo a las respuestas, la pérdida de reputación y la falta de apoyo institucional aparecen como las principales barreras a la hora de admitir y comunicar los incidentes. Hay un amplio consenso sobre la falta de responsabilidad en la comunicación y disculpa de los eventos adversos y sobre la necesidad de aportar soporte y formación a los profesionales


OBJECTIVE: to review the communication barriers in healthcare professionals when faced with an adverse event. METHOD: a qualitative phenomenological study conducted at the Emergency Unit from the Hospital de Tortosa Virgen de la Cinta (Tarragona) between October and December, 2018, through convenience sampling. Two focus groups were set up, with six-seven healthcare professionals grouped by time of professional experience (over or below three years). The participants were differentiated by age, gender and professional category. The Atlas.Ti program was used for analysis. Three analytical categories and 14 subcategories were identified. RESULTS: the study included 13 professionals in two focus groups. The categories emerging from their speech were: definition of adverse event, information and improvements. The frequency of errors was normalized. They mentioned mild and severe mistakes, differentiating their action and feelings. They reported that part of their learning consists in trial-error during practice. They expressed fear to report in severe situations. The recording system is underused. They coincided in reporting as a team, after consensus, and they expressed lack of institutional protection. They proposed implementing debriefings, positive identification, communication between hospital units, information technologies, and a structured change of shift. CONCLUSION: fear of answers, loss of reputation, and lack of institutional support appeared as the main barriers at the time of acknowledging and reporting incidents. There was wide consensus about lack of responsibiility in communication and excuse for adverse events, and about the need to provide support and training to professionals


Asunto(s)
Humanos , Masculino , Femenino , Adulto , Persona de Mediana Edad , Barreras de Comunicación , Comunicación Interdisciplinaria , Errores Médicos , Revelación/ética , Servicios Médicos de Urgencia/ética , Servicios Médicos de Urgencia/estadística & datos numéricos , Denuncia de Irregularidades/ética , Investigación Cualitativa , Seguridad del Paciente , Grupos Focales
18.
Int J Health Policy Manag ; 8(12): 723-726, 2019 12 01.
Artículo en Inglés | MEDLINE | ID: mdl-31779300

RESUMEN

This companion paper suggests the potential benefits of applying Steven Lukes' dimensions of power model to the study of corruption in health systems. Lukes' model sets out three "faces of power" classified by their influence on political discourse, resulting in overt, covert and latent discussion of issues depending on the degree of their alignment with the agenda of dominant power interests. His concept that differential access to public discourse varies according to this alignment implies the potential for identifying more serious forms of corruption by the mismatch between their practical importance and the amount of open debate addressing them. These two variables are in practice inversely related, and do not, as might be expected, correlate, with more important topics receiving more public attention. Lukes' model would predict and can explain such inversion of public priorities, which tells us that observed suppression of public debate might efficiently direct the interest of researchers and the efforts of those seeking to further the public good on to the key issues needing discussion and resolution. The commentary goes on to examine whether the most serious and dangerous forms of corruption might therefore also be the most invisible, and suggests that whistleblower reports should be considered a key data source for research into high-level corruption in health systems, including redirection of policy decisions away from those which are in the public interest.


Asunto(s)
Programas de Gobierno , Denuncia de Irregularidades , Humanos
20.
J Law Med ; 26(4): 719-731, 2019 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-31682351

RESUMEN

There are many pressures that militate against work colleagues "blowing the whistle" or "ringing the bell" on each other in respect of research misconduct. These pressures result in a significant proportion of such conduct not coming to light at all or coming to light later or less straightforwardly than is desirable. There need to be meaningful incentives for colleagues to draw to the attention of authorities concerns that they have about adherence by others to their obligations in relation to research integrity. The United States has a distinctive process under the False Claims Act which provides significant financial encouragement to such persons, known as "relators" under the qui tam scheme, including in the context of proven research misconduct. This editorial reviews prominent occasions on which qui tam actions have been taken and considers the ramifications of a US$112.5 million settlement arrived at in 2019 involving research misconduct at Duke University. It discusses the advantages and disadvantages of the incentives that lie at the heart of the United States False Claims Act and canvasses whether it should be emulated in other countries.


Asunto(s)
Mala Conducta Científica , Denuncia de Irregularidades , Fraude , Motivación , Estados Unidos
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