This paper describes a practice innovation: the addition of formal weekly discussions of patients with prolonged PICU stay to reduce healthcare providers’ moral distress and decrease length of stay for patients with life-threatening illnesses. We evaluated the innovation using a pre/post intervention design measuring provider moral distress and comparing patient outcomes using retrospective historical controls. Physicians and nurses on staff in our pediatric intensive care unit in a quaternary care children's hospital participated in the evaluation. There were 60 patients in (...) the interventional group and 66 patients in the historical control group. We evaluated the impact of weekly meetings to establish goals of care for patients with longer than 10 days length of stay in the ICU for a year. Moral distress was measured intermittently and reported moral distress thermometer scores fluctuated. "Clinical situations" represented the most frequent contributing factor to moral distress. Post intervention, overall moral distress scores, measured on the moral distress scale revised, were lower for respondents in all categories, and on three specific items. Patient outcomes before and after PEACE intervention showed a statistically significant decrease in PRISM indexed LOS, a statistically significant increase in both code status changes DNR, and in-hospital death, with no change in patient 30 or 365 day mortality. The addition of a clinical ethicist and senior intensivist to weekly inter-professional team meetings facilitated difficult conversations regarding realistic goals of care. The study demonstrated that the PEACE intervention had a positive impact on some factors that contribute to moral distress and can shorten PICU length of stay for some patients. (shrink)

Background:In their daily practice, Brazilian nurses have been met with complaints from co-workers and patients, as well as bioethical dilemmas intrinsic to the profession, particularly in the cont...

This book explores when, and using what means, global political actors are morally justified in promoting their own ideas of justice in foreign societies. It develops ethical principles we can use to judge when such activities (“reform interventions”) are justified. In so doing, it re-conceives the traditional boundaries of politics and lays the foundation for a politically-engaged cosmopolitanism.

Some recent uses of artificial intelligence for facial recognition, evaluating resumes, and sorting photographs by subject matter have revealed troubling disparities in performance or impact based on the demographic traits of subject populations. These disparities raise pressing questions about how using artificial intelligence can work to promote justice or entrench injustice. Political theorists and philosophers have developed nuanced vocabularies and theoretical frameworks for understanding and adjudicating disputes about what justice requires and what constitutes injustice. The interdisciplinary community committed to understanding (...) and conscientiously using big data could benefit from this work. Thus, in the spirit of encouraging cross-disciplinary dialogue and collaboration, this piece examines contemporary scholarship in political theory and philosophy to illustrate some of the vocabularies and frameworks political theorists and philosophers have developed for thinking about justice and injustice. It then draws on these frameworks to illuminate how the use of artificial intelligence can implicate questions of justice, with a focus on institutional discrimination, structural injustice, and epistemic injustice. Ultimately, the piece argues that the use of artificial intelligence—far from representing a decision to take power out of human hands—represents a novel way of harnessing human power, making questions of justice central to its conscientious undertaking. (shrink)

In late February and early March 2020, Italy became the European epicenter of the COVID-19 pandemic. Despite increasingly stringent containment measures enforced by the government, the health system faced an enormous pressure, and extraordinary efforts were made in order to increase overall hospital beds’ availability and especially ICU capacity. Nevertheless, the hardest-hit hospitals in Northern Italy experienced a shortage of ICU beds and resources that led to hard allocating choices. At the beginning of March 2020, the Italian Society of Anesthesia, (...) Analgesia, Resuscitation, and Intensive Care issued recommendations aimed at supporting physicians in prioritizing patients when the number of critically ill patients overwhelm the capacity of ICUs. One motivating concern for the SIAARTI guidance was that, if no balanced and consistent allocation procedures were applied to prioritize patients, there would be a concrete risk for unfair choices, and that the prevalent “first come, first served” principle would lead to many avoidable deaths. Among the drivers of decision for admission to ICUs, age, comorbidities, and preexisting functional status were included. The recommendations were criticized as ageist and potentially discriminatory against elderly patients. Looking forward to the next steps, the Italian experience can be relevant to other parts of the world that are yet to see a significant surge of COVID-19: the need for transparent triage criteria and commonly shared values give the Italian recommendations even greater legitimacy. (shrink)

Este artigo discute as repercussões da inclusão escolar de pessoas com deficiência no impresso periódico pedagógico Nova Escola, hegemônico entre os periódicos do gênero. Tomou-se como recorte temporal o período delimitado entre 2001-2011, por evidenciar as manifestações e efeitos desse fenômeno nas páginas do periódico durante o período de configuração da proposta brasileira de Educação Especial na perspectiva inclusiva. Foram compiladas as reportagens sobre o assunto publicadas por Nova Escola nesse período, problematizadas pela análise temática do conteúdo, à luz de (...) proposições teóricas marxistas. Os resultados indicaram duas tendências nas tematizações de Nova Escola sobre inclusão escolar de estudantes com deficiência, sendo a primeira delas (2001-2006) pautada no lema do aprender a viver juntos, reforçando o caráter de interatividade “acolhedora” e “privilegiada” da suposta inclusão, com a predominância do estabelecimento de vínculos interpessoais na escola. A segunda (2007-2011) enfatizou a necessidade de uma “inclusão que ensinasse” os conteúdos escolares aos alunos com deficiência, sintetizada no slogan do aprender de verdade. Ambas as tendências, porém, estiveram alinhadas com a ideologia neoliberal e ao senso comum pedagógico, sendo necessário perspectivar outras possibilidades. Palavras-chave: Imprensa pedagógica. Escola inclusiva. Neoliberalismo. School inclusion in review (2001 to 2011): the discursive (re)formulations of the Nova Escola periodical Abstract: This article discusses the repercussions of school inclusion of people with disabilities in the educational periodical Nova Escola, which is hegemonic among journals of its kind. The period delimited between 2001-2011 was taken as a time frame, as it highlights the manifestations and effects of this phenomenon on the pages of the journal during the period of configuration of the Brazilian proposal for Special Education in an inclusive perspective. Reports on the subject published by Nova Escola during this period were compiled, discussed by thematic content analysis, in the light of Marxist theoretical propositions. The results indicated two trends in Nova Escola thematizations about school inclusion of students with disabilities, the first of which (2001-2006) based on the motto of learning to live together, reinforcing the character of “welcoming” and “privileged” interactivity of the supposed inclusion, with the predominance of the establishment of interpersonal bonds at school. The second (2007-2011) emphasized the need for an “inclusion that would teach” school content to students with disabilities, summarized in the slogan of real learning. Both trends, however, were aligned with neoliberal ideology and pedagogical common sense, making it necessary to look at other possibilities. Key-words: Pedagogical press. Inclusive school. Neoliberalism. Inclusión escolar en revisión (2001 a 2011): las (re)formulaciones discursivas de la revista Nova Escola Resumen: Este artículo analiza las repercusiones de la inclusión escolar de las personas con discapacidad en la revista educativa Nova Escola, hegemónica entre las revistas de este tipo. Se tomó como marco temporal el período delimitado entre 2001-2011, ya que destaca las manifestaciones y efectos de este fenómeno en las páginas de la revista durante el período de configuración de la propuesta brasileña de Educación Especial en perspectiva inclusiva. Se recopilaron informes sobre el tema publicados por Nova Escola durante este período, discutidos mediante análisis de contenido temático, a la luz de propuestas teóricas marxistas. Los resultados indicaron dos tendencias en las temáticas de Nova Escola sobre inclusión escolar de estudiantes con discapacidad, la primera de las cuales (2001-2006) se basó en el lema de aprender a vivir juntos, reforzando el carácter supuestamente “acogedor” y “privilegiado” de interactividad, inclusión, con predominio del establecimiento de vínculos interpersonales en la escuela. El segundo (2007-2011) enfatizó la necesidad de una “inclusión que enseñe” contenidos escolares a estudiantes con discapacidad, resumida en el lema de aprendizaje real. Sin embargo, ambas tendencias estaban alineadas con la ideología neoliberal y el sentido común pedagógico, por lo que era necesario buscar otras posibilidades. Palabras clave: Prensa pedagógica. Escuela inclusiva. Neoliberalismo. Data de registro: 20/08/2021 Data de aceite: 19/01/2022. (shrink)

Organizada por docentes do Núcleo de Ensino da Faculdade de Filosofia e Ciências da UNESP, câmpus de Marília, do qual sempre esperamos produções de qualidade ímpar, a coletânea Marx, Gramsci e Vigotski: aproximações reúne, num trabalho de fôlego, artigo de vários autores que, em comum, dialogam com a base teórica marxista, promovendo um encontro bastante oportuno entre questões políticas, filosóficas, pedagógicas e psicológicas.

Political theorists have written a great deal about the ethics of “intervention,” defined as states using coercion or force to interfere in foreign societies’ politics. But this work leaves much of global politics un-analyzed—both because non-state actors play an increasingly significant role in it and because its practitioners use many tactics besides force and coercion.We need an ethics of foreign influence to help us navigate the global political arena in all its complexity. Here, I begin to develop a unified theory (...) of the ethics of deliberate attempts to promote justice in foreign societies, whether undertaken by state or non-state actors, and whatever tactics they employ. I identify two important but under-appreciated dimensions along which instances of foreign influence can differ and argue that, once we appreciate the full range of forms foreign influence can take, we’ll see it’s often immune to the common moral objections against intervention. (shrink)

Moral distress is a well-documented phenomenon for health care providers (HCPs). Exploring HCPs’ perceptions of participation in moral distress interventions using qualitative and quantitative methods enhances understanding of intervention effectiveness. The purpose of this study was to measure and describe the impact of a two-phased intervention on participants’ moral distress. Using a cross-over design, the project aimed to determine if the intervention would decrease moral distress, enhance moral agency, and improve perceptions about the work environment. We used quantitative instruments and (...) explored participants’ perceptions of the intervention using semi-structured interviews. Participants were from inpatient settings, within three major hospitals of a large, urban healthcare system in the Midwest, United States. Participants included nurses (80.6%) and other clinical care providers. Using generalized linear mixed modeling we assessed the change in each of the outcome variables over time controlling for groups. Interviews were audiotaped and professionally transcribed. The written narratives were coded into themes. The change in scores on study instruments trended in the desired direction however did not meet statistical significance. Qualitative interviews revealed that intervention effectiveness was derived from a combination of learning benefits, psychological benefits, and building community that promoted moral agency. Findings demonstrate a clear link between moral distress and moral agency and suggest that Facilitated Ethics Conversations can enhance the work environment. Findings provide insight for developing evidenced-based approaches to address moral distress of hospital nurses. (shrink)

The crucial problem the proposed paper tries to shed light upon is especially the link between the concept of recognition, dignity of human persons. These problems are analyzed from the perspective of a critical criminology. The thesis of the paper is that Axel Honneth’s work on recognition offers a fruitful framework to those who want to criticize functional approaches to criminal law, for those who want to develop a critical criminology and a negative foundation of the dignity of the human (...) person. The paper tries also to show that without recognition there is no possibility of having a healthy democratic process and therefore the main function of criminal law must be the protection of recognition-relationships. KEY WORDS – Recognition. Dignity of human persons. Criminology. (shrink)

If a state commits injustice, who is responsible for compensating its victims and safeguarding against future wrongdoing? Do the state’s citizens bear this responsibility? Do they all bear it equally? Avia Pasternak's and Holly Lawford-Smith's recent books address these pressing questions. Each book represents a thought-provoking attempt to derive an account of citizen responsibility for state wrongs from an account of state agency understood as group agency. Though the books demonstrate the promise of this approach to produce action-guiding advice for (...) real policymakers, they also demonstrate its limitations—in particular, its lack of attention to social structures. Here, I argue that Pasternak's and Lawford-Smith's views would be enriched by further engagement with the literature on structural injustice, which takes individuals’ perpetuation of social systems (not their implication in acts of group agency) as a central source of their remedial obligations. Through critical engagement with Pasternak and Lawford-Smith, I illustrate how a structural injustice framework could yield more attractive conclusions than a group agency framework in certain cases, better explain non-culpable forms of citizen responsibility, and allow us to theorize citizen responsibility for state action without making questionable claims about the metaphysics or social ontology of group agency. (shrink)

Resumen Este artículo intentará contribuir a la discusión teórica y filosófica política sobre la emancipación y la democracia en base a la producción intelectual reciente de Étienne Balibar y Jacques Rancière. Las nociones con las que ambos autores acompañan la idea de emancipación, por una parte, iluminan sobre otros modos posibles de pensar la política, las luchas y la transformación, y, por otra parte, permiten re-significar la filosofía y la política, así como la inclusión de la igualdad radical entre los (...) seres hablantes en el centro de la disputa teórica y política.This article will attempt to contribute to the theoretical and philosophical political discussion on emancipation and democracy based on the recent intellectual production of Étienne Balibar and Jacques Rancière. The notions with which both authors accompany the idea of emancipation, on the one hand, illuminate on other possible ways of thinking about politics, struggles and transformation, and, on the other hand, allow us to re-signify philosophy and politics, thus as the inclusion of radical equality between speaking beings at the center of the theoretical and political dispute. (shrink)

This article develops a philosophical hermeneusis of the “Valladolid Debate” centered on the notion of “universality”, highlighting the universalist elements present both in the foundation of a praxis of colonial domination developed by Juan Ginés de Sepúlveda and in the recognition of the cultural diversity held by Bartolomé de las Casas. First, the historical-ideological context of the conquest is presented. Subsequently the article analyzes de Sepulveda’s arguments about barbarism, cultural superiority and the right of domination, which established a “logic of (...) cultural domination”. In this context, de Sepúlveda intended to establish a fracture between “civilized” and “barbaric” cultures, in which the human essence revealed itself deficiently. Finally, the contribution considers the objections to the “colonial fracture” presented by de las Casas, who composes an alternative position resignifying the concept of “universality” that inhabited de Sepúlveda’s differentialist arguments. (shrink)

Oftentimes, reality seems to us a chaos that we try to control with our theories. This article starts from the antithetic standpoint, inspired by Antonio Rosmini’s works: reality is intelligible, and originates our thinking. From this perspective, any research that tries to reach the truth is determined by the real, not the contrary. Moreover, interdisciplinarity, far from being a solipsistic enterprise, aims at achieving truth and guaranteeing scientific advancement. Here, we analyze the distinctive character of Rosminian encyclopedism and his principles (...) for preventing human errors. We then clarify why it is impossible to achieve perfection, and why such an impossibility is not problematic for the interdisciplinary dialogue. (shrink)

The general question to be considered in this paper points to the nature of the world described by chemistry: what is macro-chemical ontology like? In particular, we want to identify the ontological categories that underlie chemical discourse and chemical practice. This is not an easy task, because modern Western metaphysics was strongly modeled by theoretical physics. For this reason, we attempt to answer our question by contrasting macro-chemical ontology with the mainstream ontology of physics and of traditional metaphysics. In particular, (...) we introduce the distinction between stuff-ontology, proper of chemistry, and individual-ontology, proper of physics. These two ontologies differ from each other in the basic categories of their own structures. On this basis, we characterize individual-ontology in such a way that the features of stuff-ontology will arise by contrast with it. (shrink)

The aim of our study was to investigate the effects of a small therapeutic animal on the social behavior of nine autistic children. The social contacts of the autistic children were evaluated by a descriptive method of direct observation that was performed without and with the presence of a TA. In period one, contacts with an unfamiliar person and acquaintances were registered; in period two, contacts with the acquaintances and the TA were registered. The frequency of contacts of autistic children (...) with their acquaintances significantly increased in the presence of the TA . The frequency of contacts with the TA was significantly higher than the frequency of contacts with the UP . The form of the autistic children’s contacts with A, with the UP, and with the TA was individually dependent, and the presence of the TA changed the characteristics of contacts with A. Our results indicate that the presence of a small TA can positively influence the quantity and quality of the social behavior of autistic children and that the characteristics of social contacts were dependent on the individual. (shrink)

Although the literature on corporate social responsibility has discussed the scope and meaning of CSR extensively, confusion still exists regarding how to define the concept. One controversial issue deals with the changing legal status of CSR. Based on a review of CSR definitions and meta-studies on CSR definitions, we find that the majority of definitions leans toward voluntary CSR. However, some recent regulatory amendments toward mandatory CSR have called into question the established idea of CSR as merely a managerial tool (...) of self-regulation. In this paper, we juxtapose the evolution of CSR in India against the scholarly literature discussing voluntary-versus-mandatory CSR to understand the recent shift toward a new conceptualization of CSR as a form of co-regulation that includes elements of both voluntary and mandatory regulation. The Indian Companies Act 2013 is a remarkable example in that it replaced an older version from 1956, taking a bold step toward the integration of voluntary and mandatory aspects in the application of CSR. We present practical implications of the Indian case for businesses and discuss implications for CSR theory development; we particularly consider the evolution of the business and society relationship from a voluntary soft law approach to CSR to an increasingly hard law approach and transitory hybrid forms in-between like soft–hard law and hard–soft law. (shrink)

The aim of the study was to explore the experiences of night nurses. An interpretative phenomenological study was undertaken, and 35 nurses working in Italian medical, surgical and intensive care units were purposely recruited. Data were gathered in 2010 by semi‐structured interviews, collecting nurses' narratives, memorable cases and metaphors, aimed at summarising the essence of work as a nurse during the night. The experience of night nursing is based on four interconnected themes: (i) working in a state of alert, (ii) (...) growing by expanding autonomy and responsibility, (iii) assuring sensitive surveillance and (iv) experiencing deep intimacy. Memorable episodes were polarised along (i) expected/unexpected events; (ii) positive/negative epilogues; and (iii) life/death issues. Many of the emergent metaphors described working during the night as being in the middle of a space where an apparent calm scene takes place, but unpredictable factors may suddenly change the order of events and the outcomes, creating chaos. Working during the night alerts nurses, who increase autonomy, expanding their role and assuming more responsibility with respect to that assumed during daily shifts. The nurses' clinical reasoning is based on data they carefully listen to, and on the meaning that nurses give time by time to different noises and silence. While in the past a sense of companionships was reported, a loneliness or a ‘neutral’ experience concerning the relationships with colleagues seems to prevail during night nursing. Working night shifts is a complex task, and specific training must be assured to students/novices. (shrink)

This study investigated students’ perceptions following a prepared, common presentation regarding academic integrity provided by their residence dons. This peer instruction study utilized both quantitative and qualitative analyses of survey data within a pre-test post-test design. Overall, students reported gains in knowledge, as well as confidence in their knowledge of academic integrity. Notably, students reported increases in their personal value for academic integrity after participating in the presentations. Overall, the quality and content of the presentations were judged positively, and participants’ (...) ratings of the presentation were predictive of increases in personal value of academic integrity, as well as self-reported knowledge and confidence gains. Qualitative analyses supported that the key ideas in the presentation served as the focal material for discussion, but also introduced specific topics that students wanted to explore in greater depth. (shrink)

Campbell, Ulrich, and Grady (2016) should be commended for attempting to contribute to the discussion of what many believe is currently a messy concept. They propose that a broader definition of mo...

La investigación propuesta indagó las relaciones que existen entre el derecho a la memoria y el derecho a la ciudad. Para ello se analizaron desde una teoría crítica de los derechos humanos y teniendo como punto de contacto entre ambos derechos las inscripciones espaciales que materializan la memoria colectiva en la ciudad de Madrid. Es así que se buscó comprobar, desde una dimensión jurídica basada en un enfoque de derechos y con perspectiva espacial, si aquellos lugares que materializan y garantizan (...) la memoria pueden a su vez garantizar el acceso al derecho a la ciudad en virtud de que colaboran en la creación de una ciudad más democrática. La metodología empleada consistió en un análisis crítico de textos, relevamiento y estudio exhaustivo de las normas y estándares nacionales e internacionales, políticas públicas locales, observación y registro de los lugares y, por último, una entrevista en profundidad mediante la técnica de muestra de caso sumamente importante para el problema analizado. (shrink)

Many published instruments for assessing adolescent adjustment can be implemented in the school context. However, most of them fail to include a comprehensive and positive theoretical perspective of adolescent development and, even when they do, priority is often given to the clinical perspective, or problems with ecological validity and cost-effectiveness emerge. The Magallanes Adaptation Scale is a 90-item Likert-instrument designed for Spanish-speaking adolescents in order to screen several adjustment areas from a holistic and positive perspective of development. Although some evidence (...) of its psychometric robustness has been tested, no confirmatory analysis of its structure has been published. This paper analyzes the items and the factor structure (exploratory factor analysis and confirmatory factor analysis, using the split-half method) of the scales. Participants were 948 Spanish adolescents (49.84% girls) aged between 11 and 17 and stratified sampled. Thirty-six items were removed from the item analysis. The results of the exploratory factor analysis revealed five factors, excluding mother’s adaptation. Several models were tested during the confirmatory factor analyses, with a 24-item second-order four-factor solution being found to have the best adjustment indicators. The short version proposed in this paper can constitute a helpful tool with screening purposes to help school teachers to assess students’ overall development beyond mere academic performance, although further validity research is needed. (shrink)

El objetivo de este texto es investigar sobre los posibles puntos de encuentro entre la psicoterapia existencial, un paradigma psicológico arraigado en las filosofías de la existencia, y el posicionamiento del profesor Marino Pérez Álvarez, quien se define a sí mismo como conductista radical, respecto a su manera de entender la existencia humana y el modelo más adecuado de psicoterapia. Para ello se proponen seis puntos de encuentro: necesidad de una fundamentación filosófica para la psicología, crítica al cientificismo y al (...) modelo médico, interpretación de los trastornos mentales como problemas de la vida cotidiana, recuperación del paciente como protagonista de la terapia, crítica a la psicología positiva y crítica al dualismo cartesiano. (shrink)

Views that say corporations can be agents in their own right, metaphysically distinct from their individual members, are increasingly popular. Given the moral significance usually attributed to agency, this raises the question of whether corporate agents have moral rights comparable with those of individual agents. In this article, I argue that, even if we accept corporations can be agents, we must conclude that their moral rights are more limited than, because they are derivative of, the rights of their individual members. (...) In so doing, I offer a version of normative individualism even those who reject methodological individualism should accept. I then apply my findings to criticize the US Supreme Court’s decision in Burwell v. Hobby Lobby. (shrink)

Considering Rosmini’s political works in comparison with his metaphysical and anthropological essays, and starting from Rosmini's project of a code of law that, in the author’s opinion, can guarantee fundamental human rights, this article discusses the concept of justice between citizens and outsiders. Its first part is an analysis of Rosmini’s juridical fundaments, which takes into account also some objections historically moved against it. Its second part examines some specific cases of conflicts between outsiders and the members of civil society, (...) as considered by the Roveretan philosopher. (shrink)

Given a space in an elementary submodel M of H, define XM to be X∩M with the topology generated by . It is established, using anti-large-cardinals assumptions, that if XM is compact and its regular open algebra is isomorphic to that of a continuous image of some power of the two-point discrete space, then X=XM. Assuming in addition, the result holds for any compact XM satisfying the countable chain condition.

Reseña de Badano, María del Rosario (comp). (2019). Educación superior y derechos humanos: reflexiones, apuestas y desafíos. Paraná: Editorial UADER, 416 pp.

RESUMEN En este artículo se analizan las ideas contrapuestas de Domingo Faustino Sarmiento y José Martí sobre el binomio "civilización-barbarie", categoría medular de los discursos políticos e intelectuales del siglo XIX, con el fin de explorar sus concepciones sobre el nuevo sujeto político. Se exploran los "contextos de enunciación" desde los cuales desarrollaron sus posiciones ético-políticas; la opción por el hombre natural (Martí) frente al sujeto político ideal (Sarmiento); y la apelación y desmontaje de las categorías raciales en ambos autores. (...) El estudio de estas categorías revela una dialéctica de persistencia y abandono de imaginarios coloniales. ABSTRACT This article analyzes the conflicting ideas of Domingo Faustino Sarmiento and José Martí about the binomial "civilization-barbarism", a core category of political and intellectual discourses of the 19th century, to explore their conceptions of the new political subject. The "enunciation contexts" from which they developed their ethical-political positions; the option for the "natural man" (Martí) versus the ideal political subject (Sarmiento); and the appeal and dismantling of racial categories in both authors. The study of these categories reveals a dialectic of persistence and abandonment of colonial imaginaries. (shrink)