Interest in corporate social responsibility (CSR) is gaining momentum in academic and managerial circles. However, prior work in the area has paid little attention to how CSR initiatives should be implemented inside the organization. Against this backdrop, this study examines the impact of CSR initiatives on an important stakeholder group—employees. We build and test a comprehensive multilevel framework that focuses on whether employees derive job satisfaction from CSR programs. The proposed model predicts that a manager’s charismatic leadership influences employees’ interpretations (...) about the motives underlying their companies’ engagement in CSR initiatives (intrinsic and extrinsic CSR-induced attributions) which, in turn, influence employee job satisfaction. Hierarchical linear modeling of data from 47 organizational units comprising 438 employees from three world-leading manufacturing organizations shows that when employees think that their manager possesses charismatic leadership qualities, they tend to attribute the organization’s motives for engaging in CSR activities to intrinsic values, which, in turn, are positively associated with job satisfaction. Also, the extent to which managers are perceived as charismatic leaders relates positively to job satisfaction. Interestingly, CSR-induced extrinsic attributions are neither explained by charismatic leadership nor do they predict job satisfaction. Implications for both theory and practice are discussed. (shrink)

It is well known that classical propositional logic can be interpreted in intuitionistic propositional logic. In particular Glivenko's theorem states that a formula is provable in the former iff its double negation is provable in the latter. We extend Glivenko's theorem and show that for every involutive substructural logic there exists a minimum substructural logic that contains the first via a double negation interpretation. Our presentation is algebraic and is formulated in the context of residuated lattices. In the last part (...) of the paper, we also discuss some extended forms of the Kolmogorov translation and we compare it to the Glivenko translation. (shrink)

Background:Withdrawal of treatment is a common practice in intensive care units when treatment is considered futile. Compassion is an important aspect of care; however, it has not been explored much within the context of treatment withdrawal in intensive care units.Objectives:The aim was to examine how concepts of compassion are framed, utilised and communicated by intensive care nurses in the context of treatment withdrawal.Design:The study employed a qualitative approach conducting secondary analysis of an original data set. In the primary study, 13 (...) nurses were recruited from three intensive care units within a large hospital in United Kingdom. Deductive framework analysis was used to analyse the data in relation to compassionate care.Ethical considerations:The primary study was approved by the local Research Ethics Committee and the hospital’s Research and Development services.Findings:Compassionate care was mostly directed to the patient’s family and was demonstrated through care and emotional support to the family. It was predominantly expressed through attempts to maintain the patient’s dignity by controlling symptoms, maintaining patient cleanliness and removing technical apparatus.Conclusion:This study’s findings provide insight about compassionate care during treatment withdrawal which could help to understand and develop further clinicians’ roles. Prioritising the family over the patient raised concerns among nurses, who motivated by compassion, may feel justified in taking measures that are in the interests of the family rather than the patient. Further work is needed to explore the ethics of this. (shrink)

Motivated by Kalman residuated lattices, Nelson residuated lattices and Nelson paraconsistent residuated lattices, we provide a natural common generalization of them. Nelson conucleus algebras unify these examples and further extend them to the non-commutative setting. We study their structure, establish a representation theorem for them in terms of twist structures and conuclei that results in a categorical adjunction, and explore situations where the representation is actually an isomorphism. In the latter case, the adjunction is elevated to a categorical equivalence. By (...) applying this representation to the original motivating special cases we bring to the surface their underlying similarities. (shrink)

Με αφορμή ένα γεωμετρικό αμφορέα του επιγάστριου αττικο-κυκλαδικού τύπου από το νεκροταφείο της Ελεύθερνας, διακοσμημένο με τρεις μετόπες ομόκεντρων κύκλων στη ζώνη της κοιλιάς, συζητούνται τα προβλήματα τυπολογίας και προέλευσης αυτής της χαρακτηριστικής κατηγορίας αγγείων στο φως της νεότερης έρευνας. Η τεχνοτροπία όλων των αμφορέων αυτού του τύπου, δηλ. με δύο ή με τρεις μετόπες ομοκέντρων κύκλων, ακολουθεί πάντοτε τον αττικό ρυθμό, αλλά ενώ η αττική καταγωγή των διμετο- πικών αμφορέων του τύπου ουδέποτε αμφισβητήθηκε, η καταγωγή των τριμετοπικών αμφορέων, που (...) παρουσιάζουν ευρύτατη διάδοση στο Αιγαίο και κυρίως στις Κυκλάδες, άλλοτε αποδίδεται στην Αττική και άλλοτε στις Κυκλάδες. Στη μελέτη αυτή επιχειρείται ένας επαναπροσδιορισμός της τυπολογίας του επιγάστριου ομοκεντρικού αμφορέα και συζητείται διεξοδικά η κατηγορία των αμφορέων με τρεις μετόπες. (shrink)

Substructural logics have received a lot of attention in recent years from the communities of both logic and algebra. We discuss the algebraization of substructural logics over the full Lambek calculus and their connections to residuated lattices, and establish a weak form of the deduction theorem that is known as parametrized local deduction theorem. Finally, we study certain interpolation properties and explain how they imply the amalgamation property for certain varieties of residuated lattices.

If X is a locally compact Polish space, then LSC denotes the compact Polish space of lower semi-continuous real-valued functions on X equipped with the topology of epi-convergence.Our purpose in this article is to prove the following: if –∞ < α < β < ∞ and –∞ < a < b < ∞, while r ∈ ℕ \ {0}, then the set CV of all f ∈ LSC for which there is u ∈ Cr such that for any v ∈ (...) Cr we have that ∫αβf , v ′)dx ≥ ∫αβf , v )dx is not Borel. (shrink)

The purpose of this paper is first to show that if X is any locally compact but not compact perfect Polish space and stands for the one-point compactification of X, while E X is the equivalence relation which is defined on the Polish group C(X,R +*) by where f, g are in C(X,R +*), then E X is induced by a turbulent Polish group action. Second we show that given any if we identify the n-dimensional unit sphere S n with (...) the one-point compactification of R n via the stereographic projection, while E n , r is the equivalence relation which is defined on the Polish group C r (R n ,R +*) by where f, g are in C r (R n ,R +*), then E n , r is also induced by a turbulent Polish group action. (shrink)

Equivalences and translations between consequence relations abound in logic. The notion of equivalence can be defined syntactically, in terms of translations of formulas, and order-theoretically, in terms of the associated lattices of theories. W. Blok and D. Pigozzi proved in [4] that the two definitions coincide in the case of an algebraizable sentential deductive system. A refined treatment of this equivalence was provided by W. Blok and B. Jónsson in [3]. Other authors have extended this result to the cases of (...) k-deductive systems and of consequence relations on associative, commutative, multiple conclusion sequents. Our main result subsumes all existing results in the literature and reveals their common character. The proofs are of order-theoretic and categorical nature. (shrink)

Two constructions for adding an involution operator to residuated ordered monoids are investigated. One preserves integrality and the mingle axiom x 2x but fails to preserve the contraction property xx 2. The other has the opposite preservation properties. Both constructions preserve commutativity as well as existent nonempty meets and joins and self-dual order properties. Used in conjunction with either construction, a result of R.T. Brady can be seen to show that the equational theory of commutative distributive residuated lattices (without involution) (...) is decidable, settling a question implicitly posed by P. Jipsen and C. Tsinakis. The corresponding logical result is the (theorem-) decidability of the negation-free axioms and rules of the logic RW, formulated with fusion and the Ackermann constant t. This completes a result of S. Giambrone whose proof relied on the absence of t. (shrink)

La cité de Panopeus (alias Phanoteus) en Phocide, réputée à l’époque impériale être indigente d’après un célèbre passage de Pausanias – lequel appelle cependant encore commentaire –, peut désormais être mieux connue grâce aux progrès récents de l’exploration archéologique et épigraphique. Ces progrès montrent notamment deux césures au seuil et vers la fin de l’époque classique, en lien respectivement avec l’invasion perse de 480 et la 3e guerre sacrée (356‑346 av. J.‑C.). Parmi les cités phocidiennes, Panopeus demeura à l’époque hellénistique (...) sans doute une cité moyenne, dont la vie est rendue manifeste par deux nouvelles inscriptions, une dédicace à Héraklès et un texte érotique. (shrink)

Seize plaques de marbres du gymnase d’Andros ont été trouvées à l’état fragmentaire. De longueur et largeur irrégulières, mais de hauteur constante, elles vont s’épaississant régulièrement d’un long côté à l’autre. Des graffiti sont inscrits sur le côté vertical et étroit de ces plaques, plus rarement aussi sur un autre côté. Ces plaques rappellent les bancs des gymnases et des palestres où, dans ce que l’on appelle l’ephebeion, les jeunes gens assistaient aux leçons. Les graffiti trouvés dans cette pièce reflètent (...) la vanité des éphèbes. Le soin de la gravure sur deux des plaques (n° 1-2) permet de déduire que les graffiti ont d’abord été inscrits sous les auspices d’un magistrat tel que le gymnasiarque. Le nom de l’éphèbe parvenu à l’âge adulte pouvait être effacé et remplacé par un autre nom, mais la gravure ne révèle plus le même soin. L’étude de la prosopographie d’Andros et du contexte historique permet de dater les plaques du début du IIe s. av. J.-C. leur utilisation s’étendant au cours des IIe et Ier s. av. J.-C. (shrink)

Picturesque Galaxidi, with its good harbor (eulimenos politeia) and rich nautical tradition, was constructed on the site of ancient Chaleion. The continuous habitation of the site as well as the fact that ancient stone blocks were used to build the modern harbor facilities have contributed to the extensive destruction of the ancient structures, and in particular of the fortifications. These last, which were likely founded in the late 4th century BC, are preserved in fragments among the modern city. This paper (...) gathers the results of previous and more recent studies, mainly of a rescue nature. Its aim is to graphically reconstruct, with the greatest possible degree of accuracy, the course of the walls, and to understand the defensive function of the fortification in the context of contemporary siege operations. (shrink)

The Bioethics Committee of the Church of Greece, headed by Metropolitan Nikolaos of Mesogaia and Lavreotiki, was founded a few years ago, bringing together clergy, medical and legal experts. In his address, Metropolitan Nikolaos explains the concerns and the conditions that led to its foundation and he outlines some of the activities and the principles of the Committee. This address, a somewhat broad-brush presentation of the state of bioethics in Greece, is offered as a proposal as to how (...) the Church can work within a secular state, and how it can attempt to raise awareness about the spiritual aspect of bioethical concerns. Overall, the Bioethics Committee tries to promote public dialogue about sensitive bioethical issues, and to make sure that the spiritual perspective is duly informed by medical science. In addition, the Committee tries to make sure that the spiritual perspective is considered by the state in the face of existing or emerging law that touches on bioethical concerns. (shrink)

We develop a general algebraic and proof-theoretic study of substructural logics that may lack associativity, along with other structural rules. Our study extends existing work on substructural logics over the full Lambek Calculus [34], Galatos and Ono [18], Galatos et al. [17]). We present a Gentzen-style sequent system that lacks the structural rules of contraction, weakening, exchange and associativity, and can be considered a non-associative formulation of . Moreover, we introduce an equivalent Hilbert-style system and show that the logic associated (...) with and is algebraizable, with the variety of residuated lattice-ordered groupoids with unit serving as its equivalent algebraic semantics. Overcoming technical complications arising from the lack of associativity, we introduce a generalized version of a logical matrix and apply the method of quasicompletions to obtain an algebra and a quasiembedding from the matrix to the algebra. By applying the general result to specific cases, we obtain important logical and algebraic properties, including the cut elimination of and various extensions, the strong separation of , and the finite generation of the variety of residuated lattice-ordered groupoids with unit. (shrink)

Using a conviction-based measure, we find that local public corruption exerts a negative effect on the lending activity of US banks. Our baseline estimations show that the difference in public corruption between, for example, Alabama, where corruption is high, and Minnesota, where corruption is low, implies that banks headquartered in the former state grant 0.55% less credit ceteris paribus. Using proxies for relationship lending and monitoring, we also find that these bank characteristics weaken the negative effect of public corruption on (...) lending. These results are robust to tests that address endogeneity, to the use of perception-based measures of corruption, and after controlling for credit demand conditions. In further analysis, we show that these effects are more evident for smaller banks and banks operating in a single state. These findings provide evidence that public corruption could facilitate information asymmetry in the lending market and, thus, could hinder local development by reducing bank credit. (shrink)

Given a positive universal formula in the language of residuated lattices, we construct a recursive basis of equations for a variety, such that a subdirectly irreducible residuated lattice is in the variety exactly when it satisfies the positive universal formula. We use this correspondence to prove, among other things, that the join of two finitely based varieties of commutative residuated lattices is also finitely based. This implies that the intersection of two finitely axiomatized substructural logics over FL + is also (...) finitely axiomatized. Finally, we give examples of cases where the join of two varieties is their Cartesian product. (shrink)

All known structural extensions of the substructural logic $\textbf{FL}_{\textbf{e}}$, the Full Lambek calculus with exchange/commutativity (corresponding to subvarieties of commutative residuated lattices axiomatized by $\{\vee, \cdot, 1\}$ -equations), have decidable theoremhood; in particular all the ones defined by knotted axioms enjoy strong decidability properties (such as the finite embeddability property). We provide infinitely many such extensions that have undecidable theoremhood, by encoding machines with undecidable halting problem. An even bigger class of extensions is shown to have undecidable deducibility problem (the (...) corresponding varieties of residuated lattices have undecidable word problem); actually with very few exceptions, such as the knotted axioms and the other prespinal axioms, we prove that undecidability is ubiquitous. Known undecidability results for non-commutative extensions use an encoding that fails in the presence of commutativity, so and-branching counter machines are employed. Even these machines provide encodings that fail to capture proper extensions of commutativity, therefore we introduce a new variant that works on an exponential scale. The correctness of the encoding is established by employing the theory of residuated frames. (shrink)

The aim of this volume is to explore new approaches to the problem of the constitution of the various aspects of sociality and to confront these with received ideas. Many of the contributions are devoted to a rather holistic and antireductionist conception of social objects, groups, joint actions, and collective knowledge. The topics that are dealt with are: (a) the question of the ontological status of social objects and their relation to physical objects; (b) collective agency; and (c) the question (...) whether there can be shared knowledge and shared beliefs, a rather new topic in the discussion of the social aspects of personal life. (shrink)

All variants of pragmatism share the flaw that their concepts of practice rely on the idea of the local value of actions with respect only to locally defined aims and not on the criterion of a universal goodness. This paper claims that such a criterion can be found with the aid of an ontologically founded theory of the Good, which regards forms not as solely noematic universals, but as real, though abstract, entities. The idea of goodness is derived from the (...) thesis of the immediate knowledge of the Good. Further consequences of this form of theoretical foundation of goodness are the abandonment of the dogma of the immediate reference of language to the world as well as of the dogma of the primacy of acting over thinking. (shrink)

ABSTRACTPreviously depressed individuals experience disturbances in affect. Affective disturbances may be related to visual mental imagery, given that imagery-based processing of emotional stimuli causes stronger affective responses than verbal processing in experimental laboratory studies. However, the role of imagery-based processing in everyday life is unknown. This study assessed mental imagery in the daily life of previously and never depressed individuals. Higher levels of visual mental imagery was hypothesised to be associated with more affective reactivity to both negatively and positively valenced (...) mental representations.This study was the first to explore mental imagery in daily life using experience sampling methodology. Previously depressed and matched never depressed individuals participated in this study. Momentary affect and imagery-based processing were assessed using the “Imagine your mood” smartphone application. Participants recorded on average 136 momentary reports ove... (shrink)

Even though effects of High Performance Work Systems (HPWS) on employee performance have been widely investigated, there is no consensus on how this link is achieved. Drawing on Social Exchange Theory (SET), this paper attempts to shed more light in this relationship by investigating the mediating role of affective, normative, and continuance commitment in the relationship between HPWS and employee performance. Moreover, the potential moderating role of employee tenure on the HPWS—organizational commitment link is examined. Using data from 342 subordinates (...) and 115 supervisors from 111 service organizations in Greece, our multilevel analysis shows that affective commitment fully mediates the relationship between HPWS and employee performance. In addition, employee tenure positively moderates the relationships between HPWS and affective and normative commitment. The paper discusses theoretical implications and provides recommendations for practitioners. (shrink)

We analyze the results from three different risk attitude elicitation methods. First, the broadly used test by Holt and Laury, HL, second, the lottery-panel task by Sabater-Grande and Georgantzis, SG, and third, responses to a survey question on self-assessment of general attitude towards risk. The first and the second task are implemented with real monetary incentives, while the third concerns all domains in life in general. Like in previous studies, the correlation of decisions across tasks is low and usually statistically (...) non-significant. However, when we consider only subjects whose behavior across the panels of the SG task is compatible with constant relative risk aversion, the correlation between HL and self-assessed risk attitude becomes significant. Furthermore, the correlation between HL and SG also increases for CRRA-compatible subjects, although it remains statistically non-significant. (shrink)

Within a geometric and algebraic framework, the structures which are related to the spin-statistics connection are discussed. A comparison with the Berry-Robbins approach is made. The underlying geometric structure constitutes an additional support for this approach. In our work, a geometric approach to quantum indistinguishability is introduced which allows the treatment of singlevaluedness of wave functions in a global, model independent way.

This paper deals with axiomatization problems for varieties of residuated meet semilattice-ordered monoids. An internal characterization of the finitely subdirectly irreducible RSs is proved, and it is used to investigate the varieties of RSs within which the finitely based subvarieties are closed under finite joins. It is shown that a variety has this closure property if its finitely subdirectly irreducible members form an elementary class. A syntactic characterization of this hypothesis is proved, and examples are discussed.

Although Artificial Intelligence (AI) and Machine Learning (ML) are attracting a lot of scientific and engineering attention nowadays, nothing up to now has been achieved to reach the level of building machines that possess human-like intelligence. Though, the engineering community continuously claims that several engineering problems are solved using AI or ML. Here, it is argued that engineers are not being able to build intelligent machines, implying that the systems claimed to have AI/ML belong to different engineering domains. The base (...) of the syllogism is the existence of four main obstacles on which extensive elucidation is performed. In addition, attempt to clear out the developed confusion, mis-use and ab-use of the phrases “Artificial Intelligence” and “Machine Learning” by scientists and engineers is carried out. Furthermore, mathematical, and philosophical approaches are also mentioned that strengthen the argument against AI implementability as part of the whole syllogism. Finally, an alternative approach (not being unique) is suggested and discussed for performing research on AI and ML by the engineers. It is based on complexity theory and non-linear adaptive systems and provides the benefit of eliminating the before mentioned pragmatic and philosophical obstacles that engineers are facing and ignoring, without creating confusion on this scientific endeavor. (shrink)

In this paper, we study overconfidence and goal-setting in academic performance, with and without monetary incentives. Students enrolled in a microeconomics course were offered the possibility of setting their own target grade before taking part in the final exam. They were also asked to guess their grade immediately after they had taken the exam (“post-diction”). In general, students overestimated their performance, both at the goal-setting and at the post-diction stages. Controlling for several sources of this bias (cognitive abilities, academic record (...) and self-reported academic confidence), we find that the use of monetary rewards mitigates the overestimation of potential achievements and eliminates overestimation of actual achievements through the improvement of actual performance. Our results suggest that monetary incentives do not cause subjects to put more effort into correct guesses but make them put more effort into academic performance. Using students’ academic records to measure overall skill, we find a strong Dunning–Kruger bias which is intensified in the presence of monetary rewards. (shrink)

This article addresses death as a biological event and attempts to approach it as a mystery within the light of the Orthodox Christian theology and tradition. First, the value of the last moments of the life of a human being is analyzed; then the state of living is differentiated from the state of surviving that results, in some extreme cases, from the intrusion of technology in medicine. The article elaborates on the sacred and spiritual character of death which, when viewed (...) within the light of Christ’s resurrection, is transformed into a great blessing. The last part of the article focuses on the newly emerged issue of euthanasia and the reasons behind it. It poses certain vital questions that ought to be answered before legalization gets on its way. Finally, the conclusion summarizes the position of the Orthodox Church of Greece on death, dying and euthanasia. (shrink)

This book explores the spiritual potential of faith, mysticism and transcendence in answer to the dangers of a mythologised state and the sacro-sanctification of (liberal) democracy and its rule of law. It searches for a curative for the pathological transformation of these institutions into--so called--political religions. Along this line, it explores the importance of spirituality and transcendence for political legitimacy, democratic participation and international cooperation, law and politics. There being no general agreed-upon definition of 'spirituality', the authors examine what may (...) be seen as 'spiritual' dimensions of the political. These dimensions have in common a focus on transcendence as a vanishing point of rationality and rational justification. This vanishing point may become manifest, for example, in a primordial requisite of becoming an individual person; in responding--in freedom--to the call of theocracy; in the phenomenon of prophecy or political wisdom; in the remaining shards of formerly all-pervasive religious institutions; in tenacious hope for a democracy-to-come; in the courageous resilience and resistance of citizens of 'non-' or 'un-democratic' states; etc."--Page 4 of back cover. (shrink)

Despite its effectiveness, limited research has examined the provision of telemental health and how practices may vary according to treatment paradigm. We surveyed 276 community mental health providers registered with a commercial telemedicine platform. Most providers reported primarily offering TMH services to adults with anxiety, depression, and trauma-and stressor-related disorders in individual therapy formats. Approximately 82% of TMH providers reported endorsing the use of Cognitive Behavioral Therapy in their remote practice. The most commonly used in-session and between-session exercises included coping (...) and emotion regulation, problem solving, mindfulness, interpersonal skills, relaxation, and modifying and addressing core beliefs. CBT TMH providers had a higher odds of using in-session and homework exercises and assigning them through postal mail, email or fax methods, as compared to non-CBT TMH providers. TMH providers, regardless of treatment paradigm, felt that assigning homework was neither easy nor difficult and they believed their patients were somewhat-to-moderately compliant to their assigned exercises. CBT TMH providers also collected clinical information from their patients more often than non-CBT TMH providers. They reported being less satisfied with their method, which was identified most often as paper-based surveys and forms. Overall, TMH providers employ evidence-based treatments to their patients remotely, with CBT TMH providers most likely to do so. Findings highlight the need for innovative solutions to improve how TMH providers that endorse following the CBT treatment paradigm remotely assign homework and collect clinical data to increase their satisfaction via telemedicine. (shrink)

We investigate the Fourth Spatial Dimension, also known as ‘hyperspace’, by researching the capabilities of the human senses from the perspective of art and technology. The geometric approach of the fourth spatial dimension is studied through mathematical logic and the properties of simple geometric hyper-solids are examined. Focusing on the different ways that scientists and artists approached the Hyperspatial cognitive perception, we propose new aesthetic approaches by researching the capabilities of the human senses/bio-sensors and the brain. We present an interactive (...) art installation for approaching the hyper-sound, with reference to the Varèse and Helmholtz description, but also in conjunction with gravitational waves, an interactive art application about visualization of Hyperspace resulting from our evolution of the Hinton Coloured Cubes Method and an artistic approach to connect Johan Van Manen’s intuitive ‘hypersphere’ with the Quantum Geometry of String Theory, proposing a new cosmological model. Through these methods, a reasoning is developed between the objective scientific thought and the freedom that Art offers generating a practical result: a series of innovative audio and visual stimuli created via innovative audio-visual digital technology. Hence, we merge computer science with sensory technology and artistic knowhow, to define the required knowledge base that today can be found in an emerging professional, the ‘technartist’. (shrink)

Hinton’s methodology of perceiving four-dimensional space is based on the application in higher dimensions of the geometric properties of objects that exist in our familiar three-dimensional space and on colouring all the points of these objects according to their movement through these four dimensions. Hinton applied his methodology on coloured cubes, thus leading to a mental perception of the hypercube. In this article, we evolve Hinton’s methodology aiming at the mental perception of the hypersphere, based on tracing and colouring the (...) hypersphere’s points according to their four coordinates. Finally, we describe an interactive application that we developed for visualizing the hypersphere. (shrink)

The largest class of hyperstructures is the one which satisfy the weak properties. These are called H v -structures introduced in 1990 and they proved to have a lot of applications on several applied sciences. Special classes of elements appeared to have new interesting properties applicable in other sciences. We present some results on hyperstructures containing ‘ single’ elements, and some new constructions. Keywords: hyperstructures; H v -structures; single elements.

Clinical ethics consultations exist to support patients, families and clinicians who are facing ethical or moral challenges related to patient care. They provide a forum for open communication, where all stakeholders are encouraged to express their concerns and articulate their viewpoints. Ethics consultations can be requested by patients, caregivers or members of a patient’s clinical or supportive team. Althoughpatientsand by extension their families (especially in cases of decisional incapacity) are the common denominators in most ethics consultations, these constituents are theleastlikely (...) to request them. At many healthcare organisations in the USA, ethics consultations are overwhelmingly requested by physicians and other clinicians. We believe it is vital that healthcare institutions bridge the knowledge gaps and power imbalances over access to ethics consultation services through augmented policies, procedures and infrastructure. With enhanced education and support, patients and families may use ethics consultation to elevate their voices and prioritise their unique characteristics and preferences in the delivery of their healthcare. Empowering patients and families to request ethics consultation can only strengthen the patient/family–clinician relationship, enhance the shared decision-making model of care and ultimately lead to improved patient-centred care. (shrink)