Background: Undergraduate nursing students have been documented to experience ethical distress during their clinical training and felt poorly supported in discussing the ethical issues they encountered. Research aims: This study was aimed at exploring nursing students’ perceived opportunity to discuss ethical issues that emerged during their clinical learning experience and associated factors. Research design: An Italian national cross-sectional study design was performed in 2015–2016. Participants were invited to answer a questionnaire composed of four sections regarding: socio-demographic data, previous clinical learning (...) experiences, current clinical learning experience quality and outcomes, and the opportunity to discuss ethical issues with nurses in the last clinical learning experience. Participants and research context: Participants were 9607 undergraduate nursing students who were attending 95 different three-year Italian baccalaureate nursing programmes, located at 27 universities in 15 Italian regions. Ethical considerations: This study was conducted in accordance with the Human Subject Research Ethics Committee guidelines after the research protocol was approved by an ethics committee. Findings: Overall, 4707 perceived to have discussed ethical issues ‘much’ or ‘very much’; among the remaining, 3683 and 1217 students reported the perception of having discussed, respectively, ‘enough’ or ‘never’ ethical issues emerged in the clinical practice. At the multivariate logistic regression analysis explaining 38.1% of the overall variance, the factors promoting ethical discussion were mainly set at the clinical learning environment levels. In contrast, being male was associated with a perception of less opportunity to discuss ethical issues. Conclusion: Nursing faculties should assess the clinical environment prerequisites of the settings as a context of student experience before deciding on their accreditation. Moreover, the nursing faculty and nurse managers should also enhance competence with regard to discussing ethical issues with students among clinical nurses by identifying factors that hinder this learning opportunity in daily practice. (shrink)

Resumen En este trabajo se analizan las pautas de elección entre los cuatro paradigmas gramaticales de segunda persona del español peninsular (los prototípicos, representados por los pronombres tú y vosotros, y los desplazados, por usted y ustedes), cuando se usan para indexar a interlocutores específicos, en un corpus de discurso radiofónico de la ciudad española de Salamanca. Se plantea la hipótesis de que los fundamentos cognitivos de las personas gramaticales se proyectan en su potencial sociopragmático como recursos para la configuración (...) de identidades contextuales. Tras clasificar a los participantes del corpus en cuatro tipos de identidad socioprofesional recurrentes en la comunicación radiofónica (locutores, personajes públicos, políticos y hablantes particulares), se calculan las frecuencias con que cada tipo dirige y recibe cada tratamiento de segunda persona. El análisis cuantitativo constituye un punto de partida para la observación cualitativa de los contextos de uso. Tras este se concluye que la elección entre las cuatro formas de segunda persona combina los parámetros sociopragmáticos de cercanía-distancia (que afecta a la elección entre formas prototípicas y desplazadas) e individualidad-grupalidad (que afecta a la elección entre formas singulares y plurales). Tales parámetros remiten, a su vez, al continuum discursivo-cognitivo entre la subjetividad y la objetividad. (shrink)

The purpose of this article is to analyze Spanish first-person plural subjects as a cognitively grounded grammatical choice serving various discursive functions. Both the expressed and omitted variants of the subject will be considered, even if omission is by far the more frequent choice in Spanish and the more communicatively versatile one. The particularly vague reference of omitted nosotros ‘we’ – always involving an extension of the self towards a wider notional scope – results in a remarkable variety of possible (...) contextual projections. It can be used to signal speaker identities as well as manage interpersonal relationships through the iconic suggestion of viewpoint coincidence. First-person plural clauses are quantitatively and qualitatively investigated across two corpora of contemporary Spanish comprising a variety of spoken and written genres. It is found that, aside from the basic distinction between hearer-exclusive and hearer-inclusive first persons, a third, intermediate variant can be considered, that of empathic hearer-exclusive uses. These are typical of interactions where involvement of the audience is sought even if they are not referentially included in the subject, as is usual in some varieties of spoken mass-media discourse. Each one of the referential variants is used with different frequencies and contextual repercussions, depending on the socio-functional demands and goals of particular textual genres. (shrink)

This is a study of Blondel's philosophy of the supernatural as it appeared only in the dissertation on Action of 1893. First, it reviews how Blondel brought philosophy to focus concretely on human action and what he focuses on in this action as the principle for its dialectical unfolding. Second, it shows how this focus brings him to a radical critique of superstition and any idea of natural religion, since even the latter is viewed as a kind of superstition. Third, (...) it examines how he proceeds to the affirmation of God as the necessary being of action and how this affirmation places the human being in a position of having to choose between saying yes or no to God at the core of his action. Fourth, it shows how Blondel argues from this existential exigency that the thought of the supernatural necessarily arises with regard to the question of human destiny and that such a thought, if it actualized in human action through a gratuitous initiative on the part of God, necessarily entails a revelation, a mediation, and a religious practice on the part of man. In conclusion it reflects on how this science of practice remains a philosophy, as distinct from theology, even though it has to do with religious practice in the most supernatural sense. /// O presente artigo constitui urn estudo sobre o problema do sobrenatural, tal como Blondel comeca por o tratar em sua tese de doutoramento sobre a Ácção, publicada em 1893. Em primeiro lugar, passa-se em revista não só o modo concreto como Blondel fez do problema da acção assunto para a filosofia, mas também se procura discernir aquilo que, segundo ele, na acção mesma constitui o princípio do seu desdobramento dialéctico. Em segundo lugar, mostra-se como a partir deste ponto de focagem Blondel procede a uma critica radical da superstição bem como de toda e qualquer ideia de religião natural, por ele igualmente vista como uma espécie de superstição. Em terceiro lugar, examina-se o modo como Blondel avança em direcção a uma afirmação de Deus como o ser necessário da acção e como esta mesma afirmação coloca o ser humano numa posicjio de, no fulcro do seu agir, ter de optar entre o dizer sim ou não a Deus. Em quarto lugar, mostra-se o modo como Blondel, partindo desta exigência existencial, argumenta no sentido de que o pensamento do sobrenatural necessariamente se dá em conexão com a questão do destino humano e de como tal pensamento, actualizado na acção humana graças a uma iniciativa gratuita da parte de Deus, necessariamente implica a ideia de revelação, mediação, e prática religiosa da parte do homem. Finalmente, em conclusão, reflecte-se sobre o modo como esta ciência da prática permanece filosofia, distinta da teologia, mesmo quando, enquanto tal, ela tern a ver com uma prática religiosa no sentido mais sobrenatural do termo /// Ceci est une étude de la philosophie du surnaturel de Blondel telle qu'elle parut uniquement dans la thèse sur L'Action de 1893. Premièrement, elle revoit comment Blondel a amené la philosophie à réfléchir concrétement sur l'action humaine et ce sur quoi cette réflexion s'appuie comme principe du déploiement dialectique de cette action. Deuxièmement, elle montre comment ce déploiement amène Blondel à une critique radicale de la superstition et de toute idée de religion naturelle, puisque cette dernière est vue comme une sorte de superstition. Troisièmement, elle examine comment Blondel avance vers une affirmation de Dieu comme Fetre necessaire de l'action et comment cette affirmation amène l'être humain à devoir choisir entre dire oui ou non face à Dieu au plus profond de son action. Quatrièmement, elle montre comment Blondel, à partir de cette exigence existentielle, arrive à poser que la pensée du surnaturel surgit nécessairement par rapport à la question du destin de l'être humain et comment une telle pensée, si elle devient réalite dans l'action humaine par une initiative gratuite du côté de Dieu. entraine du côté de l'homme la nécessité d'une révélation, une médiation et une pratique religieuse. En conclusion, l'étude se demande comment cette science de la pratique reste une philosophie, distincte de toute théologie, même si elle traite de la pratique religieuse dans son sens le plus surnaturel. (shrink)

Background:A growing number of frameworks for the practice of clinical ethics are described in the literature. Among these, hermeneutical frameworks have helped highlight the interpretive and contextual nature of clinical ethics practice.Objectives:The aim of this article is to further advance this body of work by drawing on the ideas of Charles Taylor, a leading hermeneutical philosopher.Design/Findings:A Hermeneutical Rapprochement Framework is presented for clinical ethics practice, based on Taylor’s hermeneutical “retrieval” and “rapprochement.” This builds on existing hermeneutical approaches for the practice (...) of clinical ethics by articulating a framework with interpretive and reconciliatory scope that extends beyond the presenting “local” context. A Hermeneutical Rapprochement Framework considers broader socio-historical horizons and imaginaries grounded on Taylor’s expansive work in epistemological, ontological, political, and moral philosophy.Discussion:The framework is discussed in terms of how it can be operationalized for clinical practice as well as normative development. Implications for the educational preparation of clinical ethicists are also discussed. Although this work is directly relevant for clinical ethicists, it can also help inform the ethical practice of all clinicians. (shrink)

Este artículo se adentra en los temas y tópicos vitales de la obra literaria de Eliacer Cansino, escritor dedicado a la literatura juvenil, e invita a reflexionar sobre cómo su lectura puede desarrollar el pensamiento crítico de los jóvenes lectores del siglo XXI. Para abordar esta investigación, se ha recurrido a una metodología de corte cualitativo, con especial atención a la narrativa biográfica. De esta manera, dado que literatura y realidad constituyen dos caras de una moneda al forjar lectores, se (...) analizó el perimundo literario de Eliacer Cansino. Los resultados justifican que la lectura de la obra de este autor es un referente literario para el desarrollo del pensamiento crítico desde la experiencia lectora de los adolescentes. (shrink)

In this article I argue for an interpretive approach to bioethics with critically ill children. I begin by highlighting the dominant Anglo-American bioethical framework that defines standards for ethical care in critically ill children and then outline a critique of this framework. Drawing predominantly on the ideas of Charles Taylor, Michael Walzer and Richard Zaner, I call for a reconception of bioethics and propose an interpretive ‘thick’ framework that is centred on culture and context. Finally, I illustrate this interpretive approach (...) through a comparative study of two cases in pediatric intensive care: the narratives of Marc and Larry. These case studies reveal that ethical dilemmas in pediatric critical care can be traced to relational tensions over respect, trust and power rooted in the disparity of moral horizons among the persons involved. (shrink)

ABSTRACTThis paper analyses the discourses produced on their websites by the two organisations that conducted the official ‘leave’ and ‘remain’ campaigns in the Brexit referendum. The analysis, whi...

This analysis presents an epistemological and moral examination of suffering. It addresses the specific questions: (1) What is suffering? (2) Can one's suffering be assessed by another? and (3) What is the moral significance of suffering? The epistemological analysis is orientated by Peter Hacker's framework for the investigation of emotions, demonstrating that suffering is an emotion. This leads to a discussion of whether suffering is a phenomenon that can be evaluated objectively by another person who is not experiencing the suffering, (...) questioning the validity of some decisional models for limiting life-sustaining therapies with the aim of preventing suffering. This analysis highlights that understandings of suffering are value laden. It is conventionally implied that suffering is `bad' and that it should be eliminated. Suffering is commonly regarded as a moral wrong that needs to be made right by health care. This article concludes with a recommendation for a paradigm shift in how suffering can be better understood, through the practice of empathic attunement. (shrink)

The Perfection of the Universe gives an account of the idea of the universe and its perfection in Aquinas's philosophy, but at the same time it provides an example of how a cosmology can be developed in a teleological framework. Although this is the cosmology of one who was first and foremost a theologian, the book tries to show how it was articulated philosophically and in relation to a particular model of the universe. As a contribution to the history of (...) philosophy, and Thomistic studies in particular, it seeks to draw more attention to Aquinas's view of the world, which has been relatively neglected in favor of emphasis on his theory of knowledge and theory of being, and at the same time to show how it is integral to his very understanding of being. The book thereby brings out a dimension of rationality in Aquinas's philosophy that is often ignored, especially as it concerns creation as a whole and what Aquinas refers to as convenientia in this whole. The systematic nature of Aquinas's conception of the universe is highlighted by the author's attempt to reconstruct the movement of his thought. Thus Oliva Blanchette focuses not just on the universe or on perfection but on the perfection of the universe as a unified idea that recurs frequently in both the philosophy and the theology of Aquinas and that has its own philosophical dynamic both as a logic and as an actuality. In doing so, he endeavors to correct misconceptions about Aquinas's idea of the universe, such as that found in Lovejoy's Great Chain of Being, and to show how the idea stands up philosophically even while being connected with a scientific model of the universe now viewed as obsolete. (shrink)

This paper provides a historical reevaluation of the originality and implications of Avempace's critique of Aristotle's causal explanation of the motion of projectiles. It also offers a serious revision of the place which has usually been assigned to Avempace in the history of science. The views regarding projectiles defended in Avempace's Arabic commentary are in sharp opposition to the anti-Aristotelian Avempace that was known in the Medieval West through Averroes. Avempace's commentary reveals only a moderate critic of Aristotle, a critic (...) who did not, in any case, break with the master, and who, therefore, did not even go as far as Philoponus in creating a new and more profound theory of projectile motion. (shrink)

In this contribution, I critically discuss the thesis, advanced by some recent writers, that nonreductive physicalists can solve the problem of causal exclusion by resorting to the metaphysical notion of grounding. After discussing the many problems confronted by very recent versions of this proposal, I conclude that a version of Nonreductive Physicalism framed in terms of a notion of realization of properties is in a better position than Grounding Physicalism in order to successfully deal with a notoriously complex metaphysical issue (...) such as the causal exclusion problem. (shrink)

This paper presents the Futurium platform used by Digital Futures, a foresight project launched by the European Commission's Directorate General for Communications Networks, Content and Technology (DG CONNECT). Futurium was initially developed with the primary purpose of hosting and curating visions and policy ideas generated by Digital Futures (Digital Futures was launched in July 2011 by DG CONNECT's Director General Robert Madelin following a prior DG CONNECT exercise called Digital Science.). However, it has turned into a platform on which to (...) experiment with new policymaking models based on scientific evidence and stakeholder participation, referred to in this paper as ‘Policy Making 3.0’. The platform hosts an online foresight toolkit to facilitate the joint creation of ideas to help design future policies. It leverages the potential of social networks, open data, semantic and knowledge mining technologies as well as participatory brainstorming techniques to engage stakeholders and harness their views and creativity to better inform policies that matter to them. The Futurium distinguishes between different variables, reflecting the emotional vs. rational mindsets of the participants, and offers the possibility to frame the engagement and co-creation process into multiple phases of a workflow. Futurium was developed to support Digital Futures, but its open architecture makes it easily adaptable to any policymaking/decision-making context where thinking ahead, participation, scientific evidence and agility are needed. Futurium is an early prototype implementation of the Policy Making 3.0 model, which is a long-term vision requiring further investigation and experimentation. The Futurium production website can be seen here: ec.europa.eu/digital-agenda/futurium. (shrink)

Pt. 1. The journey inward. Breaking into the intellectual scene -- Awakening to the divine light in human action -- The original philosophy of the supernatural -- The vocation to philosophy -- Discourse on method for philosophy of religion -- Crisis of modernity for Catholic apologetics -- The broader social involvement -- The philosopher of Aix -- The philosophical itinerary -- The question of a Catholic philosophy -- Pt. 2. The systematic summation. The question of thought -- The responsibilities of (...) thought -- Ontology of consolidation in being in, through, and of itself -- Action as cooperation with the first cause -- The original philosophy of action revisited -- The expanded philosophy of the supernatural -- Symbiosis of the human and the divine in history -- Christian spirit and historical civilization. (shrink)

We characterize the sets of all Π2 and all equation image theorems of IΠ−1 in terms of restricted exponentiation, and use these characterizations to prove that both sets are not deductively equivalent. We also discuss how these results generalize to n > 0. As an application, we prove that a conservation theorem of Beklemishev stating that IΠ−n + 1 is conservative over IΣ−n with respect to equation image sentences cannot be extended to Πn + 2 sentences. © 2011 WILEY-VCH Verlag (...) GmbH & Co. KGaA, Weinheim. (shrink)

Volume 16, Issue 4, September 2019, Page 381-388.

In this paper, we present another case study in the general project of proof mining which means the logical analysis of prima facie non-effective proofs with the aim of extracting new computationally relevant data. We use techniques based on monotone functional interpretation developed in Kohlenbach , Oxford University Press, Oxford, 1996, pp. 225–260) to analyze Cheney's simplification 189) of Jackson's original proof 320) of the uniqueness of the best L1-approximation of continuous functions fC[0,1] by polynomials pPn of degree n. Cheney's (...) proof is non-effective in the sense that it is based on classical logic and on the non-computational principle WKL . The result of our analysis provides the first effective uniform modulus of uniqueness . Moreover, the extracted modulus has the optimal ε-dependency as follows from Kroó 331). The paper also describes how the uniform modulus of uniqueness can be used to compute the best L1-approximations of a fixed fC[0,1] with arbitrary precision. The second author uses this result to give a complexity upper bound on the computation of the best L1-approximation in Oliva 66–77). (shrink)

Let T be a second-order arithmetical theory, Λ a well-order, λ < Λ and X ⊆ ℕ. We use $[\lambda |X]_T^{\rm{\Lambda }}\varphi$ as a formalization of “φ is provable from T and an oracle for the set X, using ω-rules of nesting depth at most λ”.For a set of formulas Γ, define predicative oracle reflection for T over Γ ) to be the schema that asserts that, if X ⊆ ℕ, Λ is a well-order and φ ∈ Γ, then$$\forall \,\lambda (...) < {\rm{\Lambda }}\,.$$In particular, define predicative oracle consistency ) as Pred–O–RFN{0=1}.Our main result is as follows. Let ATR0 be the second-order theory of Arithmetical Transfinite Recursion, ${\rm{RCA}}_0^{\rm{*}}$ be Weakened Recursive Comprehension and ACA be Arithmetical Comprehension with Full Induction. Then,$${\rm{ATR}}_0 \equiv {\rm{RCA}}_0^{\rm{*}} + {\rm{Pred - O - Cons\ }}\left \equiv {\rm{RCA}}_0^{\rm{*}} + \,{\rm{Pred - O - Cons\ }}\left \equiv {\rm{RCA}}_0^{\rm{*}} + \,{\rm{Pred - O - RFN}}\,_{{\bf{\Pi }}_2^1 } \left.$$We may even replace ${\rm{RCA}}_0^{\rm{*}}$ by the weaker ECA0, the second-order analogue of Elementary Arithmetic.Thus we characterize ATR0, a theory often considered to embody Predicative Reductionism, in terms of strong reflection and consistency principles. (shrink)

This article discusses changes in post-apartheid South Africa’s economy and society in relation to the country’s re-insertion in the Empire. South Africa ’s specificity in the African context is largely related to the crucial role played in this case by the factory proletariat in defining the collapse of apartheid. Therefore, neoliberalism and the entry in the Empire in this case have to be understood in terms of state responses to a class composition that starting from workplace organisation has expressed a (...) resistance to the imposition of wage labour discipline. While the government of the African National Congress has successfully recodified its nationalist discourse to suit the requirements of capitalist globalisation and liberalization, this process has also been very contradictory. The adoption of a neoliberal agenda has, in particular, emphasized the ANC’s abdication from state sovereignty as a vehicle of strategies of control based on social citizenship. New movements, largely made of multitudes left out of waged employment, have therefore emerged to challenge the ANC’s pro-Empire choice. However, these movements are not based on a « souverainniste » agenda, or on delegation to the state of resistance to the Empire. Rather, in their conscious departure from nationalist and wage-based mythologies, they clarify the biopolitical nature of current processes of contestation and are able to combine grassroots struggles with cognitive abilities of reappropriation. (shrink)

Metaphysics is not often spoken of as a venue for dialogue about anything, let alone culture or religion, which are more readily associated with phenomenology or hermeneutics in contemporary thinking. This collection of essays, however, by the late Boston College philosopher Oliva Blanchette, maintains the absolute necessity of metaphysics as a prerequisite for examining any particular 'realm of being,' in all areas of human inquiry, from the particular sciences to historical cultures and religions. Blanchette proposes metaphysics as a fundamental (...) and necessary level of intelligence presupposed in any exercise of judgment, discourse, or dialogue, among rational beings. At the same time, he defends the idea that dialogue is the first and most fundamental form in which such reasoning takes place in human experience, on a radically intersubjective level through language. (shrink)

The author publishes the initial fragment of an unknown treatise by Leon Battista Alberti on the casting of statues written around 1455 and preserved in cod. Ottob. lat. 1870. The fragment contains a discussion on the nature of light and the element of fire.