The Impact of Endoscopy Sedation Information Sheets on the Level of Concern Regarding Possible Awareness in Patients Undergoing Endoscopy Sedation

Sedation encompasses a continuum from complete unconsciousness to drowsiness and anxiolysis where some awareness might be expected. Most patients undergoing endoscopy sedation expect to be completely unconscious during the procedure and thus have unmet expectations regarding their state of consciousness. This study aimed to evaluate whether endoscopy sedation information sheets reduce the level of concern regarding possible awareness during endoscopy sedation at a major regional hospital. Our findings were that 28.8% of patients who received the endoscopy sedation information sheet (n = 82) were concerned about awareness during the procedure, compared to 36.5% of patients in the control group (n = 105). However, the difference was not statistically significant. We also found that the incidence of awareness was higher (13.9%) in the intervention group compared to 8.8% in the control group but, again, not statistically different. This study allowed us to elucidate the level of concern regarding possible awareness during sedation and the incidence of awareness during endoscopy sedation. This will enable future work investigating the role of endoscopy sedation information methods involving written and video material in assisting pre-procedure patient counselling.

Customer Abuse and Aggression as Labour Control Among LGBT Workers in Low-Wage Services

This study examines the relation between customer abuse and aggression, the gender and sexual expression of workers, and labour control in low-wage services. In-depth interviews with 30 lesbian, gay, bisexual, and transgender (LGBT)1 low-wage service sector workers reveal how customer abuse and aggression works in consort with management strategies to reproduce cis- and heteronormativity. Customer abuse and aggression disciplined worker expressions of non-normative gender and sexual identities, leading to concealment and self-policing. Management was complicit in this dynamic, placing profitability and customer satisfaction over the safety of LGBT workers, only intervening in instances of customer abuse and aggression when it had a limited economic impact. It is posited that customer abuse and aggression is not only a response to unmet expectations emanating from the labour process but is also a mechanism of labour control that disciplines worker behaviour and aesthetics, directly and indirectly, by influencing management prerogatives.

Family Social Reproduction: Conflict and Compromise in Cross-Border Marriages between Chinese Malaysian Men and Vietnamese Women

In this paper, we use the framework of family social reproduction to investigate care relationships within cross-border marriages in Malaysia. Examining the narratives of Chinese Malaysian men and their Vietnamese spouses, we find that (i) the Malaysian men’s labour migration during their twenties and thirties leads to the deferment as well as enablement of marriage, reconfiguring social reproduction temporally and spatially within their life courses, while (ii) the Vietnamese women’s aspirations for migration, work, and marriage interlink with their desire to seek a better life, and their motivations to secure better options to contribute to the social reproduction of their natal families. Tensions in cross-border marriage arise from unmet expectations of care and sustenance, leading to frictions over contested roles and responsibilities in daily household maintenance and care activities, and compromises as marriage partners formulate social reproductive strategies. Exchanges of care, reproductive labour, and money within these marriages are embedded in relational meanings, pointing to the significance of recognising that the care work that shapes and sustains marital relationships is bidirectional, reciprocal, and undertaken by husbands as much as wives.

A Study on the Role of Expectations and Perceived Organizational Support practices in Repatriate Turnover

MNCs are increasingly sending expatriates to their foreign subsidiaries in order to acquire best resources, and to cater to unexplored markets. This requires the executives to develop their global competencies. Once the expatriate has developed skills, far enough to sustain in the overseas, it becomes a challenge to settle him/her back in the home country when the expatriate assignment is over. Research evidences show that, there is a high percentage of repatriate turnover i.e the repatriate leaving the parent organization, upon return from the foreign assignment, resulting in both direct and indirect losses to the parent company. The purpose of this paper is to look into the reasons for repatriation turnover. The proposed model links repatriate turnover intentions to key causing factors such as repatriate expectation upon return and repatriate perception of organizational support practices. Data was gathered from 115 repatriates working in the major oil and gas industry, which included both government and private sector companies. The results of the study conclusively established that unmet expectations of expatriate were a significant cause for turnover intention of repatriate, while ineffective repatriation practices of company was not.

Implications of Protest and Reform for Domestic Governance in Ethiopia

The nexus between protest–transition–reform situated in a larger frame of Ethiopia’s political dynamics anchored in historical narratives and theoretical debates are presented in this paper. Moreover, the genesis and the dynamics surrounding the rolling out of the post-2018 Ethiopia’s transition are examined from the vantage point of prospects for entrenching a stable democratic dispensation in the country. To this end, the political economy approach, along with presenting ethnographic narratives that are pertinent to the subject under study, is used as an analytical lens. Also, document review of journal articles, official and academic reports, internet blogs, and newspaper and other media posts was undertaken to substantiate findings from primary sources. The paper concludes that the ongoing Ethiopian transition unfolded by paving avenues for opening up space for negotiating unsettled issues surrounding state-society relations in a context of a relatively liberalized political economy. However, the envisioned model of transition is constrained by different factors characterized by a split in the ranks of the ruling coalition, intergroup conflicts, and rising unmet expectations that resulted in the absence of peace and stability. Besides, the prevailing weakness of democratic institutions and polarized inter-ethnic relations, the recent outbreak of the COVID-19 pandemic stalled the progress of the transition process.

Breach of employer obligation and employee well-being during COVID-19 unlock phase

BACKGROUND: The current study explored the relationship between breach of employer obligations, family-work conflict, psychological distress and well-being during Covid-19 unlock phase. OBJECTIVE: The study aimed to understand the breach of how the breach of employer obligation lead to decreased well-being through the family-work conflict and psychological distress during the covid-19 unlock phase. METHODS: The data was collected through structured questionnaire via Google doc from 397 employees across the industries. Snowball sampling was adopted, and SmartPLS 3.0 was used for the structural equation model. RESULTS: Breach of employer obligations are positively affecting family-work conflict. Further, family-work conflict increases the psychological distress, and psychological distress decreases the well-being (life satisfaction and family satisfaction) of the employees. CONCLUSION: The novel contribution of the study is integrating SET, COR and SIP theory during the pandemic situation. The results highlighted meticulous empirical evidence which answers the question of how the unmet expectations cause a detrimental effect on the employees as well as the organizations in this Covid-19 pandemic situation.

How It Started, How It Is Going: The Future of Artificial Pancreas Systems (Automated Insulin Delivery Systems)

Originally, the future of automated insulin delivery (AID) systems, or artificial pancreas systems (APS), was having them at all, in any form. We’ve learned in the last half dozen years that the future of all artificial pancreas systems holds higher time in range, less work required to manage automated insulin delivery systems to improve quality of life, and the ability to input critical information back into the system itself. The data and user experience stories make it clear: APS works. APS are an improvement over other diabetes therapy methods when they are made available, accessible, and affordable. Understanding the unmet expectations of current users of first generation APS technology may also aid in the development of improved technology and user experiences for the future of APS.

Perceptions of cervical cancer prevention among a group of ethnic minority women in Denmark—A qualitative study

Background Cervical cancer screening (CCS) and human papillomavirus vaccination (HPVV) are effective measures against cervical cancer (CC). Attendance in HPVV and CCS provides the greatest protection, while combined non-attendance in HPVV and CCS provides little to no protection. It is hence concerning that some large ethnic minority groups show considerably lower HPVV and CCS attendance than other women–especially women from Middle-Eastern and North African (MENA) countries and Pakistan. Little is, however, known about the reasons for this low combined attendance pattern n. Aim To explore perceptions of and barriers to HPVV and CCS, among MENA and Pakistani women in Denmark. Method Focus group interviews were conducted. Data was transcribed verbatim, and analysed using systematic text condensation. Findings Seventeen long-term resident women originating from six major MENA countries and Pakistan were included. Mean age was 36 years. We found that these women, across different age groups and descent, had sparse knowledge and understanding about CC, and their perceived relevance of disease prevention was low. Compared to HPVV, their barriers to CCS were more fixed and often linked to socio-cultural factors such as taboos related to female genitals and sexuality. Moreover, they presented unmet expectations and signs of mistrust in the healthcare system. However, at the end of the interviews, participants became more attentive toward CC prevention, particularly toward HPVV. Conclusion Elements of insufficient knowledge and understanding of CC and its prevention were found among a group of MENA and Pakistani women. Their socio-cultural background further represents a barrier particularly towards CCS. Additionally, negative experiences and unmet expectations lessen their trust in the healthcare system. All of which underlines the need for new tailored CC preventive strategies for this group. Based on our findings we suggest that future studies develop and evaluate interventions aiming to improve HPVV and CCS, including user-involvement.

POS0272-HPR POOR RESPONSE TO TKA: THE PERSPECTIVE OF PATIENTS AND KNEE SPECIALISTS

Background:Although most of the patients after total knee replacement (TKA) report very satisfied outcome scores, there is still a significant proportion of patients that experience persistent knee pain, functional disability or dissatisfaction after TKA because of osteoarthritis (OA). It is difficult to quantify the proportion of patients with poor response to TKA, as different definitions on failure are being used (1). Additionally, patients and surgeons only agree in 36% on failure of total joint replacement (TJR) (2). This may be caused by different perceptions about concepts underlying poor response to TKA.Objectives:To explore if patients and knee specialists have different views about relevant concepts reflecting poor response to primary TKA.Methods:A qualitative, multicentre study was performed using semi-structured interviews in Belgium and in the Netherlands. Purposive sampling was used to enrich data variation. Twenty-five patients with knee OA without surgical indications (N=2), pre- and postoperative patients (N=11 and N=12, respectively) and fifteen knee specialists (orthopedic surgeons (N=9), physician assistants (N=1), nurse practitioners (N=1) and specialized physiotherapists (N=4)) were interviewed individually. Conversations were audiotaped, transcribed verbatim, and analysed using a thematic analysis.Results:Concepts underlying poor response to TKA were: persistent pain, limited knee function, limitations in physical functioning, complications, unmet expectations, unexpected sequelae and dissatisfaction (Figure 1). The concepts persistent pain, limited knee functioning, complications and limited physical functioning were found to underly expectations and/or unexpected sequelae after TKA. Dissatisfaction was considered a overarching concept resulting from unmet expectations and/or unexpected sequelae after TKA (e.g. long-term use of pain medication, continuous awareness of the prosthesis). All seven concepts were identified by both patients and knee specialists although poor knee function was more often described by patients in terms of prosthesis awareness, whereas knee specialists described poor knee function in terms of instability.Conclusion:Patients and knee specialists identified similar concepts as relevant concepts reflecting poor response to TKA. These results will be used to formulate a uniform definition of poor response to TKA.References:[1]Te Molder MEM, Smolders JMH, Heesterbeek PJC, Van Den Ende CHM. Definitions of poor outcome after total knee arthroplasty: An inventory review. BMC Musculoskelet Disord. 2020;21(1):1–6.[2]Singh J, Mehta B, Mirza S, Figgie M, Sculco P, Parks M, et al. When has a knee or hip replacement failed? A patient perspective. J Rheumatol. 2019;47(9):1–18.Figure 1.Relevant concepts reflecting poor response to TKA according to the patients’ and knee specialists perspectives. Concepts in solid gray were relevant to both, prosthesis awareness was relevant to patients and instability was identified as important outcome by knee specialists.Disclosure of Interests:None declared

Testing the link between psychological contract, innovative behavior and multidimensional well-being during the COVID-19 pandemic

PurposeThe study investigates the impact of psychological contract breach on employees' innovative behavior and well-being (happiness, work engagement and mental well-being) who are working from home during this COVID-19 pandemic situation. Drawing on social information processing (SIP) and job-demand resource (JD-R) theory, job stress was proposed as a mediator explaining this relationship.Design/methodology/approachData were collected via a structured questionnaire through Google Docs from 258 respondents working at different capacity in Indian organizations. The study includes those respondents who are working from home during COVID-19 pandemic situation. The hypotheses were tested using structural equation modeling (SEM).FindingsPsychological contract breach was negatively impacting innovative behavior and well-being. Job stress mediated the relationship between psychological contract breach and innovative behavior as well as well-being during the COVID-19 pandemic situation and especially for those who are working from home only.Research limitations/implicationsThe data for the study were collected from the employees working from home during this COVID-19 pandemic situation was cross-sectional. The study implied or spoke about the unmet expectations leading to reduced innovative behavior harming the organization's effectiveness and it also reduces well-being which harms the individual in the era of social and financial uncertainty.Originality/valueThe novel contribution of the study is integrating SIP and JD-R theory during the pandemic situation. The results highlighted meticulous empirical evidence which answers the question that how the unmet expectations cause a detrimental effect on the employees as well as the organizations in this COVID-19 pandemic situation.