Revelation Of Truth Research Articles

Disclosure of true medical information: the case of Bangladesh

BackgroundTruth-telling in health care is about providing patients with accurate information about their diagnoses and prognoses to enable them to make decisions that can benefit their overall health. Physicians worldwide, especially in the United Kingdom (U.K.) and the United States (U.S.), openly share such medical information. Bangladesh, however, is a Muslim-majority society with different social norms than Western societies. Therefore, we examined whether Muslim culture supports truth disclosure for patients, particularly how and to what extent medical information about life-threatening diseases is provided to patients in Bangladesh.MethodsThis was a phenomenological qualitative study. We conducted thirty in-depth interviews with clinicians, nurses, patients and their relatives at Shaheed Suhrawardy Medical College Hospital in Dhaka, Bangladesh. We also used observations to explore interactions between patients, families and healthcare professionals regarding their involvement in medical decisions and truth disclosure issues. NVivo software was used to identify common themes, and a thematic analysis method was utilised to analyse the datasets.ResultsThis study identified three recurring themes relevant to the ethics and practice of truth disclosure: best interest rather than autonomy, the ambivalent value of deception and who understands what. The participants revealed that physicians often withhold fatal medical prognoses from terminally ill patients to ensure the best healthcare outcomes. The results indicate that deception towards patients is commonly accepted as a means of reducing burden and providing comfort. The participants opined that true medical information should be withheld from some patients, assuming that such disclosures may create a severe burden on them. Whether or to what extent medical information is disclosed primarily depends on a family’s wishes and preferences.ConclusionsWhile truth disclosure to patients is considered an ethical norm in many cultures, such as in the U.K. and the U.S., the practice of concealing or partially revealing severe medical prognoses to patients is an actual medical practice in Bangladeshi society. This study emphasises the importance of recognising a patient’s active involvement and respecting the cultural values that shape family involvement in medical decision-making. These findings may have significant policy and practical implications for promoting patient autonomy within Bangladeshi family dynamics and religious-based cultural values.

Accreditation-Based Assistant Leadership Model and Spiritual Values in Academic Service

This research is important because the servant leadership model is crucial in supporting accreditation and is infused with spiritual values to optimize academic services. This research applies the accreditation-based servant leadership model and spiritual values in academic services at the IAIN Sultan Amai Gorontalo Postgraduate program. This field research uses a descriptive qualitative approach, with data collected through interviews, observations, and documentation, and then analyzed through data reduction and presentation to conclude. The study concludes that the servant leadership model can only support accreditation by applying spiritual values, especially Islamic ones, in academic services. Every academic service requires a strong spirit, which cannot be separated from spiritual values derived from the truth of revelation. Integrated work activities, serving as a means of communication and sharing program information and academic issues supported by academic information systems, are recognized as encouraging timely studies and academic achievements of students and lecturers. However, this will not be complete without spiritual values such as patience, gratitude, sincerity, humility (tawadhu), information and communication technology as God's gifts, and prayer.

Challenges of Truth-telling to Patients and Their Families: A Qualitative Study

Background: The issue of truth-telling by healthcare providers is critically important, and it has legal and ethical implications. Objectives: This study was conducted to investigate the perceptions and preferences of patients, families, and healthcare providers related to truth disclosure to identify barriers to this important aspect of communication. Methods: A total of 27 participants (4 patients, 7 family members, 4 physicians, and 12 nurses) were recruited by purposeful sampling. Data were collected through in-depth, semi-structured interviews and analyzed by qualitative thematic analysis. Results: Three main themes and eight sub-themes emerged from the data: (1) truth shock: Patient inability to face the truth, family inability to handle the truth; (2) secrecy during treatment and recovery: Withholding critical information from patients and families; family confusion about the patient’s condition; families preventing truth disclosure to the patient; family fear of the truth’s impact on the patient; and (3) patient's right to information: Lack of patient awareness of their rights; the importance of informing patients about their condition. Conclusions: The findings of this study suggest that healthcare providers can deliver bad news to patients and their families more effectively and satisfyingly using an approach based on culture, patient preferences, and ethical values

Evaluasi Protokol Pengumpulan Bukti Forensik Dalam Kasus Pemerkosaan: Meningkatkan Kualitas Bukti dan Akurasi Identifikasi Pelaku

Handling rape cases requires effective forensic evidence collection to ensure justice for victims and truth disclosure in court. This study aims to evaluate protocols for collecting forensic evidence in rape cases, focusing on enhancing evidence quality and perpetrator identification accuracy. The evaluation method involves analyzing the implementation of existing protocols, including procedures for collecting and analyzing relevant physical, biological, and digital evidence in the context of sexual crimes. The study's findings indicate that increasing training and awareness of updated protocols can significantly improve the quality of collected evidence and the accuracy of perpetrator identification. These findings highlight the importance of collaboration among investigators, forensic experts, and other authorities in improving and implementing effective protocols for handling rape cases. This research provides a foundation for ongoing improvements in forensic procedures to enhance justice for victims of sexual crimes and overall community safety.

Analysis of the Insurance Applicant's Obligation of Truthful Disclosure

Since China implemented the reform and opening-up policy in 1978, the insurance industry has gradually embarked on a path of sustained growth and development. In 2001, China joined the World Trade Organization, ushering in an unprecedented era of expansion and diversification in the insurance industry. Against the backdrop of increasing public risk awareness, insurance has become an important tool for individuals seeking to mitigate potential losses in their risk efforts. However, this trend has also raised concerns about the ethical and legal responsibilities of insurance companies. A common dissatisfaction expressed by policyholders is that there is a difference between the optimistic description of insurance products during the sales process and the refusal of claims for false reasons after risks occur. This phenomenon has raised doubts about the true disclosure obligations of insurance companies under the Insurance Law and the necessity of improving transparency and accountability in insurance transactions. This study aims to delve deeper into this complex issue by examining the legal framework of policyholders' true disclosure obligations under the context of insurance contracts. By doing so, it seeks to contribute to the ongoing legal reform discussions within the insurance industry, with the ultimate goal of promoting a more fair, transparent, and harmonious insurance ecosystem that benefits all stakeholders.

Does implying peer knowledge during an interview promote truthful disclosures from peer disclosure recipients and witnesses?

We tested a novel implied peer knowledge paradigm in which both child witnesses and child recipients (children who previously received a disclosure from a witness) were able to infer, with varying degrees of saliency, the likelihood that an adult interviewer would hear about a negative transgression from a peer and adjust their disclosure strategy accordingly. We tracked children’s disclosures (N = 418; aged 6-12 years; Mage = 8.91 years, SD = 1.37) across two interviews and found that providing a verbal notice of implied knowledge to child disclosure recipients (not child witnesses) that a peer who had previously disclosed to them would also be talking to an adult increased their disclosure rates. This study adds to a small body of work examining patterns of disclosure transmissions from witnesses to peers to adults, which is frequently observed in situations of child sexual abuse.

Sharing Unpleasant Health Information with Patients: A baseline study exploring physician attitudes, practices and adherence to the SPIKES protocol at a tertiary hospital in Muscat, Oman.

This study aimed to investigate the knowledge, attitude and experiences in sharing unpleasant health information and adherence to the SPIKES protocol among physicians at a tertiary hospital in Muscat, Oman. This cross-sectional study was conducted at the Sultan Qaboos University Hospital from August to October 2022. An electronic, self-administered questionnaire was used to gather data from physicians across various departments. A total of 89 physicians completed the questionnaire (response rate = 22.3%). Most participants (n = 86, 96.6%) recognised the need for additional training in the delivery of unpleasant health information ('bad news'), with 78.7% (n = 70) expressing their willingness to undertake such training. Additionally, 32.6% (n = 29) reported negative experiences due to improper delivery of bad news, with an equal proportion admitting to disclosing bad news to patients' family without their consent. The majority (n = 77, 86.5%) demonstrated a high level of overall adherence to the SPIKES protocol, with 59.6-85.4%, 12.4-34.8% and 1.1-11.2% reported usually, sometimes and never following specific steps of the protocol, respectively. Marital status (P = 0.015) and qualifications (P = 0.032) were the only variables that were associated with adherence level, with married physicians and those with board and/or fellowship certificates reporting significantly better adherence compared to their counterparts. Physicians in Oman encounter challenges in delivering unpleasant health information, underscoring the interplay of cultural influences, training and adherence to protocols. To address these challenges, targeted and frequent training programmes are recommended, starting from undergraduate medical education and extending to continuous opportunities for physicians at various career levels.

The Role of Financial Knowledge and Personality on Financial Management Behavior

Understanding the intricate interplay between financial knowledge, personality traits, and financial management behavior is crucial for the success of small businesses, especially in the vibrant world of Pecel Lele SMEs in Sukabumi Regency. This study delves into this dynamic relationship, drawing data directly from 50 SMEs in Sukabumi. Contrary to expectations, individual analysis reveals that financial knowledge alone does not significantly impact financial management behavior. However, a fascinating discovery emerges when considering personality traits; they wield a substantial influence on the financial decisions made by Pecel Lele SME owners. Yet, the true revelation lies in the combined effect of personality traits and financial knowledge. Together, they emerge as potent drivers, shaping decision-making processes and financial management behaviors within these enterprises. This research offers valuable insights into the intricate fabric of factors shaping the financial landscape of Pecel Lele SMEs, paving the way for more informed strategies and interventions to bolster their success in Sukabumi and beyond. The data analysis was conducted using multiple linear regression through SPSS version 26 software.

Association of filial attitude, filial behavior and death literacy: implications for development of death system in Guangdong-Hong Kong-Macao Greater Bay Area of China

BackgroundFilial piety, as a major traditional norm in Chinese culture and in Chinese families, affects the attitudes and behaviors of adult children toward their parents and impacts their end-of-life decision-making and the quality of death of their parents. Death literacy is a novel concept aimed at promoting palliative care in the context of public health.AimsTo understand attitudes and behaviors related to filial piety and to examine the role of death literacy in filial behaviors toward dying parents among residents in the Guangdong-Hong Kong-Macao Greater Bay Area of China.MethodsA cross-sectional online survey that employed the convenient and snowball sampling methods was adopted. Filial Piety Representations at Parents’ End of Life Scale and Death Literacy Index were used.ResultsThis study identified a significant gap between the filial piety attitudes and behaviors of Chinese adult children. Gender, caregiving experience and death literacy were predictors of filial behaviors in an end-of-life context.ConclusionProviding truth disclosure support, offering guidance to young adult children and caregivers of terminally ill fathers, and strengthening factual and community knowledge of death are necessary to enhance the reciprocal comfort of both adult children and dying parents in the context of Chinese filiality.

Exploring the concept and the communication principles of negotiation among Islamic corporate organizations

PurposeThe acceleration of globalized commerce and economic activities has meant that conventional and Shariah (Islamic law) compliant organizations transact and negotiate among themselves. Therefore, this study aims to explore the concept of corporate negotiation and the communicative principles that guide the negotiation process among Shariah-compliant organizations.Design/methodology/approachThe study uses a qualitative method through an inductive interpretative approach by conducting 20 in-depth interviews among four groups of experts. These consist of three muftis, ten academicians in Islamic assets, finance and asset jurisprudence; three practitioners in charge of inter-organizational negotiation and decision-making; and four shariah board members of selected Islamic banks.FindingsThe findings reported that business negotiation is used by Islamic organizations for reconciliation, consultation, resolving disagreements and as a means of achieving spiritual satisfaction. Furthermore, the key communicative principles of the negotiation process consist of the credibility of informational exchange, flexible interactions and the openness and truthful disclosure of information.Research limitations/implicationsThe empirical data discussed in this study supports the claim that macro-environmental factors and social and cultural values should be considered when examining business negotiating behaviors. However, this study focuses only on the banking/service organization negotiation. Therefore, future research should focus on the Islamic negotiation process in the context of diplomatic and international relations.Practical implicationsThe findings reported in this study offer insight for negotiators operating among Islamic organizations to understand the principles and process of negotiation in the purview of Shariah standards and principles.Originality/valueIn terms of theoretical implications, this study reveals a clear conceptual difference between the conventional concept and the Islamic perspective of corporate negotiation. Also, this study highlights the impact of organizational culture, specifically Islamic management strategies, on the business negotiation process and business communication principles.

Abstract WP50: Analyzing Post Discharge Follow-Up of a Disparate Population Utilizing Mobile Integrated Health

Introduction: Transition of care (TOC) to home for many stroke patients is suboptimal. Recent studies estimate 30-day all-cause readmission of stroke patients at 17.4%. The Wisconsin (WI) Coverdell Stroke Program partnered with the Milwaukee Fire Department- Mobile Integrated Health Program (MFD-MIH) and Milwaukee County hospitals three times since January 2019. The aim of our MIH focused partnership was to improve follow up care and care coordination after an acute stroke hospitalization to a vulnerable urban population. Methods: A charter, project algorithm, and referral forms were created to guide our work. Patient referral forms and MFD-MIH home visit summaries were sent via secure email. Upon receiving a home visit referral from the hospital MFD-MIH attempted to engage the patient within two business days. After a completed visit, MFD-MIH sent a summary form to the referring hospital mimicking post-discharge data metrics in Get With The Guidelines® (GWTG). Upon receiving the summary form, hospital abstractors entered the data into GWTG. The data was then analyzed by the Coverdell team. Results: As of May 2023, 73 stroke patients have received a home visit from MIH-MFD with data entry in GWTG. Analysis of the third iteration of the program will occur after it ends in April 2024. We compared our first two MIH projects to all Wisconsin hospitals entering into the GWTG Post-Discharge tab. Our results showed: • Coverdell MIH hospitals outperform WI hospitals in Blood Pressure Monitoring by Patient and Appointment Scheduled Prior to Discharge • Coverdell MIH hospitals underperform WI hospitals in ED Visits , Falls Reported by Patient , Medication Stoppage and Tobacco Use Conclusions: Many factors influenced our data. First, the population in the Coverdell MIH program was from an urban environment with more proximate post-discharge resources. All WI hospitals do not share this setting. Secondly, MIH data collection involves an in-person home visit. Conversely, WI hospitals data collection occurred via a phone call or chart review. The Coverdell MIH method facilitates a collegial environment where more truthful disclosures may result.

Formulation of the Aceh Truth and Reconciliation Commission (TRC) in Seeking the Truth about Past Human Rights Violations in Aceh

This journal describes the formulation and implementation of the Aceh Truth and Reconciliation Commission (KKR) in revealing the truth regarding human rights violations that occurred in Aceh in the past. Aceh is one of the regions in Indonesia that has experienced armed conflict for decades involving the government and the Free Aceh Movement (GAM) group. This period of conflict has led to many cases of human rights violations, and the Aceh TRC has an important role in revealing the truth and seeking reconciliation between the parties involved. This journal will use a research methodology combining a qualitative approach and document analysis to investigate the role and performance of the Aceh Truth and Reconciliation Commission (KKR). Apart from that, this journal also evaluates the challenges and obstacles faced by the Aceh TRC in the process of revealing the truth. The results of this research found that truth disclosure carried out by the Aceh Truth and Reconciliation Commission (KKR) can provide deeper insight into efforts to overcome human rights violations in Aceh and contribute to understanding the reconciliation process in areas that have been affected by conflict.

Figurist Heavenly Studies among French Jesuits in the Early Modern Period

Abstract This study aims to develop a reciprocal worldview based on a dialogue between civilizations and the empathetic knowledge network of communication and solidarity between the East and West. It investigates French Jesuit missionaries’ perceptions and knowledge system of the Confucian Orient in the early modern period (the 16th–18th centuries). It establishes a positive image of East Asia and highlights the coexistence of different civilizations along the East-West communication continuum while dispelling negative impressions of East Asia and the closed East-West relationship created by modern Orientalism. It recognizes the issues of prior comparative cultural research and proposes an alternative discussion of Figurism (heavenly studies) (tianxue, 天學) in early modern French Jesuits’ studies of East Asia from the perspective of comparative cultural imagology. In short, focusing on Chinese Figurism, it reveals a positive cultural image of the Confucian civilization, universal biblical self-identification, the Hermetic revelation of truth, and the knowledge system of cultural identification.

Codzienność rozszczelniona. O "Codziennej walce" Manu Larceneta

In the proposed reading of Manu Larcenet’s Le Combat Ordinaire, everyday life appears not only as the setting of the story but also its fundamental—though by no means obvious, despite the abundance of everyday life imagery and motifs—theme. In Larcenet’s unspectacular narration, conducted in a tone oscillating between buffo and serious, human day-to-day affairs, obscured by the facade of ritual, appear as an effort, a task to complete, a risk to be taken, a problem of existence in the “cracks” of which the most important experiences occur, defined by the dialectics of life and death, health and illness, nature and culture, order and disorder.
 The article presents an analysis of the key dimensions of this “everyday struggle:” from the textual game whose stake is the axiology of everyday life (the issue of intimate diary, the value of journalism as a profession), to the sense of locality and the construction of identity based on memory and postmemory, to use Marianne Hirsch’s concept (references to the war in Algeria). The interpretation of Larcenet’s graphic novel was carried out based on three premises: (1) the everyday settles into fiction thanks to mimesis; (2) contact with everyday life may lead to an epiphanic revelation of a spiritual truth (drawing on Jolanta Brach-Czaina’s concept described in her philosophical essay Szczeliny istnienia [Cracks in Existence], this phenomenon can be called the “unsealing” of everyday life); (3) literary depictions of human daily existence are where literature and sociology intersect, as a result of which literary works (or, comics in this case) help reveal the structures of everyday life.

Truth-telling to the seriously ill child - Nurses' experiences, attitudes, and beliefs.

Nurses play an integral role in the care of children hospitalised with a serious illness. Although information about diagnostics, treatments, and prognosis are generally conveyed to parents and caregivers of seriously ill children by physicians, nurses spend a significant amount of time at the child's bedside and have an acknowledged role in helping patients and families understand the information that they have been given by a doctor. Hence, the ethical role of the nurse in truth disclosure to children is worth exploring. A systematic academic database and grey literature search strategy was conducted using CINAHL, Medline Psych Info, and Google Scholar. Keywords used included truth, children, nurse, disclosure, serious illness, and communication. A total of 17 publications of varying types were included in the final data set. As this was a review of the literature, there were no direct human participants. Empirical studies included in the review had received ethics approval. Of the 17 articles included in the review, only one directly reported on the experiences of nurses asked to withhold the truth from patients. Empirical studies were limited to HIV-positive children and children diagnosed with cancer and the dying child. A paucity of literature exploring the experiences, attitudes, and beliefs of nurses with regard to truth-telling to seriously ill children is evident. Little consideration has been given to the role nurses play in communicating medical information to children in a hospital setting. The 17 articles included in the review focused on cancer, and HIV, diagnosis, and end-of-life care. Further research should be undertaken to explore the experiences and attitudes of nurses to clinical information sharing to children hospitalised with a wide range of serious illnesses and in diverse clinical scenarios.

The Katyń Forest Massacre

This article explores the relationship between political expediency, perception management, and governmental goals. The subject matter forms the research question of “How a tool such as perception management can be used to politically expedite a government’s interests and goals?” It is understood that these ends can be achieved through the usage of perception management by constructing them from a given audience’s interests and values. The concept of perception management is introduced to the reader and illustrated by the example of the United States government’s knowledge of the Katyń Forest Massacre. This article is presented in two parts – the United States’ initial conclusion that the Nazi party was responsible for the massacre and its later reassignment of fault to the Soviet Union. The first instance which involved the reconstruction of truth, was used to politically advance the United States’ cooperation with the Soviet Union in fighting Hitler’s Germany. The second instance also involved the revelation of truth and was used to justify its fight against the North Korean communists. This article should effectively demonstrate how the practice of perception management has been used historically by the United States government to expediate its political goals. The instrumentalization of Katyń is important as it may inspire the reader to consider why certain events take hold of the media’s attention versus others, and how these events specifically may relate to domestic and international political issues.

The Resistance of the Ethnic Communities to the Business Onslaught in the Colombian Bajo Atrato, Seen from a Companion

ABSTRACT This article provides an account of the destruction of the social fabric of Afro-descendant, indigenous, peasant, and mestizo rural communities in Colombia from the perspective of a human rights worker of the Interfaith Commission of Justice and Peace (JyP). The community resistance that led to revelation of truth of what happened to the world is discussed. A description of the JyP’s multifaceted model of accompaniment, the strategies for return developed and implemented by the displaced families and communities, the associated legal actions and decisions, and knowledge generated from these very significant experiences of resistance in Colombia are also discussed.

Christian Engagement with Ewe Culture in Ghana: A Dialogue

The issue of gospel and culture has been in contention since the inception of Christianity and its expansion into other environs outside the Jewish nation Israel. As Christianity left its comfort zone in Jerusalem, it needed to engage with different cultures and give relevance of the good news to people that were alien to the Jewish culture which was a national religious culture. Using the comparative and dialogical approaches, this study thus, discussed some religious and cultural practices of the people of Agave in Ghana and how these help in demonstrating the true revelation of God in the person of Jesus. The study found that all the religious and cultural practices have prepared the hearts of Agaveawo for the gospel of Jesus. All the practices were towards the aspirations of forgiveness of sin, well-being, productivity, peace, victory over death and dark powers and agricultural productivity. The individual responses strengthen the argument that what the traditionalists sought in Dzawuwu, amawuwu and Trᴐkosi systems, one can find in Christ. The study contributes to the agenda of developing and articulating Christology in African theology and Christianity. Keywords: The Gospel, Christian Engagement, African theology, Culture

A gendered discourse on truthful disclosure of financial fraud practices among accountants in China: implications to corporate governance

PurposeWith the worsening of corporate fraud and consequential loss, the growing importance of truthful disclosure is globally advocated. This study aims to examine corporate governance’s role in accountants’ intention to disclose fraudulent practices honestly. At the same time, this study examines intergender differences concerning the formation of the disclosure intention.Design/methodology/approachBased on the theory of planned behavior (TPB), data from 256 accountants working in China have been collected via an online survey. This data is subsequently analyzed with the partial least square (PLS) structural equation modeling method.FindingsThe results revealed that integrity and corporate governance significantly positively affect employees’ attitudes, subjective norms and perceived behavioral control toward disclosure intention. At the same time, it shows that only subjective norm and perceived behavioral control established a significant positive relationship with disclosure intention. It also shows that males display higher attitudes and perceived behavioral control in developing the intention.Originality/valueThis study helps understand accountants’ disclosure intention of fraud practices, especially during shock events such as the COVID-19 pandemic. To the best of the authors’ knowledge, this study is the first to extend the TPB incorporating corporate governance and integrity as antecedents to disclosure intention. At the same time, this study contributes to the existing literature by being the first attempt to investigate intergender differences. Finally, it advances the body of knowledge on employees’ behavior and contributes methodologically by introducing the PLS approach.

Purging the neoliberal poison? Marina Diamandis and the cultural grammar of popular left politics

This article enquires into the discursive and affective texture of the intersections of popular culture and left/feminist politics in the current Anglo-American context. It does this primarily via a contextual reading of the recent work of Welsh/Greek pop singer Marina Diamandis (who performs under the mononym ‘Marina’), especially her 2021 single entitled ‘Purge the Poison’. Building on Sarah Banet-Weiser’s work on popular feminism, I suggest that recent years have seen the emergence within popular and commercial culture of a ‘popular left politics’ which includes – but is not limited to – popular feminism. I argue that Marina’s work – as well as its reception from fans and critics – can help us identify several constitutive features of what I call the cultural grammar of popular left politics. These include, first, a conception of knowledge as linked to the revelation of truth grounded in identity and experience; second, a projection of purity and perfectionism of self and, third, a projection of complicity onto others. I further suggest – drawing in particular on Akane Kanai’s recent work – that these features of the cultural grammar of popular left politics are testament to the centrality of neoliberalism in shaping the discursive, affective and subjective character of even ostensibly anti-neoliberal forms of politics and culture. Furthermore, in contrast to the familiar argument that neoliberalism blunts or co-opts oppositional discourses, I suggest that, in the current conjuncture, explicitly and overtly anti-neoliberal discourses are sometimes afforded a certain cachet and visibility, so long as the cultural grammar they adopt aligns with the competitive and individualistic logics of neoliberal hegemony.