Suffering repeated experiences of moral distress in intensive care units due to applications of futility reflects on nurses’ patient care negatively, increases their burnout, and reduces their job satisfaction. This study was carried out to investigate the levels of job satisfaction and exhaustion suffered by intensive care nurses and the relationship between them through the futility dimension of the issue. The study included 138 intensive care nurses. The data were obtained with the futility questionnaire developed by the researchers, Maslach Burnout (...) Inventory and Minnesota Satisfaction Questionnaire. It was determined that nurses who agreed to the proposition that the application of futility demoralizes health-care professionals had low levels of job satisfaction but high levels of depersonalization. It was determined that nurses had moderate levels of job satisfaction, emotional exhaustion, and personal achievements but high levels of sensitivity. Nurses’ job satisfaction and sensitivities are positively affected when they consider that futility does not contradict the purposes of medicine. (shrink)

There is a need for empirically based research on social and ethical challenges related to informed consent processes, particularly in studies focusing on adolescent sexual and reproductive health. In a pilot study of a school-based pregnancy prevention intervention in rural Zambia, the majority of the guardians who were asked to consent to their daughters’ participation, refused. In this paper we explore the reasons behind the low participation in the pilot with particular attention to challenges related to the community engagement and (...) informed consent process. The pilot was implemented in two schools and examined the acceptability of a package of interventions including economic support to families to keep their girls in school, pocket money for girls, youth club meetings on reproductive health, and community meetings to sensitize the community. Focus group discussions were conducted with girls who participated in the pilot, boys in their class and with parents. Individual semi-structured interviews were conducted with teachers, peer educators and community health workers involved in the coordination of the intervention as well as with religious and traditional leaders. Data were analyzed through thematic analysis. The findings indicate that inadequate use of recognized community communication channels during the community engagement process and dissemination of information about the pilot resulted in limited understanding of the pilot concept by the community. This surfaced through uncertainty and fear that the intervention may result in loss of control over daughters, worries about why money was provided unconditionally to girls, and suspicion of links to satanism. The sense of insecurity appeared to be exacerbated by low literacy levels, poverty, fear of loss of bride wealth, perceived disregard for local perceptions of social status, and scanty trust in the actors implementing the pilot. Inadequate use of locally appropriate channels in the dissemination of information created room for interpretation and facilitated development of mistrust, undermining the conditions for community engagement and actual informed consent. A key lesson learnt is the importance of taking seriously the complexity of local values and structures that may impact people’s capability to consent or not consent to a study in an informed manner. (shrink)

В статті досліджуються механізми виникнення концептосфери Інтернету «розумних» речей. Представлено розуміння процесів трансферу з ментального плану людини у простір культури концептів. Дослідження вказує на важливість еволюції ментального плану людини для процесів трансформації когнітивно перетворювальної практики людини. Такий феномен техніки, як ІРР, сформував нове ментальне середовище – концептосферу «ІРР», яка має важливе значення для формування ментального плану людини. Концептосфера «ІРР» має вплив у всіх сферах діяльності людини: науці, техніці, культурі, медицині, економіці, побуті тощо. Концептосфера «ІРР», як і сама техносфера ІРР, характеризується (...) аутопоезисом та автономністю. (shrink)

This study had two purposes: to explore the components of the pedagogical content knowledge (PCK) of an experienced elementary science teacher and to reveal the presumed interactions among these components. A naturalistic inquiry was conducted as a single case study in which in-depth qualitative data were gathered through semi-structured interview questions. After the theory-based and data-driven analysis of the qualitative data, the verbal communication was quantitated into numerical data for the enumerative analysis. The results revealed that the teacher’s knowledge of (...) students’ understanding and difficulties, knowledge of the elementary science curriculum and knowledge of instructional strategies and representations were found to be mostly intersected PCK components, whereas orientations towards teaching science and knowledge of assessment in science had limited connections to the other components. Further discussions and context-based suggestions are given regarding professional development programmes. (shrink)

The ontic structural realist stance is motivated by a desire to do philosophical justice to the success of science, whilst withstanding the metaphysical undermining generated by the various species of ontological underdetermination. We are, however, as yet in want of general principles to provide a scaffold for the explicit construction of structural ontologies. Here we will attempt to bridge this gap by utilizing the formal procedure of quantization as a guide to ontic structure of modern physical theory. The example of (...) non-relativistic particle mechanics will be considered and, for that case, it will be shown that a viable candidate for an ontic structural realism framework can be constituted in terms of the combination of a state-space with Poisson bracket structure, and a set of observables, with Lie algebra structure. 1 Introduction2 Formulation Underdetermination and Structural Ontologies3 Quantization and Structural Ontologies4 The Case of Non-relativistic Particle Mechanics4.1 Formulation underdetermination4.2 The classical ontology4.3 Quantum theory and the generalized structural ontology4.4 Interpretation of results5 Conclusion and Prospects. (shrink)

Offers practical advice on how to make your way in a chaotic world, and how to make it well. The 300 aphorisms contained here remain remarkably relevant today, addressing us today as practical guides for civility in an often uncivil world, and may serve as invitations to participate in making an uncivil world as civil as possible.

La presente versión del tratado De Bono Habitu Liber o El libro sobre la buena condición, de Galeno de Pérgamo, se presenta al lector de habla hispana como un acercamiento a la prolífca obra flosófca de quien fuera reconocido en su época como un notable médico anatomista y físico. Los argumentos expuestos por el autor acerca de la ‘buena condición’ dan cuenta de la infuencia retórica de Platón y Aristóteles, al mismo tiempo, de las enseñanzas médicas de Hipócrates. Junto al (...) texto original y la traducción al español, se ofrece una versión en latín empleada en el proceso de traducción como un apoyo para resolver las difcultades textuales y léxicas que presentaba el texto griego, al permitir confrontar una recepción medieval del tratado. (shrink)

Self-deception may be a natural consequence of active goal operation instead of an adaptation for negotiating the social world. We argue that because autonomous goal programs likely drove human judgment and behavior prior to evolution of a central executive or “self,” these goal programs can operate independently to attain their desired end states and thereby produce outcomes that “deceive” the individual.

Challenges to Legal Theory offers the reader a fascinating journey though a variety of multi-disciplinary topics, ranging from law and literature, and law and religion, to legal philosophy and constitutional law. The collection reflects some of the challenges that the field of legal theory currently faces. It is compiled by a selection of international and Spanish scholars, whose essays are made available in English translation for the first time. The volume is based on a collection of essays, published in Spanish, (...) in honour of Professor José Iturmendi Morales, of Complutense University, Madrid, and brings the rich scholarship of pre-eminent Spanish scholars of law and legal theory to an international audience. (shrink)

THE OCCASION FOR THE ESSAYS RESPONDING TO MANAGING DIVERSITY IN academe follows in response to a challenge issued by Miguel De La Torre in a 2006 plenary panel regarding the invisibility of minority scholars' work in SCE publications. That 2006 panel, which included presentations by De La Torre, Melanie Harris, Gabriel Salgado, and Darryl Trimiew, stimulated discussions in both the Women's Caucus and the meeting of the Board of Directors; this set of essays from a 2008 plenary session and a (...) concurrent session held later in the meeting is the result of those earlier discussions. The two sessions both address diversity: these essays feature minority voices presenting specific proposals for how minority scholarship should and should not be used by majority and other minority scholars; the concurrent session featured a discussion by majority scholars on what whites must do to diversify the society. Our hope is that these essays and the discussions they generate will shed more light on this extremely complex and important issue for the SCE and the institutions in which members work. (shrink)