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Background: Burnout is frequent among intensive care unit (ICU) healthcare professionals and may result in medical errors and absenteeism. The COVID‐19 pandemic caused additional strain during working hours and also affected off‐duty life. The aims of this study were to survey burnout levels among ICU healthcare professionals during the first year of COVID‐19, describe those who reported burnout, and analyse demographic and work‐related factors associated with burnout. Methods: This was a national prospective longitudinal cohort study of 484 nurses, physicians and leaders working in intensive care units with COVID‐19 patients in Norway. Burnout was measured at 6‐ and 12‐month follow‐up, after a registration of baseline data during the first months of the COVID epidemic. The Copenhagen Burnout Inventory (CBI), was used (range 0–100), burnout caseness defined as CBI ≥50. Bi‐ and multivariable logistic regression analyses were performed to examine baseline demographic variables and work‐related factors associated with burnout caseness at 12 months. Results: At 6 months, the median CBI score was 17, increasing to 21 at 12 months (p =.037), with nurses accounting for most of the increase. Thirty‐two per cent had an increase in score of more than 5, whereas 25% had a decrease of more than 5. Ten per cent reported caseness of burnout at 6 months and 14% at 12 months (n.s.). The participants with burnout caseness were of significantly lower age, had fewer years of experience, reported more previous anxiety and/or depression, more moral distress, less perceived hospital recognition, and more fear of infection in the bivariate analyses. Burnout was the single standing most reported type of psychological distress, and 24 out of 41 (59%) with burnout caseness also reported caseness of anxiety, depression and/or post‐traumatic stress disorder (PTSD) symptoms. Multivariate analysis showed statistically significant associations of burnout caseness with fewer years of professional experience (p =.041) and borderline significance of perceived support by leader (p =.049). Conclusion: In Norway, a minority of ICU nurses, physicians and leaders reported burnout 1 year into the pandemic. A majority of those with burnout reported anxiety, depression and/or PTSD symptoms combined. Burnout was associated with less years of professional experience. [ABSTRACT FROM AUTHOR]

Academic interest in the relationship between leaders' personality and subordinates' perception of destructive leadership behavior is increasing. However, results so far have been weak, contradictory, and inconsistent to theory. Here, we examine if using facets of neuroticism, rather than the broader trait, can be more informative and increases the predictive power. Next, we explore the interplay between personality dimensions by examining if the relationship between the facet angry hostility in neuroticism and destructive leadership behavior is moderated by the trait agreeableness. Four hundred and twenty emergent leaders were examined in a military selection context, combining the leaders' self-rated neuroticism (T1) with subordinates' subsequent perception of abusive supervision and laissez-faire leadership in a field exercise two weeks later (T2). The results indicated that using facets instead of the broad factor of neuroticism improved the prediction of examined outcomes. Only some of the facets of neuroticism were related to perceived leader behavior, with specific facets being identified for abusive supervision and laissezfaire leadership, respectively. Further, the relationship between angry hostility and both leadership styles was moderated by agreeableness. [ABSTRACT FROM AUTHOR]

Background: Pain is a serious problem for intensive care unit (ICU) patients, but we are lacking data on pain at the hospital ward after ICU discharge. Aims and Objectives: To describe pain intensity, ‐interference with function and ‐location in patients up to 1 year after ICU discharge. To identify demographic and clinical variables and their association with worst pain intensity and pain interference. Design: A longitudinal descriptive secondary analysis of a randomized controlled trial on nurse‐led follow‐up consultations on post‐traumatic stress and sense of coherence after ICU discharge. Methods: Pain intensity, ‐interference, and ‐location were measured using Brief Pain Inventory at the hospital ward and 3, 6, and 12 months after ICU discharge. For associations, data were analysed using multivariate linear mixed models for repeated measures. Results: Of 523 included patients, 68% reported worst pain intensity score above 0 (no pain) at the ward. Estimated means for worst pain intensity and –interference (from 0 to 10) after ICU discharge were 5.5 [CI 4.6‐6.5] and 4.5 [CI 3.7‐5.3], and decreased to 3.8 [CI 2.8‐4.8] (P ≤.001) and 2.9 [CI 2.1‐3.7] after 12 months (P ≤.001). Most common pain locations were abdomen (43%), lower lumbar back (28%), and shoulder/forearm (22%). At 12 months, post‐traumatic stress (PTS) symptoms ≥25 (scale 10‐70), female gender, shorter ICU stay, and more traumatic ICU memories were significantly associated with higher worst pain intensity. PTS symptoms ≥25, female gender, more traumatic ICU memories, younger age, and not having an internal medical diagnosis were significantly associated with higher pain interference. Conclusions: Early after ICU discharge pain was present in 68% of patients. Thereafter, pain intensity and ‐interference declined, but pain intensity was still at a moderate level at 12 months. Health professionals should be aware of patients' pain and identify potentially vulnerable patients. Implication for Practice: Longitudinal assessment of factors associated with pain early after ICU discharge and the following year is a first step that could improve follow‐up focus and contribute to reduced development of chronic pain. [ABSTRACT FROM AUTHOR]

Based on a nationally representative sample (N = 1,613) and a true prospective design, we show that the link between self‐labelled workplace bullying and exclusion from working life (i.e., becoming a non‐participant in working life) over a 5‐year time lag becomes stronger with increasing numbers of perpetrators involved. The amount of exposure to bullying behaviours could not explain the added effect of multiple perpetrators, indicating that the presence of multiple perpetrators is significant in and of itself. A post hoc descriptive cross‐tabulation analysis also showed that when one or two perpetrators were involved at T1, the rate of exclusion from working life 5 years later did not differ substantially from the normal population's exclusion rate. When three or more perpetrators were involved, on the other hand, the exclusion rate approached 50%, indicating that ≥3 perpetrators could denote a critical cut‐off point for a distinguishable group‐bullying phenomenon, at least with respect to exclusion from working life. [ABSTRACT FROM AUTHOR]

Background: Post‐traumatic stress (PTS) symptoms following intensive care unit (ICU) treatment can lead to post‐traumatic stress disorder and represent a severe health burden. In trauma patients, a strong sense of coherence (SOC) is associated with fewer PTS symptoms. However, this association has not been investigated in a general ICU sample. Aims and objectives: To examine the occurrence of PTS symptoms in general ICU patients early after ICU discharge and to assess possible associations between PTS symptoms and SOC, ICU memory, pain, and demographic and clinical characteristics. Design: This was a cross‐sectional study. Methods: Adult patients aged ≥18 years admitted for ≥24 hours to five ICUs between 2014 and 2016 were recruited. PTS symptoms and SOC were measured at the ward within the first week after discharge from the ICU using the Posttraumatic Stress Scale‐10 and Sense of Coherence Scale‐13. Multiple linear regression analysis was used to identify associations between PTS symptoms and SOC and the selected independent variables. Results: A total of 523 patients were included (17.8% trauma patients; median age 57 years [range 18‐94]; 53.3% male). The prevalence of clinically significant PTS symptoms was 32%. After adjustments for gender and age, lower SOC (P < 0.001), more ICU delusional memories (P < 0.001), greater pain interference (P < 0.001), not being a trauma patient (P = 0.02), and younger age (P = 0.03) were significantly associated with more PTS symptoms. Conclusions: One third of patients experienced clinically relevant PTS symptoms early after discharge from the ICU. In the present study, SOC, delusional memory, pain interference, younger age, and not being a trauma patient were factors associated with more PTS symptoms. Relevance to clinical practice: Early individual follow up after ICU discharge focusing on pain relief and delusional memory may reduce PTS symptoms, with a potential of improving rehabilitation. [ABSTRACT FROM AUTHOR]

In line with the work environment hypothesis, interpersonal conflict has been proposed as an important antecedent of workplace bullying. However, longitudinal studies on this relationship have been scarce. The aim of this study was to examine whether co‐worker conflict predicted new cases of self‐reported workplace bullying 2 years later and whether laissez‐faire leadership moderated this relationship. In a sample of 1,772 employees, drawn from the Norwegian working population, the hypotheses that co‐worker conflict increased the risk of subsequently reporting being a victim of workplace bullying and that laissez‐faire leadership strengthened this relationship were supported. This study empirically supports the work environment hypothesis by showing that co‐worker conflict within a true prospective research design is a source of new cases of bullying and that the lack and avoidance of leadership, through the enactment of a laissez‐faire leadership style, likely is a main source for co‐worker conflict to develop into workplace bullying. [ABSTRACT FROM AUTHOR]

Drawing on the literature on the market and normative power of the EU, we document and explain the limited success of the EU in transferring its environmental standards with respect to sustainable biofuels governance to the world's two largest biofuels producers - the US and Brazil - and to two international standard setting organizations, the International Organization for Standardization (ISO) and the Global Bioenergy Partnership (GBEP). Our explanation highlights four factors: first, the extent to which EU strategies to strengthen its market power can undermine its normative power; second, the limits to EU policy influence posed by other actors' use of their own market and normative power resources; third, the diminished influence of a late policy-mover; and fourth, the difficulty of establishing normative leadership in a policy field subject to epistemic contestation. [ABSTRACT FROM AUTHOR]

The article discusses the study of Elise M. Næss and colleagues about the penetrating action of commercial sunscreens' titanium dioxide (TiO2) nanoparticles into the skin. It explored the nanoparticles' ability to penetrate intact or sunburned skin with ultra violet B (UVB) exposure and standardized sunscreen application on humans. It concludes that (TiO2) nanoparticles can penetrate both intact and UVB sunburned skin beyond the stratum corneum.

In this paper the author looks at the significance of different forms of action in the psychoanalytic situation. He traces the development of related concepts, going back to Freud's early concept of a 'symptomatic act' and the introduction of his concept of 'acting out' with the Dora case, through to more modern and complex ideas of enactment. He shows that acting out can have a defensive as well as a communicative function. Actions can be a way of 'speaking' to the analyst, of communicating things that cannot be thought or put into words. On the other hand, speech itself can become an action rather than a form of symbolic communication, a way of putting pressure on the analyst to fit in with a projective phantasy. Important theoretical contributions to the concept of enactment, by Sandler, Joseph, Feldman and Tuckett, are described in some detail. Looking at Freud's Dora from such a perspective, the author argues that an enactment developed between Freud and his patient. Detailed clinical material is presented to show how the author uses these concepts in his own analytic work. Finally, the relationship between enactment and containment is discussed. [ABSTRACT FROM AUTHOR]

The present paper scrutinises the work environment hypothesis of bullying by examining relationships between psychosocial factors at work and bullying within departments on a group level of analysis, as compared to the many studies executed on an individual level of analysis. Relationships between quantitative demands, job control, role demands, leadership behaviour and social climate, and observed bullying were studied in a convenience sample consisting of 276 departments with a total of 4,064 respondents. Between-group bivariate correlations showed relatively strong relationships ( r > .52) between the predictors social climate, leadership behaviour, and role demands, respectively, and observed bullying in the department. A two-factor higher-level model was formulated for the independent variables yielding two latent factors reflecting an interpersonal domain and a task-oriented domain, where the former was strongly associated with observed bullying at a group level of analysis (Beta =−.73), while the last factor yielded an insignificant contribution. The results confirm that a poor social work environment exists within departments in which bullying takes place, hence, yielding further support to the work environment hypothesis. In line with the present results, future studies on workplace bullying should include a group level of analysis. [ABSTRACT FROM AUTHOR]

This article investigates the EU's regulation of GMOs (genetically modified organisms) to argue the potential for difficult-to-reconcile conflicts to arise between the internal accountability standards of Member State citizens and external accountability obligations to fellow WTO (World Trade Organization) members. Tracing the internal-external accountability conflicts to the distinct EU-WTO political cultures of GMO risk regulation, the article documents EU decision-makers' attempts to reconcile internal and external accountability claims in the redesign of the EU GMO regulatory framework and the continuing internal and external controversy that surrounds its implementation. [ABSTRACT FROM AUTHOR]

abstract The author builds on two areas of Bob Hinshelwood's work, the Cassel Hospital and institutional observation. He shows how being an observer of oneself and the institution one is working in may lead to a more balanced approach that acknowledges different levels of the organization and their tensions, instead of being caught up in them. He describes a crisis on his unit, the various institutional levels involved in generating the crisis and his way of dealing with it. [ABSTRACT FROM AUTHOR]

Hauge, L. J., Skogstad, A. & Einarsen, S. (2010). The relative impact of workplace bullying as a social stressor at work. Scandinavian Journal of Psychology, 51, 426–433. Exposure to workplace bullying has been argued to be a severe social stressor and a more crippling and devastating problem for affected individuals than the effects of all other work-related stressors put together. However, few studies have explicitly investigated this assumption. In a representative sample of the Norwegian working population, the present study investigated the relative contribution of workplace bullying as a predictor of individual and organizational related outcomes after controlling for the well-documented job stressors of job demands, decision authority, role ambiguity and role conflict. Bullying was found to be a significant predictor of all the outcomes included, showing a substantial relative contribution in relation to anxiety and depression, while for job satisfaction, turnover intention and absenteeism, more modest relative contributions were identified. Workplace bullying is indeed a potent social stressor with consequences similar to, or even more severe than, the effects of other stressors frequently encountered within organizations. Thus, the finding that bullying has a considerable effect on exposed individuals also when controlling for the effects of other job stressors demonstrates bullying as a serious problem at workplaces that needs to be actively prevented and managed in its own right. [ABSTRACT FROM AUTHOR]

This study investigates the prevalence of the four types of destructive leadership behaviour in the destructive and constructive leadership behaviour model, in a representative sample of the Norwegian workforce. The study employs two estimation methods: the operational classification method (OCM) and latent class cluster (LCC) analysis. The total prevalence of destructive leadership behaviour varied from 33.5% (OCM) to 61% (LCC), indicating that destructive leadership is not an anomaly. Destructive leadership comes in many shapes and forms, with passive forms prevailing over more active ones. The results showed that laissez-faire leadership behaviour was the most prevalent destructive leadership behaviour, followed by supportive–disloyal leadership and derailed leadership, while tyrannical leadership behaviour was the least prevalent destructive leadership behaviour. Furthermore, many leaders display constructive as well as destructive behaviours, indicating that leadership is not either constructive or destructive. The study contributes to a broader theoretical perspective on what must be seen as typical behaviour among leaders. [ABSTRACT FROM AUTHOR]

Tracing developments over the past two decades with respect to Canadian farm income support, orderly grain marketing, and supply management, this article argues that Canadian agricultural policy has undergone programmatic, but not paradigmatic policy change. International trade agreements, alongside domestic factors like budgetary pressures, have helped to promote programmatic change. However, paradigmatic change in the form of a rejection of the core ideas and instruments of the post Second World War state assistance paradigm has not yet occurred. The article discusses the conditions for paradigmatic change and argues that the state assistance paradigm is likely to prevail until influential decision makers becoming convinced of its failure and judge an alternate paradigm to be politically and economically viable. Un examen des changements survenus sur le plan du soutien du revenu agricole au cours des vingt dernières années, notamment la commercialisation des grains et la gestion de l'offre, indique que la politique agricole canadienne a subi des changements programmatiques et non paradigmatiques. Les accords de commerce internationaux, combinés à des facteurs intérieurs tels que les pressions budgétaires, ont contribuéà la promotion de changements programmatiques. Cependant, le changement paradigmatique sous la forme du rejet des idées et des instruments de base d'aide de l'État après la Seconde Guerre mondiale ne s'est pas encore produit. Le présent article traite des conditions préalables au changement paradigmatique et soutient que le paradigme de l'aide de l'État continuera probablement d'exister jusqu'à ce que des décideurs influents soient convaincus de son échec et estiment qu'un paradigme de rechange pourrait être politiquement et économiquement viable. [ABSTRACT FROM AUTHOR]

Background Prisoners experience high rates of mental health problems and suicidal behaviours. Failure to seek help may exacerbate these problems and limit opportunities to participate in offending-related programmes. Aims To assess whether prisoners'; intentions to seek help for a personal-emotional problem, including suicidal feelings, can be predicted using variables from the Theory of Planned Behaviour (TPB). These TPB variables were supplemented by measures of emotional distress, prior contact with a psychologist and demographic variables. Methods Male inmates from six New Zealand prisons were asked to participate, with approximately 50% (n = 527) of those who initially expressed an interest in the study completing the self-report questionnaire. Most participants completed the questionnaire in small-group meetings in the prison units and returned them to the researchers immediately after completion. Results On average, participants reported higher levels of current emotional distress than comparison student samples. TPB variables predicted help-seeking intentions for suicidality and personal-emotional problems. Those with prior contact with prison psychologists had lower intentions to seek help for suicidal feelings than prisoners without such contact. Older prisoners, those with more years of education, and those who had previous contact with a psychologist outside prison tended to have higher intentions to seek psychological help. Conclusions Social-cognitive factors predicted intentions to seek help among New Zealand prisoners but prison-specific issues, such as relative reluctance to seek help when suicidal and reluctance to seek help from prison psychologists, were also identified. Implications for practice Prisoners'; access to services could be improved, for example, through directly working on attitudinal barriers. Strategies to ensure access to specialized forensic mental health in-reach services could also be an alternative or additional route to ensure that this disadvantaged group seeks appropriate help. Copyright © 2006 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]

Examines the impact of exogenous development associated with the supranational regulation of food safety in the World Trade Organization relative to internal pressures associated with food safety crises and the breakdown of the internal market on food safety regulatory reforms underway in the European Union. Framework of the EU food and safety regulatory; Information on the WTO Sanitary and Phytosanitary Agreement; Evidence of Commision policy entrepreneurship.

ABSTRACT. Emerging economies in crisis typically request assistance from the International Monetary Fund (IMF). After evaluating the situation the IMF makes a loan available to the country conditional on certain policy reforms. Governments usually resist many of these measures and negotiation ensues. This paper analyzes the most contentious measures of IMF conditionality in the context of Russia after the August 1998 crisis. The most discussed measures include the budget deficit structural reforms and exchange rate policy. Our analysis suggests that to some extent the disagreement arose because the IMF is focused on changing steady states somewhat ignoring the transition path while the Russian government is preoccupied with transitional dynamics without a clearly defined steady state concept. [ABSTRACT FROM AUTHOR]

The differing trajectory of agricultural policy reforms in the 1990s in the world's two most important agricultural powers, the United States and the European Community/Union (EC/EU), can only be fully understood by appreciating the role that ideas play in policy outcomes. The idea of agricultural exceptionalism underwrote a paradigm of state assistance in the US and the EC/EU. By the mid-1980s, the state assistance paradigm was under stress, and subject to a number of anomalies in both the US and the EC. But while the paradigm was overthrown and replaced with a market liberal model in the US grain sector in the 1990s, it remained intact in the European Union. Explaining why agricultural exceptionalism and the state assistance paradigm has endured in the EU while it has withered in the US highlights three factors: the importance of the political institutional framework in locking in-or not-policy principles and instruments; the degree of fit of a sectoral policy paradigm with the broader societal ideational framework regarding appropriate relations between the state, the market, and the individual; and the capacity of a paradigm to adjust in the face of challenges and anomalies. [ABSTRACT FROM AUTHOR]

Copyright of Canadian Public Administration is the property of Wiley-Blackwell 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.)

Copyright of Canadian Public Administration is the property of Wiley-Blackwell 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.)

We have examined 6 construction workers who developed chronic skin diseases on their hands over a period of 15 years (1970-1985). 4 developed a Trichophyton rubrum infection, and the other 2 an irritant contact dermatitis. All of them carried out jobs which caused traumatization of the skin, due to the presence of ethylene glycol and mineral oils during operation of pneumatic hammers in winter. They also suffered other types of skin trauma during their work. Construction workers may be at risk of developing an occupational skin disease involving fungal infection. [ABSTRACT FROM AUTHOR]