Little is known about the consequences of moral distress. The purpose of this study was to identify clinical situations that caused nurses to experience moral distress, to understand the consequences of those situations, and to determine whether nurses would change their practice based on their experiences. The investigation used a descriptive approach. Open-ended surveys were distributed to a convenience sample of 204 critical care nurses employed at a university medical center. The analysis of participants’ responses used an inductive approach and (...) a thematic analysis. Each line of the data was reviewed and coded, and the codes were collapsed into themes. Methodological rigor was established. Forty-nine nurses responded to the survey. The majority of nurses had experienced moral distress, and the majority of situations that caused nurses to experience moral distress were related to end of life. The nurses described negative consequences for themselves, patients, and families. (shrink)

Contributed articles on life and works of K. Satchidananda Murty, an Indian philosopher and teacher.

La question au nombre irrationnel et de l'irrationnel mathématique en général, tient une part discrète dans l'oeuvre de Platon, mais elle est comme cette "pierre délaissée par les architectes" et qui est pourtant "la pierre angulaire". Elle concentre toutes les questions de l'être et du non-être, du possible et de l'impossible, du fini et de l'infini et ouvre la voie à la liberté pleine et entière de l'homme en quête de vérité. En elle, convergent pensée mathématique et spéculation philosophique, en (...) une harmonie riche de conséquences inestimables. C'est cette harmonie que révèle Imre Toth dans un essai brillant et rigoureux, le dernier qu'il ait écrit avant sa brusque disparition en mai 2010. "Les Editions de l'éclat viennent de contribuer à réparer ce qui apparaît comme une lacune de l'édition française en publiant deux textes récents d'Imre Toth" - Françoise Balibar (Critique). "Le livre de Toth est extrêmement séduisant, croisant la polémique politique la plus vive avec l'initiation limpide aux problèmes fondamentaux de la philosophie des mathématiques" - Jean-Paul Thomas (Le Monde). "Philosophes comme historiens des sciences pourront tirer profit de ce regard enflammé sur le processus mathématique, qui place la liberté au coeur de la création, mais va au-delà en cherchant à comprendre son fonctionnement, précisément en mathématique" - Jean-Michel Kantor (La Quinzaine littéraire). (shrink)

Recent conversation has blurred two very different social epistemic phenomena: echo chambers and epistemic bubbles. Members of epistemic bubbles merely lack exposure to relevant information and arguments. Members of echo chambers, on the other hand, have been brought to systematically distrust all outside sources. In epistemic bubbles, other voices are not heard; in echo chambers, other voices are actively undermined. It is crucial to keep these phenomena distinct. First, echo chambers can explain the post-truth phenomena in a way that epistemic (...) bubbles cannot. Second, each type of structure requires a distinct intervention. Mere exposure to evidence can shatter an epistemic bubble, but may actually reinforce an echo chamber. Finally, echo chambers are much harder to escape. Once in their grip, an agent may act with epistemic virtue, but social context will pervert those actions. Escape from an echo chamber may require a radical rebooting of one's belief system. (shrink)

Overzicht van de westerse filosofie van de pre socratici tot het existentialisme.

A well-known art historian and an intimate friend of Heidegger's, Heinrich Wiegand Petzet provides a rich portrait of Heidegger that is part memoir, part biography, and part cultural history.

Psychobiological responses to music have been examined previously in various naturalistic settings in adults. Choir singing seems to be associated with positive psychobiological outcomes in adults. However, evidence on the effectiveness of singing in children and adolescents is sparse. The COVID-19 outbreak is significantly affecting society now and in the future, including how individuals engage with music. The COVID-19 pandemic is occurring at a time when virtual participation in musical experiences such as singing in a virtual choir has become more (...) prevalent. However, it remains unclear whether virtual singing leads to different responses in comparison with in-person singing. We evaluated the psychobiological effects of in-person choral singing in comparison with the effects of virtual choral singing in a naturalistic pilot within-subject study. A group of children and young adolescents from a school in Salzburg, Austria were recruited to take part in the study. Subjective measures were taken pre- and post-singing sessions once a week. Additionally, salivary biomarkers and quantity of social contacts were assessed pre- and post-singing sessions every second week. Psychological stability, self-esteem, emotional competences, and chronic stress levels were measured at the beginning of in-person singing as well as at the beginning and the end of the virtual singing. We observed a positive impact on mood after both in-person and virtual singing. Over time, in-person singing showed a pre-post decrease in salivary cortisol, while virtual singing showed a moderate increase. Moreover, a greater reduction in stress, positive change in calmness, and higher values of social contacts could be observed for the in-person setting compared to the virtual one. In addition, we observed positive changes in psychological stability, maladaptive emotional competences, chronic stress levels, hair cortisol, self-contingency and quality of life. Our preliminary findings suggest that group singing may provide benefits for children and adolescents. In-person singing in particular seems to have a stronger psychobiological effect. (shrink)

English summary: Marc Andre Wiegand analyzes the neo-Kantian premises of Gustav Radbruch's legal philosophy.