Papers presented at a conference held in Brussels, September 30th-October 2nd, 1987.

The Fundamentals of Care Framework is an evidence‐based, theory‐informed framework that conceptualises high‐quality fundamental care. The Framework places the nurse–patient relationship at the centre of care provision and outlines the nurse behaviours required for relationship development. Numerous instruments exist to measure behavioural aspects of the nurse–patient relationship; however, the literature offers little guidance on which instruments are psychometrically sound and best measure the core relationship elements of the Fundamentals of Care Framework. This study evaluated the quality of nurse–patient relationship (...) instruments by (1) assessing their content development and measurement properties (e.g. dimensionality, targeting, reliability, validity) and (2) mapping instrument content to the Framework's core relationship elements: trust, focus, anticipate, know, and evaluate. Twenty‐seven instruments were evaluated. Findings demonstrated that patients and nurses were rarely involved in item development. Most instruments exhibited poor measurement properties, with only one instrument having complete information on all quality indicators. Instrument content focused primarily on nurses getting to know patients and earning their trust, with only 54, 18, and 1 item(s), respectively, measuring ‘focus’, ‘anticipate’ and ‘evaluate’. Hence, there does not appear to be a robust instrument measuring behavioural aspects of nurse–patient relationships, nor one capturing the relationship elements of the Fundamentals of Care Framework. (shrink)

The probabilistic corroboration of two or more hypotheses or series of observations may be performed additively or multiplicatively . For additive corroboration (e.g. by Laplace's rule of succession), stochastic independence is needed. Inferences, based on overwhelming numbers of observations without unexplained counterinstances permit hyperinduction , whereby extremely high probabilities, bordering on certainty for all practical purposes may be achieved. For multiplicative corroboration, the error probabilities (1 - Pr) of two (or more) hypotheses are multiplied. The probabilities, obtained by reconverting the (...) product, are valid for both of the hypotheses and indicate the gain by corroboration.. This method is mathematically correct, no probabilities > 1 can result (as in some conventional methods) and high probabilities with fewer observations may be obtained, however, semantical independence is a prerequisite. The combined method consists of (1) the additive computation of the error probabilities (1 - Pr) of two or more single hypotheses, whereby arbitrariness is avoided or at least reduced and (2) the multiplicative procedure . The high reliability of Empirical Counterfactual Statements is explained by the possibility of multiplicative corroboration of "all-no" statements due to their strict semantical independence. (shrink)

BackgroundKnowing the opinions of patients with Progressive Neurological Diseases (PNDs) and their family members on end-of-life care can help initiate communication and the drawing up of a care plan. The aim of this paper is to describe the creation and psychometric properties of the newly developed APND-EoLC questionnaire (theAttitudes of Patients with Progressive Neurological Disease to End of Life Carequestionnaire).MethodsFollowing focus group discussion, four main areas of interest were identified: patients’ and family members’ attitudes towards end-of-life care, factors influencing decisions (...) about treatment to prolong patients’ life, concerns and fears regarding dying, and opinions on the system of care. The created questions were divided into domains based on factor analysis and psychometric properties were evaluated by sample of 209 patients with PND and 118 their family members.ResultsThe final version of the scale contains a total of 28 questions divided into six domains (end-of-life control, keeping patients alive, trust in doctors/treatment, trust in social support, sense of suffering, and dependence/loss of control) and five individual questions determining views of the care system with specified response options. Construct validity was verified by confirmatory factor analysis for each evaluated area individually. Appropriate psychometric properties were identified in the questionnaire.ConclusionsThe APND-EoLC questionnaire can be recommended for use in both research and clinical practice. (shrink)

The purpose of the present paper is: (1) to outline a conceptual framework useful for the analysis of ethical issues raised by goal-directed activities, (2) to apply this framework to nanoscale research, (3) identify some of the main challenges in the evaluation of such research, and (4) exemplify what is needed for a positive answer to the question “How can nanoscale research improve the quality of life?” A basic idea of the paper is that nanoscale research can improve the conditions (...) and quality of life of large groups in society, provided that: (a) this research is directed at certain generally accepted goals, (b) at least some of the opportunities are exploited for the good of mankind, (c) the key obstacles on the road are eliminated, reduced or circumvented, and (d) this is done in ethically acceptable ways. (shrink)

Inducing aspect-experiences – the sudden seeing of something anew, as when a face suddenly strikes us as familiar – can be used as a philosophical method. In seeing aspects, I argue, we let ourselves experience what it would be like to conceptualize something in a particular way, apart from any conceptual routine. We can use that experience to examine our ways of conceptualizing things, and re-evaluate the ways we make sense of them. I claim that we are not always (...) passive with regard to these experiences, and explain how we can actively induce them. I distinguish this method from other standard Wittgensteinian philosophical methods. (shrink)

Large-scale land acquisition (LaSLA) in developing countries is discussed controversially in both the media as well as academia: Opponents point to negative social and environmental consequences. By contrast, proponents conceive of LaSLA as much needed investment into the formerly neglected agricultural sector. This contribution aims at analyzing LaSLA’s environmental dimension against the background of strong sustainability. To this end, I will first introduce sustainable development as a normative concept based on claims for intra- and intergenerational justice. Subsequently, I will argue (...) in favor of a conception of strong sustainability and employ this conception in developing guidelines for the sustainable handling of natural capital. By outlining the main drivers and consequences of LaSLA, the contribution hopes to demonstrate that proponents conceive of LaSLA as a potential solution to several sustainability problems, notably answering growing worldwide demand for agricultural commodities by increasing agricultural yields, substituting agrofuels for fossil fuels and providing acreage for offsetting carbon emissions. Against this background I argue that if LaSLA causes environmental externalities, it actually increases the problems it is supposed to resolve. Thereby, I develop sustainability criteria in regard to LaSLA’s environmental consequences. (shrink)

Our research project will investigate the virtue of humility among real world humanitarian exemplars, such as holocaust rescuers and hospice workers. We will use computer technology to analyze interviews with these types of populations to understand the different factors involved in the virtue of humility. Following the work of Aristotle, we believe this virtue is formed as a kind of habit that becomes a natural extension of one’s character. We aim to operationalize and empirically evaluate aspects of the virtue (...) of humility through the computational analysis of implicit semantic processing embedded in the narratives of real world humanitarians. Latent semantic analysis, multi-dimensional scaling, and hierarchical cluster analysis will be used to map self-understanding schemas in these populations and its role in humility while serving others. (shrink)

In studying how lay people evaluate arguments, psychologists have typically focused on logical form and content. This emphasis has masked an important yet underappreciated aspect of everyday argument evaluation: social cues to argument strength. Here we focus on the ways in which observers evaluate arguments by the reaction they evoke in an audience. This type of evaluation is likely to occur either when people are not privy to the content of the arguments or when they are not expert enough to (...) appropriately evaluate it. Four experiments explore cues that participants might take into account in evaluating arguments from the reaction of the audience. They demonstrate that participants can use audience motivation, expertise, and size as clues to argument quality. By contrast we find no evidence that participants take audience diversity into account. (shrink)

Background: The development of a profession’s autonomy closely relates to that profession’s level of autonomy in performing its specific role. For the nursing profession, this key role is nursing care. Objectives: This study was undertaken to evaluate the professional autonomy of nurses in care provision, from an ethical perspective. Research design: A mixed methods approach is employed in this research, which makes use of both quantitative and qualitative methods. The quantitative dimension of this research covers sociodemographic aspects and makes (...) use of the Sociotropy–Autonomy Scale. The qualitative dimension of the research relates to the factors that affect professional autonomy in nursing care. Participants and research context: The sample consisted of 30 nurses working in the orthopedics, neurology, or intensive care units of three hospitals. Ethical considerations: Before conducting this research, we received permission from the ethical committee, as well as written permits from all the institutions in which the research was carried out. Informed consent was obtained from all participants. Findings: According to the findings of this study, only 6.7% of the nurses surveyed stated that nurses had professional autonomy; they also stated that professional autonomy in nursing was mostly restricted by the need to be “dependent upon the physician in nursing implementations” and that autonomy in nursing care was mostly limited by a “high number of patients per nurse.” Discussion: This study determined that delays in resolving problems with regard to professional autonomy in nursing care in Turkey could be creating many of the professional and ethical problems that nurses face there. Conclusion: It is recommended that: individuals choose the nursing profession conscientiously; nurses need to be given professional awareness; their professional organizations need to be strengthened; and plans need to be made to increase research and to accumulate both knowledge and expertise. (shrink)

BackgroundPatients have the right to equal, respectful treatment. Nowadays, one third of patient complaints concern health care staff’s behavior towards patients. Ethically safe care requires ethical competence, which has been addressed as a core competence in physiotherapy. It has been defined in terms of character strength, ethical awareness, moral judgment skills in decision-making, and willingness to do good. The purpose of this study was to analyze the ethical competence of practicing physiotherapists.MethodA self-evaluation instrument (Physiotherapist’s Ethical Competence Evaluation Tool) based on (...) an analysis of a concept “ethical competence” was constructed in 2016 and physiotherapists (n = 839), working in public health services or private practice responded to the questionnaire.ResultsBased on the results, most of the physiotherapists evaluated themselves highly ethically competent in all areas of ethical competence, subscales being Strength, Awareness, Skills and Will. Willingness to do good was evaluated as highest, while character strength, including the strength to support ethical processes and speak on behalf of the patient, was evaluated the lowest. Physiotherapists most commonly consult a colleague when encountering an ethical problem. Other methods for problem solving are not very familiar, neither are the international or national ethical codes of conduct.ConclusionsThis was the first attempt to assess all aspects of ethical competence empirically in a clinical environment in physiotherapy, using a novel self-evaluation instrument. Even if physiotherapists evaluate themselves as competent in ethics, further exploration is needed for ethical awareness. Also the patients’ viewpoints about ethically competent care should be considered, to better ensure ethical safety of the patient. (shrink)

There is a disparity between the multitude of apparently successful expert system prototypes and the scarcity of expert systems in real everyday use. Modern tools make it deceptively easy to make reasonable prototypes, but these prototypes are seldom made subject to serious evaluation. Instead the development team confronts their product with a set of cases, and the primary evaluation criterion is the percentage of correct answers: we are faced with a “95% syndrome”. Other aspects related to the use of (...) the system are almost ignored. There is still a long way to go from a promising prototype to a final system.It is maintained in the article that a useful test must be performed by future users in a situation that is as realistic as possible. If this is not done claims of usefulness cannot be justified. It is also stated that prototyping does not make “traditional” analysis and design obsolete, although the contents of these activities will change.In order to discuss the effects of using the systems a distinction between expert systems as media, tools and experts is proposed. (shrink)

L’analyse du double emploi du verbe « valoir » dans l’évaluation et l’appréciation éclaircit quelques aspects de la valeur. Évaluer, c’est prendre conscience d’un être qui est valorisé ou valeureux, non d’un être qui a une valeur. La valeur appartient à l’être même d’un objet. Il n’est pas question de demander si celui-ci la possède ou non, de résoudre le problème et de prouver la solution. Toute évaluation est une épreuve : l’objet convainc l’évaluateur en lui révélant la valeur (...) intrinsèque, celle-ci n’est pourtant pas une propriété. (shrink)

Most people encounter art images as digital reproductions on a computer screen instead of as originals in a museum or gallery. With the development of digital technologies, high-resolution artworks can be accessed anywhere and anytime by a large number of viewers. Since these digital images depict the same content and are attributed to the same artist as the original, it is often implicitly assumed that their aesthetic evaluation will be similar. When it comes to the digital reproductions of art, however, (...) it is also obvious that reproductions do differ from the originals in various aspects. Besides image quality, resolution, and format, the most obvious change is in the representation of color. The effects of subjectively varying surface-level image features on art evaluation have not been clearly assessed. To address this gap, we compare the evaluation of digital reproductions of 16 expressionist and impressionist paintings manipulated to have a high color saturation vs. a saturation similar to the original. We also investigate the impact of viewing time and expertise, two other aspects that may impact the perception of art in online contexts. Moreover, we link these dimensions to a recent model of aesthetic experience [the Vienna Integrated Model of Top-Down and Bottom-Up Processes in Art Perception ]. Results suggest that color saturation does not exert a major influence on liking. Cognitive and emotional aspects, however, are affected – to different extents for experts and laypersons. For laypersons, the increase in color saturation led to more positive assessments of an artwork, whereas it resulted in increased confusion for art experts. This insight is particularly important when it comes to reproducing artworks digitally. Depending on the intended use, increasing or decreasing the color saturation of the digitally reproduced image might be most appropriate. We conclude with a discussion of these findings and address the question of why empirical aesthetics requires more precise dimensions to better understand the subtle processes that take place in the perception of today’s digitally reproduced art environment. (shrink)

We have national guidelines for the responsible conduct of research (RCR) and procedures for handling allegations of misconduct in Finland. The guidelines have been formulated and updated by the Finnish Advisory Board on Research Integrity (TENK). In this article, we introduce and evaluate the national RCR guidelines. We also present statistics of alleged and proven RCR violation cases and frequency of appeals to TENK on the decisions or procedures of the primary institutions. In addition, we analyze the available data on (...) seven investigated cases in more detail. Positive aspects in the Finnish system are a fairly good infrastructure to investigate suspected RCR violations and a wide concept of RCR violations, which consists of fabrication, falsification, plagiarism, misappropriation, and other misbehaviors. However, the guidelines contain poorly elaborated definitions, do not treat the complainant and the suspect in an equal way, and need to be revised. Confusion about the concepts and criteria of the RCR violations seems to be common in primary institutions and among the complainants. Even if research institutions and universities have officially adhered to the national RCR guidelines, slipping from the guidelines occurs quite commonly. All these factors lead to frequent dissatisfaction with the decisions or procedures applied, high rate of appeals to TENK, and far from optimal functionality of the system. (shrink)

Student evaluations of teaching are ubiquitous in the academe as a metric for assessing teaching and frequently used in critical personnel decisions. Yet, there is ample evidence documenting both measurement and equity bias in these assessments. Student Evaluations of Teaching have low or no correlation with learning. Furthermore, scholars using different data and different methodologies routinely find that women faculty, faculty of color, and other marginalized groups are subject to a disadvantage in SETs. Extant research on bias on teaching evaluations (...) tend to review only the aspect of the literature most pertinent to that study. In this paper, we review a novel dataset of over 100 articles on bias in student evaluations of teaching and provide a nuanced review of this broad but established literature. We find that women and other marginalized groups do face significant biases in standard evaluations of teaching – however, the effect of gender is conditional upon other factors. We conclude with recommendations for the judicious use of SETs and avenues for future research. (shrink)

Brain Organoids in their current state of development are patentable. Future brain organoids may face some challenges in this regard, which I address in this contribution. Brain organoids unproblematically fulfil the general prerequisites of patentability set forth in Art. 3 (1) EU-Directive 98/44/ec (invention, novelty, inventive step and susceptibility of industrial application). Patentability is excluded if an invention makes use of human embryos or constitutes a stage of the human body in the individual phases of its formation and development. Both (...) do not apply to brain organoids, unless ES-cells are used. Art. 6 (1) EU-Directive 98/44/ec excludes patentability for inventions “the commercial exploitation of which would be contrary to ordre public or morality”. While there is no conceivable scenario, in which the commercial application of current brain organoids violates the ordre public, the same is not necessarily true for future brain organoids. Keeping in mind that a development of consciousness-like abilities in future brain organoids cannot be excluded and that an ability for both physical and psychological suffering has been theorized, both of which are aspects of the ordre public, certain applications of future brain organoids may constitute a violation of the ordre public and therefore lead to an exclusion of patentability. (shrink)

While evaluation of ethical aspects in health technology assessment has gained much attention during the past years, the integration of ethics in HTA practice still presents many challenges. In response...

Biomedical research on humans is an important part of medical progress. But, when lives are at risk, safety and ethical practices need to be the top priority. The need for the committees that regulate and oversee such research -- institutional review boards, or IRBs -- is growing. IRB members face difficult decisions every day. Evaluating the Science and Ethics of Research on Humans is a guide for new and veteran members of IRBs that will help them better understand the issues (...) involved and the tasks they will be required to perform. The most important purpose of an IRB is to protect the lives of human participants. For three major research areas -- drugs, medical devices, and genetic information -- Dennis J. Mazur shares the methods he has found useful in protecting human participants through the systematic review of scientific protocols and informed consent forms and through adherence to the federal regulations that apply. New members will gain understanding of how proposed research projects are to be reviewed from both scientific and ethical dimensions, how and when to ask key questions of principal investigators, how to work with principal investigators and research teams to ensure the best protection of human participants, and why to schedule regularly spaced reviews of a project that may have adverse outcomes. Based on Mazur's thirty years of research experience, this accessible and informative guide will give all IRB members the tools they need to protect human lives and facilitate the research process. (shrink)

We describe a novel affect-inspired mechanism to improve the performance of computational systems operating in dynamic environments. In particular, we designed a mechanism that is based on aspects of the fear response in humans to dynamically reallocate operating system-level central processing unit (CPU) resources to processes as they are needed to deal with time-critical events. We evaluated this system in the MINIX® and Linux® operating systems and in three different testing environments (two simulated, one live). We found the affect-based (...) system was not only able to react more rapidly to time-critical events as intended, but since the dynamic processes for handling these events did not need to use significant CPU when they were not in time-critical situations, our simulated unmanned aerial vehicle (UAV) was able to perform even non-emergency tasks at a higher level of efficiency and reactivity than was possible in the standard implementation. (shrink)

In 2011, the Secretariat on Responsible Conduct of Research launched a set of educational opportunities to facilitate and enhance the dissemination of TCPS 2, the 2nd edition of the Tri-Council Policy Statement: Ethical Conduct for Research Involving Humans, which guides Canadian research ethics. Three educational modalities were implemented to aid participants in developing or refining their ethical understanding and practice: Regional Workshops, which brought together diverse disciplinary perspectives; the CORE tutorial, which enabled individuals to discover the various aspects and (...) applications of the Policy; and Webinars, which provided participants with the opportunity to explore deeper dimensions of research ethics. This article reports on the findings of a national program evaluation team which measured the effectiveness of the educational program and provided recommendations for future opportunities. (shrink)

In this essay I examine the conceptual relation between emotions and their corresponding evaluations, desires, behavior and goals. Such conceptual relation is of the utmost importance in order to account for the unity or oneness of emotion, for if the different aspects of emotion are linked conceptually, then to have one such aspect would imply having all the others. After I discuss how emotions are related to their corresponding evaluations, desires and behavior, I show how each aspect of emotion (...) is related to the others. Next, I argue that indeed there is such conceptual or quasi-conceptual relation between emotions, evaluations and conative or desiderative states. However, while intentional behavior in terms of actions is conceptually related to some emotions, other times the emotion-specific desires are either non-forward-looking, and thus do not give rise to intentional actions, or they may be overridden, and the resultant behavioral manifestations are not conceptually related to emotion. Next, I argue that emotions are eudaimonistic, in the sense that they are essentially concerned with important goals, concerns and attachments that comprise our conception of the good life and well-being. Finally, I examine the conceptual relation between emotions and their respective goals, and argue that while emotions logically presuppose such goals, the reverse is not the case. (shrink)

In order to better improve the teaching quality of university teachers, an effective method should be adopted for evaluation and analysis. This work studied the machine learning algorithms and selected the support vector machine (SVM) algorithm to evaluate teaching quality. First, the principles of selecting evaluation indexes were briefly introduced, and 16 evaluation indexes were selected from different aspects. Then, the SVM algorithm was used for evaluation. A genetic algorithm (GA)-SVM algorithm was designed and experimentally analyzed. It was found (...) that the training time and testing time of the GA-SVM algorithm were 23.21 and 7.25 ms, both of which were shorter than the SVM algorithm. In the evaluation of teaching quality, the evaluation value of the GA-SVM algorithm was closer to the actual value, indicating that the evaluation result was more accurate. The average accuracy of the GA-SVM algorithm was 11.64% higher than that of the SVM algorithm (98.36 vs 86.72%). The experimental results verify that the GA-SVM algorithm can have a good application in evaluating and analyzing teaching quality in universities with its advantages in efficiency and accuracy. (shrink)

BackgroundThe interRAI 0–3 Early Years was recently developed to support intervention efforts based on the needs of young children and their families. One aspect of child development assessed by the Early Years instrument are motor skills, which are integral for the maturity of cognition, language, social-emotional and other developmental outcomes. Gross motor development, however, is negatively impacted by pre-term birth and low birth weight. For the purpose of known-groups validation, an at-risk sample of preterm children using the interRAI 0–3 Early (...) Years was included to examine correlates of preterm risk and the degree of gross motor delay.MethodsParticipant data included children and families from 17 health agencies in Ontario, Canada. Data were collected as part of a pilot study using the full interRAI 0–3 Early Years assessment. Correlational analyses were used to determine relationships between prenatal risk and preterm birth and bivariate analyses examined successful and failed performance of at-risk children on gross motor items. A Kruskal-Wallis test was used to determine the mean difference in gross motor scores for children born at various weeks gestation.ResultsCorrelational analysis indicated that prenatal and perinatal factors such as maternal nicotine use during pregnancy did not have significant influence over gross motor achievement for the full sample, however, gross motor scores were lower for children born pre-term or low birth weight based on bivariate analysis. Gross motor scores decreased from 40 weeks’ gestation, to moderate to late preterm, and to very preterm, however extremely preterm performed comparably to very preterm.InterpretationThe interRAI 0–3 was evaluated to determine its efficacy and report findings which confirm the literature regarding delay in gross motor performance for preterm children. Findings confirm that pre-term and low birth weight children are at greater risk for motor delay via the interRAI 0–3 Early Years gross motor domain. (shrink)

Although many new ideas are generated, only a few are ever implemented. Thus, it seems reasonable to conclude that idea evaluation represents an important aspect of the creative process. In the present article, we examine the cognitive operations involved in idea evaluation. We argue that idea evaluation is a complex activity involving appraisal of ideas, forecasting of their implications, and subsequent revision and refinement. We note that the outcomes of these activities depend on both the standards applied in idea evaluation (...) and the context surrounding evaluation of a new idea. Implications for the development of idea evaluation skills are discussed. (shrink)

Cognitive agents form beliefs representing the world, evaluate the world as represented, form plans for making the world more to their liking, and perform actions executing the plans. Then the cycle repeats. This is the doxastic-conative loop, diagrammed in figure one.1 Both human beings and the autonomous rational agents envisaged in AI are cognitive agents in this sense. The cognition of a cognitive agent can be subdivided into two parts. Epistemic cognition is that kind of cognition responsible for producing and (...) maintaining beliefs. Practical cognition evaluates the world, adopts plans, and initiates action. There is a massive literature both in philosophy and artificial intelligence concerning various aspects of epistemic cognition, and large parts of it are well understood. Practical cognition is less well understood. We can usefully divide practical cognition into five parts: (1) the evaluation of the world as represented by the agent’s beliefs, (2) the adoption of goals for changing it, (3) the construction of plans for achieving goals, (4) the adoption of plans, and (5) the execution of plans. There is a substantial literature in AI concerning the construction and execution of plans, and I will say nothing further about those topics here. This paper will focus on the evaluative aspects of practical cognition. Evaluation plays an essential role in both goal selection and plan adoption. My concern here is the investigation of evaluation as a cognitive enterprise performed by cognitive agents. I am interested both in how it is performed in human beings and how it might be performed in artificial rational agents. (shrink)

Evaluating readiness for discharge from the intensive care unit (ICU) is a critical aspect of patient care. Whereas evidence-based criteria for ICU admission have been established, practical criteria for discharge from the ICU are lacking. Often discharge guidelines simply state that a patient no longer meets ICU admission criteria. Such discharge criteria can be interpreted differently by different healthcare providers, leaving a clinical void where misunderstandings of patients’ readiness can conflict with perceptions of what readiness means for patients, families, and (...) healthcare providers. In considering ICU discharge readiness, the use and application of ethical principles may be helpful in mitigating such conflicts and achieving desired patient outcomes. Ethical principles propose different ways of understanding what readiness might mean and how clinicians might weigh these principles in their decision-making process. This article examines the concept of discharge readiness through the lens of the most widely cited ethical principles (autonomy [respect for persons], nonmaleficence/beneficence, and justice) and provides a discussion of their application in the critical care environment. Ongoing bioethics discourse and empirical research are needed to identify factors that help determine discharge readiness within critical care environments that will ultimately promote safe and effective ICU discharges for patients and their families. (shrink)

This paper proposes a re-evaluation of the theism vs. atheism controversy from a Kantian transcendental perspective, connected with Jamesian pragmatism. Insofar as there is a morally vital human need to postulate the reality of God, and insofar as this theistic postulation can be regarded as rational or legitimate from the perspective of “practical reason”, metaphysical and ethical aspects of the theism issue turn out to be deeply entangled with each other. A Kantian-cum-pragmatist philosophy of religion will inevitably approach the (...) question of God’s existence from a standpoint that thoroughly synthesizes ethics and metaphysics – just as Kant’s defense of theism as a postulate of practical reason did. (shrink)

The historical background of the discovery of adverse health effects of medicines, food additives, pesticides, and other chemicals is reviewed, and the development of national and international regulations and testing procedures to protect the public against the toxic effects of these drugs and chemicals is outlined. Ethical considerations of the safety evaluation of drugs and chemicals by human experimentation and animal toxicity studies, ethical problems associated with clinical trials, with the falsification of clinical and toxicological data, and with inadequate experimental (...) methodology, are reviewed, and the ethics of the marketing of drugs and their post-marketing surveillance, are similarly considered. These ethical problems are illustrated with many specific examples, including the drugs neoarsphenamine, chloramphenicol, thalidomide, diethyl stilboestrol and benoxaprofen. (shrink)

It is essential to run a continuous improvement system for the Plan-Do- Check-Action cycle to be achieved and sustained. It is inevitable to consult stakeholder opinions to determine the improvable aspects of the activities carried out in the quality process. Student opinions, the main subject of educational activities, are one of the most critical data sources for continuous improvement. It is recommended to consult students’ views in all processes from the planning to the output of courses, which are the (...) cornerstones of education programs. When the field is examined, it is seen that the number of studies in which students’ opinions are sought to evaluate the quality of the courses is quite limited. This study, built around the main problem “How to design a lesson effectively in all processes, from planning to assessment and evaluation?” is a scale development study. It is thought that a lesson plan designed with the data obtained based on student opinions will increase the quality of the lesson. It is known that the programs which carry out the quality and accreditation process use different questionnaires in the continuous improvement mechanism to measure the quality of courses. 636 students from Hitit University participated in this study in 2022. The scale's validity was evaluated using exploratory factor analysis and confirmatory factor analysis. The scale has a four-component structure with 24 items, according to the results of the exploratory factor analysis. Confirmatory factor analysis revealed that the fit indices were within a reasonable range. The reliability coefficients the factors were 0.93, 0.91, 0.86, and 0.93, respectively, with a Cronbach’s Alpha coefficient for the full scale of 0.94. This finding indicated that the scale items had a high degree of internal consistency and that the scale was made up of objects with a strong tie. According to the correlation study, all of the scale’s variables had a tangible link. It can be said that the “Course Evaluation Scale (CES),” which was developed as a result of all these analyses, is a valid and reliable measurement tool consisting of 24 items that can be used to measure the effectiveness of a course taught in higher education, according to student opinions. (shrink)

As a fiqh (Islamic jurisprudence) term, the concept of “ignorance” ex-presses uncertainties in legal transactions and, in Islamic law, is accepted as a situation that negatively impacts the legitimacy of contracts. If the sale is deferred, clarification of the delivery time of the price to be paid for the goods sold, the number of installments, etc. during the contract is considered essential for the validity of the transactions in order not to damage the principle of mutual consent in purchase and (...) sale transactions and to avoid conflicts between the parties. However, not every uncertainty is considered an obstacle to the validity of the contract, and minor uncertainties that do not lead to disputes are tolerated. The fiqh sources of four Islamic sects contain many examples of these uncertainties. This study firstly examines the effect of ignorance on the validity of purchasing contracts in Islamic law using the issues in classical fiqh sources and then analyses the housing sales contract of TOKI’s (housing development administration of Turkey) “my first house social housing project” in this context from a fiqh perspective. In addition, the study addresses the related housing sales contract in terms of the juristic preference method by considering the aspect of meeting an important need of society and realizing the purpose of this project. Then, while evaluating the issue from a juris-prudential point of view, the study discusses that the absolute and strict interpretation of the rule of “ignorance renders the contract void,” which is adopted by ignoring the public interest, does not produce favorable results. (shrink)

Fetal alcohol spectrum disorders is an umbrella term covering several conditions for which alcohol consumption during pregnancy is taken to play a causal role. The benefit of individuals being identified with a condition within FASD remains controversial. The objective of the present study was to identify ethical aspects and consequences of diagnostics, interventions, and family support in relation to FASD. Ethical aspects relating to diagnostics, interventions, and family support regarding FASD were compiled and discussed, drawing on a series (...) of discussions with experts in the field, published literature, and medical ethicists. Several advantages and disadvantages in regards of obtaining a diagnosis or description of the condition were identified. For instance, it provides an explanation and potential preparedness for not yet encountered difficulties, which may play an essential role in acquiring much needed help and support from health care, school, and the social services. There are no interventions specifically evaluated for FASD conditions, but training programs and family support for conditions with symptoms overlapping with FASD, e.g. ADHD, autism, and intellectual disability, are likely to be relevant. Stigmatization, blame, and guilt are potential downsides. There might also be unfortunate prioritization if individuals with equal needs are treated differently depending on whether or not they meet the criteria for a specific condition. The value for the concerned individuals of obtaining a FASD-related description of their condition – for instance, in terms of wellbeing – is not established. Nor is it established that allocating resources based on whether individuals fulfil FASD-related criteria is justified, compared to allocations directed to the most prominent specific needs. (shrink)

The New Autonomous Region (DOB) conducted in West Bandung Regency in 2007 made many fields relevant for evaluation. The reason is that West Bandung has been established as a new regency for almost two decades, but several problems are still visible to the public, including poverty, education, and health services. Therefore, this paper will examine several important aspects of West Bandung Regency in an evaluative manner. In addition, it will also explain the implications of the DOB policy on (...) community life in West Bandung. Therefore, this paper relies on Dunn's policy evaluation theory and Leo Agustino's evaluation model, as well as several arguments from many previous policy researchers. Methodologically, this research uses a qualitative method with an exploratory analysis approach where data is obtained from interviews and observations of related sources. The results of the study explain that the evaluation of DOB policies in West Bandung Regency still shows several shortcomings in the health and education sectors, especially in the dimensions of efficiency, equity, responsiveness, adequacy, and other dimensions according to Dunn. Meanwhile, from Leo Agustino's perspective, the aspects of apparatus resources, institutions, and infrastructure are still part of what needs to be improved in West Bandung Regency. The DOB policy, which has been running since 2007, has not yet had significant implications for citizens in the aspects of welfare and human development, although some aspects of public services have shown improvements. (shrink)

The professional learning in assessment of future teachers assumes a double cultural transition that is characterized by the passage of a first evaluation culture (of former pupil or student) to a second evaluation culture (professional) (Nizet, 2013, 2015). In this learning process, these conceptual aspects are essential to support benchmarking of assessment practices (Vial, 2009) as the epistemological status of the knowledge evolves in contact with professional activity. As part of a research on the process of “assessment literacy” (Mertler, (...) 2004, 2009; Willis, Addie & Klenowski, 2013) we wish to understand the evolution of the reconfiguration of professional knowledge during interactions between the future teacher and his in service associate teacher. We present the result of the analysis of exchanges as told by future secondary teachers concerning assessment problems within the classroom, during their traineeship. The analysis highlights the evolution in the value given to knowledge by the future teacher based on credibility, intelligibility and legitimacy criteria. (shrink)

This study aims to use geographic information systems to analyze the spatial distribution of ATMs in Abha city. This is based on the most important applied aspects of geographic information systems, namely spatial analysis, to reveal the characteristics of the spatial distribution of ATMs and their distribution pattern, and to evaluate the efficiency of their distribution according to spatial variables. The study came out with a number of results and recommendations, the most important of which is increasing the number (...) of ATMs in high-density neighborhoods that are deprived of service, which reduces the pressure on them, in a way that ensures their sustainability, and in a manner that is proportional to both the area and the number of residents in the city's neighborhoods. (shrink)

Evaluation is ubiquitous. This volume brings together philosophers to investigate whether there is a distinctive kind of perception that is evaluative. If so, what role does it play in evaluative knowledge, and what does its existence tell us about the nature of value?

Human affectivity is a research topic situated at the intersection of psychology, philosophical anthropology, theory of action and ethics. This article reconstructs the Aristotelian theory of emotions in the context of his theory of aspiration /recij ) and in terms of their function as primary evaluators of situations, which forms the basis for virtue ethics. The Aristotelian model integrates desire, motivation and morality for a rational being in community. Affects reveal the profile of relevance of the world to a person (...) as an indispensable basis for the work of practical reason. They are analysed in the dimensions of their cognitive core, their social, bodily, and motivational aspects. Affectivity constitutes a primary evaluative response to situations and thereby disposes human beings to realise their call to morally good, virtuous and fulfilling action. (shrink)

Cultural heritage conservation has two aspects, tangible and intangible, both of which contribute greatly to the understanding of ancient inheritances. Due to the role of education in the preservation process, and the strength of the new media in the current era, serious games can play a key role in conservancy by transmitting the target culture. There is a gap in the serious game field in relation to Turkey's cultural heritage on the Silk Roads, underlining the motivation of this research. (...) Hence, this study proposes the Anatolian Journey serious game, which is developed in the Twine platform, designed to transmit Turkey's tangible and intangible cultural heritage, providing comprehensive information on the Seljuk caravanserais, located on the Silk Roads. Moreover, the research compares undergraduate and graduate students' gains in knowledge of heritage data while playing a serious game and encountering the same content in text form with an online survey. (shrink)

The topic of history-of-science explanation is first briefly introduced as a generally important one for the light it may shed on action theory, on the logic of discovery, and on philosophy''s relations with historiography of science, intellectual history, and the sociology of knowledge. Then some problems and some conclusions are formulated by reference to some recent relevant literature: a critical analysis of Laudan''s views on the role of normative evaluations in rational explanations occasions the result that one must make aconceptual (...) distinction between evaluations and explanations of belief, and that there are at leastthree subclasses of the latter, rational, critical, and theoretical; I then discuss the problem of whether explanations of discoveries are self-evidencing and predictive by focusing on views of Hempel and Nickles, and I attempt a formalization of some aspects of the problem. Finally, a more systematic and concrete analysis is undertaken by using as an example the explanation of Galileo''s rejection of space-proportionality, and it is argued that the historical explanation of scientific beliefs is a type of logical analysis. (shrink)

Background: The development of a profession’s autonomy closely relates to that profession’s level of autonomy in performing its specific role. For the nursing profession, this key role is nursing care. Objectives: This study was undertaken to evaluate the professional autonomy of nurses in care provision, from an ethical perspective. Research design: A mixed methods approach is employed in this research, which makes use of both quantitative and qualitative methods. The quantitative dimension of this research covers sociodemographic aspects and makes (...) use of the Sociotropy–Autonomy Scale. The qualitative dimension of the research relates to the factors that affect professional autonomy in nursing care. Participants and research context: The sample consisted of 30 nurses working in the orthopedics, neurology, or intensive care units of three hospitals. Ethical considerations: Before conducting this research, we received permission from the ethical committee, as well as written permits from all the institutions in which the research was carried out. Informed consent was obtained from all participants. Findings: According to the findings of this study, only 6.7% of the nurses surveyed stated that nurses had professional autonomy; they also stated that professional autonomy in nursing was mostly restricted by the need to be “dependent upon the physician in nursing implementations” and that autonomy in nursing care was mostly limited by a “high number of patients per nurse.” Discussion: This study determined that delays in resolving problems with regard to professional autonomy in nursing care in Turkey could be creating many of the professional and ethical problems that nurses face there. Conclusion: It is recommended that: individuals choose the nursing profession conscientiously; nurses need to be given professional awareness; their professional organizations need to be strengthened; and plans need to be made to increase research and to accumulate both knowledge and expertise. (shrink)

Philosophers of science typically focus on the epistemic performance of scientific models when evaluating them. Analysing the effects that models may have on the world has typically been the purview of sociologists of science. We argue that the reactive (or “performative”) effects of models should also figure in model evaluations by philosophers of science. We provide a detailed analysis of how models in financial economics created the impetus for the growing importance of the phenomenon of “passive investing” in financial markets. (...) Considering this case motivates the position that we call contextualism about model evaluation, or _model contextualism_ for short. Model contextualism encompasses standard analyses of the epistemic performance of the model, but also includes their reactive aspects. It entails identifying the _epistemic and contextual import of the model_, the ways in which a model can engender change in the world (which we call the _channels of transmission_), and the _interactions between the epistemic and reactive import of a model_. (shrink)

Those familiar with Ayn Rand's ethical writings may know that she discusses issues in metaethics, and that she defended the objectivity of morality during the heyday of early non-cognitivism. But neither her metaethics, in general, nor her views on moral objectivity, in particular, have received wide study. This article elucidates some aspects of her thought in these areas, focusing on Rand's conception of the way in which moral values serve a biologically based human need, and on her account of (...) moral values as both essentially practical and epistemically objective in a sense fundamentally continuous with the objectivity of science. The bearing of her epistemological writings on her ethical thought is emphasized throughout, and her epistemology is defended against a line of criticism inspired by John McDowell's criticism of the so-called “myth of the given.”. (shrink)

This article theorizes and analyzes how two aspects of the increasing accountingization of academia in the form of evaluative pressures and group identification, independently and interactively, work to cultivate academics’ self-interest for their social interactions with the scientific community, forming them to adopt more competitive orientations and cynical attitudes. Using data of a large number of faculty members from the 17 universities in Sweden, it is shown that evaluative pressures and group identification perceived by academics jointly reinforce (...) each other in affecting their competitive orientation, and that group identification strengthens the positive relation between evaluative pressures and academics’ rivalry notions and cynical attitudes. It is shown, contributing further to research on performance evaluation and the cultivation of self-interest and an egoistic ethical climate in academia, that it is evaluative pressures from peers rather than from performance measurements that are the major driver of an individual’s competitive orientation and cynical attitudes. It is also concluded that while evaluative pressures are related to an increase in academics' competitive orientations, which may be viewed as an intended effect from control designers in universities, such an orientation is inversely related to cooperativeness and openness toward others and goes hand in hand with an increase in having cynical attitudes about peers and the work environment. Control designers in universities may thus not be able to have the one without the other, something that raises ethical concerns for academic leaders to reflect upon when aiming at cultivating self-interest orientations of academics. (shrink)

Recent years have seen rapid progress in the development of ontologies as semantic models intended to capture and represent aspects of the real world. There is, however, great variation in the quality of ontologies. If ontologies are to become progressively better in the future, more rigorously developed, and more appropriately compared, then a systematic discipline of ontology evaluation must be created to ensure quality of content and methodology. Systematic methods for ontology evaluation will take into account representation of individual (...) ontologies, performance (in terms of accuracy, domain coverage and the efficiency and quality of automated reasoning using the ontologies) on tasks for which the ontology is designed and used, degree of alignment with other ontologies and their compatibility with automated reasoning. A sound and systematic approach to ontology evaluation is required to transform ontology engineering into a true scientific and engineering discipline. This chapter discusses issues and problems in ontology evaluation, describes some current strategies, and suggests some approaches that might be useful in the future. (shrink)

Evaluating clinical ethics support services has been hailed as important research task. At the same time, there is considerable debate about how to evaluate CESS appropriately. The criticism, which has been aired, refers to normative as well as empirical aspects of evaluating CESS. In this paper, we argue that a first necessary step for progress is to better understand the intervention in CESS. Tools of complex intervention research methodology may provide relevant means in this respect. In a first step, (...) we introduce principles of “complex intervention research” and show how CESS fulfil the criteria of “complex interventions”. In a second step, we develop a generic “conceptual framework” for “ethics consultation on request” as standard for many forms of ethics consultation in clinical ethics practice. We apply this conceptual framework to the model of “bioethics mediation” to make explicit the specific structural and procedural elements of this form of ethics consultation on request. In a final step we conduct a comparative analysis of two different types of CESS, which have been subject to evaluation research: “proactive ethics consultation” and “moral case deliberation” and discuss implications for evaluating both types of CESS. To make explicit different premises of implemented CESS interventions by means of conceptual frameworks can inform the search for sound empirical evaluation of CESS. In addition, such work provides a starting point for further reflection about what it means to offer “good” CESS. (shrink)

In the present article, we introduce an ethical evaluation methodology for clinical cases. Although rejecting proceduralism as a system, we develop a procedure that eventually could be formalized as a flow chart to help carry out an ethical evaluation for clinical cases. We clarify the elements that constitute an ethical evaluation: aim, integration, and how the action is performed. We leave aside the aspect of intentions, focusing on the object of a medical action, arguing that the internal aim of a (...) clinical action carries a moral value per se. Our evaluation system takes into account only objects and circumstances and their intrinsic morality, since we are dealing with the evaluation of a clinical case, and not with a personal and complete clinical action. DOI: 10.5294/pebi.2016.20.1.5. (shrink)