Background: To evaluate the effectiveness of a multifaceted intervention in improving emergency department (ED) patient privacy and satisfaction in the crowded ED setting. Methods: A pre- and post-intervention study was conducted. A multifaceted intervention was implemented in a university-affiliated hospital ED. The intervention developed strategies to improve ED patient privacy and satisfaction, including redesigning the ED environment, process management, access control, and staff education and training, and encouraging ethics consultation. The effectiveness of the intervention was evaluated using patient surveys. Eligibility (...) data were collected after the intervention and compared to data collected before the intervention. Differences in patient satisfaction and patient perception of privacy were adjusted for predefined covariates using multivariable ordinal logistic regression. Results: Structured questionnaires were collected with 313 ED patients before the intervention and 341 ED patients after the intervention. There were no important covariate differences, except for treatment area, between the two groups. Significant improvements were observed in patient perception of "personal information overheard by others", being "seen by irrelevant persons", having "unintentionally heard inappropriate conversations from healthcare providers", and experiencing "providers' respect for my privacy". There was significant improvement in patient overall perception of privacy and satisfaction. There were statistically significant correlations between the intervention and patient overall perception of privacy and satisfaction on multivariable analysis. Conclusions: Significant improvements were achieved with an intervention. Patients perceived significantly more privacy and satisfaction in ED care after the intervention. We believe that these improvements were the result of major philosophical, administrative, and operational changes aimed at respecting both patient privacy and satisfaction. (shrink)
This paper uses an ethnographic study of the Ghost Festival rite performed by a Sri Lankan Therav?da temple in Taipei to illustrate the relationship between religious syncretism and missionary work. It explains how this Chinese ritual has been transformed in a Therav?da setting and made acceptable to Therav?da sentiment, and how it is adopted to advance the agenda of Therav?da missionary. Ghost Festival has had a long history in the Chinese culture and is an important ritual in Chinese Buddhism. However, (...) the Ghost Festival does not exist in Therav?da tradition. The Therav?dization of Ghost Festival thus offers interesting insight into the increasing exchange among Buddhists across different traditions in Asia. (shrink)
The purpose of this paper is to look at the problem of rule-following—notably discussed by Kripke (Wittgenstein on rules and private language, 1982 ) and Wittgenstein (Philosophical investigations, 1953 )—from the perspective of the study of generics. Generics are sentences that express generalizations that tolerate exceptions. I first suggest that meaning ascriptions be viewed as habitual sentences, which are a sub-set of generics. I then seek a proper semantic analysis for habitually construed meaning sentences. The quantificational approach is rejected, due (...) to its persistent difficulties. Instead, a cognitive approach is adopted, where psychological considerations of meaning attributors play a crucial role. This account is then compared with the picture of meaning offered by Kripke and Wittgenstein, respectively. I show how this fresh way of conceiving of meaning sentences respects some of their insights while avoiding some of the drawbacks, and serves to improve the framework in which the current debate and inquiry about rule-following are conducted. (shrink)
Building on prior research in Confucianism and business, the current study examines the effects of Confucianism on consumer trust of government involvement with products and company brands. Based on three major ideas of Confucianism – meritocracy, loyalty to superior, and separation of responsibilities – it is expected that consumers under the influence of Confucianism would perceive products from government-involved enterprises to have more desirable attributes and show preference for their company brands. Findings from an empirical study in the Chinese automobile (...) market support the hypotheses. The results suggest that small firms doing business in China would especially benefit from some association with the government. These results also provide managerial implications for enterprises in other countries with a Confucian cultural background. (shrink)
Kripke (Wittgenstein on rules and private language: an elementary exposition. Harvard University Press, Cambridge Mass, 1982 ) rejected a naturalistic dispositional account of meaning (hereafter semantic dispositionalism) in a skeptical argument about rule-following he attributes to Wittgenstein (Philosophical investigation. Basil Blackwell, Oxford, 1958 ). Most philosophers who oppose Kripke’s criticisms of semantic dispositionalism take the stance that the argument proves too much: semantic dispositionalism is similar to much of our respected science in some important aspects, and hence to discard the (...) former would mean to give up the latter, which is obviously wrong. In this paper, I shall discuss and reject a recent defense of Kripke by Kusch (Analysis 65(2):156–163 2005 ; Sceptical guide to meaning and rules: defending Kripke’s Wittgenstein. McGill-Queen’s, London, 2006 ). Kusch attempts to show that semantic dispositionalism differs from the sciences, and consequently, Kripke’s attack can only target semantic dispositionalism, but not the sciences. Specifically, Kusch identifies some important features of the sciences with regard to how it employs idealization and ceteris paribus clauses, and argues that the ways in which semantic dispositionalism uses them are dramatically different. I argue that, upon close examination, the two are more similar than otherwise in each of those features. (shrink)
In response to the lack of empirical studies examining the internal disclosure behavior in the Chinese context, this study tested a whistleblowing-decision-making process among employees in the Chinese banking industry. For would-be whistleblowers, positive affect and organizational ethical culture were hypothesized to enhance the expected efficacy of their whistleblowing intention, by providing collective norms concerning legitimate, management-sanctioned behavior. Questionnaire surveys were collected from 364 employees in 10 banks in the Hangzhou City, China. By and large, the findings supported the hypotheses. (...) Issues of whistleblowing in the Chinese context and implications were discussed. (shrink)
Abstract Moral education in Singapore, ever since political independence, has been pragmatically aimed at forging together, by promoting shared values, the four major racial and cultural communities which at various stages had threatened to polarise. It has also been used for preserving a cultural and national identity against the perceived erosion of Asian roots by Western education. Social cohesion and moral ballast have been seen as instrumental towards a strong economy, including the attraction of foreign investors. In these ways, moral (...) education has been regarded as a means for nation?building. In its implementation, it has been considered necessary to teach Asian values and preserve cultural identities via transmission of the mother tongues of the respective races. Religions have also been recognised as being important for moral ballast and effectiveness. This article surveys the implementation of these policies in Singaporean education, and at the same time indicates areas of possible tension and internal contradiction, and where questionable assumptions may have been made. Explanations are suggested for the perceived ineffectiveness in cultural and moral transmission. Strengths of the policies are also indicated and appraised. (shrink)
This essay explores numerous and complicated naturalized epistemology against the background of pragmatism. We distinguish three programmes of naturalized epistemology: strong, moderate, and weak. By considering commitments of pragmatism on which different programmes depend, we point out the close-knit relationship between pragmatism and naturalized epistemology. We also illustrate the essential origin of today’s controversy over naturalized epistemology and predict the uptrend of naturalized epistemology.
This paper argues against the continued practice of Confucian familism, even in its moderate form, in East Asian hospitals. According to moderate familism, a physician acting in concert with the patient's family may withhold diagnostic information from the patient, and may give it to the patient's family members without her prior approval. There are two main approaches to defend moderate familism: one argues that it can uphold patient's autonomy and protect her best interests; the other appeals to cultural relativism by (...) construing the principle of ‘family autonomy’ to be incommensurable with that of individual autonomy. We respond to the first approach by explaining how the familist arguments either depend on some unreasonable assumptions or simply fail to articulate. The critique of the second approach is based on our recent survey showing that there is no dichotomy of relevant values between the East and the West: we believe that the result can effectively block the familist's reliance on certain traditional or cultural values to explain their resistance to the incorporation of pluralist values. Despite our disagreement with familism, we consider the Eastern emphasis on the family to be conducive to the communication between patient, family members and medical personnel, which is indispensible to the patient's well being and autonomy. We conclude that respect for patient autonomy is perfectly consistent with the involvement of the family in making medical decision as long as the family plays a merely consultant role. (shrink)
In this paper we reconsider the issue of free choice and the role of the whmorphology employed in it. We show that the property of being an interrogative whword alone is not sufficient for free choice, and that semantic and sometimes even morphological definiteness is a pre-requisite for some free choice items (FCIs) in certain languages, e.g. in Greek and Mandarin Chinese. We propose a theory that explains the polarity behaviour of FCIs cross-linguistically, and allows indefinite (Giannakidou 2001) as well (...) as definite-like FCIs. The difference is manifested as a lexical distinction in English between any (indefinite) and wh-ever (definite); in Greek it appears as a choice between a FCI nominal modifier (taking an NP argument), which illustrates the indefinite option, and a FC free relative illustrating the definite one. We provide a compositional analysis of Greek FCIs in both incarnations, and derive in a parallel manner the Chinese FCIs. Here the definite.. (shrink)
Piracy is the greatest threat facing the global music industry today. This study explores the effects of artist adoration and the perceived risk of being caught on the attitude and intention to engage in pirating a digital song among college students. The moderating effect of cultural environment factor is also examined. Experiments using between-group factorial designs were conducted in the United States and Taiwan. The results show that perceived risk of getting caught and cultural environment are important factors that can (...) significantly affect the attitude and intention toward downloading unauthorized music. In addition, a two-way (Perceived Risk ? Culture) and a three-way interaction in the model are also observed. (shrink)
This study in 29 Chinese organizations contributes to our understanding about work-related values in China. Empirical research in Chinese organizations indicates differences in work-related values between different age groups. The authors compared people (older age group) with work experience from the pre-reform period – pre-1978 China, with those who started their work life in a society that had already changed and become open to foreign investments (younger age group). The authors created a model of institutionally sensitive work-related values. The results (...) could help multinational companies achieve competitive advantage. (shrink)
This is an unprecedented volume that brings together J. Hillis Miller, Julia Kristeva, Slavoj Zizek, Ernesto Laclau, Alain Badiou, Nancy Fraser, and other prominent intellectuals from five countries in seven disciplines to provide fresh perspectives on the new configurations of law, justice, and power in the global age. The work engages and challenges past and present scholarship on current topics in legal studies: globalization, post-colonialism, multiculturalism, ethics, post-structuralism, and psychoanalysis. The book is divided into five parts. The first debates issues (...) of (trans-)national justice and human rights in the global age, focusing on military interventions and refugee policies. Part II traces the globalization of Western law back to colonialism, addressing the rising importance of multiculturalism, gender studies, and the quotidian in legal studies. Part III examines legal pluralism. Part IV turns from the empirical “other” of legal pluralism to the concrete “Other” in Continental ethics and philosophy. The book then traces this recent ethical turn in legal theory back to the challenges of poststructuralism in Part V. The volume concludes with a psychoanalytic rethinking of justice for the new millennium that is based on love, forgiveness, and promise—a justice that, in Lacanian terms, operates outside the “limits” of the law. (shrink)
The question of xing has received much attention in the revival of Neo-Confucian philosophy (called Contemporary Neo-Confucianism) in present-day Taiwan, Hong Kong, and China and among scholars of Chinese philosophy in the United States. It also has much to do with a critical consciousness of both the difference and the affinity between the Chinese philosophy of man and morality and the contemporary Western philosophy of human existence and moral virtues. The study of this has great meaning for the development of (...) a global onto-ethics and an onto-ethics of the future of humankind. (shrink)
An analysis is presented of the problems that have existed for over 20 years in the moral education curriculum in primary schools of China. These include the separation of moral education from children's lives, the moralizing and memorization used as the basic methods of teaching and learning, and the overlaps between courses on society and ideological moral character. The paper then introduces the main innovations in the contemporary reform of the primary moral education curriculum, including lifelong moral education as its (...) theoretical foundation and making the development of children's morality relate to life, with ?real? everyday life events as source materials for textbooks. Embodied in the textbooks are some new ideas behind the revised educational objectives, such as putting oneself in another's position, ecological interdependence, ?win?win?, dialogue, sharing and diversity. As the curriculum is child centred so the textbooks use a dialogical pedagogy. In conclusion the paper considers ongoing and new challenges for moral education in primary schools to be faced by the curriculum reform. (shrink)
Efforts to counter software piracy are an increasing focus of software publishers. This study attempts to develop a profile of those who illegally copy software by looking at undergraduate and graduate students and the extent to which they pirate software. The data indicate factors that can be used to profile the software pirater. In particular, males were found to pirate software more frequently than females and older students more than younger students, based on self-reporting.
This study empirically examines how Chinese executives perceive the role of guanxi and ethics played in their business operations. By factor-analyzing 850 valid replies collected from a comprehensive survey, the present study identifies three distinct ethics-related attitudes and two distinct guanxi-related attitudes for Chinese executives. The cluster analysis of the composite scores of these five attitudinal factors further indicates the existence of three distinct groups of Chinese executives that vary in their ethics and guanxi orientations. The three groups are unethical (...) profit seeker (UPS), anti-governance, guanxi-cultivator (AGGC), and apathetic executive (AE). The three groups are also found to be significantly different in such demographic characteristics as age and the ownership structure of the serving organization. Specifically, the inter-group comparison suggests that younger Chinese executives, and those working for privately-owned firms and joint ventures are more inclined to engage in unethical activities for profits. These findings provide useful insights for international investors to formulate their human resource and negotiation strategies in China. (shrink)
