Purpose/methods: This study investigated the relationship between ethics education and training, and the use and usefulness of ethics resources, confidence in moral decisions, and moral action/activism through a survey of practicing nurses and social workers from four United States (US) census regions. Findings: The sample (n = 1215) was primarily Caucasian (83%), female (85%), well educated (57% with a master's degree). no ethics education at all was reported by 14% of study participants (8% of social workers had no ethics education, (...) versus 23% of nurses), and only 57% of participants had ethics education in their professional educational program. Those with both professional ethics education and in-service or continuing education were more confident in their moral judgments and more likely to use ethics resources and to take moral action. Social workers had more overall education, more ethics education, and higher confidence and moral action scores, and were more likely to use ethics resources than nurses. Conclusion: Ethics education has a significant positive influence on moral confidence, moral action, and use of ethics resources by nurses and social workers. (shrink)
BackgroundReports suggest that some health care personnel fear retaliation from seeking ethics consultation. We therefore examined the prevalence and determinants of fear of retaliation and determined whether this fear is associated with diminished likelihood of consulting an ethics committee.MethodsWe surveyed registered nurses (RNs) and social workers (SWs) in four US states to identify ethical problems they encounter. We developed a retaliation index (1–7 point range) with higher scores indicating a higher perceived likelihood of retaliation. Linear regression analysis was performed to (...) identify socio-demographic and job characteristics associated with fear of retaliation. Logistic regression analysis was performed to determine whether fear of retaliation was associated with less likelihood of seeking consultation. Results Our sample (N = 1215) was primarily female (85%) and Caucasian (83%) with a mean age of 46 years and 17 years of practice. Among the sample, 293 (48.7%) RNs and 309 (51.3%) SWs reported access to an ethics consultation service. Amongst those with access, 2.8% (n = 17) personally experienced retaliation, 9.1% (n = 55) observed colleagues experience retaliation, 30.2% (n = 182) reported no experience with retaliation but considered it a realistic fear, and 50.8% (n = 305) did not perceive retaliation to be a problem. In logistic regression modeling, fear of retaliation was not associated with the likelihood (OR = 0.64; 95% CI = 0.22–1.89) or frequency of requesting ethics consultation (OR = 0.81; 95% CI = 0.27–2.38). Conclusion Fear of retaliation from seeking ethics consultation is common among nurses and social workers, nonetheless this fear is not associated with reduced requests for ethics consultation. (shrink)
The purpose of this study was to test a causal model of ethical conflict in practice and autonomy in a sample of 254 nurse practitioners working in the primary care areas of family health, pediatrics, adult health and obstetrics/gynecology in the state of Maryland. A test of the model was conducted using a path analytic approach with LISREL 8.30 hypothesizing individual, organizational and societal/market factors influencing ethical conflict in practice and autonomy. Maximum likelihood estimation was used to estimate the parameters (...) most likely to have generated the data. Forty-five percent of the total variance in ethical conflict was explained by the variables of ethical environment and ethical concern. Ethical concern, idealistic philosophy, ethics education in continuing education, percentage of client population enrolled in managed care, and market penetration explained 15% of the total variance in autonomy. The findings of this study indicate that the causal model of ethical conflict in practice and autonomy is consistent with the data and contributed to a fuller understanding of clinical decision making associated with practicing in a managed care environment. The final model supported a conceptual framework that is inclusive of three domains: individual, organizational and societal/market variables. (shrink)
Experiments with young infants provide evidence for early-developing capacities to represent physical objects and to reason about object motion. Early physical reasoning accords with 2 constraints at the center of mature physical conceptions: continuity and solidity. It fails to accord with 2 constraints that may be peripheral to mature conceptions: gravity and inertia. These experiments suggest that cognition develops concurrently with perception and action and that development leads to the enrichment of conceptions around an unchanging core. The experiments challenge claims (...) that cognition develops on a foundation of perceptual or motor experience, that initial conceptions are inappropriate to the world, and that initial conceptions are abandoned or radically.. (shrink)
Karen Barad develops a view she calls ‘posthumanism,’ or ‘agential realism,’ where the human is reconfigured away from the central place of explanation, interpretation, intelligibility, and objectivity to make room for the epistemic importance of other material agents. Barad is not alone in this kind of endeavor, but her posthumanism offers a unique epistemological position. Her aim is to take a performative rather than a representationalist approach to analyzing ‘socialnatural’ practices and challenge methodological assumptions that may go unnoticed in (...) some disciplinary fields. Yet for all the good of the challenge, Barad must support it with sound epistemological theorizing, theorizing that would apply to any methodology, whether that be sociological, historical, anthropological, or philosophical. Thus, where one might critique Barad on her assessments of sociological, historical, or anthropological incorporations of humans and the nonhuman, I critique Barad’s epistemology on its sense of objectivity and dismissal of the centrality of the human. I argue that Barad’s epistemology must retain a particular form of humanism, a humanism that stakes human subjectivity as the locus of rationality and objectivity, without which it creates intractable problems. To recuperate Barad’s challenge to contest assumptive distinctions while avoiding her epistemological problems, I offer some parting reflections. (shrink)
Karen Warren claims that there is a “logic of domination” at work in the oppressive conceptual frameworks informing both sexism and naturism. Although her account of the principle of domination as a connection between oppressions has been an influential one in ecofeminist theory, it has been challenged by recent criticism. Both Karen Green and John Andrews maintain that the principle of domination,as Warren articulates it, is ambiguous. The principle, according to Green, admits of two possible readings, each of (...) which she finds flawed. Similarly, Andrews claims that the principle is fundamentally inadequate because it cannot distinguish cases of oppressive domination from cases of nonoppressive domination. In this paper, I elucidate Warren’s views and defend her against these and other criticisms put forward by Green and Andrews. I show that Warren’s account of “the logic of domination” successfully illuminates important conceptual features of oppression. (shrink)
Karen-Sue Taussig: Ordinary Genomes: Science, Citizenship and Genetic Identities Content Type Journal Article Category Book Review Pages 1-4 DOI 10.1007/s10441-012-9150-8 Authors Sabina Leonelli, Department of Sociology and Philosophy, ESRC Centre for Genomics in Society, University of Exeter, Exeter, Devon, UK Journal Acta Biotheoretica Online ISSN 1572-8358 Print ISSN 0001-5342.
Feminist and post-colonial epistemologists, philosophers of science, and thinkers more generally may find themselves in a distinct form of difficult situation regarding their access to and authority over knowledge within the academic world. Because feminist and post-colonial approaches to knowledge require an acute awareness of relations of domination and the ways in which these pervade the social and epistemic world, it is often difficult to know how to proceed in making theory. These theorists are in particularly ripe positions to benefit (...) from what philosopher-physicist Karen Barad offers us. In this paper, I engage with parts of Karen Barad’s theory of agential realism, both critically and self-reflexively. I assert that allowing Barad’s theory to inform and structure our thinking and language makes knowers better able to meet certain requirements of epistemological responsibility, particularly with regard to the ways we make theory. Moreover, I attempt to assert this in a way that is mindful of how her theory speaks to and accounts for my doing so. (shrink)
The Exclusion Problem (EP) for mental causation suggests that there is a tension between the claim that the mental causes physical effects, and the claim that the mental does not overdetermine its physical effects. In response, Karen Bennett (2008, 2003) puts forward an extra necessary condition for overdetermination: if one candidate cause were to occur but the other were not to occur, the effect would still occur. She thus denies one of the assumptions of EP, the assumption that if (...) an effect has two sufficient causes, it is overdetermined. If sound, her argument does two things: it solves EP, and it shows how to use counterfactuals in order to make the notion of overdetermination precise. However, the argument is not sound. (shrink)
Transformations are not only conditioned by facts encompassing narrower or wider panoramas: from concentrating on death and one (political) role (the ode of Horace), through recalling Cleopatra’s mature life and love (the drama of Shakespeare), to creating an image embracing the heroine’s whole life with its numerous roles, but as a mother and a daughter in the first place, because even her lovers resemble a father and a child (the fictional biography of Karen Essex). Above all, they appear to (...) be more connected with different attitudes towards universal references lying within human cognitive abilities. Horace’s didactic opposition of contradictory patterns leads to the victory of one of them — and it is a linear pattern, as an equivalent of modern myth, which is accepted by the author himself. In Shakespeare, it takes a form of tragedy resulting from the fragmentary character of each pattern, one of which introduces change (archaic myth) and the other constancy (modern myth), and from a painful attempt to combine them. In Essex, the vision of the world in which archaic myth, strongly represented by a child, triumphs is utopian. Irrespective of the differences, all the works realize the essential role played by images developed by heroes, and especially by authors, in human cognition. (shrink)
This is a book review of Karen Armstrong's "The Spiral Staircase", the autobiography of a historian of religion. -/- To cite this article: Newstead, Anne. Compassion, Not Belief [Book Review] [online]. Quadrant, Vol. 49, No. 6, June 2005: 88-89. Availability: <http://search.informit.com.au/documentSummary;dn=203690937218529;res=IELLCC> ISSN: 0033-5002. [cited 06 Dec 12].
This study examines the use of a video news release in a specific story. Press coverage and editorial criticism in the case showed that journalists do not articulate sufficiently how the news owners' sway, through institutional controls, can lead to a hegemony of expedient action in the newsroom. Critical self-reflection by news workers will better enable journalists to ethically deliberate news choices that balance their responsibilities to owners, peers, and the public.
This article attempts to define karma as both action and the effects of action. In terms of the effects or fruits of action, the effect of action upon the mind is the focus; thus, the idea of "effect" is primarily defined as psychic residue and is compared to Freud's notion of memory traces. In addition, action that produces karma is said to be accompanied by the "pulling" feeling of volition (cetanÄ). Some comparisons are then made between cetanÄ and the theories (...) of Karen Horney in Western psychology vis Ã vis her view of the neurotic's compulsive, driven feelings. The article also has a more ethically oriented side. Often, the karma doctrine is believed to be the only causal factor responsible for one's present condition, and thus, a person's unfortunate circumstances: sometimes this notion leads to blaming a person for his or her misfortune. This article seeks to discover whether or not this idea truly has scriptural backing. Lastly, the article explores the issue of whether or not one must always live out the entirety of the effects of one's actions or if it is possible to purify or eliminate actions' effects before they come to fruition. For this question in particular, the article examines both TheravÄda and MahÄyÄna thinking. (shrink)