In this study we tried to gain information about the ethical sensitivity of nurses working at the bedside in our country. Four scenarios were presented to 165 nurses working in hospital wards in Kocaeli. More than half of the nurses can be considered to have made decisions based on beneficence for the first scenario, while more than half of them preferred to make decisions based on autonomy for the second and the fourth scenarios. For the third scenario, most of the (...) nurses can be said to have based their decisions on veracity. These results suggest that these nurses were sensitive to issues of confidentiality, truth telling and beneficence; however, they were not equally sensitive when the right to refuse treatment was concerned. (shrink)

In diesem Aufsatz analysiere ich Nietzsches Konzept der Lebensbejahung als einen der wichtigsten Begriffe seiner Philosophie. Um den Pessimismus und die Dekadenz, in die die moderne Kultur verfallen ist, zu überwinden, konstruiert Nietzsche den Begriff der Lebensbejahung als deren Hauptziel und Imperativ des Philosophierens. Für jedes Individuum ist es demnach notwendig, das Leben zu bejahen, indem es seine eigene Autonomie, d.h. das Pathos der Distanz, erreicht. Nur wenn der Mensch ein echtes Distanzpathos erfüllt hat, kann er den Pessimismus als Lebenscharakteristik (...) überwinden. (shrink)

Jean-Paul Sartre (1905-1980) rejecting the possibility of being impartial or irresponsible regarding our environment and the events taking place where we live, questions the meaning of being in his basic work, Being and Nothingness (Phenomenological Ontology Essay) (1943), and ignores a predetermined idea of self in the process of existence of the human being. According to Sartre, the effort to understand the relationship between one's existence and other existences, and the process of building this existence will only be possible with (...) a humanist atheist existentialist line. This study primarily addresses the demand for reconstruction of all existing values by examining the view of the philosophy of existence to the moral field. Later, our intention is to use Sartre's views on aesthetic theory in What is Literature? (1947) and Essays on Aesthetics (1963) to reveal his studies. According to Sartre, the art that guides humanity, that drives it, that determines its ontological existence, cannot act like a stray, leash-free dog. It can be connected, demand freedom, and engage with society. This announcement is aimed at freedom for all branches of art. This call for freedom cannot be considered independent of responsibility. To Sartre, we are responsible for this artistic act as a demand for freedom, and the artist is the one who will serve this responsibility. Thus, Sartre demonstrates the possibility and applicability of the Ontology Essay by giving concrete examples in his aesthetic study. Finally, this study seeks to show whether it can serve the Phenomenological Ontological Essay along with the link between the two texts marked. (shrink)

Thomas Mann (1875-1955), was a leading figure in the 20th century and is writer who has been widely mentioned in world litetarure. He is known not only as the writer of milestone novels but also as the master of oppositions. The Buddenbrook’s Family (1901), The Death in Venice (1912), and The Magıc Mountain (1924) in particular are inspiring the same emotions in the readers of today as the day they were written. While these masterpieces have been the subject of literature (...) research and psychoanalysis, they have also been of interest in the realm of philosophy. In particular, from the perspective of philosophy, The Magic Mountain, was the main concern of this study. This study will indicate both the modern aspects of the story as well as try to show how this work was a mirror for its time. The story takes place in a sanatorium where people who suffering from tuberculosis are sent to recover. This is an illness without remedy in its time and which was widespread through the 19th century. Switzerland, with its lofty mountains, was chosen as a location for tuberculosis senatoriums which offered fresh air, good nutrition, and light exercise. While the hospitals of Davos village tried to treat the patients’ lung spots, they also forced them to follow a life of dicipline. The fact that the “spotted” people went to the senatorium, with no intention of going back to their previous life is the main concern of this study. The most interesting fact here is the chain of events that connected earth to the mystical mountains of this town. The main issue will be the question of why people perceived this earthly place in such a different way. (shrink)

In order to prepare bioethics and clinical ethics courses for clinicians in Turkey, we needed to know the attitudes of physicians when placed in ethically difficult care situations. We presented four cases to 207 physicians who are members of the Physicians’ Association in Kocaeli, Turkey. Depending on the decisions they made in each case, we determined whether they were aware of the ethical aspects of the cases and the principles they chose as a basis for their decisions. We aimed to (...) gain information about their ethical tendencies and moral sensitivity. A small number of physicians stated that they would ‘show respect for a patient’s living will’ in the first case, but more stated that they would ‘let the patient refuse the treatment’ in the second. In the third case, where medical confidentiality was the significant ethical issue, most of the physicians said that they would act in order to maintain confidentiality. For the last case, more than half the physicians chose to ‘tell the truth’ to the patient. The paternalism shown in the doctors’ decisions on the first two cases was no longer observed in those made for the last two cases. We concluded that the physicians who participated in our study have low sensitivity to living wills (or advance directives) and patients refusing treatment. However, when issues of medical confidentiality and truth-telling are concerned, they take care to protect the autonomy of the individual and are relatively more aware of the ethical aspects of these cases. (shrink)

The aim of this study was to assess the opinions and role of intensive care unit (ICU) nurses regarding the distribution of ICU beds. We conducted this research among 30% of the attendees at two ICU congresses in Turkey. A self-administered questionnaire was used, which included 13 cases and allocation criteria. Of the total (136 nurses), 53.7% participated in admission/discharge decisions. The most important criterion was quality of life as viewed by the physician; the least important was the patient’s social (...) status. According to the findings, the nurses thought that medical benefit and avoiding discrimination were important. On the other hand their ignorance of patients’ autonomous preferences arouses suspicions about these nurses’ role in advocating for patients’ rights. For this reason, nurses’ role in allocation decisions should be clearly described and should also be the basis on which intensive care nurses’ duties in allocation decisions should be determined. (shrink)

The term 'culture' has more than one meaning in different contexts. The paper attempts to show certain consequences, resulting from the ambiguous use of the term 'culture', for the protection of human rights, by comparing the use of the term in the Declaration of the Principles of International Cultural Cooperation (UNESCO 1966), with its use in the Universal Declaration of Human Rights and the International Covenant on Economic, Social and Cultural Rights. It examines the meanings of the term 'culture' used (...) in the UNESCO Declaration and the impact of this understanding on the protection of the relevant right or rights. (shrink)

The term 'culture' has more than one meaning in different contexts. The paper attempts to show certain consequences, resulting from the ambiguous use of the term 'culture', for the protection of human rights, by comparing the use of the term in the Declaration of the Principles of International Cultural Cooperation (UNESCO 1966), with its use in the Universal Declaration of Human Rights and the International Covenant on Economic, Social and Cultural Rights. It examines the meanings of the term 'culture' used (...) in the UNESCO Declaration and the impact of this understanding on the protection of the relevant right or rights. (shrink)

Bu çalışmada Çorlulu Ali Paşa ve Çorlulu Ali Paşa Külliyesi hakkında kısa bir bilgi verilerek Çorlulu Ali Paşa tarafından yaptırılan kütüphane, kütüphanenin tamiri, bu kütüphanede mevcut olan ilk kitapların isimleri ve hangi alanda oldukları ayrıntılı olarak açıklanmış ve 18. yüzyıl Osmanlı entelektüel dünyasında ne tür eserlerin okunduğuna dair ipuçları sununulmuştur. Çorlulu Ali Paşa tarafından Parmakkapı yakınında Simkeşhane’nin bulunduğu bölgeye 4 Muharrem 1121/16 Mart 1709 yılında inşası tamamlanan câmi‘-i şerîf, dârü’l-hadîs, hânkâh, imâret, kütüphane gibi bölümleri ihtiva eden bir külliye inşa edilmiştir (...) Çorlulu Ali Paşa Kütüphanesi farklı tarihlerde tamir edilmiştir. 1894’de meydana gelen büyük deprem neticesinde zarar görmesi nedeniyle tamirata ihtiyaç duyulmuştur 7 Cemaziyelevvel 1314/14 Ekim 1896 tarihli tezkire ile depremde hasara uğrayan medrese ve kütüphanenin tamir edilmesi belirtilmiştir. 1901 yılında ise tekrar kütüphanenin tamirine ihtiyaç duyulmuştur. Kütüphanenin kurulma tarihine yakın olması ve kütüphanedeki ilk kitaplar olabilmesi düşüncesiyle makalede temel alınan defter Başbakanlık Osmanlı Arşivi’nde, Başmuhasebe Muhalefat Halifeliği Kalemi Defterleri arasında yer almaktadır. Defter ebrulu, 15x39,5 ebadındadır ve sayfa usülüyle numaralandırılmıştır. Toplam sayfa sayısı 24, numaralı boş sayfalar 1-3, 17-24’dür. Defterde ilk kayıttan anlaşılacağı üzere 20 C 1136/16 Mart 1724 tarihinde Çorlulu Ali Paşa Kütüphanesi’nde bulunan kitapların listesi verilmiştir. Defterde kütüphanede yer alan kitaplar tefsir, hadis, fıkıh gibi alan başlıkları altında sıralanmış ve cilt sayıları verilmiştir. Bazı eserlerin yazarlarının yazılmasına karşılık bazı eserlerin yazarları verilmeyip sadece eser ismi belirtilmiştir. Bu makaledeki amaç 18. Yüzyılda Osmanlı kütüphanelerinin birinde ne tür kitapların bulunduğu ve Osmanlı aydın kesiminin hangi türden kitaplara yoğun ilgi duyduğunu anlayabilmektir. Eserin sonunda defterin transkripsiyonu verilmiş ve kütüphane içerisinde hangi türde eserin daha fazla olduğu, türü ve miktarı grafiklerle analiz edilmiştir. (shrink)

The aim of this study was to assess the attitudes of Turkish pregnant women and antenatal health care providers towards prenatal HIV testing. A self-administered questionnaire was used. The relationships between the different groups' knowledge and attitudes were analysed by using the chi-squared statistic. A total of 494 pregnant women and 181 care providers participated. Forty-four per cent of the pregnant women thought that prenatal HIV testing should be mandatory, and 84% of the health care providers thought it should be (...) performed routinely or be mandatory. The majority of the pregnant women (74%) and half of the care providers agreed that the test results should be disclosed first to the pregnant woman. The study results also revealed that most of the prenatal care providers would not protect pregnant women's autonomy and privacy, contrary to the pregnant women's own preferences. It is essential to establish national prenatal HIV testing policies in order to prevent unethical practices and ensure satisfaction for pregnant women and health care providers. (shrink)

When considering the principle of medical confidentiality, disclosure of genetic information constitutes a special case because of the impact that this information can have on the health and the lives of relatives. The aim of this study is to explore the attitudes of Turkish physicians and patients about sharing information obtained from genetic tests.

Patient advocacy has been claimed as a new role for professional nurses and many codes of ethics for nurses state that they act as patient advocates. Nursing education is faced with the challenge of preparing nurses for this role. In this article we describe the results of a study that considered the tendencies of a cohort of nursing students at the Kocaeli University School of Nursing to act as advocates and to respect patients’ rights, and how their capacities to do (...) so changed (or not) as a result of their nursing education. This longitudinal study used a questionnaire consisting of 10 statements relating to patient care. It was performed both at the start (1998) and at the end (2002) of the nursing training. At the beginning of their course 77 students participated; in the study. After four years, only 55 students participated, the reason for this drop in number being unknown. The questions asked nurses if patients should have: the right to receive health care; the right to participate in the decision-making process about their treatment; the right always to be told the truth; and the right to have access to their own medical records. They were also asked: if quality of life should be a criterion for discontinuing treatment; if patients have the right to die and the right to refuse treatment; if patients should be assisted to die or helped to undergo active euthanasia; and if severely disabled newborn babies should be allowed to die. The student nurses demonstrated considerable insight into contemporary nursing issues and were ready to act as patient advocates. Professional responsibility demands that good nurses advocate strongly for patients’ choices. (shrink)

It is important to define and practice ethical rules and codes for professionalisation. Several national and international associations have determined midwifery ethical codes. In Turkey, ethical rules and codes that would facilitate midwifery becoming professionalised have not yet been determined. This study was planned to contribute to the professionalisation of midwifery by determining national ethical values and codes. A total of 1067 Turkish midwives completed the survey. The most prevalent values of Turkish midwives were care for mother–child health, responsibility and (...) professional adequacy. The preferred professional codes chosen by Turkish midwives were absence of conflicts of interest, respect for privacy, avoidance of deception, reporting of faulty practices, consideration of mothers and newborns as separate beings and prevention of harm. In conclusion, cultural values, beliefs and expectations of society cannot be underestimated, although the international professional values and codes of ethics contribute significantly to professionalisation of the midwifery profession. (shrink)