Online research in philosophy

Machine generated contents note: PART ONE: TOWARD A SOCIOLOGY OF HISTORY -- SECTION I: THE SOCIOLOGICAL -- FOUNDATIONS OF HISTORY -- I. The Sources of Culture Change -- 2. Sociology as a Science -- 3. Sociology and the Theory of Progress -- 4. Civilization and Morals -- 5. Progress and Decay in Ancient and Modern Civilization -- 6. Art and Society -- 7. Vitality or Standardization in Culture -- 8. Cultural Polarity and Religious Schism -- 9. Prevision in Religion -- (...) Io. T. S. Eliot on the Meaning of Culture -- SECTION II: THE MOVEMENT OF WORLD HISTORY -- I. Religion and the Life of Civilization -- 2. The Warrior Peoples and the Decline -- of the Archaic Civilization -- 3. The Origins of Classical Civilization -- 4. The Patriarchal Family in History -- 5. Stages in Mankind's Religious Experience -- SECTION III: URBANISM AND THE ORGANIC -- NATURE OF CULTURE -- I. The Evolution of the Modern City -- 2. Catholicism and the Bourgeois Mind -- 3. The World Crisis and the English Tradition -- 4. Bolshevism and the Bourgeoisie -- PART TWO: CONCEPTIONS OF WORLD HISTORY -- SECTION IV: CHRISTIANITY AND THE -- MEANING OF HISTORY -- I. The Christian View of History -- 2. History and the Christian Revelation -- 3. Christianity and Contradiction in History -- 4. The Kingdom of God and History -- SECTION II: THE VISION OF THE HISTORIAN -- I. The Problem of Metahistory -- 2. St. Augustine and the City of God -- 3. Edward Gibbon and the Fall of Rome -- 4. Karl Marx and the Dialectic of History -- 5. H. G. Wells and the Outline of History -- 6. Oswald Spengler and the Life of Civilizations -- 7. Arnold Toynbee and the Study of History -- 8. Europe in Eclipse -- Afterword by John J. Mulloy: Continuity and Development -- in Christopher Dawson's Thought -- Sources -- Notes -- Index. (shrink)

Abstract Objectives To conduct an independent evaluation of the first phase of the Health Foundation’s Safer Patients Initiative (SPI), and to identify the net additional effect of SPI and any differences in changes in participating and non-participating NHS hospitals. Design Mixed method evaluation involving five substudies, before and after design. Setting NHS hospitals in the United Kingdom. Participants Four hospitals (one in each country in the UK) participating in the first phase of the SPI (SPI1); 18 control hospitals. Intervention The (...) SPI1 was a compound (multi-component) organisational intervention delivered over 18 months that focused on improving the reliability of specific frontline care processes in designated clinical specialties and promoting organisational and cultural change. Results Senior staff members were knowledgeable and enthusiastic about SPI1. There was a small (0.08 points on a 5 point scale) but significant (P<0.01) effect in favour of the SPI1 hospitals in one of 11 dimensions of the staff questionnaire (organisational climate). Qualitative evidence showed only modest penetration of SPI1 at medical ward level. Although SPI1 was designed to engage staff from the bottom up, it did not usually feel like this to those working on the wards, and questions about legitimacy of some aspects of SPI1 were raised. Of the five components to identify patients at risk of deterioration—monitoring of vital signs (14 items); routine tests (three items); evidence based standards specific to certain diseases (three items); prescribing errors (multiple items from the British National Formulary); and medical history taking (11 items)—there was little net difference between control and SPI1 hospitals, except in relation to quality of monitoring of acute medical patients, which improved on average over time across all hospitals. Recording of respiratory rate increased to a greater degree in SPI1 than in control hospitals; in the second six hours after admission recording increased from 40% (93) to 69% (165) in control hospitals and from 37% (141) to 78% (296) in SPI1 hospitals (odds ratio for “difference in difference” 2.1, 99% confidence interval 1.0 to 4.3; P=0.008). Use of a formal scoring system for patients with pneumonia also increased over time (from 2% (102) to 23% (111) in control hospitals and from 2% (170) to 9% (189) in SPI1 hospitals), which favoured controls and was not significant (0.3, 0.02 to 3.4; P=0.173). There were no improvements in the proportion of prescription errors and no effects that could be attributed to SPI1 in non-targeted generic areas (such as enhanced safety culture). On some measures, the lack of effect could be because compliance was already high at baseline (such as use of steroids in over 85% of cases where indicated), but even when there was more room for improvement (such as in quality of medical history taking), there was no significant additional net effect of SPI1. There were no changes over time or between control and SPI1 hospitals in errors or rates of adverse events in patients in medical wards. Mortality increased from 11% (27) to 16% (39) among controls and decreased from 17% (63) to 13% (49) among SPI1 hospitals, but the risk adjusted difference was not significant (0.5, 0.2 to 1.4; P=0.085). Poor care was a contributing factor in four of the 178 deaths identified by review of case notes. The survey of patients showed no significant differences apart from an increase in perception of cleanliness in favour of SPI1 hospitals. Conclusions The introduction of SPI1 was associated with improvements in one of the types of clinical process studied (monitoring of vital signs) and one measure of staff perceptions of organisational climate. There was no additional effect of SPI1 on other targeted issues nor on other measures of generic organisational strengthening. (shrink)