BackgroundDrawing from Erikson’s theory, Domino and Affonso constructed the Inventory of Psychosocial Balance, a scale with satisfactory reliability and validity. However, the lack of a credible Chinese version of the scale may hinder research on ego development in Taiwan. The aim of the present study was to construct a short form Chinese IPB. In addition, factor analysis was employed to shorten the original 120-item scale to make it suitable for application in the older adults in the future.MethodsThe study involved three (...) steps: The first step was to establish the 120-items of the Chinese Inventory of Psychosocial Balance, and we conducted translation, back-translation, expert validity, and reliability of pilot study for this step. Following the first step was to construct the short-form C-IPB in the second step, and the CIPB-SF was developed via item analysis and factor analysis. Finally, we assessed the reliability and validity of the CIPB-SF via structural equation model in the third step.ResultsThree hundred eight older adults without cognitive disorder completed the IPB. The 40-item CIPB-SF was completed through item analysis and factor analysis. The internal consistency test of CIPB-SF and the eight stages were good. The CIPB-SF had acceptable validity, except in the intimacy and identity stages, in which validity was only fair. Compared with the IPB, the CIPB-SF had good reliability and acceptable validity. However, because of its conciseness, the 40-item CIPB-SF was more suited for application among the Chinese elderly population because its application avoids physical overload.ConclusionThe CIPB-SF served as a concise scale for assessing ego development in our study. This scale can also serve as a useful tool for convenient screening in the future. (shrink)

Taiwan is an island country situated in the northwest Pacific, close to the southeast of China. The land area is about 36,000 square kilometers. The population of Taiwan is about 23 million, and it consists of the majority Han ethnic groups and dozens of minority groups who are collectively called “Formosan,” an appellation for indigenous peoples in Taiwan. Formosans can be divided into Pingpu and Gaoshan by their living area. In recent years, marriages between Taiwanese, Mainland Chinese, and Southeast Asians (...) have increased significantly. Because of the genetic background of the Taiwanese people, it was thought to be highly beneficial for Taiwan to establish a biobank specifically designed for the Taiwanese population, as it would enable large-scale cohort studies to be carried out for common diseases occurring in Taiwan. (shrink)

We find that agency problems are embedded in firm's excess and abnormal equity investments that are mainly dictated by controlling shareholder's motives and ethical choices manifested in ownership and board structure. The excess equity investment is gauged with respect to industry average. The abnormal equity investment is specifically referred to the number of nominal investment companies that are fully controlled by the controlling owners while subject to little governance. Our empirical evidences of 345 Taiwanese non-financial listed firms show that firm's (...) excess and abnormal equity investments are negatively correlated with controlling shareholder's cash flow rights while are positively correlated with the control-cash flow deviation, and board affiliation. The results are supportive of the positive incentive hypothesis and the negative entrenchment hypothesis put forth by La Porta et al. and Claessen et al.. The negative relation between equity investment and firm's value further supports the agency postulation that corporate excess and abnormal equity investments represent a leeway for controlling shareholder to exploit wealth of minority shareholders. This study potentially contributes to the literature of business ethics by portraying an empirically testable linkage from controlling owner's ethical choices to his actions and therefore firm's value. (shrink)

This study proposed a children’s digital art ability training system with artificial intelligence-assisted learning, which was designed to achieve the goal of improving children’s drawing ability. AI technology was introduced for outline recognition, hue color matching, and color ratio calculation to machine train students’ cognition of chromatics, and smart glasses were used to view actual augmented reality paintings to enhance the effectiveness of improving elementary school students’ imagination and painting performance through the diversified stimulation of colors. This study adopted the (...) quasi-experimental research method and designs the pre-test and post-test for different groups. The research subjects are the Grade 4 students of an elementary school in Taitung City, Taiwan. The test tools included an imagination test and an evaluation of painting performance ability. The test results of a total of 30 students before and after the experiment included the experimental group that received the children’s digital art ability training system with AI-assisted learning and 30 students in the control group that had not received the teaching were analyzed by covariance. These results were supplemented by the description and interpretation of student feedback, teachers’ reflection notes, and other qualitative data to understand the performance of the students in the experimental group in terms of imagination and painting performance. (shrink)

This study employs fMRI to examine the neural substrates of response to cognitive training in healthy old adults. Twenty Japanese healthy elders participated in a 4-week program and practiced a verbal articulation task on a daily basis. Functional connectivity analysis revealed that in comparison to age- and education-matched controls, elders who received the cognitive training demonstrated increased connectivity in the frontotemporal regions related with language and memory functions and showed significant correlations between the behavioral change in a linguistic task and (...) connectivity in regions for goal-oriented persistence and lexical processing. The increased hippocampal connectivity was consistent with previous research showing efficacious memory improvement and change in hippocampal functioning. Moreover, the increased intra-network connectivity following cognitive training suggested an improved neural differentiation, in contrast to the inter-network activation pattern typical in the aging brain. This research not only validates the relationship of functional change in the frontal and temporal lobes to age-associated cognitive decline but also shows promise in turning neural change toward the right direction by cognitive training. (shrink)

With the increase in depth of coal mining, the hydrogeological complexity largely increases and water inrush accidents happen more frequently. For the safety of coal mining, horizontal directional drilling and grouting techniques have been implemented to detect and plug the fractures and conduits that deliver high-pressure groundwater to coal mine. Taking the grouting engineering performed at Xingdong coal mine at 980 m below sea level as an example, we collected the data of grouting quantity, the loss of drilling fluid, gamma (...) value, water temperature, average water absorption, distance between grouting loss points, water pressure on coal seam floor, and aquifuge thickness at 90 boreholes in the mine to conduct grey relational analysis, first. The analysis showed that the grouting quantity was highly correlated with all other factors. Subsequently, grey system evaluation was used to evaluate the risk of water inrush from the coal seam floor. The results of risk analysis illustrated that three water inrushes from Ordovician limestone occurred in mining face 2127, 2125, and 2222 in the study area were all located in the area with a risk score higher than 65. Through grouting, the identified cracks were effectively blocked and waterproof layers beneath the coal seam floors were constructed to reduce the threat of water inrush. By comparing the risk assessment results with three water inrush cases before grouting operation, we found that water inrush areas were consistent with the area of higher risk. (shrink)

BackgroundThe therapeutic effect of deep brain stimulation (DBS) of the subthalamic nucleus (STN) for Parkinson's disease (PD) is related to the modulation of pathological neural activities, particularly the synchronization in the β band (13–35 Hz). However, whether the local β activity in the STN region can directly predict the stimulation outcome remains unclear.ObjectiveWe tested the hypothesis that low-β (13–20 Hz) and/or high-β (20–35 Hz) band activities recorded from the STN region can predict DBS efficacy.MethodsLocal field potentials (LFPs) were recorded in (...) 26 patients undergoing deep brain stimulation surgery in the subthalamic nucleus area. Recordings were made after the implantation of the DBS electrode prior to its connection to a stimulator. The maximum normalized powers in the theta (4–7 Hz), alpha (7–13 Hz), low-β (13–20 Hz), high-β (20–35 Hz), and low-γ (40–55 Hz) subbands in the postoperatively recorded LFP were correlated with the stimulation-induced improvement in contralateral tremor or bradykinesia–rigidity. The distance between the contact selected for stimulation and the contact with the maximum subband power was correlated with the stimulation efficacy. Following the identification of the potential predictors by the significant correlations, a multiple regression analysis was performed to evaluate their effect on the outcome.ResultsThe maximum high-β power was positively correlated with bradykinesia–rigidity improvement (rs = 0.549, p < 0.0001). The distance to the contact with maximum high-β power was negatively correlated with bradykinesia–rigidity improvement (rs = −0.452, p < 0.001). No significant correlation was observed with low-β power. The maximum high-β power and the distance to the contact with maximum high-β power were both significant predictors for bradykinesia–rigidity improvement in the multiple regression analysis, explaining 37.4% of the variance altogether. Tremor improvement was not significantly correlated with any frequency.ConclusionHigh-β oscillations, but not low-β oscillations, recorded from the STN region with the DBS lead can inform stimulation-induced improvement in contralateral bradykinesia–rigidity in patients with PD. High-β oscillations can help refine electrode targeting and inform contact selection for DBS therapy. (shrink)

Seeing the limitation of the thesis of ‘mediatisation of religion’ (Hjarvard 2008; 2011), I would like to present a case study of Buddhist organisational usage of televisual discourse in Taiwan in this article. The example of one of the most watched prime-time docudramas—Da-Ai Drama (produced by an iconic Taiwanese Buddhist organisation, Tzu-Chi)—challenges the limited scope of ‘mediatisation of religion’ and encourages a critical review of the terms ‘religions’ and ‘secularisation’. The article also explicates the way in which Tzu-Chi utilizes multimedia (...) approach to transfer the ideal of celestial Bodhisattva into a discourse of ‘human Bodhisattva’, which encourages the laity to participate in Tzu-Chi's voluntary programmes. A sect of acting philosophy is reinforced through multimedia approach and a wide range of voluntary programmes in the organisation. (shrink)

This study traces the impact of Ch'en Pei-hsi's Hsing-li tzu-i on the rise of philosophical lexicography in Tokugawa Japan . It suggests that the appearance of copies of the 1553 Korean edition of Pei-hsi's Tzu-i, brought to Japan in the wake of Toyotomi Hideyoshi's invasion of Korea , crucially influenced both understandings of and reactions to Neo-Confucianism in Tokugawa Japan. Pei-hsi's Tzu-i, the study relates, served as the literary template for several early Tokugawa works, including Fujiwara Seika's Kana seiri , (...) and Hayashi Razan's Shunkansho and Santokusho . The Tzu-i also went through several Japanese editions, beginning with the 1632 Sino-Japanese edition, based on Razan's kambun rendition of the Tzu-i, a vernacular explication of the text by Razan, the Seiri jigi genkai, published in 1659, an annotated edition of the 1632 Sino-Japanese edition, printed in 1670, and the 1668 publication of a later, significantly variant, Chinese edition of Pei-hsi's Tzu-i. ;Razan's Seiri jigi genkai promoted Neo-Confucian learning as expounded in the Tzu-i, but also called attention to etymologically problematic terms of that learning. The dissertation suggests that Razan's Genkai influenced both the literary form and the philosophical content of Yamaga Soko's Seikyo yoroku , Ito Jinsai's Gomo jigi , and Ogyu Sorai's Benmei , thus linking Razan's critical promotion of Pei-hsi's Tzu-i to a series of conceptually based "School of Ancient Learning" critiques of Neo-Confucianism. (shrink)

Ch'en Ch'un: An Introduction . CHEN CH'UN THE MAN Ch'en Ch'un (-), honored as Master of Pei-hsi (the river in the northern part of the prefecture) was one ...

Revolutionizing received opinion of Taoism's origins in light of historic new discoveries, Harold D. Roth has uncovered China's oldest mystical text--the original expression of Taoist philosophy--and presents it here with a complete translation and commentary. Over the past twenty-five years, documents recovered from the tombs of China's ancient elite have sparked a revolution in scholarship about early Chinese thought, in particular the origins of Taoist philosophy and religion. In _Original Tao,_ Harold D. Roth exhumes the seminal text of Taoism--_Inward Training (...) (Nei-yeh)_--not from a tomb but from the pages of the _Kuan Tzu,_ a voluminous text on politics and economics in which this mystical tract had been "buried" for centuries. _Inward Training_ is composed of short poetic verses devoted to the practice of breath meditation, and to the insights about the nature of human beings and the form of the cosmos derived from this practice. In its poetic form and tone, the work closely resembles the _Tao-te Ching_; moreover, it clearly evokes Taoism's affinities to other mystical traditions, notably aspects of Hinduism and Buddhism. Roth argues that _Inward Training_ is the foundational text of early Taoism and traces the book to the mid-fourth century B.C. (the late Warring States period in China). These verses contain the oldest surviving expressions of a method for mystical "inner cultivation," which Roth identifies as the basis for all early Taoist texts, including the _Chuang Tzu_ and the world-renowned _Tao-te Ching._ With these historic discoveries, he reveals the possibility of a much deeper continuity between early "philosophical" Taoism and the later Taoist religion than scholars had previously suspected. _Original Tao_ contains an elegant and luminous complete translation of the original text. Roth's comprehensive analysis explains what _Inward Training_ meant to the people who wrote it, how this work came to be "entombed" within the _Kuan Tzu,_ and why the text was largely overlooked after the early Han period. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Original Tao: Inward Training and the Foundations of Taoist MysticismJohn A. TuckerOriginal Tao: Inward Training and the Foundations of Taoist Mysticism. By Harold D. Roth. New York: Columbia University Press, 1999. Pp. v + 268. Hardcover $29.50.Searching for the origins of things remains a perennial favorite of Western scholars. For millennia, this quest has been at the core of innumerable scholarly projects. However, it has had significantly less (...) appeal to Asian thinkers, many of whom are more accustomed to assuming a continual presence or an eternal, cyclical recurrence, rather than an absolute beginning or creation ex nihilo from which all could be traced. Harold Roth's Original Tao: Inward Training and the Foundations of Taoist Mysticism continues this time-honored line of investigation, applying it to Taoist mystical writings, in a search for what Roth calls "the original tao." While such a line of research might appear perfectly reasonable to Western minds, it seems a bit incongruous with much of Taoist thought, especially when the latter is accepted and explained in terms of its own categories. For Taoists, of course, the uncarved block, the great thoroughfare, the tao itself, is the origin of all things, including mystical approaches to it and the human predicament.Given this anti-genealogical outlook, with its radical de-emphasis of texts and historical individuals, it should come as no surprise that the origins of Taoism are as murky, and hints about the same as misleading, as any could possibly be. The legendary figure Lao Tzu, now widely recognized as a fabricated philosopher meant to supply a set of presumably whimsical origins, and thus mock the appeal to them, is a case in point. Another might be the Chuang Tzu's satirically progressive deconstruction of the notion of a "beginning to being" via positing an infinite regress of beginnings that have not yet begun to be.1 Despite this, there remains the determination (and Roth is by no means alone here) to discover what has been hidden, perhaps intentionally. Without meaning to compromise this quest, we nevertheless might well ask whether the search does not somehow impair its own integrity as a [End Page 307] statement about the subject being explored. Put another way, is not the way that can be discussed the true way?Methodologically, Roth's book is "a study in 'textual archaeology' " that seeks to uncover "long-lost or long-overlooked texts and the interpretation of their significance" (p. 3). Its focus is on a collection of philosophical verses titled Nei-yeh (Inward training), which, as Roth notes, A. C. Graham earlier characterized as "possibly the oldest mystical text in China" (p. 2). While basing his analyses in part on textual, historical, and hermeneutic insights that have resulted from the relatively recent discovery of the Ma-wang-tui manuscripts, Roth's purported discovery of "the original tao" emerged not from the literal, archaeological unearthing of a text hitherto unknown, but from a new level of interpretive, historical appreciation of a writing long known to exist, Inward Training.Inward Training had been known, however, as a portion of the Kuan Tzu, a work typically characterized as "legalist" in philosophical orientation. By analyzing Inward Training via a "mystical hermeneutic," Roth suggests that the verses composing it are not just so much ancient metaphysical poetry, but instead derived from a group of devoted practitioners of breathing meditation who conceptualized their discipline through metaphysical notions regarding both the cosmos and human nature. According to Roth, these practitioners subscribed to the "guiding and pulling" methods often associated with "dietary and sexual regimens," practices later criticized in texts such as the Chuang Tzu and Huai-nan Tzu. The cosmology generated by these practitioners, and recorded in Inward Training, was, notably enough, similar to what emerged later in the Lao Tzu, a text mistakenly considered, for millennia, to be the origin of the way. Thus Roth resituates Inward Training, moving it from the more recent peripheries of antiquity to the very headwaters of the ancient tradition, as the original way.In radically rethinking the beginnings of Taoism without invoking the traditionally accepted but apparently ahistorical claims of a Lao-Chuang filiation, Roth proposes a new... (shrink)

Like Machiavelli's The Prince and the Japanese Book of Five Rings, Sun Tzu's The Art of War is as timely for business people today as it was for military strategists in ancient China. Written in China more than 2,000 years ago, Sun Tzu's classic The Art of War is the first known study of the planning and conduct of military operations. These terse, aphoristic essays are unsurpassed in comprehensiveness and depth of understanding, examining not only battlefield maneuvers, but also relevant (...) economic, political, and psychological factors. Indeed, the precepts outlined by Sun Tzu regularly applied outside the realm of military theory. It is read avidly by Japanese businessmen and was touted in the movie Wall Street as the corporate raider's bible. Providing a much-needed translation of this classic, Samuel Griffith has made this powerful and unique work even more relevant to the modern world. Including an explanatory introduction and selected commentaries on the work, this edition makes Sun Tzu's strategical and tactical principles accessible not only students of Chinese history competition. (shrink)

This book reprints an ancient Chinese work from the late Warring States period (3rd century BC) that contains stories and anecdotes exemplifying the carefree nature of the ideal Taoist sage. Chuang Tzu's philosophy represents the main current of Taoist teachings, and his text is widely regarded as both deeply insightful and a great achievement in the Chinese poetical essay form. The version presented was translated by Feng Yu-lan, the famous Chinese philosopher, who puts more emphasis on Chuang Tzu's philosophy than (...) do previous attempts. William James once said that every great philosopher has a personal vision. When one has grasped that vision, the whole system can be easily understood. And Crocé once said that the greater a philosophical system is, the simpler the central idea. Although the present translation is limited to the first seven chapters of Chuang Tzu's writings, it accurately conveys his main vision and ideas. (shrink)

1. Mikhtavim -- 2. Elul -- 3. Emunah -- 4. Midot -- 5. Torah ṿa-daʻat -- 6. Yirʼah u-musar -- 7. Darkhe ha-ʻavodah.

We propose a three-way interaction model based on substitutes for leadership theory to explore the relationship among ethical leadership, moral personality, and moral ideology on two types of employee voluntary behaviors. Results from a sample of 218 supervisor–subordinate dyads indicate that moral personality attenuates the relationship between ethical leadership and employee voluntary behaviors. Idealism serves as the boundary condition for the moderating effect of moral personality. However, relativism only serves as the boundary condition for the moderating effect of moral personality (...) when predicting workplace deviant behavior. (shrink)

This paper theorizes and historicizes the ideas of modern language and translation and challenges the imperialist and nationalistic mode of worlding with the notion of ‘untranslatability’ that is embedded in the linguistic and cultural practices of colonial Taiwan and Korea. I redefine the notion of translation as a bordering system – the knowledge-production of boundaries, discrimination, and classification – that simultaneously creates the translatable and the untranslatable (i.e. the equivalence and incommensurability) in asymmetrical power relations. With this, I discuss how (...) this ambivalence is embodied in the experiences of colonial writers Wu Yung-fu and Pak T’aewŏn and their novellas ‘Head and Body’ (1933) and ‘A Day in the life of Kubo the Novelist’ (1934). I illustrate two characteristics of the ambivalent untranslatability embedded in their novellas: the linguistic untranslatability and the experience of ‘unhomeness’. The linguistic untranslatability and unhomeness, I argue, result in the colonized’s dislocation in homogeneous time-space relationships, resulting to the incompletion of the modernization project through colonialism. At the same time untranslatability offers a site to explore the transnational space that crosses linguistic boundaries, and to caution against the legacy of colonialism. (shrink)

Biomedical moral enhancement, or BME for short, aims to improve people’s moral behaviors through augmenting, via biomedical means, their virtuous dispositions such as sympathy, honesty, courage, or generosity. Recently, it has been challenged, on particularist grounds, however, that the manifestations of the virtuous dispositions can be morally wrong. For instance, being generous in terrorist financing is one such case. If so, biomedical moral enhancement, by enhancing people’s virtues, might turn out to be counterproductive in terms of people’s moral behaviors. In (...) this paper, we argue, via a comparison with moral education, that the case for the practice of biomedical moral enhancement is not weakened by the particularists’ stress on the variable moral statuses of the manifestations of our virtues. The real challenge from the particularists, we argue, lies elsewhere. It is that practical wisdom, being essentially context-sensitive, cannot be enhanced via biomedical means. On the basis of this, we further argue that BME ought to be used with great caution, for it may wrongly enhance, for instance, a terrorist financier’s generosity, a robber’s courage, or an undercover detective’s honesty. Finally, we sketch how boundaries can be set on the use of BME, and address some potential objections to our position. (shrink)

While Chinese societies often appear centralized and traditional, presumably impeding technology and innovation, these values may simply reflect the negative-leaning poles of Confucianism. This study proposes a Confucian work ethic dimension that stresses justified tradition. In combination with Western innovative cultures, this Chinese style might facilitate learning about knowledge and morality in an interaction seemingly unique to the Chinese science and technology sector. Specifically, contrary to the Western style that tolerates conflict to achieve harmony, Confucian work ethics -an Eastern way (...) -prefer to respect hierarchy to attain harmony. Samples from the multinational corporations in Shanghai and privately owned enterprises in Hsinchu of Taiwan represent two levels of Westernization. The findings reveal that the two types of cultures almost equally influence the facilitation of learning about morality, whereas the Western way more effectively teaches about professional knowledge and the Eastern way more effectively teaches general knowledge. In addition, though the samples from both locations enjoy positive advantages from their combined cultures, Shanghai appears more Westernized than Taiwan, and Taiwan benefits more from Confucian work ethics and a higher level of quality learning, particularly with regard to morality. This result may suggest the benefits of Confucius' ideas, if they are not used excessively to emphasize the negative aspects. (shrink)

We investigated whether a pre-change representation is inhibited or weakened under correct change detection. Two arrays of six objects were rapidly presented for change detection in three experiments. After detection, the perceptual identification of degraded stimuli was tested in Experiments 1 and 2. The weakening of a pre-change representation was not observed under correct detection. The repetition priming effect was observed for a pre-change object and the magnitude was equivalent to the effect for a post-change object. Under change blindness, repetition (...) priming for a pre-change representation was observed when detection did not require report of location in Experiment 1 and was not observed when location was required to be reported in Experiment 2. The results of Experiment 3 showed that a pre-change representation was recognized at a higher rate under correct detection than under change blindness, reflecting a stronger rather than a weaker pre-change representation in the former context. (shrink)

In the "Discussion" column of Teaching and Research, 1957, Nos. 1-5, Comrade Wang Fang-ming successively contributed five articles: "Concerning 'Preliminary Laws and Forms of Correct Thought,'" "On the State of Relative Stability and Qualitative Specificity of Objective Entities," and others. In these articles he discusses a series of problems on formal logic and makes some critical comments on some popular current views in studies of logic. In the No. 6 issue of the same journal, Comrade Wang also has a paper, (...) "On Classical Formal Logic and Inductive Logic," in which he systematically and positively presents what he had offered in the previous papers. While we believe that all these papers present some beneficial points , at the same time we think that they contain quite a few mistakes and even include poisonous elements of idealism, which is best shown by his understanding of the object and the objective foundation of formal logic. Therefore, the task of this paper is to set forth our views on the object and the objective foundation of formal logic in order to systematically criticize Comrade Wang's views. (shrink)

To date, game-based learning programs that include comprehensive creativity skills and disposition training are still very limited. The present researchers developed a comprehensive game-based creativity learning program for fifth and sixth grade pupils. Further analysis presented relationship trends between mindful learning experience, flow experience, self-efficacy, and mastery experience. Eighty-three 5th and 6th grade participants undertook the six-week game-based creativity learning program. Upon the completion of experimental instruction, those who scored higher on the concerned variables improved more in self-evaluation of both (...) creativity ability and confidence, than their counterparts. Additionally, path model analysis revealed that mindful learning experience was a powerful predictor of both mastery experience and flow experience; it also influenced mastery experience through flow experience and self-efficacy during game-based creativity learning. The findings support the effectiveness of the game-based learning program developed in this study. Moreover, this study contributes to the theoretical construction of how game-based learning can be designed to facilitate mindful learning experience, flow experience, self-efficacy, and mastery experience during creativity training among pupils. Effective mechanisms include providing rewards for high-quality performance, challenging tasks, free choices of design components, immediate feedback, and idea sharing. The profound theoretical framework proposed in this study provides a valuable approach for creativity instruction through game-based learning or classroom instruction. (shrink)

John Harris recently argues that the moral bioenhancement proposed by Persson and Savulescu can damage moral agency by depriving the recipients of their freedom to fall (freedom to make wrongful choices) and therefore should not be pursued. The link Harris makes between moral agency and the freedom to fall, however, implies that all forms of moral enhancement, including moral education, that aim to make the enhancement recipients less likely to “fall” are detrimental to moral agency. In this paper, I present (...) a new moral agency-based critique against the moral bioenhancement program envisaged by Persson and Savulescu. I argue that the irresistible influences exerted by the bioenhancement program harms our capabilities for conducting accurate self-reflection and forming decisions that truly express our will, which subsequently undermine our moral agency. (shrink)

Background: Moral distress occurs when nurses experience ethical dilemmas. Issues related to these dilemmas are addressed in some nursing education courses. Nurses’ reaction to dilemma such as moral distress is relatively less noticed. Objective: This study aimed to identify and describe the various types of perceptions of moral distress exhibited by nurses. Research design: This study applied Q methodology to explore the perspectives of nurses regarding moral distress. Data were collected in two stages. First, in-depth interviews were conducted to collect (...) nurses’ opinions. Sentences that best fit the concepts of moral distress were extracted for the construction of Q statements. Second, nurses subjectively ranked these Q statements so that the relevant severity of moral distress could be determined using Q sorts. The study participants were nurses at a regional teaching hospital in northeast Taiwan. A total of 60 participants were invited to rank 40 moral distress Q statements. Ethical considerations: The study protocol was approved by the institutional review board of National Yang-Ming University Hospital. Only the participants who signed an informed consent form participated in the study. The respondents’ right to withdraw from the study was respected. Findings: Five types of responses were identified regarding the nurses’ perspectives. These types were “conflict with personal values,” “excessive of workload,” “curbing of autonomy,” “constraint engendered by organizational norms,” and “self-expectation frustration.” Conclusion: The findings regarding nurses’ experiences of moral distress can be used to construct multifaceted policies and solutions and to incorporate ethical education in training programs. (shrink)

The objective of this study is to investigate the effects of emotional labor on job performance and satisfaction, as well as to examine the mediating effect of sleep problems and the moderating effects of personality traits. A time-lagged study was conducted on 864 health professionals. Scales for emotional labor, sleep, personality traits, and job satisfaction were used and job performance data was obtained from records maintained by human resources. Structural equation modeling was performed to investigate the relations. Sleep problems only (...) partially mediated the relationship between surface acting and job satisfaction but completely mediated the relationship between surface acting and job performance. Several personality traits were shown to moderate the relationship between surface acting and sleep problems. The effects were stronger for people with low agreeableness and high neuroticism. The relationship between high levels of deep acting and low levels of sleep problems was more pronounced in individuals with low extraversion. Supervisors should be conscious of emotional labor in the work context and provide necessary deep acting training to facilitate emotional regulation. (shrink)