Moral distress has emerged as a significant concern for critical care nurses, particularly due to the complex and demanding care provided to critically ill patients in critical care units. The ongoing COVID-19 pandemic has introduced new ethical challenges and changes in clinical practice, further exacerbating the experience of moral distress among these nurses. This systematic review compares the factors influencing moral distress among critical care nurses before and during the COVID-19 pandemic to gain a comprehensive understanding of the impact of (...) the pandemic on moral distress. For this systematic review, PubMed, Scopus, ProQuest, Web of Science, medRxiv, bioRxiv, Embase, and Google Scholar were all utilized in the search. The search covered articles published from 2012 to December 2022, encompassing a 10-year timeframe to capture relevant research on moral distress among critical care nurses. In total, 52 articles were included in this systematic review. The findings indicate that personal, caring-related, and organizational factors can influence nurses' moral distress. Before the pandemic, factors including futile and end-of-life care, conflicts with physicians, nurse performance and authority, poor teamwork, decision-making regarding treatment processes and patient care, limited human resources and equipment, medical errors, patient restraints, and nurses' age and work experience affect critical care nurses' moral distress. Similarly, during the COVID-19 pandemic, factors contributing to moral distress include futile and end-of-life care, fear of contracting and spreading COVID-19, decision-making about treatment processes, poor teamwork, and being female. This study revealed that the factors contributing to moral distress were approximately similar in both periods. Futile care and end-of-life issues were critical care nurses' primary causes of moral distress. Implementing prevention strategies and reducing these underlying factors could decrease this major issue and improve the quality of care. (shrink)

Social movements possess transformative and progressive power. In this paper, I argue that how this is so, or even if this is so, depends on one's explanatory framework. I consider three such explanatory frameworks for social movements: methodological individualism, collectivism, and complexity theory. In evaluating the various appeals and weaknesses of these frameworks, I show that complexity theory is uniquely poised to capture the complex and dynamic reality of the social world.

Developments in neurotechnology took a leap forward with the demonstration of the first Brain to Brain Interface (BBI). BBIs enable direct communication between two brains via a Brain Computer Interface (BCI) and bypasses the peripheral nervous system. This discovery promises new possibilities for future battlefield technology. As battlefield technology evolves, it is more likely to place greater demands on future soldiers. Future soldiers are more likely to process large amounts of data derived from an extensive networks of humans and machines. (...) This raises several ethical and philosophical concerns. This paper will look at BBI technology in current stages of research, future BBI applications in the military and how the potential use of BBIs in military operations challenges the way we understand the concept of responsibility. In this paper, I propose that an individual connected to a BBI ought not to be held fully responsible for her actions. The justification for this proposition is based on three key points such as an individual connected to a BBI does not have the ability to act freely, has a diminished sense of self-agency and may not be able to demonstrate authenticity of the thoughts and memories generated when connected to the interface. (shrink)

We value possessing knowledge more than true belief. Both someone with knowledge and someone with a true belief possess the correct answer to a question. Why is knowledge more valuable than true belief if both contain the correct answer? I examine the philosophy of American pragmatist John Dewey and then I offer a novel solution to this question often called the value problem of knowledge. I present and explicate (my interpretation of) Dewey’s pragmatic theory of inquiry. Dewey values competent inquiry (...) and claims it is a knowledge-forming process, and I argue that it is competently conducting inquiry that explains why knowledge is more valuable than mere true belief. Knowledge is always the result of a process of competent inquiry (itself valuable) whereas belief can but need not be the result of inquiry. I end by considering and replying to reasonable objections to my pragmatic solution. (shrink)

Stemming from the realization of the importance of the role of explanation in the science classroom, the Next Generation Science Standards call for appropriately supporting students to learn science, argue from evidence, and provide explanations. Despite the ongoing emphasis on explanations in the science classroom, there seems to be no well-articulated framework that supports students in constructing adequate scientific explanations, or that helps teachers assess student explanations. Our motivation for this article is twofold: First, we think that the ways in (...) which researchers in science education have studied scientific explanation are, at best, leaves much to be desired and, at worst, simply incomplete. Second, we believe that research about the teaching and learning of explanation in science classrooms must be guided by explicit models or frameworks that specify elements involved in constructing explanations particularly applicable to science. More importantly, we think that the development of such models or guidelines should be based on theoretical and philosophical foundations. In order to develop these frameworks or guidelines, we first outline and clarify models of scientific explanation developed by philosophers of science over the last few decades. In the second section of this article, we present a more recent philosophical work on scientific explanation, the pragmatic approach to studying scientific explanations. This approach suggests a toolbox for analyzing scientists’ scientific explanations, which provides a useful instrument to science education. In Section 3, we discuss the ways by which the previous two sections are useful in developing a K-12 scientific explanation schema. Implications for future research on students’ explanations are discussed. (shrink)

Veiled women in the West appear menacing. Their visible invisibility is a cause of obsession. What is beneath the veil more than a woman? This book investigates the preoccupation with the veiled body through the imaging and imagining of Muslim women. It examines the relationship between the body and knowledge through the politics of freedom as grounded in a ‘natural’ body, in the index of flesh. The impulse to unveil is more than a desire to free the Muslim woman. What (...) lies at the heart of the fantasy of saving the Muslim woman is the West’s desire to save itself. The preoccupation with the veiled woman is a defense that preserves neither the object of orientalism nor the difference embodied in women’s bodies, but inversely, insists on the corporeal boundaries of the West’s mode of knowing and truth-making. The book contends that the imagination of unveiling restores the West’s sense of its own power and enables it to intrude where it is ‘other’ – thus making it the centre and the agent by promising universal freedom, all the while stifling the question of what freedom is. (shrink)

Virtual screening is the most critical process in drug discovery, and it relies on machine learning to facilitate the screening process. It enables the discovery of molecules that bind to a specific protein to form a drug. Despite its benefits, virtual screening generates enormous data and suffers from drawbacks such as high dimensions and imbalance. This paper tackles data imbalance and aims to improve virtual screening accuracy, especially for a minority dataset. For a dataset identified without considering the data’s imbalanced (...) nature, most classification methods tend to have high predictive accuracy for the majority category. However, the accuracy was significantly poor for the minority category. The paper proposes a K-mean algorithm coupled with Synthetic Minority Oversampling Technique to overcome the problem of imbalanced datasets. The proposed algorithm is named as KSMOTE. Using KSMOTE, minority data can be identified at high accuracy and can be detected at high precision. A large set of experiments were implemented on Apache Spark using numeric PaDEL and fingerprint descriptors. The proposed solution was compared to both no-sampling method and SMOTE on the same datasets. Experimental results showed that the proposed solution outperformed other methods. (shrink)

Ethics is divided into three realms: Meta-ethics, normative ethics, and applied ethics. Utilitarianism is one of the most significant views in normative ethics, which acts as a true criterion to judge on human deeds in terms of loss and benefits of their consequences. In other words, utilitarianism judges on the amount of happiness for all the ones who have been influenced by that act. Utilitarianism itself is divided into two groups: act-utilitarianism, and rule-utilitarianism. The former concentrates on the amount of (...) goodness or happiness that an act creates in a particular situation and the latter considers the amount of goodness or happiness which results from a principle or rule. J.J.C. Smart is a pragmatist, and an advocate of act-utilitarianism. In this essay we have attempted to investigate some of the problems put forward on the problem of calculating the consequences of acts, then we explain the accepted principles by utilitarianists, and finally Smart’s responses to those problems. Instead of calculating the consequences as a response to these criticisms, Smart talks about comparison of two "Total Situation”, and by doing so he ignores the problem. In order to respond to all the criticisms on the calculation of utilitarianism, Smart, by differentiating between two types of evaluating and calculating consequences of an act and evaluating and calculating possible acts, attempts to appeal to the "Ripples on a Pond Model" and to the "Rules of Thumb" for cases which he is obliged to appeal to rules. (shrink)

University ranking systems attempt to provide an ordinal gauge to make an expert evaluation of the university’s performance for a general audience. University rankings have always had their pros and cons in the higher education community. Some seriously question the usefulness, accuracy, and lack of consensus in ranking systems and therefore multidimensional ranking systems have been proposed to overcome some shortcomings of the earlier systems. Although the present ranking results may rather be rough, they are the only available sources that (...) illustrate the complex university performance in a tangible format. Their relative accuracy has turned the ranking systems into an essential feature of the academic lifecycle within the foreseeable future. The main concern however, is that the present ranking systems totally neglect the ethical issues involved in university performances. Ethics should be a new dimension added into the university ranking systems, as it is an undisputable right of the public and all the parties involved in higher education to have an ethical evaluation of the university’s achievements. In this paper, to initiate ethical assessment and rankings, the main factors involved in the university performances are reviewed from an ethical perspective. Finally, a basic benchmarking model for university ethical performance is presented. (shrink)

The promised paradises of colonial capitalism and neoliberalism are set in a perpetually elusive future (Fitzpatrick 1992). This future is not a set destination, but an endless linear journey set to the thrum of ‘progress’ and ‘development’. This paper considers, in the context of recent cases relating to development in the Athabasca tar sands region, what the law of the Canadian settler state does when it is faced with interruptions and ruptures in its timescape. Drawing on Fitzpatrick’s seminal work, The (...) Mythology of Modern Law, I argue that a conceptualisation of law’s behaviour in these contexts as functionally mythological highlights some of the elusive ways that settler law maintains a stranglehold over legal imaginaries of oil and gas developments: by distorting and flattening the pasts and presents of Indigenous societies that pre-dated (and continue to co-exist with) the settler state on ‘Canadian’ land, by mediating between the ‘origin’ of the settler state and the daily rhythms of colonial time through ‘Eternal Objects’ such as property and economic development, and by asserting a general ‘objectivity’ of law to evade any direct grappling with the stark possibilities of the ‘end of the world’ created by the climate crisis. I conclude, drawing on Indigenous scholarship and the work of de Goede and Randalls, that a meaningful response to the climate crisis requires re-enchanted attachments to life that necessitate a departure from the one-dimensional temporality of the mythologies of settler law. (shrink)

The ethical aspect of the online learning is a major priority that has to be addressed by all stakeholders in the educational field. This study sheds the light on establishing a code of ethics for the online learning based on a Palestinian vision. A content analysis was used for related literature in order to drive themes and major topics, then a qualitative approach was used to collect data to test the themes from the field. The study population consisted of 21 (...) educators who have previous experience in online learning and 4 key university specialists with pedagogical experience. Interviews and focused group meetings were conducted with participants. The findings revealed that most of educators’ attitudes toward establishing a code for ethics in online learning mode are positive. The study also revealed that all educational stakeholders play a vital role in the success of online learning and particularly in practicing positive ethics. (shrink)

Neurosurgeons have an especially high rate of exposure to serious ethical challenges in their line of work. The aim of this study was to assess the type and frequency of ethical theories used by neurosurgery residents to make extra- ethical decisions in challenging situations and their relation with the level of residency, and curricular training about medical ethics. A total of 12 neurosurgery residents in Mashhad University of Medical Sciences (MUMS) were interviewed; all the participants were male and aged 29–40 (...) years old. Of all, six were senior and six were junior. Using a systematic review of neurosurgery and medical ethics textbooks, five common cases were selected and a semi-structured, open-ended interview was developed. The interviews were digitally recorded and analyzed in two separate stages. Comparison of the results of the two stages led us to the final judgment about the dominant ethical theory used in each case. In all 60 cases, the decision-making process was compatible with either Deontology (30 cases) or Consequentialism (30 cases). Only in two cases, beside Deontology, the Virtue ethics was used as an alternative in special situations. The ethical theories were not consistent for all the 12 subjects and all the five questions. No statistically significant difference was found between senior and junior residents, neither for each question nor for the aggregate (Odds Ratio = 1.31, 95 % CI = 0.42-4.09, Relative Risk = 1.41, 95 % CI = 0.69-1.9, P-value > 0.20). Only one of the subjects had extracurricular training in medical ethics, consequently precluding further analysis. Although not intended to be evaluated by this study, similar heterogeneity was observed in final decisions. When faced with medical ethics challenges, neurosurgery residents did not follow a consistent ethical theory for making decisions. The type and frequency of theories did not seem to be changed during the residency period. (shrink)

Publication date: 25 October 2017 Source: Author: Iman Khaki, Hamid Erfanian Khanzadeh, Azam Babaki Rad This study aimed to investigate the relationship between talent management and the innovative behavior of employees based on the mediating role of organizational learning. This study is a descriptive study, according to the data collection and analysis methods and, it is a survey, according to the implementation. It was conducted during 2015 to 2016 in Mashhad, Iran. Participants were 147 staffs employed in the information (...) technology organization of Mashhad municipality. Data were collected using three valid and reliable questionnaires. Data were analyzed using SPSS software version 19. According to the main hypothesis of the study, there is a significant relationship between talent management and the innovative behavior of employees, and organizational learning mediates the relationship between talent management and the innovative behavior of employees. Also, according to the minor hypothesis, there is a significant relationship between the components of talent management and innovative behavior and the components of organizational learning can mediate the relationship between talent management and innovative behavior. Organizational learning capability has a significant relationship with innovation and innovative behavior and the organizational learning is a way in which educational and training opportunities for employees can be linked to innovative goals. (shrink)

In Metaphysical Themes, Robert Pasnau interprets Thomas Hobbes as an anti-realist about all accidents in general. In opposition to Pasnau, we argue that Hobbes is a realist about some accidents (e.g., motion and magnitude). Section One presents Pasnau’s position on Hobbes; namely, that Hobbes is an unqualified anti-realist of the eliminativist sort. Section Two offers reasons to reject Pasnau’s interpretation. Hobbes explains that magnitude is mind-independent, and he offers an account of perception in terms of motion (understood as a mind-independent (...) feature of body). Therefore, it seems incorrect to call Hobbes an anti-realist about all accidents. Section Three considers Pasnau’s hypothetical response: he might claim that for Hobbes, motion reduces to body and does not exist in its own right. Section Four notes that reductionism about all accidents does not entail anti-realism about all accidents. Even granting Pasnau’s anticipated response, his anti-realist reading does not follow. Contra Pasnau, Hobbes is best understood as claiming that motion and magnitude exist mind-independently. (shrink)

Despite the seemingly widespread agreement that racial and ethnic immigration criteria are always wrong, some cases seem potentially permissible and, in particular, do not seem to wrong either disfavored members or nonmembers. I demonstrate that an “antidiscrimination” approach to understanding when and why discrimination is wrong provides a compelling general explanation for this. The explanation’s key ingredient is the concept of global social status: many groups sharing a race or ethnicity have a social status beyond, and that can differ from, (...) their status in a particular state. (shrink)

Does a liberal state, dedicated to the principles of freedom and equality, have a moral right to exclude? In her book, Liberal Self-Determination in a World of Migration, Luara Ferracioli makes a c...

Phronesis is a fundamental term in Ancient Greek Philosophical tradition. This term is based on »wise- ruler« in Plato and »legislator- philosopher« thought in Plato. Most of Philosophers and commentators of Aristotle work relate methodical use of this term to Aristotle. This affair is the result of the manner of these two philosopher’s expression. But their ambiguity shows phronesis less importance in Plato’s intellectual tradition.Phronesis in Plato is brightness that results from good perception. But in his last work, means Plato, (...) phronesis hasn’t only divine origin, but in the meaning of Grief and Political Knowledge, is the supplement of sophia that is the highest coordination between reason and desire in spirit. Phronesis in Plato is responsible for creating governmental- philosophical rules and practical judgment through experience and council. By this, phronesis owners can merge wisdom and politics and see better than others. So, sophia and phronesis aren’t synonyms in Plato, but their conceptual application are related to each other: as phronesis owner has practical wisdom- sophia in Aristotle thought. (shrink)

In certain ways, many disabilities seem to occupy a middle ground between illnesses like cancer and identity-traits like race: like illnesses, they can present a wide variety of obstacles in a range of social and natural environments and, insofar as they do, they are something we should prevent potential people from having for their own sake; at the same time, those same types of disabilities can be, like race, a valuable part of the identity of the persons who already have (...) them. I consider this seemingly dual nature of a significant class of disabilities to attempt to understand the proper relation of those disabilities to persons and how we should value or respect them. I argue for a distinction between embedded disabilities and general disabilities ; importantly not everyone with a disability will turn out to have an embedded disability. I then show that expressing negative value judgments about general disabilities does not typically express disrespect for people with disabilities — thereby addressing a long-standing charge made by many in the disabilities community. Finally, I show that unlike with disabilities, expressing negative judgments about the general form of identity-traits like race does typically express disrespect for people with those identity-traits. (shrink)

If states have the moral authority to decide their memberships by denying citizenship, I argue that they may also strip citizenship, from law-abiding members, for the same reasons. The only real difference is that when states revoke citizenship they may need to compensate people for their prior contributions, but that is not unlike what frequently occurs in divorce. Once just termination rules are established, stripping citizenship could become, like divorce, an everyday event. Partly because of this implication, we should reject (...) the membership authority of states. (shrink)

The proliferation of conspiracy theories is seemingly on the rise. Among them, are many that are explicitly racist. Examples of this include Great Replacement Theory, White Genocide, QAnon, and Eurabia, which each convey the idea white people are being covertly attacked and replaced. In this article, we examine the structure of these conspiracy theories and argue that their proliferation in liberal-democratic societies is not a coincidence. Our argument is three-fold. First, we argue the proliferation of racist conspiracy theories in liberal-democratic (...) societies has been enabled by the racial contract that underpins them. Second, we argue that in these contexts, even conspiracy theories that are seemingly non-racial, can be underpinned by structures of race and racialisation. This is because in liberal-democratic contexts, the other (who conspires) is always-already racialised, even if racialisation is disavowed. We therefore argue that the categorisation of conspiracy theories as being either ‘racial’ or ‘non-racial’ constitutes a postracial manoeuvre that obscures the racialising function of conspiracy theorising in liberal-democratic societies. Finally, we argue that the dominant trend of attributing the rise of conspiracy theories to the notion we are living in a ‘post-truth era’ obscures the connection between liberal-democratic societies and racist conspiracy theories, effectively solidifying the postracial conceptualisation of both. We argue the ‘post-’ of ‘post-truth’ works to sever the past from the present, thereby masking historical continuities of racism and depicting conspiracy thinking as a ‘new’ problem stemming from the margins of society. By contrast, we argue the phenomenon, and its attendant racism, originates from the mainstream of liberal-democratic society. (shrink)

Immigration and Discrimination explores what bases states are morally permitted to use for their admission decisions and policies, and why. Sahar Akhtar argues that the idea of wrongful discrimination can be applied to states' admission decisions, and explores what this means in terms of states' rights over the use of, say, racial, ethnic and religious criteria. Rather than rejecting any connection between immigration policies and such criteria, she argues that such criteria are not always morally wrong. Despite this finding, (...) however, a major implication of the book’s arguments and analysis is that states do not have the “right to exclude”, or the claim-right to make decisions about whom to admit into their borders. (shrink)

Communitarian writers argue that social identity is deeply important to individual autonomy and thus liberal societies have an obligation to recognize identity. Any liberal view that attempts to account for this charge must specify a procedure to recognize identity that also ensures that the liberal sense of autonomy is not weakened. In this article, I develop such an account. I argue that liberals must distinguish an identity that belongs to particular persons (particularized identity) from the collective form of that identity. (...) For instance, Naisha will have her own particularized way of being Indian in addition to the collective form of the culture that she shares with others. To determine which acts would be about recognizing the particularized form, I provide a counterfactual test. One major implication of the test is that special collective rights would not be endorsed. At the same time, the test is not equivalent to the liberal positions of insisting either that rights belong to individuals or that individuals are not harmed. Because identity is almost always viewed in terms of groups, valuing identity seems to be at odds with the principles of liberalism and democratic theory in which individual persons are the ultimate source of value. I show that there is a significant way to recognize identity that is harmonious with these principles. (shrink)

The Routledge Handbook of the Ethics of Immigration is an outstanding reference source to this vitally important topic and will be of great interest to those studying philosophy, politics and related subjects such as law, sociology and social policy.

Most challenges to immigration restrictions have not shown that states lack a claim-right to exclude, or a moral right against outside interference to make membership decisions. And an important, unexamined aspect of the claim-right is that states have the right against interference to wrongfully exclude, or the right to do wrong when making admission decisions. A major implication of this right is that even political or economic measures to affect states’ immigration policies are off the table – significantly compromising the (...) prospect of meaningfully addressing the world’s growing refugee crisis. In the form of a reductio argument, I provide reason to reject this position. Specifically, I try to demonstrate that, in the relevant cases, a plausible moral defense for the right to wrongfully exclude can only be given for states with objectionable character – protecting the very states whose immigration policies we should be most concerned with, which is surely morally counterintuitive. (shrink)

My paper explores the question of when it is wrong for a state’s immigration criteria to discriminate against people with disabilities, focusing on the idea that discrimination is wrong when it demeans a group, rather than when it disadvantages them. I argue that selecting against people with disabilities often demeans them but might not always do so even when immigration criteria explicitly exclude people on the basis of having disabilities – that is, in cases of direct discrimination. Moreover, I demonstrate (...) that certain cases of less direct forms of discrimination that select against people with disabilities – in particular, when states apply health-cost limits on admissions – can function as proxies designed to exclude people with disabilities and thereby demean them. Finally, I explain why my analysis of discrimination’s wrong does not typically apply to health conditions in general, such as heart, liver, or lung disease or cancer, setting my view apart from a prominent view in the literature. (shrink)

This research delves into a unique and vital aspect of addressing criticisms by some grammarians (al-nohaat) and interpreters against various continuous Quranic readings, focusing on the robustness of their transmission chains (isnad). These chains, often deemed weak by certain grammarians, are examined to understand how they reinforce the credibility of the readings, given the prevalent view that a solid transmission chain significantly minimizes errors in recitations. The data was collected through desk review of library sources, references, journal articles and books. (...) The data was confined to Qur’anic recitations and transmission of two scholar Ibn Aamir and Abu Jafar, who attracted great attention of the grammarians regarding their chain of transmission in their recitations. The data was analyzed in three stages, starting with data reduction, data display, and data verification. This was done to transform data into a meaningful discourse. Key conclusions of the study include the recognition of the Holy Quran, in its multiple readings, as a primary source for Arabic grammar (al-Nahw), with the two scholars using these readings as fundamental evidence for establishing grammatical rules. It also finds a broad scholarly consensus that the "ten recitations" of the Quran are authoritative and immune to criticism. The findings highlight the Quran's profound influence on Arabic language structures and consensus on the authority of recitations with roots in Prophet Muhammad's (PBUH) teaching. Pioneers like Abu Hayyan celebrated linguistic diversity over rigid rules, while incorporating narrator biographies, geographical mapping, and morphological analysis continues to enrich the textual tradition. Recommendations of the study include expanding research on transmission tracking science, boosting recitation studies through computational linguistics, emphasizing ceaseless inspiration manifesting Quran's inimitability, and acknowledging multiplicity under universal wisdom principles. (shrink)

In an era where conditions for education are rapidly changing globally, online assessment presents several opportunities as well as challenges in the higher education landscape. The forceful transition from face-to-face to online assessments, as part of the emergency implementation of online learning due to the COVID-19 pandemic, has affected teaching, learning, and assessment experiences worldwide. This study explores how faculty members in Saudi universities secured their online assessment during phase one of the COVID-19 pandemic. The research aims were: 1) identifying (...) faculty assessment practices before the onset of COVID-19 and comparing these with practices during the pandemic, and 2) identifying the major challenges faced by the faculty members of the study in securing their online assessment to ensure that academic integrity and assessment standards remained intact. Data were collected from seven university professors through a self-reporting survey, followed by semi-structured interviews. The faculty members found the pandemic period to be the best time to change their assessment methods, and incorporate innovative ideas that conformed to both their own beliefs and students’ needs. The factors that influenced the faculty’s assessment alterations were their personal beliefs and learnings from others’ experiences, in addition to the guidelines issued by Saudi Arabia’s Ministry of Education. The results of this study have implications for the development of post-COVID-19 assessment practices and professional development priorities. (shrink)

It is necessary to seek out the origins of the modern world’s problems in their theoretical and intellectual infrastructures, which are based on concepts. This paper aims to study the modern crisis of identity from the viewpoint of the evolution of the Subject. The Subject is one of philosophy’s more complex concepts, and its complexity can be analyzed through its historical evolution. It has been connected with meanings such as subjectness, subjectivity, subjugation, and subjection, and each of these meanings contain (...) a part of the Subject’s complicated definition. In addition to calling the concept of the human subject into question, this paper demonstrates that we are witnessing a rise in feelings of insecurity and meaninglessness. The paper will analyze three main concepts of the Subject, and an explanation of each with reference to history’s great philosophers. (shrink)

Disclosure of near miss medical error (ME) and who should disclose ME to patients continue to be controversial. Further, available recommendations on disclosure of ME have emerged largely in Western culture; their suitability to Islamic/Arabic culture is not known.

Disclosure of near miss medical error (ME) and who should disclose ME to patients continue to be controversial. Further, available recommendations on disclosure of ME have emerged largely in Western culture; their suitability to Islamic/Arabic culture is not known. We surveyed 902 individuals attending the outpatient's clinics of a tertiary care hospital in Saudi Arabia. Personal preference and perceptions of norm and current practice regarding which ME to be disclosed (5 options: don't disclose; disclose if associated with major, moderate, or (...) minor harm; disclose near miss) and by whom (6 options: any employee, any physician, at-fault-physician, manager of at-fault-physician, medical director, or chief executive director) were explored. Mean (SD) age of respondents was 33.9 (10) year, 47% were males, 90% Saudis, 37% patients, 49% employed, and 61% with college or higher education. The percentage (95% confidence interval) of respondents who preferred to be informed of harmful ME, of near miss ME, or by at-fault physician were 60.0% (56.8 to 63.2), 35.5% (32.4 to 38.6), and 59.7% (56.5 to 63.0), respectively. Respectively, 68.2% (65.2 to 71.2) and 17.3% (14.7 to 19.8) believed that as currently practiced, harmful ME and near miss ME are disclosed, and 34.0% (30.7 to 37.4) that ME are disclosed by at-fault-physician. Distributions of perception of norm and preference were similar but significantly different from the distribution of perception of current practice (P < 0.001). In a forward stepwise regression analysis, older age, female gender, and being healthy predicted preference of disclosure of near miss ME, while younger age and male gender predicted preference of no-disclosure of ME. Female gender also predicted preferring disclosure by the at-fault-physician. We conclude that: 1) there is a considerable diversity in preferences and perceptions of norm and current practice among respondents regarding which ME to be disclosed and by whom, 2) Distributions of preference and perception of norm were similar but significantly different from the distribution of perception of current practice, 3) most respondents preferred to be informed of ME and by at-fault physician, and 4) one third of respondents preferred to be informed of near-miss ME, with a higher percentage among females, older, and healthy individuals. (shrink)

Elderly refugees in Jordanian healthcare settings are a vulnerable group. Most of them come from a collectivist culture where family members are the main source of care. Many elderly refugees can no longer work as they did, and are in need of professional intervention from social workers who will take account of their cultural values and beliefs. This exploratory study seeks to understand the role that religion has in the lives of displaced elderly refugees and the impact of those perspectives (...) on how they make sense of their circumstances. Using a qualitative design the methodology drew upon focus group discussions, semistructured interviews and ethnographic participant observation in the gathering and analysis of data. The study highlights the important role that religious beliefs and values play both in maintaining and enhancing elderly refugee’s sense of community, security and mental well-being, and the fundamental importance of the same in their interactions with professionals. A key finding is that religious sensitivity and awareness are critical to good social work practice with religious elderly refugees from the Arab world. It is also suggested that the findings of this study can be transferred to other populations and age groups. (shrink)

To carry a message through effectively to the public, newspaper editors need to employ the generic pattern of editorials as a rule of thumb. Yet few studies have investigated the schematic structure and persuasive style of editorials. Hence, this study aims to compare the generic characteristics in 240 editorials of The New York Times and New Straits Times. To realize the objectives, the corpus was subjected to a content analysis based on a composite framework drawn from the data and previous (...) models. The findings revealed that American and Malaysian editorials share a similar schematic structure at the move level including four obligatory moves. However, at the step level, evidence of disparity of the style of writing was apparent. The data obtained could be used as informed input in the English for Specific Purposes classroom, so that English as a Secondary Language /english as a Foreign Language students’ awareness on the conventional structures in editorial writing could be heightened. (shrink)

This article has attempted to clarify two of the models that depict the system in which the Universe came into existence. Within the domain of Islamic thought, Avicennian and Ishraqi models are more popular than others and deserve adequate attention. Although the very relationship between God and the Universe, after the question of “God', is the next most crucial question to philosophers, specifically to divine philosophers, especially where it concerns the occurrence rather than mere manipulation of such relationship, the authors (...) of this article have attempted to show that the failure of philosophers in handling this question has been even more intense than their failure in dealing with any other questions. In order to verify this hypothesis, the authors have focused on the thoughts of the two great Muslim philosophers, Avicenna and Sheikh Ishraq, who endeavored to present a consistent model of Creation. Finally, a content analysis was conducted. Then, within the limits of an article such as this, some criticisms that might render the views of these two great philosophers vulnerable were offered and judgment was left to readers. (shrink)