Browsing by Subject "Attitudes"
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Item Open Access A Comparison of the Attitudes of Human Resource (HR) Executives and HR Practitioners on the Use of Artificial Intelligence (AI)-Enabled Tools in Recruiting(2022) Boyd, Kristi ShevkunAs part of the technological growth in HR, companies are developing and adopting AI-enabled solutions for recruitment of qualified talent for a job opening. AI-enabled recruiting tools provide a variety of potential benefits to an organization: from improving overall efficiency and lowering hiring costs, to automating repetitive tasks and removing human biases. AI-enabled tools in recruiting also introduce concerns about dehumanization of the hiring process, increased discrimination, and accidental exclusion of qualified candidates. These benefits and concerns are discussed at the HR executive level in industry and in academic contexts; however, the data on the perspectives of HR practitioners is much more limited. Studies show that only 32 percent of companies include individual practitioners within the talent acquisition technology discussions. HR practitioners leverage AI-enabled tools in hiring and, therefore, should be aware of and able to mitigate potential risks of leveraging AI-enabled tools. Lack of consideration of perspectives of HR practitioners on the benefits and risks of AI-enabled tools increases the possibility of ethical concerns and legal liability for the individual companies (Nankervis, 2021). HR executives need take into consideration the perspectives of HR practitioners who work with AI-enabled tools as this awareness is likely to help the businesses successfully realize their talent management goals. This paper is based on the hypothesis that the perspectives of HR practitioners on the use of AI-enabled tools in hiring differ from the perspectives of HR executives and need to be addressed to ensure that organizations can successfully and ethically implement AI-enabled tools within organizations. Robinson 2019, states that “examination of the practitioners’ perspective [is] a valuable part of AI technology adoption, if organizations hope to have employees support and embrace the accompanying changes." This paper contributes to the examination of practitioner’s perspectives by identifying an information gap that may influence attitudes of individual HR practitioners on the use of AI-enabled recruiting tools. The paper provides additional insights into the attitudes of individual HR practitioners in the United States (U.S.) through a new small-sample survey finding. The survey findings highlight the different attitudes that individual HR practitioners have towards the use of AI-enabled recruiting tools, especially when compared with those of HR executives. This survey is an initial step for more robust research and lays the foundation for follow up research topics. Finally, the paper provides recommendations that can help organizations ethically implement AI-enabled tools by ensuring the attitudes of individual HR practitioners are taken into consideration.
Item Open Access Aging in South Asia: Attitudes/Beliefs of Elders in Southern India and Long-Term Care of the Elderly in Southern Sri Lanka(2013) Beaudry, Lauren JeanetteDeveloping nations in Asia are posed to experience a significant increase in the population of older adults living in their respective societies. Over the coming decades, India, the second most populous country in the entire world, is poised to experience a significant increase in its elder population. India's population of adults 60 years of age or older is projected to increase from 8% to 19% of the countries total population by the year 2050. Figures predict that by mid-century, 323 million people in India will be aged 60 years or older, more than the total current U.S. population. As the demographic structure of India is making a dramatic shift, concerns regarding the health and wellbeing of the growing Indian elder population are emerging, as is the growing concern for social policy. In addition, Sri Lanka is the fastest aging nation in South Asia. Multiple factors, including an increase in the number of people considered to be the "oldest old" (80+ years of age), a decrease in the number of working age adults, and increases in disability amongst the elderly, could necessitate an increased need for institutionalization of elderly Sri Lankans into long-term care facilities.
This project aims to study aging in south Asia from two different perspectives. An analysis of existing data from Southern India was done to examine the attitudes and beliefs of Indian elders towards aging and support systems for the elderly. Mental health of Indian elders was assessed and logistic regression analysis was conducted to examine possible correlations between attitudes and beliefs of the elderly and elder mental health. In addition, a qualitative descriptive study of Sri Lankan elder homes was carried out in the southern district of Galle, Sri Lanka. A convenience sampling method was used to identify six elder homes located in the area, and visits were made to each of the homes. During the visits, elder home mangers were interviewed in order to gain general information on the functioning and history of the elder homes, as well as general information on the residents living at the facilities.
Results from the Kerala Aging Survey revealed that psychological distress was present for over one third of elders in Kerala. Rates of psychological distress were higher for women, the poor, and those with advanced age. Elder women appear to be especially vulnerable to psychological distress in old age. Elders believe that children are responsible for supporting parents in their old age; lack of satisfaction with support received from children was associated with the presence of psychological distress amongst elders. For the qualitative study on Sri Lankan elders homes, it was found that both familial and community support are significant factors in the long-term care of elderly Sri Lankans. Though many elder home residents had been diagnosed with a chronic NCD or disability, lack of familial support was consistently identified as the driving force necessitating the elderly to reside at the long-term care facilities. With little or no financial assistance from the government, the facilities themselves all relied heavily on donations from the community to function on a daily basis.
Item Open Access Anglos' and Latinos' Self-Regulation to Standards for Education and Parenthood(2012) Witt, Melissa AnnThe present research tested whether the lower educational achievement and greater incidence of parenthood among Latino relative to Anglo high school students arise from differences across ethnic groups in the standards held for these behaviors and whether these different standards and differential success across groups at meeting them contribute to ethnic group differences in self-esteem. I tested this regulatory model in two different research designs. In the first study, I used longitudinal data on race/ethnicity and attitudes, expectations, and behavioral outcomes for education and parenthood from the National Longitudinal Study of Adolescent Health (Add Health, Udry, 2003). In the second study, I used an experimental design to test the causal mechanisms involved in this regulatory process. I assessed Anglo and Latina adolescent girls' standards in terms of explicit self-report ratings and then prompted them to imagine themselves in scenarios related to education or parenthood. After participants viewed the scenarios, I assessed their self-esteem and affect. In both studies, I anticipated that ethnic group differences in standards for education and parenting would help explain differences in behavioral outcomes for the groups, along with differences in ethnic group affect and self-esteem. These studies provided some evidence that Anglos espouse more favorable attitudes toward education and less favorable attitudes toward adolescent pregnancy than Latinos. As anticipated, adolescents experienced increases in self-esteem and positive affect when they acted in ways that confirmed valued standards.
Item Open Access Pharmacists' attitudes toward dispensing naloxone and medications for opioid use disorder: A scoping review of the literature.(Substance abuse, 2019-08-16) Muzyk, Andrew; Smothers, Zachary PW; Collins, Kathryn; MacEachern, Mark; Wu, Li-TzyBackground: Pharmacists are on the frontline caring for patients at risk of an opioid overdose and for patients with an opioid use disorder (OUD). Dispensing naloxone and medications for OUD and counseling patients about these medications are ways pharmacists can provide care. Key to pharmacists' involvement is their willingness to take on these practice responsibilities. Methods: The purpose of this scoping review is to identify, evaluate, and summarize published literature describing pharmacists' attitudes toward naloxone and medications for OUD, i.e., methadone, buprenorphine, and naltrexone. All searches were performed on December 7, 2018, in 5 databases: Embase.com, PubMed.gov, Cumulative Index to Nursing and Allied Health Literature (CINAHL) via EBSCOhost, Cochrane Central Register of Controlled Trials via Wiley, and Clarivate Web of Science. Articles included original research conducted in the United States, described attitude-related language toward naloxone and medications for OUD, and pharmacists. Results: A total of 1323 articles were retrieved, 7 were included. Five studies reported on pharmacists' attitudes toward naloxone dispensing, 1 study reported on attitudes toward naloxone, buprenorphine, and buprenorphine/naloxone, and 1 reported on attitudes toward buprenorphine/naloxone. Respondents were diverse, including pharmacists from different practice specialties. Studies found that pharmacists agreed with a naloxone standing order, believed that naloxone should be dispensed to individuals at risk of an opioid overdose, and were supportive of dispensing buprenorphine. A minority of pharmacists expressed negative attitudes. Barriers cited to implementation included education and training, workflow, and management support. Conclusions: Pharmacists were positive in their attitudes toward increased practice responsibilities for patients at risk of an opioid overdose or with an OUD. Pharmacists must receive education and training to be current in their understanding of OUD medications, and they must be supported in order to provide effective care to this patient population.Item Open Access Physicians’ Attitudes of Lipid Management in Tertiary Hospitals in China---A Cross-Sectional Study(2019) JI, XIAOBackground: Hyperlipidemia is increasingly prevalent in China. Gaps are found between 2016 Chinese guideline for lipid management and other international guidelines. This study aims to identify attitudes and reported practice patterns for hyperlipidemia among Chinese physicians in tertiary hospitals. Methods: We collected data for 309 physicians on their adoption of guidelines, their attitudes of statin therapy and reported statin prescription patterns in four hypothetical patient scenarios (low risk/high LDL, high risk/high LDL, low risk/low LDL, and high risk/low LDL patients). Results: Overall, 63.75% of physicians adopted 2016 Chinese guideline. Most highly agreed with statins’ effectiveness, but 57.94% concerned about the safety of high-intensity statins in the Chinese population. Physicians reported various LDL-C value for treatment target. In hypothetical scenarios, the prescription rate was highest for the high risk/high LDL patient (90.03%). Those who believed statins could prevent stroke and heart attack were more likely to prescribe statins (OR=5.67,p=0.002). The prescription rate was 81.42% for the patient at risk/low LDL. Those who believed statins could prolong life were more likely to prescribe (OR=2.51, P=0.009). Only 7.78% 2016 Chinese guideline adopters prescribed statins as guideline recommended on all four hypothetical patients. Most physicians (56.73%-73.91%) preferred moderate-intensity statins. Those who considered high-intensity statins shouldn’t be routinely used in Chinese were less likely to prescribe high-intensity statins(OR=0.33, p=0.004). Conclusions: Physicians concerned about statins’ safety; We didn’t find a specific practice pattern among physicians and guideline adopters’ reported practices were not always concordant with the recommendations; Future studies are expected to focus on high-intensity statins and LDL-C target for treatment and training on guideline use is necessary;
Item Open Access Reducing mental health-related stigma among medical and nursing students in low- and middle-income countries: a systematic review.(Epidemiology and psychiatric sciences, 2019-04) Heim, E; Henderson, C; Kohrt, BA; Koschorke, M; Milenova, M; Thornicroft, GAimsThis systematic review compiled evidence on interventions to reduce mental health-related stigma among medical and nursing students in low- and middle-income countries (LMICs). Primary outcomes were stigmatising attitudes and discriminatory behaviours. METHODS:Data collection included two strategies. First, previous systematic reviews were searched for studies that met the inclusion criteria of the current review. Second, a new search was done, covering the time since the previous reviews, i.e. January 2013 to May 2017. Five search concepts were combined in order to capture relevant literature: stigma, mental health, intervention, professional students in medicine and nursing, and LMICs. A qualitative analysis of all included full texts was done with the software MAXQDA. Full texts were analysed with regard to the content of interventions, didactic methods, mental disorders, cultural adaptation, type of outcome measure and primary outcomes. Furthermore, a methodological quality assessment was undertaken. RESULTS:A total of nine studies from six countries (Brazil, China, Malaysia, Nigeria, Somaliland and Turkey) were included. All studies reported significant results in at least one outcome measure. However, from the available literature, it is difficult to draw conclusions on the most effective interventions. No meta-analysis could be calculated due to the large heterogeneity of intervention content, evaluation design and outcome measures. Studies with contact interventions (either face-to-face or video) demonstrated attitudinal change. There was a clear lack of studies focusing on discriminatory behaviours. Accordingly, training of specific communication and clinical skills was lacking in most studies, with the exception of one study that showed a positive effect of training interview skills on attitudes. Methods for cultural adaptation of interventions were rarely documented. The methodological quality of most studies was relatively low, with the exception of two studies. CONCLUSIONS:There is an increase in studies on anti-stigma interventions among professional students in LMICs. Some of these studies used contact interventions and showed positive effects. A stronger focus on clinical and communication skills and behaviour-related outcomes is needed in future studies.Item Open Access Reducing stigma among healthcare providers to improve mental health services (RESHAPE): protocol for a pilot cluster randomized controlled trial of a stigma reduction intervention for training primary healthcare workers in Nepal.(Pilot Feasibility Stud, 2018) Kohrt, Brandon A; Jordans, Mark JD; Turner, Elizabeth L; Sikkema, Kathleen J; Luitel, Nagendra P; Rai, Sauharda; Singla, Daisy R; Lamichhane, Jagannath; Lund, Crick; Patel, VikramBackground: Non-specialist healthcare providers, including primary and community healthcare workers, in low- and middle-income countries can effectively treat mental illness. However, scaling-up mental health services within existing health systems has been limited by barriers such as stigma against people with mental illness. Therefore, interventions are needed to address attitudes and behaviors among non-specialists. Aimed at addressing this gap,REducingStigma amongHealthcAreProviders to ImprovEmental health services (RESHAPE) is an intervention in which social contact with mental health service users is added to training for non-specialist healthcare workers integrating mental health services into primary healthcare. Methods: This protocol describes a mixed methods pilot and feasibility study in primary care centers in Chitwan, Nepal. The qualitative component will include key informant interviews and focus group discussions. The quantitative component consists of a pilot cluster randomized controlled trial (c-RCT), which will establish parameters for a future effectiveness study of RESHAPE compared to training as usual (TAU). Primary healthcare facilities (the cluster unit,k = 34) will be randomized to TAU or RESHAPE. The direct beneficiaries of the intervention are the primary healthcare workers in the facilities (n = 150); indirect beneficiaries are their patients (n = 100). The TAU condition is existing mental health training and supervision for primary healthcare workers delivered through the Programme for Improving Mental healthcarE (PRIME) implementing the mental health Gap Action Programme (mhGAP). The primary objective is to evaluate acceptability and feasibility through qualitative interviews with primary healthcare workers, trainers, and mental health service users. The secondary objective is to collect quantitative information on health worker outcomes including mental health stigma (Social Distance Scale), clinical knowledge (mhGAP), clinical competency (ENhancing Assessment of Common Therapeutic factors, ENACT), and implicit attitudes (Implicit Association Test, IAT), and patient outcomes including stigma-related barriers to care, daily functioning, and symptoms. Discussion: The pilot and feasibility study will contribute to refining recommendations for implementation of mhGAP and other mental health services in primary healthcare settings in low-resource health systems. The pilot c-RCT findings will inform an effectiveness trial of RESHAPE to advance the evidence-base for optimal approaches to training and supervision for non-specialist providers. Trial registration: ClinicalTrials.gov identifier, NCT02793271.