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)

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)

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 this paper I propose a new solution to the problem of change: situationalism. According to this view, parts of reality fundamentally disagree about what is the case and reality as a whole is unsettled (i.e. metaphysically indeterminate). When something changes, parts of the world irreconcilably disagree about what properties it has. From this irreconcilable disagreement, indeterminacy arises. I develop this picture using situations, which are parts of possible worlds; this gives it the name situationalism. It allows a B-theory endurance (...) view on which there is genuine incompatibility when things change. There are costs to the view, which are explored, but it is a novel approach which offers a distinct explanation of what happens when things exist through change. (shrink)

This paper outlines a novel solution to the Ship of Theseus puzzle. The solution relies on situations, a philosophical tool used in natural language semantics among other places. The core idea is that what is true is always relative to the situation under consideration. I begin by outlining the problem before briefly introducing situations. I then present the solution: in smaller situations the candidate is identical to Theseus’s ship. But in larger situations containing both candidates these identities are neither true (...) nor false. Finally, I discuss some worries for the view that arise from the nature of identity, and suggest responses. It is concluded that the solution, and the theory that underpins it, are worth further investigation. (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)

This paper constructs a model of metaphysical indeterminacy that can accommodate a kind of ‘deep’ worldly indeterminacy that arguably arises in quantum mechanics via the Kochen-Specker theorem, and that is incompatible with prominent theories of metaphysical indeterminacy such as that in Barnes and Williams (2011). We construct a variant of Barnes and Williams's theory that avoids this problem. Our version builds on situation semantics and uses incomplete, local situations rather than possible worlds to build a model. We evaluate the resulting (...) theory and contrast it with similar alternatives, concluding that our model successfully captures deep indeterminacy. (shrink)

There is a concern about the effectiveness of petitionary prayer. If I pray for something good, wouldn’t God give it to me anyway? And if I pray for something bad, won’t God refrain from giving it to me even though I’ve asked? This problem has received significant attention. The typical solutions suggest that the prayer itself can alter whether something is good or bad. I will argue that this is insufficient to fully address the problem, but also that the problem (...) requires another assumption which can be doubted, thereby opening up a new way to solve the problem. (shrink)

This article aims to bring some work in contemporary analytic metaphysics to discussions of the Real Presence of Christ in the Eucharist. I will show that some unusual claims of the Real Presence doctrine exactly parallel what would be happening in the world if objects were to time-travel in certain ways. Such time-travel would make ordinary objects multiply located, and in the relevantly analogous respects. If it is conceptually coherent that objects behave in this way, we have a model for (...) the behaviour of the Eucharist which shows the doctrine to be coherent, at least with respect to the issues discussed. (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)

Extended simples are fruitfully discussed in metaphysics. They are entities which are located in a complex region of space but do not themselves have parts. In this paper, I will discuss unextended complexes: entities which are not located at a complex region of space but do themselves have parts. In particular, I focus on one type of unextended complex: pointy complexes. Four areas are indicated where pointy complexes might prove philosophically useful. Unextended complexes are therefore philosophically fruitful, in much the (...) same way as extended simples. (shrink)

If something changes from being in one state to being in another state, when exactly does it change? And what’s going on at that time? These questions are often discussed under the heading of the ‘moment’ or ‘instant’ of change. In this paper, I will investigate a view on which there is an intrinsically distinguished, atomic time at which something changes, and at that time it is metaphysically indeterminate what is the case. The background metaphysical picture is situationalism, a theory (...) on which reality is composed of irreducibly conflicting parts. These conflicting parts give rise to unsettledness in reality as a whole, and also at the point of change. I propose this view as a competitor for existing accounts of the time of change, and spell out a few reasons in its favour. (shrink)

In this paper, I will offer an analogy between the Trinity and extended simples that supports a Latin approach to the Trinity. The theoretical tools developed to discuss and debate extended simples in the literature of contemporary analytic metaphysics, I argue, can help us make useful conceptual distinctions in attempts to understand what it could be for God to be Triune. Furthermore, the analogy between extended simples and the Trinity might surprise some who find one of these at least plausibly (...) possible and the other incoherent. (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 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)

Leibniz has long faced a challenge about the coherence of the distinction between necessary and contingent truths in his philosophy. In this paper, I propose and examine a new way to save genuine contingency within a Leibnizian framework. I conclude that it succeeds in formally solving the problem, but at unbearable cost. I present Leibniz’s challenge by considering God’s choice of the best possible world (Sect. 2). God necessarily exists and necessarily chooses to actualise the best possible world. The actual (...) world therefore could not be different, for if it were different it would be a distinct and inferior world and hence would not be created. In Sect. 3 I defend Leibniz from this challenge. I argue that while it is necessary for God to choose to create the best possible world, it is not necessary for any world to be the best possible. This is because the criterion for judging perfection can itself be contingent. Different criteria will judge different worlds as the best. Thus it is necessary for God to create the best, but not necessary which is the best. Distinguishing between possible worlds in Leibniz’s sense and in the modern sense allows a fuller exposition of this position. There are worries that can arise with the claim that the criterion of perfection is contingent. I consider two of the most pressing (Sect. 4). The first argues that the criterion is in God’s understanding and hence is necessary; the second alleges that a contingent criterion of perfection violates Leibniz’s cherished Principle of Sufficient Reason. These worries are well-grounded, and examining them reveals a deep incompatibility between this solution and Leibniz’s metaphysical views. I conclude that there is a real solution available, but that it is unacceptable to Leibniz or a Leibnizian. The search for a genuine solution that is genuinely Leibnizian goes on. (shrink)

Many philosophers have found change puzzling. How can it be that something changes in its properties and yet remains the same thing? How can one and the same thing have these different properties? Questions of this sort, about the persistence of things through change, have been an ongoing feature of philosophical discussion since the beginning of the discipline. I think that there is something puzzling here, and that investigating change can be a fruitful way of trying to understand a nest (...) of connected issues concerning identity, time, tense, objects, properties, and instantiation. But not all agree. In some fairly recent papers, for instance, it has been argued that change is not problematic: there is nothing to be worried about. The phenomenon of change, it is suggested, is not one of particular philosophical interest, and we shouldn’t expect it to illuminate our wider discussion. As I have said, I think that change is problematic. I think it is initially mysterious how things can change. I believe working through the problem can tell us things about what the world is like, and thus that it is worthwhile doing so. In this paper I’ll defend the problem from the attempted dissolutions of it. In brief, my argument will be that what we are offered is not a real dissolution of the problem but rather an existing solution to the problem, namely adverbialism. This solution is not universally or even generally accepted. Pointing to a contested solution to a problem is doesn’t successfully dissolve that problem, so the problem of change is not successfully dissolved. (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)

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 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)

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)

This paper interrogates the fundamental logic of data-driven decision-making as it has taken hold in education and argues for a critical analysis of data-driven education via an attitude of historical ontology. Though influenced by Foucault’s understanding of this concept, I center Colin Koopman’s recent analysis of the ‘informational person’ to point attention to the ways in which the very formatting of data may be understood as historically contingent and, thus, more contestable. After examining the background of DDDM and relevant critiques (...) of it, I suggest that investigating the socio-historical formations of data itself are important for indicating its potential dangers within education. Such a critical analysis identifies the doubled politics of data formatting, with its ability to tether subjectivity to data, while potentially baking modes of power into a variety of technological data apparatuses. To conclude, I consider Koopman’s work in terms of how it may extend critical studies of educational datafication. (shrink)

Indeterminacy in its various forms has been the focus of a great deal of philosophical attention in recent years. Much of this discussion has focused on the status of vague predicates such as ‘tall’, ‘bald’, and ‘heap’. It is determinately the case that a seven-foot person is tall and that a five-foot person is not tall. However, it seems difficult to pick out any determinate height at which someone becomes tall. How best to account for this phenomenon is, of course, (...) a controversial matter. For example, some (such as Sorensen (2001) and Williamson (2002)) maintain that there is a precise height at which someone becomes tall and such apparent cases of indeterminacy merely reflects our ignorance of this fact. Others maintain that there is some genuine – and not merely epistemic – indeterminacy present is such cases and offer various accounts of how best to account for it. Supervaluationists (such as Keefe (2008)), for example, claim that the indeterminacy with respect to vague terms lies in their not having a single definite extension. Rather, each term is associated with a range of possible precise extensions or precisifications such that it is semantically unsettled which is the correct extension. One precisification of ‘tall’ might allow that anyone over five feet ten inches is tall, whereas another would only allow those over six foot to qualify; but no precisification will take someone who is five foot to be tall, and someone who is seven foot will count as tall on all precisifications. Thus – while someone who is seven foot will be determinately tall and someone who is five foot determinately not so – it will be indeterminate whether someone who stands at five foot eleven inches is tall. -/- Yet, it is important to stress that putative cases of indeterminacy are not limited to vague predicates of this kind. Philosophers have invoked indeterminacy in discussions of topics as diverse as moral responsibility (Bernstein (forthcoming)), identity over time (Williams (2014)), and the status of the future (Barnes and Cameron (2009)). In this paper, we focus on two areas where discussion of various kinds of indeterminacy has been commonplace: physics and fiction. We propose a new model for understanding indeterminacy across these domains and argue that it has some notable advantages when compared to earlier accounts. Treating physics and fiction cases univocally also indicates an interesting connection between indeterminacy in these two areas. (shrink)

This paper concerns metaphysical indeterminacy and, in particular, the issue of whether quantum mechanics gives motivation for thinking the world contains it. In a previous paper (Darby G, Pickup M. Synthese 198:1685–1710, 2021), we have offered one way to think about metaphysical indeterminacy which we take to avoid some issues arising from certain features of quantum mechanics (such as the Kochen-Specker theorem). This approach has recently been criticised by Corti (Synthese, forthcoming), and we take this opportunity to respond. Our (...) paper will therefore reply to Corti’s argument, but we also take it as a case study in ‘naturalistic metaphysics’ and hence to contribute to a more general discussion of the relationship between philosophy of science and analytic metaphysics. (shrink)

This paper rebuts suggestions made by Littlejohns et al that NICE is not ageist by analysing the concept of ageism. It recognises the constraints that finite resources impose on decision making bodies such as NICE and then makes a number of positive suggestions as to how NICE might more effectively and more justly intervene in the allocation of scarce resources for health.

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)

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)