Having a decreased sense of security leads to unnecessary suffering and distress for patients. Establishing trust is critical for nurses to promote a patient's sense of security, consistent with trauma‐informed care. Research regarding nursing action, trust, and sense of security is wide‐ranging but fragmented. We used theory synthesis to organize the disparate existing knowledge into a testable middle‐range theory encompassing these concepts in hospitals. The resulting model illustrates how individuals are admitted to the hospital with some predisposition to trust or (...) mistrust the healthcare system and/or personnel. Patients encounter circumstances increasing their emotional and/or physical vulnerability to harm, leading to experiences of fear and anxiety. Without intervention, fear and anxiety lead to a decreased sense of security, increased distress, and suffering. Nurse action can ameliorate these effects by increasing a hospitalized person's sense of security or by promoting the development of interpersonal trust, also leading to an increased sense of security. Increased sense of security results in diminished anxiety and fear, and increased hopefulness, confidence, calm, sense of value, and sense of control. The consequences of a decreased sense of security are harmful to patients and nurses should know that they can intervene in ways that both increase interpersonal trust and sense of security. (shrink)

Several leadership and ethics scholars suggest that the transformational leadership process is predicated on a divergent set of ethical values compared to transactional leadership. Theoretical accounts declare that deontological ethics should be associated with transformational leadership while transactional leadership is likely related to teleological ethics. However, very little empirical research supports these claims. Furthermore, despite calls for increasing attention as to how leaders influence their followers’ perceptions of the importance of ethics and corporate social responsibility (CSR) for organizational effectiveness, no (...) empirical study to date has assessed the comparative impact of transformational and transactional leadership styles on follower CSR attitudes. Data from 122 organizational leaders and 458 of their followers indicated that leader deontological ethical values (altruism, universal rights, Kantian principles, etc.) were strongly associated with follower ratings of transformational leadership, while leader teleological ethical values (utilitarianism) were related to follower ratings of transactional leadership. As predicted, only transformational leadership was associated with follower beliefs in the stakeholder view of CSR. Implications for the study and practice of ethical leadership, future research directions, and management education are discussed. (shrink)

Nanotechnologies are enabling technologies which rely on the manipulation of matter on the scale of billionths of a metre. It has been argued that scientific uncertainties surrounding nanotechnologies and the inability of regulatory agencies to keep up with industry developments mean that voluntary regulation will play a part in the development of nanotechnologies. The development of technological applications based on nanoscale science is now increasingly seen as a potential test case for new models of regulation based on future-oriented responsibility, lifecycle (...) risk management, and upstream public engagement. This article outlines findings from a project undertaken in 2008–2009 for the UK Government’s Department of Environment, Food and Rural Affairs (DEFRA) by BRASS at Cardiff University, involving an in-depth survey both of current corporate social responsibility (CSR) reporting in the UK nanotechnologies industry, and of attitudes to particular stakeholder issues within the industry. The article analyses the results to give an account of the nature of corporate social performance (CSP) within the industry, together with the particular model of CSR operating therein (‘do no harm’ versus ‘positive social force’). It is argued that the nature of emerging technologies requires businesses to adopt particular visions of CSR in order to address stakeholder issues, and that the nanotechnologies industry presents specific obstacles and opportunities in this regard. (shrink)

The phenomenon of technological hazards, whose existence is only revealed many years after they were initially produced, shows that the question of our responsibilities toward future generations is of urgent importance. However, the nature of technological societies means that they are caught in a condition of structural irresponsibility: the tools they use to know the future cannot encompass the temporal reach of their actions. This article explores how dominant legal and moral concepts are equally deficient for helping us understand what (...) future-oriented responsibility requires. An alternative understanding of responsibility is needed, one which can be developed from phenomenological and feminist concepts of care. Care, by opening up for us an understanding of the diversity of values that are constitutive of a worthwhile life, also connects us to the future as the future of care. As such, it provides us with ethical resources that can guide us in the face of uncertainty. (shrink)

Research in dynamic semantics has made strides by studying various aspects of discourse in terms of computational effect systems, for example, monads (Shan, 2002; Charlow, 2014), Barker and 2014), (Maršik, 2016). We provide a system, based on graded monads, that synthesizes insights from these programs by formalizing individual discourse phenomena in terms of separate effects, or grades. Included are effects for introducing and retrieving discourse referents, non-determinism for indefiniteness, and generalized quantifier meanings. We formalize the behavior of individual effects, as (...) well as the interactions between effects, in terms of algebraic laws tailored to the relevant discourse phenomena. The system we propose is thus modular and suggests a novel approach to integrating formal accounts of distinct semantic phenomena. Finally, we give an interpretation of the system into pure \( \lambda \) -calculus that respects the laws. Future work will aim to integrate more discourse phenomena using the same methodology, for example, presupposition and conventional implicature. (shrink)

The regulation of innovation reflects a specific imaginary of the role of governance that makes it external to the field it governs. It is argued that this decision and rule-based view of regulation is insufficient to deal with the inescapable uncertainties that are produced by innovation. In particular, relying on risk-based knowledge as the basis of regulation fails to deal sufficiently both with the problem that innovation ensures the future will not resemble the past, and with the problem that the (...) social priorities that underlie innovation often remain unquestioned. Recently, rights-based frameworks have been defended as principle-based approaches to innovation governance that address the gaps which trouble an understanding of regulation as guided by risk-based decision procedures. An alternative view of governance is defended, based on a concept of care drawn from feminist ethics and other traditions. Care aims, not at justifying punctual decisions, but at transforming institutions and practices, with the goal of creating specific institutional ‘virtues’, and requires the broad and deep participation of publics in shaping innovation. In this way, governance is made internal to innovation. (shrink)

As the number of intrinsically unknowable technologically produced risks global society faces continues to grow, it is evident that the question of our responsibilities towards future people is of urgent importance. However, the concepts with which this question is generally approached are, it is argued, deficient in comprehending the nature of these risks. In particular, the individualistic language of rights presents severe difficulties. An alternative understanding of responsibility is required, which, it is argued, can be developed from phenomenological and feminist (...) concepts of care. Such concepts privilege an understanding of human beings that is primarily relational rather than individualistic, and show that responsibility is, in the first place, about connection rather than respecting separation. Care, by opening up for us an understanding of the diversity of values that are constitutive of a worthwhile life, also connects us to the future as the future of care. As such, it provides us with ethical resources that can guide us in the face of uncertainty, including general principles of action and the desire for institutions that can articulate them. (shrink)

Motivated by problems that arise in computing degrees of belief, we consider the problem of computing asymptotic conditional probabilities for first-order sentences. Given first-order sentences φ and θ, we consider the structures with domain {1,..., N} that satisfy θ, and compute the fraction of them in which φ is true. We then consider what happens to this fraction as N gets large. This extends the work on 0-1 laws that considers the limiting probability of first-order sentences, by considering asymptotic conditional (...) probabilities. As shown by Liogon'kii [24], if there is a non-unary predicate symbol in the vocabulary, asymptotic conditional probabilities do not always exist. We extend this result to show that asymptotic conditional probabilities do not always exist for any reasonable notion of limit. Liogon'kii also showed that the problem of deciding whether the limit exists is undecidable. We analyze the complexity of three problems with respect to this limit: deciding whether it is well-defined, whether it exists, and whether it lies in some nontrivial interval. Matching upper and lower bounds are given for all three problems, showing them to be highly undecidable. (shrink)

This study presents the results of an empirical analysis of the relationship between managerial thinking style and ethical decision-making. Data from 200 managers across multiple organizations and industries demonstrated that managers predominantly adopt a utilitarian perspective when forming ethical intent across a series of business ethics vignettes. Consistent with expectations, managers utilizing a balanced linear/nonlinear thinking style demonstrated a greater overall willingness to provide ethical decisions across ethics vignettes compared to managers with a predominantly linear thinking style. However, results comparing (...) the ethical decision-making of balanced thinking managers and nonlinear thinking managers were generally inconsistent across the ethics vignettes. Unexpectedly, managers utilizing a balanced linear/nonlinear thinking style were least likely to adopt an act utilitarian rationale for ethical decision-making across the vignettes, suggesting that balanced thinkers may be more likely to produce ethical decisions by considering a wider range of alternatives and ruling out those that are justified solely on the basis of their outcomes. Implications are discussed for future research and practice related to management education and development, and ethical decision-making theory. (shrink)

Groves, Colin The year was 1825. The 16-year-old Charles Darwin, regarded as a wastrel, interested only in beetle collecting and shooting, was sent by his father to Edinburgh to study medicine. As might have been expected, Charles had many other interests well beyond his course of study. He wrote excitedly to his sisters, 'I am to be taught stuffing by a blackamoor!'.

The aim of this paper is discussion of a new middle‐range theory of patient safety goal priming via safety culture communication. Bedside nurses are key to safe care, but there is little theory about how organizations can influence nursing behavior through safety culture to improve patient safety outcomes. We theorize patient safety goal priming via safety culture communication may support organizations in this endeavor. According to this theory, hospital safety culture communication activates a previously held patient safety goal and increases (...) the perceived value of actions nurses can take to achieve that goal. Nurses subsequently prioritize and are motivated to perform tasks and risk assessment related to achieving patient safety. These efforts continue until nurses mitigate or ameliorate identified risks and hazards during the patient care encounter. Critically, this process requires nurses to have a previously held safety goal associated with a repertoire of appropriate actions. This theory suggests undergraduate educators should foster an outcomes focus emphasizing the connections between nursing interventions and safety outcomes, hospitals should strategically structure patient safety primes into communicative activities, and organizations should support professional development including new skills and the latest evidence supporting nursing practice for patient safety. (shrink)

I. Voraussetzungen -- II. A. Religion und Metaphysik in den Reden -- II. B. Entfaltung des Subjektivitätsbegriffs -- II. C. Religion und Metaphysik nach dem Spätwerk.

The paper shows that the past, “history” in a non-technical sense, can be changed in quantum mechanics. The first part of the paper reviews Deutsch's analysis in his paper of 1991. It is demonstrated that Deutsch assumes the existence of a multiplicity of essentially classical worlds. Such a multiplicity of worlds would allow the past to be changed in classical mechanics. It is argued that the existence of multiple “classical” worlds is not required by quantum mechanics. It is then shown (...) that it is possible to change the past in conventional quantum mechanics even without the assumption of a multiplicity of worlds. (shrink)

The Aptitude Myth addresses the decline in American children’s mastery of critical school subjects. It contends that a contributing cause for this decline derives from many Americans’ ways of thinking about children’s learning: They believe that school performance is determined very largely by innate aptitude.

Vinay Samuel of India wrote a provocative article categorising our contemporary city churches in Transformation for April 1982. He concluded that all generally fail to meet the spiritual challenge of the age and suggests that each church should pattern themselves on a new model he calls the Community of the King. In this article David Groves begins to search for an appropriate Biblical example for this sort of Community.

The articles in this special issue of Environmental Values have a shared significance. In one way or another, all of them reflect contemporary concerns about issues of trust, risk, uncertainty, and the cultural shaping of science.These are matters of mounting significance for the politics of the environment in countries like Britain, and indeed for politics more generally, as we have seen in a succession of recent controversies. The Brent Spar oil platform farrago, the hugely costly BSE-CJD upsets, the continuing uproars (...) around genetically modified plants and foods ­ central in all of these have been challenges to the political authority of official patterns of scientifically-backed reassurance, concerning the impacts of deep and open-ended trajectories of technological transformation.To understand what is likely to be at stake in such matters for the politics of industrial democracies in the 21st century, there is now an urgent need to develop richer pictures than those currently dominant, of the cultural and epistemological architecture on which our regulatory institutions have been coming to rely. The contributions to this special issue can be pictured as building blocks in such a process.The present article offers a complementary perspective ­ one grounded in a degree of more hands-on personal experience of related matters. (shrink)

Understanding how and why practices may be transformed is vital for any transition towards socio-environmental sustainability. However, theorising and explaining the role of individual agency in practice change continues to present challenges. In this paper we propose that theories of practice can be usefully combined with a psychosocial framework to explain how agency is biographically patterned and how this patterning is a product of attachment relationships and emergent strategies for dealing with uncertainty. Biographical interview data from the project Energy Biographies (...) is used to illustrate the ways in which this theoretical approach can enhance understanding of how potential for practice change may be opened up or obstructed. (shrink)