After the terrorist attacks of September 11, 2001, the worst disaster in the history of New York City, the Fire Department of New York faced a monumental challenge in rebuilding the Department, and in continuing to provide emergency services for New York City in a daunting new threat environment. Fire Commissioner Nicholas Scoppetta, who took over the agency in December 2001, describes how the FDNY has rebounded and what lessons were learned that terrible day.

We are morally obligated to plan for disaster because it affects human life and well-being. Because contemporary disasters affect the public, such planning should be public in democracies and it should not violate the basic ethical principles of normal times. Current Avian Flu pandemic planning is restricted to a response model based on scarce resources, or inadequate preparation, which gives priority to some lives over others. Rather than this model of ‘Save the Greatest Number,’ the public would (...) be more ethically served by a model of ‘Save All Who Can Be Saved,’ which is based on adequate preparation. And where events exceed adequate preparation, scarce resources should be allocated fairly. (shrink)

This essay considers the potential role of bioethics in disaster response planning and preparedness. Bioethicists can make substantial contributions, by ensuring that decision-making and distribution of resources during crises is carried out in a fair and just manner, as well as by examining the assumptions upon which disaster planning are based. Bioethicists should also be aware of potential pitfalls of overly-hasty engagement with this new field.

Nurses working or living near a community disaster have the opportunity to study health‐related consequences to disaster or disaster recovery. In such a situation, the researchers need to deal with the conceptual and methodological issues unique to postdisaster research and know what resources are available to guide them, even if they have no specialized training or previous experience in disaster research. The purpose of this article is to review issues and challenges associated with conducting postdisaster research (...) and encourage nurses to seek resources and seize opportunities to conduct research should the situation arise. Current disaster studies and the authors' personal experiences conducting maternal‐child research in post‐Katrina New Orleans (2005–2013) provide real‐life examples of how health professionals and nurses faced the challenges of doing postdisaster research. After catastrophic events, nurses need to step forward to conduct disaster research that informs and improves future disaster planning and healthcare responses. (shrink)

Disaster planning challenges our morality. Everyday rules of action may need to be suspended during large-scale disasters in favour of maxims that that may make prudential or practical sense and may even be morally preferable but emotionally hard to accept, such as tsunami-tendenko. This maxim dictates that the individual not stay and help others but run and preserve his or her life instead. Tsunami-tendenko became well known after the great East Japan earthquake on 11 March 2011, when almost (...) all the elementary and junior high school students in one city survived the tsunami because they acted on this maxim that had been taught for several years. While tsunami-tendenko has been praised, two criticisms of it merit careful consideration: one, that the maxim is selfish and immoral; and two, that it goes against the natural tendency to try to save others in dire need. In this paper, I will explain the concept of tsunami-tendenko and then respond to these criticisms. Such ethical analysis is essential for dispelling confusion and doubts about evacuation policies in a disaster. (shrink)

Animals in Disasters is a comprehensive book on animal rescue written by Dr. Dick Green who shares his experiences, best practices and lessons learned from well over 125 domestic and international disasters. It provides a step-by-step process for communities and states to more effectively address animal issues and enhance their animal response capabilities. Sections include an overview of the history of animal rescue, where we are today, and the steps needed to better prepare for tomorrow. This how-to book for emergency (...) managers who want to develop programs, craft policy, and build response capability/capacity is an ideal companion to their work. Clearly identifies the components of building a resilient community Introduces the Community Preparedness Checklist Helps readers develop and deliver effective animal response training. (shrink)

Disasters arising from natural hazards affect millions of people every year, killing tens of thousands and causing major economics losses. They disproportionately affect poor people and poor countries and are a threat to the achievement of the Millennium Development Goals. A root cause is the vulnerability of communities to natural hazards, often associated with poverty, social and economic disadvantage, environmental exploitation, and insufficient awareness, information, and political interest. Too often, disaster risk is not factored into planning and management, (...) despite the ready availability of the necessary knowledge, tools and policy frameworks to reduce the risks. Moreover it is likely that global warning will increase the number and intensity of hazard events in future. Recognizing these issues, in 2005 Governments agreed on the landmark Hyogo Framework for Action, which seeks to achieve a substantial reduction in disaster losses by 2015. Progress is slow, however, and a greatly scaled-up effort will be needed to achieve this outcome and to avoid an unnecessarily risky and dangerous future for the countless communities worldwide. (shrink)

“Aging and Disasters,” is an effort to tell a consistent and compelling story about the elderly amidst catastrophic disaster, and to then develop an ethical analysis and practical strategy for addressing the unique situation of the elderly. In the first portion of the chapter I make the case that the elderly are routinely overlooked amidst catastrophic disasters, and thereby often suffer disproportionately relative to the general population. More than being just a vulnerable population of people, the elderly are susceptible (...) to additional and compound harms. A failure to recognize the special needs of the elderly population will consistently lead to their marginalization in disaster response efforts. Therefore, in the second section of the chapter, I emphasize our ethical obligations to (1) responsible planning prior to a disaster taking place and also to (2) promoting and maintaining effective communication and collaboration both in planning for and responding to a major disaster as two elements of an approach that seeks to address the particularity of the elderly relative to major disasters. To further specify and make meaningful these broad commitments, I introduce an ethics of place holding, arising out of work by Hilde Lindemann and Iris Marion Young, as an important framework for analysis and assessment. In the final portion of the chapter, I offer some concrete recommendations for a renewed approach to disaster planning and response that is conscious of the elderly amidst catastrophic disasters. (shrink)

Youth constitute one third of total population in Nepal. This paper looks at the work and motivation of youth volunteers in disaster management in Nepal in order to evaluate how these ideas and values among the youth played roles in the re-construction of the Nation from the 2015 Earthquake. The study used primary data through group interviews with volunteers of Youth’s UNESCO Club in Kathmandu city who were actively involved in disaster-relief programs at Sindhupalchowk, Kathmandu, Bhaktapur and Ramechhap (...) districts, together with key informant interviews and case studies. Findings from the study shows most youth joined in the volunteer program on their own initiative. They are concerned about issues including personal safety, quality and appropriate training, coordination, wrong attitudes, gender inequality and media coverage. People engaging in similar acts may have different underlying motivations for doing so. Findings from the study shows that mostly, the volunteers are motivated based on their values which are welfare of others or unselfishness. Other underlying motives include opportunity to learn, career prospects, social pressure, to reduce feelings of guilt and enhance one‘s self-esteem. Activities for taking forward their work includes ensuring quality and appropriate training and appropriate gears and tools for search and rescue work, awareness raising, recognition and visibility of their work. Psychosocial counseling is important after rescue operations, as it is important to heal the psychological wounds after an emergency or a critical event. The study suggests involving volunteers in all stages of disaster management planning process. It is a matter of combined responsibility that volunteers are recognized for the contributions and their needs are ensured for them to accomplish their efforts successfully. (shrink)

Artificial Intelligence (AI) is increasingly being used in disaster risk management applications to predict the effect of upcoming disasters, plan for mitigation strategies, and determine who needs how much aid after a disaster strikes. The media is filled with unintended ethical concerns of AI algorithms, such as image recognition algorithms not recognizing persons of color or racist algorithmic predictions of whether offenders will recidivate. We know such unintended ethical consequences must play a role in DRM as well, yet (...) there is surprisingly little research on exactly what the unintended consequences are and what we can do to mitigate them. The aim of this perspective is to call researchers working on fairness, accountability, and transparency to work with DRM and local experts—so we can ensure that disaster mitigation and relief is accountable, considers local values, and is not unintentionally biased. (shrink)

The nuclear disaster that Japan suffered at Fukushima in the months following March 11, 2011 has been compared with other major nuclear disasters, especially, Three Mile Island (1979) and Chernobyl (1986). It is more like Chernobyl in severity, the only other 7 on the International Nuclear Event Scale; more like Three Mile Island in long-term effects. Yet Fukushima is not just another nuclear disaster. In ways important to engineering ethics, it is much more like Katrina’s destruction of New (...) Orleans than like any nuclear disaster. It is (primarily) a consequence of a natural disaster, the enormous earthquake and tsunami that wrecked much of northeast Japan. One lesson of Fukushima, one shared with Katrina, concerns the different roles engineers have at different stages in an engineering project (planning, designing, management, and operations). In the planning stage, engineers seem to have relatively little power to affect certain early large-scale trade-offs between public safety and public welfare. Another lesson may be the importance of not leaving complex technical systems untended. The events that made the disasters at Three Mile Island and Chernobyl inevitable lasted only a few minutes or hours; the events that made the disasters in New Orleans and Fukushima inevitable were spread over several days. Fukushima avoided a more serious disaster because the plants were not abandoned in the way New Orleans was. A third lesson concerns our ideas of heroism, especially our sense that heroism is sometimes one’s duty. An engineer’s duty sometimes includes protecting others from harm even at the risk of the engineer’s life. (shrink)

Objective To develop an ethically, legally, and clinically appropriate ventilator allocation policy for AdventHealth Tampa and AdventHealth Carrollwood in Tampa, Florida, which could be enacted swiftly during the Covid-19 pandemic. Methods During Spring 2020, a subcommittee of the Medical Ethics Committee established consensus on the fundamental principles of the policy, then built on existing ethical, legal, and clinical guidance. Results The plan was finalized in May 2020. The plan triages patients based on exclusion criteria, prognosis and expected benefit of ventilation, (...) and change in prognosis over time. Decisions are made by committee in order to minimize moral distress among individual patient care providers. Conclusions Due to international concerns about healthcare resource shortages during the Covid-19 pandemic, hospitals need allocation policies informed by the crisis standard of care, the hospital’s ethical duty to plan for an emergency, and federal civil rights laws Policy Implications: This type of policy can serve as a model for other institutions to develop crisis standards of care resource allocation policies, which are a necessary component of disaster planning. (shrink)

The primary function of the police in a critical incident is the maintenance of public safety, public security, and maintaining public order. This has been further complicated as a result of the increasing presence of the internet, digital communications and social media, all of which hold both promise and challenge. There are many aspects of crisis and disaster management, including communications, interoperability, leadership, and police responsibility. Risk identification and management are essential part of dealing with crises and disasters. There (...) is a significant threat to organizational reputation and public trust for any police or security organization that depends entirely on how that organization responds to a crisis or disaster. -/- This chapter examines Hurricane Katrina (2005) in the USA which caused large-scale damage to infrastructure and loss of life, and the response as handled by some government agencies. The management of crises and disasters is a cyclical process. It includes risk assessment, planning, preparation, mitigation and contingency, response, recovery, and finally, an evaluation. The core features, and the elements of an effective response, of a crisis or disaster, as well as the criticality of effective leadership are examined. This chapter also studies the fundamentals of Disaster Victim Identification (DVI). (shrink)

Discussions about resource allocation commonly invoke concerns of unfair and variable decisions when physicians ration at the bedside. This concern is no less germane in disaster medicine, in which physicians make triage and allocation decisions under duress, and patients and their families may be challenged to self-advocate. Unfortunately, a real-time mechanism to support a process for ethical decision making may not be available to medical relief workers. Yet, resources for ethics decision support can be important for the moral well-being (...) of the clinician, the ethical integrity of the relief effort, and to bolster the trust and confidence of the population receiving medical services. The need for clinical ethical support should be anticipated in disaster preparedness planning. (shrink)

The devastating impacts of natural disasters not only directly affect humans and infrastructure, but also animals, which may be crucial to the livelihoods of many people. This book considers the needs of animals in the aftermath of disasters and explains the importance of looking to their welfare in extreme events. The authors explore how animals are affected by specific disaster types, what their emergency and subsequent welfare needs are and the appropriate interventions. They describe the key benefits of management (...) of animals to populations and discuss preventative measures that can be taken to reduce risk and build resilience. They also include a summary of recent debates and public policy advances on animals in disasters. The book covers livestock, companion and wild animals, with case studies to show how the concepts can be put into practice. It provides a standalone text for students of disaster studies and management as well as professionals and NGOs who require an entry-level introduction to the subject. (shrink)

The ethical implications of disaster planning garner increasing scrutiny. The role of families in disaster efforts is a topic that requires additional ethical examination. This article reviews the potential roles for families before and during disasters, with particular attention to the impact on children and vulnerable elderly patients. The potential positive and negative impact of family participation in different aspects of healthcare and disaster efforts is assessed.

In October 1854, around 150 years ago therefore, François Cantagrel, a disciple of the well-known utopian visionary Charles Fourier, set sail for the New World. He was leader of the first group of French Fourierist settlers emigrating to North America, where they planned to emulate their American co-disciples in establishing new ‘phalansteries’ there and hence to lay the foundations for the ‘phalanx of harmony’ to come. The instigator of the expedition was Victor Considérant, a great propagandist for Fourier's doctrine, under (...) whose mandate Cantagrel was sent out. The region chosen for the founding of the utopian colony was Texas, at that time in the midst of a great surge of settlement. Cantagrel bought a block of land in Houston, then a mere straggling frontier town on the edge of a bayou infested with alligators and mosquitoes, to serve as a staging post. Of more significance was land purchased close to Dallas, then but a village of 400 souls, for it was here in the next few years that a Fourier colony, ‘La Réunion’, was established. It came to number more settlers than the village of Dallas itself. But it resulted in a total disaster. (shrink)

This essay examines the management of ventilatory failure in disaster settings where clinical needs overwhelm available resources. An ethically defensible approach in such settings will adopt a “sufficiency of care” perspective that is: (1) adaptive, (2) resource-driven, and (3) responsive to the values of populations being served. Detailed, generic, antecedently written guidelines for “ventilator triage” or other management issues typically are of limited value, and may even impede ethical disaster response if they result in rescuers’ clumsily interpreting events (...) through the lens of the guideline, rather than customizing tactics to the actual context. Especially concerning is the tendency of some expert planners to mistakenly assume that medical treatment of respiratory failure: (1) always requires full-feature mechanical ventilators, (2) will always occur in hospitals, and (3) can be planned in advance without sophisticated public consultation about likely ethical dilemmas. (shrink)

The terrorist attacks of 2001 were a reminder that individual and collective safety cannot be taken for granted. Since then, physicians, alongside public health professionals and other healthcare professionals as well as nonhealthcare personnel, have been developing plans to enhance the protection of public health and the provision of medical care in response to various threats, including acts of terrorism or bioterrorism. Included in those plans are strategies to attend to large numbers of victims and help prevent greater harm to (...) even larger populations. (shrink)

Biobanks are vital for diagnostic, epidemiological and research purposes following radiation disasters, but there is a history of delays in this type of research and specifically in setting up important resources including tissue repositories following the rare occurrence of these events. Here, we argue that one key lesson from Chernobyl and Fukushima has still not been learned: it is essential to agree on a proactive international plan for a radiation disaster biobank and accompanying data collection before the next (...) class='Hi'>disaster occurs. (shrink)

The discussion of the Anthropocene makes it clear that contemporary social thought can no longer take nature, or an external ‘environment’, for granted in political discussion. Humanity is remaking its own context very rapidly, not only in the processes of urbanization but also in the larger context of global biophysical transformations that provide various forms of insecurity. Disasters such as the Fukushima nuclear meltdowns and potentially disastrous plans to geoengineer the climate in coming decades highlight that the human environment is (...) being remade in the Anthropocene. Humanity is now a geological actor, not just a biological one, and that insight, captured in the term Anthropocene, changes understandings of both security and environment in social thought, requiring a focus on production of environments rather than their protection. Disasters help clarify this key point and its significance for considering geosocial formations. (shrink)

This paper uses an environmental justice framework to examine government response to weather-related disasters dating back some eight decades. It places the 2005 Hurricane Katrina disaster in socio-historical context of past emergencies with an emphasis on race and class dynamics and social vulnerability. Key questions explored include: What went wrong? Can it happen again? Is government equipped to plan for, mitigate against, respond to, and recover from natural and manmade disasters? Can the public trust government response to be fair? (...) Why are so many African Americans Alocked out@ of New Orleans= post-Katrina rebuilding, reconstruction, and recovery? (shrink)

For historians of science, earthquakes may well have an air of the exotic. Often terrifying, apparently unpredictable, and arguably even more deadly today than in a pre-industrial age, they are not a phenomenon against which scientific progress is easy to gauge. Yet precisely because seismic forces seem so uncanny, even demonic, naturalizing them has been one of the most tantalizing and enduring challenges of modern science. Earthquakes have repeatedly shaken not just human edifices but the foundations of human knowledge. They (...) have been known to cast doubt on divine providence, on the predictive ability of the sciences, and on the capacity of the human mind to learn from an experience of sheer terror. Most recently, the Japanese earthquake and tsunami of 2011 have forced nuclear experts around the world to confront the limits of their knowledge and the vulnerability of their best-laid plans. (shrink)

This book uses interview data from public officials tasked with planning and executing preparation and response to natural disasters to analyze how pets, livestock, and other companion animals complicate disaster preparedness. Because many families view animal welfare as a priority, evacuation and sheltering preparations and responses must account for animals.

In the literature on the recovery of societies from natural disasters, a dominant theme is the importance of pursuing and achieving sustainable recovery. Sustainability implies that recovery efforts should aim to (re-) build, maintain, and, if possible, enhance the quality of life of members of the disaster-stricken community in the short and long term. In this paper, we propose a capabilities-based approach to recovery and argue that it provides important theoretical resources for better realizing this ideal of sustainability in (...) practice. From a capabilities-based approach, the societal impact of a disaster is measured in terms of its impact on selected capabilities of individuals within society. Capabilities are constitutive elements of well-being and capture the valuable doings and beings individuals can achieve or become (e.g., being adequately nourished, and being sheltered). A proposed Disaster Impact Index (DII), we argue, can capture the societal impact of a disaster by measuring its impact on the well-being of individuals, as gauged by the changes in individuals’ capabilities. We discuss how to measure this impact in practice. Also, a proposed Disaster Recovery Index (DRI) measures the current level of individuals’ capabilities. It can provide important information on the degree to which capabilities have been restored and enhanced by comparing the DRI against a benchmark, or level of capabilities attainment, toward which recovery processes should strive. We argue that the DII and DRI provide critical information for policy- and decision-makers to use in order to practically implement the principles of sustainable recovery. Both can be used in the process of predisaster planning for recovery and in the period of recovery itself. (shrink)

Even today the "immaterialist" philosophy of George Berkeley , the Irish bishop, has the power to fascinate: with its apparent idiosyncratic and uncompromisingly idealistic colouring. However, with respect to his radically subjectivist, possibly even solipsist understanding of the time issue, even sympathizers of the philosopher normally share George Pitcher's opinion, according to which this element of his theory constitutes "a total disaster". – The following article entails a résumé of Berkeley's theory of time. The obviously courageous attempt is made, (...) then, to give a text-based interpretation with the aim to avoid "disastrous" consequences. This plan proves to be a difficult task indeed, but nevertheless in the end it is shown that a theistic interpretation in union with a 'Kantian' reading of a central statement of Berkeley's can avoid the aforesaid consequences. – From a historical perspective, this philosophy of time turns out to be a counterpart to Leibniz's critique of the Newtonian perspective of time, as both are documented above all in the famous correspondence with Newton's friend Samuel Clarke. That Berkeley and Leibniz really share common philosophical ground is also shown by the latter's marginal note in his personal edition of the formers Principles of Human Understanding: "Much of this is correct and just as I'd have said". (shrink)

Despite the applicability of assemblage theory to extreme events, the relational ontology that assemblage thinkers employ makes it hard to ground the potential of artefacts to undergo substantial change. To better understand how artefacts can be unexpectedly destroyed, and thereby catch managers by surprise, this article draws on Graham Harman’s object-oriented ontology. This approach is used to explain how artefacts, as concrete objects, have the capacity both to cause and to exacerbate calamities. By contrast, assemblage theory is shown to provide (...) insight into post-disaster organizing dilemmas. An analysis of artefact-based surprise at a disaster-prone New Zealand port illustrates the complementarity of the two approaches. Minimizing surprise was a major impetus behind attempts by port managers to make sizeable artefacts more disaster resilient. Yet there are limits to this process that stem from a gap revealed by the philosophical distinction between an artefact’s design plan and its maximum plan. Object-based surprise at the port also sparked tension between the competing imperatives of centralization and decentralization in post-disaster recovery. How this problem played out at the grassroots level is best explained, however, in assemblage-theoretic terms. (shrink)

Abstract -/- The Crisis and Disaster Management process (CDMP) is composed of several clearly defined phases. Strategic risk assessment; preparation and planning, effective response and recovery, and post-crisis evaluation. It is essential for those facing such threats to understand, appreciate, and implement the appropriate responses for each phase. Public service organizations, or PSOs, are increasingly charged with additional duties and responsibilities that historically were not part of their original purview. PSOs are currently forced to operate within an environment (...) of increasing political unrest and social chaos. Events of international magnitude now impact the domestic environment. These organizations must deal with negative media, hostile public backlash, increased scrutiny, and calls for greater accountability. Service organizations are currently faced with increasing political and social chaos, with widespread civil unrest, domestic and international threats of terrorism, human trafficking and illegal migration, public health emergencies, natural disasters, and diverse climate-related challenges. These conditions have fostered additional layers of responsibility to already overburdened first responders and their civil support partners. The consequences are significant. These previously mentioned burdens are further compounded by budgetary constraints, greater regulatory compliance, and organizational accountability. In other words, agencies and departments are expected to do more with less, much more with much less. -/- DOI: 10.5772/intechopen.108408. (shrink)

Civil Protection and disaster risk specific agencies legally responsible to enhance individual and community resilience, still utilize in their risk and crisis communication efforts, the “deficit model” even though its basic assumption and approach have been criticized. Recent studies indicate that information seeking behavior is not necessarily a measure of enhanced individual preparedness. A qualitative change from “blindly” following directions to practicing emergency planning and becoming your own disaster risk manager is required. For pandemics, the challenge is (...) even more complicated due to their unique characteristics. Community based exercises, a framework concept encompassing a variety of interactive activities, have recently started being utilized to develop resilience amongst citizens. Existing models of resilience can pinpoint to the required knowledge, skills and attitude. Research in the factors influencing behavioral change could offer new understanding of the interplay between cognitive and demographic drivers/factors of resilience. Such knowledge could be utilized for setting targeted objectives, developing appropriate activities and the corresponding training for the CBEx facilitators. Despite the importance of preparation, the current covid-19 crisis indicates that high levels of adaptive resilience can be displayed even in the absence of any risk communication effort beforehand by utilizing a pre-existing collective understanding of the system situation. (shrink)

This chapter reiterates the proposition that practical cognition should not aim at finding optimal solutions to practical problems. A rational cognizer should instead look for good solutions, and replace them with better solutions if any are found. Solutions come in the form of plans. In general, a change to the master plan may consist of deleting several local plans and adding several others. This theory is still fairly schematic. It leaves most details to the imagination of the reader, and in (...) philosophy, that is often a recipe for disaster. When philosophical theories fail, it is not because they did not look good in the abstract—it is because it is impossible to make the details work. This chapter simply gives a preliminary sketch of how a resource bounded agent can actually perform locally global planning. (shrink)

This book explores the major differences between the kinds of risk encountered in different sectors of industry - production and services - and identifies the main features of accidents within different industries. Because of these differences, unique risk-mitigation measures will need to be implemented in one industry that cannot be implemented in another, leading to large managerial differences between these broad economic sectors. Based on the analysis of more than 500 disasters, accidents and incidents - around 230 cases from the (...) production sector and around 280 cases from the service sector - the authors compare the risk response actions appropriate within different sectors, and establish when and how it is possible to generalize the experience of dealing with risks in any given industry to a wider field of economic activity. This book is mainly intended for executives, strategists, senior risk managers of enterprise-wide organizations and risk management experts engaged in academic or consulting work. By setting out clearly the sector differences in risk management, the authors aim to improve the practice of general risk assessment with regard to identifying and prioritizing risks, and of risk control with regard to planning appropriate mitigation measures. (shrink)

Crisis standards of care are a significant change in the standard level of medical care that can be given compared to normal healthcare operations. CSC are implemented when a healthcare facility is overrun due to catastrophic events like earthquakes, or in the case of SARS-CoV-2, a global pandemic. Especially in disasters, resources like hospital beds, pharmaceuticals, and staff become stretched thin, and facilities must adapt their allocation strategies for distributing scarce resources. Inevitably, a question arises: How do we allocate scarce (...) resources justly? During the coronavirus pandemic, bioethicists, healthcare practitioners, and policymakers have asked this question. A recurring worry among them... (shrink)

Se analiza el debate actual sobre el concepto de Escuela de Salamanca. Se muestran las nuevas propuestas de los estudiosos: su carácter global (no solo Salamanca); su alcance interdisciplinar (no solo teológico, también jurídico, económico, sociopolítico, etc); la cuestión de los miembros también experimenta una ampliación, aunque siempre se señala un cierto cordón umbilical con los Maestros salmantinos; todo ello dentro de un marco temporal que se extiende durante el siglo XVI y primera mitad del XVII. Estas nuevas perspectivas no (...) excluyen los elementos tradicionales, sino que amplían y desarrollan el concepto primitivo, pero con carácter inclusivo. Por último, se aborda el tema de las condiciones de posibilidad de la Escuela, que se contextualiza en un ámbito histórico que la hace posible. Al término del estudio se ofrece un posible nuevo concepto de la Escuela, todavía _in fieri_. (shrink)

La psiquiatría nace con el siglo XIX, la fenomenología con el XX. Desde el advenimiento de la segunda ha querido la primera ver en ella una vía para la superación del positivismo que la atenazaba desde su mismo origen. Uno de sus intentos más logrados fue el del psiquiatra Ludwig Binswanger a lo largo de los años veinte del pasado siglo. Recorrió en ese tiempo las Investigaciones lógicas de Husserl y ensayó su acercamiento a la psicología estructural. Proponemos que una (...) deficiente lectura de las posibilidades de la fenomenología ―comprensible en su prematuridad, desgraciada en su ímpetu anti-(neo)kantiano― impidió que reconociera su horizonte trascendental y así pudiera entrever caminos de acceso al mundo, a la persona y a su concreto sufrimiento. Para concluir presentamos el intento que supone el proyecto La mirada filosófica como mirada médica por recuperar aquella problematicidad y ahondar en una aproximación respetuosa al padecer, tal como aparece, sin violentarlo por el concepto. (shrink)

Background:Nurses must balance their perceived duty to care against their perceived risk of harm to determine their willingness to report during disaster events, potentially creating an ethical dilemma and impacting patient care.Research aim:The purpose of this study was to investigate nurses’ perceived duty to care and whether there were differences in willingness to respond during disaster events based on perceived levels of duty to care.Research design:A cross-sectional survey research design was used in this study.Participants and research context:Using a (...) convenience sample with a snowball technique, data were collected from 289 nurses throughout the United States in 2017. Participants were recruited through host university websites, Facebook, and an American Nurses Association discussion board.Ethical considerations:Institutional review board approval was obtained from the University of Texas at Tyler and the University of Arkansas.Findings:Analysis of willingness to report to work based on levels of perceived duty to care resulted in the emergence of two groups: “lower level of perceived duty to care group” and “higher level of perceived duty to care group.” The most discriminating characteristics differentiating the groups included fear of abandonment by co-workers, reporting because it is morally the right thing to, and because of imperatives within the Nursing Code of Ethics.Discussion:The number of nurses in the lower level of perceived duty to care group causes concern. It is important for nursing management to develop strategies to advance nurses’ safety, minimize nurses’ risk, and promote nurses’ knowledge to confidently work during disaster situations.Conclusion:Level of perceived duty to care affects nurses’ willingness to report to work during disasters. Primary indicators of low perceived duty to care are amenable to actionable strategies, potentially increasing nurses’ perceived duty to provide care and willingness to report to work during disasters. (shrink)

Research indicates that the well‐being and productivity of over 100 million people in the global workforce may be compromised by posttraumatic stress (PTS). Given that work‐related experiences are often the source of the trauma that leads to PTS, and that PTS due to any cause can interfere with employees’ job performance, organizations would do well to consider the antecedents and consequences of PTS. This review of research—primarily within fields adjacent to business—on the types, antecedents, consequences, and organizational implications of PTS (...) is presented to advance inquiry within the field of business. The definition of PTS requires attention to the new classification of complex posttraumatic stress disorder that can result from threats that are not life‐threatening such as bullying and sexual harassment. PTS antecedents include organizational and extraorganizational traumas, and risk and resilience factors. Absenteeism, impaired cognitive functioning, strained relationships, and growth are among the consequences of PTS. Organizations can assist through disaster planning, empathetic leaders, mental health literacy initiatives, and employee assistance programs. Many research questions arise that, when answered, will allow organizations to better understand how they can improve employee productivity and well‐being by attending to PTS. (shrink)

Preparations for large-scale disasters have tended to focus on triage schema, stockpiling of materials, and other logistical concerns. Less attention has been given to the myriad of distressing and almost unthinkable ethically charged dilemmas that will emerge at the bedside during a catastrophe, and how they may be best managed. Yet, it is these bedside issues that may limit or thwart the effectiveness of disaster planning, and, therefore, they ought to be carefully considered.

Uncertainty governs our lives. From the unknowns of living with the risks of terrorism to developing policies on genetically modified foods, or disaster planning for catastrophic climate change, how we conceptualize, evaluate and cope with uncertainty drives our actions and deployment of resources, decisions and priorities.

Theory of health care ethics -- Principles of health care ethics -- The moral status of gametes and embryos : storage and surrogacy -- The ethical challenges of the new reproductive technology -- Ethics and aging in America -- -- Healthcare ethics committees : roles, memberships, structure, and difficulties -- Ethics in the management of health information systems -- Technological advances in health care : blessing or ethics nightmare? -- Ethics and safe patient handling and mobility -- Spirituality and healthcare (...) organizations -- A new era of health care : the ethics of healthcare reform -- Health inequalities and health inequities -- The ethics of epidemics -- Ethics of disasters : planning and response -- Domestic violence : changing theory, changing practice -- Looking toward the future. (shrink)

Preparations for large-scale disasters have tended to focus on triage schema, stockpiling of materials, and other logistical concerns. Less attention has been given to the myriad of distressing and almost unthinkable ethically charged dilemmas that will emerge at the bedside during a catastrophe, and how they may be best managed. Yet, it is these bedside issues that may limit or thwart the effectiveness of disaster planning, and, therefore, they ought to be carefully considered.

Practical Knowledge, Science and Disasters. The History of Social Science Disaster Research, 1949–1979. During the second half of the twentieth century several US-American social science “disaster research groups” conducted field studies after earthquakes, factory explosions and “racial riots”. Their aim was to provide practical knowledge that could be applied in the planning and managing of future disasters of both peace- and wartime nature. In this paper, I will elaborate on how this research goal conflicted with some scientists’ (...) aspirations to develop more theoretical knowledge and their own ideals of “scientificity”. I will also show how the generated research results came to be ‘impractical knowledge’, which was difficult or impossible to apply. Furthermore this paper analyzes the scientific practices that were involved at different stages of the knowledge production process and contributed to disaster research's ‘precarious’ character. (shrink)