Background Moral distress is a serious problem for health care personnel. Surveys, individual interviews, and focus groups may not capture all of the effects of, and responses to, moral distress. Therefore, we used a new participatory action research approach—moral conflict assessment (MCA)—to characterize moral distress and to facilitate the development of interventions for this problem. Aim To characterize moral distress by analyzing responses of intensive care unit (ICU) personnel who participated in the MCA process. Research Design In this qualitative study, (...) we invited all ICU personnel at 3 urban hospitals to participate in individual or group sessions using the 8-step MCA tool. These sessions were facilitated by either a clinical ethicist or a counseling psychologist who was trained in this process. During each session, one of the researchers took notes and prepared a report for each MCA which were analyzed using qualitative content analysis. Participants and Research Context A total of 24 participants took part in 15 sessions, individually or in groups; 14 were nurses and nurse leaders, 2 were physicians, and 8 were other health professionals. Ethical Considerations This study was approved by the Providence Health Care/University of British Columbia Behavioural Research Ethics Board. Each participant provided written informed consent. Results The main causes of moral distress related to goals of care, communication, teamwork, respect for patient’s preferences, and the managerial system. Suggested solutions included communication strategies and educational activities for health care providers, patients, family members, and others about teamwork, advance directives, and end-of-life care. Participants acknowledged that using the MCA process helped them to reflect on their own thoughts and use their moral agency to turn a distressing situation into a learning and improvement opportunity. Conclusions Using the MCA tool helped participants to characterize their moral distress in a systematic way, and to arrive at new potential solutions. (shrink)

Peter Adamson offers an accessible, humorous tour through a period of eight hundred years when some of the most influential of all schools of thought were formed: from the third century BC to the sixth century AD. He introduces us to Cynics and Skeptics, Epicureans and Stoics, emperors and slaves, and traces the development of Christian and Jewish philosophy and of ancient science. Chapters are devoted to such major figures as Epicurus, Lucretius, Cicero, Seneca, Plotinus, and Augustine. But in (...) keeping with the motto of the series, the story is told 'without any gaps, ' providing an in-depth look at less familiar topics that remains suitable for the general reader. For instance, there are chapters on the fascinating but relatively obscure Cyrenaic philosophical school, on pagan philosophical figures like Porphyry and Iamblichus, and extensive coverage of the Greek and Latin Christian Fathers who are at best peripheral in most surveys of ancient philosophy. A major theme of the book is in fact the competition between pagan and Christian philosophy in this period, and the Jewish tradition also appears in the shape of Philo of Alexandria. Ancient science is also considered, with chapters on ancient medicine and the interaction between philosophy and astronomy. Considerable attention is paid also to the wider historical context, for instance by looking at the ascetic movement in Christianity and how it drew on ideas from Hellenic philosophy. From the counter-cultural witticisms of Diogenes the Cynic to the subtle skepticism of Sextus Empiricus, from the irreverent atheism of the Epicureans to the ambitious metaphysical speculation of Neoplatonism, from the ethical teachings of Marcus Aurelius to the political philosophy of Augustine, the book gathers together all aspects of later ancient thought in an accessible and entertaining way. (shrink)

In the history of philosophy, few topics are so relevant to today's cultural and political landscape as philosophy in the Islamic world. Yet, this remains one of the lesser-known philosophical traditions. In this Very Short Introduction, Peter Adamson explores the history of philosophy among Muslims, Jews, and Christians living in Islamic lands, from its historical background to thinkers in the twentieth century.Introducing the main philosophical themes of the Islamic world, Adamson integrates ideas from the Islamic and Abrahamic faiths to (...) consider the broad philosophical questions that continue to invite debate: What is the relationship between reason and religious belief? What is the possibility of proving God's existence? What is the nature of knowledge? Drawing on the most recent research in the field, this book challenges the assumption of the cultural decline of philosophy and science in the Islamic world by demonstrating its rich heritage and overlap with other faiths and philosophies. (shrink)

Peter Adamson presents an engaging and wide-ranging introduction to the thinkers and movements of two great intellectual cultures: Byzantium and the Italian Renaissance. First he tells the story of philosophy in the Eastern Christian world, from such early figures as John of Damascus in the eighth century to the late Byzantine scholars of the fifteenth century. Then he explores the rebirth of philosophy in Italy in the fifteenth and sixteenth centuries, the era ofMachiavelli, Giordano Bruno, and Galileo. This is (...) the sixth volume in Adamson's History of Philosophy Without Any Gaps, taking us to the threshold of the early modern era. (shrink)

In this account of his mature thinking, Peter Marshall develops a dynamic and organic philosophy for the coming millennium which he calls liberation ecology. Liberation ecology is holistic in viewing the world as a harmonious whole and all beings and things as interwoven threads in nature's web. It is intuitive in recognizing intuition as the main source of knowledge and the imagination as the great organ of morality. It is ecological in seeing human beings as fellow voyagers with other (...) species in the magnificent odyssey of evolution. Above all, it is libertarian in seeking to release humanity, society and nature from their existing burdens so that they can unfurl and realize together their full potential. Exploring our strengths and possibilities, this book presents the ideas and values needed to ride the winds of change at this crucial stage in our development and in the history of the world. It provides a new philosophy for a new era, an uplifting and inspired vision which combines ancient wisdom and modern insights, reason and feeling, science and poetry, myth and the marvellous. It offers a guide for the future on how to rive in the most fulfilling way and how to create a genuinely free and sustainable society in harmony with nature. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Monroe RememberedAesthetics: Problems in the Philosophy of Criticism on Its Fiftieth AnniversaryPeter Kivy (bio)When I proposed this symposium for the 2008 annual meeting of the American Society for Aesthetics, the title "Monroe Remembered" already in place, it was with the intention of commemorating not just the philosopher but the man as well. All who were privileged to know him personally—particularly those, like myself, just beginning their careers as philosophers (...) of art—will always remember not only the keen-edged mind of the true philosopher but the kindness and consideration of the true teacher as well. In all the years that I knew Monroe Beardsley, he never responded in anger or annoyance to any question asked of him, no matter how stupid or silly it was. Nor did he ever fail to offer assistance to any young aspirant. He was, in the best sense of the word, a "gentleman," with emphasis on the gentle. It was one of the great experiences of my life to have known him.But the other purpose of this symposium, and the principal one, is to commemorate Monroe Beardsley's work as a philosopher of art. For it is very hard to imagine that the philosophy of art, and the American Society for Aesthetics, would have prospered, as soon and as successfully as they did, were it not for Beardsley's philosophical presence in person and in his magnum opus, which is the subject of this symposium.It is altogether appropriate, for two reasons, that the papers comprising the Beardsley symposium be published in the pages of the Journal of Aesthetic Education. First, Beardsley and his book were mainly instrumental in the education of a whole new generation of philosophers of art in the 1960s who changed the face of the discipline in America and Britain. And second, no one interested in the implications for education of art and the aesthetic can afford not to be acquainted with Beardsley's imposing contribution to our understanding of both. It is our hope that the present papers will help to make this apparent and be a fitting tribute to Beardsley—both the man and his work. [End Page 1]Peter Kivy Peter Kivy is Board of Governors Professor of Philosophy at Rutgers University and a past president of the American Society for Aesthetics.Copyright © 2010 Board of Trustees of the University of Illinois... (shrink)

Changing Ideals in Modern Architecture revolutionized the understanding of modernism in architecture, pushing back the sense of its origin from the early twentieth century to the 1750s and thus placing architectural thought within the a broader context of Western intellectual history. This new edition of Peter Collins's ground-breaking study includes all seventy-two illustrations of the original hard cover edition, which has been out of print since 1967, and restores the large format.

This article explores the practical approach to global justice advocated by the cosmopolitan political theorists Pogge, Beitz and Buchanan. Using a comparative exposition it outlines their reliance on international law and on human rights law in particular. The essay explores the neo-Kantian influence on the practical approach and offers an original critique of this trend in contemporary international political theory.

One of the fundamental aims of nursing is to safeguard or promote patients' "quality of life." Perspectives on Quality of Life examines existing ways of defining the concept and argues that nurses need to adopt a fresh approach, which more accurately reflects patients' concerns and helps them to develop practical ways of promoting the well-being of people in their care. Part One provides an analysis of statistical approaches to quality of life, including social indicators, the Quality Adjusted Life Year (QALY), (...) and the medical outcomes literature. Part Two proposes an alternative, qualitative approach to organizing care, which respects the patients' choice and individuality. Part three presents the findings of new research into the quality of life of older people in hospital wards. (shrink)

When machine learning, data and AI are reshaping the human experience, Peter Hershock gives us a new way to think about attention, presence and ethics in our changing lives by balancing Western technology with Asian philosophy. He explains how Confucian and Socratic ethics can make visible what a history of choices about remaking ourselves has rendered invisible, and applies Buddhist ideas to give us an understanding about the self and consciousness. Seamlessly blending ancient Chinese, Indian and Greek philosophy, Hershock (...) responds to the challenge of staying present during the age of technology. (shrink)

Journal Name: Philologus Issue: Ahead of print.

In Africa, and in Zimbabwe in particular, education has played a critical role in transforming society through missionaries who brought education as inseparable from Christianity. This article argues that mission school education was a pillar of transformation and that mission schools functioned as centres of integration facilitation where learners discovered how to contribute in the change of their biosphere. It further argues that Zimbabwean mission schools are still bearing fruit in various contexts as seedbeds of social transformation. For Zimbabwe, education (...) was and is still the hub of social transformation. Using a desk research approach of historical analysis and participant observation, this article explores how Zimbabwean Methodism transforms society by remaining within the academic niche that continues to facilitate societal transformation. It also discusses how the Methodist Church in Zimbabwe (MCZ) has influenced universal transformation processes through mission schools. The article concludes that mission schools are positive contributors to social transformation in Zimbabwe today, and that no transformation can be argued to have taken place without them.Contribution: This study contributes to the ongoing academic niche that facilitates social transformation through mission schools in society. This also feeds into fulfilling the Sustainable Development Goal 4 of quality education which is contributed by mission schools. (shrink)

Reflecting on the Inevitable combines evidence from several disciplinary fields to explore the varying ways each of us engages with the prospect of personal mortality. In each chapter the subtleties and applicability of key ideas are enhanced through a series of illustrative narratives built up around the lives of four people at different ages living in two adjacent houses. Reflecting on the Inevitable is relevant not only to academics of death studies, but also those training and practicing in people-helping professions, (...) as well as anyone experiencing or attempting to make sense of major life events. (shrink)