Moral distress is a well-documented phenomenon for health care providers (HCPs). Exploring HCPs’ perceptions of participation in moral distress interventions using qualitative and quantitative methods enhances understanding of intervention effectiveness. The purpose of this study was to measure and describe the impact of a two-phased intervention on participants’ moral distress. Using a cross-over design, the project aimed to determine if the intervention would decrease moral distress, enhance moral agency, and improve perceptions about the work environment. We used quantitative instruments and (...) explored participants’ perceptions of the intervention using semi-structured interviews. Participants were from inpatient settings, within three major hospitals of a large, urban healthcare system in the Midwest, United States. Participants included nurses (80.6%) and other clinical care providers. Using generalized linear mixed modeling we assessed the change in each of the outcome variables over time controlling for groups. Interviews were audiotaped and professionally transcribed. The written narratives were coded into themes. The change in scores on study instruments trended in the desired direction however did not meet statistical significance. Qualitative interviews revealed that intervention effectiveness was derived from a combination of learning benefits, psychological benefits, and building community that promoted moral agency. Findings demonstrate a clear link between moral distress and moral agency and suggest that Facilitated Ethics Conversations can enhance the work environment. Findings provide insight for developing evidenced-based approaches to address moral distress of hospital nurses. (shrink)

An adequate approach to any of Aristotle's qualitative parts of tragedy must be grounded in an understanding of their hierarchical ranking within the Poetics. Any "whole" must present "a certain order in its arrangement of parts" ,1 and in a drama each part is "for the sake of" the one "above" it. Contrary to Rosenstein's formulation, for instance, the Aristotelian view is that character as a form "concretizes" and individualizes thought as matter. Rosenstein's question as to whether "these . . (...) . indeed form a genuine disjunction" should not even arise. By ignoring the hierarchy, and therefore collapsing it, Rosenstein weakens his otherwise sound assertion that tragedy is not philosophy. Such is the result, whether intended or not, of holding that "thought must also be some form or concretization of action, just as plot and character are" . This vocabulary seems to suggest in the end that a tragic work is organized by philosophical "themes." "To understand spoken thought as an object of imitation in this manner is to understand it not merely as a content or object being imitated . . . but as the supposedly valid expression of an interpretation of the doings of the aesthetically worked world generally. . . . Thought in this sense becomes theme" . · 1. Unless otherwise noted, all quotations of Aristotle are from The Basic Works of Aristotle, ed. Richard McKeon . James E. Ford responds in this essay to Leon Rosenstein's "On Aristotle and Thought in the Drama" . An assistant professor of English at Brigham Young University—Hawaii Campus, he is currently writing on interpretative theory. See also: "Metaphor and Transcendence" by Karsten Harries in Vol. 5, No. 1. (shrink)

We explore approximate categoricity in the context of distortion systems, introduced in our previous paper (Hanson in Math Logic Q 69(4):482–507, 2023), which are a mild generalization of perturbation systems, introduced by Yaacov (J Math Logic 08(02):225–249, 2008). We extend Ben Yaacov’s Ryll-Nardzewski style characterization of separably approximately categorical theories from the context of perturbation systems to that of distortion systems. We also make progress towards an analog of Morley’s theorem for inseparable approximate categoricity, showing that if there is some (...) uncountable cardinal $$\kappa $$ such that every model of size $$\kappa $$ is ‘approximately saturated,’ in the appropriate sense, then the same is true for all uncountable cardinalities. Finally we present some examples of these phenomena and highlight an apparent interaction between ordinary separable categoricity and inseparable approximate categoricity. (shrink)

We argue that the propositional and link-based approaches to human contingency learning represent different levels of analysis because propositional reasoning requires a basis, which is plausibly provided by a link-based architecture. Moreover, in their attempt to compare two general classes of models (link-based and propositional), Mitchell et al. refer to only two generic models and ignore the large variety of different models within each class.

This commentary raises a number of questions in connection with Colin Koopman's paper “Conceptual Analysis for Genealogical Philosophy: How to Study the History of Practices after Foucault and Wittgenstein.” Specifically, this commentary asks about the precise relationship between concepts and practices in Koopman's account and the possibility of resisting certain practices of subjectivation.

Read 'What can Economists Learn from Deleuze?'...

Although Justice Scalia purported to be driven by originalism and precedent, his opinions in three education cases—Grutter v. Bollinger, Parents Involved v. Seattle School District, and United States v. Virginia —tell a different tale. In these cases, his arguments are difficult to defend on originalist grounds and, surprisingly, Justice Scalia himself makes no attempt to do so. Similarly, his views are difficult to square with precedent. It is hard to escape the conclusion that, in some of his most noteworthy cases (...) related to education, Justice Scalia was as results-oriented as the justices and judges he loved to criticize. (shrink)

Utilitarian ideas in nineteenth-centuryAmerica have been given short shrift inmodern historical and philosophicalscholarship. Collecting the relevant publishedwork together in one place is an essentialstarting point for any serious investigation of American utilitarians andtheir critics. James Crimmins and Mark Spencer have made an expertselection from scattered sources of around 60 important articles andessays. These include treatments of Bentham by his friend John Neal,editor of The Yankee, and commentaries on John Stuart Mill gatheredfrom rare American journals. There are also discussions of (...) utilitarianjurisprudence by the great American jurist Oliver Wendell Holmes, andpieces by many other writers. This collection, with its substantialeditorial introduction, will be vital reading for historians of ideas,scholars of philosophy and political thought, and any one elseinterested in the fate of utilitarianism in America. (shrink)

Primary, or basic, colors have been discussed for centuries. Over time, three criteria have emerged on their behalf: (a) their physical mixture yielding all other spectral colors, (b) the physiological attunement of receptors or pathways to particular wavelengths, and (c) the etymological history of the color term. These criteria can be applied usefully to taste to clarify issues.

The primordial chaos of Genesis 1 may be understood as the Pandemonium Tremendum (or PT), the infinite field of variety or abundance within God. The concept of variety is taken from Claude Shannon's theory of communication. Especially significant is Shannon's notion that communication is the limitation of variety through decision processes. In one model of the divine life suggested by the theory, the PT is the boundless source of potential reaped by an agential God in the act of creation as (...) a communication process. Other models for creation include the PT in a biased mode and creatures themselves as decision agents. (shrink)

Deductive Irrationality examines and critiques economic rationalism by assessing the work of influential political philosophers and economic theorists such as Thomas Hobbes, John Locke, Adam Smith, Friedrich Hayek, Gunnar Myrdal, and John F. Muth. It is one of the first serious attempts to investigate the dominant sub-fields in economic theory through the lens of political philosophy.

In his new book, Constitutional Essentials, Frank Michelman provides a splendid elaboration and defense of ‘the constitutional theory of political liberalism’ implicit in John Rawls’s classic work, Political Liberalism. In this essay, we make some observations about what a difference 30 years makes, comparing the political and constitutional climate in which Rawls wrote and published Political Liberalism in 1993 with the climate in which Michelman wrote and published this exegesis of it. We focus on (1) changes in our circumstances of (...) pluralism, including the accentuation of polarization and unreasonable views, and (2) the simultaneous breakdown of trust in the Supreme Court authoritatively to resolve disputes concerning constitutional essentials. Throughout, we acknowledge and seek to reckon with the possibility that Michelman may have given Rawls’s liberal principle of legitimacy its fullest, most coherent account just at the moment when the possibility of realizing it seems to be passing. (shrink)

Explores the philosophical theology of Alfred North Whitehead.