Moral distress and moral competences in midwifery: A latent variable approach

2018 ◽  
Vol 25 (13-14) ◽  
pp. 2340-2351 ◽  
Author(s):  
Stephan Oelhafen ◽  
Eva Cignacco

Like other health professionals, midwives need moral competences in order to cope effectively with ethical issues and to prevent moral distress and negative consequences such as fatigue or impaired quality of care. In this study, we developed and conducted a survey with 280 midwives or midwifery students assessing the burden associated with ethical issues, moral competences, and negative consequences of moral distress. Results show that ethical issues associated with asymmetries of power and authority most often lead to the experience of distress. The results are critically discussed in the context of the conceptualization and operationalization of moral distress.

2012 ◽  
Vol 51 (2) ◽  
pp. 205-216 ◽  
Author(s):  
Gary Goertz ◽  
James Mahoney

This article discusses some ontological and epistemological differences in qualitative and quantitative approaches to concepts and measurement. Concept formation inevitably raises the issue of ontology because it involves specifying what is inherent and important in the empirical phenomenon represented by a concept, e.g. ‘What is democracy?’ Qualitative researchers adopt a semantic approach and work hard to identify the intrinsic necessary defining attributes of a concept. Quantitative scholars adopt an indicator-latent variable approach and seek to identify good indicators that are caused by the latent variable. Concepts and measurement also raise epistemological issues about the nature and quality of knowledge. In quantitative analyses, the challenges of knowledge generation are closely linked to ‘error’, understood as the difference between an estimated value and a true value. By contrast, in qualitative analyses the challenges of knowledge generation are more closely linked to ‘fuzziness’, understood as partial membership in a conceptual set.


2013 ◽  
Author(s):  
Levent Dumenci ◽  
Robin Matsuyama ◽  
Robert Perera ◽  
Laura Kuhn ◽  
Laura Siminoff

2019 ◽  
Author(s):  
Rina PY Lai ◽  
Michelle Renee Ellefson ◽  
Claire Hughes

Executive functions and metacognition are two cognitive predictors with well-established connections to academic performance. Despite sharing several theoretical characteristics, their overlap or independence concerning multiple academic outcomes remain under-researched. To address this gap, the present study applies a latent-variable approach to test a novel theoretical model that delineates the structural link between executive functions, metacognition, and academic outcomes. In whole-class sessions, 469 children aged 9 to 14 years (M = 11.93; SD = 0.92) completed four computerized executive function tasks (inhibition, working memory, cognitive flexibility, and planning), a self-reported metacognitive monitoring questionnaire, and three standardized tests of academic ability. The results suggest that executive functions and metacognitive monitoring are not interchangeable in the educational context and that they have both shared and unique contributions to diverse academic outcomes. The findings are important for elucidating the role between two domain-general cognitive skills (executive functions and metacognition) and domain-specific academic skills.


2013 ◽  
Vol 85 (4) ◽  
pp. 1346-1356 ◽  
Author(s):  
Marc H. Bornstein ◽  
Chun-Shin Hahn ◽  
Diane L. Putnick ◽  
Joan T. D. Suwalsky

1993 ◽  
Vol 34 (4) ◽  
pp. 346 ◽  
Author(s):  
John E. Donovan ◽  
Richard Jessor ◽  
Frances M. Costa

2021 ◽  
pp. 1-21
Author(s):  
Akira Hasegawa ◽  
Keita Somatori ◽  
Haruki Nishimura ◽  
Yosuke Hattori ◽  
Yoshihiko Kunisato

2012 ◽  
Vol 27 (2) ◽  
pp. 168-180 ◽  
Author(s):  
Samantha Bouwmeester ◽  
Jeroen K. Vermunt ◽  
Klaas Sijtsma

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