Collaboration among nurses and other healthcare professionals is needed for effective hospital discharge planning. However, interprofessional interactions and practices related to discharge vary within and across hospitals. These interactions are influenced by the ways in which healthcare professionals’ roles are being shaped by hospital discharge priorities. This study explored the experience of bedside nurses’ interprofessional collaboration in relation to discharge in a general medicine unit. An ethnographic approach was employed to obtain an in‐depth insight into the perceptions and practices of (...) nurses and other healthcare professionals regarding collaborative practices around discharge. Sixty‐five hours of observations was undertaken, and 23 interviews were conducted with nurses and other healthcare professionals. According to our results, bedside nurses had limited engagement in interprofessional collaboration and discharge planning. This was apparent by bedside nurses’ absence from morning rounds, one‐way flow of information from rounds to the bedside nurses following rounds, and limited opportunities for interaction with other healthcare professionals and decision‐making during the day. The disconnection, disempowerment and devaluing of bedside nurses in patient discharge planning has implications for quality of care and nursing work. Study findings are positioned within previous work on nurse–physician interactions and the current context of nursing care. (shrink)

RESUMEN D. Pritchard ha sostenido que el conocimiento requiere la satisfacción de una condición de habilidad y una anti-suerte que no guardan relación de implicación entre sí. Se sostiene que la satisfacción de una condición anti-suerte implica cumplir con la condición de habilidad, primero, porque, las características centrales del caso de D. Pritchard en contra de esta implicación son compartidas con casos en los que hay habilidad; y segundo, el caso de A. Goldman del dios benevolente es más efectivo (...) que TEMP, pero involucra un tipo de seguridad diferente a la requerida para el conocimiento. Por último, se muestra que la respuesta de D. Pritchard al problema de la generalidad bloquea la implicación de seguridad a habilidad. Se propone un contraejemplo, adaptando un caso tomado de la epistemología del testimonio. ABSTRACT D. Pritchard holds that knowledge requires the satisfaction of an ability condition and an anti-luck condition that bear no relation of implication to each other. The article argues that the satisfaction of the anti-luck condition implies satisfying the ability condition for two reasons: first, that the main characteristics of Pritchard's case against this implication are shared by cases in which there is ability; and, second, that although A. Goldman's benevolent demon case is more effective than TEMP, it involves a different type of certainty than that required for knowledge. Finally, the article shows that Pritchard's response to the generality problem blocks the implication between certainty and ability, and proposes a counterexample that draws on the epistemology of testimony. (shrink)

Inhaltsverzeichnis/Table of Contents Abhandlungen/Articles Massimiliano Vignolo: Why Non-Factualists Should Love Conceptual Role Semantics Jeffrey Goodman: Fictionalia as Modal Artifacts Alberto Voltolini: Against Against Fictional Realism Roderick Batchelor: Grounds and Consequences Timm Lampert and Michael Baumgartner: The Problem of Validity Proofs Ish Haji: On the Direct Argument for the Incompatibility of Determinism and Moral Responsibility Matthias Neuber: Philosophie der modernen Physik ¿ Philipp Frank und Abel Rey Nicola Mössner: Testimoniale Akte neu definiert ¿ ein zentrales Problem des Zeugnisses Anderer Simon (...) Dierig: Goldmans Scheunen-Beispiel und das Problem der Vereinbarkeit von Externalismus und Selbstkenntnis Diskussionen/Discussions Essay-Wettbewerb/Essay Competition Besprechungen/Review Essays Buchnotizen/Critical Notes Eingelangte Bücher/Books Received. (shrink)

Since Edmund L. Gettier reminded us recently of a certain important inadequacy of the traditional analysis of "S knows that p," several attempts have been made to correct that analysis. In this paper I shall offer still another analysis (or a sketch of an analysis) of "S knows that p," one which will avert Gettier's problem. My concern will be with knowledge of empirical propositions only, since I think that the traditional analysis is adequate for knowledge of nonempirical truths.

Mainstream epistemology is a highly theoretical and abstract enterprise. Traditional epistemologists rarely present their deliberations as critical to the practical problems of life, unless one supposes—as Hume, for example, did not—that skeptical worries should trouble us in our everyday affairs. But some issues in epistemology are both theoretically interesting and practically quite pressing. That holds of the problem to be discussed here: how laypersons should evaluate the testimony of experts and decide which of two or more rival experts is most (...) credible. It is of practical importance because in a complex, highly specialized world people are constantly confronted with situations in which, as comparative novices, they must turn to putative experts for intellectual guidance or assistance. It is of theoretical interest because the appropriate epistemic considerations are far from transparent; and it is not clear how far the problems lead to insurmountable skeptical quandaries. This paper does not argue for flat-out skepticism in this domain; nor, on the other hand, does it purport to resolve all pressures in the direction of skepticism. It is an exploratory paper, which tries to identify problems and examine some possible solutions, not to establish those solutions definitively. (shrink)

In recent decades, epistemology has witnessed the development and growth of externalist theories of knowledge and justification. Critics of externalism have focused a bright spotlight on this approach and judged it unsuitable for realizing the true and original goals of epistemology. Their own favored approach, internalism, is defended as a preferable approach to the traditional concept of epistemic justification. I shall turn the spotlight toward internalism and its most prominent rationale, revealing fundamental problems at the core of internalism and challenging (...) the viability of its most popular rationale. Although particular internalist theories such as (internalist) foundationalism and coherentism will occasionally be discussed, those specific theories are not my primary concern. The principal concern is rather the general architecture of internalism, and the attempt to justify this architecture by appeal to a certain conception of what justification consists in. (shrink)

It is common in recent epistemology to distinguish different senses, or conceptions, of epistemic justification. The proposed oppositions include the objective/subjective, internalist/externalist, regulative/nonregulative, resource-relative/resource-independent, personal/verific, and deontological/evaluative conceptions of justification. In some of these cases, writers regard both members of the contrasting pair as legitimate; in other cases only one member. In this paper I want to propose another contrasting pair of conceptions of justification, and hold that both are defensible and legitimate. The contrast will then be used to construct (...) a modified version of reliabilism, one which handles certain problem cases more naturally than my previous versions of reliabilism. (shrink)

How can we know? How can we attain justified belief? These traditional questions in epistemology have inspired philosophers for centuries. Now, in this exceptional work, Alvin Goldman, distinguished scholar and leader in the fields of epistemology and mind, approaches such inquiries as legitimate methods or "pathways" to knowledge. He examines the notion of private and public knowledge, arguing for the epistemic legitimacy of private and introspective methods of gaining knowledge, yet acknowledging the equal importance of social and public mechanisms (...) in the quest for truth. Throughout, he addresses this opposition but proposes a rigorous framework that continues to resolve such contradictions, making this exciting text one of the most important contributions to the theory of knowledge in recent years. (shrink)

Reliabilism is a general approach to epistemology that emphasizes the truth conduciveness of a belief forming process, method, or other epistemologically relevant factor. The reliability theme appears both in theories of knowledge and theories of justification. ‘Reliabilism’ is sometimes used broadly to refer to any theory of knowledge or justification that emphasizes truth getting or truth indicating properties. These include theories originally proposed under different labels, such as ‘tracking’ theories. More commonly, ‘reliabilism’ is used narrowly to refer to process reliabilism (...) about justification. This entry discusses reliabilism in both broad and narrow senses but concentrates on reliability theories of justified belief, especially process reliabilism. (shrink)

The aim of this paper is to sketch a theory of justified belief. What I have in mind is an explanatory theory, one that explains in a general way why certain beliefs are counted as justified and others as unjustified. Unlike some traditional approaches, I do not try to prescribe standards for justification that differ from, or improve upon, our ordinary standards. I merely try to explicate the ordinary standards, which are, I believe, quite different from those of many classical, (...) e. g., ‘Cartesian’, accounts. (shrink)

A conception of social epistemology is articulated with links to studies of science and opinion in such disciplines as history, sociology, and political science. The conception is evaluative, though, rather than purely descriptive. Three types of evaluative approaches are examined but rejected: relativism, consensualism, and expertism. A fourth, truth-linked, approach to intellectual evaluation is then advocated: social procedures should be appraised by their propensity to foster true belief. Standards of evaluation in social epistemics would be much the same as those (...) in individual epistemics, only the objects of evaluation would be interpersonal patterns of judgment and communication, and institutional practices that bear on opinion formation. (shrink)

Campaigning activities of non-governmental organisations (NGOs) have increased public awareness and concern regarding the alleged unethical and environmentally damaging practices of many major multinational companies. Companies have responded by developing corporate social responsibility strategies to demonstrate their commitment to both the societies within which they function and to the protection of the natural environment. This has often involved a move towards greater transparency in company practice and a desire to engage with stakeholders, often including many of the campaign organisations that (...) have been at the forefront of the criticisms of their activity. This article examines the ways in which stakeholder dialogue has impacted upon the relationships between NGOs and businesses. In doing so, it contributes to the call for more ‘stakeholder-focused’ research in this field (Frooman in Acad Manag Rev 24(2): 191–205, 1999; Steurer in Bus Strategy Environ 15: 15–69 2006). By adopting a stakeholder lens, and focusing more heavily upon the impact on one particular stakeholder community (NGOs) and looking in depth at one form of engagement (stakeholder dialogue), this article examines how experiences of dialogue are strategically transforming interactions between businesses and NGOs. It shows how experiences of stakeholder dialogue have led to transformations in the drivers for engagement, transformations in the processes of engagement and transformations in the terms of engagement. Examining these areas of transformation, the article argues, reveals the interactions at play in framing and shaping the evolving relationships between business and its stakeholders. (shrink)

This collection of readings shows how cognitive science can influence most of the primary branches of philosophy, as well as how philosophy critically examines the foundations of cognitive science. Its broad coverage extends beyond current texts that focus mainly on the impact of cognitive science on philosophy of mind and philosophy of psychology, to include materials that are relevant to five other branches of philosophy: epistemology, philosophy of science (and mathematics), metaphysics, language, and ethics. The readings are organized by philosophical (...) fields, with selections evenly divided between philosophers and cognitive scientists. They draw on research in numerous areas of cognitive science, including cognitive psychology, developmental psychology, social psychology, psychology of reasoning and judgment, artificial intelligence, linguistics, and neuropsychology. There are timely treatments of current topics and debates such as the innate understanding of number, children's theory of mind, self-knowledge, consciousness, connectionism, and ethics and cognitive science. (shrink)

To say that an object is beautiful or ugly is seemingly to refer to a property of the object. But it is also to express a positive or negative response to it, a set of aesthetic values, and to suggest that others ought to respond in the same way. Such judg- ments are descriptive, expressive, and normative or prescriptive at once. These multiple features are captured well by Humean accounts that analyze the judgments as ascribing relational properties. To say that (...) an object is beautiful is to say, in part, that it is such as to elicit a response expressing pleasure in certain observers. The observers in question must not be ignorant, biased, insensitive, or of poor taste, and they must not base their evaluations on aesthetically irrelevant properties of the objects they judge. The reference to the object's "being such . . ." captures the objective side of the relation; refer- ence to the pleasurable response captures the expressive function of these judgments; and the ideal properties of the observers suggest that others ought to judge in the same way. (shrink)

This article presents a critical examination of the process of stakeholder dialogue in the Corporate Social Responsibility (CSR) field. It utilises data from a three-year research project into stakeholder dialogue processes to discuss three central themes: first, what is meant by the term ‘dialogue’, both from a theoretical perspective and from its practical application within CSR; second, the challenges of creating effective dialogue; and third, measuring and assessing the potential outcomes of dialogue. In providing a critical overview of these themes, (...) the article examines the nature of organisational learning through stakeholder engagement and dialogue. It questions the motives behind engagement in dialogue and highlights some of the potential challenges for organisational learning posed by opting for a stakeholder dialogue approach. It argues that organisations engaging in stakeholder dialogue must have a clear understanding of the implications of undertaking a dialogue process and have a long-term perspective regarding the outcomes and learning likely to emerge from it. While stakeholder dialogue may produce significant results, it is argued, many of these may be difficult to quantify on a short-term basis. (shrink)

Epistemology has long mesmerized its practitioners with numerous puzzles. What can we know, and how can we know it? In Epistemology: A Contemporary Introduction, Alvin Goldman, one of the most noted contemporary epistemologists, and Matthew McGrath, known for his work on a wide range of topics in the field, have joined forces to delve into these puzzles.

This chapter considers how imagination generates emotion. ‘Supposition-imagination’ (S-imagination) is distinguished from ‘enactment-imagination’ (E-imagination). The former kind of imagination involves entertaining or supposing various hypothetical scenarios; with the latter kind of imagination, one tries to create a kind of facsimile of a mental state. Thus, one might try to create a perception-like state as in visual imagination or motoric imagination. It is argued that this much richer form of imagination generates typical emotional reactions to fiction. Emotional reactions to fiction are (...) generated in several different ways, including a process in which we E-imagine being a hypothetical reader or observer of fact. (shrink)

In the second half of the twentieth-century, the traditional problem of other minds was re-focused on special problems with propositional attitudes and how we attribute them to others. How do ordinary people, with no education in scientific psychology, understand and ascribe such complex, unobservable states? In different terminology, how do they go about "interpreting" their peers?

In this article I defend John Dewey's use of the concept of "culture" in light of his anthropological sources and suggest that this cultural turn has much to teach contemporary scholars. Contrary to critics, I argue that Dewey's reconstructive aims are indeed well served by "culture" as a term for the complex set of symbolic and material resources shaping habit. Common misreadings of Dewey could be avoided by a better understanding of this anthropological appropriation; moreover, Dewey's emphasis on culture should (...) caution neuropragmatists against reductively scientistic models of human experience. I conclude, finally, with a call for democratic theorists today to engage with Dewey's later, anthropologically-informed writings. (shrink)

Traditionally, physicians and parents made decisions about children’s health care based on western practices. More recently, with legal and ethical development of informed consent and recognition for decision making, children are becoming active participants in their care. The extent to which this is happening is however blurred by lack of clarity about what children — of diverse levels of cognitive development — are capable of understanding. Moreover, when there are multiple surrogate decision makers, parental and professional conflict can arise concerning (...) children’s ‘best interest’. Giving children a voice and offering choice promotes their dignity and quality of life. Nevertheless, it also presents with many challenges. Case studies using pseudonyms and changed situational identities are used in this article to illuminate the complexity of ethical challenges facing nurses in end-of-life care with children and families. (shrink)

This article aims to say what democracy is or what the predicate ‘democratic’ means, as opposed to saying what is good, right, or desirable about it. The basic idea—by no means a novel one—is that a democratic system is one that features substantial equality of political power. More distinctively it is argued that ‘democratic’ is a relative gradable adjective, the use of which permits different, contextually determined thresholds of democraticness. Thus, a system can be correctly called ‘democratic’ even if it (...) does not feature perfect equality of power. The article's central undertaking is to give greater precision to the operative notion of power. No complete or fully unified measure of power is offered, but several conceptual tools are introduced that help give suitable content to power measurement. These tools include distinctions between conditional versus unconditional power and direct versus indirect power. Using such tools, a variety of prima facie problems for the power equality approach are addressed and defused. Finally, the theory is compared to epistemic and deliberative approaches to democracy; and reasons are offered for the attractiveness of democracy that flows from the power equality theme. (shrink)

Although there is a long-standing international debate concerning the privatization and corporatization of health services, there has been relatively little systematic analysis of the ways these types of reform manifest. We examine the impact of privatization and corporatization on public hospitals, and in particular on hospitals’ autonomy and accountability, with two aims: to uncover the key themes in the literature, and to consider implementation issues. The review of 2,319 articles was conducted using content analysis and a discussion of selected key (...) issues. Several major themes appear in the privatization and corporatization literature, including their use as tools in health systems reform, and the role of governments in sponsoring the processes. We show that much of the underlying argument is ideological rather than evidence based. Those who promote versions of privatization or corporatization claim that decreased government involvement in the management of hospitals leads inter alia to benefits such as greater efficiency, better quality services, and increased choice for patients. Those who argue against say that increased privatization leads to deleterious outcomes such as decreased equity, compromised efficiency and poorer quality of care. The evidence is often weak and at times conflicting. Privatization and corporatization are difficult to implement, and at best produce mixed results, and their impact seems to depend more on the motivation of the evaluator than the standard of the results. These debates are of a type that is to a large extent only resolvable ideologically. (shrink)

Immanuel Kant is strict about the limits of self-knowledge: our inner sense gives us only appearances, never the reality, of ourselves. Kant may seem to begin his inquiries with an uncritical conception of cognitive limits, but in Kant and the Subject of Critique, Avery Goldman argues that, even for Kant, a reflective act must take place before any judgment occurs. Building on Kant’s metaphysics, which uses the soul, the world, and God as regulative principles, Goldman demonstrates how Kant (...) can open doors to reflection, analysis, language, sensibility, and understanding. By establishing a regulative self, Goldman offers a way to bring unity to the subject through Kant’s seemingly circular reasoning, allowing for critique and, ultimately, knowledge. (shrink)

The aim of this paper is to advance a certain non-traditional approach to epistemology. My method of introducing this approach is to compare and contrast it with more familiar epistemological orientations. Thus, the format of the paper is a survey – admittedly not exhaustive – of a variety of tasks and perspectives that epistemologists have undertaken and might undertake.