One of the most significant changes in modern healthcare delivery has been the evolution of the paper record to the electronic health record (EHR). In this paper we argue that the primary change has been a shift in the focus of documentation from monitoring individual patient progress to recording data pertinent to Institutional Priorities (IPs). The specific IPs to which we refer include: finance/reimbursement; risk management/legal considerations; quality improvement/safety initiatives; meeting regulatory and accreditation standards; and patient care delivery/evidence based practice. (...) Following a brief history of the transition from the paper record to the EHR, the authors discuss unintended or contested consequences resulting from this change. These changes primarily reflect changes in the organization and amount of clinician work and clinician‐patient relationships. The paper is not a research report but was informed by an institutional ethnography the aim of which was to understand how the EHR impacted clinicians and administrators in a large, urban hospital in the United States. The paper was also informed by other sources, including the philosophies of Jacques Ellul, Don Idhe, and Langdon Winner. (shrink)

The gendered occupational role can have an impact on both employees and organizations they work for. This study aims to explore different sides and factors that are related to experience, challenges, and coping mechanisms of male dry cleaners amidst gendered occupational roles. The methodology used were: Heideggeran Phenomenology, Semi- structured Interview Guide, Interpretative Phenomenological Analysis (IPA) by van Kaam and modified by Moustakas. This st udy had 15 participants. Based on the data collected, the following themes were identified in this (...) study; namely, (1) The Steadf ast, (2) and The Challenged. Likewise, the following sub themes were identified from the data- gathering and are based on their perspectives. Masculinity of a male laundry employee can really affect the perspective of an in dividual, the more the male look masculine the more that the people can easily conclude that his physique is not suitable on the jobs like laundry, because people always expect that men should work on a heavy work like truck, construction sites, etc. (shrink)

A scientific claim is ageneralizationbased on a reported statistically significant effect. The reproducibility of that claim is its scientific meaning. Anything not explicitly mentioned in a scientific claim as a limitation of the claim's scope means that it implicitly generalizes over these unmentioned aspects. Hence, so-called “conceptual” replications that differ in these unmentioned aspects from the original study are legitimate, and necessary to test the generalization implied by the original study's claim.

Deepfake technology presents significant ethical challenges. The ability to produce realistic looking and sounding video or audio files of people doing or saying things they did not do or say brings with it unprecedented opportunities for deception. The literature that addresses the ethical implications of deepfakes raises concerns about their potential use for blackmail, intimidation, and sabotage, ideological influencing, and incitement to violence as well as broader implications for trust and accountability. While this literature importantly identifies and signals the potentially (...) far-reaching consequences, less attention is paid to the moral dimensions of deepfake technology and deepfakes themselves. This article will help fill this gap by analysing whether deepfake technology and deepfakes are intrinsically morally wrong, and if so, why. The main argument is that deepfake technology and deepfakes are morally suspect, but not inherently morally wrong. Three factors are central to determining whether a deepfake is morally problematic: whether the deepfaked person would object to the way in which they are represented; whether the deepfake deceives viewers; and the intent with which the deepfake was created. The most distinctive aspect that renders deepfakes morally wrong is when they use digital data representing the image and/or voice of persons to portray them in ways in which they would be unwilling to be portrayed. Since our image and voice are closely linked to our identity, protection against the manipulation of hyper-realistic digital representations of our image and voice should be considered a fundamental moral right in the age of deepfakes. (shrink)

Dehumanisation is a puzzling phenomenon. Nazi propaganda likened the Jews to rats, but also portrayed them as ‘poisoners of culture’. In the Soviet Union, the Stalinist regime called opponents vermin, yet put them on show trials. During the Rwandan genocide, the Hutus identified the Tutsis with cockroaches, but nonetheless raped Tutsi women. These examples reveal tensions in the way in which dehumanisers perceive, portray and treat victims. Dehumanisation seems to require that perpetrators both deny and acknowledge the humanity of their (...) victims in certain ways. Several scholars have proposed solutions to this so-called ‘paradox of dehumanisation’ that question the usefulness of dehumanisation as a concept to explain genocidal violence, claim that dehumanisation is characterised by an unstable belief in the non-human essence of the dehumanised, or contend that dehumanisation revolves around a denial of metaphysical human status. The main aim of this article is to present a novel framework for theorising dehumanisation that offers a more straightforward solution to this paradox based on the idea that perpetrators deny their victims’ human standing in a moral sense without necessarily negating their biological human status or human subjectivity. The article illustrates this framework through examples drawn from Primo Levi’s memoirs of Auschwitz. (shrink)

The author investigates how the conception of legal validity as a specific mode of existence, adopted by Kelsen in Allgemeine Theorie der Normen (General Theory of Norms), can be reconciled with a conception of the legal system in which conflicts of legal norms remain of logical concern. To this end he makes use of Ludwig Wittgenstein's picture theory of the proposition as set out in the Tractatus Logico-Philosophicus. The conclusion is that in order to reconcile the two conceptions, the legal (...) system itself must be conceived of as consisting of three sub-systems, namely, (i) a sub-system of perceptible legal judgments, (ii) a sub-system of valid legal conditions, and (iii) a sub-system of observable social practices. (shrink)

Dehumanisation is an elusive concept. While the term itself indicates that its meaning relates to a process that negatively affects the human aspect of the object involved, it proves more difficult to pinpoint what the ‘human aspect’ in this formula entails precisely or how dehumanisation can negatively affect it. This article aims to contribute to ongoing academic debates about dehumanisation by presenting a new way to understand this notion, which places the failure to recognise the moral relevance of human subjectivity (...) at its conceptual core. The main argument is that dehumanisation involves a failure to recognise what matters most about human beings in a normative sense, namely the fact that their human subjectivity counts as a moral reason against mistreating them. This line of thought has the potential to bring together various strands in the available literature. The account integrates the insight that dehumanisation entails a denial of humanity, resonates with the idea that dehumanisation involves a particular form of moral exclusion and affirms that dehumanisation constitutes an affront to fundamental human interests, needs and rights. (shrink)

Ethical theories -- Healthcare ethics -- Modern healthcare ethics : landmark events that shaped hospital ethics protocols -- A nurse-led ethics committee -- Common ethical challenges -- Ethics case studies.

The article is concerned with the question of how legal institutions are structured with the use of constitutive, institutive, consequential, and terminative rules. To that end, the regulation of international treaties as laid down in the Vienna Convention on the Law of Treaties of 1969 is analysed. This leads to the discovery of two additional categories of rules: content rules and invalidating rules. Finally, the special status of unique legal institutions is investigated. Unique legal institutions – for example, heads of (...) state, parliaments, and supreme courts – enjoy validity in a legal system to the exclusion of the validity of any other legal institution of the same category in that system. (shrink)

Nowadays, neo-institutionalistic approaches are prominent in economics, political science, the science of public administration and sociology. There is a general complaint about the vagueness of the concept of institutions and the apparent disparity of phenomena falling under it. This article shows how institutional legal theory provides a typology of institutions as sets of rules and corresponding patterns of regulated behaviour that can help to avert much confusion. The typologys usefulness is tested by applying it to an array of private governance (...) structures distinguished by transaction cost economics. (shrink)

The tradeoff hypothesis in the speech–gesture relationship claims that (a) when gesturing gets harder, speakers will rely relatively more on speech, and (b) when speaking gets harder, speakers will rely relatively more on gestures. We tested the second part of this hypothesis in an experimental collaborative referring paradigm where pairs of participants (directors and matchers) identified targets to each other from an array visible to both of them. We manipulated two factors known to affect the difficulty of speaking to assess (...) their effects on the gesture rate per 100 words. The first factor, codability, is the ease with which targets can be described. The second factor, repetition, is whether the targets are old or new (having been already described once or twice). We also manipulated a third factor, mutual visibility, because it is known to affect the rate and type of gesture produced. None of the manipulations systematically affected the gesture rate. Our data are thus mostly inconsistent with the tradeoff hypothesis. However, the gesture rate was sensitive to concurrent features of referring expressions, suggesting that gesture parallels aspects of speech. We argue that the redundancy between speech and gesture is communicatively motivated. (shrink)

Albert and De Ruiter provide an introduction to the Conversation Analytic approach to ‘repair’: the ways in which people detect and deal with troubles in speaking, hearing and understanding in conversation. They explain the basic turn‐taking structures involved, provide examples, explain recent developments in the field and highlight some important points of contact and contrast with work in the Cognitive Sciences.

Human communication is often thought about in terms of transmitted messages in a conventional code like a language. But communication requires a specialized interactive intelligence. Senders have to be able to perform recipient design, while receivers need to be able to do intention recognition, knowing that recipient design has taken place. To study this interactive intelligence in the lab, we developed a new task that taps directly into the underlying abilities to communicate in the absence of a conventional code. We (...) show that subjects are remarkably successful communicators under these conditions, especially when senders get feedback from receivers. Signaling is accomplished by the manner in which an instrumental action is performed, such that instrumentally dysfunctional components of an action are used to convey communicative intentions. The findings have important implications for the nature of the human communicative infrastructure, and the task opens up a line of experimentation on human communication. (shrink)

This is a descriptive qualitative study using phenomenological approach involving 46 nurses working in hospitals that cater to COVID-19 patients. This was conducted in April 2020. Results show that the challenges of nurses during the tour of duty in COVID-19 wards includes physical, procedural, psychological and protection. Likewise, nurses uncovered some difficulty with regard to the following experiences: struggle to be in complete PPE and with lack of PPE, not always being able to provide timely care, increased workload, nursing care (...) limitations, their risk to safety and having anxiety. This most often leads to some opportunities that bridges the gap towards achievement of their personal development and professional growth, as such, nurses became more compassionate, confident, resilient and resourceful, altruistic, and develop a stronger faith in God. Their leadership skills were also enhanced as they learned new knowledge and developed skills through education, trainings and experience. All the challenges and difficulties became avenue for the nurses to be able to unleash their potentials and further develop them into a God fearing and humane health care providers. Furthermore, the nurses being in the forefront of health care should be given assurance of safety and protection. Likewise, the nurse should closely adhere to standard protocol designed for COVID-19 infection control. It is thus recommended that there should be effective communication system to address issues and resolve conflicts. Lastly, emotional support and positive feedback should be given to nurses during the critical situations in the ward and collaborative working environment should be established all the time. (shrink)

Mediaeval Iberia was rife with inter-religious conflict between Christians, Jews, and Muslims that incited forced conversions and culminated in mass expulsions. Yet, in the midst of such a harrowing time in the peninsula’s history, there were occasional elements of harmony between these three groups, made all the more impressive in their rarity. King Alfonso X, the Wise, was a man whose rule exhibited a relative tranquility in inter-religious relations some have even suggested is deserving of altering his sobriquet to Alfonso (...) the Tolerant. Through an examination of his law code, the Siete Partidas, and a compilation of several hundred canticles, the Cantigas de Santa Maria, this paper pinpoints elements of Alfonso’s rule to critically assess the claims of his tolerance. (shrink)

The evidence Atran uses to support innate biological principles could just as well support learning, just as in another realm often cited as a candidate for innate knowledge, “naive psychology.”.

In the late thirteenth and early fourteenth centuries, the north of Scotland was, according to popular history, terrorized by the king’s son, Alexander Stewart. Known more commonly by the name Wolf of Badenoch, Alexander is remembered as a defier of royal rule, and a scourge upon the lords of the north. This paper seeks to unravel some of the complicated political relationships operating at this time, and to define specifically, that between Robert Stewart II and his son, Alexander Stewart.

Universal Grammar (UG) is indeed evolutionarily implausible. But if languages are just to a large primate brain, it is hard to see why other primates do not have complex languages. The answer is that humans have evolved a specialized and uniquely human cognitive architecture, whose main function is to compute mappings between arbitrary signals and communicative intentions. This underlies the development of language in the human species.

Millions of Chinese children learn English at increasingly younger ages. Yet when it comes to measuring proficiency, educators, and researchers rely on assessments that have been developed for L1 learners and/or for different cultural contexts, or on non-validated, individually designed tests. We developed the Assessment of Chinese Children’s English Vocabulary test to address the need for a validated, culturally appropriate receptive vocabulary test, designed specifically for young Chinese learners. The items are drawn from current teaching materials used in China, and (...) the depictions of people and objects are culturally appropriate. We evaluated the instrument’s reliability and validity in two field tests with a combined sample size of 1,092 children analyses show that the ACCE-V is sufficiently sensitive to capture different proficiency levels and that it has good psychometric properties. ACCE-V scores were correlated with Peabody Picture Vocabulary Test scores, indicating concurrent validity. We found that children’s age and English learning experience can significantly predict the scores of ACCE-V, but the effect of English learning experience is greater. The ACCE-V thus offers an alternative to existing vocabulary tests. We argue that culturally appropriate assessments like the ACCE-V are fairer to learners and help promote an English learning and teaching environment that is less dominated by Western cultures and native speaker norms. (shrink)

This paper draws out certain complexities in Carl Schmitt’s theory on the concept of the political through a joint reading of The Concept of the Political (1932) and Theory of the Partisan (1963). The paper argues that the distinction between conventional, real and absolute enmity as brought forward in Theory of the Partisan cannot easily be applied in practice since the decision whether the situation at hand consitutes the extreme case in which one’s opponent forms an existential threat to the (...) (way of) being of one’s collective is taken by the people involved in the conflict themselves and is thus always in a fundamental sense subjective. The paper illustrates this complexity through an analysis of two case studies: the 1994 Rwandan genocide and the United States’ War on Terror. (shrink)

Any complete theory of speaking must take the dialogical function of language use into account. Pickering & Garrod (P&G) make some progress on this point. However, we question whether their interactive alignment model is the optimal approach. In this commentary, we specifically criticize (1) their notion of alignment being implemented through priming, and (2) their claim that self-monitoring can occur at all levels of linguistic representation.

Traditional American schooling is in constant crisis because it is based on two poor models for children's learning: the school as a factory and the child as a blank slate. School reforms repeatedly fail by not penetrating these models. One hundred years ago, Maria Montessori, the first female physician in Italy, devised a very different method of educating children, based on her observations of how they naturally learn. Does Montessori education provide a viable alternative to traditional schooling? Do Dr. Montessori's (...) theories and practices stand up to the scrutiny of modern-day developmental psychology? Can developmental psychology tell us anything about how and why Montessori methods work? In Montessori, the author shows that science has finally caught up with Maria Montessori: Current scientific research provides astounding support for her major insights. She presents the research concerning eight insights that are foundational to Montessori education and describes how each of these insights is applied in the Montessori classroom. In reading this book, parents and teachers alike will develop a clear understanding of what happens in a Montessori classroom and, more important, why it happens and why it works. Montessori however, does much more than explain the scientific basis for Montessori's system. Amid the clamor for evidence-based education, this book presents the studies that show how children learn best, makes clear why many traditional practices come up short, and describes an ingenious alternative that works. Everyone interested in education, at all levels and in all forms, will take from this book a wealth of insights on how to improve teaching effectiveness. Montessori is indispensable reading for anyone interested in what psychologists know about human learning and development. (shrink)

Literatuur leeft. Na een betrekkelijk stabiel maar sluimerend bestaan in de marges van de cultuurbijlagen is de literatuur sinds een jaar zowel de inzet als het mikpunt van een felle discussie. Aanstichter van deze discussie is hoogleraar moderne letterkunde Thomas Vaessens, die met zijn De revanche van de roman een vurig pleidooi hield voor de terugkeer van de literatuur naar de binnencirkel van het actuele debat. Aan zijn pleidooi ligt een diepe onvrede ten grondslag over het feit dat de literatuur (...) in de loop van de twintigste eeuw haar waarde als betekenisvolle cultuuruiting lijkt te hebben verloren. (shrink)

Dissociative style is mostly studied as a risk factor for dissociative pathology, but it may also reflect a fundamental characteristic of healthy information processing. Due to the close link between attention and working memory and the previous finding of enhanced attentional abilities with a high dissociative style, a positive relationship was also expected between dissociative style and verbal working memory span. In a sample of 119 psychology students, it was found that the verbal span of the high-dissociative group was about (...) half a word larger than of the medium and low-dissociative groups. It is suggested that dissociative style may be one of only very few individual differences that is directly relevant to consciousness research. (shrink)