Moral distress is a phenomenon of increasing concern in nursing practice, education and research. Previous research has suggested that moral distress is associated with perceptions of ethical climate, which has implications for nursing practice and patient outcomes. In this study, a randomly selected sample of registered nurses was surveyed using Corley’s Moral Distress Scale and Olson’s Hospital Ethical Climate Survey (HECS). The registered nurses reported moderate levels of moral distress intensity. Moral distress intensity and frequency were found to be inversely (...) correlated with perceptions of ethical climate. Each of the HECS factors (peers, patients, managers, hospitals and physicians) was found to be significantly correlated with moral distress. Based on these findings, we highlight insights for practice and future research that are needed to enhance the development of strategies aimed at improving the ethical climate of nurses’ workplaces for the benefit of both nurses and patients. (shrink)

We generalize ordinary register machines on natural numbers to machines whose registers contain arbitrary ordinals. Ordinal register machines are able to compute a recursive bounded truth predicate on the ordinals. The class of sets of ordinals which can be read off the truth predicate satisfies a natural theory SO. SO is the theory of the sets of ordinals in a model of the Zermelo-Fraenkel axioms ZFC. This allows the following characterization of computable sets: a set of ordinals is (...) ordinal register computable if and only if it is an element of Gödel’s constructible universe L. (shrink)

In a recent article, Dawn Wilson (2021) has argued against single-stage accounts of photography by arguing against the latent photographic images upon which those accounts depend. Concomitantly, she argues that the only viable account of photography is multi-stage. Unlike single-stage accounts, multi-stage accounts do not postulate the existence of photographic images of any kind prior to development. Rather, according to multi-stage accounts, photographs are produced from “photographic registers.” In this Discussion Piece, I defend single-stage accounts by arguing that Wilson’s rejection (...) of latent photographic images is premised on an implausible view of what a latent photographic image is. Given a reasonable interpretation, the latent images described in single-stage accounts just are the photographic registers described in multi-stage accounts. (shrink)

Most theories of slurs fall into one of two families: those which understand slurring terms to involve special descriptive/informational content (however conveyed), and those which understand them to encode special emotive/expressive content. Our view is that both offer essential insights, but that part of what sets slurs apart is use-theoretic content. In particular, we urge that slurring words belong at the intersection of a number of categories in a sociolinguistic register taxonomy, one that usually includes [+slang] and [+vulgar] and (...) always includes [-polite] and [+derogatory]. Thus, e.g., what distinguishes ‘Chinese’ from ‘chink’ is neither a peculiar sort of descriptive nor emotional content, but rather the fact that ‘chink’ is lexically marked as belonging to different registers than ‘Chinese’. It is, moreover, partly such facts which makes slurring ethically unacceptable. (shrink)

Information technologies that could be potentially used for the development of register system are currently highly advanced, but their practical adaptation in terms of register management is limited due to the void in the legal regulation. Therefore this article particularly focuses on analysis of legal regulation applied for the register system, by highlighting gaps, limitations in the legal acts regulating this area and offering resolutions of the problems. Author of the article reveals content of the category “system” (...) and provides various definitions for the term “system”. This article also includes various classification criteria for registers and revealing limitations of register classification. In addition underlining register system elements as well as general features of all the registers. The article lists register system as a complex, open, managable and purposeful system. Author concludes by stressing the importance of the register system interoperability and emphasizing that without it registers would be a “collection” of registers rather than a system. (shrink)

Physicians, registered nurses and enrolled nurses engaged in geriatric and surgical care at a large hospital in Sweden gave 180 accounts of morally difficult care episodes. In total, the ENs gave 78, the RNs 55 and the physicians 47 accounts; there were 83 from geriatric care and 97 from surgical care. Forty-nine participants were male, and 59 were female; there were no differences in gender in the form and content of the moral reasoning disclosed in either morally difficult care episodes (...) or in the complete interviews when coded as mainly narrative or propositional, or as showing a care or a justice orientation. The ENs showed a care orientation, while RNs and physicians, to an equal degree, showed both a justice and a care orientation. The ENs also used narrative reasoning more often than RNs and physicians. No differences were seen between the two health care specialties. (shrink)

Higher education institutions in the United Kingdom are increasingly demanding that social work lecturers are ?registered? with the UK regulatory body, the General Social Care Council (GSCC) as a requirement of appointment for the post of social work lecturer. There are many compelling reasons for such an expectation but this paper argues that such action should not be undertaken uncritically. Using Colnerud's five categories of norms a number of tensions for the lecturer are explored that indicate that the current GSCC (...) codes of practice do not fully recognize the role of the social work lecturer. (shrink)

This article examines the prosody and sequential organisation of repeats in French talk-in-interaction. Repeats in French are used for initiating repair, as well as for registering receipt. I show for two sequential contexts – after first pair parts and after second pair parts – that the action import of the repeat depends on its prosodic design; prosody allows participants to differentiate between repair-initiating and receipt-registering repeats. While questioning repeats make a response conditionally relevant, registering repeats do not – however, they (...) do not preclude a response either. Registering repeats are sometimes responded to with confirmation tokens, and sometimes not; when produced, such responses are a contingent possibility rather than an expectable second pair part. In the selection and design of confirmation tokens, participants distinguish between solicited and volunteered confirmations. The article relates these findings to prior research on repetition and sequence organisation in French and also in English, Russian and Finnish. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Temporal Registers in the Realist NovelIlya BernsteinIThere are two ways of thinking about time: in terms of sequences of events, and in terms of time-scales. In the first case, each event is conceived of as having a "before" and an "after": it is categorized as part of a sequence and distinguished from other events by its position in that sequence. In the second case, there is no "before" and (...) "after": events are conceived of as occupying different time-scales and distinguished from one another by being associated with durations of greater or lesser magnitude.1 Thus, the same situation may be categorized alternatively as an unfolding succession of events (event 1, event 2, event 3...) or as a progression of overlapping events on expanding time-scales (the second-event, the minute-event, the hour-event...). In what follows, I will argue that this distinction can shed light on narrative structure—as well as musical form—and that it has particularly interesting implications for literary realism.It may be claimed that this distinction between two ways of approaching time has been an explicit theme in the arts over the course of their history. Different musical forms, for instance, may be seen as being oriented toward one paradigm or the other. Thus, melody aesthetically suggests a sequential conception of time. Melodic forms are supposed to take listeners on a journey from point A to point B, by way of a succession of points in between. By contrast, a form such as the fugue addresses itself to discovering different degrees of density and intensity within the [End Page 173] same event, as it were. It adds layer upon layer, aesthetically dilating the event without moving away from it. The ideology of melody, we might say, thus leans toward a conception of time as a sequence, while the ideology of the fugue suggests a scaling notion of time.Echoes of the distinction between these two aesthetic alternatives may also be found in literature, as embodied in different approaches to narrative. Narrative, conceived of as a succession of episodes, suggests a sequential conception of time, oriented around a "before" and an "after." Yet within these parameters, a spectrum of tendencies may be identified. In some literary forms, the succession of episodes is organized to suggest the idea of a passage from one event to the next (Shakespearean drama, the realist novel), as the notions of "before" and "after" are projected onto ideas of past and future. In others, the succession of episodes represents the layer-by-layer assembly of some larger imaginative or conceptual construct (as is true, in different ways, of such texts as Plato's dialogues, the Divine Comedy, and any number of religious, philosophical, or allegorical narratives): "before" and "after" are interpreted not so much in terms of a past and a future, as in terms of premises and conclusions.Within this spectrum, the novel—and perhaps the realist novel in particular—would appear to be the literary form par excellence that embodies a sequential conception of time. It thematizes and dramatizes time's passage—the unknowability of the future and the irretrievability of the past—more exhaustively than any other narrative genre. Yet as I hope to show below, while the explicit themes of literary realism treat fictional events as a sequence (event 1, event 2, event 3...), its implicit organization is grounded in time-scales and directs readers' attention to differentiations among events taking place at different temporal registers (the sentence-event, the chapter-event, the novel-event...).III would like to begin exploring the theoretical distinction laid out above by going back to music and focusing on an empirical observation that has been made about a variety of musical forms. It has been pointed out that when people listen to a piece of music, they retain in their memory, at greater or lesser degrees of awareness, a certain segment of what they have just heard; this memory serves as a background for their perception of incoming sounds and as a frame of reference for their experience of them. Consequently, musical forms may be characterized, [End Page 174] compared, and distinguished from one another based... (shrink)

This article explores the importance of register variation for analyses of grammar and discourse. The general theme is illustrated through consideration of variability in the form and use of English complement clauses. First, the patterns of use for four related grammatical constructions are considered: that-clauses and to-clauses, headed by verbs and by nouns. The differing discourse functions of each construction type are explored by considering their lexico-grammatical associations. However, it is shown that the characteristic uses of each type are (...) conditioned by register. That is, each construction type has a different distribution across spoken and written registers, with a different set of associated lexical heads. A second study provides an even more striking illustration of this interaction between grammar, discourse, and register: the contextual factors conditioning the retention vs omission of the complementizer that. In this case, it is shown that each register has an overall norm, and that contextual factors are influential only when they work in opposition to that register norm. These case studies are presented to make the general point that analyses of grammar and discourse are often inadequate and misleading when they disregard register differences. Instead, a register perspective is required to capture the range of variability associated with grammatical patterns of use. (shrink)

Background In long-term care, registered nurses and other care providers often experience tensions between ideals and realities in the delivery of services, which can result in stress of conscience. Burnout, low quality of care and a tendency to leave the profession are perceived as consequences. Objectives This study aimed to identify the socio-demographic and work-related factors associated with a high level of stress of conscience, particularly between nursing occupations. Research design A cross-sectional survey was conducted among care providers who worked (...) in Norwegian nursing homes and home care services in the spring of 2021. The sample consisted of 950 registered nurses and 1143 other care providers. Data were collected online using the Stress of Conscience Questionnaire (SCQ). Ethical considerations Participation was voluntary and based on consent. The study was approved by the Norwegian Center for Research Data. Results Registered nurses were nearly twice as likely to report high levels of stress of conscience compared to other care providers in long-term care. In addition, being a female, living alone, caring for their own children, working in an institution (versus home based), working >75% time, working shifts, not having scheduled meetings for ethical reflection and working in municipalities with a higher population density were factors associated with a high level of SCQ score. Discussion Knowledge of factors that increase the risk of high SCQ scores in registered nurses provides opportunities for prevention. Managers in long-term care should pay more attention to how work is distributed between the occupational groups and should facilitate real opportunities for ethical reflection. Conclusions The results of this study show that registered nurses have particular exposure to high levels of stress of conscience compared to other care providers in long-term care. Particular attention should be paid to registered nurses working in nursing homes. (shrink)

Reduplication is a phenomenon that can be applied to various linguistic units. In this article, I determine what action the reduplication of the Danish change-of-state token nå accomplishes in interaction. Following previous research on reduplication and using the method of Conversation Analysis, I show that reduplicated nå serves to register that the previous turn at talk implemented a larger course of action, namely that of revision.

Alasdair MacIntyre's landmark book After Virtue, first published in 1981, begins with sobering words, the resonance of which has, in the three decades since then, been felt by many. We live in a wo...

Name der Zeitschrift: Nietzsche-Studien Jahrgang: 44 Heft: 1 Seiten: 597-645.

Name der Zeitschrift: Nietzsche-Studien Jahrgang: 44 Heft: 1 Seiten: 597-645.

Name der Zeitschrift: Nietzsche-Studien Jahrgang: 44 Heft: 1 Seiten: 597-645.