Objective To obtain information about the similarities and differences in regulating different types of medical research in the European Union .Methods Web searches were performed from September 2009 to January 2011. Notes on pre-determined topics were systematically taken down from the web pages. The analysis relied only on documents and reports available on the web, reflecting the situation at the end of 2010.Results In several countries, regulatory legislation applied only to clinical trials on drugs and medical devices, in other states (...) various types of research were also regulated but by laws different from those concerning trials, and in many countries, some research areas were not controlled by legislation at all. In very few countries was all medical research handled similarly from a legal point of view. The number of research ethics committees in a single country varied from one to 264. Their areas of responsibility, working principles and length of time to grant research permission varied as well as the rules for obtaining informed consent from vulnerable groups. In 10 EU countries, there was no appeal mechanism after a negative decision by an REC. The RECs were not accountable to any organisation in five EU countries.Conclusions There is a need for a fundamental debate regarding whether and which kinds of changes are needed for the further harmonisation of medical research governance in the EU and how cross-country medical research could be facilitated in the future. (shrink)

Collecting ethnographic items for the Estonian National Museum has been linked to the practice of buying objects during fieldwork. Often we can find metaphors or expressions connected with trading in the Komi fieldwork diaries. Comparing ethnographers with merchants is a stereotypical way of describing the activities of Estonian researchers in the field. If ethnographers use, in their diaries, metaphors and expressions connected to trading, it may be just a spontaneous phrasing or inter-textual play of words. Inside the community of Estonian (...) ethnologists there exists some kind of discourse style, which is followed in the fieldwork diaries, more or less consciously. This style of narration is also connected to the specific social and historical context in which ethnographers act. At the same time, even satiric inter-textual quotations do not exclude the possibility that some of this discourse is related to a deeper level of human consciousness. (shrink)

Collecting ethnographic items for the Estonian National Museum has been linked to the practice of buying objects during fieldwork. Often we can find metaphors or expressions connected with trading in the Komi fieldwork diaries. Comparing ethnographers with merchants is a stereotypical way of describing the activities of Estonian researchers in the field. If ethnographers use, in their diaries, metaphors and expressions connected to trading, it may be just a spontaneous phrasing or inter-textual play of words. Inside the community of Estonian (...) ethnologists there exists some kind of discourse style, which is followed in the fieldwork diaries, more or less consciously. This style of narration is also connected to the specific social and historical context in which ethnographers act. At the same time, even satiric inter-textual quotations do not exclude the possibility that some of this discourse is related to a deeper level of human consciousness. (shrink)

For centuries, humanists have celebrated and cherished the limitless potential of humankind and its irrepressible spirit. For its efforts to develop rational solutions to human problems rather than invoking supernatural intervention, humanism has been rewarded with a rich and distinguished heritage whose contributors include many of the brightest minds of intellectual history. Advocating reason, critical intelligence, free and objective inquiry, democratic institutions, and moral values based on human experience, humanism stands in steadfast opposition to the moral, political, and social oppression (...) perpetrated by all who would have us swear unquestioned allegiance to authoritarian power, be it temporal or divine. But if humanism is to remain fresh and vibrant, alert and ever vigilant, it must continuously assess and evaluate its goals in light of new experience. In The Question of Humanism, 23 contributors investigate the meaning of humanism today, its range of perspectives, and how humanists can deal with the challenges of contemporary life and those it will face as the new century approaches. This absorbing collection of original essays examines the abundant variety of historical and contemporary humanist philosophies, with special emphasis on the work of Thomas Aquinas, Immanuel Kant, Soren Kierkegaard, Karl Marx, Friedrich Nietzsche, Martin Heidegger, and Michel Foucault. Focusing on the need for an awareness of humanist tradition, these essays offer blunt, progressive self-appraisals to illustrate how humanism will continue to grow as a vital and compelling intellectual force. Featured are essays by Cecil Abrahams, Zygmunt Adamczewski, Samuel Ajzenstat, Martin Andic, Allan Booth, Richard Brown, Michael Cardy, Kenneth Dorter, Richard Francis, David Goicoechea, Danny Goldstick, Calvin Hayes, Marsha Hewitt, Monica Hornyansky, Paul Kurtz, James Lawler, John Luik, Robert McLaughlin, Graeme Nicholson, Zaid Orudjev, Robert Perkins, Charles Scott, and Edward A. Synan. The challenges of the past have served to strengthen humanists' resolve. Humanism, in all of its variations, is now ready for a new era. (shrink)

Sciences are often regarded as providing the best, or, ideally, exact, knowledge of the world, especially in providing laws of nature. Ilya Prigogine, who was awarded the Nobel Prize for his theory of non-equilibrium chemical processes—this being also an important attempt to bridge the gap between exact and non-exact sciences [mentioned in the Presentation Speech by Professor Stig Claesson (nobelprize.org, The Nobel Prize in Chemistry 1977)]—has had this ideal in mind when trying to formulate a new kind of science. Philosophers (...) of science distinguish theory and reality, examining relations between these two. Nancy Cartwright’s distinction of fundamental and phenomenological laws, Rein Vihalemm’s conception of the peculiarity of the exact sciences, and Ronald Giere’s account of models in science and science as a set of models are deployed in this article to criticise the common view of science and analyse Ilya Prigogine’s view in particular. We will conclude that on a more abstract, philosophical level, Prigogine’s understanding of science doesn’t differ from the common understanding. (shrink)

In this paper I reconstruct the historical significance of the concept of sovereignty and I defend its relevance against the critique of Hannah Arendt. I argue that sovereignty, understood as the concept that expresses the normative unity of the legal order, is not incompatible with plurality and constitutionalism and that it was the condition for the formation of inter state law. Further I criticize the abstract moralism that characterizes today's cosmopolitanism and the paradigm of global governance. Although the significance of (...) sovereignty is shifting in the context of globalisation, it is not becoming irrelevant because it symbolizes the right of political self-determination of a community as well as the capacity to transfer some portion of its regulatory competence to a supra-national legal order. (shrink)

What would be the right way of starting (and developing) a discussion on the subject “What is time?”? Most probably in a number of ways as (paraphrasing Aristotle, 1003a) time has many meanings. Perhaps it would be sensible then not to start at all, think it over once again and limit the theme in an appropriate way. In the following we ask what time is, and follow namely this appeal — we think again and restrict the subject.

Met de verlichting en de Franse revolutie komt het moderniseringsproces in een stroomversnelling terecht.

Globally, one of every eight nurses is a migrant, but few studies have focused on the healthcare experiences of migrant nurses (MNs) as consumers or recipients of healthcare. We address this gap by examining MNs and their acculturation, barriers to healthcare access, and perceptions of healthcare encounters as consumers. For this mixed‐methods study, a convenience sample of MNs working in Europe and Israel was recruited. The quantitative component's methods included testing the reliability of scales contained within the questionnaire and using (...) Hayes Process Model #4 to test for mediation. The qualitative component's methods included analyzing interviews with iterative inductive thematic analysis. Quantitative findings on MNs (n = 73) indicated that the association between acculturation and perception of the healthcare encounter, which MNs experienced as healthcare consumers, was mediated by barriers to healthcare access, even after adjusting for age and gender (p = 0.03). Qualitative interviews with MNs (n = 13) provided possible explanations for the quantitative findings. Even after working in the host country's healthcare system for several years, MNs reported difficulties with their healthcare encounters as healthcare consumers, not only due to their limited knowledge about the culture and healthcare resources but also due to the biased responses they received. (shrink)

This systematic review synthesises the available evidence regarding the European understanding of workplace spirituality (definitions), the importance of spirituality and religion (evidence) as well as spiritual leadership (meaning and practice) in for-profitorganizations. The search for eligible studies was conducted in OPAC Plus, SCOPUS, Science Direct, JSTOR, EBSCO, and Google Scholar from 2007/01 to 2017/07. Three independent scholars extracted the data. Twenty studies were included (two mixed-methods, eight quantitative, ten qualitative) for the final quality assessment. A study quality assessment and thematic (...) analysis was conducted. This review gives suggestions for study quality improvement and reporting. Thematically, two different approaches to religion and spirituality (R/S) were detected: a) work has a spiritual dimension and b) religious and spiritual orientation as “spiritual capital”. Studies demonstrated positive effect on job satisfaction, health, commitment, company productivity and sustainability; Christian leadership does not address personal religious orientation; the spiritual dimension may lead to a change of perspective; workplace spirituality may exploit people for profit-oriented business goals; non-white Muslims experience discrimination. This systematic review provides robust evidence and findings for evidence-informed policymaking and encourages a more rigorous research in this field of study. (shrink)

The administration of pro re nata medications is the responsibility of the nurse. However, ethical uncertainties often happen due to the inability of incapacitated patients to collaborate with the nurse in the process of decision making for pro re nata medication administration. There is a lack of integrative knowledge and insufficient understanding regarding ethical considerations surrounding the administration of pro re nata medications to incapacitated patients. Therefore, they have been discussed in this paper and practical strategies to avoid unethical practices (...) have been suggested. The complicated caring situation surrounding the administration of pro re nata medications is intertwined with ethical issues affecting the consideration of the patient's wishes and interventions that override them. The patient's right of autonomy and treatment refusal, surrogacy role, paternalism, and coercion are the main ethos of ethical pro re nata medication administration. Education and training can help nurses avoid legal and ethical issues in pro re nata medicines management and improve the quality and safety of healthcare. Empirical research is needed to improve our understanding of this phenomenon in the multidisciplinary environment of medicines management. (shrink)