Background:Nurses and nursing students appear vulnerable to moral distress when faced with ethical dilemmas or decision-making in clinical practice. As a result, they may experience professional dissatisfaction and their relationships with patients, families, and colleagues may be compromised. The impact of moral distress may manifest as anger, feelings of guilt and frustration, a desire to give up the profession, loss of self-esteem, depression, and anxiety.Objectives:The purpose of this review was to describe how dilemmas and environmental, relational, and organizational factors contribute (...) to moral distress in undergraduate student nurses during their clinical experience and professional education.Research design:The research design was a systematic literature review.Method:The search produced a total of 157 articles published between 2004 and 2014. These were screened with the assessment sheet designed by Hawker and colleagues. Four articles matched the search criteria (one quantitative study and three qualitative), and these were separately read and analyzed by the researchers. The process of review and analysis of the data was supervised by a colleague experienced in moral distress who provided an independent quality check.Ethical consideration:Since this was a systematic review, no ethical approval was required.Findings:From the analysis, it emerged that inequalities and healthcare disparities, the relationship with the mentor, and students’ individual characteristics can all impact negatively on the decisions taken and the nursing care provided, generating moral distress. All these factors condition both the clinical experience and learning process, in addition to the professional development and the possible care choices of future nurses.Conclusion:Few studies dealt with moral distress in the setting of nurse education, and there is a knowledge gap related to this phenomenon. The results of this review underline the need for further research regarding interventions that can minimize moral distress in undergraduate nursing students. (shrink)

Reshaping the neo-Aristotelian doctrines about the human soul was Descartes’s most spectacular enterprise, which gave birth to some of the sharpest debates in the Republic of Letters. Neverthe- less, it was certainly Descartes’s intention, as already expressed in the Discours de la méthode, to show that his new metaphysics could be supplemented with experimental research in the field of medicine and the conservation of life. It is no surprise then that several natural philosophers and doctors, such as Henricus Regius from (...) Utrecht, who had studied in Padua with William Harvey, rallied in support, in order to gain a more substantial theoretical basis for their research. Taking as his ground some general metaphysical assumptions, such as the existence of God, the immortality of the soul, and perhaps the separability of the pure understanding, Regius intended to secure a new philosophy of man, which was able to reflect his medical interests and complement his account of human nature. This is the story that is now gaining currency, and it is surely accurate, at least in part. Desmond Clarke has recently defended the same view1, based on the remarkable studies of the Utrecht scholars Theo Verbeek and Erik-Jan Bos. Here I would like to challenge some aspects of this view and ask how Regius, who was perceived as the philosopher most closely associated with Descartes, became a betrayer of his mentor. (shrink)

Whitehead, in his famous book "Process and Reality", proposed a definition of point assuming the concepts of “region” and “connection relation” as primitive. Several years after and independently Grzegorczyk, in a brief but very interesting paper proposed another definition of point in a system in which the inclusion relation and the relation of being separated were assumed as primitive. In this paper we compare their definitions and we show that, under rather natural assumptions, they coincide.

This article explores notions of death and subjectivity, through the zombie, in the first four seasons of the AMC show, The Walking Dead. The body of the zombie elicits intriguing speculations. In its death, zombie lingers in the overlapping wedge between the grotesque and the sublime. Stemming from this idea, and through a re-analysis of the zombie as a concept, we propose an update to the Lacan/Zizek psychoanalytical models for death and subjectivity, as well as offer an explanation, through the (...) Holocaust, for this ubiquitous post-apocalyptic fantasy. (shrink)

The beginning of the current decade witnessed the collapse of many ambitious and costly initiatives in distance learning, but that does not mean that this was just a short-lived fad, and that the march of change was halted. There appeared on stage forces and processes that work more slowly than decisions of university administrators, but that are also much more difficult to ignore or reverse. This article describes these change factors and the how they influence American higher education.

Whitehead, in his famous book Process and Reality, proposed a definition of point assuming the concepts of "region" and "connection relation" as primitive. Several years after and independently Grzegorczyk, in a brief but very interesting paper, proposed another definition of point in a system in which the inclusion relation and the relation of being separated were assumed as primitive. In this paper we compare their definitions and we show that, under rather natural assumptions, they coincide.

A main identifying factor of professions is professionals' willingness to comply with ethical and professional standards, often defined in a code of ethics and conduct. In a period of intense nursing mobility, if the public are aware that health professionals have committed themselves to the drawing up of a code of ethics and conduct, they will have more trust in the health professional they choose, especially if this person comes from another European Member State. The Code of Ethics and Conduct (...) for European Nursing is a programmatic document for the nursing profession constructed by the FEPI (European Federation of Nursing Regulators) according to Directive 2005/36/EC On recognition of professional qualifications , and Directive 2006/123/EC On services in the internal market, set out by the European Commission. This article describes the construction of the Code and gives an overview of some specific areas of importance. The main text of the Code is reproduced in Appendix 1. (shrink)

This paper is about a special version of PDL, proposed by Marcus Kracht, for reasoning about sibling ordered trees. It has four basic programs corresponding to the child, parent, left- and right-sibling relations in such trees. The original motivation for this language is rooted in the field of model-theoretic syntax. Motivated by recent developments in the area of semi-structured data, and, especially, in the field of query languages for XML (eXtensible Markup Language) documents, we revisit the language. This renewed interest (...) comes with a special focus on complexity and expressivity aspects of the language, aspects that have so far largely been ignored. We survey and derive complexity results, and spend most of the paper on the most important open question concerning the language: what is its expressive power? We approach this question from two angles: Which first-order properties can be expressed? And which second-order properties? While we are still some way from definitive answers to these questions, we discuss two first-order fragments of the PDL language for ordered trees, and show how the language can be used to express some typical (second-order) problems, like the boolean circuit and the frontier problem. (shrink)

Within Descartes' philosophy, the problem of the Eucharist provides scholars the occasion to investigate a nexus of questions belonging to different domains of his thought. In taking up this problem, about which there has been much written in the past few decades , I hope first of all to discern some order in the texts themselves, as well also as in their various interpretations, and then, from there, to propose a new perspective.

Background:Prisons are contexts where nurses are required to have specific skills to ensure that, in a setting designed for the expiation of crime, prisoners receive the same type of care as anyone else. But this is not always the case, giving rise to ethical issues.Research questions:‘How do correctional nurses describe their working experience in prisons? What issues emerged?’Methodology:This is a qualitative descriptive study. Following purposive sampling, we conducted five focus groups. Thematic analysis was used to analyse the data.Participants and research (...) context:Our sample included 31 correctional nurses in seven prisons in Northern Italy.Ethical considerations:The scientific merit of this study was recognized by the Academic Board of the University of Genoa. Approval to conduct the study was obtained from the Liguria Regional Government that funded this study and from the Local Health Authority that was the prison nurses’ employer. Formal consent was obtained from all the nurses who volunteered to participate in this study.Findings:Five themes emerged from the focus groups: prisoners’ healthcare needs, negotiation between custody and care, satisfaction of working in prisons, obstacles to quality care and safety. ‘Manipulation’ was a transversal theme that emerged from all the focus groups.Discussion:The problems generated by the clash between prison security and nursing care priorities did not enable nurses to practice autonomously and provide the best possible to care prisoners, giving rise to ethical issues and moral distress. This in turn causes high nursing turnover rates that negatively impact continuum of care.Conclusion:In Italy, correctional nurses urgently require specific education interventions with the participation of all those who work in prisons. Interventions based on the post-modern concept of restorative nursing could offer prison nurses the opportunity to both resolve ethical issues and reduce moral distress. (shrink)

The beginning of the current decade witnessed the collapse of many ambitious and costly initiatives in distance learning, but that does not mean that this was just a short-lived fad, and that the march of change was halted. There appeared on stage forces and processes that work more slowly than decisions of university administrators, but that are also much more difficult to ignore or reverse. This article describes these change factors and the how they influence American higher education.

Depuis Kant, les philosophes ont appris à parler, avec prudence, du surnaturel et de sa relation avec la nature. En général le surnaturel n’est meme pas reconnu comme faisant partie de la philosophie. La situation n’aurait pu être plus différente aux XVIIe-XVIIIe siècles, lorsque les philosophes comprenaient la relation entre Dieu et le monde comme l’un des problèmes les plus importants que la philosophie fût censée résoudre. Les solutions étaient bien sûr extrêmement diverses : Spinoza niera même que l’on puisse (...) faire la distinction entre principe créateur et création, tandis que d’autres, tel Robert Boyle, s’imagineront un maître horloger créant une machine absolument parfaite, qui depuis sa création ne requiert aucun acte supplémentaire de la part de son créateur. Jusque dans la pensée du jeune Kant, cette idée se rencontrera sous des formes diverses. Tous convenaient, tout de même, qu’il fallait rejeter l’ancien modèle aristotélicien d’une nature désirante, reconstruisant la nature comme un système reposant sur quelques lois fondamentales et repensant à nouveaux frais le rôle que Dieu peut, ou doit, jouer dans un tel système. Les contributions du présent volume traitent d’aspects historiques et systématiques des théories modernes de la nature et du surnaturel, tout en essayant de comprendre, dans ce contexte, l’importance des théories de la relation entre Dieu et le monde. (shrink)

This study investigated how gender shapes the relationships between classroom environment, achievement goals and maths performance. Seventh-grade students (N?=?498) from five urban secondary schools filled in achievement goal orientations and classroom environment scales at the beginning of the second semester. Maths performance was assessed as an average grade four months later. The results indicated gender differences in the perception of teacher and peers support, achievement goals and maths performance. The effects of goal orientations, teacher and peers support on achievement were (...) moderated by gender. Furthermore, the interaction between classroom environment and performance goals on maths grades varied with gender. In the boys? sample, performance-avoidance goals interacted with teacher support, while in the girls? sample, performance-approach goals interacted with peers support in predicting maths grades. The educational implications of these gender differences are discussed. (shrink)

In this article, I discuss an interpretation of Hegel's concept of the “Inverted World”, which is present in the final part of the chapter on Force and Understanding in the Phenomenology of Spirit. Other than my own reading of the chapter, I also summarize the three most important interpretations of the verkehrte Welt from the last century: those of Jean Hyppolite, Hans-Georg Gadamer and Joseph Flay. I have chosen these three due to the typology of interpretation within them: the first (...) one adopts a Christian reading of Hegel, the second a Hellenistic phenomenological interpretation, and the last one, which is closest to the interpretation I also propose, a reading consistent with the thought of Immanuel Kant. The article ends with a possible interpretation of Hegel's verkehrte Welt through Kant's “Schematism of the Pure Concepts of Understanding” from his Critique of Pure Reason, where I argue that Kant's fundamental faculty of imagination and its object, schemata, play the same role in Kant's system that Hegel's verkehrte Welt does in the development of natural consciousness. (shrink)

It is shown the complete equivalence between the theory of continuous (enumeration) fuzzy closure operators and the theory of (effective) fuzzy deduction systems in Hilbert style. Moreover, it is proven that any truth-functional semantics whose connectives are interpreted in [0,1] by continuous functions is axiomatizable by a fuzzy deduction system (but not by an effective fuzzy deduction system, in general).

IntroductionPalliative care is an emotionally and spiritually high-demanding setting of care. The literature reports on the main issues in order to implement self-care, but there are no models for the organization of the training course. We described the structure of training on self-care and its effects for a Hospital Palliative Care Unit.MethodWe used action-research training experience based mostly on qualitative data. Thematic analysis of data on open-ended questions, researcher’s field notes, oral and written feedback from the trainer and the participants (...) on training outcomes and satisfaction questionnaires were used.ResultsFour major themes emerged: “Professional role and personal feelings”; “Inside and outside the team”; “Do I listen to my emotions in the care relationship?”; “Death: theirs vs. mine.” According to participants’ point of view and researchers’ observations, the training course resulted in ameliorative adjustments of the program; improved skills in self-awareness of own’s emotions and sharing of perceived emotional burden; practicing “compassionate presence” with patients; shared language to address previously uncharted aspects of coping; allowing for continuity of the skills learned; translation of the language learned into daily clinical practices through specific facilitation; a structured staff’s support system for emotional experiences.DiscussionSelf-care is an important enabler for the care of others. The core of our intervention was to encourage a meta-perspective in which the trainees developed greater perspicacity pertaining to their professional role in the working alliance and also recognizing the contribution of their personal emotions to impasse experienced with patients. (shrink)

In the last decade, the financial underground markets evolved in a surprisingly way, around the world. Eastern Europe is a significant region, where illegal activities associated with the shadow economy became a real problem that affects the governments stability, the economical, political and social status. Due to the influence of old regimes and the current tolerance of the Eastern European nations, this underground corridors emphasize the risk of interfering with the financing platforms of international terrorism or organized crime.

The ongoing Coronavirus disease 2019 (COVID-19) pandemic is disrupting most specialized healthcare services worldwide, including those for high-risk newborns and their families. Due to the risk of contagion, critically ill infants, relatives and professionals attending neonatal intensive care units (NICUs) are undergoing a profound remodeling of the organization and quality of care. In particular, mitigation strategies adopted to combat the COVID-19 pandemic may hinder the implementation of family-centered care within the NICU. This may put newborns at risk for several adverse (...) effects, e.g., less weight gain, more nosocomial infections, increased length of NICU stay as well as long-term worse cognitive, emotional, and social development. This article aims to contribute to deepening the knowledge on the psychological impact of COVID-19 on parents and NICU staff members based on empirical data from the literature. We also provided evidence-based indications on how to safely empower families and support NICU staff facing such a threatening emergency, while preserving the crucial role of family-centered developmental care practices. (shrink)

Mutually supporting methodologies are necessary for building a convincing case establishing a particular effect. Strengths and weaknesses of four empirical methods are discussed. Econometric methods quantify the relative importance of different factors and may assess the time frame over which constitutions matter, but have difficulties in dealing with nonlinear interactions among constitutional and cultural details. Cluster analysis can be a pre-requisite to other methods, and an analytic method in itself, useful for identifying the details that really matter and discovering surprising (...) patterns in the data. I discuss the application of cluster analysis on the Comparative Constitutions Project database. Qualitative comparative analysis can reveal the hidden structure of interactions among different variables, but robustness checks are difficult to perform. Case studies are useful for distinguishing between rules-in-use and rules-in-form and for discovering important informal aspects. They can deal with com.. (shrink)

This article addresses the issue of units of analysis and atomistic models in psychology taking creativity research as a case study. A classic typology in this area, initially proposed by Rhodes, distinguishes between the four P's of creativity: person, process, product, and press. Continuing an effort to rewrite this basic language of the discipline from a cultural psychological perspective in the form of five A's, the discussion here focuses on bringing relationships to the fore within this framework and problematising strict (...) distinctions between each of the five elements. A closer look at the five A's of creativity, drawing on theoretical considerations and illustrated by interviews with creators working in different domains, reveals the permeable borders surrounding these units and challenges clear divisions between actors and audiences, action and artefacts, actors and artefacts. In the end, it is argued that creative phenomena cannot be properly understood and studied outside of their integrated and dynamic totality defined as a creativity complex. Implications of adopting this “molecular” perspective for theory and methodology are discussed. (shrink)

The current pandemic and the measures taken to address it, on a global scale, are unprecedented. Times of crisis call for creative solutions, and these are not reduced to the work of scientists or politicians. In everyday life, both in online and offline spaces, people use their creativity to make sense of the current situation, to cope with it, and to learn its lessons. Social media is a privileged space for mundane and participative creativity through the production and sharing of (...) coronavirus Internet memes. In this article, we examine the creativity of such memes from a dedicated Reddit community. We ask, in particular, what makes a coronavirus meme creative and what this creativity tells us about the pandemic and popular understandings of it. To answer these questions, we use a triangulation of quantitative and qualitative methods by having 480 memes coded by three social media users for surprise, meaningfulness, elaboration, humor, and creativity and qualitatively analyzing those memes that score highly on each dimension. An interesting finding concerns the importance of elaboration and humor for the evaluation of creativity in the case of memes, above the more traditional criteria of surprise and meaningfulness, perhaps a feature unique for Internet spaces. The article ends with reflections on what these findings tell us about creativity on social media more generally and the creative processes involved in the generation and reception of coronavirus memes in particular. (shrink)

Albert’s anthropology places the human being at the top of a hierarchy of living things in virtue of a unique feature – namely the intellect – that offers the possibility of transcending the changing realm of nature and of assimilating its possessor to their divine creator. Even though Albert, throughout his works, often defends the independence of the human intellect from matter and consequently from the body and senses, his works on natural philosophy seem to offer a different perspective. In (...) De animalibus, Albert considers the brain to be the divine member of the body responsible for the operations of sensation and, to a certain degree, of intellection. Thus, the entire humoral activity of the human body has a direct influence on the activity of the intellect, his divine nature notwithstanding. Accordingly, the main purpose of the present study is to point out how the classical humoral theory is integrated by Albert the Great in his physiological consideration for an explanation of the intellect placed between the murky boundaries of natural philosophy and metaphysics. (shrink)

Deleuze's Logique de la sensation is not a canonical art historical interpretation of Francis Bacon's painting and even less an illustration of Deleuze's philosophy. It is better read as a prolegomena to a semiotics of plastic art in which the visual image is related to the dialectics of touch and vision. These issues feature strongly in the art theories of Aloïïs Riegl, Wilhelm Worringer and Heinrich Wöölfflin. This article presents a comparative approach to the relation between Deleuze's and these writers’’ (...) conception of the image and attempts to answer the following questions: does a painting appeal strictly to the sense of vision? Does its structure point to a virtual haptic function of vision and if so, does painting overturn the stable hierarchy of senses with vision at the top? Is there a gradual relation between touch and vision? Reading Deleuze reading Riegl, Worringer and Wöölfflin offers an occasion to reconsider the image as a tensive surface grasped with a touching eye and seeing hand. (shrink)

In the article, I consider seven metaphysical postulates that lie in the foundations of modern physics. These are postulates: about the nature of space-time, about the existence, about the direction of time, about the causality, about the elementary event, about the nature of information and about the immutability of laws. The directions of critical analysis and possible radical revision of these postulates are briefly presented. It is supposed that this revision can indirectly contribute to the development of a theory that (...) will be able to generalize quantum phenomena, gravity and the evolution of the universe. (shrink)

В статье рассмотрено как результаты квантовых экспериментов могут изменить метафизические представления о реальности. Экспериментальная проверка неравенств Белла, Леггета, Леггета—Гарга, а также эксперименты с отложенным выбором и квантовым «ластиком» подтверждают, что для квантовых объектов следует отказаться от представлений классического реализма. Однако конкуренция между квантовым анти-реализмом и квантовым реализмом продолжается.

La base conceptual de lo que sería más tarde desarrollado por las vanguardias artísticas fue colonizada por alemanes de pensamiento romántico e idealista, cuya dimensión utópica puede ser fácilmente reconocida en el «antiguo programa del idealismo alemán» (1796), un texto que consagró un pensamiento idealista, que clamó por una nueva racionalidad o una mitología de la razón de Hegel, la intuición intelectual de Schelling y la Humanidad de Schiller. Aunque este proyecto de emancipación desarrollado más tarde por la vanguardia ha (...) perdido su credibilidad para nosotros, todavía tenemos que investigar en qué medida el arte de hoy puede mantener una función social. Este artículo señala algunos conceptos idealistas a la luz de una filosofía del arte, y fue creado siguiendo las líneas esbozadas en la Crítica del juicio de Kant, que han contribuido a la historia de la «avanzada» del arte. (shrink)

L'articolo cerca di rispondere a questo interrogativo: quali sono le conseguenze del processo di individualizzazione sui legami sociali e sulla solidarietÀ? Esso porta, come alcuni autori hanno recentemente sostenuto, alla disgregazione sociale, alla ‘fine della societÀ', o possono essere rintracciate nuove forme di ricomposizione sociale? Il soggetto ‘individualizzato' č quindi un soggetto liberato e isolato nello stesso tempo, che č divenuto il perno dei destini del mondo? L'articolo sostiene una tesi diversa. Esso mette in luce alcuni caratteri della trasformazione attuale (...) che delineano varie forme di individualismo: individualismi sociali e asociali. Si cerca di mostrare che nuove forme di regolazione sociale stanno emergendo ovunque nel mondo globale. (shrink)