Suchergebnisse

Like every healthcare system today, the Cleveland Clinic health system is a combination of medical hospitals, institutes, and services in which the implementation of uniform care methodologies faces significant barriers. The guiding principle of the Cleveland Clinic, 'Patients First,' focuses on the principle of patient- and family-centered care (PFCC) but deliberately lacks details due to the wide scope of care delivered by the organization. The Stanley Shalom Zielony Institute of Nursing Excellence (the Nursing Institute) at the Cleveland Clinic was charged with standardizing nursing practice across a system with 11,000 registered nurses and 800 advanced practice nurses. The challenge involved providing firm direction on delivering PFCC that was appropriate for all clinical disciplines and could be implemented quickly across existing practices and technologies. Successful implementation required full engagement in the concept of PFCC by what the Institute for Healthcare Improvement has termed the 'hearts and minds' of nurses. To achieve these ends, development of a systemwide nursing practice model was initiated. In this article the authors identify the essence of PFCC, consider barriers to PFCC, review their process of developing PFCC, and describe how the Cleveland Clinic health system has implemented a PFCC nursing practice model. In doing so the authors explore how the concept of 'Passion for Nursing' was used to stimulate nurse engagement in PFCC.

When making decisions about a welfare case, it is reasonable for one's thoughts and feelings about the potential welfare recipient to influence the decision. It is less reasonable for one's "incidental" feelings (e.g., sadness or anger arising from an event in one's personal life) to influence such decisions. In two studies, however, data reveal that incidental anger and sadness do in fact carry over, shaping welfare policy preferences. Study 1 found that incidental anger decreased the amount of welfare assistance participants recommended providing relative to neutral emotion, whereas sadness increased the amount recommended. Study 2 replicated the results and found that limiting participants' cognitive resources eliminated the difference between sadness and anger, thus implying that differences in depth‐of‐thought drove the effects. In sum, the results reveal ways in which: (a) personal emotions carry over to shape preferences for public policies, (b) emotions of the same valence have opposing effects, and (c) differential depth‐of‐cognitive‐processing contributes to such effects.

The terrorist attacks of September 11 elicited many forms of negative affect, including anger and sadness. They also elicited a search for explanations. A national field study that experimentally primed emotion evaluated how priming anger and sadness differentially evoked causal judgments about the attacks. It found that priming anger triggered more causal attributions than did priming sadness. Thus, specific emotions, rather than general negativity, shaped citizens' attributions regarding September 11. In addition to its theoretical implications, the study demonstrates a method for studying ecologically valid emotions, under conditions of experimental control, with a nationally representative sample.

Abstract
When a romantic relationship becomes serious, partners often confront a foundational decision about how to organize their personal finances: pool money together or keep things separate? In a six-wave longitudinal experiment, we investigated whether randomly assigning engaged or newlywed couples to merge their money in a joint bank account increases relationship quality over time. Whereas couples assigned to keep their money in separate accounts or to a no-intervention condition exhibited the normative decline in relationship quality across the first 2 years of marriage, couples assigned to merge money in a joint account sustained strong relationship quality throughout. The effect of bank account structure on relationship quality is multiply determined. We examine—and find support for—three potential mechanisms using both experimental and correlational methods: merging finances (1) improves how partners feel about how they handle money, (2) promotes financial goal alignment, and (3) sustains communal norm adherence (e.g., responding to each other's needs without expectations of reciprocity). While prior research has documented a correlation between financial interdependence and relationship quality, our research offers the first experimental evidence that increasing financial interdependence helps newlyweds preserve stronger relationship quality throughout the newlywed period and potentially beyond.

Abstract
We demonstrate that natural products are more strongly preferred when used to prevent a problem than when used to cure a problem (the prevent/cure effect). This organizing principle explains variation in the preference for natural across distinct product categories (e.g., food vs. medicine), within product categories (e.g., between different types of medicines), and for the same product depending on how it is used (to prevent or to cure ailments). The prevent/cure effect is driven by two factors: lay beliefs about product attributes and importance of product attributes. Specifically, (a) consumers hold lay beliefs that natural products are safer and less potent and (b) consumers care more about safety and less about potency when preventing as compared to when curing, which leads to a stronger preference for natural when preventing. Consistent with this explanation, when natural products are described as more risky and more potent, reversing the standard inferences about naturalness, then natural products become more preferred for curing than for preventing. This research sheds light on when the marketing of "natural" is most appealing to consumers.