Background: In the changing medical environment, professional stress continuously increases as the individual’s quality of life suffers. Of all the healthcare professions, nursing is especially prone to burnout, compassion fatigue and reduced compassion satisfaction, due to the tensions resulting from the physical and psychological stress of caring for extremely ill patients. Objectives: This study examined the professional quality of life of clinical nurses in Korea and the relationship between their experiences in ethical dilemmas and professional values. Methods: This was a (...) cross-sectional study of a convenience sample consisting of 488 clinical nurses. We used four questionnaires to measure the participants’ demographic characteristics, experiences in ethical dilemmas, professional nursing values and professional quality of life (ProQOL assessment, Version 5). Ethical considerations: This study received approval from the Institutional Review Board of Bronco Memorial Hospital. Written informed consent was given by all participants. Results: The nurses’ professional quality of life was affected by ethical dilemmas and professional nursing values. The factors influencing compassion satisfaction were age, client domain of ethical dilemmas, social awareness, professionalism of nursing and the roles of nursing services in professional values. The factors influencing burnout were marital status (married), religion (yes), human life domain, professional work domain of ethical dilemmas, social awareness and the role of nursing services in nursing professional values. The factors influencing secondary traumatic stress were human life domain, client domain and the professional work domain of ethical dilemmas. Conclusion: Intervention to help nurses increase their professional quality of life will have a greater chance of success if they are based on the nurses’ values and beliefs about the ethical dilemmas they face and foster the establishment of positive professional values. (shrink)

Background: With increased attention to patient privacy and autonomy, privacy protection and information provision for patients are becoming increasingly important. Objectives: The aim of this study was to identify and analyse nurses’ and patients’ perceptions of the importance and performance of protecting patients’ privacy and providing them with relevant information. Research design: This study is a descriptive cross-sectional investigation. Participants and research context: Participants were 168 patients hospitalised in medical and surgical wards and 176 nurses who cared for them. Ethical (...) consideration: This study was approved by the Chung-Ang University Bioethics Committee, and informed written consent was collected from all participants. Findings: Nurses’ recognition of the importance of protecting patients’ privacy and providing adequate information was higher compared to their actual performance, and the nurses’ level of performance was higher in comparison with the patients’ recognition of its importance. Discussion: Although a holistic approach to patient privacy protection and information provision is needed, the medical field has not embraced this model of care. Conclusions: These findings provide empirical data to create an ethical environment for the future, as considerable attention has been devoted to patients’ rights and medical institutions’ liability for providing explanations to patients. (shrink)

Based on a survey of 237 managers in Singapore, three measures of organizational ethics (namely, top management support for ethical behavior, the organization''s ethical climate, and the association between ethical behavior and career success) are found to be associated with job satisfaction. The link between organizational ethics and job satisfaction is argued from Viswesvaran et al.''s (1998) organizational justice and cognitive dissonance theories. The findings imply that organizational leaders can favorably influence organizational outcomes by engaging in, supporting and rewarding ethical (...) behavior. (shrink)

This paper seeks to humanize the history of curriculum reform by exploring the diverse relationships that teachers form with the national curriculum system in South Korea. Drawing on the concepts of reflective and diffractive practices, we analyze the professional trajectories of two teachers across three decades of national curriculum changes. One teacher’s professional career reflects a commitment to aligning teaching methods with curriculum reforms, while the other teacher considers teaching as a political act, emphasizing a teacher’s interpretive and agential roles (...) to challenge the rigid boundaries between policy and practice. By juxtaposing these narratives, this study complicates traditional views of curriculum history, highlighting how teachers exercise critical agency in shaping their relationships with the national curriculum system. In documenting these entangled relationships, we advocate for a more inclusive understanding of teacher development that acknowledges marginalized voices and experiences often excluded from official curriculum history. This study underscores the importance of valuing the diverse ways that teachers interact with the curriculum system, arguing for a shift from a policy-driven perspective to one that embraces the dynamic interplay between curriculum structures and teacher agency. (shrink)

This thesis focuses on the question of whether moral feelings are necessary to the making of moral judgments. This is an important question and the answer one gives has more interesting implications than one might initially expect. I will argue that an experientialist account of moral concepts, on which moral judgments are beliefs about objective facts represented by moral feelings, provides the best naturalistic answer to the question. To make my point, I anchor my arguments in a series of comparisons (...) between the experientialist account and its rivals, and how they handle metaethical puzzles to do with the moral status of psychopaths, moral twin earth, the nature of moral motivation, and issues of integrity and moral improvement. (shrink)

Sixteenth-century Christological debates sought to clarify the philosophical implications of the hypostatic union thesis formulated at Chalcedon. The genus maiesticatum, in particular, permitted that Christ’s created human nature could be said to possess divine attributes and powers. Other systematic regions like theological anthropology were implicated in this concept as well; the elevation of Christ’s human nature provided a conceptual framework for understanding the way divine indwelling might elevate human moral capacities in the elect. Medieval Scholastics after Lombard sought to clarify (...) what type of relation indwelling might be. Was it a hypostatic union as in Christology or something else? At the start of the sixteenth-century, Protestant reformers inherited this question. Their engagement with it demonstrates the systematic implications of Christological metaphysics and clarifies conceptual continuities and shifts that occurred across this historical moment of reform. (shrink)

Jeremy Bentham catalogued a wide variety of uses for dead bodies in what was likely his last essay, ‘Auto-Icon’. Dead bodies could be preserved and transformed into statues and used, among other ways, as theatrical props, commemorative statues, and building materials. Auto-Iconism would eliminate the need for coffins and graveyards – as well as funeral rituals, clerics to preside over the funerals, and, arguably, the entire religious establishment. This essay offers a reading of ‘Auto-Icon’ as a bad joke: impolite, unrefined, (...) and in bad taste. The thought is that ‘Auto-Icon’ makes fun of the religious desire for immortality – continuing Bentham’s attacks on the religious establishment in this regard – as well as Bentham’s own pretensions to immortality, and of pretensions to good taste generally. As a bad joke, ‘Auto-Icon’ is an exercise both in the liberty of opinion and in the liberty of taste. (shrink)

Rho, a member of the Ras superfamily of small GTPases, has multiple biological roles: it regulates signal trasduction pathways linking extracellular growth factors to the assembly of actin stress fibres and focal adhesion complexes; it is required for G1 progression and activates the SRF transcription factor when quiescent fibroblasts are stimulated to grow; and it plays a role later in the cell cycle during cytokinesis. Two groups have recently succeeded in identifying downstream effectors of Rho that may mediate some of (...) these biological effects. One protein identified by both groups is protein kinase N (PKN), a serine/threonine kinase whose catalytic domain is closely related to that of protein kinase C(1,2). (shrink)

In this paper, I explain how Bentham’s utilitarianism is at odds with Effective Altruism’s (EA) abstract use of numbers to calculate the most ‘effective’ ways to do good. This is interesting because Bentham is widely regarded as the father of modern utilitarianism and EA is a movement popularly associated with utilitarianism today. My paper is divided into 3 parts. In part 1, I explain how Bentham’s utilitarianism is built on a view of pleasure as widely varied and inherently subjective. In (...) part 2, I discuss a version of utilitarianism that bears a superficial resemblance to Bentham’s but diverges from his theory in crucial ways. I show that it is with this second version, rather than Bentham’s, that EA shares more in common. In part 3, I sketch out a Benthamite critique of EA. (shrink)

The definition of life has been one of the greatest philosophical questions of mankind. In recent years, this debate had intensified due to the discovery of naturally occurring biological entities, such as viruses and prions, which lie at the boundary of what we consider as living. “Are viruses alive?” has turned out to be the largest vote swinging debate in an introductory course to microbiology [1], with 79% of the students changing their opinions before and after the debate compared to (...) genetic engineering (56% opinion swing) and childhood immunization (25% opinion swing). Using boundary cases as classification criteria, also known as the decision boundary or decision surface, had been well established [2]. (shrink)

BackgroundThis study aimed to identify the healthcare providers’ experience and perspectives toward end-of-life care decisions focusing on end-of-life discussion and physician’s order of life-sustaining treatment documentation in Korea which are major parts of the Life-Sustaining Treatment Act.MethodsA cross-sectional survey was conducted using a questionnaire developed by the authors. A total of 474 subjects—94 attending physicians, 87 resident physicians, and 293 nurses—participated in the survey, and the data analysis was performed in terms of frequency, percentage, mean and standard deviation using the (...) SPSS 24.0 program.ResultsStudy results showed that respondents were aware of terminal illness and physician’s order of life-sustaining treatment in Korea well enough except for some details. Physicians reported uncertainty in terminal state diagnosis and disease trajectory as the most challenging. Study participants regarded factors (related to relationships and communications) on the healthcare providers’ side as the major impediment to end-of-life discussion. Study respondents suggested that simplification of the process and more staff are required to facilitate end-of-life discussion and documentation.ConclusionBased on the study results, adequate education and training for better end-of-life discussion are required for future practice. Also, a simple and clear procedure for completing a physician’s order of life-sustaining treatment in Korea should be prepared and legal and ethical advice would be required. Since the enactment of the Life-Sustaining Treatment Act, several revisions already have been made including disease categories, thus continuous education to update and support clinicians is also called for. (shrink)

The speed of technology integration among businesses has accelerated during the COVID-19 pandemic due to the work-from-home arrangements and safe distancing regulations, prompting businesses to automate operations and digitalize work environments. These impacts have disrupted work environments and operational processes, and a fresh set of competencies is required to stay competent in this new normal. Consequently, there is a need to develop a state-of-the-art competency framework for logistics professionals during these trying times. This study has adopted the Preferred Reporting Items (...) for Systematic Reviews and Meta-Analyses to review, identify, and update the emerging competencies required by logistics professionals. The relevant academic documents were narrowed down to 81 and were used to identify the emerging competencies relevant to Industry 4.0 and COVID-19. The competencies were subsequently categorized into four key domains i.e., business, logistics, digital, and personal competencies, with a total of 17 sub-domains. This state-of-the-art framework contributes to academic research by updating the existing competency frameworks. Future research can also build upon this holistic list of emerging competencies by utilizing it to reduce the competency gaps faced by those who are less technology savvy i.e., older logistics professionals. Additionally, future research can correlate the competency framework to organizational learning theories to improve the overall performance of logistics companies. (shrink)

The latest book in the Philosophy, Theory, and Educational Research series introduces the main philosophical and theoretical ideas of recent western feminisms as it applies to educational research. Unlike other books that focus on these topics, the authors present a balanced overview of the issues, instead of pushing a particular perspective.

Jeremy Bentham aurait dit, ou du moins John Stuart Mill lui fait dire, qu’à quantité de plaisir égale, le jeu de quilles a autant de valeur que la poésie. Le présent article se penche sur le lien entre plaisir et jugement dans la pensée politique de Bentham. J’avance que ce lien existe bel et bien et qu’on peut le déceler dans les écrits de Bentham sur le sexe: ceux-ci suggèrent qu’il est possible, d’une part, de penser tous les plaisirs comme (...) bons en tant que tels, _et_ d’autre part de considérer qu’il est possible de raisonner en termes de goût et de désir. Le concept charnière est celui de croyance: en effet, au moins certains goûts et désirs reposent sur des croyances qui peuvent évoluer lorsque des faits nouveaux sont découverts. Une étude du rôle de la croyance dans la construction du goût et du désir nous permet de considérer le rôle de l’environnement sociopolitique sur ces derniers. Nous pouvons ainsi questionner et penser nos goûts et désirs irréductiblement personnels. (shrink)

Name der Zeitschrift: Semiotica Jahrgang: 2015 Heft: 207 Seiten: 451-473.

Building from J.L. Austin's concept of ‘performative,’ this essay explores the production of subjectivity and of educational subjects by applying important work from Judith Butler on Foucault, Derrida, and as centrally illustrative, through an analysis of sex and gender. Given this analytical framework, the turn is then to queer performativity and the possibility of performative power in pedagogy. The last draws assistance from Valerie Walkerdine, Homi Bhabha and especially James Donald.

Donald Davidson famously argues that when a person acts for a reason, we can characterize that person as having some sort of pro-attitude toward actions of a certain kind and believing that their action is of that kind. If acting for a reason must be caused by pro-attitudes, then the right account of pro-attitudes will help us correctly identify cases of action for reason. In this paper, we examine what it takes for a mental state to be a pro-attitude. First, (...) we argue that having any mental state that systematically causes behavior when combined with an appropriately connected belief count as a pro-attitude is overly permissive. We do so by presenting an example of someone whose complex system of nervous tics mimics the causal structure of a pro-attitude, but where the resulting behavior does not count as action. Next, we argue that requiring beliefs about value or treating pro-attitudes as perceptions of value is overly restrictive. Such views fail to account for akrasia or attribute unprecedented functional properties to perceptual states. Finally, we propose an account of pro-attitudes that avoids these pitfalls: In addition to causing behavior, pro-attitudes cause more pleasure when one thinks about attaining their object than when one thinks about failing to attain their objects. (shrink)

The Society of Jesus has had a long relationship with China, beginning with the failed attempt by Francis Xavier to enter the country through to the achievements of Matteo Ricci, his companions, and successors. The missionaries introduced European science, including medicine, with which they engaged both the imperial court and the commoners. The eventual expulsion of the Jesuits and formal reconnection with China via the current papacy gives a poignancy to the consideration of medicine and environmental concerns. Pope Francis is (...) the first Jesuit to be elected to the papacy. He is also the first pope to formalize an agreement with Beijing over the... (shrink)

Background Participants' understanding of clinical trials is important in informed consent. However, little is known about what information participants really want to know. Aims To demonstrate the existence of a discrepancy between participants' understanding and their desire to know. Methods The participants in clinical trials at Seoul National University Hospital were surveyed. The survey consisted of 11 statements based on the essential elements of informed consent. The participants gave two responses to each statement on a five-point Likert scale to rate (...) their subjective understanding and desire to know, respectively. Information discrepancy was defined as the difference between these two ratings: if understanding exceeded desire to know for a particular item, it was defined as ‘over-informed’; if desire to know exceeded understanding for a particular item, it was defined as ‘under-informed’. Results Participants reported good understanding of ‘voluntariness’, ‘duration’, ‘study involves research’ and poor understanding of ‘confidentiality’, ‘compensation’, ‘benefits’, ‘procedures’ and ‘risks or discomforts’. For ‘risks or discomforts’, ‘who to contact’, ‘voluntariness’, ‘duration’ and ‘procedures’, participants reported high desire to know compared with ‘confidentiality’, ‘purpose’, ‘study involves research’ and ‘benefits’. The elements ‘study involves research’, ‘voluntariness’, ‘duration’, ‘purpose’ and ‘who to contact’ were over-informed, while ‘compensation’, ‘risks or discomforts’, ‘procedures’, ‘confidentiality’ and ‘benefits’ were under-informed. Participants over 50 years of age, those without a college education and those whose participation was less voluntary were relatively less informed about the clinical trials. Conclusions An information discrepancy was observed between the participants' understanding and their desire to know. By putting more emphasis on under-informed elements, the quality of informed consent could be improved. (shrink)

This study focuses on the phenomenon of private supplementary tutoring, otherwise known as ‘shadow education’, which has proliferated around the world. By casting the spotlight on one parti...

Graphical AbstractRecent waves of controversies surrounding genetic engineering have spilled into popular science in Twitter battles between reputable scientists and their followers. Here, a cautionary perspective on the possible blind spots and risks of CRISPR and related biotechnologies is presented, focusing in particular on the stochastic nature of cellular control processes.

Parrondo's paradox, in which losing strategies can be combined to produce winning outcomes, has received much attention in mathematics and the physical sciences; a plethora of exciting applications has also been found in biology at an astounding pace. In this review paper, the authors examine a large range of recent developments of Parrondo's paradox in biology, across ecology and evolution, genetics, social and behavioral systems, cellular processes, and disease. Intriguing connections between numerous works are identified and analyzed, culminating in an (...) emergent pattern of nested recurrent mechanics that appear to span the entire biological gamut, from the smallest of spatial and temporal scales to the largest—from the subcellular to the complete biosphere. In analyzing the macro perspective, the pivotal role that the paradox plays in the shaping of biological life becomes apparent, and its identity as a potential universal principle underlying biological diversity and persistence is uncovered. Directions for future research are also discussed in light of this new perspective. (shrink)

There is a growing literature studying the ‘non-traditional’ type of international schools. However, a less explored and under-theorised area is the changing dynamics of the global-local interactions in the way these international schools are being redefined and shaped by local processes, regimes of control, and mechanisms. Drawing on empirical evidence from sixteen ‘non-traditional’ international schools in urban China, our paper contributes to the literature in three ways. Theoretically, we developed the notion of ‘reining in the international’ to draw analytic attention (...) to the state power and social agency in controlling and directing the global flows of international schooling. Empirically, our paper provides concrete evidence to show the disjuncture occurring when the global/international is interrupted and transformed by local/national conditions. Third, we argue that in the case of China, the local has taken charge as the ‘content supplier and negotiator’ in the global-local confluence of forms adopted by international schools. (shrink)

We conjecture that corporate social responsibility can be indicative of managerial ethics and integrity and examine whether equity investors and financial analysts consider CSR performance when they assess firms’ disclosures of actual and forecasted earnings. We find that only adverse CSR performance affects investors’ assessments of these disclosures. In contrast, we find that both positive and adverse CSR performance affect analysts’ forecast revisions in response to firms’ disclosures. We also find that firms with adverse CSR performance exhibit lower disclosure quality (...) and earnings persistence, but do not find that firms with positive CSR performance exhibit higher levels of both measures. This asymmetric result is consistent with investors’, but not analysts’, assessments of the effect of CSR performance on corporate disclosures. Our results are robust to using a three-stage least squares approach to address endogeneity concerns and to a battery of robustness and sensitivity analyses. Overall, our findings suggest that investors and analysts consider CSR when assessing the information in earnings-related corporate disclosures. (shrink)

Critical Conversations in Philosophy of Education presents a series of conversations expressing many of the multiple voices that currently constitute the field of philosophy of education. Philosophy of education as a discipline has undergone several turns--the once marginal perspectives of the various feminisms, critical Marxism, and poststructuralist, postmodernist and cultural theory have gained ground alongside those of Anglo-analytic and pragmatic thought. Just as western philosophers in general are coming to terms with the "end of philosophy" pronouncement implicit in postmodernism, so (...) too are philosophers of education faced with similar challenges--challenges to long-held moral, political, aesthetic and epistemological commitments. The contributors take up these challenges through a dialogical structure, expressing differing positions without engaging in destructive critique. There is no intention to come to consensus; rather the point is to expand the number and kind of participating voices in the conversation and engage in a lively intellectual exchange that will insure the vitality of educational theorizing. (shrink)

Focus on form has been extensively studied in text-based online dyadic chats but much less has been explored in group chats with interlocutors from different language backgrounds. Additionally, there are very few studies investigating covert focus on form. This study investigated the effects of interlocutor types on errors and focus on form episodes, both covert and overt, in text-based online group chats. We collected chat logs from two collaborative online international learning projects. One project was developed for the collaboration between (...) an English course at a Chinese university and an art history course at a U.S. university; the other between another cohort of the same English course and a cultural studies course at a Mexican university. We compared errors, feedback, and other characteristics of focus on form episodes between the two projects. Analyses revealed significant differences in characteristics such as overtness, linguistic focus, and source. However, no significant differences were found for the type of focus on form, presence of uptake, uptake quality, and repair provider. Students showed a preference for self-repair over other-repair and for lexical focus over mechanical and grammatical foci in both projects. Overall, only a small proportion of errors were followed by feedback. Therefore, a small amount of uptake and successful uptake occurred in both projects. The results can shed light on how instructors could provide effective scaffolding and tasks to make virtual exchange projects more rewarding. (shrink)