Here we were at a picturesque village inhabited by the ethnic Kinos, one of the smallest ethnic minority groups in China. Immediately beyond the village, Bapiao, a highway snakes deep into the rolling mountains until ...Here we were at a picturesque village inhabited by the ethnic Kinos, one of the smallest ethnic minority groups in China. Immediately beyond the village, Bapiao, a highway snakes deep into the rolling mountains until it reaches Jinghong, the capital city of Xishuangbanna Dai Autonomous Prefecture, Yunnan Province. When New China was founded in 1949, there were no more than 3,800 ethnic Kinos engaging in slash-and-bum farming for a meager subistence in those deep, subtropical lbrests. Now the Kino population has multiplied, and they have settled in 45 villages under the jurisdiction of a self-governing township.展开更多
The complexity of the healthcare organization with emphasis on efficiency and productivity has led to an increase in value conflicts as well as moral and ethical conflicts. The aim of this study was to explore nurse m...The complexity of the healthcare organization with emphasis on efficiency and productivity has led to an increase in value conflicts as well as moral and ethical conflicts. The aim of this study was to explore nurse managers’ perceptions of ethical conflicts when caring for older patients who wish to die. A qualitative method was employed and data were collected by means of a focus group interview with eight nurse managers. The results revealed one theme: A struggle due to responsibility for decision making and four sub-themes:?Understanding the meaning of free will, wondering about how serious the death wish is, providing more worthy elder care and lack of competent healthcare professionals to provide safe care. Nurse managers’ have no structure for bringing ethical conflicts to the attention of their leaders or the next level of the organization. Consequently, they appear to need supervision, support and clear, flexible lines of communication with leadership.展开更多
文摘Here we were at a picturesque village inhabited by the ethnic Kinos, one of the smallest ethnic minority groups in China. Immediately beyond the village, Bapiao, a highway snakes deep into the rolling mountains until it reaches Jinghong, the capital city of Xishuangbanna Dai Autonomous Prefecture, Yunnan Province. When New China was founded in 1949, there were no more than 3,800 ethnic Kinos engaging in slash-and-bum farming for a meager subistence in those deep, subtropical lbrests. Now the Kino population has multiplied, and they have settled in 45 villages under the jurisdiction of a self-governing township.
文摘The complexity of the healthcare organization with emphasis on efficiency and productivity has led to an increase in value conflicts as well as moral and ethical conflicts. The aim of this study was to explore nurse managers’ perceptions of ethical conflicts when caring for older patients who wish to die. A qualitative method was employed and data were collected by means of a focus group interview with eight nurse managers. The results revealed one theme: A struggle due to responsibility for decision making and four sub-themes:?Understanding the meaning of free will, wondering about how serious the death wish is, providing more worthy elder care and lack of competent healthcare professionals to provide safe care. Nurse managers’ have no structure for bringing ethical conflicts to the attention of their leaders or the next level of the organization. Consequently, they appear to need supervision, support and clear, flexible lines of communication with leadership.