Aim: This study was carried out in order to determine ethical decision-making levels of oncology nurses. Ethical Consideration: Research Ethics Committee's approval was obtained prior to the data collection. Permission to use the Turkish version of the Nursing Dilemma Test was received from Birgül Cerit. Written approval was taken from school administrators to conduct the study confirming that there were no invasive procedures planned for human beings during the study period. The study was conducted in accordance with the Helsinki Declaration. (...) Verbal consent was obtained from each of the nurses who agreed to participate after they were informed about the study content. Method: The population of this study conducted in a descriptive way consisted of a total of 96 nurses working at the oncology units and outpatient chemotherapy units of four different hospitals between September 2017 and March 2018. The study sample included 60 nurses who responded to the question form. The data of the study were collected using “Nurses Information Questionnaire” and “Nursing Dilemma Test” developed by Crisham in 1981. Results: Oncology nurses’ mean scores in Principled Thinking (49.00 ± 6.46) and those in Practical Considerations (18.35 ± 4.47) were found to be above the moderate level. It was determined that the oncology nurses participated in the study were familiar with situations similar to the dilemmas included in the Nursing Dilemma Test (15.00 ± 4.20). Conclusion: It was concluded that oncology nurses try to take ethical principles into consideration but are also affected by environmental factors while making decisions concerning ethical dilemmas. The most frequently encountered ethical dilemmas by oncology nurses include the following: deciding not to perform cardiopulmonary resuscitation, telling the truth to the patient, studies being carried out without the patient’s content, and patient’s refusal of treatment. In order to improve oncology nurses’ critical thinking and ethical decision-making skills, it is important to determine ethical dilemmas encountered by oncology nurses, and nurses should be encouraged to be involved in ethical decision-making process through cooperation with the other healthcare personnel. (shrink)

The aim of this paper is to shed some light on understanding why companies adopt environmentally responsible behavior and what impact this adoption has on their performance. This is an empirical study that focuses on the United Nations (UN) Global Compact (GC) initiative as a Corporate Social Responsibility (CSR) mechanism. A survey was conducted among GC participants, of which 29 responded. The survey relies on the anticipated and actual benefits noted by the participants in the GC. The results, while not (...) conclusive, indicate that companies have more than one reason for adopting environmentally responsible behavior and that ethical and economic reasons co-exist. In terms of performance, the impact of participation in the GC seems to be particularly high in securing network opportunities and improved corporate image. The results indicate that companies that have participated many years in the GC, have submitted the most projects and have attended the most GC meetings also regard their CSR involvement as having had a strong, positive influence on their market performance. GC participation does not result in significant cost advantages, but this does not seem to have been regarded as a goal anyway. Costs seem to be affected to a␣large extent by existence of in-house research and␣development and the capability of developing environmentally sound technologies. Overall, the company receives both ethical and economic benefits from joining the GC. (shrink)

Kant's Nonideal Theory of Politics" argues that Kant's political thought must be understood by reference to his philosophy of history, cultural anthropology, and geography. The central thesis of the book is that Kant's assessment of the politically salient features of history, culture, and geography generates a nonideal theory of politics, which supplements his well-known ideal theory of cosmopolitanism. This novel analysis thus challenges the common assumption that an ideal theory of cosmopolitanism constitutes Kant's sole political legacy. Dilek Huseyinzadegan demonstrates (...) that Kant employs a teleological worldview throughout his political writings as a means of grappling with the pressing issues of multiplicity, diversity, and plurality--issues that confront us to this day. "Kant's Nonideal Theory of Politics" is the first book-length treatment of Kant's political thought that gives full attention to the role that history, anthropology, and geography play in his mainstream political writings. Interweaving close textual analyses of Kant's writings with more contemporary political frameworks, this book also makes Kant accessible and responsive to fields other than philosophy. As such, it will be of interest to students and scholars working at the intersections of political theory, feminism, critical race theory, and post- and decolonial thought--Provided by publisher. (shrink)

Background: The development of ethical leadership approaches plays an important role in achieving better patient care. Although studies that analyze the impact of ethical leadership on ethical climate and job satisfaction have gained importance in recent years, there is no study on ethical leadership and its relation to ethical climate and job satisfaction in our country. Objectives: This descriptive and cross-sectional study aimed to determine the effect of nurses’ ethical leadership and ethical climate perceptions on their job satisfaction. Methods: The (...) study sample is composed of 285 nurses who agreed to participate in this research and who work at the internal, surgical, and intensive care units of a university hospital and a training and research hospital in İzmir, Turkey. Data were collected using Ethical Leadership Scale, Hospital Ethical Climate Scale, and Minnesota Satisfaction Scale. While the independent sample t-test, analysis of variance, Mann–Whitney U test, and Kruskal–Wallis test were used to analyze the data, the correlation analysis was used to determine the relationship between the scales. Ethical considerations: The study proposal was approved by the ethics committee of the Faculty of Medicine, Dokuz Eylül University. Findings: The nurses’ mean scores were 59.05 ± 14.78 for the ethical leadership, 92.62 ± 17 for the ethical climate, and 62.15 ± 13.46 for the job satisfaction. The correlation between the nurses’ ethical leadership and ethical climate mean scores was moderately positive and statistically significant (r = +0.625, p = 0.000), was weak but statistically significant between their ethical leadership and job satisfaction mean scores (r = +0.461, p = 0.000), and was moderately positive and statistically significant between their ethical climate and job satisfaction mean scores (r = +0.603, p = 0.000). Conclusion: The nurses’ ethical leadership, ethical climate, and job satisfaction levels are moderate, and there is a positive relationship between them. The nurses’ perceptions of ethical leadership are influenced by their educational status, workplace, and length of service. (shrink)

As feminist scholars, we hope that our own work is exempt from structural problems such as racism, sexism, and Eurocentricism, that is, the kind of problems that are exemplified and enacted by Kant’s works. In other words, we hope that we do not re-enact, implicitly or explicitly, Kant’s problematic claims, which range from the unnaturalness of a female philosopher, “who might as well have a beard,” the stupid things that a black carpenter said “because he was black from head to (...) foot,” the poor women “living in the greatest slavery in the Orient,” to the “sheep-like existence of the inhabitants of Tahiti.” In this piece, I argue that we cannot simply hope to avoid these problems unless we are vigilant about incorporating the full picture of Kant’s and Kantian philosophy into our feminist appropriations. I will show that one way to minimize if not altogether avoid this risk is to follow the model of a new methodology that establishes the continued relevance of all of Kant’s claims for our present. Inspired by Spivak’s A Critique of Postcolonial Reason, I will call this alternative methodology the “constructive complicity” approach. (shrink)

This article shows that themethodologyof Mills’ ‘Black Radical Kantianism’ (BRK) represents a major plot twist for Kant studies as well as contemporary political philosophy utilizing Kantian ideas. BRK is no mere upgrade of Kant’s or Kantian ideal theory for racial justice. Mills’ methodology requires us to positboththat the real Kant and establishment Kantianism have been racist, sexist and Eurocentric;andthat only by first admitting and reckoning with the compatibility of white supremacy and liberal egalitarianism can we hope to radicalize Kant or (...) Kantianism. (shrink)

Incidences of organizational wrongdoing have become wide spread throughout the whole business world. The management of organizational wrongdoings is of growing concern in organizations globally, since these types of acts can be detrimental to financial well being. Wrongdoing occurs within organizational settings and organizational members commonly have knowledge of and thus the opportunity to report the wrongdoing. An employee’s decision to report individual or organizational misconduct, i.e. blow the whistle, is a complex phenomenon that is based upon organizational, situational and (...) personal factors. The purpose of this study is to examine the relationship between value orientations of individuals and choices for particular whistleblowing modes. Our results show that there are significant relationships between these variables. We contribute to the extant literature by choosing Turkey as context as most studies have been conducted in the US and Europe, and little has been reported about the actions taken by employees in non-Western cultures when they observe wrongdoing in their organizations. (shrink)

In this article, I put forward, as a suspicion only, that Kant never thought Black lives had dignity but only price. I follow Michel-Rolph Trouillot's argument that the Haitian Revolution is unthinkable for Enlightenment philosophers to examine what Kant could have, would have, or should have said about this world-historical event. By making conjectures about Kant's silence on the Haitian Revolution, I also draw from Kant's writings on the American and French Revolutions. If my suspicion is right, then Kantianism cannot (...) accommodate an antiracist program. This ought to change how we talk about racism, slavery, and colonialism in Kant scholarship and in the history of philosophy. (shrink)

Suffering repeated experiences of moral distress in intensive care units due to applications of futility reflects on nurses’ patient care negatively, increases their burnout, and reduces their job satisfaction. This study was carried out to investigate the levels of job satisfaction and exhaustion suffered by intensive care nurses and the relationship between them through the futility dimension of the issue. The study included 138 intensive care nurses. The data were obtained with the futility questionnaire developed by the researchers, Maslach Burnout (...) Inventory and Minnesota Satisfaction Questionnaire. It was determined that nurses who agreed to the proposition that the application of futility demoralizes health-care professionals had low levels of job satisfaction but high levels of depersonalization. It was determined that nurses had moderate levels of job satisfaction, emotional exhaustion, and personal achievements but high levels of sensitivity. Nurses’ job satisfaction and sensitivities are positively affected when they consider that futility does not contradict the purposes of medicine. (shrink)

In this article, we consider a recent trend whereby private equity available from venture capital firms is being deployed toward mission-driven initiatives in the form of impact investing. Acting as hybrid organizations, these impact investors aim to achieve financial results while also targeting companies and funds to achieve social impact. However, potential mission drift in these VCs, which we define as a decoupling between the investments made and intended aims, might become detrimental to the simultaneous financial and social goals of (...) such firms. Based on a content analysis of mission statements, we assess mission drift and the hybridization level of VC impact investors by examining their missions and their investment practices through the criteria of social and financial logic. After examining eight impact-oriented VC investors and their investments in 164 companies, we find mission drift manifest as a disparity between the means and ends in half of the VC impact investors in our sample. We discuss these findings and make suggestions for further studies. (shrink)

While Kants political thought, which downplay or dismiss the role of teleology, I restore Zweckms politics as a theoretically and practically useful material principle, and show that a teleological perspective complements the perspective stipulated by the formal principle of Recht. By means of a systematic reconstruction of what I call ssigkeits political thought.

Suffering repeated experiences of moral distress in intensive care units due to applications of futility reflects on nurses’ patient care negatively, increases their burnout, and reduces their job satisfaction. This study was carried out to investigate the levels of job satisfaction and exhaustion suffered by intensive care nurses and the relationship between them through the futility dimension of the issue. The study included 138 intensive care nurses. The data were obtained with the futility questionnaire developed by the researchers, Maslach Burnout (...) Inventory and Minnesota Satisfaction Questionnaire. It was determined that nurses who agreed to the proposition that the application of futility demoralizes health-care professionals had low levels of job satisfaction but high levels of depersonalization. It was determined that nurses had moderate levels of job satisfaction, emotional exhaustion, and personal achievements but high levels of sensitivity. Nurses’ job satisfaction and sensitivities are positively affected when they consider that futility does not contradict the purposes of medicine. (shrink)

This study was conducted to examine how the concepts of existential philosophy are addressed in the movie. Employing phenomenology, one of the qualitative research methods, the study was carried out with 15 university students. The study data were collected by interviewing the participating students. Within this context, the movie was evaluated through the eyes of existential philosophy using the concepts of existence. The study revealed that the way the characters in the movie handled existence problems was related to their own (...) characters and that life is a place to be questioned and the depth of meaning of life, the anxiety of life, existence and nothingness were all together. (shrink)

Adaptation and stress are two main concepts useful for better understanding the phases of illness and health-related human behavior. The two faces of adaptation, adaptation as a process and adaptation as a product, have raised the question of how long the adaptation process will take in cancer trajectories. The care setting transition from clinical-based into home-based cancer care has stressed the role of family caregivers (FCG) in cancer management. This study examines how types of demanded healthcare information affect the FCG’s (...) role in catalyzing the adaptation of female cancer patients. The mindsponge theory was used in conceptual development and results interpretation. Bayesian Mindsponge Framework (BMF) analytics was used for statistical analysis on a dataset of 48 spouses (husbands) and 12 other family members in five congested communities of Surabaya, Indonesia. Results showed that among the six types of demanded healthcare information, FCGs with a higher tendency to demand cancer-specific information are more likely to need support in catalyzing the adaptation of female cancer patients. Meanwhile, FCGs with a higher demand for information on alternative therapies are less likely to need support in catalyzing cancer adaptation. Other types of healthcare information have ambiguous effects on the need for support in cancer adaptation assistance. This study reveals that the demanded cancer-specific information, e.g., cancer’s prognosis or likely outcome, must be prioritized to assist FCG’s role in catalyzing adaptation among female cancer patients. Cancer prognosis and outcomes reflect the future of cancer care results. (shrink)

Cancer care has transitioned from clinical-based to home-based care to support longterm care in a more familiar and comfortable environment. This care transition has put family caregivers (FCGs) in a strategic position as care providers. Cancer care at home involves psychological and emotional treatment at some point, making FCGs deal with the stress of cancer patients frequently. Due to their limited care competencies, they need supportive care from healthcare professionals in cancer stress management. This study aims to examine how types (...) of demanded healthcare information affect the FCG’s role in reducing the stress of female cancer patients. The mindsponge theory was used in conceptual development and interpretation. Bayesian Mindsponge Framework (BMF) analytics were used for statistical analysis on a dataset of 48 spouses (husbands) and 12 other family members in five congested communities of Surabaya, Indonesia. Results showed that among the six types of healthcare information, FCGs with higher demand for cancer-specific information were more likely to need support in reducing the stress of female cancer patients. Meanwhile, FCGs with a higher demand for information about support services were less likely to need support to reduce cancer patients’ stress. Other types of healthcare information have ambiguous effects on the need for support in reducing cancer-induced stress. This study reveals that the demanded cancer-specific information, e.g., cancer prognosis or likely outcome, must be prioritized to assist FCG’s role in managing cancer stress. (shrink)

The term `mobbing' is defined as antagonistic behaviors with unethical communication directed systematically at one individual by one or more individuals in the workplace. This cross-sectional and descriptive study was conducted for the purpose of determining the mobbing behaviors encountered by nursing school teaching staff in Turkey, its effect on them, and their responses to them. A large percentage (91%) of the nursing school employees who participated in this study reported that they had encountered mobbing behaviors in the institution where (...) they work and 17% that they had been directly exposed to mobbing in the workplace. The academic staff who had been exposed to mobbing behaviors experienced various physiological, emotional and social reactions. They frequently `worked harder and [were] more organized' and `worked very carefully to avoid criticism' to escape from mobbing. In addition, 9% of the participants stated that they `thought about suicide occasionally'. (shrink)

In this remembrance essay I reflect on my seventeen years of friendship and apprenticeship with Charles W. Mills. I focus on Mills’s “Black Radical Kantianism,” (2018) situating it in light of his earlier work on Kant, history of philosophy, political philosophy, and race, and demonstrating the lasting impact of Mills’s work especially on Kant Studies and Kantian moral-legal-political philosophy. In this analysis, I both acknowledge Mills’s radicalization of Kantianism as a major win toward making white supremacy visible in Kant Studies (...) and political philosophy and remain skeptical of Mills’s strategy of revising liberalism and especially Kantianism for reparative justice projects. After all, holding multiple and seemingly contradictory truths at once is something I have learned from Charles, as it will become clear. (shrink)

The history of ontology reveals various methodologies that examine being. Traditional ontology studies being qua being and categorizes it. Formal ontology determines the categories that are common to all entities and classifies them with formal languages using these categories as well. However, for over thirty years, formal ontologies have been studied and built outside of philosophy. The reason why ontology is separated from philosophy and becomes an interdisciplinary study is due to our need to make classifications and standardization in data (...) and information management in accordance with reality. What lies behind this requirement is the exponential growth of data and the impossibility of analyzing it neither by humans nor by existing methods. For instance, dozens of studies are published every minute, and then scientists cannot follow all these developments with classical techniques. Therefore, the desire that machines should be involved in the processes of sharing and producing knowledge is far higher than ever. This desire, thus, has led us to develop new models for knowledge production. It has been experienced that the standardization of knowledge is essential in the construction of models; for, significant differences were found between taxonomic structures, concept definitions, and different granularity levels in the knowledge representations of various working groups, and even the integration of data was not possible. At this point, the selection, classification, and standardization of knowledge have been guaranteed by using ontological principles and methods. In this article, within information systems, we will introduce the formal ontologies, the formal theory covering the broadest knowledge of the field by selecting, classifying and standardizing it by using the principles and methods of philosophical ontologies. We will mention that we use description logics, a family of formal languages with the expressive power of natural language and high-performance reasoning algorithms, to represent this theory in machines. In essence, this article will introduce formal ontologies and description logics in the realm of knowledge representation. (shrink)

The role of external actors in shaping education policy has received considerable critical attention (Ball and Junemann, 2012; Ball, 2012; Henry et al., 2001; Reckhow, 2013). Offering a significant...

In this essay, I argue for a revival of Adorno and Horkheimer’s critical philosophy of history on account of the fact that their construction articulates both the necessity of various aspects of our current socio-political conditions given the past tendencies of rationality and domination, and the contingency of the present miseries by problematizing the continuous historical narratives that justify a certain version of the present. After demonstrating that the accomplishment of critical philosophy of history has to be located in the (...) dialectic of the necessary as well as the contingent elements of historical developments, I turn to the Dialectic of Enlightenment as a particular constellation that exemplifies this accomplishment. I show that in this book we find a critical philosophy of history that narrates a story that both makes fascism the necessary corollary and conclusion of instrumental rationality and shows its contingent entanglement with domination. In this way, the initial question of how reason and rationality can lead to domination is now transformed into one that asks how we can we reinterpret and re-animate them such that they are no longer complicit with domination. (shrink)

This study investigates common points between Milton’s and Machiavelli’s attempts to understand interpret the limits absolute power whether it belongs to God or the Prince. Milton characterizes satan as an epic hero with virtù, which is a characteristic lauded by Machiavelli as well. Despite this, when satan is in action, he loses these positive traits and turns to a Prince-like character who can justify the employment of vicious means to reach his aim. In the light of Machiavelli’s and Milton’s republican (...) views, I can say that both satan and the prince are ironic characters which imply a criticism of monarchical power.Bu yazıda John Milton ve Niccholo Machiavelli’nin, hükümdarın—ister tanrı ister prens olsun—mutlak gücünün sınırlarını anlama ve yorumlama çabalarındaki ortak yönleri araştırıyorum. Milton, “Paradise Lost” adlı şiirinde tanrıya karşı çıkan şeytanı Machiavelli’nin politik görüşlerinde de olumlu yankısını bulan cesaret ve özgür irade sahibi epik bir kahraman olarak betimler. Buna karşın bu kahraman eyleme geçtiğinde ise amaca ulaşmak için her yolu mübah sayan Machiavelli’nin prens’ine dönüşür. Hem Machiavelli’nin hem de Milton’un cumhuriyetçi görüşleri ışığında yarattıkları prens ve şeytan kişiliklerinin ironik olduğunu ve monarşik güce karşı örtük eleştiri ögeleri taşıdığı söylenebilir. (shrink)

The aim of this study was to explore ethically problematic situations in the long-term nursing care of elderly people. It was assumed that greater awareness of ethical problems in caring for elderly people helps to ensure ethically high standards of nursing care. To obtain a broad perspective on the current situation, the data for this study were collected among elderly patients, their relatives and nurses in one long-term care institution in Finland. The patients (n=10) were interviewed, while the relatives (n=17) (...) and nurses (n=9) wrote an essay. Interpretation of the data was based on qualitative content analysis. Problematic experiences were divided into three categories concerning patients’ psychological, physical and social integrity. In the case of psychological integrity, the problems were seen as being related to treatment, self-determination and obtaining information; for physical integrity, they were related to physical abuse and lack of individualized care; and for social integrity, to loneliness and social isolation. This study provided no information on the prevalence of ethical problems. However, it is clear from the results that patient integrity warrants more attention in the nursing care of elderly patients. (shrink)

Background and aim: Surgical intensive care nurses should have ethical sensitivity allowing them to identify ethical issues in order that they can recognize them and make the right decisions. This descriptive study was conducted with the aim of evaluating the ethical sensitivity of surgical intensive care nurses. Materials and methods: The research was carried out with the participation of 160 nurses in six Turkish hospitals, four state, one university, and one private. The data were collected using the “Nurse Description Form” (...) developed by the researcher and the “Ethical Sensitivity Questionnaire.” The percent, mean, standard deviation, median, minimum and maximum values, significance test for the difference between two means, variance analysis, Mann–Whitney U test, and Kruskal–Wallis Variance Analysis test were used to evaluate the data. Ethical considerations: Ethical commission permission and the corporate permission of the hospitals were received before conducting the research. Results: It was determined that the ethical sensitivities of surgical intensive care nurses were moderate based on the Ethical Sensitivity Questionnaire total score and subdimension score averages. A statistical difference was determined between the Ethical Sensitivity Questionnaire total score of surgical intensive care nurses and the institution where they worked, the period of working in the occupation, and the period of working in the intensive care unit (p < 0.05). Conclusion: Based on the results of the research, the organization of training and studies devoted to the elimination of ethical sensitivity differences between institutions and workers is suggested. (shrink)

Background: Food insecurity condition challenges the availability of food, access to food, food supply stability, and food utilization. Food banks play a major role in the food aid sector by distributing donated and purchased groceries directly to food-insecure families, thus significantly impacting food insecurity. On the other hand, school meal programs are implemented in many countries to combat food insecurity among school-aged children. The synergy between school meal programs and food banks has a great potency to combat food insecurity among (...) children effectively. Aim: This study aims to examine the association between experts’ involvement—such as nutritionists, farmers, and private sectors—and community engagement, including parents and others, with the linkage between food banks and school meal programs among implementing countries. Methods: The Bayesian Mindsponge Framework, combining the reasoning strengths of Mindsponge Theory and inference advantages of Bayesian analysis, was employed on a dataset of 126 government representatives who manage large-scale school meal programs in 126 different countries. Results: Findings showed that the involvement of nutritionists and the private sector was positively associated with the linkage between food banks and school meal programs, while farmers’ involvement showed an ambiguous association. The engagement of parents and others also showed an ambiguous relationship with this linkage. Conclusions: Findings underscore the strong need to formulate strategies for increasing the involvement of nutritionists and the private sector to successfully link the food banks with school meal programs in implementing countries, which is crucial for effectively combating food insecurity among school-aged children. (shrink)

This article analyses the discussion about the ‘new materialism’ or ‘material feminisms’ as an interplay between transdisciplinarity – moving beyond canons and disciplines – and affective interdisciplinary encounters. The previous discussion is taken in a slightly different direction, by arguing that a politics of materiality is at work in the debate, which is implied in affective interdisciplinary encounters. It is argued that despite the transdisciplinarity, the relations of natural science engagements to both social science and humanities feminisms are pivotal. Two (...) specific cases are analysed: the politics of definition, where ‘materiality’ tends to be equated with ‘natural science matters’, and the matter and politics of race. In the latter, race ‘sticks’ to the materiality of materialist feminism, which tends to be left out of the sphere of the presumably new and exciting material feminisms. (shrink)

Rapid urbanization in Vietnam significantly impacts the environment and human well-being. Public parks are crucial for enhancing social and environmental sustainability in urban areas, yet their establishment and expansion require substantial funding. This study investigates the factors influencing Vietnamese urban residents’ willingness to donate to planting projects in public parks, utilizing the Bayesian Mindsponge Framework (BMF), which combines Mindsponge Theory’s informational entropy-based notion of value with Bayesian analysis. Analyzing data from 535 residents in major Vietnamese cities, we found that while (...) men visit public parks more frequently, they are less willing to donate to planting projects. Older residents visit parks more often and are more willing to donate, while higher-income individuals show greater willingness to donate. Most motivations—such as relaxation, physical activities, nature enjoyment, socializing, and family time—are positively linked to park visit frequency and indirectly to donation willingness. However, only relaxation and enjoyment of nature are directly associated with willingness to donate. Interestingly, higher education levels and visiting parks for children’s educational activities are associated with lower donation willingness. These findings hint at the possible existence of the free-riding problem, gender inequality, ineffective environmental education, and lack of awareness of public parks’ natural value, as well as opportunities to cultivate an eco-surplus culture through nature interactions in public parks. (shrink)

The COVID-19 vaccine is one way to prevent the spread of COVID-19. Indonesia has produced Indovac, a COVID-19 vaccine made by Biofarma which has the opportunity to be distributed to countries in the Indo-Pacific Region. This article aims to explain the opportunities and challenges of Indonesia's vaccine diplomacy during the COVID-19 pandemic to the Indo-Pacific region through Biofarma. By using a vaccine diplomacy approach and qualitative methods with System Dynamic analysis, this article concludes that (i) The opportunity for Indonesia's vaccine (...) diplomacy to the Indo-Pacific is 44% and (ii) The simulation results for all parameters have the opportunity to increase Indonesia's progress in the Indo-Pacific except for the parameters of cooperation with special actors vaccine. The challenges for Indonesia's Covid-19 vaccine diplomacy to the Indo-Pacific come from the United States, India, Japan, Australia and Singapore. (shrink)