Background: As a normative theory, care ethics has become widely theorized and accepted. However, there remains a lack of clarity in relation to its use in practice, and a care ethics framework for practice. Maternity care is fraught with ethical issues and care ethics may provide an avenue to enhance ethical sensitivity. Aim: The purpose of this scoping review is to determine how care ethics is used amongst health professions, and to collate the information in data charts to create a (...) care ethics framework and definition for midwifery practice. Method: The scoping review was conducted according to the Preferred Reporting Items for Scoping reviews (PRISMA-ScR) and Joanna Briggs Institute (JBI) recommendations. The search was applied to the databases CINAHL, MEDLINE, PschInfo and Pubmed which were searched in September 2019 and again in July 2021. The inclusion criteria were guided by the mnemonic for search terms: Participants, Concept, and Context (PCC) and included variations of health care professionals, care ethics and utilization. The search was limited to qualitative studies published in English between 2010 and 2021. A data extraction tool was used to extract and synthesize data into categories. The articles were screened for eligibility by title, abstract and full text review, by two independent reviewers. Ethical Considerations: The scoping review was guided by ethical conduct respecting authorship and referencing sources. Results: Twelve of the initially identified 129 studies were included in the scoping review. Data synthesis yielded four categories of care ethics use by health professionals: relationship, context, attention to power and caring practices. In combination, the evidence forms a framework for care ethics use in midwifery practice. Conclusion: Care ethics use by health professionals enhances ethical sensitivity. A framework and definition for care ethics for midwifery practice is proposed. This review will be of interest to midwives and other health practitioners seeking to enhance ethical sensitivity. (shrink)

Nurses may, and often do, experience moral distress in their careers. This is related to the complicated work environment and the complex nature of ethical situations in everyday nursing practice. The outcomes of moral distress may include psychological and physical symptoms, reduced job satisfaction and even inadequate or inappropriate nursing care. Moral distress can also impact retention of nurses. Although research has grown considerably over the past few decades, there is still a great deal about this topic that we do (...) not know including how to deal well with moral distress. A critical key step is to develop a deeper understanding of relational practice as it pertains to moral distress. In this article, exploration of the experience of moral distress among nurses is guided by the key elements of relational ethics. This ethical approach was chosen because it recognizes that ethical practice is situated in relationships and it acknowledges the importance of the broader environment on influencing ethical action. The findings from this theoretical exploration will provide a theoretical foundation upon which to advance our knowledge about moral distress. (shrink)

Este artículo examina la manera en que el diseño específico de las casas de baños de la Antigüedad tardía en la provincia romana de la Cirenaica, base de operaciones para la conquista islámica de Ifrīqiya, influyó en el desarrollo de los hammams en el norte de África y en al-Andalus. Los restos arqueológicos de los baños bizantinos/tardoantiguos y los primeros hammams son puestos en comparación para demostrar las grandes similitudes de su trazado general y dentro de este, del diseño del (...) caldarium en particular, lo que apunta a la pervivencia de los esquemas de construcción que sobreviven hasta el día de hoy en los hammams marroquíes. La característica más distintiva era la estancia rectangular para el baño de calor, calentada por un solo horno, y flanqueada por dos exedras que albergaban sendas bañeras rectangulares. Este diseño de hammam «occidental» era marcadamente distinto de los hammams contemporáneos en Oriente, que a su vez continuaron con el diseño tradicional de los baños públicos romano-bizantinos orientales. Contrariamente a lo que se presuponía, este artículo demuestra que el diseño «occidental» no se originó en los primeros momentos del Marruecos medieval y de al-Andalus, extendiéndose posteriormente hacia el Mediterráneo oriental, sino que se originó en el norte del África romano-bizantino, extendiéndose hacia el Oeste, para regresar, a través de la circularidad cultural, al lugar de origen con nuevas adaptaciones. (shrink)

Ansiklopedik tarzda kaleme alınan eserler, yazıldıkları dönemindeki ilmi seviyeyi göstermek ve muhataplarının ihtiyaç duydukları pratik bilgileri bir araya getirmek bakımından büyük öneme sahiptir. Zira bu tür eserlerin, hem müellifin çeşitli ilim dallarına vukufiyetini ortaya koyma hem de eserden istifade edecek kesimlerin ihtiyaç duyduğu bilgi birikimini tespit etme noktasında kıymetli veri kaynakları oldukları aşikârdır. İslam dünyasında erken dönemde kaleme alınan bu türdeki eserlerden biri de müellifin tek eseri olarak günümüze gelmiş ve şöhreti ile müellifini geride bırakmış olan Muhammed b. Ahmed el-Hârizmî’nin (...) Mefâtîhu’l-‘ulûm aslı eseridir. Bu çalışmada Hârizmî’nin bir bürokrat olarak kendi meslektaşlarının ihtiyaç duyduğu bilgileri bir araya getirdiği eserinde felsefeye ve felsefî ilimlere yaklaşımı incelenecektir. Çalışmanın planı, müellifin eserinde felsefeye ayırdığı bölüme başlıkları üzerinden düzenlenmiştir. (shrink)

In pediatric critical care, nurses are the primary caregivers for critically ill children and are particularly vulnerable to moral distress. There is limited evidence on what approaches are effective to minimize moral distress among these nurses. To identify intervention attributes that critical care nurses with moral distress histories deem important to develop a moral distress intervention. We used a qualitative description approach. Participants were recruited using purposive sampling between October 2020 to May 2021 from pediatric critical care units in a (...) western Canadian province. We conducted individual semi-structured interviews via Zoom. A total of 10 registered nurses participated in the study. Four main themes were identified: (1) “I’m sorry, there’s nothing else”: increasing supports for patients and families; (2) “someone will commit suicide”: improving supports for nurses: (3) “Everyone needs to be heard”: improving patient care communication; and (4) “I didn’t see it coming”: providing education to mitigate moral distress. Most participants stated they wanted an intervention to improve communication among the healthcare team and noted changes to unit practices that could decrease moral distress. This is the first study that asks nurses what is needed to minimize their moral distress. Although there are multiple strategies in place to help nurses with difficult aspects of their work, additional strategies are needed to help nurses experiencing moral distress. Moving the research focus from identifying moral distress towards developing effective interventions is needed. Identifying what nurses need is critical to develop effective moral distress interventions. (shrink)

The current study explored the extent to which children above and below the age of 7 years are able to benefit from either training in cumulative rehearsal or in the use of interactive imagery when carrying out working memory tasks. Twenty-four 5- to 6-year-olds and 24 8- to 9-year olds were each assigned to one of three training groups who either received cumulative rehearsal, interactive imagery, or passive labelling training. Participants’ ability to maintain material during a filled delay was then (...) assessed, and the nature of the distraction that was imposed during this delay was varied to shed further light on the mechanisms that individuals used to maintain the memoranda in working memory in the face of this distraction. The results suggest that the rehearsal training employed here did improve recall by virtue of encouraging rehearsal strategies, in a way that was not observed among participants receiving interactive imagery training. The fact that these effects were not mediated by age group counts against the view that younger individuals are either unable to rehearse, or show impoverished verbal serial recall because they do not spontaneously engage in rehearsal. (shrink)

The advent in universities of managerialism with its drive for individual accountability through performance management systems is contentious. With the implementation of a PMS at a South African university, academic heads of department have been key players in the performance reward component of the PMS. This study, following a qualitative descriptive research design based on in-depth interviews, explores a sample of HoDs’ experiences and perceptions of the institution's performance reward system. Most of the participants are sceptical of the PMS as (...) they view it as a business-oriented practice that is not compatible with the nature and objectives of higher education institutions. They consider the reward strategy not only to have a limited effect in promoting high performance behaviour, but to be a cause of discontent due to implementation inconsistencies, nebulous award criteria, lack of transparency about ratings, and the negligible monetary value of the reward. (shrink)

Chronic fatigue syndrome or myalgic encephalomyelitis remains a controversial illness category. This paper surveys the state of knowledge and attitudes about this illness and proposes that epistemic concerns about the testimonial credibility of patients can be articulated using Miranda Fricker’s concept of epistemic injustice. While there is consensus within mainstream medical guidelines that there is no known cause of CFS/ME, there is continued debate about how best to conceive of CFS/ME, including disagreement about how to interpret clinical studies of treatments. (...) Against this background, robust qualitative and quantitative research from a range of countries has found that many doctors display uncertainty about whether CFS/ME is real, which may result in delays in diagnosis and treatment for patients. Strikingly, qualitative research evinces that patients with CFS/ME often experience suspicion by health professionals, and many patients vocally oppose the effectiveness, and the conceptualization, of their illness as psychologically treatable. We address the intersection of these issues and healthcare ethics, and claim that this state of affairs can be explained as a case of epistemic injustice. We find evidence that healthcare consultations are fora where patients with CFS/ME may be particularly vulnerable to epistemic injustice. We argue that the marginalization of many patients is a professional failure that may lead to further ethical and practical consequences both for progressive research into CFS/ME, and for ethical care and delivery of current treatments among individuals suffering from this debilitating illness. (shrink)

Although it has been claimed that the Kharijite understanding emerged as a result of a booty division in the Prophet's time, their emergence as a sect was in the Battle of Siffin. This formation, which gained fame with the motto "The Judgment belongs only to Allah" in the arbitration issue between Hazrat Ali and Muawiya, came to the fore enough to leave Muaviye's rebellion against Hazrat Ali behind. So much so that when the battle of Siffin is mentioned, researchers focus (...) on Muawiya and Kharijites and what they did rather than what he did. Although there are many reasons for this, the most important one is the evaluation of Kharijites and Kharijites within the framework of Sunni sources. We can say that the way to be objective about Kharijites and Kharijites is to refer to the sources of the Kharijites themselves or the sects associated with the Kharijites. Kharijites are not a formation that systematizes as a creed or fiqh sect. However, The Ibâzî sect is known as a Khariji sect, as the pioneers of the sect, which would later be known as Ibâzî, were among the group that left Ali and gathered in a place called Harûra. In the year 64 Hijri, the people of Harura were divided into sects among themselves. The reason for this separation is especially because Nafi' b. Ezrak sees violence as legitimate and rejects other Muslims who do not think like them, and considers their blood, property and chastity halal. After this separation, the Kharijites were referred to as Ezârikâ, Süfriyya, Necdiyye/Necedât and Ibâzis. The Ibazis specifically stated that they were away from these sects because of their radical attitudes. This situation was especially emphasized in the correspondence between Abdullah b. İbâz and the Umayyad caliph Abdulmalik b. Marwan. However, when dealing with the subject of Kharijite, the reason for this disintegration was ignored, and the Ibazis, who had a moderate understanding, were evaluated in the same category as other Kharijite sects that were pro-violence and takfir. Ibazis strongly opposed such a generalization and argued that they should be evaluated separately from other Kharijite sects. In our study, this attitude of the Ibâzîs and their justifications have been included, and it has been tried to be explained with reference to both their own sources and Sunni sources. Another important point is that the Ibazis do not want to be called Kharijites. They considered it more appropriate to be named as Shurat, Ehlu'l-Istaqama, Haruriye and Vehbiye. The Ibâzî sect, which has managed to survive to the present day, has original views on Kharijites and Kharijites, and they also expressed an opinion on whether they see themselves as Kharijites or not. In addition, their approaches to and definitions of Kharijite differ from those mentioned in Sunni sources. Because of these connections with the Kharijites and the fact that they have reached the present day, it is a necessity to refer to the Ibâzî sources on the subject of Khârijism in terms of objectivity. However, we can say that Ibâzîs were introduced by adhering to Sunni sources. Such an approach, on the other hand, would not only cause the Ibazis to be understood correctly, but also caused them to be identified with the other Kharijite sects, especially the Ezarika. In this study, we will try to deal with the approaches of the Ibazis to the subject of Kharijite and Kharijite and whether they see themselves as a Kharijite sect, based on their own sources. (shrink)

The global pandemic has intensified the risk of moral distress due to increased demands on already limited human resources and uncertainty of the pandemic’s trajectory. Nurses commonly experience moral distress: a conflict between the morally correct action and what they are required or capable of doing. Effective moral distress interventions are rare. For this reason, our team conducted a multi-phase research study to develop a moral distress intervention for pediatric critical care nurses. In this article, we discuss our multi-phase approach (...) to develop a moral distress intervention—proactive, interdisciplinary meeting. Our proposed intervention is a sequential compilation of empirical work couched within a relational ethics lens thus should point to enhanced potential for intervention effectiveness. (shrink)

Moral distress is a common phenomenon among nurses and is related to the complicated work environments and complex nature of ethical situations in day-to-day nursing practice. Moral distress impacts nurses as well as patient care and the health care system. Few strategies have been identified for instructors to effectively engage with learners when communicating about moral distress. We discuss two key curricular and pedagogical strategies that should be utilized when learning about moral distress: difficult knowledge’ and ‘terror management theory’. Whether (...) it is with new nursing students or experienced nurses, there is necessary learning that needs to occur on moral distress. Difficult knowledge’ and ‘terror management theory’, when implemented, can provide a starting point for both the learner and the instructor to discuss the emotionally difficult and complex topic of moral distress. Knowledge about moral distress has the potential to mitigate its negative effects, therefore it is vital to consider educational strategies to teach nurses about this complex phenomenon. (shrink)

Plato's philosophical dialogues provide a solid understanding of Catholic moral principles. Geraghty shows within the pages of this short book how the truths of the old sage are both delightfully and challengingly perennial.

Public intellectuals have long played a role in American culture, filling the gap between the academic elite and the educated public. According to some commentators, the role of the public intellectual has undergone a steady decline for the past several decades, being replaced by the academic expert. The most notable cause of this decline has been both the growth of the academy in the twentieth century,which has served to concentrate intellectual activity within its confines, and the changing nature of the (...) media, which has framed the way in which information is conveyed to the public. We argue that although bioethics has developed primarily within the academic tradition and utilized the role of expert when dealing with the public, bioethicists are well suited to don the mantle of the public intellectual. Indeed, because they address issues in medicine and science of great relevance for the general public, bioethicists have a duty to revitalize the tradition of public intellectuals as a necessary complement to the important, but narrower role of expert. (shrink)

Myalgic encephalomyelitis or chronic fatigue syndrome is a contested illness category. This paper investigates the common claim that patients with ME/CFS—and by extension, ME/CFS patient organizations —exhibit “militant” social and political tendencies. The paper opens with a history of the protracted scientific disagreement over ME/CFS. We observe that ME/CFS POs, medical doctors, and medical researchers exhibit clear differences in opinion over how to conceptualize this illness. However, we identify a common trope in the discourse over ME/CFS: the claim of “militant” (...) patient activism. Scrutinizing this charge, we find no compelling evidence that the vast majority of patients with ME/CFS, or the POs representing them, have adopted any such militant political policies or behaviours. Instead, we observe key strategic similarities between ME/CFS POs in the United Kingdom and the AIDs activist organizations of the mid-1980s in the United States which sought to engage scientists using the platform of public activism and via scientific publications. Finally, we explore the contours of disagreement between POs and the medical community by drawing on the concept of epistemic injustice. We find that widespread negative stereotyping of patients and the marginalization and exclusion of patient voices by medical authorities provides a better explanation for expressions of frustration among patients with ME/CFS. (shrink)

Artykuł dotyczy problemu percepcji. Przedstawiam w nim koncpecję"widzenia jako" Wittgensteina, oraz koncepcje myślenia jako odruchu Bohma. Wskazując podobieństwa i różnice w poglądach Wittgensteina i Bohma zmierzać będę do postawienia pytania o to, co sprawia, że nasze postrzeganie jest uwarunkowane. Po dokonaniu oceny tego faktu, w dalszej kolejności postawię pytanie o możliwość percepcji nieuwarunkowanej. Tym samym spróbuję odpowiedzieć na dwa pytania: czy istnieją powody, dla których powinniśmy wyzwalać się z tego rodzaju percepcji, a także czy i jak jest to w ogóle (...) możliwe? (shrink)

The topic of the article is the way in which a human being can grasp its own body. The confrontation between Husserl's and Sartre's philosophy about meeting Another is my way of showing the radical change in our understanding of the problem of how we know our own body. According to Husserl both our psyche and body are given to us immediately. The body of Another is given to us by means of our own body. The psyche of Another is (...) made present through his body. This conception is inverted by Sartre. Both the psyche and the body are no longer able to grasp themselves. Yet this does not mean that Another is ungraspable. Knowledge of him does not require self-knowledge. The psyche of Another is given through his body, which is given immediately. Our own body needs the body of Another - it is contained in everything that is not itself. (shrink)

The first half of the 20th century witnessed the development of the classic eugenics. Some countries in Europe and the USA of different historical past, cultures and degree of development were universally attracted by the eugenic ideology. This raises few questions concerning the basis of its universal attractiveness for masses and its success. This article answers those questions indicating strong religious-like belief in the myth which served as a base for the eugenical way of thinking being older than this thought. (...) This myth narrates a story about the existence of “real people” who lived in the past, yet unfavourable circumstances caused their degradation, but who—with the assistance of physicians technocrats of the new society and through medical procedures—may be reborn. This paper aims at the reconstruction of the myth on the basis of the writings of Plato, Campanella and Nietzsche. As examples of its “realization” of the myth, I provide the activities of the institutions like Lebensborn houses in Germany and Nobel Sperm Bank in the USA. (shrink)

This article is an attempt to determine the status of transcendence within the works of Hannah Arendt. This topic belongs to a niche when it comes to the scope of interests of the thinker whose interests focused upon the philosophy of politics. However, since Arendt concentrated on the reflection on man and his culture, her ideas reach beyond socio-political issues. Drawing a picture of the world as a place created by people, and distinguishing it from the world of nature, she (...) draws indirect attention to what goes beyond it. In Arendt’s writings, the sphere of transcendence appears as what does not appear, yet it does exist and affects our existence in an even more noticeable way than the actions of politicians. For this reason, I attempt to determine not only the ontological status of transcendence, but also the status of a thinker who appears in Arendt’s writings as a mind. These tasks will require reconstructing the sphere of what does not appear, and the way it is connected with the sphere of phenomena. This will be done on the basis of an analysis of the activities that a person performs, and individual spheres in which her life takes place. (shrink)

Organ shortage is a major survival issue for millions of people worldwide. Globally 1.2 million people die each year from kidney failure. In this paper, we critically examine and find lacking extant proposals for increasing organ supply, such as opting in and opt out for deceased donor organs, and parochial altruism and paired kidney exchange for live organs. We defend two ethical solutions to the problem of organ shortage. One is to make deceased donor organs automatically available for transplant without (...) requiring consent from the donor or their relatives. The other is for society to buy nonvital organs in a strictly regulated market and provide them to people in need for free. (shrink)

While it represents a common form of gender-based violence, misogyny is an often-overlooked concept within academia and the queer community. Drawing on queer and feminist scholarship on gay male misogyny, this article presents a theoretical challenge to the myth that the oppressed cannot oppress, arguing that specific forms of gay male subjectivities can be proponents of misogyny in ways that are unrecognised because of their sexually marginalised status. The authors’ interest in the doing of misogyny, and its effects on specific (...) bodies and subjectivities, leads them to discuss the extent to which white gay male misogyny can function to reinforce a particular gender and racial hierarchy that continually confines queer femininities to the status of the abject other, for failing to exhibit their feminine credentials and for making gender trouble. The study also addresses how specific markers of femininity are depoliticised through the workings of this misogyny, exploring what femininity does when it is conceptualised outside a heteronormative framework. To address these ideas, the authors firstly propose a theoretical account of misogyny in order to understand its analytical status as a cultural mechanism within the psychic economy of patriarchy. Secondly, they use queer approaches to effeminacy and subject formation for making the case for gay male misogyny and its connections to femininity within white gay cultures, asking how misogyny might become an essential component of the performance of hegemonic masculinity. The article concludes with a discussion of the ways in which gay male misogyny reinforces white male dominance over women and queer femininities specifically, advocating for resistance to the reproduction of such patriarchal arrangements. (shrink)

If our thinking is socially conditioned, then how, at the end of 1900, did Max Planck, whose thinking was shaped by classical mechanics, manage to think that energy is quantized? After all, the idea was incommensurable with the principles of Newton’s mechanics. My thesis is that Planck did not intend to think about it. Trying to reconcile the time reversibility of the laws of mechanics with the time irreversibility of the laws of classical thermodynamics, he was constantly thinking according to (...) rules inherited from others. Trying to find a theoretical explanation of the formula describing the distribution of the energy of black-body radiation — arrived at by fitting theoretical parameters to new experimental data — he in “an act of despair” applied Boltzmann’s statistical concept of entropy. Then he noticed — on a sheet of paper — that classical and statistical formulas are identical if and only if the energy of resonators was a multiple of _hν_. What cannot appear in the human mind — as the mind is socially conditioned — can appear on paper. This gives a clear example of how computations in a “world on paper” can create new concepts. (shrink)

If our thinking is socially conditioned, then how, at the end of 1900, did Max Planck, whose thinking was shaped by classical mechanics, manage to think that energy is quantized? After all, the idea was incommensurable with the principles of Newton’s mechanics. My thesis is that Planck did not intend to think about it. Trying to reconcile the time reversibility of the laws of mechanics with the time irreversibility of the laws of classical thermodynamics, he was constantly thinking according to (...) rules inherited from others. Trying to find a theoretical explanation of the formula describing the distribution of the energy of black-body radiation — arrived at by fitting theoretical parameters to new experimental data — he in “an act of despair” applied Boltzmann’s statistical concept of entropy. Then he noticed — on a sheet of paper — that classical and statistical formulas are identical if and only if the energy of resonators was a multiple of hν. What cannot appear in the human mind — as the mind is socially conditioned — can appear on paper. This gives a clear example of how computations in a “world on paper” can create new concepts. (shrink)

All significant methodologies of the XX century accept conventionalistic philosophy of science. The main question for such methodologies is: are there universal criteria, allowing to choose these conventions, which are the best from the cognitive point of view? There are four classical answers to this problem: anarchism, sociologism, elitism and demarcationism. In the article the main dillemas of demarcationist program are considered.

I agree with many of Adam Grobler’s theses, but several others raised my objection. (1) A.G. does not want to call scientific claims true. It is not so: very much of what scientists say about the world is true (in the classic sense), and scientists know it is. (2) A.G. leads us astray when he writes that the acceptance or rejection of hypotheses is determined, at least sometimes, by expert votes. It is not so: further research is the decisive factor (...) in accepting or rejecting hypotheses in science. (3) While A.G. is aware of some social determinants of knowledge, he ultimately states: “individuals are the subjects of scientific knowledge.” Contrary to this, I argue that one can only be a scientist as a member of a scientific thought collective. (4) A.G. believes that scientific knowledge is based on presuppositions, accepted unconsciously, that give meaning to statements made openly. After Wittgenstein, I repeat: “After all, nothing is concealed.”. (shrink)

Ludwik Fleck says that a thought-collective develops a thought-style which shapes the ways of perceiving the world and thinking of the world by its members. So how could it happen that at the end of 1900 Max Planck, whose thinking was determined by classical mechanics, managed to think that energy is quantized - the idea that contradicted the principles of Newton's mechanics? My answer is that Planck did not intend to think it.