Increased work complexity and financial strain in the health care sector have led to higher demands on staff to handle ethical issues. These demands can elicit stress reactions, that is, moral distress. One way to support professionals in handling ethical dilemmas is education and training in ethics. This article reports on a controlled prospective study evaluating a structured education and training program in ethics concerning its effects on moral distress. The results show that the participants were positive about the training program. Moral distress did not change significantly. This could be interpreted as competence development, with no effects on moral distress. Alternatively, the result could be attributed to shortcomings of the training program, or that it was too short, or it could be due to the evaluation instrument used. Organizational factors such as management involvement are also crucial. There is a need to design and evaluate ethics competence programs concerning their efficacy.
The purpose of this paper is to re-examine Indigenous Knowledge (IK) in order to suggest an agenda for its development and integration with other forms of knowledge. The paper discusses what marginalization of IK mean, examines the challenges of integrating IK in the mainstream of other forms of knowledges and sug-gests agenda for IK development. The suggested agenda focuses on mapping and auditing IK capacity in Africa, legal and ethical issues, IK management, IK education and training, integration of IK and KM, IK brain drain. The paper recommends that information on IK be widely shared for evaluation, use and further devel-opment.
Marginalized Knowledge: An Agenda for Indigenous Knowledge Develop-ment and Integration with Other Forms of Knowledge
