Background Informed consent is an integral component of good medical practice. Many researchers have investigated measures to improve the quality of informed consent, but it is not clear which techniques work best and why. To address this problem, we propose developing a core outcome set to evaluate interventions designed to improve the consent process for surgery in adult patients with capacity. Part of this process involves reviewing existing research that has reported what is important to patients and doctors in the (...) informed consent process. Methods This qualitative synthesis comprises four phases: identification of published papers and determining their relevance; appraisal of the quality of the papers; identification and summary of the key findings from each paper while determining the definitiveness of each finding against the primary data; comparison of key themes between papers such that findings are linked across studies. Results Searches of bibliographic databases returned 11,073 titles. Of these, 16 studies met the inclusion criteria. Studies were published between 1996 and 2016 and included a total of 367 patients and 74 health care providers. Thirteen studies collected data using in-depth interviews and constant comparison was the most common means of qualitative analysis. A total of 94 findings were extracted from the primary papers and divided into 17 categories and ultimately 6 synthesised findings related to: patient characteristics, knowledge, communication, the model patient, trust and decision making. Conclusions This qualitative meta-aggregation is the first to examine the issue of informed consent for surgery. It has revealed several outcomes deemed important to capture by patients and clinicians when evaluating the quality of a consent process. Some of these outcomes have not been examined previously in research comparing methods for informed consent. This review is an important step in the development of a COS to evaluate interventions designed to improve the consent process for surgery. Registration The study protocol was registered on the international prospective register for systematic reviews. (shrink)

When someone encounters an explanation perceived as weak, this may lead to a feeling of deprivation or tension that can be resolved by engaging in additional learning. This study examined to what extent children respond to weak explanations by seeking additional learning opportunities. Seven‐ to ten‐year‐olds (N = 81) explored questions and explanations (circular or mechanistic) about 12 animals using a novel Android tablet application. After rating the quality of an initial explanation, children could request and receive additional information or (...) return to the main menu to choose a new animal to explore. Consistent with past research, there were both developmental and IQ‐related differences in how children evaluated explanation quality. But across development, children were more likely to request additional information in response to circular explanations than mechanistic explanations. Importantly, children were also more likely to request additional information in direct response to explanations that they themselves had assigned low ratings, regardless of explanation type. In addition, there was significant variability in both children's explanation evaluation and their exploration, suggesting important directions for future research. The findings support the deprivation theory of curiosity and offer implications for education. (shrink)

In CQ N.S. xxi , 146 f. Dr. G. Giangrande reaffirms his claim that the reading of most manuscripts at A. R. I. 1333 is sound. I argued in CQ N.S. xix , 274 f. that is more likely to be from than from , on the ground that readers of an epic poem would not take it in any other way, since Homer has only and from . Giangrande now produces the variants and found here and there in Homer's (...) text. According to him, ‘the more obscure and debated the variant, the more elegant its reproduction was felt to be’. Apollonius thus campaigns for from on the basis of these obscure varian. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Rhetoricians Identified:A Call to Interdisciplinary Action and How it Resonated in the Field of RhetoricChristine Isager and Sine Nørholm Just"I actually like this book a lot, but I am not sure how comfortable I am with liking it," wrote William Keith (1995, 488) in a review of the original 1993 edition of Steve Fuller's Philosophy, Rhetoric, and the End of Knowledge (PREK), in which rhetoric is invited to participate (...) in the interdisciplinary reconfiguration of Science and Technology Studies (STS). This hesitant enthusiasm aptly exemplifies how an interdisciplinary invitation is likely to make its addressees squirm as they watch their professional aims being defined and then redefined by a disciplinary outsider who points out a place for them in a novel disciplinary constellation. Moreover, and more specifically, Keith's comment exemplifies how PREK was received by rhetoricians. On the surface, the reviews were glowing. In Philosophy and Rhetoric as well as in Philosophy of the Social Sciences, Keith expressed certain doubts about Fuller's work, but still he described it as "important," "exceptional," "superb" (1996; 1995). In the Quarterly Journal of Speech, Kenneth S. Zagacki called PREK both "excellent" and "exciting" (1995), and he was backed by John Angus Campbell and Keith R. Benson a year later when the same journal included PREK in an omnibus review entitled "The Rhetorical Turn in Science Studies" (Campbell and Benson 1996). Like Alan Gross, who reviewed the book in College English together with a number of works on workplace writing (1994), Campbell and Benson placed PREK at the cutting edge of rhetorical theory.The initial excitement over PREK forms a sharp contrast to the quite negligible impact that the book has had on the field of rhetoric in the decade that has passed since it was first published. In this essay we will undertake a close reading of the book along with the five above-mentioned reviews, looking for an explanation of the peculiar fate that met Steve [End Page 248] Fuller's proposal in the rhetorical disciplinary context. Our conclusion is that on reading the book, rhetoricians felt so flattered by Fuller's confident handling of rhetoric that the task of introducing and applying rhetorical theory in STS seemed, on the whole, to have been done for them. Furthermore, Fuller's attempts to construct a rhetorical agency are subverted by his idiosyncratic, i.e., inimitable, professional approach, which is also reflected in his style of writing. At once presumptuous and colloquial, his rhetoric serves to impress and entertain, but it fails to engage his audience substantially and to enact the interpenetrative stance that was intended to be the hallmark of PREK and that continues to be the commendable chief concern of Steve Fuller and his fellow social epistemologists.Text-Intertext and IdentificationInterdisciplinary invitations or, rather, interdisciplinary inspirational works of science were originally described as a noteworthy rhetorical genre by Leah Ceccarelli (2001). Ceccarelli explores how claims to scientific unity have handled a primary constraint: their multiple audiences. Fuller explicitly positions PREK within the genre of interdisciplinary inspiration by asserting that "the success of this book... should be measured in terms of its ability to persuade philosophers, theoretical humanists and social scientists, STS practitioners, and rhetoricians of science to see each other as engaged in a common enterprise" (1993, xii-xiii). We will not, however, be examining PREK's ability to be strategically opaque (as Fuller puts it), polysemous(Ceccarelli's term), or otherwise adapted to address its multiple audiences. Instead, we focus solely on Fuller's address to rhetoricians and study how he identifies with this particular audience. Ceccarelli recognizes the importance of ethical appeal in interdisciplinary invitations by positing the establishment of both an authoritative and personal authorial persona as a generic criterion. We follow this lead and add a Burkean emphasis on identification.According to Kenneth Burke, identification is a prior condition for persuasion "precisely because there is division" (Burke 1969, 22). The speaker's success depends on his ability to imitate the ways of his audience and to create a common ground or perspective that makes collective action possible. Burke's work allows us to distinguish three rhetorical strategies of identification. The first strategy... (shrink)

In Professor Ferguson's renewed study of these similes he has introduced a very detailed and careful analysis of Plato's analogies in order to explain and support his interpretation. He has also attacked the view which I put forward in 1932, and I should like to say something in defence of that view, not in any polemical spirit, but from a perhaps too obstinate belief that my reading of the passage does rest on solid foundations. I will not attempt any comprehensive (...) discussion of Professor Ferguson's theories, either in their earlier or their present form, but merely try to indicate what seems to me the real issue between us. (shrink)

Book reviewed in this article: Duties to Others. Edited by Courtney S. Campbell and B. Andrew Lustig.

The present volume completes the cataloguing of manuscripts. This impressive undertaking will be concluded with one further volume, which will contain addenda and extensive indexes to all the volumes. `a remarkable achievement of scholarship...The descriptions of the manuscripts are full and at the same time admirably concise...Any user of the work, whether his interests are palaeographical, iconographical, or textual, will be deeply grateful for the wealth of information contained in this volume'. Review of English Studies`will be invaluable not only for (...) reference but for the comprehensive and immensely precise assurance that it will give to scholars in every field of medieval studies that nothing relevant to their purposes now lurks in unrecorded concealment'. English Historical Review. (shrink)