Background The enhancement of nursing care quality is closely related to the clinical competence of nurses, making it a crucial component within health systems. Objective The present study investigated the relationship between nurses’ clinical competence, moral identity, and moral injury during the COVID-19 outbreak. Research design This cross-sectional study was carried out among frontline nurses, using the Moral Identity Questionnaire (MIQ), the Moral Injury Symptom Scale-Healthcare Professionals version (MISS-HP), and the Competency Inventory for Registered Nurse (CIRN) as data collection tools. (...) Participants and research context: The research population for this study consisted of all frontline nurses ( n = 251) employed in a hospital in southern Iran. Sampling was conducted between May 1, 2021 and September 30, 2021, during the COVID-19 outbreak. Ethical considerations The present study received approval from the research ethics committee of Rafsanjan University of Medical Sciences, with project No. 99267 and code of ethics ID No. IR. RUMS.REC.1399.262, dated 15.02.2021. Results According to the study findings, 42.2% of the nurses demonstrated high clinical competence, while 51.4% exhibited moderate clinical competence. The results indicated a positive correlation between moral identity and clinical competence but a negative correlation between moral injury and clinical competence. Furthermore, the variables of moral identity and moral injury were found to predict 10% of the variance in clinical competence. Conclusion According to the results, moral identity and moral injury had an impact on the clinical competence of nurses. Therefore, implementing a program aimed at enhancing moral identity and providing training strategies to address moral injury during crises like the COVID-19 pandemic can lead to improvements in nurses’ clinical competence and the overall quality of care they provide. (shrink)

While organizational deviance has become a popular research topic in the past two decades, deviant behavior remains a contested concept, with several research studies being done to better define the term. As a result, researchers have introduced various definitions and constructs which seem to overlap one another. Such proliferation might backfire and could lead to more confusion. Looking at deviance from an ontological aspect, therefore, will help to decrease such confusion among researchers. Another advantage to ontologically viewing deviance is that (...) it provides a better understanding of the concept. To prevent deviance occurring within an organization, the first step is learning more about it. This study therefore aims to discover how researchers can use ontological view to provide a better understanding of deviance, thus creating a deviance-free climate within an organization. This study looks at the role of storytelling in sharing norms within an organization to provide such a deviance-free climate. (shrink)

The central focus of this essay is Isaiah Berlin’s arguments about the concepts of negative freedom and positive freedom, developed in his philosophical work Two Concepts of Liberty. By adopting a philosophical standpoint, this essay explores the application of Berlin’s notions of freedom at the organizational level, within the workplace, and in the management field. This essay presents three philosophical arguments that provide some clarifications about the potential challenges associated with autonomy in organizations. These arguments incorporate Berlin’s ideas of freedom (...) with philosophical insights from Heidegger, Sartre, Frankfurt, and Confucius to highlight the missing elements of autonomy in management literature and its implementation in organizations, explaining the challenges of autonomy and the reasons for some unexpected results. Recommendations for future studies and managerial implications are discussed. (shrink)

In France, John Baptist Say has the merit of producing a very superior work on the subject of Political Economy. His arrangement is luminous, ideas clear, style perspicuous, and the whole subject brought within half the volume of [Adam] Smith's work. Add to this considerable advances in correctness and extension of principles.

La 4ème de couv. indique : "Si l'on parcourt les oeuvres complètes Michael Sandel, il va sans dire que le leitmotiv de tout son argumentaire moral et politique est bien sa critique récurrente et massive de l'individu libéral et son corollaire sine qua non la neutralité politique. Ce que Michael Sandel s'efforce d'entreprendre dans sa critique de la "Théorie de la justice de Rawls", et à travers elle toute la tradition libérale qui prend son point d'appui dans le kantisme, est (...) précisément de dégager ce qui constitue sa force, à savoir les valeurs individualistes - fondements des démocraties libérales - qu'elle véhicule. Le (sic) gravité de l'individualisme libéral, tirant sa force de la rationalité subjective moderne, ne réside pas tant dans le caractère indiscutable des libertés fondamentales qu'il défend, mais dans la priorité morale et politique irréversible de l'individu qu'il instaure par opposition à la communauté historique. Cet individualisme méthodologique n'aurait pas pu s'installer pour Sandel avec autant de force sans le soutien de la neutralité politique, l'exclusion des conceptions du bien de l'espace public ; et ce, au profit de l'avènement de la "société marchande" qu'annonce le triomphalisme du marché.". (shrink)

We construct an atomic uncountable theory with no prime models. This contrasts with the countable case.

Anxiety is a common unpleasant reaction among patients undergoing surgery. Many non-pharmacological methods such as spiritual strength are effective in preoperative anxiety management. This study aimed to assess the effects of listening to Quran recitation on reducing preoperative anxiety. A systematic review was performed in Medline, EMBASE, Cochrane Library, PsycINFO, Arab World Research Source, and other relevant databases to collect the data. Randomized controlled trials about the effects of listening to Quran recitation on preoperative anxiety reduction in elective surgery were (...) selected without any language and date restriction. Interventions with self-reading/self-recitation were excluded. The Cochran’s Q statistic and the I2 index with 50% threshold were used for calculating the heterogeneity and inconsistency index. Subgroup analysis was conducted based on the surgery type. The funnel plot was used to evaluate the possibility of publication bias. Twelve studies were included in the qualitative synthesis and nine studies in the quantitative synthesis. The meta-analysis showed a significant anxiety reduction with listening to Quran recitation. The heterogeneity between the included studies was statistically significant. The pooled effect size of anxiety was d = −8.893 = −10.763 to −7.022). The subgroup analysis showed that listening to Quran recitation reduces anxiety in major and minor surgeries. There was no publication bias in the studies. The findings indicated that listening to Quran recitation can be considered a non-invasive and peaceful intervention to reduce preoperative anxiety in elective surgery. (shrink)

We prove an Omitting Types Theorem for certain algebraizable extensions of first order logic without equality studied in [SAI 00] and [SAY 04]. This is done by proving a representation theorem preserving given countable sets of infinite meets for certain reducts of ?- dimensional polyadic algebras, the so-called G polyadic algebras (Theorem 5). Here G is a special subsemigroup of (?, ? o) that specifies the signature of the algebras in question. We state and prove an independence result connecting our (...) representation theorem to Martin's axiom (Theorem 6). Also we show that the countable atomic G polyadic algebras are completely representable (Corollary 16) contrasting results on cylindric algebras. Several related results are surveyed. (shrink)

As climate change continues to be a pressing issue affecting businesses, firms are taking proactive measures by integrating carbon considerations into their overall strategic planning for environmental sustainability. Nonetheless, the question of whether it pays to be green remains inconclusively answered. Based on an analysis of the 200 largest public listed firms by market capitalisation in Malaysia, the findings indicated that most of the firms are still reactive in managing their carbon activities; however, corporate carbon strategy does, indeed, lead to (...) better financial performance. The findings reaffirmed that going green pays off, particularly for firms with higher levels of foreign ownership. Interestingly, an inverse relationship was observed among firms with higher levels of government shareholdings. Additionally, the firms have been categorised into six different groups based on their scope and level of corporate carbon strategies, ranging from “wait-and-see” to “all-round explorer” classifications. Taken together, these findings enrich corporate carbon and sustainability literature and offer insights into theoretical and policy implications, along with suggestions for future research. (shrink)

We consider countable so‐called rich subsemigroups of ; each such semigroup T gives a variety CPEAT that is axiomatizable by a finite schema of equations taken in a countable subsignature of that of ω‐dimensional cylindric‐polyadic algebras with equality where substitutions are restricted to maps in T. It is shown that for any such T, if and only if is representable as a concrete set algebra of ω‐ary relations. The operations in the signature are set‐theoretically interpreted like in polyadic equality set (...) algebras, but such operations are relativized to a union of cartesian spaces that are not necessarily disjoint. This is a form of guarding semantics. We show that CPEAT is canonical and atom‐canonical. Imposing an extra condition on T, we prove that atomic algebras in CPEAT are completely representable and that CPEAT has the super amalgamation property. If T is rich and finitely represented, it is shown that CPEAT is term definitionally equivalent to a finitely axiomatizable Sahlqvist variety. Such semigroups exist. This can be regarded as a solution to the central finitizability problem in algebraic logic for first order logic with equality if we do not insist on full fledged commutativity of quantifiers. The finite dimensional case is approached from the view point of guarded and clique guarded (relativized) semantics of fragments of first order logic using finitely many variables. Both positive and negative results are presented. (shrink)

Background and objectivesIn Bahrain, maintaining life support at all costs is a cultural value considered to be embedded in the Islamic religion. We explore end-of-life decision making for brain dead patients in an Arab country where medical cultures are dominated by Western ideas and the lay culture is Eastern.MethodsIn-depth interviews were conducted from February to April 2018 with 12 Western-educated Bahraini doctors whose medical practice often included end-of-life decision making. Discussions were about who should make withdrawal of life support decisions, (...) how decisions are made and the context for decision making. To develop results, we used the inductive method of thematic analysis.ResultsInformants considered it difficult to engage non-medical people in end-of-life decisions because of people’s reluctance to talk about death and no legal clarity about medical responsibilities. There was disagreement about doctors’ roles with some saying that end-of-life decisions were purely medical or purely religious but most maintaining that such decisions need to be collectively owned by medicine, patients, families, religious advisors and society. Informants practised in a legal vacuum that made their ethics interpretations and clinical decision making idiosyncratic regarding end-of-life care for brain dead patients. Participants referred to contrasts between their current practice and previous work in other countries, recognising the influences of religious and cultural dimensions on their practice in Bahrain.ConclusionsEnd-of-life decisions challenge Western-trained doctors in Bahrain as they grapple with aligning respect for local culture with their training in the ethical practice of Western medicine. (shrink)

Publication date: 27 August 2018 Source: Author: Sayed Mohammad Anoosheh, Mohammed Hussein Oroskhan The beginning of twentieth century experienced significant changes affecting different parts of society. Such considerable changes not only influenced the appearance of the society but also dramatically changed the social bonds gripping different kinds of people together. In this regard, Emile Durkheim as the father modern sociology thoroughly reexamined the previously settled notion of sociology and brought about a new perspective studying the social bonds. With regard (...) to his two main principles namely mechanical solidary and organic solidarity, he justifies the relationships among the individual within the traditional and modern society. Nevertheless, he mentioned that out of few rare situations, the individual may commit a type of suicide which is totally the consequent effect of society on individual. Hence, through this study it is tried to reconsider Shirley Jackson's "The Lottery" in the light of Durkheim's theory. In this case, it is revealed that while previously it was believed that the main character of the story is killed mercilessly by his friends and families, she has indeed committed altruistic suicide as the result of being so much integrated within the structure of the society. (shrink)

An interpolation Theorem is proved for first order logic with infinitary predicates. Our proof is algebraic via cylindric algebras.1.

We generalize two classical results on cylindric algebra to certain expansions of cylindric algebras where the extra operations are defined via first order formulas. The first result is the Neat Embedding Theorem of Henkin and the second is Monk's classical non-finitizability result of the class of representable algebras. As a corollary we obtain known classical results of Johnson and Biro published in the Journal of Symbolic logic.

SC, CA, QA and QEA denote the classes of Pinter's substitution algebras, Tarski's cylindric algebras, Halmos' quasi-polyadic algebras and quasi-polyadic equality algebras, respectively. Let ω ≤ α < β and let K ∈ {SC,CA,QA,QEA}. We show that the class of α -dimensional neat reducts of algebras in Kβ is not elementary. This solves a problem in [3]. Also our result generalizes results proved in [2] and [3].

Technological advances in the field of medicine and health sciences not only manipulate the normal human body and sex but also provide for surgical and hormonal management of hermaphroditism. Consequently, sex assignment surgery has not only become a standard care for babies born with genital abnormalities in the West but even in some Muslim states. On the positive side, it goes a long way in saving children born with abnormal genitalia from numerous legal interdictions of the pre-sex corrective surgery. Nevertheless, (...) the larger ethical and legal questions that medical management of genital abnormality raises to some extent have not been adequately appreciated by contemporary Muslim responses. This article, therefore, in principle argues against surgical management of intersexuality during early infancy from the Islamic legal perspective. (shrink)

Both in church and culture, discussion of sexual orientation has far outpaced discussion of gender identity, leaving the churches with limited resources to respond to “bathroom bills” or to walk faithfully with transgender persons in their midst. This paper draws on the work of Rowan Williams and Sarah Coakley to argue for understanding gender transition as an eschatological formation ordered to the body’s grace. In critical conversation with Oliver O’Donovan, John Milbank, and David Cloutier, the paper offers a constructive, non-voluntarist (...) theological proposal for transgender affirmation in the service of participation in the triune life that exceeds gender. (shrink)

Recital 33 GDPR has often been interpreted as referring to ‘broad consent’. This version of informed consent was intended to allow data subjects to provide their consent for certain areas of research, or parts of research projects, conditional to the research being in line with ‘recognised ethical standards’. In this article, we argue that broad consent is applicable in the emerging field of Computational Social Science (CSS), which lies at the intersection of data science and social science. However, the lack (...) of recognised ethical standards specific to CSS poses a practical barrier to the use of broad consent in this field and other fields that lack recognised ethical standards. Upon examining existing research ethics standards in social science and data science, we argue that they are insufficient for CSS. We further contend that the fragmentation of European Union (EU) law and research ethics sources makes it challenging to establish universally recognised ethical standards for scientific research. As a result, CSS researchers and other researchers in emerging fields that lack recognised ethical standards are left without sufficient guidance on the use of broad consent as provided for in the GDPR. We conclude that responsible EU bodies should provide additional guidance to facilitate the use of broad consent in CSS research. (shrink)

Toxic workplace environments, especially those involving gaslighting, are known to contribute to stress and excessive work habits, such as workaholism, which may hinder a nurse's agility—an essential skill in adapting to fast‐paced healthcare environments. However, the interplay between workplace gaslighting, workaholism, and agility in nursing remains underexplored. This study aims to investigate the relationship between workplace gaslighting, workaholism, and agility among nurses, focusing on how gaslighting moderates this relationship. This study is a multicenter cross‐sectional that was conducted among 594 full‐time (...) nurses from three major hospitals in Egypt. Data were collected using the Gaslighting at Work Questionnaire, Workforce Agility Scale, and Bergen Work Addiction Scale. Correlation and regression analyses were performed to test the study hypotheses. Results revealed that nurses reported moderate levels of workaholism, workplace gaslighting, and agility. Significant negative correlations were found between agility and both workplace gaslighting and workaholism. Gaslighting negatively moderated the relationship between workaholism and agility, exacerbating the impact of workaholism on nurses' ability to remain agile. The findings indicate that toxic workplace behaviors, such as gaslighting and workaholism, undermine nurses' agility. Regulatory safeguards are necessary to protect nurses from such environments, ensuring both their well‐being and the quality of healthcare services. These findings call for the development of national standards and policies to address workplace mental health and ensure accountability in healthcare settings. (shrink)

Although sustainable development is increasingly prioritised, many entrepreneurs remain skeptical about the appropriateness of sustainable practices for small and medium enterprises (SMEs), questioning the value of adopting green initiatives. Grounded in the resource-based view, this study investigates the mediating role of sustainable development practices in linking entrepreneurial and international orientations and business performance in SMEs. Data were gathered from 105 SME owners and senior managers across multiple sectors using the drop-off and pick-up method and analysed using partial least squares (PLS) (...) path modelling. The findings reveal that sustainable practices play a critical mediating role in enhancing business performance. Specifically, entrepreneurial orientation positively influences business performance indirectly through engagement in sustainable development practices, while international orientation does not produce a similar effect. This highlights the importance of aligning entrepreneurial traits, such as innovation, proactiveness, and risk-taking, with sustainability-oriented strategies. Additionally, the model’s predictive capability was assessed, and the study provides both theoretical insights into the mediating mechanisms of sustainability and practical recommendations for SMEs aiming to adopt sustainable business practices. (shrink)

Punctuation has so far attracted attention within the linguistics community mostly from a syntactic perspective. In this paper, we give a preliminary account of the information-based aspects of punctuation, drawing our points from assorted, naturally occurring sentences. We present our formal models of these sentences and the semantic contributions of punctuation marks. Our formalism is a simplified analogue of an extension --- due to Nicholas Asher --- of Discourse Representation Theory.

We present a property of neat reducts commuting with forming subalgebras as a definability condition.

The Power of Sovereignty attempts to understand the ideas and thoughts of Sayyid Qutb whose corpus of work and, in particular, his theory of hakimiyyah (sovereignty) is viewed as a threat to nationalistic government and peace worldwide. This book provides a detailed perspective of Sayyid Qutb's writings."--Jacket.

Some recent studies in computational linguistics have aimed to take advantage of various cues presented by punctuation marks. This short survey is intended to summarise these research efforts and additionally, to outline a current perspective for the usage and functions of punctuation marks. We conclude by presenting an information-based framework for punctuation, influenced by treatments of several related phenomena in computational linguistics.

We review, and in the process unify two techniques , for proving results concerning amalgamation in several classes studied in algebraic logic. The logical counterpart of these results adress interpolation and definability properties in modal and algebraic logic. Presenting them in a functorial context as adjoint situations, we show that both techniques can indeed be seen as instances of the use of the Keisler-Shelah ultrapower Theorem in proving Robinson's Joint Consistency Theorem. Some new results are surveyed. The results of this (...) paper are presented in such a way that further establishes the hitherto existing well developed duality theory between boolean algebras with operators and modal logic. (shrink)

We take em-dash as our sample punctuation mark and examine its usage from a discourse perspective, using sentences from well-known corpora. We particularly comment on how dashes can give hints on information structure, focus, and anaphora. Throughout the paper Discourse Representation Theory is used as a framework.

Let \(2 (...) It is shown that $\mathbf{K_n}$ is not finitely axiomatizable and that it coincides with the class of atomic algebras in the elementary closure of $\mathbf{S_c}{\sf Nr}_n{\sf CA}_{\omega}$ where $\mathbf{S_c}$ is the operation of forming complete subalgebras. For any class $\mathbf{L}$ such that ${\sf At}{\sf Nr}_n{\sf CA}_{\omega}\subseteq \mathbf{L}\subseteq {\sf At}\mathbf{K_n}$, it is proved that ${\bf SP}\mathfrak{Cm}\mathbf{L}={\sf RCA}_n$, where ${\sf Cm}$ is the dual operator to $\sf At$; that of forming complex algebras. It is also shown that any class $\mathbf{K}$ between ${\sf CRCA}_n\cap \mathbf{S_d}{\sf Nr}_n{\sf CA}_{\omega}$ and $\mathbf{S_c}{\sf Nr}_n{\sf CA}_{n+3}$ is not first order definable, where $\mathbf{S_d}$ is the operation of forming dense subalgebras, and that for any \(2shrink)

As a futuristic emblem, smart cities represent a goal to provide all of the services required for a high-quality existence while conserving natural resources to the maximum extent possible. It turns out that the "Line City in Saudi Arabia" is the most famous and modern of these smart cities in terms of preserving 100 percent natural life, owing to the fact that they rely totally on natural energy and do not use any automobiles. The issues and challenges that have been (...) highlighted will assist in the improvement of municipal management. One of the most generally implemented projects in the field of smart cities is the technological and integrative developments of the use of sensors and data collecting in conjunction with rising difficulties aimed at enhancing human well-being and improving human livelihood. This is especially true in Saudi Arabia, where visitors can arrive quickly by just walking through the checkpoints, resulting in a journey of little more than a few minutes to reach any regular destination. It also splits the city into many different levels of the ground, enabling for the conservation of natural excess energy. (shrink)

The current economic crisis arose in large part from financial activities in which capital was practically and logically alienated from real economy. This essay examines the exploitative logic of modern finance while considering two alternative models—microfinance and Islamic banking. These models will be considered against the backdrop of medieval arguments over usury, notably the debates between Franciscans and Dominicans surrounding the lending institutions known as monti di pietà. While noting that either model is decidedly preferable to current normative banking practices, (...) this essay argues for the interest-free logic of Islamic finance against the logic of usury insofar as usury lends itself to a double alienation—of lender from borrower and of profit from value. (shrink)

FROM POLITICS TO THE MARKETPLACE, FEAR PLAYS AN INCREASINGLY important role in American culture. It shapes decisions as well as character, while it feeds an "ethic of security" that raises personal and national safety to the status of highest good. How might Christians respond faithfully to a culture of fear? This essay draws on Thomas Aquinas' account of fear in the Summa Theologica to provide a set of analytical categories and diagnostic questions in hopes of helping us become more reflective (...) about fear. At the very least, this discussion seeks to reintroduce the premodern categories of ordered and disordered fear to challenge the modern presumption that fear is a pre-political "given" in its twin forms of anxiety and terror. (shrink)