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Abstract Background Self-binding directives (SBDs) are psychiatric advance directives that include the possibility for service users to consent in advance to compulsory care in future mental health crises. Legal provisions for SBDs exist in the Netherlands since 2008 and were updated in 2020. While ethicists and legal scholars have identified several benefits and risks of SBDs, few data on stakeholder perspectives on SBDs are available. Aims The aim of the study was to identify opportunities and challenges of SBDs perceived by stakeholders who have personal or professional experience with legally enforceable SBDs. Methods Data collection was carried out in the Netherlands from February 2020 to October 2021 by means of semi-structured interviews. Participants were selected through purposive sampling and snowball methods. Interviews were conducted with mental health service users (n = 7), professionals (n = 13), and an expert on SBD policy (n = 1), resulting in a total number of 21 interviews. The data were analyzed thematically. Results Perceived benefits of SBDs included increased autonomy, improvement of the therapeutic relationship, possibility of early intervention and prevention of harm, prevention of compulsory care, reduction of the duration of compulsory care and recovery, mitigation of negative experiences around compulsory care, and guidance for professionals in providing compulsory care. Perceived risks included infeasibility of SBD instructions, difficulty in decision-making around SBD activation, limited accessibility of SBDs, disappointment of service users due to non-compliance with SBDs, and limited evaluation and updating of SBD content. Barriers to SBD completion included lack of knowledge of SBDs among professionals, lack of motivation or insight among service users, and lack of professional support for SBD completion. Facilitators of SBD completion and activation included support for SBD completion, involvement of relatives and peer experts, specification of SBD content, and evaluation of compulsory care and SBD content. The new legal framework was regarded as having both positive and negative effects on SBD implementation. Conclusions Stakeholders who have personal or professional experience with legally enforceable SBDs perceive SBDs as having important benefits and tend not to articulate the fundamental ethical concerns about SBDs which can be found in the ethics and legal literature. Instead, they perceive ethical and practical challenges that can be addressed through the implementation of suitable safeguards.

Background: Self-binding directives (SBDs) are psychiatric advance directives that include the possibility for service users to consent in advance to compulsory care in future mental health crises. Legal provisions for SBDs exist in the Netherlands since 2008 and were updated in 2020. While ethicists and legal scholars have identified several benefits and risks of SBDs, few data on stakeholder perspectives on SBDs are available. Aims: The aim of the study was to identify opportunities and challenges of SBDs perceived by stakeholders who have personal or professional experience with legally enforceable SBDs. Methods: Data collection was carried out in the Netherlands from February 2020 to October 2021 by means of semi-structured interviews. Participants were selected through purposive sampling and snowball methods. Interviews were conducted with mental health service users (n = 7), professionals (n = 13), and an expert on SBD policy (n = 1), resulting in a total number of 21 interviews. The data were analyzed thematically. Results: Perceived benefits of SBDs included increased autonomy, improvement of the therapeutic relationship, possibility of early intervention and prevention of harm, prevention of compulsory care, reduction of the duration of compulsory care and recovery, mitigation of negative experiences around compulsory care, and guidance for professionals in providing compulsory care. Perceived risks included infeasibility of SBD instructions, difficulty in decision-making around SBD activation, limited accessibility of SBDs, disappointment of service users due to non-compliance with SBDs, and limited evaluation and updating of SBD content. Barriers to SBD completion included lack of knowledge of SBDs among professionals, lack of motivation or insight among service users, and lack of professional support for SBD completion. Facilitators of SBD completion and activation included support for SBD completion, involvement of relatives and peer experts, specification of SBD content, and evaluation of compulsory care and SBD content. The new legal framework was regarded as having both positive and negative effects on SBD implementation. Conclusions: Stakeholders who have personal or professional experience with legally enforceable SBDs perceive SBDs as having important benefits and tend not to articulate the fundamental ethical concerns about SBDs which can be found in the ethics and legal literature. Instead, they perceive ethical and practical challenges that can be addressed through the implementation of suitable safeguards. [ABSTRACT FROM AUTHOR]

Abstract Background Self-binding directives (SBDs) are psychiatric advance directives that include a clause in which mental health service users consent in advance to involuntary hospital admission and treatment under specified conditions. Medical ethicists and legal scholars identified various potential benefits of SBDs but have also raised ethical concerns. Until recently, little was known about the views of stakeholders on the opportunities and challenges of SBDs. Aims This article aims to foster an international exchange on SBDs by comparing recent empirical findings on stakeholders’ views on the opportunities and challenges of SBDs from Germany, the Netherlands, and the United Kingdom. Method Comparisons between the empirical findings were drawn using a structured expert consensus process. Results Findings converged on many points. Perceived opportunities of SBDs include promotion of autonomy, avoidance of personally defined harms, early intervention, reduction of admission duration, improvement of the therapeutic relationship, involvement of persons of trust, avoidance of involuntary hospital admission, addressing trauma, destigmatization of involuntary treatment, increase of professionals’ confidence, and relief for proxy decision-makers. Perceived challenges include lack of awareness and knowledge, lack of support, undue influence, inaccessibility during crisis, lack of cross-agency coordination, problems of interpretation, difficulties in capacity assessment, restricted therapeutic flexibility, scarce resources, disappointment due to noncompliance, and outdated content. Stakeholders tended to focus on practical challenges and did not often raise fundamental ethical concerns. Conclusions Stakeholders tend to see the implementation of SBDs as ethically desirable, provided that the associated challenges are addressed.

Internal communication in an organization is affected by a crisis, although current research in communication crisis through crisis plan, aimed at reducing to a minimum the increase of entropy internal organization of staff. During the paper I want to analyze the relationship between the dynamics of crisis and internal communication, how communication flows both vertically and horizontally within the team may lead to escalation of the crisis with negative consequences for the entire organization. Every crisis highlights the weaknesses of the organization stronger, however, post-crisis analysis offers opportunities that can be turned into strengths. I want to highlight opportunities that can benefit Suceava County Hospital, especially in internal communication in crisis COVID 19.

Urgency of the research. Since 2014, Ukraine has experienced a significant decline in tourism development indicators, including inbound tourist flows, which has negatively affected the overall economic performance of the country. Target setting. Unfortunately, recently there has been a worsening of indicators reflecting the state of tourism development and consumption characteristics of tourist services in the country. In such circumstances, it is advisable to use the achievements of anti-crisis management, namely, anti-crisis plans related to the prevention of force majeure, and especially military action. Actual scientific researches and issues analysis. Issues of tourism development in hostilities have been carefully studied by leading foreign scientists L-Ann Blenchard, A.M. Leong, S. Lytvyn, O. Mufakkir, N. Salazar, M. Hani, J. Hessley, J. Jafari, R. Butler. Problems of the tourism industry in Ukraine under the influence of military action were investigated by A. Yu. Parfienko, A. A. Romanova, I. A. Savchenko and others. Uninvestigated parts of general matters defining. The statistical indicators of the development of the tourism industry in Ukraine and the impact on them of crisis situations are insufficiently researched. There is no experience in developing anti-crisis plans (programs) and measures during crisis situations in tourism in Ukraine. The research objective. The purpose of the article is to analyze the system of statistical indicators of tourism development in Ukraine, and to develop a proposal on the use of anti-crisis measures to prevent the crisis in the tourism industry. The statement of basic materials. The methodological bases for the study of crisis conditions in the tourist industry of Ukraine have been clarified. This is an edition of the United Nations World Tourism Organization 'Crisis Communication Tools in Tourism', which looks at the diversity of crisis situations and the force majeure, and their impact on the development of the tourism industry. Conclusions. On the basis of the conducted research the tendencies of crisis in development of tourism in Ukraine were determined. The development of tourism activities depends to a large extent on political factors and, in particular, socio-economic stability in Ukraine. Its violations, due to the revolutionary situation and the conduct of hostilities in the east, have a significant impact on reducing tourist flows. [ABSTRACT FROM AUTHOR]

The article analyzes the causes of theeconomic recession in Russia, which began long before the events of 2014. Thesecircumstances clearly demonstrated theneed for structural reforms, the cornerstone of which must be put to the transitionto a new model of economic developmentbased on innovation and diversification.

Increasing individual income levels, turning paid vacation into a social status, intense work experience and increasing life stress reveals the people's need lor vacation. Each year millions of people travel to have their vacations. Undoubtedly the greatest demands of them to have pleasure. All companies which are operating in the tourism sector are making a special effort to ensure that their guests have pleasure. Despite all these efforts, hotels can be encountered unpredictable crisis situations. Tourism establishments which have a big preliminary in economic terms have an international structure. Especially in times of crisis, hotel operators are taking high-level measures to protect their guests and ensure that they are not affected by the crisis. This study analyzes the crisis management plan of a five star international chain hotel. In particular, it is necessary to inform the hotel operators about the conditions that should be prepared and the measures to be taken, hotel enterprises are trying to shed light for possible crisis situations. Crises can pose a great threat to businesses if they are not well managed as well as affect every country and country of the country in which they live. Especially in hotel enterprises which have a global structure, managing the crises in the best and efficient way has a great importance. The purpose of this research is to examine the content of the crisis management plans prepared by the hospitality establishments which operate in the tourism sector and especially the possible crisis situations of the hotel enterprises. [ABSTRACT FROM AUTHOR]

Background: Self-binding directives (SBDs) are psychiatric advance directives that include a clause in which mental health service users consent in advance to involuntary hospital admission and treatment under specified conditions. Medical ethicists and legal scholars identified various potential benefits of SBDs but have also raised ethical concerns. Until recently, little was known about the views of stakeholders on the opportunities and challenges of SBDs., Aims: This article aims to foster an international exchange on SBDs by comparing recent empirical findings on stakeholders' views on the opportunities and challenges of SBDs from Germany, the Netherlands, and the United Kingdom., Method: Comparisons between the empirical findings were drawn using a structured expert consensus process., Results: Findings converged on many points. Perceived opportunities of SBDs include promotion of autonomy, avoidance of personally defined harms, early intervention, reduction of admission duration, improvement of the therapeutic relationship, involvement of persons of trust, avoidance of involuntary hospital admission, addressing trauma, destigmatization of involuntary treatment, increase of professionals' confidence, and relief for proxy decision-makers. Perceived challenges include lack of awareness and knowledge, lack of support, undue influence, inaccessibility during crisis, lack of cross-agency coordination, problems of interpretation, difficulties in capacity assessment, restricted therapeutic flexibility, scarce resources, disappointment due to noncompliance, and outdated content. Stakeholders tended to focus on practical challenges and did not often raise fundamental ethical concerns., Conclusions: Stakeholders tend to see the implementation of SBDs as ethically desirable, provided that the associated challenges are addressed.

This study compared quality aspects of crisis plans made with the help of a patient advocate (PACP) with those of plans made with the patient's clinician (clinician crisis plan, CCP). Patients were randomized into PACP and CCP conditions. The quality of crisis plan checklist was used to compare quality aspects of PACP and CCP crisis plans. The quality scores were significantly higher in the PACP group than in the CCP group (Cohen's d = 0.78 for the quality checklist total score). Patient advocates may be important to the successful development of crisis plans. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Administrative Sciences / Yonetim Bilimleri Dergisi is the property of Canakkale Onsekiz Mart Universitesi, Terzioglu Kampusu and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The purpose of this research is to determine the effects of the 2008 Global Economic Crisis on firms. The research is carried out on 99 firms that are engaged in production activity in various sectors in Organized Industrial Zone I and Organized Industrial Zone II in Malatya. The data are collected using survey. Reliability of measurement tool (Cronbach's Alpha) is 75%. T-test and one-way ANOVA analysis are used in the research. As a result, the effects of the 2008 Global Economic Crisis differ depending on demographic characteristics, crisis experience, crisis management plan, and crisis management team. [ABSTRACT FROM AUTHOR]

Copyright of Bankarstvo Magazine is the property of Association of Serbian Banks and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

From natural disasters to the financial debacle, it is clear to the educational community that crises know no boundaries. Far from a passing fad, crisis planning must be an integrated part of effective school district leadership. Two studies explore the status of crisis management in selected public school systems and offer recommendations for enhancing the crisis-ready state of educational organizations. [ABSTRACT FROM AUTHOR]

Copyright of Notfall & Rettungsmedizin is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)