whistleblowing

告密
  • 文章类型: Journal Article
    性暴力在尼日利亚的高等教育机构中普遍存在,利益相关者鼓励员工和学生在成为任何性暴力案件的受害者或意识到任何性暴力案件时吹口哨。然而,缺乏有关这些机构的工作人员和学生是否有意在内部(机构内部)吹口哨的数据。这些机构也缺乏关于现有报告机制或首选举报机制的数据。这些阻碍了利益相关者对这一主题的意见的分析。
    本数据说明提供了从三类政府拥有的高等教育机构(大学,理工学院,尼日利亚的教育学院)。数据收集在2月至12月之间,2021年,收集了21,937名学生和3,108名员工的定量数据。定性,138名学生和111名工作人员参加了总共35个焦点小组讨论。这项研究提供了关于受访者态度的独特信息,自我效能感,以及性暴力举报的主观规范。它还提供了有关自我报告的性暴力经历的信息,吹口哨的意图,高等院校的报告系统和首选的性暴力举报机制。
    在本数据说明中,我们提供了数据集中变量的详细说明,然后强调了这项研究有助于改善高等教育机构性暴力报告的潜力,从而减少社会威胁的发生。
    UNASSIGNED: Sexual violence is prevalent in higher education institutions in Nigeria and stakeholders have encouraged staff and students to blow the whistle whenever they fall victim to or are aware of any sexual violence case. However, there is lack of data about whether the staff and students of these institutions have the intention to blow the whistle internally (within the institution) or not. There is also a lack of data on the existing reporting mechanisms or preferred whistleblowing mechanisms in these institutions. These have hindered the analysis of stakeholders\' opinions on this topic.
    UNASSIGNED: This data note presents a comprehensive quantitative and qualitative data set collected from staff and students of three categories of government owned higher education institutions (Universities, Polytechnics, Colleges of Education) in Nigeria. Data collection was between February and December, 2021, during which quantitative data were collected from 21,937 students and 3,108 staff. Qualitatively, 138 students and 111 staff participated in a total of 35 focus group discussion sessions. The study provides unique information on respondents\' attitude, self-efficacy, and subjective norm to sexual violence whistleblowing. It also provides information on self-reported sexual violence experiences, whistleblowing intention, reporting systems in higher institutions and the preferred sexual violence whistleblowing mechanisms.
    UNASSIGNED: In this data note, we provide a detailed account of the variables in the dataset and then highlight the potential of this study to contribute to improved sexual violence reporting in higher education institutions, thereby reducing the occurrence of the social menace.
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  • 文章类型: News
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  • 文章类型: Journal Article
    目的:本文比较了“吹牛”或“说话”这两个相互作用的主题以及坦率的职责(DoC)。这既涉及医疗保健的安全和质量改进,上了英国国家卫生服务(NHS)的议程。
    方法:它采用多流的方法和演绎内容分析的方法,重点放在显见和潜在内容上。它检查了1999年至2019年与英国NHS有关的DoC或举报或同源术语的官方文件。
    结果:主要的概念性发现,这反映了许多以前的研究,是,似乎很难操作多个流方法的许多子组件。主要的实证发现指出了弗朗西斯报告对2013年中部斯塔福德郡信托基金会的“聚焦事件”及其主席的重要性,罗伯特·弗朗西斯爵士,作为政策企业家。
    结论:这是最早关注吹哨和DoC两个问题的研究之一,也是第一个通过多流方法进行比较的研究。与该领域的大多数先前研究相比,它具有两个主要的概念优势:它比较了举报和坦率的责任,而不是单个案例研究的主导方法,并探讨了失败和成功耦合的不同结果。
    OBJECTIVE: This paper compares how the two interacting themes of \"Whistleblowing\" or \"Speaking Up\" and the duty of candour (DoC), which are both concerned with safety and quality improvement in health care, got onto the agenda of the British National Health Service (NHS).
    METHODS: It uses the approach of multiple streams and the methodology of interpretive content analysis in a deductive approach that focusses on both manifest and latent content. It examines official documents that discuss the DoC or whistleblowing or cognate terms in connection with the British NHS from 1999 to 2019.
    RESULTS: The main conceptual finding, which mirrors many previous studies, is that it seems difficult to operationalise many of the sub-components of the multiple streams approach. The main empirical finding points to the \"focusing event\" of the Francis Report into the Mid Staffordshire Trust of 2013 and the importance of its Chair, Sir Robert Francis, as a policy entrepreneur.
    CONCLUSIONS: This is one of the first studies to focus on both issues of whistleblowing and the DoC and the first to compare them through the lens of the multiple streams approach. It has two main conceptual advantages over most previous studies in the field: it compares whistleblowing and the duty of candour rather than the dominant approach of a single case study and explores the different outcomes of failed as well as successful couplings of the streams.
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  • 文章类型: News
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  • 文章类型: Journal Article
    目的:本研究旨在确定工作经验在医疗保健专业人员的道德文化观念对其举报倾向的影响中的调节作用。这也是为了揭示组织信任对举报的影响。
    方法:研究人群包括在土耳其公共或私营部门工作的卫生人员。该研究的样本包括自愿参加调查的481名卫生工作者。使用便利采样技术收集数据。在收集数据时,吹口哨,组织信任,并使用了伦理文化量表。在对数据的分析中,描述性统计,因子分析,相关分析,并在结构方程模型中进行了路径分析。
    结果:研究结果表明,组织信任对道德文化有影响,组织信任和道德文化的一些子组成部分对举报有影响。此外,已经确定,工作经验不足的卫生专业人员群体在内部举报的适用性影响中起着调节作用。
    结论:为了处理卫生机构内部的举报机制,向员工清楚地展示道德规则是很重要的。另一方面,人们已经看到,员工的专业经验可以作为举报工作的工具。
    OBJECTIVE: This study aims to determine the moderator role of work experience in the impact of ethical culture perceptions of healthcare professionals on their whistleblowing tendencies. It is also to reveal the effect of organizational trust on whistleblowing.
    METHODS: The population of the study consists of health personnel working in the public or private sector in Turkey. The sample of the study consists of 481 health workers who voluntarily participated in the survey. Data were collected using the convenience sampling technique. In collecting data, whistleblowing, organizational trust, and ethical culture scales were used. In the analysis of the data, descriptive statistics, factor analysis, correlation analysis, and path analysis in the structural equation model were performed.
    RESULTS: The findings reveal that organizational trust has an impact on ethical culture and that some sub-components of organizational trust and ethical culture have an impact on whistleblowing. In addition, it has been determined that the group of health professionals with low work experience has a moderating role in the effect of applicability on internal whistleblowing.
    CONCLUSIONS: To handle the whistleblowing mechanism internally in health institutions, it is important to clearly show the ethical rules to the employees. On the other hand, it has been seen that the professional experiences of the employees can be used as a tool for whistleblowing to work.
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  • 文章类型: Systematic Review
    目的:举报,这涉及到对不法行为的担忧,尽管存在风险,但对于确保孕产妇和新生儿医疗保健环境中卫生服务使用者的安全至关重要。目前,对在这种情况下进行举报的医疗保健专业人员的经验的了解有限。
    背景:涉及产妇服务的值得注意的询问,例如Ockenden和Kirkup以及英国的LucyLetby案报道的那些询问,在国际上引起了人们对举报失败的关注。
    目的:确定和综合现有的文献,这些文献涉及医疗保健专业人员在孕产妇和新生儿护理环境中进行举报的经验。
    方法:此范围审查遵循Arksey和O'Malley的框架。系统地搜索了5个学术数据库,以查找2013年1月至2023年10月之间发布的文档,并进一步搜索了GoogleScholar和相关参考列表。
    结果:虽然确定了35篇来自国际来源的论文,大多数起源于英国,最近发生了备受瞩目的事件。专题分析确定了三个主要主题:“结构力量”,\'完美主义\'和\'勇敢,希望与失望每个都有子主题。
    结论:举报通常是分层系统中的利他行为。它暴露了不良做法,扰乱了电力动态,尤其是在具有挑战性的职场文化中。公开披露,然而,需要心理安全。障碍依然存在,强调需要一种由体现所需价值观的个人领导的信任和透明文化。
    结论:关于孕产妇和新生儿医疗保健环境中举报的主要研究是有限的。这项研究揭示了功率动力学和影响举报的因素。
    OBJECTIVE: Whistleblowing, which involves raising concerns about wrongdoing, carries risks yet can be crucial to ensuring the safety of health service users in maternal and newborn healthcare settings. Understanding of the experiences of health care professionals that enact whistleblowing in this context is currently limited.
    BACKGROUND: Notable inquiries involving maternity services such as those reported upon by Ockenden and Kirkup and the Lucy Letby case in the United Kingdom have shone an international spotlight on whistleblowing failures.
    OBJECTIVE: To identify and synthesise available literature addressing the experiences of healthcare professionals enacting whistleblowing in maternal and newborn care settings.
    METHODS: This scoping review followed Arksey and O\'Malley\'s framework. Five academic databases were systematically searched for documents published between January 2013 and October 2023 with additional searches of Google Scholar and related reference lists.
    RESULTS: Whilst 35 papers from international sources were identified, the majority originated from the United Kingdom, where recent high-profile incidents have occurred. Thematic analysis identified three main themes: \'Structural Power\', \'Perfectionism\' and \'Bravery, Hope and Disappointment\', each with sub-themes.
    CONCLUSIONS: Whistleblowing is frequently an altruistic act in a hierarchical system. It exposes poor practices and disrupts power dynamics, especially in challenging workplace cultures. Open disclosure, however, requires psychological safety. Obstacles persist, emphasising the need for a culture of trust and transparency led by individuals who embody the desired values.
    CONCLUSIONS: Primary research on whistleblowing in maternal and newborn healthcare settings is limited. This study sheds light on power dynamics and factors that affect whistleblowing.
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  • 文章类型: Journal Article
    这篇评论文章强调了为医院雇用的医生提供保险产品的必要性,该产品可针对虚假的同行审查提供保险,并对医院不称职的错误指控提供完整的辩护,吹口哨,或破坏性行为。
    This commentary article highlights the need for an insurance product for hospital-employed physicians that provides coverage against sham peer review and a complete defense against wrongful hospital allegations of incompetent, whistleblowing, or disruptive behavior.
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  • 文章类型: Journal Article
    背景:举报是一种特别需要道德勇气的行为。了解护士的道德勇气水平与他们的举报方法之间的关系对于减少医疗保健服务中的不利情况很重要。
    目的:本研究旨在了解和分析护士道德勇气水平与举报方式之间的关系。
    方法:这是一项描述性和相关性研究。
    方法:研究样本包括在蒂尔基耶西北部一个省份积极工作的582名护士。研究数据是使用信息表格收集的,护士道德勇气量表,和举报秤。
    方法:伦理委员会的伦理批准,机构许可,并获得参与者的知情同意书进行数据收集.
    结果:发现护士认为他们的道德勇气很高,他们的举报水平处于中等水平。参与者的道德勇气水平和举报水平之间存在显著和适度的关系(p<.05)。
    结论:研究结果强调了促进道德勇气和为揭露违反道德行为创造适当环境的重要性。这项研究有助于制定策略,以提高护士的道德勇气,并在医疗保健服务中营造更道德的工作环境。
    BACKGROUND: Whistleblowing is an action that particularly requires moral courage. Understanding the relationship between nurses\' levels of moral courage and their whistleblowing approaches is important for reducing adverse situations in healthcare services.
    OBJECTIVE: This study aims to understand and analyze the relationship between nurses\' levels of moral courage and their whistleblowing approaches.
    METHODS: This is a descriptive and correlational study.
    METHODS: The study sample consists of 582 nurses actively working in a province in northwest Türkiye. Research data were collected using an Information Form, the Nurses\' Moral Courage Scale, and the Whistleblowing Scale.
    METHODS: Ethical approval from the ethics committee, institutional permission, and informed consent from the participants were obtained for data collection.
    RESULTS: Nurses were found to perceive their moral courage as high, and their whistleblowing levels were at a moderate level. There was a significant and moderate relationship between participants\' levels of moral courage and whistleblowing levels (p < .05).
    CONCLUSIONS: The findings emphasize the importance of promoting moral courage and creating an appropriate environment for exposing ethical violations. This study can contribute to the development of strategies to enhance nurses\' moral courage and foster a more ethical working environment in healthcare services.
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