Organisations that design and deploy artificial intelligence (AI) systems increasingly commit themselves to high-level, ethical principles. However, there still exists a gap between principles and practices in AI ethics. One major obstacle organisations face when attempting to operationalise AI Ethics is the lack of a well-defined material scope. Put differently, the question to which systems and processes AI ethics principles ought to apply remains unanswered. Of course, there exists no universally accepted definition of AI, and different systems pose different ethical (...) challenges. Nevertheless, pragmatic problem-solving demands that things should be sorted so that their grouping will promote successful actions for some specific end. In this article, we review and compare previous attempts to classify AI systems for the purpose of implementing AI governance in practice. We find that attempts to classify AI systems proposed in previous literature use one of three mental models: _the Switch_, i.e., a binary approach according to which systems either are or are not considered AI systems depending on their characteristics; _the Ladder_, i.e., a risk-based approach that classifies systems according to the ethical risks they pose; and _the Matrix_, i.e., a multi-dimensional classification of systems that take various aspects into account, such as context, input data, and decision-model. Each of these models for classifying AI systems comes with its own set of strengths and weaknesses. By conceptualising different ways of classifying AI systems into simple mental models, we hope to provide organisations that design, deploy, or regulate AI systems with the vocabulary needed to demarcate the material scope of their AI governance frameworks. (shrink)

We explore the various ethical challenges that arise during the practical implementation of an emergency resource allocation protocol. We argue that to implement an allocation plan in a crisis, a hospital system must complete five tasks: (1) formulate a set of general principles for allocation, (2) apply those principles to the disease at hand to create a concrete protocol, (3) collect the data required to apply the protocol, (4) construct a system to implement triage decisions with those data, and (5) (...) create a system for managing the consequences of implementing the protocol, including the effects on those who must carry out the plan, the medical staff, and the general public. Here we illustrate the complexities of each task and provide tentative solutions, by describing the experiences of the Coronavirus Ethics Response Group, an interdisciplinary team formed to address the ethical issues in pandemic resource planning at the University of Rochester Medical Center. While the plan was never put into operation, the process of preparing for emergency implementation exposed ethical issues that require attention. (shrink)

Phenomenology is one of the most popular qualitative research methodologies used in nursing research. Although interpretive phenomenology is often a logical choice to address the concerns of nursing, the vast number of methods of phenomenology means choosing an appropriate method can be daunting, especially for novice researchers. It is critical that nurse researchers select a phenomenological method that fits the research problem and the skill and world view of the researcher; doing so will result in a research experience that resonates (...) with and excites the researcher. The interpretive phenomenological methodologies of Benner, Munhall, and Conroy each offer unique methods of phenomenological inquiry. However, to date, we are not aware of any literature that explores and compares the methodological approaches of these nurses. In this paper, the origins and influence of phenomenology as both a philosophy and methodology on nurse researchers will be explored, followed by a critical analysis and comparison of these three nurses. By highlighting the distinctive differences and attributes of each method, this paper provides an analysis and comparison of the approaches of these prominent nurses. In doing so, we aim to aid the researcher in their methodological selection, thereby resulting in a successful and rewarding research endeavor. (shrink)

Nursing knowledge development and application are influenced by numerous factors within the context of science and practice. The prevailing culture of science along with an evolving context of increasingly technological environments and rationalization within health care impacts both the generation of nursing knowledge and the practice of nursing. The effects of the culture of science and the context of nursing practice may negatively impact the structure and application of nursing knowledge, how nurses practice, and how nurses understand the patients and (...) families for whom they care. Specifically, the nature of critical care and its highly technical environment make critical care nursing especially vulnerable to these potentially negative influences. The influences of the culture of science and the increasingly technical practice context may result in an overreliance on the natural sciences to guide critical care nursing actions and an associated marginalization of the caring relationship in critical care nursing practice. Within this environment, nursing philosophy may not be foundational to nursing actions; rather, the dominant culture of science and the rationalization of health care may be informing nursing practice. As such, the ideology and goals of nursing may not be central to the practice of critical care nursing. The purpose of this paper is to explore the influence of the culture of science on the development of nursing knowledge and theory. Further, we aim to describe the value of using conceptual frameworks, such as Roy's Adaptation Model, as a nursing philosophy to influence the development of person‐centred nursing knowledge and theory to inform critical care nursing practice as it related to the care of patients and families. In doing so, nursing philosophy is situated as foundational for nursing actions. (shrink)

Recently ethical implications of human resource management have intensified the focus on care perspectives in management and organization studies. Appeals have also been made for the concept of organizational care to be grounded in philosophies of care rather than business theories. Care perspectives see individuals, especially women, as primarily relational and view work as a means by which people can increase in self-esteem, self-develop and be fulfilled. The ethic of care has received attention in feminist ethics and is often socially (...) construed as a feminine ethic. Although well developed in the caring professions there remains no model or definition of the care ethic in management literature with little care research undertaken. This paper develops the concept of the care ethic using Heidegger’s philosophy, namely, care is fundamental to human being. To show Heideggerian care, an individual notices, pays attention to another and responds in ways to empower and enable. In a study which aimed to analyze women’s lived experience of career, we applied the philosophically grounded methodology hermeneutic phenomenology. Findings revealed the power of Heideggerian care, Sorge, as a key factor in creating meaning. From this, we propose that care has potential as a theoretical and philosophically based construct with strong practical implications. It provides a way of understanding the care ethic, lies at the heart of our being, and is essential to meaning in our grelationships and undertakings. Crucially, it can provide reprieve from the existential angst that trademarks our being. (shrink)

Examines how liberal society enables racism and other forms of discrimination.

BackgroundMoral distress (MD) is an emotional and psychological response to morally challenging dilemmas. Moral distress is experienced frequently by nurses in the intensive care unit (ICU) and can result in emotional anguish, work dissatisfaction, poor patient outcomes, and high levels of nurse turnover. Opportunities to discuss ethically challenging situations may lessen MD and its associated sequela.ObjectiveThe purpose of this project was to develop, implement, and evaluate the impact of nursing ethics huddles on participants’ MD, clinical ethics knowledge, work satisfaction, and (...) patient care among ICU nurses.Sample and SettingThe sample, 32 nurses from three ICU settings in an 800-bed tertiary academic medical center, participated in six nursing ethics huddles over a two-month period.MethodsAlvita K. Nathaniel’s Theory of Moral Reckoning guided development of the nursing ethics huddle process.1 The Moral Distress Thermometer was administered at three data points: baseline level of MD, and pre- and post-huddle to determine changes in the subjects’ level of MD.2 Focused content analysis was used to analyze qualitative responses from questionnaires about the subjects’ perception of the effect of the huddles on work satisfaction and patient care. Knowledge attainment was evaluated via open-ended short-answer questions.ResultsOverall, use of nurse-ethicist-led nursing ethics huddles was associated with improved quality of work life, patient care, and clinical ethics knowledge. The change in pre- and post-nursing ethics huddles MD scores was statistically significant (p < 0.0001). (shrink)

Qualitative and quantitative research on the impact of medical and health humanities teaching in baccalaureate education is sparse. This paper reviews recent studies of the impact of medical and health humanities coursework in pre-health professions education and describes a pilot study of baccalaureate students who completed semester-long medical humanities courses in the Division of Medical Humanities & Bioethics at the University of Rochester. The study format was an email survey. All participants were current or former baccalaureate students who had taken (...) one or more courses in literature and narrative in medicine, bioethics, history of medicine, and/or visual arts and healthcare during the past four years. The survey gathered numerical data in several areas: demographic information, career plans, self-reported influence of coursework on educational and career plans, and self-reported influence of coursework on intellectual skills and abilities. It also gathered narrative commentary that elaborated on students’ responses to the numerically-based questions. Notable findings from preliminary analysis of the data include higher scores of self-reported impact of the coursework on specific habits of mind and on preparedness for intended career rather than on gaining admission to future educational programs. Discussion of the results focuses on several potential future directions this type of study might take, including multi-center, longitudinal, and sequential approaches. (shrink)

We conduct an experiment to investigate the degree to which deviations from exponential discounting can be accounted for by the hypothesis of hyperbolic discounting. Subjects are asked to choose between an earlier or later payoff in a series of 40 choice questions. Each question consists of a pair of monetary amounts determined by compounding a given base amount at a constant rate per period. Two bases (8 and 20 dollars), three compounding rates (low, medium and high) and three delays (2, (...) 4, and 6 weeks) are each used. There are also 2 initial periods (Today and 2 weeks) and there are two separate questionnaires, one with lower “realistic” compounding rates and the other with higher compounding rates, typical of those used in previous studies. We analyze the detailed patterns of choice in 6 groups of 6 related questions each (in which the base and rate is fixed but the initial period and delay varies), documenting the frequency of patterns consistent with exponential discounting and with hyperbolic discounting. We find that exponential discounting is the clear modal choice pattern in virtually all cases. Hyperbolic discounting is never the modal pattern (except in the sense that constant discounting is a special case of hyperbolic discounting). We also estimate a linear probability model that takes account of individual heterogeneity. The estimates show substantial increases in the probability of choosing the later option when the compounding rate increases, as one would expect. There are small, sometimes significant, increases in this probability when the delay is increased or the initial period is in the future. Such behavior is consistent with hyperbolic discounting, but can account for only a small proportion of choices. Overall, deviations from exponential discounting appear to be due to error, or to other effects not accounted for by hyperbolic discounting. Principal among these is an increase in later choices when the base is larger. (shrink)

Corporate social responsibility (CSR) is an area of great interest, yet little is known about how CSR is perceived and practiced in the professional sport industry. This study employs a mixed-methods approach, including a survey, and a qualitative content analysis of responses to open-ended questions, to explore how professional sport executives define CSR, and what priorities teams have regarding their CSR activities. Findings from this study indicate that sport executives placed different emphases on elements of CSR including a focus on (...) philanthropic activities and ethical behaviors. The data suggest that professional sport executives view CSR as a strategic imperative for their business. Sport executives indicated that a number of factors influenced the practice of their CSR including: philanthropy (altruistic giving), an emphasis on the local community, partnerships, and ethical concerns. We also examine important organizational variables for sport (winning, revenues, and team value) and highlight their relationship with reported CSR involvement. We discuss the implications of the findings and propose recommendations for both theory and practice. (shrink)

In this essay, I consider how to conceptualize “diasporic” subjects, namely those whose identities and homes cannot be easily attributed, with regard to the political and racial dynamics of intra-group tensions, alliances, and divergences of interest. These concerns are important relatives to topics that Critical Race Theorists and Critical Race Feminists have readily addressed, such as the war on terror, the not-so-gradual erosion of dignity and rights protections accorded to non-citizens, and the increasing antagonism, surveillance, and brutality toward Latino and (...) Muslim migrants. As such, the former issues should become central concerns for Critical Race Theorists. In what follows, I want to introduce a framework called “interstitiality” as a way to address them. (shrink)

This essay explores some of the elements by which Muslim women who wear the hijab in the United States are managed so as to produce and distinguish "unruly" from "good" Muslim female citizens within the context of American liberation. Unlike the French state, which has regulated both the hijab and niqab through national legislation, the American liberal framework utilizes a laissez-faire approach, which relies on a range of public and private institutions to determine acceptable public presentations of the liberal female (...) subject. I refer to this form of management as "neoliberalism." Neoliberalism management works in conjunction with popular political discourses and domestic events in ways that alternately contract and expand the boundaries that allow "suitable Muslim women" in the public sphere. (shrink)

Even appropriate, ethically sound recommendations can generate angst. In this case, the principal investigator is concerned about the ethics consult recommendation to not inform the participan...

After tracing the development of the doctrines of avatāra and incarnation, the two are compared and contrasted. Some nuanced differences are: (1) Avatāras descend repeatedly, while Christ comes only once. However, we must also reckon with the Second Coming of Christ and the possibility of many incarnations. (2) The avatāra is real but perfect because it is made of "pure matter," while the incarnation is imperfect. (3) Avatāras have different purposes and, unlike the incarnation, not every Avatāra grants salivation. The (...) two concepts are not so incompatible as may appear at first, yet the differences spring from the contrasting worldviews of the respective religions. The two beliefs can also be mutually complementary. (shrink)

The veil has remained controversial in the US since 9/11, yet it has not been subject to explicit regulation. Beginning with a court case in which a Muslim woman is banned from the courtroom for refusing a judge’s order to remove her niqab, I explore the ways in which the judge’s order resembles a demand for transparency. Transparency as a norm, a mode of discourse, and a kind of comportment betrays the explicit ethos of secular-liberal political norms and practices as (...) being purely procedural. Drawing on early immigration law, the PATRIOT Act, and other laws, I argue that transparency is a demand for “unfamiliar” strangers to present themselves as familiar, or at least, as unthreatening to the dominant, homogenous population—not merely through sincerity and collegiality, but through submission and obedience. The demand for transparency is also often an impossible demand for a gendered racial and cultural recomportment, that is, to transform oneself into someone familiar—a neutral, vaguely feminist, liberal subject. I conclude that transparency remains in excess of liberal political and civic culture’s explicit scope. (shrink)

In organ transplantation, there is a lack of ethical discussion about the recipient’s right not to receive a transplant. Using the current situation of living organ transplantation and deceased organ transplantation in Japan as an example, we prospectively discussed to what extent the recipient’s right not to receive a transplant is ethically acceptable. In directed transplantation from a living donor, a recipient may refuse organ donation from a particular donor. It is preferable that a recipient’s request for organ donation from (...) a donor occurs as part of a transparent process. In nondirected transplantation from a deceased donor, refusal of transplantation from a particular type of donor appears potentially justifiable. There are both moral and pragmatic considerations. Certain refusals based solely on belief are morally unacceptable, and refusal to transplant a recipient based on the donor’s age jeopardizes the entire transplant system. When religious beliefs affect mental and physical health, individualized measures are required for transplant rejection. We also deductively developed a prospective argument based on the current status of donor–recipient communication in living organ transplantation in Japan and the 2010 amendment of the law allowing relatives to be given priority in organ transplantation from deceased donors. (shrink)

In this article, I explore Namita Goswami’s Subjects That Matter. Goswami has laid out an extensive excavation of the variety, depth, and breadth of antagonistic encounters between the Western world and subaltern subjects. I am interested in Goswami’s take on the production of the unknowable women of color who are constructed either as good wives, animate objects without wills of their own, or transgressors of the genre of producing women of color as oppressed. I argue that the question of heterogeneity (...) already assumes the very thing that is under question: to presuppose heterogeneity is already to presuppose its limit conditions—to already understand what difference looks like, which could preempt the possibility of infinite, or indefinite iterations. The irony is that we run the risk of assuming the very thing that we are trying not to presuppose, anticipate, or cordon off. Moreover, I question whether it is possible to encounter deep radical differences in any way other than antagonistically, since the unknown, from experience, is assumed to threaten. (shrink)

Paul Taylor’s essay ‘Black Reconstruction in Aesthetics,’ explores the questions of what reconstruction in aesthetics means. He asks how reconstruction, as a program for the post-bellum Southern United States, took up certain kinds of racially inclusive agendas even as it remained myopic to fundamental, seemingly insurmountable racial, racist, sentiments. I turn to his book to illuminate some of the myopias and seemingly intractable racisms that he seems to refer to in the essay, and then return to his essay, where he (...) answers some of those questions. I argue that he is correct in his analysis. I turn to several critics’ responses of the film Moonlight, which received rave reviews, to illustrate the point that there are similar sentiments in other current seemingly progressive contexts. (shrink)

Drawing on Heidegger and Foucault, I argue that we need to understand race as a technology. Race has three technological dimensions: instrumental, naturalizing, and concealment. Through this understanding, I hope to bridge two discourses that appear disconnected: Race as Color, Blood, and Genealogy (RC), which sees race as phenotypical or biological, and eclipses a discussion of political power, and Political Othering (PO), which eclipses race in its accounts of political ostracization. Finally, the implications of thetechnology of race can be understood (...) by turning to Heidegger’s notion of Enframing, Foucault’s notion of the racist state, and Benjamin’s articulation of the inherent violence of law. (shrink)

The concept of the Golden Mean, which has been accepted as a behavioral guideline of human beings for thousands of years, is briefly reviewed. Several empirical studies in the field of organizational behavior are summarized as evidence that the concept has practical management applications. Based on the Golden Mean concept and its management empirical evidence, the authors propose a model of “Reasoned Responses” and its practical application to the decision-making process.

The January 2021 attacks on the US Capitol prompt a renewed look at the relationship between violence and Western liberal democracies. The attacks were viewed in a race-neutral frame of staging an insurrection against a procedurally elected government of a liberal democracy. Without considering the racial-political context, we are susceptible to recognizing only certain iterations of political violence while missing others altogether. In what follows, I argue that political violence against nonwhites is often not seen as violence or harm committed (...) against the polity; instead, it is frequently treated as a form of “self-defense,” enacted by white members of the polity. To illustrate my argument, I contrast the political principles and conditions under which the January 6 attacks were recognized as political violence with similar attacks in the twentieth century as they had been launched against African Americans who were attempting to participate in elections and run for office. (shrink)

Nostra Aetate urges Christians to enter into dialogue and collaboration with religions, and to acknowledge, preserve and encourage the spiritual and moral truths found in them. It is in this spirit that this article makes a comparative theological study of altruistic love in the Christian and Buddhist Scriptures. Such comparison does not only facilitate better mutual understanding but also helps each tradition to understand itself better. The New Testament favours agape and related words to express the idea of altruistic love, (...) while Buddhism uses the words metta and karuna. After presenting the main characteristics of altruistic love in Christianity and in Theravada and Mahayana Buddhism, the article launches into the theological comparison. Christian and Buddhist love are altruistic and universal. Both are opposed to malice and cruelty, are forgiving and move one to transfer one's merit, and both go to the extent of loving one's enemy and even sacrificing one's life for another. But there are many differences arising from their different worldviews. Christians love others because God has loved them, but in Theravada the motivation is different, since there is no Supreme Being. In Mahayana the Buddhas will not forgive people unless they forgive others. However, it is not the Buddhas who are the highest, but it is the Adi Buddha that is the Supreme Being. In Theravada love is developed through personal effort, i.e., through meditation; while in Christianity love is a. (shrink)

The issue of recurrent attenders to eye casualties has received little discussion in the ethics and health policy literature. As many ophthalmology departments offer a walk-in emergency service, protocols need to be in place to ensure appropriate use of this resource and also to identify potential psychiatric comorbidity in such attenders. We illustrate the problem with a recent case.A 42-year-old woman self-presented 14 times over a 4-month period to the same ophthalmic accident and emergency unit. ….

Debra Bergoffen’s Contesting the Politics of Genocidal Rape shows us beautifully what is gained by considering rape as a consequence of genocide. What gets lost here, in relation to considering cases of rape that are not the result of such, such as gang rape, “mass rape,” or other instances of rape? Is rape qua rape a human rights violation of a sort that is articulated within the context of the “right to sexual integrity”? Can a case be made, even in (...) “non-wartime” societies where rape occurs systematically as an instance of patriarchy and misogyny, that rape is a human rights violation of the right to sexual self-determination? Or is it the case that the conditions of wartime rape merit a different set of considerations in order to locate it as a human rights violation? My comments attempt to think through some of these questions with Bergoffen. (shrink)

In this dissertation, I argue that the concepts of work and labor have been shaped by political and feminist philosophers in ways that are more revealing of their specific visions of society than the character and significance of various socially necessary activities. Hegel, Marx, and Arendt each have particular understandings of work that illuminate other elements of society that are considered important, detrimental, or dysfunctional. Their normative understandings stem from the idiosyncratic visions of the public and private spheres that are (...) embedded in their writings and the specific moral and political characteristics that they ascribe to the concepts of labor and work. For feminist theorists such as Eva Kittay, the notion of labor as housework, childcare or carework stems from the project of offering an alternative social or political framework that accommodates women and recognizes their role in the overall functioning of society. However, feminist accounts of labor in the domestic realm also suffer from a tendency to highlight certain important dimensions and elements of society, such as care, moral labor, or the invisible conditions of capitalist production. This focus distracts us from understanding the role of work as a universal practice engaged in subjectively, idiosyncratically, by each member of society. The latter vision of work requires not a concrete definition but a broad contour of the boundaries of work activities. ;My purpose in exploring the role of work in these writings is twofold: the first is to show the normative role and meanings of work in these philosophers. The second is to clear the way for a new understanding of work. Since the recognition of one's membership in a polity is partially dependent on one's contributions to society, and one's contributions are often evaluated in terms of the concept of "work," there is a need for a more expansive vision of work. The concept and meaning of work must be reformulated in order to acknowledge the social obligations and commitments that individuals express through the performance of a broad variety of work activities. If we can arrive at a new formulation of the concept of work, then we can implement it to acknowledge the social character of various activities, and the individuals who perform them, whether or not they are wage-earners , as crucial to society, i.e. as contributing citizens. (shrink)

Does sleep restore brain function or does it consolidate memory? I argue that memory consolidation during sleep is an offshoot of restitution. Continual learning causes local synapse-specific neural fatigue, which then masks expression of that learning, especially on time-limited tests of procedural skills. Sleep serves to restore the fatigued synapses, revealing the consolidation-based enhancement observed as a “latent” overnight improvement in learning.