Professional Behavior Research Articles

Decoding the interplay of medical professionalism, mental well-being, and coping in undergraduate medical students across culture: using structural equation modeling.

The rigorous nature of medical education, long and night shifts, and prevalent issues like stress, anxiety, and depression affect medical students' mental well-being and medical professionalism. This study aims to explore the intricate relationships between mental well-being, medical professionalism, and coping strategies, among undergraduate medical students, utilizing structural equation modeling (SEM) to unravel these dynamics. Conducted at Universiti Sains Malaysia, this cross-sectional study involved 234 medical students from the 1st, 3rd, and 5th years of the MBBS program. Data were collected via five validated survey instruments: DASS-9, TEQ, Dundee, Brief COPE, and CBI, through Google Forms. Participants were selected using purposive sampling. The surveys assessed mental well-being (burnout, anxiety, depression, stress), coping strategies, and medical professionalism attributes. Model fit was evaluated using established indices. Findings indicated that professional behavior reduces burnout and negatively impacts negative coping strategies (NCSs). Additionally, medical professionalism indirectly enhances empathy and positively influences CSs. Conversely, psychological distress increases NCSs and reduces empathy. Positive coping strategies (PCSs) enhance empathy levels, while MWB issues elevate NCSs. The study underscores the vital role of professional behavior in mitigating burnout and fostering positive coping mechanisms among medical students. Addressing MWB issues through targeted interventions can enhance empathy and professional behavior, ultimately improving the quality of patient care.

Student professionalism in clerkships.

Professionalism can be challenging to assess during clerkships. Current literature focuses either on aspirational generalities or professionalism lapses. Most tools assessing professionalism employ Likert scales. This study investigated the frequency and detail with which clerkship directors describe professional behaviours in end-of-clerkship narrative assessments. We analysed de-identified core clerkship final narratives from one New York City medical school collected in academic years 2018-2019 and 2019-2020. We used ATLAS.ti and the six-step thematic approach outlined by Braun & Clarke to perform a qualitative analysis, coding each semantic unit. We found that 176 out of 753 narratives (23%) mentioned professionalism, but only 29 (16%) of those provided a detailed description including an anecdote or example. Focusing on these most detailed comments, we identified seven core themes: managing time, following through on expectations, eager to engage, work ethic & efficiency, effective communication, going above and beyond and situational awareness. Themes range from simple behaviours to sophisticated behaviours that may not fully develop until residency. Narratives that use the word "professional" or "professionalism" without examples are unlikely to facilitate learning, meaningful assessment or opportunities for remediation. Our hierarchical framework can be used to teach students how to navigate the current clinical environment and can assist supervisors in providing students with specific, actionable feedback and assessment. Our model explicitly fosters a growth mindset in assessing and developing professionalism.

Evaluation of Knowledge, Skill and Satisfaction Level of Laboratory Sciences Students in Pre-laboratory Immunohematology Course Using Virtual Flipped Classroom

Background: Medical education emphasizes the importance of facilitating deep learning, promoting professional behavior, and fostering skillful problem-solving in practical courses. Objectives: To determine student satisfaction, knowledge, and skill levels using the virtual flipped classroom method for the pre-laboratory immunohematology course in laboratory sciences. Methods: This semi-experimental (before-after) study included 42 laboratory science students who completed the practical immunohematology course. The intervention involved three steps of the virtual flipped classroom method. Knowledge was assessed with multiple-choice questions (MCQs), satisfaction was measured using a rating scale, and students' skills were evaluated using a rating scale. Data were analyzed using descriptive and analytical statistical tests in STATA 14. Results: The results showed that the post-test knowledge score had an average of 7.42, significantly higher than the pre-test score of 4.04 (P < 0.05). Additionally, 92.85% of students reported being satisfied with the course. Regarding skill evaluation, 95.23% of students stated, "I think I have now really achieved it or a part of it." Conclusions: The virtual flipped classroom method in the immunohematology pre-laboratory course had a positive impact on students' learning and satisfaction. This teaching approach has the potential to improve teaching effectiveness, create an interactive learning atmosphere, and could be implemented in similar courses.

Animal emotions and consciousness: a preliminary assessment of researchers' perceptions and biases and prospects for future progress.

Scientists and philosophers have long struggled with the question of whether non-human animals experience emotions or consciousness. Yet, it is unclear where the scientific consensus on these topics lies today. To address this gap, we administered a survey of professional animal behaviour researchers to assess perceptions regarding (i) the taxonomic distribution of emotions and consciousness in non-human animals, (ii) respondents' confidence in this assessment, and (iii) attitudes towards pitfalls and potential for progress when addressing these questions. Respondents (n = 100) ascribe emotionality and consciousness to a broad swath of the animal taxonomy, including non-human primates, other mammals, birds and cephalopods. Respondents' attribution of these phenomena was strongly associated with their confidence in their assessments (R 2 > 0.9), with respondents assuming an absence of emotions and consciousness when they were unsure. We also identify an emergent consensus of the components involved in a functional definition of emotions. Researchers are optimistic that tools either currently exist or will exist in the future to rigorously address these questions (>85%) and that animal behaviour, as a field, should do more to encourage research works on emotions (>70%). We discuss implications for publication bias and future work in this area as well as ethical considerations regarding animal care and use.

KNOWLEDGE AND BEHAVIOR OF HATTA HOSPITAL HEALTH CARE PROFESSIONALS REGARDING COVID-19 INFECTION PREVENTION AND CONTROL

Healthcare-associated infection represents a public health problem in all countries. COVID-19 patients can rapidly overwhelm the capacities of healthcare systems. As more patients are hospitalized, healthcare workers (HCW) at the frontline of care are at the greatest risk of infection. This study aimed to assess the knowledge and self-reported behavior of healthcare professionals in Hatta Hospital regarding COVID-19 infection prevention and control (IPC) during this emerging infectious disease pandemic. A descriptive cross-sectional study was conducted in Hatta hospital, United Arab Emirates (UAE) among one hundred HCWs using a self-administered questionnaire based on UAE National and World Health Organization (WHO) IPC guidelines. Of the study participants, 66% received COVID-19 IPC training inside Hatta hospital. The mean knowledge and behavior scores were 75.7% ± 9.4 and 87.6% ± 5.9, respectively. Knowledge score and behavior score were not related to gender (p= 0.232, 0.091, respectively ) and to work position (p= 0.882, 0.994, respectively), however, they were related to the previous contact with COVID -19 patients (p= 001, 0.011, respectively ). Nonetheless, gaps in IPC knowledge and behavior have been identified and need improvement. This includes donning and doffing of PPE and optimal use of protective measures especially respirators (N95 or FFP2).

Key to successful legislation on the role of professional commitment, organizational behavior and understanding of legislation

This study aims to examine the effect of Professional Commitment (X1) and Organizational Citizenship Behavior (X2) on Legislative Function Performance (Y) through Legislative Function Understanding (Z) as a mediating variable among members of the South Kalimantan Provincial DPRD. The research method uses a quantitative design with mediation analysis. Data were collected from 117 DPRD member respondents using a questionnaire that was tested for validity and reliability. The results of the analysis showed that X2 did not have a significant effect on Y (p-value = 0.089), while X2 had a significant negative effect on Z (p-value = 0.000). On the other hand, X1 showed a significant negative effect on Y (p-value = 0.000), but was not significant on Z (p-value = 0.337). Legislative Function Understanding (Z) did not function as a mediator between X2 and Y (p-value = 0.882) and between X1 and Y (p-value = 0.905). These findings emphasize the importance of increasing the professional commitment of DPRD members and paying attention to organizational citizenship behavior in an effort to improve legislative performance, while also showing that understanding the legislative function does not strengthen the relationship between independent and dependent variables. Further research is needed to explore other factors that may affect legislative performance.

The effects of e-learning using educational multimedia on the ethical decision-making and professionalism of nursing students during the COVID-19 pandemic: a quasi-experimental study

BackgroundThe COVID-19 pandemic has created a great challenge for educational systems worldwide. During this time, educational centers have been encouraged to use e-learning programs to protect the population against infection. Online teaching has the greatest effect on the process of teaching-learning for certain topics, including professional behavior and commitment, which has prompted educational systems to use creative strategies for a greater effect on learners. The present study aims to determine the effects of e-learning using educational multimedia on the ethical decision-making and professionalism of nursing students during the COVID-19 pandemic.MethodsThis study was conducted using a quasi-experimental design with a control group. The statistical population comprised second-semester nursing students in a first-rank nursing school in north western Iran. The samples were selected using simple random sampling and were divided into experimental (n = 40) and control (n = 40) groups. In the first stage of teaching, the conventional training method of the COVID-19 pandemic was used in both groups. In the second stage of teaching, an in-person workshop was organized for the control group and an e-learning workshop using educational multimedia for the experimental group. Data were collected by a tool with three parts: Demographic information, the Nursing Dilemma Test (NDT) by Crisham based on the Nurse Principled Thinking, and the Nursing Students Professional Behaviors Scale (NSPBS) designed by Goz. Data were analyzed in SPSS 25 software.ResultsThere was a statistically significant increase in the post-test mean score of professionalism (125.70 ± 6.20 vs. 120.95 ± 9.28) and ethical decision-making (46.17 ± 3.81 vs. 44.02 ± 3.21) in the experimental group compared to the control group (P < 0.05).ConclusionThe learning environment affects learning, and e-learning using educational multimedia has a greater impact than in-person workshops on improved learning outcomes with regard to ethical decision-making and professionalism.

Field Trial of a Queue-Managing Security Guard Robot

We developed a security guard robot that is specifically designed to manage queues of people and conducted a field trial at an actual public event to assess its effectiveness. However, the acceptance of robot instructions or admonishments poses challenges in real-world applications. Our primary objective was to achieve an effective and socially acceptable queue-management solution. To accomplish this, we took inspiration from human security guards whose role has already been well received in society. Our robot, whose design embodied the image of a professional security guard, focused on three key aspects: duties, professional behavior, and appearance. To ensure its competence, we interviewed professional security guards to deepen our understanding of the responsibilities associated with queue management. Based on their insights, we incorporated features of ushering, admonishing, announcing, and question answering into the robot’s functionality. We also prioritized the modeling of professional ushering behavior. During a 10-day field trial at a children’s amusement event, we interviewed both the visitors who interacted with the robot and the event staff. The results revealed that visitors generally complied with its ushering and admonishments, indicating a positive reception. Both visitors and event staff expressed an overall favorable impression of the robot and its queue-management services. These findings suggest that our proposed security guard robot shows great promise as a solution for effective crowd handling in public spaces.

Knowledge, Attitudes and Behaviors of Healthcare Workers Working in Malatya Towards COVID-19 Vaccines

Abstract Background The rapid production of vaccines and the introduction of new vaccine technologies have raised concerns among some individuals regarding anti-vaccination, while others have expressed worries about vaccines. Given that healthcare professionals’ recommendations significantly influence people’s vaccination decisions, this study aimed to examine the knowledge, attitudes, and behaviors of healthcare professionals working in family health centers towards COVID-19 vaccines. Methods Questionnaires for this descriptive cross-sectional study were administered between February and April 2022. The population comprised 408 health workers employed in family health centers in Malatya, with 292 individuals completing the study. The questionnaire included questions about sociodemographic, COVID-19, COVID-19 vaccines and the COVID-19 Fear Scale. Results Although 97.3% of the research group reported having received the COVID-19 vaccination, 47.9% expressed concerns about these vaccines. The median score of the COVID-19 Fear Scale was 15 (7.00-35.00). 86.6% of the participants indicated that they recommended COVID-19 vaccines. 16.4% of the participants agreed with the statement ‘there are no studies proving the safety of vaccines,’ and 49% agreed that ‘vaccines pass through clinical trials quickly and are put on the market’. Those who did not recommend COVID-19 vaccines, those who agreed with the statement ‘there are no studies proving the safety of vaccines’ and those who agreed with the statement ‘vaccines pass through clinical trials quickly and are put on the market’ were concerned about COVID-19 vaccines with their level of concern significantly higher (p &amp;lt; 0.05). Conclusions Almost all members of the research group had received the COVID-19 vaccine, yet almost half of them expressed concerns about vaccines. Those who do not recommend vaccines, those who believe they are released quickly, and those who have safety concerns are more likely to be concerned. Key messages • Identify the reasons for health workers’ concerns about vaccines and provide remedial interventions for concerns that may arise regarding other vaccines. • It should be ensured that healthcare professionals, who are expected to be role models for society in terms of immunization, possess scientific and up-to-date knowledge on vaccines.

Risk perception survey for healthcare-associated infections in a large teaching hospital in Rome

Abstract Background Healthcare-associated infections (HAIs) are the main complications of hospitalization. The goal of the study was to enhance awareness, improve risk perception, and facilitate measures to reduce the outcomes of HAIs. A bottom-up approach, in which the healthcare workers involved play a key role, can be adopted to decrease the spread of HAIs. Therefore, a survey was conducted in a large teaching hospital in Rome from 2019 to 2023, excluding 2020 due to COVID-19. Methods A longitudinal study was conducted in all integrated care departments with beds. The data was collected using a standardized, anonymous, self-administered questionnaire for healthcare workers. The questionnaire consisted of 61 items assessing socio-professional features, knowledge of HAIs, attitudes and barriers to hygiene compliance, self-analysis of professional behavior and advice for new interventions. The study lasted 21 days between November and December, which is considered a period of normal care activity. A multivariable logistic regression model was built. Statistical analyses were performed with STATA 18.0. Results There were 384 health workers respondents: female (67.7%) and nurses (56.5%). The most represented areas were internal medicine (37.9%) and surgery (27.3%). The correct frequency of perception of HAIs increased from 33.3% in 2019 to 36.3% in 2023. From 2022 to 2023, the multivariable model showed that physicians (OR 0.48, CI 95% 0.24-0.93, p-value 0.03) and elder staff (OR 1.02, CI 95%, 1.0-1.1, p-value 0.04) seemed to be more aware of the prevalence of HAIs in their ward. Conclusions Targeted training days were organized after the study to discuss the data collected. Staff awareness of the prevalence of HAIs in their ward is improving, even if it is complicated to quantify it by attending HAIs training events. The survey has been included as a corporate goal for 2024 as a useful tool to improve awareness of HAIs and to evaluate the effectiveness of ongoing training. Key messages • A bottom-up approach, in which healthcare workers assume a pivotal role, can be employed to reduce the spread of HAIs as it serves as a valuable tool to evaluate the efficacy of targeted training. • The results indicate that the education of healthcare workers is a crucial factor in enhancing awareness of HAIs. Therefore, there is a need to improve the education of younger and non-medical staff.

Revisiting the conceptualisation and implications of medicine's 'hidden curriculum'.

In medical training and practice, our professional attributes, attitudes, perceptions, character traits and identities are fundamentally shaped by our lived experiences and observations in clinical and para-clinical settings instead of being inculcated through formal curriculum or classroom teaching. For instance, clinical acumen, communication skills and bedside manners are learnt through role modelling and experiential learning in the course of clinical rotations. Likewise, one's attitudes, professional behaviours and inclinations are often also influenced by direct/indirect observations of the actions of others in the medical fraternity in various clinical and non-clinical settings. This is also what is often termed as the 'hidden curriculum' of medicine. In this article, we sought to provide a practical conceptualisation of the hidden curriculum in medical training, which we describe as lived experiences and personal observations of medical trainees and residents in clinical and para-clinical spaces, which shape their perceptions of the medical profession (vocational identity and purpose), patients (patient-physician relationship) and colleagues (intra- and inter-professional relationships), with downstream implications on physician well-being and clinical decision-making. Although this idea of a 'hidden curriculum' has conventionally carried predominantly negative connotations in medical literature, we suggest that it is an inevitable part of medical education and practice, which, through deliberate regulation, can potentially be shaped to create more positive and meaningful effects in the professional development of medical trainees.

Reducing health disparities in providing care services in the intensive care unit: a critical ethnographic study

ObjectiveThe intensive care unit, with its structural complexity and the exposure of critically ill patients to various disparities, presents a significant setting for health disparities. This critical ethnographic study sought to uncover cultural knowledge and ethical practices for reducing health disparities in providing care services within the intensive care unit. The focus was on understanding how ethical considerations and cultural competence can address and mitigate these disparities effectively.MethodsThis critical ethnographic study was conducted in 2022–2023 at intensive care units in western Iran. Three interrelated phases were used to collect and analyze the data. More than 300 h of observation were done during the first phase. A horizon analysis was carried out in the next phase. To further enhance the dataset, 18 informants participated in semi-structured interviews and informal conversations. Following that, the analysis procedure was conducted to identify a culture of health disparities and factors that reduce it, as it had been in the prior stage. Trustworthiness data collection methods were implemented to ensure the validity and reliability of the study.FindingsTwo key themes emerged from the study: (A) Improved cultural competence, which encompassed empathy towards patients and their families, effective communication, prioritization of continuous learning, appropriate knowledge and awareness, sensitivity to cultural and religious beliefs, staff attitude and personality, and the delivery of customized care tailored to each patient’s needs. (B) Supporting role and compensating for disparities involved recommendations for upholding ethical standards, compensatory actions, maintaining professional behavior despite external factors, addressing gaps and deficiencies, and actively defending and supporting patients.ConclusionThe findings indicate that staff with high cultural competence can ethically mitigate health disparities through their supportive roles. Managers and health policymakers should create barriers to health disparity by improving staff cultural competence and knowledge about health disparities.

Social Media Usage for Medical Education and Smartphone Addiction Among Medical Students: National Web-Based Survey.

Social media (SoMe) have taken a major place in the medical field, and younger generations are increasingly using them as their primary source to find information. This study aimed to describe the use of SoMe for medical education among French medical students and assess the prevalence of smartphone addiction in this population. A cross-sectional web-based survey was conducted among French medical students (second to sixth year of study). The questionnaire collected information on SoMe use for medical education and professional behavior. Smartphone addiction was assessed using the Smartphone Addiction Scale Short-Version (SAS-SV) score. A total of 762 medical students responded to the survey. Of these, 762 (100%) were SoMe users, spending a median of 120 (IQR 60-150) minutes per day on SoMe; 656 (86.1%) used SoMe for medical education, with YouTube, Instagram, and Facebook being the most popular platforms. The misuse of SoMe in a professional context was also identified; 27.2% (207/762) of students posted hospital internship content, and 10.8% (82/762) searched for a patient's name on SoMe. Smartphone addiction was prevalent among 29.1% (222/762) of respondents, with a significant correlation between increased SoMe use and SAS-SV score (r=0.39, 95% CI 0.33-0.45; P<.001). Smartphone-addicted students reported a higher impact on study time (211/222, 95% vs 344/540, 63.6%; P<.001) and a greater tendency to share hospital internship content on social networks (78/222, 35.1% vs 129/540, 23.8%; P=.002). Our findings reveal the extensive use of SoMe for medical education among French medical students, alongside a notable prevalence of smartphone addiction. These results highlight the need for medical schools and educators to address the responsible use of SoMe and develop strategies to mitigate the risks associated with excessive use and addiction.

How Does Judges’ Personal Exposure to Financial Fraud Affect White‐Collar Sentencing?

ABSTRACTWe study whether federal judges’ personal exposure to financial fraud affects their professional behavior, in the form of sentencing outcomes in white‐collar cases. Following the methodology outlined in our registered report, we construct a novel measure of financial fraud exposure based on judges’ direct shareholdings in firms that commit financial fraud. Using this measure, we exploit the random assignment of cases to judges to examine whether judges exposed to fraud in one firm are (1) less likely to rule in favor of defendants in white‐collar cases involving other firms and (2) less likely to grant favorable pretrial motions to defendants. We find minimal evidence in support of either (1) or (2), concluding that for all but the most serious frauds, judges are unlikely to let their personal victimhood experience affect their professional sentencing behavior with respect to related cases. Our study broadens our understanding of the spillover effects of financial fraud enforcement and contributes to the literature on how judges’ personal experiences can shape judicial decision‐making.

Too Legit to Quit: Developing Cognitive Legitimacy by Reconceptualizing Failed Product Pitches

Establishing legitimacy is a key goal for new ventures. Entrepreneurs can establish legitimacy for their new ventures by attracting financial backing from investors and using those funds to build value into ventures. The professional communication-focused behavior of delivering an entrepreneurial pitch to potential resource providers represents one of the most important behaviors entrepreneurs engage in while developing a sustainable venture. Effective professional communication skills are essential not only to the development of entrepreneurs but also to those management and finance students destined to enter professional environments requiring interaction with entrepreneurs and start-up ventures. We present an assignment introducing management students to the concept of entrepreneurial pitch as a tool necessary for identifying and implementing legitimacy, framing, and entrepreneurial motivations. The pitching-failed-product-ideas assignment allows students to begin building skills necessary to communicate legitimacy of an organization to an audience of stakeholders and utilize entrepreneurial motivations of enthusiasm, preparedness, and commitment.

The Effect of Organizational Commitment, Professionalism, and Ethical Behavior on Auditor Performance in Public Accounting Firms in Sumatra Region

The purpose of this study is to study how auditor performance is affected by the following factors: organizational commitment to the auditor's work, auditor professionalism, and ethical behavior. In addition, this study examines how organizational contribution, professionalism, and ethical behavior affect auditor performance. This study involved auditors from all over Sumatra who worked at Public Accounting Firms (KAP). The sample consisted of 5 regions: Jambi, Pekanbaru, Palembang, Medan, and Batam, with a total of 62 respondents. The data collection method through the SPSS 29 Software for Windows questionnaire was used to conduct the analysis of this study, which used multiple linear regression. According to the results of the study, although organizational commitment does not affect auditor performance, professionalism and ethical behavior significantly affect auditor performance. In addition, professionalism and ethical behavior affect the performance of auditors simultaneously with the organization's commitments.

A Study on Veterinary Faculty Students' Opinions on Ethics Education and Career Choices: A Case of Ondokuz Mayıs University.

Veterinary ethics is a multifaceted element of the veterinary profession as it deals with various ethical issues related to medical practice, animal welfare, professional behaviour and societal expectations. By focusing on teaching ethics in veterinary medicine education, it will be possible to guide future veterinarians through the ethical dilemmas and conflicts they may encounter in their careers. To evaluate the opinions of the Ondokuz Mayıs University Faculty of Veterinary Medicine intern students about ethics education in veterinary medicine. Evaluation and comparison of the perspective on ethics education and career choice. A cross-sectional descriptive survey design was used to collect data via a questionnaire. Data obtained from 87 out of 119 students in the intern programme were evaluated. Responses were analysed by statistical methods. In the study, it was determined that pet veterinary services (private sector) and government veterinary services (public sector) were the leading career choices of intern veterinary students; female and male students wanted to turn to different fields of work; and the difference in career preferences did not change the views on ethics education. It was observed that students needed applied teaching and measurement-evaluation methods in ethics education and sought role models in developing ethical attitudes and behaviours. In addition to gaining ethical knowledge in veterinary education, it was observed that they attach importance to professional and legal obligations. This study is one of the few studies on veterinary ethics education and career choice in Turkey. The study results provide information to guide the development of veterinary ethics education to prepare future veterinarians for the complex ethical issues they will face in their careers.

Ishāq bin Ali al-Ruhawi, a pioneer in medical professionalism in the 9th century AD.

Professionalism and medical ethics, while similar, are often viewed in different contexts. An historical and social science analysis reveals that professionalism is a complex skill that can be developed over time. The key components of professionalism, as defined by the American Physical Therapy Association, include accountability, altruism, compassion, excellence, integrity, professional duty, and social responsibility. Throughout history, physicians have been concerned with medical ethics and professionalism. In the Golden Age of Islam, principles such as excellence, honour, integrity, accountability, and duty were important in shaping the professional behavior of physicians. Adab al-Tabib, an ancient work, by Ishāq bin Ali al-Ruhawi focuses on ethical guidelines and teachings related to medical ethics in the Islamic civilization. Many of the ethical issues in this book are of foremost importance as components of professionalism. However while the examples of medical ethics guidelines that pre-existed Adab al-Tabib such as the Hippocratic Oath, are not mentioned. As one of the first statutes of medical ethics in Islamic civilization, Ruhawi is a model for many doctors in the Golden Age of Islam, and over the years his principles have greatly influenced the professional view of physicians.

The system of international legal norms and principles – the basis of legal regulation of the activities of national law enforcement bodies

It is indicated that the introduction of advanced international and European norms regarding the functioning of law enforcement agencies into Ukrainian legislation is a key indicator that the country not only declares a sustainable course for the democratization of all aspects of public life, but also takes concrete measures for its implementation. Ukraine has made significant progress in this direction, but there are still a number of challenges, the legal analysis of which will contribute to the further approximation of the domestic system of law enforcement agencies to global and European standards. In this context, one of the priority areas of scientific research is the justification of the need to update and improve the ethical codes of conduct of law enforcement officers based on international standards. This task becomes particularly relevant in view of the need for constant improvement of professional ethics and standards of behavior in the law enforcement sphere. This approach will not only improve the efficiency of law enforcement agencies, but also strengthen public trust in them, which is crucial for building the rule of law and civil society. In addition, it will allow Ukraine to demonstrate its commitment to the principles of the rule of law and the protection of human rights in the international arena. The article examines the system of international legal norms and principles that form the basis of legal regulation of the activities of national law enforcement agencies. Two groups of international standards are distinguished. The first group includes international legal acts that declare human rights and freedoms, primarily those that may be violated by the unethical behavior of law enforcement officers as representatives of state bodies. The second group represents international legal standards of professional and ethical behavior of employees of a specific law enforcement agency, the norms of which directly indicate the proper behavior of law enforcement officers in a specific area of law enforcement activity (judicial, prosecutorial, police, investigative, etc.). The main emphasis is on the need to cover the rules of professional ethical behavior of employees of all law enforcement agencies without exception, including those legally endowed with special rights and competence.

Measuring Professional Governance: The Swedish Version of the Verran Professional Governance Scale©.

To translate the Verran Professional Governance Scale© (VPGS©) into Swedish, adapt it to the Swedish context, and validate it. Magnet ® -recognized hospitals have proven successful in reversing negative trends regarding nursing shortage. A change in organizational and management structures is required, and professional governance is fundamental. However, in a Swedish context, there are no validated instruments to measure professional governance. The instrument was translated from English to Swedish and synthesized into a unified version. It was back translated, discussed in an expert panel, and pilot tested with cognitive interviews of nurses. A new Swedish version of the VPGS© was developed. The expert group reached a consensus, and the scale-level Content Validity Index value shows high relevance. Some words and sentences were revised, and an introduction was added. The study generated a Swedish version of the VPGS©, which can be used to measure nurses' perceptions of professional governance behaviors.