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\"Almost a century of research has shown that the most conscientious individuals enjoy longer and healthier lives. The crucial feature of conscientiousness is being organized and responsible, which are the traits that contribute most to society in general. Unfortunately, some individuals fail to achieve their greatest potential because they did not establish the nurturing, bonding system that is most essential for health, happiness, and success. In this book, you will find the tools to optimize your self-esteem, health, and longevity.In the 1960s, the use of transcutaneous electrical nerve stimulation (TENS) took acupuncture to a new level, revolutionizing pain management. Now the most important acupuncture advancement in 4,000 years is the activation of the hormone oxytocin without needles or electrical stimulation. By using essential oils on acupuncture points, you will create the \"bliss\" that enables you to fulfill your potential for conscientious living.Based on research of the past two decades, it is now possible for you to activate five specific acupuncture circuits. Using this method, you will: Restore dehydroepiandrosterone (DHEA), the most important health-enhancing hormone Boost your calcitonin, the essential thyroid hormone for maintaining bone strength and reducing pain Reduce free radicals, the scavengers that essentially wear out or \"rust\" your body Balance your aldosterone, the adrenal hormone responsible for water and potassium health Activate your crucial bonding, nurturing hormone--oxytocin--the ultimate bliss hormone! Using specific blends of natural essential oils, you can do your own transcutaneous acupuncture--with no needles and in only 30 seconds!This is a powerful path to conscientious living that enables you to live a longer, healthier, and happier life--helping yourself, and, as a result, helping others. \"-- Provided by publisher.

Background Stress of conscience is common in health and social care, being associated with adverse health consequences, staff turnover, and poor care quality. Person-centred care (PCC), an ethical approach to care with potential to reduce stress of conscience, has been little explored across healthcare settings. This study assesses the association between perceived PCC and stress of conscience among health and social care professionals in hospital and municipal care settings. Methods A web survey was sent to 11,554 health and social care professionals employed in hospital and municipal care settings in western Sweden. It yielded 2123 responses, and cross-sectional analyses were performed with data from 1671 professionals. The Person-Centred Care Assessment Tool was used to measure PCC, for both the full scale (P-CAT) and its subscales “Extent of Personalising Care” (EPC) and “Organisational and Environmental Support” (OES). The Stress of Conscience Questionnaire (SCQ) was used to measure the outcome stress of conscience. Bivariate correlations and linear regressions were used to analyse the data. Results The bivariate correlations were significant and negative for P-CAT ( r s = − 0.399, p <  0.01), EPC ( r s = − 0.239, p <  0.01), and OES ( r s = − 0.482, p <  0.01) with SCQ. When adjusted for covariates, multivariate linear regressions identified negative associations for P-CAT ( B = − 1.16, 95% CI − 1.33, − 0.99, p  < 0.001), EPC ( B = − 0.8, 95% CI − 1.04, − 0.56, p  < 0.001), and OES ( B = − 3.14, 95% CI − 3.52, − 2.78, p  < 0.001) with SCQ, indicating that as the scores of P-CAT and its subscales increase, the SCQ score decreases. Conclusions Our findings revealed that hospital and municipal health and social care professionals who perceived higher levels of PCC also perceived lower levels of stress of conscience. Considering the increased focus on PCC internationally, the results are relevant, as PCC might be one possible approach to mitigate stress of conscience. More knowledge of EPC and OES in relation to stress of conscience could be important for improved and better-targeted PCC implementation efforts.

Background The interplay of ethical stress, heavy workloads, and job dissatisfaction poses challenges to both the recruitment and retention of health and social care professionals. Person-centred care, rooted in ethical principles, involves collaborative care, and is expected to improve care and job satisfaction. However, prior research on the impact of person-centred care practices on professionals’ work-related health and job satisfaction has yielded mixed results, and most studies emanate from residential care. Understanding how person-centred care practices influence health and social care professionals across different care settings thus requires further exploration through rigorous methodology. The overall aim of PCC@Work is to follow, describe, assess, and explore the impact of person-centred care practices in hospital wards, primary care centres and municipal care on health and social care professionals’ work-related health and job satisfaction. Methods PCC@Work is designed as a prospective, longitudinal cohort study combined with qualitative studies. A web-based questionnaire will be distributed on five occasions within two years to health and social care professionals in the three care settings. In addition, focus groups and interviews will be conducted with a selection of health and social care professionals to explore their experiences of work-related health and job satisfaction in relation to person-centred practices. Discussion PCC@Work will highlight some of the knowledge gaps on the impact of person-centred care practices regarding work-related health and job satisfaction of health and social care professionals. The uniqueness of the project lies in the multi-method design, combining a prospective longitudinal cohort study with qualitative studies, and the involvement of various professions and settings. This means we will be able to provide a comprehensive and representative understanding of person-centred care practices as a critical component for effective change in the working conditions of health and social care.

Parental reflective functioning (PRF) refers to the parent’s capacity to envision mental states in the infant and in themselves as a parent, and to link such underlying mental process with behavior, which is important for parenting sensitivity and child socio-emotional development. Current findings have linked maternal postpartum depression to impaired reflective skills, imposing a risk on the developing mother–infant relationship, but findings are mixed, and studies have generally used extensive methods for investigating PRF. The present study examined the factor structure and measurement invariance of the Danish version of the 18-item self-report Parental Reflective Functioning Questionnaire (PRFQ) in a sample of mothers with and without diagnosed postpartum depression. Moreover, the association between PRF and maternal postpartum depression in mothers with and without comorbid symptoms of personality disorder and/or clinical levels of psychological distress was investigated. Participants included 423 mothers of infants aged 1–11 months. Confirmatory factor analysis supported a three-factor structure of the PRFQ; however, item loadings suggested that a 15-item version was a more accurate measure of PRF in mothers of infants. Multi-group factor analysis of the 15-item PRFQ infant version indicated measurement invariance among mothers with and without diagnosed postpartum depression. Multinomial logistic regression showed that impaired PRF was associated with maternal psychopathology, although only for mothers with postpartum depression combined with other symptoms of psychopathology. These results provide new evidence for the assessment of maternal self-reported reflective skills as measured by a modified infant version of the PRFQ, as well as a more nuanced understanding of how variance in symptomatology is associated with impaired PRF in mothers in the postpartum period in differing ways.

Working in inpatient mental health settings is often characterised by highly emotive work and staff shortages. Despite the suggested benefits of reflective practice groups on staff well-being and clinical practice across healthcare settings, to date, there have been limited empirical studies on reflective practice groups in inpatient mental health settings, especially on group engagement and improvement. We interviewed fifteen participants, including both facilitators and attendees of reflective practice groups. Participants were from eight inpatient mental health wards across two National Health Service settings in the UK. We analysed interview transcripts using thematic analysis. We deductively organised the data into themes and subthemes under three overarching domains-\"Impact\", \"Factors on Engagement\", and \"Improvement\". Theme development was generated inductively from the data. For impacts, we found reflective practice groups may bolster staff reflective capacity and team cohesion. The groups may help attendees create appropriate distance from their emotions and overcome power hierarchies. We discovered that the availability of reflective practice, sense of containment in groups, and team composition may influence group facilitation and engagement. For improvements, different measures could be adopted to improve access and engagement of staff with difficulties attending. Facilitators may benefit from more support to establish a reflective culture and experiment with new ways of facilitating. Our findings add to the growing evidence base of the potential value of reflective practice groups in inpatient settings and elaborate on novel mechanisms of their potential impact. This study highlights changeable factors for engagement, concrete recommendations for improvements, and opportunities for further research.

Background The study aimed to illuminate the meaning of conscience, and troubled conscience and how to deal with troubled conscience among nurses who take care of older people in Tehran province, Iran. Methods A phenomenological hermeneutical approach guided the study, involving three phases of data interpretation: naïve reading, structural analysis and comprehensive interpretation. In-depth individual interviews were conducted with eight nursing staff working in nursing homes or geriatric ward in hospital. Results The meanings of conscience, troubled conscience and dealing with troubled conscience were uncovered through three themes: “meaning of conscience”, “path to clear conscience” and “meaning of and dealing with troubled conscience”. These themes encompassed a total of eight subthemes. The nursing staff described conscience as an inherent power placed by God, shaped mainly though parent’s upbringing along with personal characteristics, religious beliefs, societal, and educational factors. Troubled conscience is narrated as inner power which blames people for intentional or unintentional mistake and attributed to themselves as they have not lived up to the type of people that they should be. Conclusions The path to clear conscience was perceived as to do ‘right’ by helping others and to consider the others as one’s own loved one. Dealing with a troubled conscience means striving to provide right compensation. The nursing staff who take care of older people need to be supported in their endeavours to keep their conscience ‘clear’ and prevent the experience of troubled conscience.

While recent research links sensory processing to mental traits, this has scarcely been explored in adolescence, a period characterized by changes in self-reflection and onset of mental disorders. This study aims to fill this gap using psychometric network analyses to examine how sensory processing characteristics (somatosensation and interoception) relate to self-reflection traits (tendency to examine one's body, thoughts, and one's relation to others) in youths aged 10-25 (N = 816) and whether these associations change with sex and age. Results revealed an interconnected network of sensory and self-reflection variables, organized around three main communities. A first showed that elevated social anxiety is associated with heightened sensitivity to somatosensation; a second that positive reflection towards body appearance positively relate to confidence in interoceptive sensations; a third that reflection towards one's thoughts (private self-consciousness) linked interoceptive awareness with reflection related to others' thoughts. Some of these associations between sensory and self-reflection traits are stronger in girls and late adolescence, but results regarding age effects were inconsistent. These findings highlight the need to integrate sensorial aspects into our understanding of adolescents' psychology.

Tried and tested strategies to promote mindfulness, motivation and productivity at work, this book helps you face the demands of your job whatever your working environment and whatever stage you are at in your career.

Objective To reveal the challenges faced by nurses providing palliative care to hospitalized patients and to determine their levels of stress of conscience while delivering palliative care. Method In this cross-sectional and descriptive study, a total of 143 nurses providing palliative care in the intensive care and oncology units of a university hospital were included in the study. The Nurses Descriptive Characteristics Form, Palliative Care Difficulties Scale and Stress of Conscience Questionnaire were used to collect the data. In the analysis of the data, arithmetic mean, Cronbach’s alpha, Independent Samples t-test, Analysis of Variance test, Mann Whitney test, Kruskal-Wallis test, Spearman’s Correlation were used. Results The mean age of the participants was 31.26 ± 6.88 years. While 25.9% of them defined the concept of conscience as “compassion”, 21.0% defined it as “empathy”. The mean scores they obtained from the Stress of Conscience Questionnaire and the Palliative Care Difficulties Scale were 86.8 ± 48.7 and 42.6 ± 8.3, respectively. There was no statistically significant relationship between the scores they obtained from the overall the Palliative Care Difficulties Scale and the Stress of Conscience Questionnaire ( p  > 0.05). The relationship between the participants’ the Palliative Care Difficulties Scale scores and the variables such as sex, and the department they work in was statistically significant ( p  ≤ 0.05). Conclusion The results of this study revealed that nurses providing palliative care should be supported, and that being female and having a postgraduate education positively affected conscience. It may be recommended to focus on ethical issues related to palliative care in undergraduate and graduate education. Relevance to clinical practice Nurses providing palliative care in areas such as intensive care and oncology encounter numerous ethical issues and experience moral distress while maintaining effective communication with their patients and ensuring continuity of care. Supporting these nurses through national and international policies will positively impact the quality of care.

Background Physicians’ refusal to perform medical procedures that they deem contrary to their conscience may threaten basic human rights and public health. This study aims to investigate the thoughts and attitudes of future physicians on conscientious objection (CO) and thus contribute to the discussions from a country more heavily influenced by Eastern values. Methods A cross-sectional multi-center study was conducted among medical students country-wide, where 2,188 medical students participated via an online survey. The methodology was in accordance with the CHERRIES. Results Nearly half of the students think that CO should be a right. If a medical intervention that conflicts with their personal values is requested, two-thirds would request an assignment to take another action if possible, and 8.2% stated that they would refuse to participate at all costs. If CO is recognized as a right, one-third of the participants would not refer the patient. Male participants, the ones who are more religious, and who have chosen medicine for pragmatic reasons, were more supportive of the right to refuse medical interventions that may contradict their moral values, culture, or beliefs ( p  = 0.000, 0.000, 0.021, respectively). Also, students who thought that conscience is a voice within us that has existed since we were born and who believed everyone must pay for all healthcare services were statistically more likely to agree that CO should be a right ( p  = 0.000, 0.008, respectively). The participants stated that they would most frequently object to requests for extreme aesthetic interventions (splitting the tongue in half − 39.1%, changing eye color – 28.2%, removing the lowest rib – 26.8%), euthanasia (23.2%), hymen restoration (17.3%), gender change (16.5%), and optional pregnancy termination (14.0%). Conclusions Developing undergraduate and post-graduate education that integrates CO as a specific topic, clarifying the conceptual definitions, and improving/developing protocols for exercising CO seem crucial to prevent possible violations of rights and to protect health professionals’ integrity. These interventions should be carried out with the participation of all parties to come together in open communication and respectful dialogue in this delicate matter.