Background Caring is a core function of nurses and it confers upon them ethical obligations as ethical agents. Failure to carry out such ethical obligations raises ethical concerns. This study was not intended to explore ethical concerns, but the reported findings reveal problems which have ethical implications. This paper aims to elucidate the ethical issues inherent in the findings and propose strategies to mitigate them. Research design and methods An exploratory-descriptive qualitative design was used within a larger Action Research Study. (...) Data were collected through focus group discussions with nurse/midwives, and through exit interviews which were conducted with the women who participated in the study on their day of discharge. Six focus group discussions and thirty exit interviews were conducted, and data were analysed through thematic analysis. Participants and research context The study took place at selected maternal and child healthcare settings in Lilongwe, Malawi. The participants were nurse/midwives and women who were admitted in maternal and child healthcare settings and were purposively sampled. Ethical considerations Ethical approval was obtained from the relevant ethics committee and all ethical guidelines were followed in the conduct of the study. Findings The findings are presented under three themes which emerged from the data. The findings reveal effects of staff shortages on patient outcomes, problems experienced in low resource clinical settings and disrespectful nurse/patient communication. Conclusion The findings reveal that institutional factors constrain moral agency and patient safety is severely compromised in some of the clinical settings in Malawi which raises serious ethical concerns. (shrink)

A three-year project funded by the M. B. Reckitt Trust is aiming to provide a theological critique of the sustainability process. This paper, based on the Reckitt Lecture given at the close of the first year of the work, outlines findings from a case study in the post-industrial landscape of South Yorkshire. Working with statutory and voluntary social, economic and environmental agencies and the Christian faith communities there, it explores how `sustainability' is interpreted, whether a spiritual perspective is represented in (...) the sustainability process and whether notions of `belonging' and `place' figure in the quest to secure the future of the area. The wider significance of the findings is discussed. (shrink)

Renegotiations of identities in a 21st century world and a resurgence of older loyalties are calling into question our shared sense of belonging and place. This results in the predicament of how and where to feel at home.

In recent years, a dramatic increase in the study of infrastructure has occurred in the social sciences and humanities, following upon foundational work in the physical sciences, architecture, planning, information science, and engineering. This article, authored by a multidisciplinary group of scholars, probes the generative potential of infrastructure at this historical juncture. Accounting for the conceptual and material capacities of infrastructure, the article argues for the importance of paradox in understanding infrastructure. Thematically the article is organized around three key points (...) that speak to the study of infrastructure: ruin, retrofit, and risk. The first paradox of infrastructure, ruin, suggests that even as infrastructure is generative, it degenerates. A second paradox is found in retrofit, an apparent ontological oxymoron that attempts to bridge temporality from the present to the future and yet ultimately reveals that infrastructural solidity, in material and symbolic terms, is more apparent than actual. Finally, a third paradox of infrastructure, risk, demonstrates that while a key purpose of infrastructure is to mitigate risk, it also involves new risks as it comes to fruition. The article concludes with a series of suggestions and provocations to view the study of infrastructure in more contingent and paradoxical forms. (shrink)

En este trabajo presento dos líneas de argumentación que desembo-can en la tesis eliminativista, una proveniente de consideraciones relativas a la re-lación entre nuestra psicología de sentido común y la ciencia psicológi-ca/neurociencia madura, y otra proveniente de consideraciones metafísicas acerca de la naturaleza de los fenómenos mentales y su interacción causal con el mundo físico, y trato de mostrar la inadecuación de ambas líneas argumentativas. En se-gundo lugar, menciono tres líneas de crítica a los intentos eliminativistas, mos-trando sus debilidades. (...) Finalmente, ofrezco una línea argumentativa alternativa para sostener la implausibilidad del eliminativismo basada en consideraciones acerca de los alcances de un posible cambio conceptual radical en nuestros con-ceptos mentalistas ordinarios que el eliminativismo parece suponer.In this paper I outline two lines of argumentation which lead to the eliminativist thesis, one of them based on a peculiar understanding of the rela-tionship between common sense and scientific knowledge, and the other one based on metaphysical ideas about the nature of mental phenomena and their causal interaction with the physical world. I try to show the inadequacy of both kinds of arguments. In the second place, I review three critics to the eliminativist thesis, showing their flaws. Finally, I offer my own reasons for rejecting elimina-tivism considering the difficulties that a radical conceptual change of our mental-istic concepts like the one supposed by the eliminativist pose. (shrink)

El objetivo central de este artículo es exponer las herramientas que la fenomenología husserliana aporta a la definición, descripción y análisis del mal moral. Parto de la distinción Ricoeuriana entre mal moral y mal sufrimiento, con la intención de justificar la introducción del instrumental husserliano en ambas esferas. Me interesa analizar esta distinción en un marco de interpretación fenomenológico que nos permita explicar el mal sufrimiento como dolor y el mal moral como violencia y envilecimiento. En un primer momento expongo (...) las limitaciones del análisis hermenéutico en relación con la descripción del dolor como pura pasividad; en un se-gundo momento analizo los desarrollos contemporáneos de la fenomenología del dolor a través de los conceptos centrales de la teoría husserliana de la constitución, concretamente, de la teoría de la corporalidad que aparece en este contexto; en un tercer momento trato de definir el mal moral como violencia, y la violencia como acción articulada a través de un conjunto de técnicas de envilecimiento o deshumanización, caracterizadas por la intención de un otro hostil, de dañar o alienar la identidad del yo mediante la manipulación de los sentimientos sensibles de la víctima, a través de la creación de escenarios y condiciones materiales consideradas infrahumanas.The main goal of this paper is to expose the tools offered by Husserlian phenomenology for the definition, description, and analysis of moral evil. My starting point is the Ricoeurian distinction between moral evil and suffering evil, in order to justify the insertion of the Husserlian analysis in both spheres. My purpose to highlight this distinction within a Husserlian interpretation frame so we can understand the suffering evil as pain, and the moral evil as violence and degradation. First, I expose the limitations of hermeneutical analysis in the assumption of pain as pure passivity. Second, I analyze the contemporary developements of the phenomenology of pain through the central concepts of the Husserlian theory of the constitution, specifically, the theory of corporeality. Third, I try to define moral evil–the same contemplated within the Ricoeurian distinction–as violence, and violence as an articulated action through an array of degradation techniques, or dehumanization, characterized by the hostile intention of the other to damage or alienate the identity of the ego by manipulating the sensible feelings of the victim, through the creation of scenarios and material conditions considered as infrahuman. (shrink)