Background Healthcare leader support and facilitation for ethics work are of great importance for healthcare professionals’ handling of ethical issues, moral distress, and quality care provision. A digital tool for ethical reflection in long-term care was developed in response to the demand for appropriate tools. Research aim This study aimed to explore healthcare leaders’ expectations of using a digital tool for ethical reflection among their home nursing care staff. Research design A qualitative research design with vignettes and focus group interviews (...) was used. The data were analyzed using reflexive thematic analysis. Participants and Research Context The sample comprised ten healthcare leaders from municipal long-term care in Norway. Ethical Considerations Participation was voluntary and based on informed consent. The Norwegian Agency for Shared Services in Education and Research approved this study. Findings The analysis resulted in the development of three themes representing leaders’ expectations of the tool: (i) giving staff a voice, (ii) revealing ethics in practice, and (iii) keeping the pot boiling. Discussion Leaders must be informed about the ethical issues experienced to engage in supportive measures for their staff. Digital channels can increase the democratization, safety, and efficiency of communication between employees and leaders and increase awareness of ethical aspects in daily care work. The leaders had positive expectations of employees’ activities and benefits from using the tool for ethical reflection. However, they admitted that realizing the tool’s potential to ensure continuity in ethics work requires considerable organizational and leader involvement. Conclusions This study shows that healthcare leaders are open to digital solutions for managing ethics work in home nursing care. Both opportunities and important prerequisites for successfully implementing the digital tool were identified. (shrink)

Background: A total of 71,000 people in Norway suffer from some form of dementia in 2013, of whom approximately 30,000 are in nursing homes. Several studies focus on the experiences of those who have close relatives and who are staying in a nursing home. Results show that a greater focus on cooperation between nursing staff and relatives is a central prerequisite for an increased level of care. Benefits of developing systematic collaboration practices include relief for nursing staff, less stress, and (...) greater mutual understanding. Going through studies focusing on the experiences of nursing home patients’ relatives, negative experiences are in the majority. In this study, relatives are invited to share positive experiences regarding the care of their loved ones; a slightly different perspective, in other words. Aim: The aim of the study is to investigate relatives of persons with dementia’s experiences with quality care in nursing homes. Method: The study is a part of a larger project called Hospice values in the care for persons with dementia and is based on a qualitative design where data are generated through narrative interviews. The chosen method of analysis is the phenomenological–hermeneutical method for the study of lived experiences. Participants and research context: Participants in the project were eight relatives of persons with dementia who were living in nursing homes, long-term residences. The sampling was targeted, enrolment happened through collective invitation. All relatives interested were included. Ethical considerations: The Norwegian Regional Ethics Committee and the Norwegian Social Science Data Services approve the study. Findings: Findings show that relatives have certain expectations as to how their loved ones ought to be met and looked after at the nursing home. The results show that in those cases where the expectations were met, the relatives’ experiences were associated with engagement, inclusion and a good atmosphere. When the expectations were not met, the relatives experienced powerlessness, distrust and guilt. Discussion: The results are discussed considering the concepts of trust, power and asymmetry. Conclusion: When asked about experiences with quality care, the relatives spoke both of expectations met and of expectations not met. Results in this study are important knowledge for developing units where performing quality care is the overall aim. (shrink)

Introduction: To meet and take care of people with dementia implicate professional and moral challenges for caregivers. Using force happens daily. However, staff also encounter challenges with the management in the units. Managing the caretaking function is also significant in how caretakers experience working in dementia care. Purpose: The purpose of this study is to explore the caregiver’s experiences with ethical challenges in dementia care settings and the significance of professional leadership in this context. Method: The design is qualitative, and (...) data appear through narrative interviews. A total of 23 caretakers participated in the study. The transcribed interviews were subjected to a phenomenological-hermeneutical interpretation. Ethical considerations: The respondents signed an informed consent for participation prior to the interviews. They were assured anonymity and confidentiality in the publication of the data. Ricoeur’s method for interpretation ensures anonymity as the researcher relates to the data as one collective text. The study is part of a larger research project in ethics, in its entirety approved in line with the Helsinki Convention. Results: The findings show that the caretakers experienced inadequacy. Some of them described a negative work atmosphere where they experienced that their leaders did not take them seriously. Because of this, informal negative sub-groups functioned as an exclusive debriefing arena. Some of the informants described the opposite experience where the leaders actively supported them. Discussion: The analyses of the findings are discussed in light of the concepts of trust and mistrust in leadership. Conclusion: There is a correlation between the leadership and the caregivers’ experience of being in difficult situations. (shrink)

Håkon Evju demonstrates how history and historical writing were at the centre of debates over monarchy and monarchical reform politics in Denmark-Norway during the Enlightenment.

Violence is often considered gendered on the basis that it is violence against women. This assumption is evident both in “gender-based violence” interventions in Africa and in the argument that gender is irrelevant if violence is also perpetrated against men. This article examines the relation of partner violence not to biological sex, but to gender as conceptualized in feminist theory. It theorizes the role of gender as an analytical category in dominant social meanings of “wifebeating” in Tanzania by analyzing arguments (...) for and against wife-beating expressed in 27 focus group discussions in the Arumeru and Kigoma-Vijijini districts. The normative ideal of a “good beating” emerges from these data as one that is supported by dominant social norms and cyclically intertwined with “doing gender.” The author shows how the good beating supports, and is in turn supported by, norms that hold people accountable to their sex category. These hegemonic gender norms prescribe the performance of masculinity and femininity, power relations of inequality, and concrete material exploitation of women’s agricultural and domestic labor. The study has implications for policy and practice in interventions against violence, and suggests untapped potential in theoretically informed feminist research for understanding local power relations in the Global South. (shrink)

This article addresses the following meta-ethical question: do moral values have a special position among other values? According to Robert Adams, moral values do have a special position and are of overriding importance. I argue that the "overridingness" thesis is inconsistent with Adams’s value theory that only God has value in himself and all other things are valuable to the extent that they resemble God. I consider some possible ways of integrating the overridingness thesis that are latent in Adams’s work (...) and argue that none succeeds. My main contribution is to propose a solution to the inconsistency in Adams’s theory. I argue that a theological account of beauty gives us reason to reject the overridingness thesis. Morality overrides some other concerns, but not all other concerns. (shrink)

'Wolterstorff (2009) provides an important explanation to the question: What caused the surprising resurgence in philosophical theology that has occurred over the last 50 years—a resurgence that rivals its zenith in the Middle Ages? This article supplements that with a more fine-grained answer to the question. Recent discoveries in Arthur Norman Prior’s correspondence with J.J.C Smart and Mary Prior, between November 1953 and August 1954 on the possibility of necessary existence, demonstrates the importance of Prior’s discussion of the Barcan formulae (...) in Time and Modality (1957) for the resurgence of analytic theology. The correspondence establishes that Prior’s discovery of tense-logic, and his discussion of quantified tense-logic constituted the perfect opportunity for him to challenge key anti-metaphysical assumptions in analytic philosophy, from which four important consequences can be drawn for the resurgence of philosophical theology. First, Prior’s discussion of time and existence challenged the idea of Russell (1945) and Findlay (1948) on the logical status of a necessary existing being. Second, the discussion challenged the Analytic school’s view of analysis and gave Prior the opportunity to introduce a different perspective on the relationship between logic and metaphysics. Third, it gave Prior a good opportunity to demonstrate that the then-prevailing attitude towards medieval logic was wrong. Fourth, it made it possible for Prior to demonstrate that the highly surprising metaphysical conclusions of quantified tense-logic brings modern logicians into a discussion with the theologically minded medieval logicians. (shrink)

In this article, we discuss and compare various positions in leadership theory through the perspective of Kierkegaard’s modes of existence. After a brief presentation of the three modes of existence—aesthetic, ethical and religious—and a description of the ironic–reflective interpretation of the change process, we synthesize leadership theories into the three main positions of instrumental, responsible and spiritual. Later, we compare and integrate the different positions in leadership theory with the three modes of existence. We argue that the various positions in (...) leadership theory represent different modes of existence. This means that leaders anchored within the aesthetical mode of existence tend to prefer the instrumental position, leaders anchored in the ethical mode of existence tend to prefer the responsible position, and leaders anchored in the religious mode of existence tend to prefer the spiritual position. In accordance with this line of reasoning the ironic–reflective interpretation of Kierkegaard’s three modes of existence gives a relevant explanation for development of leadership theory, and we delve deeper into some key dimensions in the expanding contexts of ontology, epistemology, ethics, the image of man and organizational ends. We conclude that it is necessary to start a process of transition in the mode of existence and in leadership theory in order to cope with the underlying patterns of the natural, cultural and economic crises we are facing today. (shrink)

On the historic Cross, it is God Himself Who has actually met the last dark limits of our life, and has brought Himself face to face with that inescapable something (or Someone) which seems to keep us forever strangers (physically, morally, logically and in every other way) to the Absolute and Eternal. And because it is God Himself Who has thus in life and in death personally encountered sin, death, time and corruption, He has overthrown them and raised and transformed (...) the existence that is subject to them, our existence, into the glorious Being of His Everlasting Godhead. He has robbed death of its sting and the grave of its victory, and delivered us from Satan's ancient power. A.N. Prior: Athanasius Contra Mundum. Prior (1934). (shrink)

Recently scholars have discovered a diary entry of Arthur Norman Prior dated the 25 March 1942, in which Prior is reflecting on his own views and attitudes towards theology. The purpose of the present article is to consider what the diary entry can teach us about this period of transition in Prior’s life, and its effects upon his philosophical interests. This article will argue that the diary entry provides an explanation for why theology continued to be significant in Prior’s work.

The purpose of this study was to illuminate the ethically difficult situations experienced by care providers working in a nursing home. Individual interviews using a narrative approach were conducted. A phenomenological-hermeneutic method developed for researching life experience was applied in the analysis. The findings showed that care providers experience ethical challenges in their everyday work. The informants in this study found the balance between the ideal, autonomy and dignity to be a daily problem. They defined the culture they work in (...) as not supportive. They also thought they were not being seen and heard in situations where they disagree with the basic values of the organization. The results are discussed in terms of Habermas’s understanding of modern society. Care settings for elderly people obviously present ethical challenges, particularly in the case of those suffering from dementia. The care provider participants in this study expressed frustration and feelings of powerlessness. It is possible to understand their experiences in terms of Habermas’s theory of modern society and the concept of the system’s colonization of the life world. (shrink)

The article investigates how national and international measures to protect wolves turned the whole of Norway into a field of study for wildlife biologists, and how the extensiveness of this “field” prompted a transformation in the methods employed to count and monitor wolves. As it was not possible to conduct traditional field studies throughout the whole of Norway, the biologists constructed an extensive infrastructure, which I have termed a “counting complex,” in order to count wolves from a distance. The article (...) identifies three decisive periods in the construction of this complex: the 1960s, the 1980s, and the first decade of the new millennium. During the first two periods, biologists used the infrastructure to mobilize ordinary people’s observations; they did this by first searching through newspaper notes, then enrolling people more directly through local committees of game management. However, the public’s observations often turned out to be unreliable, and, in the 2000s, molecular biologists helped to incorporate genetic techniques into the counting complex. By using the infrastructure to mobilize wolf scat, rather than observations, and by constructing DNA profiles for individual wolves, the molecular biologists enabled research that I have termed “nationwide field studies in absentia.” The article argues that the biologists’ main motive for constructing and refining the counting complex was to make wolves amenable to government, as they considered this a vital premise for the successful practice of protecting wolves. The increased intensity in monitoring in the last period, however, was also driven by international conventions and detailed regulations. (shrink)

In his Guide to the Lakes (1810, 1835), the English Romantic poet William Wordsworth used the word 'nature' in two senses. Sometimes it denoted a holistic ideal, in the manner of metaphysicians, and sometimes a concrete landscape of discrete things, in the manner of natural scientists. The Guide to the Lakes thus marks a watershed in Western philosophy of nature. Although chronologically the ideal preceded the concrete landscape, conceptually the concrete landscape precedes the ideal, much as in Nietzsche's 'fiction of (...) causation'. (shrink)

Several theistic arguments are formulated as arguments for the best explanation. This article discusses how one can determine that some phenomenon actually needs an explanation. One way to demonstrate that an explanation is needed is by providing one. The proposed explanation ought to either make the occurrence of the phenomenon in question more probable than it occurring by chance, or it has to sufficiently increase our understanding of the phenomenon. A second way to demonstrate that an explanation is needed is (...) to show that the phenomenon in question both violates our expectations and is particularly noticeable. (shrink)

Habermas’ ‘ethics of citizenship’ raises a number of relevant concerns about the dangers of a secularistic exclusion of religious contributions to public deliberation, on the one hand, and the dangers of religious conflict and sectarianism in politics, on the other. Agreeing largely with these concerns, the paper identities four problems with Habermas’ approach, and attempts to overcome them: the full exclusion of religious reasons from parliamentary debate; the full inclusion of religious reasons in the informal public sphere; the philosophical distinction (...) between secular and religious reasons; and the sociological distinction between ‘Western’ and ‘non-Western’ religions. The result is a revised version of the ethics of citizenship, which I call moderate inclusivism. Most notably, moderate inclusivism implies a replacement of Habermas’ ‘institutional translation proviso’ with a more flexible ‘conversational translation proviso’. (shrink)

ABSTRACTPatric Baert suggests that ‘encountering difference’, as we might when immersing ourselves in new cultural settings, allows us to redescribe and reconceptualise ourselves, our culture and our surroundings. By so doing, individuals can learn to see themselves, their own culture and their own presuppositions from a different point of view. They can then contrast their interpretations with alternative forms of life; and this is a requirement both for learning about themselves and coming to understand others. There is evidence that such (...) learning can reduce animosity towards others and encourage reciprocity. In this paper, I discuss the possibility that such an approach could also be useful if applied to the more-than-human world, as an antidote to nature’s exploitation by humans. I therefore argue that we need to ‘encounter difference’ with nature’s forms, which will allow us to learn from it. The meaning and implications of such ‘encountering difference’ will be developed in relation to Bhaskar’s philosophy of metaReality. (shrink)

Recognition and Freedom offers up-to-date discussions of Axel Honneth’s political thought by ten experts in the field. It also includes an interview with Honneth and an essay by him on education and democracy, previously unpublished in English.

The evaluation of the European Moral Case Deliberation Outcomes project (Euro-MCD) has resulted in a revised evaluation instrument, knowledge about the content of MCD (moral case deliberation), and the perspectives of those involved. In this paper, we report on a perspective that has been overlooked, the facilitators’. We aim to describe facilitators’ perceptions of high-quality moral case deliberation and their Euro-MCD sessions. The research took place in Norway, Sweden, and the Netherlands using a survey combined with interviews with 41 facilitators. (...) Facilitators’ perceived that attaining a high-quality MCD implies fostering a safe and respectful atmosphere, creating a wondering mode, being an attentive authority, developing moral reflective skills, reaching a common understanding, and ensuring organisational prerequisites for the MCD sessions. Our central conclusion is that efforts at three levels are required to attain a high-quality MCD: trained and virtuous facilitator; committed, respectful participants; and organizational space. Furthermore, managers have a responsibility to prepare MCD participants for what it means to take part in MCD. (shrink)

This article advocates evangelical environmental care by grounding an ethic of nature at the centre of evangelical theology, namely, in Christ and his resurrection. As Paul points out in 1 Corinthians 15, the continuity between our earthly bodies and our resurrected bodies entails that we should take care of our bodies. Drawing on Romans 8, I argue that the same line of reasoning applies to nature: the continuity between creation and the new creation entails that we should take care of (...) nature. Finally, I consider some objections to my argument regarding its possible eschatological consequences. (shrink)

A survey of recent research reveals that there is a growing interest in knowledge regarding the opinions and attitudes toward ethics amongst business school faculty members. Based on an empirical study conducted in Norway we address the following issue: "What do faculty members of the Norwegian Business Schools consider to be their responsibilities in preparing their students for leading positions in public and private organizations?" Moving on to interpreting the results from the survey, we discuss the empirical findings by comparing (...) the data using four different theoretical perspectives; neoclassical economics, strategic management, corporate social responsibility and socio-economics. The implications are highlighted. (shrink)

The spectrum of a first-order sentence is the set of natural numbers occurring as the cardinalities of finite models of the sentence. In a recent survey, Durand et al. introduce a new class of real numbers, the spectral reals, induced by spectra and pose two open problems associated to this class. In the present note, we answer these open problems as well as other open problems from an earlier, unpublished version of the survey. Specifically, we prove that every algebraic real (...) is spectral, every automatic real is spectral, the subword density of a spectral real is either 0 or 1, and both may occur, and every right-computable real number between 0 and 1 occurs as the subword entropy of a spectral real. In addition, Durand et al. note that the set of spectral reals is not closed under addition or multiplication. We extend this result by showing that the class of spectral reals is not closed under any computable operation satisfying some mild conditions. (shrink)

The article discusses Nicholas Wolterstorff’s explanations for the flourishing of philosophical theology in analytic philosophy by taking Arthur Norman Prior’s (1914–1969) development of tense-logic into account. Prior’s work challenged the prevailing anti-metaphysical norms in analytic philosophy and introduced an alternative understanding of the relationship between logic and metaphysics. Prior’s application of tense-logic to an analysis of the concept of existence in quantified tense-logic and his exploration of future contingency in branching time semantics provide a strong reason for why analytic philosophy (...) naturally incorporates philosophical theology. These considerations lead us to modify Wolterstorff’s emphasis on the importance of meta-epistemology for the resurgence of philosophical theology. A development in logic was necessary. Furthermore, Prior’s importance questions the assumption that philosophical theology was a consequence of theistic philosophers seeking ways to defend theistic beliefs in analytic philosophy. This is not true for Prior. His invention of tense-logic and discussion of omniscience was driven by an existential interest in finding answers to philosophical problems concerning divine foreknowledge and human freedom which ultimately led him to reject his Christian beliefs. (shrink)

Frode Jakobsen søger i "Nietzsches kamp med den kristelige moral" at forstå den tyske filosof Friedrich Nietzsche (1844-1900). Det gør Jakobsen blandt andet med udgangspunkt i Nietzsches person, oplevelser, psyke, som han kombinerer med hans værker for at sammenfatte udviklingen i Nietzsches moralske tænken. Frode Jakobsen (1907-1997), dansk politiker, modstandsleder og forfatter. Medstifter af foreningen Dansk Studiering, som i 1943 blev omdannet til en illegal organisation, der spillede en stor rolle i modstandsbevægelsen under anden verdenskrig. I 1945 (...) blev han valgt for Socialdemokratiet, hvor han var MF indtil 1973. Jakobsen har desuden udgivet en række bøger, der fortæller om hans erindringer og erfaringer fra sine mange år i politik. (shrink)

Logical realism, by Arthur Norman Prior understood as the view that logic is not about language but about reality, is a consistent and strong tenet in all of Prior's philosophical work. Recent disc...

Logic has sometimes been seen as an alternative to metaphysics and to speculation. In this paper it is argued that a different story should be told when it comes to temporal logic and tense-logic in particular. A. N. Prior’s first formulation of tense logic was mainly established in order to qualify the discussion of certain metaphysical and conceptual problems. Although temporal logic has now been developed in various abstract and rather technical ways, it may still serve as a great help (...) for anyone who wants to clarify the discussion of important existential questions like the nature of time, determinism, future contingency or freedom of choice. (shrink)

The purpose of this study was to explore situations experienced by 12 health-care providers working in two nursing homes. Individual interviews, using a narrative approach, were conducted. A phenomenological–hermeneutical method, developed for researching life experiences, was applied in the analysis. The findings showed that good care situations are experienced when the time culture is flexible, the carers act in a sovereign time rhythm, not mentioning clock time or time as a stress factor. The results are discussed in terms of anthropological (...) and sociological theory: time as event and action and flexible time cultures. Care settings for persons with dementia represent many challenges, such as a heavy workload and time strain. Time ethics is a construction, understanding time used in caring for persons suffering from dementia, which involves a mature, responsible and flexible nursing approach to these patients. (shrink)

Background Nurse leaders increasingly need effective tools that facilitate the prioritisation of ethics and help staff navigate ethical challenges and prevent moral distress. This study examined experiences with a new digital tool for ethical reflection, tailored to improve the capabilities of both leaders and employees in the context of municipal long-term care. Aim The aim was to explore the experiences of nurse leaders and nurses in using Digital Ethical Reflection as a tool for ethics work in home nursing care. Research (...) design The study employed a qualitative design, incorporating individual and focus group interviews for data collection. Qualitative content analysis was used to analyse the data. Participants and research context The participants comprised six nurse leaders and 13 nurses, representing six home care zones across two Norwegian municipalities. Ethical considerations The study involved informed, voluntary participation and was approved by the Norwegian Agency for Shared Services in Education and Research. Findings Four themes were developed: a constant walk on the edge between engagement and discouragement and lost in translation describe the process, while tuning in to the ethical dimension and navigating ethical uncertainties illuminate the experienced significance of Digital Ethical Reflection. Conclusion Success with Digital Ethical Reflection in home nursing care depends on clear leadership planning, nurses’ understanding of the tool’s purpose, and active use of digital registrations. Support from ethically interested nurses enhances overall engagement. Further research is needed to explore the potential of Digital Ethical Reflection as an additional tool in long-term care ethics work. (shrink)

This article discusses the fairness of geographically targeted vaccinations (GTVs). During the initial period of local and global vaccine scarcity, health authorities had to enact priority-setting strategies for mass vaccination campaigns against COVID-19. These strategies have in common that priority setting was based on personal characteristics, such as age, health status or profession. However, in 2021, an alternative to this strategy was employed in some countries, particularly Norway. In these countries, vaccine allocation was also based on the epidemiological situations in (...) different regions, and vaccines were assigned based on local incidence rates. The aim of this article is to describe and examine how a geographical allocation mechanism may work by considering Norway as a case study and discuss what ethical issues may arise in this type of priority setting. We explain three core concepts: priority setting, geographical priority setting and GTVs. With a particular focus on Norway, we discuss the potential effects of GTV, the public perception of such a strategy, and if GTV can be considered a fair strategy. We conclude that the most reasonable defence of GTV seems to be through a consequentialist account that values both total health outcomes and more equal outcomes. (shrink)

Concepts in Action focuses on what to do with theoretical concepts, rather than providing conveyed definitions. The book covers a variety of examples what to do, how to think, in order to develop and use concepts in the social sciences.

This article addresses the following metaethical questions: how many intrinsic values are there? Robert Adams holds the view that there is only one intrinsic value, a view called “intrinsic value monism,” but does not present any arguments in favor of this view. This paper makes the case that there are good reasons for upholding value monism. I argue that our ability to weigh different values against each other supports value monism and that monotheistic worship also supports monism.

In 1954, A. N. Prior discovered a way to formalize tense-logic—as such, there is no doubt that he is the father of modern tense-logic. Despite this, he considered his early teacher in p...