Background: The research question for this study was as follows: Is the Code of Ethics for Nurses in Italy (Code) a valid or useful decision-making instrument for nurses faced with ethical problems in their daily clinical practice? Method: Focus groups were conducted to analyze specific ethical problems through 11 case studies. The analysis was conducted using sections of the Code as well as other relevant documents. Each focus group had a specific theme and nurses participated freely in the discussions according (...) to their respective clinical competencies. Ethical considerations: The executive administrative committee of the local nursing licensing council provided approval for conducting this project. Measures were taken to protect the confidentiality of consenting participants. Findings: The answer to the research question posed for this investigation was predominantly positive. Many sections of the Code were useful for discussion and identifying possible solutions for the ethical problems presented in the 11 cases. Conclusion: We concluded that the Code of Ethics for Nurses in Italy can be a valuable aid in daily practice in most clinical situations that can give rise to ethical problems. (shrink)

Name der Zeitschrift: Klio Jahrgang: 98 Heft: 1 Seiten: 322-329.

Peirce did not achieve a final systematization of his work. Beyond the difficulties in explaining so many philosophical tools that he introduced—suffice it to mention semiotic, abductive logic, a heuristic based on continuity, scholastic realism—, there is a theoretical reason for this incompletion. All those new philosophical tools indicated a conception of synthesis very different from the one he received from Kant. Peirce did not realize the profound direction of his enquiry so that he did not directly question neither Kant’s (...) legacy on this issue nor the idea of necessity that presides over it. Starting from Peirce’s conception of continuity and change, this paper will give a new definition of synthetic and analytic judgments and reasoning, completing the picture with a third “vague” judgment and reasoning. In this new definition a synthetic judgment is a judgment that recognizes identity through changes. An analytical judgment is a judgment that loses identity through changes. A vague judgment is a judgment that it is blind to identity through changes. How do we perform synthetic reasoning? Following Peirce’s semiotic study of elements of Gamma Graphs as the sheet of assertion and the line of identity, the paper will first individuate the semiotic characteristics necessary for the recognition of identity. These characteristics lead us to discover “complete gesture” as the tool that we use in our every-day reasoning in order to acquire new knowledge synthetically. “Complete gestures” are actions through which we carry and recognize significant meanings. This new paradigm should provide an improved account of common-sense knowledge as well as of particular creative and hypothetic stages of conception in both scientific and humanistic thought. (shrink)

The last two centuries have been the centuries of the discovery of the cell evolution: in the XIX century of the germinal cells and in the XX century of two groups of somatic cells, namely those of the brain-mind and of the immune systems. Since most cells do not behave in this way, the evolutionary character of the brain-mind and of the immune systems renders human beings formed by two different groups of somatic cells, one with a deterministic and another (...) with an indeterministic (say Darwinian) behavior. An inherent consequence is that of the generation, during ontogenesis, of a dual biological identity. The concept of the dual biological identity may be used to explain the Kantian concept of the two metaphysical worlds, namely of the causal necessity and of the free will (Azzone, 2001). Two concepts, namely those of complex adaptive systems (CAS) and of emergence (Holland, 2002), are useful tools for understanding the mechanisms of adaptation and of evolution. The concept of complex adaptive systems indicates that living organisms contain series of stratified components, denoted as building blocks, forming stratified layers of increasing complexity. The concept of emergence implies the use of repeating patterns and of building blocks for the generation of structures of increasing levels of complexity, structures capable of exchanging communications both in the top-down and in the bottom-up direction. Against the concept of emergence it has been argued that nothing can produce something which is really new and endowed of causal efficacy. The defence of the concept of emergence is based on two arguments. The first is the interpretation of the variation-selection mechanism as a process of generation of information and of optimization of free energy dissipation in accord with the second principle of thermodynamics. The second is the objective evidence of the cosmological evolution from the Big Bang to the human mind and its products. Darwin has defended the concept of the continuity of evolution. However evolution should be considered as continuous when there is no increase of information and as discontinuous when there is generation of new information. Examples of such generation of information are the acquisition of the innate structures for language and the transition from absence to presence of morality. There are several discontinuity thresholds during both phylogenesis and ontogenesis. Morality is a relational property dependent on the interactions of human beings with the environment. Piaget and Kohlberg have shown that the generation of morality during childhood occurs through several stages and is accompanied by reorganization of the child mental organization. The children respect the conventions in the first stage and gradually generate their autonomous morality. The transition from absence to presence of morality, a major adaptive process, then, not only has occurred during phylogenesis but it occurs again in every human being during ontogenesis. The religious faith does not provide a logical justification of the moral rules (Ayala, 1987) but rather a psychological and anthropological justification of two fundamental needs of human beings: that of rendering Nature an understandable entity, and that of increasing the cooperation among members of the human societies. The positive effects of the altruistic genes in the animal societies are in accord with the positive effects of morality for the survival and development of the human societies. (shrink)

The meeting was held in Chicago from Friday, October 7 to Sunday, October 9, 1988, and was hosted by Loyola University. About 80 members and friends of the Society attended. The topic of discussion was the greater Logic.