The increase of high-risk newborns due to societal changes has presented neonatal intensive care unit nurses with more ethical challenges and heightened their perception of neonatal palliative care. Therefore, this study was a descriptive survey exploring the perceptions of neonatal intensive care unit nurse regarding biomedical ethics and neonatal palliative care in neonatal intensive care units. The research participants were 97 neonatal intensive care unit nurses who had been directly involved with end-of-life care for high-risk babies. Data were collected from (...) November to December 2021 through an online survey. The Korean version of Neonatal Palliative Care Attitude Scale and the tool of biomedical ethics were used. The collected data were analyzed using the T-test, ANOVA, Scheffé test, Pearson correlation coefficient, and multiple regression analysis. The mean score for perception of biomedical ethics in neonatal intensive care unit nurses was 2.89 of 4, and that of neonatal palliative care in neonatal intensive care unit nurses was 3.10 of 5. Existence of a protocol of neonatal palliative care, the experience of patients dying, and the right to life of neonates were factors influencing the perception of neonatal palliative care. The explanatory power was 12.5%. The data support the importance of guidelines regarding systematic neonatal palliative care. Also, developing programs for sharing and supporting experiences of patients dying among colleagues and persistent education about the right to life of neonates for neonatal intensive care unit nurses can improve perception of neonatal palliative care. (shrink)

These are carefully placed in the context of Chinese society, demonstrating how Confucius responded to the conflicts and pressures of his time and offered ...

BackgroundAssisted dying has wide support among the general population but there is evidence that those providing care for the dying may be less supportive. Senior doctors would be involved in implementing the proposed change in the law. We aimed to measure support for legalising physician assisted dying in a representative sample of senior doctors in England and Wales, and to assess any association between doctors' characteristics and level of support for a change in the law.MethodsWe conducted a postal survey of (...) 1000 consultants and general practitioners randomly selected from a commercially available database. The main outcome of interest was level of agreement with any change in the law to allow physician assisted suicide.ResultsThe corrected participation rate was 50%. We analysed 372 questionnaires. Respondents' views were divided: 39% were in favour of a change to the law to allow assisted suicide, 49% opposed a change and 12% neither agreed nor disagreed. Doctors who reported caring for the dying were less likely to support a change in the law. Religious belief was also associated with opposition. Gender, specialty and years in post had no significant effect.ConclusionMore senior doctors in England and Wales oppose any step towards the legalisation of assisted dying than support this. Doctors who care for the dying were more opposed. This has implications for the ease of implementation of recently proposed legislation. (shrink)

Bringing Pierre Bourdieu to Science and Technology Studies Content Type Journal Article Pages 263-273 DOI 10.1007/s11024-011-9174-2 Authors Mathieu Albert, Wilson Centre and Department of Psychiatry, Faculty of Medicine, University of Toronto, 200 Elizabeth Street , Eaton-South 1-581, Toronto, ON M5G 2C4, Canada Daniel Lee Kleinman, Department of Community and Environmental Sociology, University of Wisconsin-Madison, 348 Agricultural Hall 1450 Linden Drive, Madison, WI 53706, USA Journal Minerva Online ISSN 1573-1871 Print ISSN 0026-4695 Journal Volume Volume 49 Journal Issue Volume 49, Number (...) 3. (shrink)

이 논문은 데이빗 루이스의 시간적 부분 이론(temporal part theory)과 물질적 구성(material consitution)에 대한 반 인와겐의 입장에 대한 논의를 출발점으로 삼는다. 먼저 필자는 루이스의 시간적 부분이론을 반박한다. 루이스의 이론의 핵심적인 내용을 똑같이 반영(mirror)하면서도 그 이론과 상충하는 이론을 구성하고 이 두 이론 중 어느 한 쪽을 선택하는 것은 결국은 임의적인(arbitrary) 결정을 하는 것인데 이 사실은 이 두 이론 모두를 매력적이지 않게 만든다고 주장한다. 이 두 이론을 모두 거부한다면 우리는 사물을 (특별히 문제되는 사물이 ‘자아’라면 더더욱) 어디에 위치시켜야 하는지 새로운 가능성을 탐색해 보게 된다. (...) 다음으로 이 논문은 떨어지지 않은 임의적인 부분(arbitrary undetached part)에 대한 반 인와 겐의 논증을 살펴보고 그 논증을 준거점으로 삼아 물질적 구성(material consitution)에 대한 여러 논문들에 등장한 이론적 가능성을 일별한다. 필자는 이 여러 입장들 뒤에 근본적인 전제로 기능하고 있는 철학적 원자론(philosophical atomism)과 그 이론이 내포하는 환원주의적 접근이 자아가 존재하고 시간 속에 지속한다(endure through time)는 근본적인 믿음을 포함하는 ‘자아의 선차성’ 논제를 위협한다는 것을 지적하고 루이스의 이론에 대한 논의에서 얻은 결론과 결합하여, 상당히 이상해보이지만 고려해볼만한 이론적 가능성으로 자아가 시간 속에 지속하는 영차원의(zero-dimensional) 존재라는 가능성을 제기한다. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:The Christian Moral Life: Faithful Discipleship for a Global Society by Patricia Lamoureux, Paul J. WadellVictor Lee AustinThe Christian Moral Life: Faithful Discipleship for a Global Society Patricia Lamoureux and Paul J. Wadell Maryknoll, NY: Orbis Books, 2010. 306pp. $27.00In ten chapters, the authors provide what is in effect an introductory college textbook in Roman Catholic moral theology. They aim to ground their exposition in scripture and to (...) reach a broad audience by drawing on ecumenical and interfaith perspectives. Their organization is clear: they summarize each chapter in advance and then conclude it with a list of main points and questions for reflection. The index is extensive, the bibliography is large, and the table of contents is quite detailed. In short, the book aims to be accessible to undergraduates and helpful to more advanced students. (There is, unfortunately, no index of scriptural citations.) [End Page 201]The arc of their approach to moral theology is as follows. One should begin with discipleship and more specifically with its dynamic of call and response. Discipleship is a process in which one learns to see, particularly to see the reign of God. Sin and repentance are continually involved in discipleship. The development of the virtues is central because through them we learn to be good at being human. In the moral life, conscience is the central gift by which we learn to live by love in a Eucharistic life. Such life is informed by the resurrection as understood both “analogically and dialectically” (206), it is guided by the Spirit, and it is anchored in the shared resources and discernment of Christian community. Finally, the moral life is not private. Thus, the authors conclude with a chapter that draws out the implications for public discipleship.I venture three critiques that arise in part from my place as an Anglican moral theologian. The first deals with scripture. The authors are aware of the characteristic biases of preconciliar Roman Catholic moral theology. I am less certain that they are self-conscious of some of their own presuppositions. Commendably, they provide a verse of scripture at the head of each chapter, and they conceive of what they are doing as working from scripture throughout. Yet it is not clear to me that they present us with a moral theology that comes out of a prayerful wrestling with scripture. For example, their statement, “Jesus praises the [good] Samaritan” (46) is not strictly true. Rather, in telling that parable, Jesus holds back from stating a conclusion. Moreover, the authors are correct to say that parables are useful in transforming our vision. They make that point over eight pages (39–47), in which there are seventeen citations of secondary literature from six different authors. Yet, I would have preferred to see how the authors themselves digested, synthesized, and struggled with the parables, rather than simply discussing the conclusions of others.My second critique deals with conscience. When students start to think about how the moral life is grounded in scripture, they will at some point ask: What if my conscience tells me that something is right that scripture says is wrong (or vice versa)? This question, however, does not appear in this book. In their chapter on the centrality of conscience, it becomes clear that the authors see the primary challenge to the primacy of the conscience as coming from “church leaders.” This is, I think, a regrettable continuation of the tired struggle of Roman moral theologians with their church’s magisterium. At least to this outsider—who lives within an ecclesial context marked by extreme weakness of teaching—there seems to be a highly important and positive use of obedience, which is different from the “mystique of obedience” that these authors criticize (170–71). To be precise, “church leaders” can help us learn something about the relationship of conscience and scripture. This book does not show the place of obedience in the Christian moral life.My last point is a comment on textbooks. Although this book is quite long (I estimate it at 150,000 words), it has that textbook quality of passing lightly [End Page 202] from one thing to the next... (shrink)

Publication date: 30 November 2016 Source: Author: Wen Lee Ng, Manimangai Mani, Wan Roselezam Wan Yahya While the growing body of research on Tan Twan Eng’s The Gift of Rain focuses on the protagonist, Philip Hutton’s traumatic condition, his Chinese identity, and his ambiguous identity, this study devotes particular attention to the complexity of interactions between various cultures practised by Philip. This study aims to address this gap by applying the concept of transculturalism to analyse the processes of acquiring a (...) foreign culture and incorporating the foreign culture into traditional cultures experienced by Philip. In other words, this study employs the concept of transculturalism to examine multicultural depictions in the novel. Scholars, such as Khan, Tiwari, Sheoran and Tan C. S. who have examined multicultural depictions in various literary texts, have found that multicultural circumstances cause certain ethnic groups to lose their cultures and identities. Hence, the multicultural circumstances depicted are perceived as negative phenomena. However, this study has found that by examining the interactions between various cultures, rather than focusing on the end products such as portrayals of hybridity, the positive sides of multicultural depictions could be revealed. The transculturation process experienced by Philip shows that the new cultural practices he has created are made up of both his traditional cultures and the foreign culture he has acquired. This means that Philip does not totally lose his traditional cultures and identities. Therefore, this study concludes that multicultural depictions in The Gift of Rain could be read positively, provided that the interactions between various cultures, which resulted in the incorporation of a foreign culture into traditional cultures, are examined. (shrink)

I examine the new analysis of gay community and liberation offered by Dennis Altman in The Homosexualization of America. Three distinctive theoretical constructs are analyzed and criticized: (1) a new view of psychosocial development; (2) a new concept of gay identity; and (3) A set of causal hypotheses designed to explain the new direction of the gay subculture.