scholarly journals To Return or Not to Return

2021 ◽  
Vol 11 (2) ◽  
Author(s):  
Thai Quoc Cao ◽  
Quynh Kim Chieu

Amidst the worldwide outbreak of the coronavirus, many overseas Vietnamese students have decided to return to Vietnam to seek protection from illness. However, the decision to return or not to return in such a risky context requires intensive thinking about the outcomes of each possible choice. The aim of this reflection paper is to explore the personal considerations and dilemmas during the decision-making process of two Vietnamese students in the Netherlands using the expected utility framework. The experience of applying a systematic approach to assess risky situations not only informs decisions more comprehensively but also provides an opportunity to look deeply at one's values and interests.

2005 ◽  
Vol 11 (1) ◽  
pp. 133-166
Author(s):  
M. Iqbal

ABSTRACTIn the recent past life companies have made many decisions which they have had cause to deeply regret. This paper looks at the range of decision making theories available. It then examines recent examples of decisions that had unfavourable consequences and explores why they were taken, and goes on to describe a systematic approach to decision making which can help management assess more objectively the difficult choices confronting them today. The approach does not require espousal of any specific decision theory or method of value measurement. The focus is on the decision making process and the organisation's capacity to handle change. The paper identifies the three requirements for effective decision making.


2012 ◽  
Vol 27 (1) ◽  
pp. 27-37 ◽  
Author(s):  
Marianne K Dees ◽  
Myrra J Vernooij-Dassen ◽  
Wim J Dekkers ◽  
Glyn Elwyn ◽  
Kris C Vissers ◽  
...  

Background: Euthanasia has been legally performed in the Netherlands since 2002. Respect for patient’s autonomy is the underpinning ethical principal. However, patients have no right to euthanasia, and physicians have no obligation to provide it. Although over 3000 cases are conducted per year in the Netherlands, there is little known about how decision-making occurs and no guidance to support this difficult aspect of clinical practice. Aim: To explore the decision-making process in cases where patients request euthanasia and understand the different themes relevant to optimise this decision-making process. Design: A qualitative thematic analysis of interviews with patients making explicit requests for euthanasia, most-involved relative(s) and treating physician. Participants/setting: Thirty-two cases, 31 relatives and 28 treating physicians. Settings were patients’ and relatives’ homes and physicians’ offices. Results: Five main themes emerged: (1) initiation of sharing views and values about euthanasia, (2) building relationships as part of the negotiation, (3) fulfilling legal requirements, (4) detailed work of preparing and performing euthanasia and (5) aftercare and closing. Conclusions: A patient’s request for euthanasia entails a complex process that demands emotional work by all participants. It is characterised by an intensive period of sharing information, relationship building and negotiation in order to reach agreement. We hypothesise that making decisions about euthanasia demands a proactive approach towards participants’ preferences and values regarding end of life, towards the needs of relatives, towards the burden placed on physicians and a careful attention to shared decision-making. Future research should address the communicational skills professionals require for such complex decision-making.


2020 ◽  
Vol 215 ◽  
pp. 109849 ◽  
Author(s):  
Shima Ebrahimigharehbaghi ◽  
Queena K. Qian ◽  
Frits M. Meijer ◽  
Henk J. Visscher

2016 ◽  
Vol 25 (01) ◽  
pp. 251-255 ◽  
Author(s):  
E. Coiera

Summary Introduction: Anyone with knowledge of information systems has experienced frustration when it comes to system implementation or use. Unanticipated challenges arise frequently and unanticipated consequences may follow. Objective: Working from first principles, to understand why information technology (IT) is often challenging, identify which IT endeavors are more likely to succeed, and predict the best role that technology can play in different tasks and settings. Results: The fundamental purpose of IT is to enhance our ability to undertake tasks, supplying new information that changes what we decide and ultimately what occurs in the world. The value of this information (VOI) can be calculated at different stages of the decision-making process and will vary depending on how technology is used. We can imagine a task space that describes the relative benefits of task completion by humans or computers and that contains specific areas where humans or computers are superior. There is a third area where neither is strong and a final joint workspace where humans and computers working in partnership produce the best results. Conclusion: By understanding that information has value and that VOI can be quantified, we can make decisions about how best to support the work we do. Evaluation of the expected utility of task completion by humans or computers should allow us to decide whether solutions should depend on technology, humans, or a partnership between the two.


Author(s):  
Kaveh Ebrahimi

The constant uncertainty within the hydrocarbon production and refining market coupled with the continued pressure to reduce greenhouse gas emissions and costs is increasing the need for operators of petroleum facilities to seek cost-effective ways of utilizing used or out-of-service equipment instead of installing new equipment. As an example, there may be equipment in parts of a refinery that have been out of service for a while, which the operator or end user would like to use in similar applications in the same refinery or other plants elsewhere. Once an operator decides to look at the possibility of re-using used or out-of-service equipment, a few important steps need to be taken to determine whether the equipment is still operable and suitable for its new intended service. As inspection, moving or relocating of major equipment within operating plants is usually possible only during planned turnarounds, the correct identification of necessary steps, prioritizing of tasks, and precise planning and coordination of activities to evaluate the condition of used or out-of-service equipment are critical to meet the usual tight deadlines of the decision making process. This article is structured primarily as an attempt to assist the organizations in charge of evaluation of used or out-of-service equipment to identify and plan the necessary steps in order to determine their suitability for their new intended service. Many of the issues discussed here can be also applied to any life extension evaluation program, and therefore throughout this report the term out-of-service is interchangeable with ‘used’ equipment. The focus of this article is mainly static equipment as re-using of machinery or rotating equipment would require a rather different approach [1]. Two case studies included at the end of this report demonstrate the benefits of adopting a systematic approach in evaluating used equipment.


2015 ◽  
Vol 18 (7) ◽  
pp. A546 ◽  
Author(s):  
L Tariq ◽  
GW Frederix ◽  
RW Roberts ◽  
P van Bakel ◽  
SV Belitser ◽  
...  

2007 ◽  
Vol 10 (4) ◽  
pp. 330-336 ◽  
Author(s):  
Peter Scarborough ◽  
Mike Rayner ◽  
Lynn Stockley

AbstractObjectiveNutrient profiling can be defined as the ‘the science of categorising foods according to their nutritional composition’. The purpose of the present paper is to describe a systematic and logical approach to nutrient profiling.DesignA seven-stage decision-making process is proposed and, as an illustration of how the approach might operate in practice, the development of a nutrient profiling model for the purpose of highlighting breakfast cereals that are ‘high in fat, sugar or salt’ is described.ResultsThe nutrient profile model developed for this paper calculates scores for foods using a simple equation. It enables breakfast cereals to be compared with each other and with other foods eaten at breakfast.ConclusionNutrient profiling is not new, but hitherto most nutrient profiling models have been developed in an unsystematic and illogical fashion. Different nutrient profiling models are needed for different purposes but a key requirement should be that they are developed using a systematic, transparent and logical process. This paper provides an example of such a process; approaches to validating nutrient profiling models are described elsewhere.


Water Policy ◽  
2010 ◽  
Vol 12 (5) ◽  
pp. 746-760 ◽  
Author(s):  
R. van der Veeren

Since 2005, several cost benefit analyses have been performed for the European Water Framework Directive (WFD) in The Netherlands. These analyses had in common that they were meant to support the decision-making process by informing policy makers and making the trade-offs as transparent as possible. The analyses also anticipate questions from the Dutch Parliament. Nevertheless, each time the analyses were slightly different, depending on the situation and (political) questions that had to be answered. This article presents the background and the highlights of the various analyses, describes their differences and similarities and tries to find a common thread in the results. Even though the results are barely comparable for a number of reasons, they seem to indicate that such a line exists and that economic analyses have played a role in the decision-making process by making tradeoffs more explicit. This has offered the opportunity for an iterative dialogue with the Dutch Parliament, which contributed to a decision-making process which resulted in a socially accepted programme of measures that is economically sound and transparent.


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