TY - JOUR A1 - Burmeister, Christiane A1 - Iller, Ariane A1 - Ranisch, Robert A1 - Brand, Cordula A1 - Staib, Tobias A1 - Müller, Uta T1 - Jenseits der Klinik BT - Konzeptionelle Überlegungen zum Ethiktransfer in dezentralen Einrichtungen des Gesundheitswesens am Beispiel der BruderhausDiakonie Reutlingen BT - Conceptual considerations on transferring ethics to decentralized health care facilities using the example of the BruderhausDiakonie Reutlingen JF - Ethik in der Medizin : official journal of the German Academy of Ethics in the Medicine N2 - Definition of the problem Medical and nursing care often takes place within complex organizational structures that comprise numerous facilities at numerous locations. We introduce an interactive ethical concept, designed in cooperation with the diaconal foundation BruderhausDiakonie Reutlingen and the International Centre for Ethics in Science, University of Tubingen, to address the particular needs of such organizations. Arguments Therefore we portray the interactive Nijmegen Model which combines an ethics committee located at the management level and situational ethical case deliberations on the ward in order to bring together two indispensable ways of ethical reflection in organizations: "top-down"/"bottom-up". We illustrate the challenges of implementing the said model into the organizational construction of the BruderhausDiakonie and how to address these by means of conception and implementation. Conclusion Considering the implementational challenges that we encountered, the Nijmegen Model needs to be enhanced by introducing a link between the committee and the case deliberations. We delineate the basic elements and the requirements for such a position while reporting our initial practical experience with this model. N2 - Unser Beitrag stellt ein interaktives Ethik-Konzept vor, das in Zusammenarbeit der BruderhausDiakonie Reutlingen und der Universität Tübingen entwickelt wurde, um den Eigenheiten und Bedarfen einer komplexen Organisationsstruktur gerecht zu werden, die mehrere Geschäftsfelder und Standorte unter sich vereint. Wir skizzieren die Grundzüge des interaktiven Nijmegener Modells, in dem die Kooperation eines auf Leitungsebene angesiedelten Komitees und situationsbezogener Fallbesprechungen ein fruchtbares Zusammenspiel zweier unverzichtbarer Reflexionsweisen bewirken soll („Top-Down“/„Bottom-Up“). Wir zeigen auf, welche Herausforderungen sich bei der Implementierung dieses Modells in die konkrete Aufbauorganisation der BruderhausDiakonie ergaben, und mit welchen konzeptionellen oder „implementationstechnischen“ Mitteln ihnen begegnet wurde. Im Zentrum steht dabei die Erweiterung des Nijmegener Modells um ein Verbindungselement, welches die Zusammenarbeit zwischen zentralem Ausschuss und dezentralen Fallbesprechungen koordiniert und das interaktive Moment des Modells erst ermöglicht. T2 - Beyond the clinic KW - Organizational ethics KW - Implementation KW - Ethics committee KW - Case KW - deliberations KW - Nijmegen interactive model KW - Practice report KW - Moral case KW - deliberation KW - Organisationsethik KW - Implementierung KW - Ethikkomitee KW - Fallbesprechung KW - Praxisbericht KW - Nimwegener Modell KW - Ethische Fallbesprechung Y1 - 2021 U6 - https://doi.org/10.1007/s00481-021-00634-1 SN - 0935-7335 SN - 1437-1618 VL - 33 IS - 2 SP - 275 EP - 292 PB - Springer CY - Berlin ; Heidelberg ER - TY - JOUR A1 - Avetisyan, Serine A1 - Lago, Sol A1 - Vasishth, Shravan T1 - Does case marking affect agreement attraction in comprehension? JF - Journal of memory and language N2 - Previous studies have suggested that distinctive case marking on noun phrases reduces attraction effects in production, i.e., the tendency to produce a verb that agrees with a nonsubject noun. An important open question is whether attraction effects are modulated by case information in sentence comprehension. To address this question, we conducted three attraction experiments in Armenian, a language with a rich and productive case system. The experiments showed clear attraction effects, and they also revealed an overall role of case marking such that participants showed faster response and reading times when the nouns in the sentence had different case. However, we found little indication that distinctive case marking modulated attraction effects. We present a theoretical proposal of how case and number information may be used differentially during agreement licensing in comprehension. More generally, this work sheds light on the nature of the retrieval cues deployed when completing morphosyntactic dependencies. KW - subject-verb agreement KW - attraction KW - Case KW - Eastern Armenian KW - cue-based KW - retrieval KW - comprehension Y1 - 2020 U6 - https://doi.org/10.1016/j.jml.2020.104087 SN - 0749-596X SN - 1096-0821 VL - 112 PB - Elsevier CY - San Diego ER -