Nurses in Ghana believe that training, practise, practitioner and policy reforms are required for total nursing profession reform to be effective. Their views for role reformation in the nursing profession, which is currently needed, are not only academic but also clinically relevant in the pursuit of health equity and quality nursing care. We explored and described nurses’ views on their roles in the profession using data collected from 24 professional nurses in three regional hospitals in Ghana. Using an inductive descriptive (...) qualitative design, data were gathered and analysed using a qualitative content analysis to describe the views of the nurses. Four major themes, namely practise reforms, practitioner reforms, training reforms and policy reforms have emerged in relation to role reformation in the nursing profession. Three strategic areas, practitioner attitudes, new training modalities and policy realignment, must be reviewed and remodelled for better positioning of the nursing profession before its entire role reformation. (shrink)

What is required for something to be evidence for a hypothesis? In this fascinating, elegantly written work, distinguished philosopher of science Peter Achinstein explores this question, rejecting typical philosophical and statistical theories of evidence. He claims these theories are much too weak to give scientists what they want--a good reason to believe--and, in some cases, they furnish concepts that mistakenly make all evidential claims a priori. Achinstein introduces four concepts of evidence, defines three of them by reference (...) to "potential" evidence, and characterizes the latter using a novel epistemic interpretation of probability. The resulting theory is then applied to philosophical and historical issues. Solutions are provided to the "grue," "ravens," "lottery," and "old-evidence" paradoxes, and to a series of questions. These include whether explanations or predictions furnish more evidential weight, whether individual hypotheses or entire theoretical systems can receive evidential support, what counts as a scientific discovery, and what sort of evidence is required for it. The historical questions include whether Jean Perrin had non-circular evidence for the existence of molecules, what type of evidence J. J. Thomson offered for the existence of the electron, and whether, as is usually supposed, he really discovered the electron. Achinstein proposes answers in terms of the concepts of evidence introduced. As the premier book in the fabulous new series Oxford Studies in Philosophy of Science, this volume is essential for philosophers of science and historians of science, as well as for statisticians, scientists with philosophical interests, and anyone curious about scientific reasoning. (shrink)

Most philosophers agree that causal knowledge is essential to decision-making: agents should choose from the available options those that probably cause the outcomes that they want. This book argues against this theory and in favour of evidential or Bayesian decision theory, which emphasises the symptomatic value of options over their causal role. It examines a variety of settings, including economic theory, quantum mechanics and philosophical thought-experiments, where causal knowledge seems to make a practical difference. The arguments make novel use of (...) machinery from other areas of philosophical inquiry, including first-person epistemology and the free will debate. The book also illustrates the applicability of decision theory itself to questions about the direction of time and the special epistemic status of agents. (shrink)

It is argued that a subject's evidence consists of all and only the propositions that the subject knows.

In this article I have two primary goals. First, I present two recent views on the distinction between knowledge-that and knowledge-how (Stanley and Williamson, The Journal of Philosophy 98(8):411–444, 2001; Hetherington, Epistemology futures, 2006). I contend that neither of these provides conclusive arguments against the distinction. Second, I discuss studies from neuroscience and experimental psychology that relate to this distinction. Having examined these studies, I then defend a third view that explains certain relevant data from these studies by positing the (...) double dissociation of knowledge-that and knowledge-how and that is also able to do explanatory work elsewhere. (shrink)

This anthology presents work on major topics surrounding the concept of evidence as employed in the empirical sciences. Focusing on the "classificatory" concept of evidence rather than the quantitative "degree of confirmation," the selections include Carl G. Hempel's satisfaction definition, R.B. Braithwaite's hypothetic-deductive view, N.R. Hanson's account of retroduction, Nelson Goodman's entrenchment theory, probability definitions discussed by Rudolf Carnap and Wesley Salmon, Clark Glymour's bootstrap theory, and a view of Achinstein's that combines probability and explanation.

This paper considers the relationship between evidence and self-fulfilling beliefs—beliefs whose propositional contents will be true just in case—and because—an agent believes them. Following Grice, many philosophers hold that believing such propositions would involve an impermissible form of bootstrapping. This paper argues that such objections get their force from a popular but problematic function-model of theoretical deliberation, and that attending to the case of self-fulfilling belief can help us see why such a model is mistaken. The paper shows that (...) on a revised model of theoretical deliberation our evidence will problematically underdetermine any appropriate doxastic attitude: when belief in a proposition is self-fulfilling, our evidence is insufficient to support belief, disbelief, or even suspended judgment toward that proposition. (shrink)

The aim of this essay is to develop a coherence theory for the justification of evidentiary judgments in law. The main claim of the coherence theory proposed in this article is that a belief about the events being litigated is justified if and only if it is a belief that an epistemically responsible fact finder might hold by virtue of its coherence in like circumstances. The article argues that this coherentist approach to evidence and legal proof has the resources (...) to meet some of the main objections that may be addressed against attempts to analyze the justification of evidentiary judgments in law in coherentist terms. It concludes by exploring some implications of the proposed version of legal coherentism for a jurisprudence of evidence. (shrink)

Obligations to provide evidence to others arise in many contexts. This paper develops a framework within which to understand what it is to provide evidence to someone. I argue that an initially plausible connection between evidence-providing and evidence-possession fails: it is not the case that in order to count as providing evidence to someone, the intended recipient must have the evidence. I further argue that the following is possible: evidence is provided to an (...) agent, the agent does not have the evidence, but it is not the case that the agent is culpably ignorant of the evidence. (shrink)

In this paper, we analyze the epistemic approach to paraconsistency. This approach is advanced as an alternative to dialetheism on what concerns interpreting paraconsistency and contradictions; instead of having to accept that there are true contradictions, it is suggested that we may understand such situations as involving only conflicting evidence, which restricts contradictions to a notion of evidence weaker than truth. In this paper, we first distinguish two conflicting programs entangled in the proposal: interpreting paraconsistency in general through (...) the notion of evidence, and modeling reasoning with evidence by using paraconsistent logic. The first part of the program, we argue, does not succeed, on the grounds that it does not lead to a uniform proposal to the understanding of paraconsistency, and fails to engage with dialetheism in a legitimate dispute about interpretation of paraconsistency. Also, when seen through the lights of the second kind of approach, a ‘logic as modeling’ approach, weaknesses of dealing with evidence through paraconsistency come to light, basically because evidence does not seem to suggest the need of a paraconsistent treatment. As a result, one can neither approach paraconsistency in general through evidence, nor approach evidence with the use of paraconsistent logics. (shrink)

When deciding what disorders to screen newborns for, we should be guided by evidence of real effectiveness, take opportunity cost into account, distribute costs and benefits fairly, and respect human rights. Current newborn screening policy does not meet these requirements.

The notion of a severe test has played an important methodological role in the history of science. But it has not until recently been analyzed in any detail. We develop a generally Bayesian analysis of the notion, compare it with Deborah Mayo’s error-statistical approach by way of sample diagnostic tests in the medical sciences, and consider various objections to both. At the core of our analysis is a distinction between evidence and confirmation or belief. These notions must be kept (...) separate if mistakes are to be avoided; combined in the right way, they provide an adequate understanding of severity. Those who think that the weight of the evidence always enables you to choose between hypotheses “ignore one of the factors (the prior probability) altogether, and treat the other (the likelihood) as though it ...meant something other than it actually does. This is the same mistake as is made by someone who has scruples about measuring the arms of a balance (having only a tape measure at his disposal ...), but is willing to assert that the heavier load will always tilt the balance (thereby implicitly assuming, although without admitting it, that the arms are of equal length!). (Bruno de Finetti, Theory of Probability)2. (shrink)

According to a standard account of evidence, one piece of information is stronger evidence for an hypothesis than is another iff the probability of the hypothesis on the one is greater than it is on the other. This condition, I argue, is neither necessary nor sufficient because various factors can strengthen the evidence for an hypothesis without increasing (and even decreasing) its probability. Contrary to what probabilists claim, I show that this obtains even if a probability function (...) can take these evidential factors into account in ways they suggest and yield a unique probability value. Nor will the problem be solved by appealing to second-order probabilities. (shrink)

In ‘Evil is Still Evidence: Comments on Almeida’ Robert Bass presents three objections to the central argument (ENE) in my ‘Evil is Not Evidence’. The first objection is that ENE is invalid. According to the second objection, it is a consequence of ENE that there can be no evidence for or against a posteriori necessities. The third objection is that, contrary to ENE, the likelihood of certain necessary identities varies with the evidence we have for them. (...) In this reply I explain why ENE has exactly none of the implications described by Bass. I argue in the concluding section that there is a modal solution to the epistemological problems presented by ENE. (shrink)

sides of the argument. MRH is supported by some case studies of redeployment, and an empirical review of 135..

I present here a case against the evidentialist approach that claims that in so far as our interests are epistemic what should guide our belief formation and revision is always a strict adherence to the available evidence. I go on to make the stronger claim that some beliefs based on admittedly “insufficient” evidence may exhibit epistemic virtue. I propose that we consider a form of courage to be an intellectual or epistemic virtue. It is through this notion of (...) courage that we can see a weakness in the evidentialist position. Adopting a doxastically courageous approach allows us to acknowledge the role that evidence has in epistemic justification and its connection with promoting epistemic value, but it avoids the narrowness of an evidentialist position. The epistemically courageous agent is not one who disregards the evidence entirely, but she also realizes that taking risks will not necessarily keep her from her epistemic goals. Believing something in the face of insufficient evidence is not always an epistemic vice to be avoided, and the agent that recognizes this is better off for it. (shrink)

What is the role played by mechanisms in medical reasoning? In this paper, we provide an inferential study of the use of mechanisms in medical reasoning. Medical reasoning includes clinical reasoning and biomedical research reasoning. It is not conceived in terms of a specific form of inference, but as a complex form of reasoning involving abductions, deductions, and inductions. This methodology sheds a new light on the notion of mechanistic evidence, which has been the object of a regain of (...) interest in recent literature, but which remains unclearly defined. We claim that “mechanistic evidence” is ambiguous: it can mean “evidence of a mechanism” or “mechanism as evidence”. Then, two main groups of medical reasoning can be identified: inference _to_ mechanisms and inference _from_ mechanisms. This serves as a basis to distinguish between factual evidence and the more pragmatic notion of evidence as reasons to accept a claim. In this context, we assess the role of mechanisms in the process of producing evidence. (shrink)

The Homeric epics are among the greatest masterpieces of literature, but when they were produced is not known with certainty. Here we apply evolutionary-linguistic phylogenetic statistical methods to differences in Homeric, Modern Greek and ancient Hittite vocabulary items to estimate a date of approximately 710–760 BCE for these great works. Our analysis compared a common set of vocabulary items among the three pairs of languages, recording for each item whether the words in the two languages were cognate – derived from (...) a shared ancestral word – or not. We then used a likelihood-based Markov chain Monte Carlo procedure to estimate the most probable times in years separating these languages given the percentage of words they shared, combined with knowledge of the rates at which different words change. Our date for the epics is in close agreement with historians' and classicists' beliefs derived from historical and archaeological sources. (shrink)

We argue that Quilty-Dunn et al.'s commitment to representational pluralism undermines their case for the language-of-thought hypothesis as the evidence they present is consistent with the operation of the other representational formats that they are willing to accept.

In this article, two modes of non-binding communication between an expert and a decision-maker are compared. They are distinguished mainly by the nature of the information transmitted by the expert. In the first one, the expert reports only his opinion (soft information) concerning the desirability of a certain action, whereas in the second one, he is consulted to provide evidence (hard information) to convince the decision-maker. The expert’s ability to provide evidence increases with the precision of his information. (...) The article shows that requiring evidence is always beneficial to the decision-maker whereas it is beneficial to the expert, if and only if the preferences of both agents are different enough. (shrink)