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Nina Hjelde, Manchester University NHS Foundation Trust, Greater Manchester,Brendan McGrath, Manchester University NHS Foundation Trust, Greater Manchester,Andrew Mockridge, Northern Care Alliance NHS Foundation Trust, Greater Manchester
This section offers a wide variety of commonly encountered ethical challenges in intensive care, with some role-play options so candidates can practice difficult situations.
The perception of religious groups, especially Muslims, is a significant societal issue in France, where Muslims face significant stigmatization and discrimination. This study explores how stereotypes of Muslims, compared with other religious groups, are shaped using the Stereotype Content Model. Data were collected via an online survey from two samples: students (N = 161) and the general population (N = 282). Results revealed that, for students, there were no significant differences in social judgment of Muslims versus other groups. However, in the general population, Muslims were perceived as less warm and competent, eliciting more negative emotions. A subsequent meta-analysis combining the two datasets and drawing on the Social Structure Hypothesis identified predictors of attitudes toward Muslims, including warmth, admiration, disgust, symbolic threat, intergroup contact, and social status. The findings indicate that negative stereotypes are not inherent but influenced by sample characteristics and psychosocial variables, emphasizing the importance of context in shaping social judgments.
Caregiving is universal, but caregiving experiences, and views on how the government should support caregiving, are not. Caregiving is the subject of extensive press coverage, cultural exploration, policy analysis, and daily conversation. Yet less is known about how these experiences inform attitudes. This Element seeks to better understand attitudes toward caregiving policies and explain how varied caregiving experiences shape those attitudes. The analysis is primarily based on an original survey, the National Caregiving and Covid Survey (NCCS). Using YouGov, the authors surveyed representative samples of Asian, Black, Latinx, and white respondents in the spring of 2021. The findings illustrate that views of caregiving policy are linked both to whether one serves as a caregiver and to how one understands their caregiving role. In doing so, the Element presents a clearer picture of the political significance of caregiving in the United States.
Education, and mandatory schooling in particular, is a central mechanism for governments to improve life outcomes and prevent the accumulation of disadvantage across generations. Yet educational sociology research suggests that education can also entrench patterns of inequality, with children from immigrant backgrounds facing barriers to equal opportunity. Policy reforms to reverse such disadvantage include delaying the tracking age and offering free or subsidised daycare places to immigrant children. However, we know little about public support for such policies. In this article, we argue that one’s own experience of educational equality impacts micro-level preferences for equality-enhancing policies (EEPs). Using a survey experiment fielded in 2024 in Switzerland, our findings suggest that support for EEPs is a function of the one’s satisfaction with equal opportunities at school: Those who did not perceive their schooling to be fair and who attended school in less egalitarian cantons show the strongest support for reforming the system to become more egalitarian. We conclude that negative experience of schooling may have an, albeit indirect, effect on support for policies that reduce educational inequality. .
The aim of the study is to assess the nurses’ knowledge, attitudes and practices related to malnutrition (M-KAP), as well as their general nutrition knowledge about food groups and nutrient sources (GNKQ2), and diet and disease relationships (GNKQ4) and determine the associated factors.
Design:
A cross-sectional study was conducted among nurses, using a multi-component questionnaire that assessed the socio-demographic characteristics, health and eating habits, M-KAP and sections Methodology and Discussion of the general nutritional knowledge questionnaire (GNKQ2 and GNKQ4).
Setting:
Hospitals located in North Lebanon.
Participants:
Nurses working in Lebanese hospitals (n 404).
Results:
A positive association was detected between malnutrition knowledge and each of malnutrition-attitudes (P < 0·001) and malnutrition-practices (P < 0·001) and between malnutrition-practices and malnutrition-attitudes (P < 0·001). Regression analysis revealed that males had lower GNKQ2 compared with females (P = 0·035), and compared with supervisor/chief nurses, practical and head nurses had lower GNKQ2 (P < 0·001 and P = 0·046, respectively). Additionally, practical nurses had lower GNKQ4 compared with supervisor/chief nurses (P = 0·011). M-KAP levels were significantly associated with occupational title and nationality (P = 0·032 and P = 0·008, respectively). Finally, M-practices were associated with hospital district (P = 0·043), and practical and head nurses had better adequate M-practices compared with supervisor/chief nurses (P = 0·001 and P = 0·016, respectively).
Conclusion:
A better knowledge is significantly associated with better attitudes and practices, therefore, in order to improve the nutritional status of these patients; it is of prime importance to increase knowledge among nurses.
What does it take for a variety to be evaluated as “standard”? Focusing on Flanders, a community with a strict standard language ideology, we examined whether a regionally neutral accent suffices, or whether nonstandard lexis and grammar must also be avoided. In a speaker evaluation experiment, 614 respondents rated four manipulated versions of an official government video, varying in accent (neutral vs. regional) and the presence or absence of tussentaal, a stigmatized nonstandard variety. While unaccented standard Dutch remained the most prestigious variety, a mixed guise combining a neutral accent with tussentaal was not downgraded and was perceived as dynamically prestigious. These findings suggest that a polished accent is a key criterion for standardness, which can offset the negative evaluation of other nonstandard features.*
Workplaces are increasingly sorted by education. How does the educational composition at the workplace shape political attitudes? To address this question, I use Swedish population-wide administrative data combined with a representative election survey – an empirical approach that links respondents to their colleagues. The central finding is that the share of university educated at the workplace influences individuals’ attitudes independently of the individual’s own educational background. Further analysis indicates that the effect is partly caused during the time spent in the labor market and varies with the educational field composition of the workplace. The results shed light on how social connections at work, as opposed to personal experiences, shape political attitudes. This has far-reaching implications for our understanding of the politically relevant aspects of the work life, as well as for the formation of the education divide.
Positive attitudes toward healthy nutrition and food literacy have been associated with healthy eating habits in previous research. However, evidence regarding the relationships among food literacy, attitudes toward healthy nutrition, and BMI among school teachers remains limited. This study examined the associations among self-perceived food literacy, attitudes toward healthy nutrition, and BMI among school teachers. This cross-sectional study was conducted with 294 primary, secondary, and high school teachers. An online questionnaire including demographic characteristics, eating habits, anthropometric measurements, the Self-Perceived Food Literacy Scale (SPFLS), and the Attitude Scale for Healthy Nutrition (ASHN) was used to collect data. A total of 294 school teachers aged 20–59 years completed the study, of whom 73.5% were female. Obese participants had lower food literacy (p < 0.001) and healthy nutrition attitude scores (p < 0.05) than normal-weight participants. Food literacy and attitudes toward healthy nutrition were positively correlated with age and years of experience, and negatively correlated with BMI (p < 0.05). Multiple linear regression analysis indicated that attitudes toward healthy nutrition and BMI were associated with self-perceived food literacy (R2adj= 0.501, p < 0.001). These findings contribute to the limited evidence regarding the relationships among food literacy, attitudes toward healthy nutrition, and BMI among school teachers.
This chapter examines the bi-directional relationship that exists between the menopause and society. It reflects on how a woman’s perception of the menopause is influenced by societal and cultural ideas about menopause, ageing and gender. It reviews how Western societal attitudes towards the menopause have developed over time, in response to scientific developments and medical trends. It also considers the viewpoint that this natural life transition has been over medicalised, and looks at how this life stage is viewed in other cultures. The chapter looks at how an individual woman’s experience of the menopause has an impact on her wider society. It considers the impact that menopausal symptoms can have in the workplace, and in personal relationships including partners, children and other family members. It also speculates about how health economics are affected by women in this life stage.
This chapter explores the gendered dimensions of mathematics anxiety, shedding light on why female students consistently report higher levels of anxiety than their male peers. Drawing directly from students’ comments, it offers fresh insights into how gender shapes classroom engagement and behaviour. The chapter also critically examines the persistent perception of STEM as a male-dominated field, a concern that continues to influence students’ academic experiences. Grounded in students’ experiences, it concludes with actionable recommendations aimed at fostering more inclusive and supportive learning environments.
This chapter synthesises current research on mathematics anxiety, tracing its precursors – such as negative emotions and attitudes – and examining its wide-ranging consequences. It explores the gendered nature of mathematics anxiety and its contribution to the persistent underrepresentation of women in STEM fields. The chapter reviews established instruments for measuring mathematics anxiety and considers key moderating factors, such as resilience and self-efficacy. Drawing on the author’s own analyses of recent empirical data, it offers new insights into the complexity and persistence of mathematics anxiety, particularly among non-specialist university students. The chapter concludes with a call to action, advocating for inclusive and emotionally intelligent pedagogical approaches that address both the cognitive and affective dimensions of mathematics learning.
Rapid developments in Artificial Intelligence (AI) tools and their ever-expanding use in societal contexts raises questions regarding their design, social acceptance, and regulation. We develop a randomized vignette experiment, detailing six contemporary high-stakes contexts employing algorithmic tools and uncover distinct attitudes toward the source of the AI provisioning (public vs private sector). Participants are drawn from technology and law schools in India, representing key future stakeholders in the AI policy ecosystem in the country. Our main result indicates an overall preference for public sector provisioning of AI tools, with important implications on the social acceptability of public sector expansion of AI systems. Although the Global South has witnessed widespread expansion of AI tools with limited scrutiny, the nascent scholarship on AI attitudes disproportionately emanates from the Global North. Our study fills this gap, as well as the gap in empirical evidence on private vs public provisioning of AI tools in social contexts.
Using data from Afrobarometer surveys conducted across 39 countries (n ≈ 53,000), this study examines the relationship between ethnic identification and public attitudes toward interethnic marriage in Africa. Descriptive analyses indicate that most Africans are either supportive of or indifferent toward such unions. However, multivariate regression results show that individuals who identify more strongly with their ethnicity than their nationality are significantly less likely to support interethnic marriage. This negative association is particularly strong among rural residents. These findings suggest that strong ethnic identification can act as a barrier to social integration in multiethnic societies. They also highlight the importance of policies that foster inclusive national identities and encourage intergroup engagement through education and civic initiatives.
In two studies of attitudes and beliefs of American adults (N = 482), there is a substantial positive correlation between pro-natural and pro-sustainability, a weak negative correlation between pro-technology and pro-natural, and a moderate positive or negative correlation between pro-technology and pro-sustainability, depending on the way technology is framed. Participants also believe strongly that natural policies are ‘good for’ sustainability. Liberals are substantially more pro-sustainable than conservatives, but both political groups are strongly pro-natural. Most respondents explicitly believe that organic farming is ‘good for sustainability’, and many believe that genetically engineered foods are not good for sustainability. On open-ended explanations for their beliefs about positive linkages between natural and sustainability, respondents’ reasons are frequently vague, very generic, factually incorrect, or irrelevant to sustainability (e.g., claims that genetically modified organisms are unnatural or bad for human health). Respondents are inclined to believe in a positive association, often a causal link, between natural and sustainable, both concepts they favor. Additional results from a British adult sample show that 65% agree with the statement: ‘Generally, more natural things cause more sustainable outcomes.’ This may be an example of causal inference supported by congruent valences.
In India, the term euthanasia is frequently used to describe a wide range of end-of-life practices, including withdrawal of life-sustaining treatment and administration of lethal drugs. Such usage diverges from more narrow definitions that restrict euthanasia to the intentional administration of lethal drugs.
Objectives and Significance of the Results
This systematic review and meta-analysis examines how euthanasia has been defined and operationalized in quantitative studies of Indian physicians’ and nurses’ attitudes, and estimates the prevalence of approval when euthanasia is defined narrowly.
Methods
Following PRISMA 2020 guidelines, searches were conducted in PubMed, EMBASE, PsycINFO, and CINAHL for studies published from 2010 onward. Two investigators independently screened studies, extracted data, and assessed risk of bias using the Mixed Methods Appraisal Tool (MMAT). Studies were included in the meta-analysis only if they reported attitudes toward euthanasia as narrowly defined.
Results
Nine studies met inclusion criteria for the systematic review. Definitions of euthanasia varied considerably, and several studies combined attitudes toward treatment withdrawal with attitudes toward the administration of lethal drugs. Four studies reporting on 519 nurses and physicians provided data suitable for meta-analysis. Approval of euthanasia, defined as the intentional administration of lethal drugs, ranged from 12% to 20%, with a pooled prevalence of 16% (95% confidence interval: 0.13–0.19). This prevalence is notably lower than in earlier reports on Indian healthcare professionals’ attitudes.
Conclusion
Definitional inconsistency substantially affects reported attitudes toward euthanasia in Indian research. When euthanasia is defined narrowly, approval among healthcare professionals is low and consistent across studies. These findings highlight the need for conceptual clarity in future research to support accurate interpretation of empirical data and to strengthen the contribution of studies on ethical attitudes to ethical and palliative care scholarship.
This study aimed to examine factors associated with stigmatizing attitudes toward people with mental illness among mental health professionals in Kazakhstan, the largest upper-middle-income country in Central Asia. The cross-sectional online survey was conducted among psychiatrists, narcologists (drug addiction specialists), psychotherapists, psychiatry residents and mental health nurses from all regions of Kazakhstan using the 15-item Opening Minds Stigma Scale for Healthcare Providers (OMS-HC). The mean stigma score was 40.1 of a possible 75, with higher stigma observed among older professionals (β = 3.32; 95% CI: 1.24, 5.39) and those working in the drug addiction field (β = 1.99; 95% CI: 0.32, 3.66). Male professionals had lower stigma scores (β = −3.29; 95% CI: −5.57, −1.02). Perception of mental health work as less respectable (β = 6.43; 95% CI: 3.26, 9.60) and skepticism about the positive impact of the field (β = 2.69, 95% CI: 0.52, 4.86) were associated with higher stigma; while having relatives or friends suffering from mental health issues (β = −2.36; 95% CI: −3.95, −0.77) and prior psychotherapy exposure (β = −2.12; 95% CI: −3.98, −0.26) were associated with lower levels of stigma. These findings can inform future targeted interventions on reducing stigma within healthcare settings, and promoting a more supportive and inclusive environment for both patients and providers.
Many theorists tie social norms to attitudes, such as expectations towards others, perhaps along with conforming practices. Challenging this view, we instead ground social norms in a social norming process, an often non-verbal social communication process that ‘makes’ the norm through mutual expressions of support. We present the process-based account of social norms and social normativity, and distinguish social norms from social pressures, social practices and Lewisian conventions. The process-based view brings social norms closer to legal norms, by tying them to ‘expressive acts’, just as laws and contracts arise through acts of voting or signing, not through mere attitudes.
This chapter discusses the perceptions of English variation from the earliest available commentary to the present day. Historical commentary on English variation from various sources is discussed and contrasted with contemporary accounts of the perception of variation in English. The chapter discusses commonalities in the perception of regional variation over time, examining three overarching themes: the presence of a linguistic hierarchy; the focus on the ‘best’ forms of English in areas (and occupations) proximal to the centres of power, and general concerns about language change.
This chapter focuses on the history of English in Gibraltar, its current sociolinguistic landscape and position within theoretical models of analysis, and the attitudes of speakers towards the drastic changes taking place. In recent years English has become dominant among younger generations of speakers, indicating a steady shift in Gibraltar towards monolingualism, a process in which, we argue, globalisation plays an essential role. The chapter also reports on the ongoing and challenging compilation of the Gibraltar component of the International Corpus of English (ICE-GBR), and presents a quantitative analysis of morphosyntactic features which occur in the print publications included in ICE-GBR.
The study investigates the interplay between personal values and attitudes toward environmental responsibility (ER) among MBA students from two distinct cultural contexts: Australia (individualist) and India (collectivist). Drawing on survey responses from the University of Newcastle, Australia and the Indian Institute of Management (IIM), Kolkata, the study employs factor analysis and Multivariate Least Squares (MLS) to test whether cultural orientation moderates the predictive relationship between value priorities and ER attitudes. Findings reveal significant cross-cultural contrasts: Australian respondents prioritise security, conformity and power, whereas Indian respondents emphasise achievement, benevolence and universalism. Contrary to theoretical expectations, self-transcendence (benevolence, universalism) and self-enhancement (achievement, power) values exert a stronger influence among Indian participants. These results challenge universalist assumptions in sustainability education. The study offers actionable implications for corporate recruitment, climate policy and MBA curriculum design, highlighting how cultural value systems shape managerial attitudes toward ER.