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Stress Prevention and Stress Management Techniques VI01:30

Stress Prevention and Stress Management Techniques VI

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Adopting a healthier lifestyle often requires overcoming significant challenges, but leveraging psychological, social, and cultural resources can facilitate meaningful change. Effective self-change hinges on understanding and applying key tools such as motivation and goal setting, which help sustain efforts toward long-term health benefits.
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
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Motivational Cycle01:20

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The motivational cycle is a key concept that explains how individuals are motivated to meet their needs. At its core, the cycle revolves around four distinct stages: need, drive, goal-directed behavior, and goal achievement. These stages respond to imbalances in the body or mind, prompting actions that restore balance.
The cycle begins with a need. This need can arise from various conditions, such as hunger, thirst, or temperature changes. For instance, when an individual feels cold, their body...
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Impression Management Techniques III: Aligning Actions01:29

Impression Management Techniques III: Aligning Actions

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Aligning actions are communicative strategies individuals employ to maintain social harmony and preserve personal identity in the face of potential disruptions to social norms. These actions are particularly important in managing social impressions when one's behavior might be seen as inappropriate, incompetent, or morally questionable.Types of Aligning ActionsThe three principal types of aligning actions are disclaimers, accounts, and apologies.DisclaimersDisclaimers are preventive; they are...
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Cognitive Dissonance01:38

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Social psychologists have documented that feeling good about ourselves and maintaining positive self-esteem is a powerful motivator of human behavior (Tavris & Aronson, 2008). In the United States, members of the predominant culture typically think very highly of themselves and view themselves as good people who are above average on many desirable traits (Ehrlinger, Gilovich, & Ross, 2005). Often, our behavior, attitudes, and beliefs are affected when we experience a threat to our...
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Self-Discrepancy Theory02:45

Self-Discrepancy Theory

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One influential perspective on what motivates people's behavior is detailed in Tory Higgin's self-discrepancy theory (Higgins, 1987). He proposed that people hold disagreeing internal representations of themselves that lead to different emotional states.  
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Growth versus Fixed Mindset01:24

Growth versus Fixed Mindset

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Carol Dweck introduced the term mindset to describe individuals' beliefs about their intellectual and personal capabilities. These beliefs significantly influence psychological processes such as motivation, goal-setting, and perseverance, ultimately shaping academic and life outcomes. Individuals generally possess one of two mindsets- a fixed or a growth mindset—each promoting different responses to success, failure, and challenge.Fixed vs. Growth MindsetA fixed mindset assumes that one's...
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Related Experiment Video

Updated: Jan 14, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
14:32

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How to Achieve Meaningful Change.

Gregory P Marchildon1

  • 1Professor Emeritus, Dalla Lana School of Public Health, University of Toronto, Founding Director, North American Observatory on Health Systems and Policies, Toronto, ON.

Healthcarepapers
|October 22, 2025
PubMed
Summary

Delegating health human resource management, including physician pay, to health authorities can improve accountability and performance. This incremental change offers significant promise for enhancing health system management.

Area of Science:

  • Health Services Management
  • Public Health Policy
  • Organizational Change in Healthcare

Background:

  • Provincial governments have delegated health system management to health authorities over the past 40 years.
  • Frequent structural changes in health authorities, particularly centralization, have caused significant disruption.
  • Further major organizational changes could exacerbate current instability.

Purpose of the Study:

  • To evaluate the potential benefits of delegating additional responsibilities to health authorities.
  • To explore an incremental approach to improving health system performance and accountability.

Main Methods:

  • Analysis of organizational changes in health authorities over four decades.
  • Assessment of the impact of administrative centralization on health systems.

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  • Conceptual framework for delegating health human resource management.
  • Main Results:

    • Delegating the payment and management of health human resources, including physician remuneration and bargaining, is proposed.
    • This delegation represents an incremental change rather than a major overhaul.
    • The proposed change holds significant promise for enhancing accountability.

    Conclusions:

    • Despite potential short-term upheaval, delegating health human resource management to health authorities is recommended.
    • This strategic delegation can improve overall health system performance.
    • Incremental changes in responsibility can lead to substantial improvements in healthcare governance.