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Williams J, Mayes C, Flint-Peterson E, Degeling C. Vigilance in infectious disease emergencies: Expanding the concept. Soc Sci Med 2024; 344:116648. [PMID: 38330632 DOI: 10.1016/j.socscimed.2024.116648] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2023] [Revised: 12/21/2023] [Accepted: 02/02/2024] [Indexed: 02/10/2024]
Abstract
In their 2010 book, Lorna Weir and Eric Mykhalovskiy conceptualised the role of vigilance in unknown and emerging infectious disease threats. Theirs is a macro-level account which draws on empirical data to describe vigilance as a set of technical and political arrangements that govern collection, analysis, interpretation and communication of data as it pertains to unknown threats. In this paper we expand their work to detail a conceptual analysis of the role of vigilance at the micro-level during periods of high infectious disease threat. Our data are daily press conferences and associated non-discursive tools in New South Wales (NSW), Australia during times of heightened COVID-19 risk. This paper is a conceptual analysis that draws on theories of vigilance and related concepts to show how a key aspect of vigilance is making previously unseen threats visible or present. Communications formulated and encouraged three types of vigilance as a set of governing relations: institutional or authority-based; individual outward-facing; and individual inward-facing. We also describe the relationship between vigilance and related concepts that are used in response to anticipated public threats. Authority based vigilance involved contact tracing and policing of movement and behaviours. In individual outward facing vigilance people were asked to be alert to, analyse, and react to risk in their immediate environment. Inward facing vigilance required people to gather and react to information about their own behaviours and within their own bodies. There was a relationship between different types of vigilance; as risk increased and authority-based vigilance was less successful in containing the spread of infection, individual vigilance had a stronger role to play. This extension of vigilance at the micro-level sees some of the same unintended consequences as Weir and Mykhalovskiy describe at the global level, particularly in how burdens are inequitably distributed and experienced.
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Affiliation(s)
- Jane Williams
- Australian Centre for Health Engagement, Evidence and Values (ACHEEV), School of Health and Society, University of Wollongong, Australia; Sydney Health Ethics, School of Public Health, University of Sydney, Australia.
| | - Christopher Mayes
- School of Humanities and Social Science, Deakin University, Australia
| | | | - Chris Degeling
- Australian Centre for Health Engagement, Evidence and Values (ACHEEV), School of Health and Society, University of Wollongong, Australia
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Gray J, Cartmill C, Whitehead C. Playing well with others: lessons from theatre for the health professions about collaboration, creativity and community. Adv Health Sci Educ Theory Pract 2024:10.1007/s10459-024-10314-6. [PMID: 38411869 DOI: 10.1007/s10459-024-10314-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/16/2023] [Accepted: 01/28/2024] [Indexed: 02/28/2024]
Abstract
Despite collaboration among different professions being recognized as fundamentally important to contemporary and future healthcare practice, the concept is woefully undertheorized. This has implications for how health professions educators might best introduce students to interprofessional collaboration and support their transition into interprofessional, collaborative workplaces. To address this, we engage in a conceptual analysis of published collaborative, interprofessional practices and conceptual understandings in theatre, as a highly collaborative art form and industry, to advance thinking in the health professions, specifically to inform interprofessional education. Our analysis advances a conceptualization of collaboration that takes place within a work culture of creativity and community, that includes four modes of collaboration, or the ways theatre practitioners collaborate, by: (1) paying attention to and traversing roles and hierarchies; (2) engaging in reciprocal listening and challenging of others; (3) developing trust and communication, and; (4) navigating uncertainty, risk and failure. We conclude by inviting those working in the health professions to consider what might be gleaned from our conceptualization, where the embodied and human-centred aspects of working together are attended to alongside structural and organizational aspects.
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Affiliation(s)
- Julia Gray
- Centre for Critical Qualitative Health Research, University of Toronto, Toronto, Canada.
| | - Carrie Cartmill
- The Wilson Centre, Temerty Faculty of Medicine, University of Toronto, and University Health Network, 200 Elizabeth Street, 1ES-559, Toronto, ON, M5G 2C4, Canada
| | - Cynthia Whitehead
- The Wilson Centre, Temerty Faculty of Medicine, University of Toronto, and University Health Network, 200 Elizabeth Street, 1ES-559, Toronto, ON, M5G 2C4, Canada
- Department of Family and Community Medicine, University of Toronto, Toronto, Canada
- Women's College Hospital, Toronto, Canada
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Pölzler T, Tomabechi T, Hannikainen IR. Broad, subjective, relative: the surprising folk concept of basic needs. Philos Stud 2023; 181:319-347. [PMID: 38268665 PMCID: PMC10803385 DOI: 10.1007/s11098-023-02080-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Accepted: 11/04/2023] [Indexed: 01/26/2024]
Abstract
Some normative theorists appeal to the concept of basic needs. They argue that when it comes to issues such as global justice, intergenerational justice, human rights or sustainable development our first priority should be that everybody is able to meet these needs. But what are basic needs? We attempt to inform discussions about this question by gathering evidence of ordinary English speakers' intuitions on the concept of basic needs. First, we defend our empirical approach to analyzing this concept and identify a number of its potential features. Then we present three preregistered empirical studies that were conducted to investigate the extent to which ordinary speakers endorse these features. The studies yield convergent evidence for the following three claims: (1) ordinary speakers sometimes apply the concept of basic needs to necessities for a flourishing (not just a minimally decent) life, (2) most ordinary speakers attribute at least some degree of subjectivity to the concept, and (3) most ordinary speakers attribute at least some degree of relativity to the concept. We discuss the implications of these findings for philosophical analyses of basic needs.
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Affiliation(s)
- Thomas Pölzler
- Department of Philosophy, University of Graz, Attemsgasse 25/II, 8010 Graz, Austria
| | - Tobu Tomabechi
- Department of Social Psychology, University of Tokyo, 7-3-1 Hongo, Bunkyo-Ku, Tokyo, 113-0033 Japan
| | - Ivar R. Hannikainen
- Department of Philosophy I, University of Granada, Campus de la Cartuja, 18011 Granada, Spain
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Gustavsson ME, von Schreeb J, Arnberg FK, Juth N. "Being prevented from providing good care: a conceptual analysis of moral stress among health care workers during the COVID-19 pandemic". BMC Med Ethics 2023; 24:110. [PMID: 38071309 PMCID: PMC10710698 DOI: 10.1186/s12910-023-00993-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2023] [Accepted: 12/04/2023] [Indexed: 12/18/2023] Open
Abstract
BACKGROUND Health care workers (HCWs) are susceptible to moral stress and distress when they are faced with morally challenging situations where it is difficult to act in line with their moral standards. In times of crisis, such as disasters and pandemics, morally challenging situations are more frequent, due to the increased imbalance between patient needs and resources. However, the concepts of moral stress and distress vary and there is unclarity regarding the definitions used in the literature. This study aims to map and analyze the descriptions used by HCWs regarding morally challenging situations (moral stress) and refine a definition through conceptual analysis. METHODS Qualitative data were collected in a survey of 16,044 Swedish HCWs who attended a COVID-19 online course in autumn 2020. In total, 643 free-text answers with descriptions of moral stress were analyzed through content analysis. RESULTS Three themes emerged from the content analysis (1) "Seeing, but being prevented to act; feeling insufficient/inadequate and constrained in the profession," (2) "Someone or something hindered me; organizational structures as an obstacle," and (3) "The pandemic hindered us; pandemic-related obstacles." The three themes correspond to the main theme, "Being prevented from providing good care." DISCUSSION The main theme describes moral stress as various obstacles to providing good care to patients in need and acting upon empathic ability within the professional role. The themes are discussed in relation to established definitions of moral stress and are assessed through conceptual analysis. A definition of moral stress was refined, based on one of the established definitions. CONCLUSIONS On the basis of the study results and conceptual analysis, it is argued that the presented definition fulfils certain conditions of adequacy. It is essential to frame the concept of moral stress, which has been defined in different ways in different disciplines, in order to know what we are talking about and move forward in developing prevention measures for the negative outcomes of this phenomenon.
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Affiliation(s)
- Martina E Gustavsson
- Global Disaster Medicine; Health Needs and Response. Department of Global Public Health, Karolinska Institutet, Tomtebodavägen 18, Stockholm, 171 77, Sweden.
| | - Johan von Schreeb
- Global Disaster Medicine; Health Needs and Response. Department of Global Public Health, Karolinska Institutet, Tomtebodavägen 18, Stockholm, 171 77, Sweden
| | - Filip K Arnberg
- National Centre for Disaster Psychiatry, Department of Medical Sciences, Uppsala University, Uppsala, Sweden
| | - Niklas Juth
- Centre for Research ethics and Bioethics (CRB), Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden
- Stockholm Centre for Healthcare Ethics (CHE), Department of Learning, Informatics, Management and Ethics (LIME), Karolinska Institutet, Stockholm, Sweden
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Paal P, Brandstötter C, Grabenweger R, Jones KF, Best MC. Spirituality is "sometimes just a hug": A conceptual analysis from the perspective of nursing students. Palliat Support Care 2023:1-8. [PMID: 37435661 DOI: 10.1017/s1478951523000974] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/13/2023]
Abstract
OBJECTIVES Definitions of spirituality abound; however, the importance of context and need for better understanding within health-care practice has been emphasized. In particular, the understanding of spirituality for nurses has been shown to have an impact both professionally and personally. METHODS This study used a conceptual analysis to explore the understanding of spirituality by German-speaking nurses in an educational context. RESULTS A total of 91 nursing students (83.5% female, 16.5% male) took the spiritual care course between January 2022 and January 2023. The majority of participants (n = 63, 69.6%) were in the 26- to 40-year age bracket, 50 (54.9%) identified themselves as Christian, 15 (16.5%) chose other, 12 (13.2%) atheist, 6 (6.6%) humanist or agnostic, and 2 (2.2%) Buddhist. A conceptual analysis of nursing students' written responses to the question "What is spirituality to me?" was conducted. Two overarching categories were identified. The first category was titled "What aspects or characters are linked to spirituality?" and included 5 subcategories: people, life, experience, a sense of security, and capacity. The second category was titled "How is spirituality experienced, practiced and lived?" and included 5 subcategories: sometimes just a hug, to align one's life with that purpose, to be content with myself, conscious attention to oneself, and demarcation from religion. These subcategories were interrelated to one another. SIGNIFICANCE OF RESULTS These findings have implications for how spirituality is introduced in nursing education.
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Affiliation(s)
- Piret Paal
- Institute of Palliative Care, Paracelsus Medical University, Salzburg, Austria
| | - Cornelia Brandstötter
- Institute of Nursing Science and Practice, Paracelsus Medical University, Salzburg, Austria
| | - Reinhard Grabenweger
- Institute of Nursing Science and Practice, Paracelsus Medical University, Salzburg, Austria
| | - Kate F Jones
- Institute for Ethics and Society, The University of Notre Dame Australia, Sydney, Australia
| | - Megan C Best
- Institute for Ethics and Society, The University of Notre Dame Australia, Sydney, Australia
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Yao Q. Concepts and Reasoning: a Conceptual Review and Analysis of Logical Issues in Empirical Social Science Research. Integr Psychol Behav Sci 2023:10.1007/s12124-023-09792-x. [PMID: 37421547 DOI: 10.1007/s12124-023-09792-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/14/2023] [Indexed: 07/10/2023]
Abstract
A substantial number of social science studies have shown a lack of conceptual clarity, inadequate understanding of the nature of the empirical research approaches, and undue preference for deduction, which have caused much confusion, created paradigmatic incommensurability, and impeded scientific advancement. This study, through conceptual review and analysis of canonical discussions of concepts and the reasoning approaches of deduction and induction and their applications in social science theorization by philosophers and social scientists, is purported to unveil the logical nature of empirical research and examine the legitimacy of the preference of deduction among social scientists. The findings note that conceptual clarity as the foundation of social science research, exchange, and replication can be achieved through interdisciplinary stress of conceptual analyses to establish universal measurements and that the primacy of deduction in social sciences needs to concede to or be balanced with induction for new knowledge, more discoveries, and scientific advancement. The study recommends that institutions and researchers of social sciences invest more in conceptual analysis and inductive research through collaboration and separate efforts.
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Affiliation(s)
- Qingjiang Yao
- Department of Communication & Media, Lamar University, P.O. Box 10050, Beaumont, TX, 77710, USA.
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Abstract
UNLABELLED According to the so-called Classical Theory, concepts are mentally represented by individually necessary and jointly sufficient application conditions. One of the principal empirical objections against this view stems from evidence that people judge some instances of a concept to be more typical than others. In this paper we present and discuss four empirical studies that investigate the extent to which this 'typicality effect' holds for the concept of basic needs. Through multiple operationalizations of typicality, our studies yielded evidence for a strong effect of this kind: (1) Participants tended to recall the same core examples of the concept in a free-listing task. (2) They judged some basic needs to be more typical than others. (3) The items that were judged to be more typical were listed more frequently in the free-listing task. (4) These items were listed earlier on in the free-listing task. (5) Typical basic needs, as well as non needs, were classified faster than atypical basic needs in a reaction time study. These findings suggest that the concept of basic needs may have a non-classical (e.g., exemplar or prototype) structure. If so, the quest for a simple and robust intensional analysis of the concept may be futile. SUPPLEMENTARY INFORMATION The online version contains supplementary material available at 10.1007/s11229-022-03859-9.
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Affiliation(s)
- Thomas Pölzler
- Department of Philosophy, University of Graz, Attemsgasse 25/II, 8010 Graz, Austria
| | - Ivar R. Hannikainen
- Department of Philosophy I, University of Granada, Campus de la Cartuja, 18011 Granada, Spain
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Tsubouchi Y, Yorozuya K, Tainosyo A, Naito Y. A conceptual analysis of older adults' empowerment in contemporary japanese culture. BMC Geriatr 2021; 21:672. [PMID: 34852766 PMCID: PMC8638333 DOI: 10.1186/s12877-021-02631-x] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2021] [Accepted: 11/10/2021] [Indexed: 12/02/2022] Open
Abstract
BACKGROUND Empowerment among older adults is a key concept for improving their health. In contrast, empowerment evolves according to cultural and historical contexts and needs to be consistently tested and constructed. The purpose of this study was to clarify the components of older adults' empowerment in contemporary Japan and to reconstruct the definition of empowerment. METHODS A conceptual analysis was performed using Rodgers' evolutionary method. The data sources were PubMed, Cumulative Index to Nursing and Allied Health Literature, Web of Science, Cochrane Library, and Igaku Chuo Zasshi. The search keywords were "empowerment," "older adults," and "Japan/Japanese." Of the 8811 articles published between 2000 and 2019 that focused on older adults' empowerment, we selected 60 articles that met our objectives. RESULTS Seven antecedents, six attributes, and seven consequences were identified. Older adults' empowerment in contemporary Japan was defined as "the series of processes in which disclosing oneself, not only verbally but also nonverbally (e.g., through work, roles, and collaborative activities), in connection with others, objectively perceiving one's existence and challenges, taking proactive actions based on decision-making, and utilizing one's strengths in new work and community life." CONCLUSIONS This concept is useful in practice, education, and research on community development and providing support for older adults based on self-help and mutual aid, not only in Japan but also for the global aging society.
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Affiliation(s)
- Yoshihito Tsubouchi
- Faculty of health sciences, Naragakuen University, Nara, Japan.
- Graduate School of Comprehensive Rehabilitation, Osaka Prefecture University, Habikino, Japan.
| | - Kyosuke Yorozuya
- Faculty of Care and Rehabilitation, Seijoh University, Tokai, Japan
| | | | - Yasuo Naito
- Graduate School of Comprehensive Rehabilitation, Osaka Prefecture University, Habikino, Japan
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Santos ACDSGD, Reis ADC, Souza CGD, Santos ILD, Ferreira LAF. The first evidence about conceptual vs analytical lean healthcare research studies. J Health Organ Manag 2021; ahead-of-print. [PMID: 32945155 DOI: 10.1108/jhom-01-2020-0021] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PURPOSE Several authors have examined the lean healthcare literature, but besides all efforts made, articles comparing conceptual and analytical studies were not found. Thus, a systematic review is conducted aiming to understand the state of the art of lean healthcare by investigating and comparing how conceptual and analytical articles address tools/methods, application fields, implementation barriers and facilitators and positive and negative impacts. DESIGN/METHODOLOGY/APPROACH Articles in English about lean healthcare, published in journals in the last ten years (2009-2018) and indexed in Web of Science (WoS) or Scopus were examined and assessed by following the Preferred Reporting Items for Systematic Reviews and Meta-Analyzes (PRISMA) protocol. A qualitative content analysis on the eligible articles was conducted, and results from the conceptual and analytical studies were compared. FINDINGS There is a literature gap regarding tools/methods in both conceptual and analytical approaches once they prioritize for different items. Barriers, facilitators and negative impacts are perceived differently within both categories and might require more extensive analysis. The same items prevail in both conceptual and analytical categories when analyzing healthcare fields and positive impacts. ORIGINALITY/VALUE There is a lack of articles comparing conceptual and analytical studies concerning lean healthcare. So, this study's relevance is in identifying theoretical and applied research gaps to strengthen the lean healthcare state of the art and to integrate theoretical-applied knowledge. For healthcare professionals, it might provide an overview of the key factors that can promote lean implementation.
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Affiliation(s)
- Ana Carla de Souza Gomes Dos Santos
- Rio de Janeiro Federal Institute of Education Science and Technology Rio de Janeiro, Brazil.,Celso Suckow da Fonseca Federal Centre of Technological Education, Rio de Janeiro, Brazil
| | - Augusto da Cunha Reis
- Celso Suckow da Fonseca Federal Centre of Technological Education, Rio de Janeiro, Brazil
| | | | - Igor Leão Dos Santos
- Celso Suckow da Fonseca Federal Centre of Technological Education, Rio de Janeiro, Brazil
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Abstract
If one had to identify the biggest change within the philosophical tradition in the twenty-first century, it would certainly be the rapid rise of experimental philosophy to address differences in intuitions about concepts. It is, therefore, surprising that the philosophy of medicine has so far not drawn on the tools of experimental philosophy in the context of a particular conceptual debate that has overshadowed all others in the field: the long-standing dispute between so-called naturalists and normativists about the concepts of health and disease. In this paper, I defend and advocate the use of empirical methods to inform and advance this and other debates within the philosophy of medicine.
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Affiliation(s)
- Walter Veit
- Charles Perkins Centre, University of Sydney, Sydney, Australia.
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Irving ZC, Glasser A, Gopnik A, Pinter V, Sripada C. What Does "Mind-Wandering" Mean to the Folk? An Empirical Investigation. Cogn Sci 2020; 44:e12908. [PMID: 33037714 DOI: 10.1111/cogs.12908] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2019] [Revised: 06/12/2020] [Accepted: 08/25/2020] [Indexed: 11/28/2022]
Abstract
Although mind-wandering research is rapidly progressing, stark disagreements are emerging about what the term "mind-wandering" means. Four prominent views define mind-wandering as (a) task-unrelated thought, (b) stimulus-independent thought, (c) unintentional thought, or (d) dynamically unguided thought. Although theorists claim to capture the ordinary understanding of mind-wandering, no systematic studies have assessed these claims. Two large factorial studies present participants (N = 545) with vignettes that describe someone's thoughts and ask whether her mind was wandering, while systematically manipulating features relevant to the four major accounts of mind-wandering. Dynamics explains between four and 40 times more variance in participants' mind-wandering judgments than other features. Our third study (N = 153) tests and supports a unique prediction of the dynamic framework-obsessive rumination contrasts with mind-wandering. Our final study (N = 277) used vignettes that resemble mind-wandering experiments. Dynamics had significant and large effects, while task-unrelatedness was nonsignificant. These results strongly suggest that the central feature of mind-wandering is its dynamics.
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Affiliation(s)
| | - Aaron Glasser
- Corcoran Department of Philosophy, University of Virginia
| | - Alison Gopnik
- Department of Psychology, University of California, Berkeley
| | - Verity Pinter
- Department of Psychology, University of California, Berkeley
| | - Chandra Sripada
- Departments of Psychiatry and Philosophy, University of Michigan
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Kremling A, Schildmann J. What do you mean by "palliative sedation"? : Pre-explicative analyses as preliminary steps towards better definitions. BMC Palliat Care 2020; 19:147. [PMID: 32967659 PMCID: PMC7513316 DOI: 10.1186/s12904-020-00635-9] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2020] [Accepted: 08/10/2020] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND Sedation in palliative care is frequently but controversially discussed. Heterogeneous definitions and conceptual confusion have been cited as contributing to different problems 1) relevant to empirical research, for example, inconsistent data about practice, the 'data problem', and 2) relevant for an ethically legitimate characterisation of the practice, the 'problem of ethical pre-emption'. However, little is known about how exactly definitions differ, how they cause confusion and how this can be overcome. METHOD Pre-explicative analyses: (A) systematic literature search for guidelines on sedation in palliative care and systematic decomposition of the definitions of the practice in these guidelines; (B) logical distinction of different ways through which the two problems reported might be caused by definitions; and (C) analysis of how content of the definitions contributes to the problems reported in these different ways. RESULTS 29 guidelines from 14 countries were identified. Definitions differ significantly in both structure and content. We identified three ways in which definitions can cause the 'data problem' - 1) different definitions, 2) deviating implicit concepts, 3) disagreement about facts. We identified two ways to cause the problem of ethical pre-emption: 1) explicit or 2) implicit normativity. Decomposition of definitions linked to the distinguished ways of causing the conceptual problems shows how exactly single parts of definitions can cause the problems identified. CONCLUSION Current challenges concerning empirical research on sedation in palliative care can be remediated partly by improved definitions in the future, if content and structure of the used definitions is chosen systematically. In addition, future research should bear in mind that there are distinct purposes of definitions. Regarding the 'data problem', improving definitions is possible in terms of supplementary information, checking for implicit understanding, systematic choice of definitional elements. 'Ethical pre-emption', in contrast, is a pseudo problem if definitions and the relationship of definitions and norms of good practice are understood correctly.
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Affiliation(s)
- Alexander Kremling
- Institute of History and Ethics of Medicine, Interdisciplinary Center for Health Sciences, Madgeburger Straße 8, Halle (Saale), 06112 Germany
| | - Jan Schildmann
- Institute of History and Ethics of Medicine, Interdisciplinary Center for Health Sciences, Madgeburger Straße 8, Halle (Saale), 06112 Germany
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Ronai I, Greslehner GP, Boem F, Carlisle J, Stencel A, Suárez J, Bayir S, Bretting W, Formosinho J, Guerrero AC, Morgan WH, Prigot-Maurice C, Rodeck S, Vasse M, Wallis JM, Zacks O. "Microbiota, symbiosis and individuality summer school" meeting report. Microbiome 2020; 8:117. [PMID: 32795355 PMCID: PMC7427737 DOI: 10.1186/s40168-020-00898-7] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/23/2020] [Accepted: 07/24/2020] [Indexed: 05/13/2023]
Abstract
How does microbiota research impact our understanding of biological individuality? We summarize the interdisciplinary summer school on "Microbiota, symbiosis and individuality: conceptual and philosophical issues" (July 2019), which was supported by a European Research Council starting grant project "Immunity, DEvelopment, and the Microbiota" (IDEM). The summer school centered around interdisciplinary group work on four facets of microbiota research: holobionts, individuality, causation, and human health. The conceptual discussion of cutting-edge empirical research provided new insights into microbiota and highlights the value of incorporating into meetings experts from other disciplines, such as philosophy and history of science. Video Abstract.
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Affiliation(s)
- Isobel Ronai
- Columbia University, 1200 Amsterdam Ave, New York, 10027 NY USA
| | - Gregor P. Greslehner
- ImmunoConcept, UMR5164, CNRS & University of Bordeaux, 146 Rue Léo Saignat, Bordeaux, 33076 France
| | - Federico Boem
- Dipartimento di Filosofia e Scienze dell’Educazione, Università degli Studi di Torino, Palazzo Nuovo, Via Sant’Ottavio, 20, Torino, 10124 Italy
| | - Judith Carlisle
- Washington University in St. Louis, Department of Philosophy, One Brookings Drive, St. Louis, 63130-4899 MO USA
| | - Adrian Stencel
- Institute of Philosophy, Jagiellonian University, Grodzka 52, Kraków, 33-332 Poland
| | - Javier Suárez
- Abteilung Philosophie, Universität Bielefeld, Universitätsstraße 25, Bielefeld, 33615 Germany
| | - Saliha Bayir
- Institut für Philosophie,Universität Kassel, Henschelstr. 2, Kassel, 34127 Germany
| | - Wiebke Bretting
- ImmunoConcept, UMR5164, CNRS & University of Bordeaux, 146 Rue Léo Saignat, Bordeaux, 33076 France
| | - Joana Formosinho
- Medical Museion, Department of Public Health, University of Copenhagen, Fredericiagade 18, Copenhagen, 1310 Denmark
| | - Anna C. Guerrero
- Arizona State University, Center for Biology and Society, 427 E Tyler Mall, Tempe, 85281 AZ USA
| | - William H. Morgan
- The University of Sheffield, Department of Philosophy, 45 Victoria Street, Sheffield, S3 7QB UK
| | - Cybèle Prigot-Maurice
- Université de Poitiers, Laboratoire Écologie et Biologie des Interactions, UMR CNRS 7267, Bâtiment B35, 5 rue Albert Turpain, TSA 51106, Poitiers Cedex 9, 86073 France
| | - Salome Rodeck
- Leibniz Center for Literary and Cultural Research, Schützenstr. 18, Berlin, 10117 Germany
| | - Marie Vasse
- Institute for Integrative Biology, ETH Zürich, Universitätstrasse 16, Zürich, 8092 Switzerland
| | - Jacqueline M. Wallis
- University of Bristol, Department of Philosophy, Cotham House, Bristol, BS6 6JL UK
| | - Oryan Zacks
- Sagol School of Neuroscience, Tel Aviv University, Tel Aviv, 6997801 Israel
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Littooij E, Widdershoven GAM, Leget CJW, Dekker J. Inner posture as aspect of global meaning in healthcare: a conceptual analysis. Med Health Care Philos 2019; 22:201-209. [PMID: 30054860 DOI: 10.1007/s11019-018-9853-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
Based on our empirical research on global meaning in people with spinal cord injury and people with stroke, we formulated 'inner posture' as a concept in rehabilitation. Inner posture, as we concluded from our empirical data, refers to the way in which people bear what cannot be changed. It helps them to live with their injury. Considering that much has already been written about meaning from a variety of disciplines, the question arises whether the concept of inner posture adds something new to the existing literature, or is just another name for a phenomenon that has already been described before in different terms. In this paper, we aim to investigate this and to clarify our conceptualization, by comparing the concept of inner posture with influential concepts in healthcare literature which seem to be more or less related. In the work of Puchalski regarding spirituality, Pargament regarding religion, Eliott regarding hope and Frankl regarding attitude, we found definitions and descriptions that seemed to come close to the phenomenon we refer to as inner posture. Because these concepts have various theoretical backgrounds, the comparison can help to better understand our concept of inner posture, through a process of dialogue between traditions, following Gadamer's notion of dialogue as fusion of horizons of understanding. We conclude that inner posture differs from the other concepts in several ways. Some of these differences are more fundamental, other are partial. This suggests that we identified a new perspective on a phenomenon partially described earlier. The comparison also inspired us to slightly adjust our definition and to formulate new research questions.
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Affiliation(s)
- Elsbeth Littooij
- Amsterdam Rehabilitation Research Center Reade, PO Box 58271, 1040 HG, Amsterdam, The Netherlands.
| | - Guy A M Widdershoven
- Department of Medical Humanities, Amsterdam Public Health Research Institute, VU University Medical Center, De Boelelaan 1089a, 1081 HV, Amsterdam, The Netherlands
| | - Carlo J W Leget
- Department of Care Ethics, University of Humanistic Studies, PO Box 797, 3500 AT, Utrecht, The Netherlands
| | - Joost Dekker
- Department of Rehabilitation Medicine and Department of Psychiatry, Amsterdam Public Health Research Institute, VU University Medical Center, PO Box 7057, 1007 MB, Amsterdam, The Netherlands
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Turenne CP, Gautier L, Degroote S, Guillard E, Chabrol F, Ridde V. Conceptual analysis of health systems resilience: A scoping review. Soc Sci Med 2019; 232:168-180. [PMID: 31100697 DOI: 10.1016/j.socscimed.2019.04.020] [Citation(s) in RCA: 61] [Impact Index Per Article: 12.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2018] [Revised: 04/02/2019] [Accepted: 04/14/2019] [Indexed: 10/26/2022]
Abstract
System resilience has long been an area of study, and the term has become increasingly used across different sectors. Studies on resilience in health systems are more recent, multiplying particularly since the 2014 Ebola epidemic in West Africa. The World Health Organization (WHO) is calling for national governments to increase the resilience of their health systems. Concepts help define research objects and guide the analysis. Yet, to be useful, concepts need to be clear and precise. We aimed to improve the conceptual understanding of health systems resilience by conducting a scoping review to describe the state of knowledge in this area. We searched for literature in 10 databases, and analyzed data using a list of themes. We evaluated the clarity and the precision of the concept of health systems resilience using Daigneault & Jacob's three dimensions of a concept: term, sense, and referent. Of the 1091 documents initially identified, 45 met the inclusion criteria. Term: multiple terms are used, switching from one to the other to speak about the same subject. Sense: there is no consensus yet on a unique definition. Referent: the magnitude and nature of events that resilient health systems face differ with context, covering a broad range of situations from sudden crisis to everyday challenges. The lack of clarity in this conceptualization hinders the expansion of knowledge, the creation of reliable analytical tools, and the effectiveness of communication. The current conceptualization of health systems resilience is too scattered to enable the enhancement of this concept with great potential, opening a large avenue for future research.
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Affiliation(s)
- Charlotte Pailliard Turenne
- Institute for Research on Sustainable Development, CEPED (IRD-Université de Paris), Université de Paris, ERL INSERM SAGESUD, 45 Rue des Saints-Pères, 75006, Paris, France.
| | - Lara Gautier
- Department of Social and Preventive Medicine, University of Montreal, Montreal, Canada; Public Health Research Institute, University of Montreal, 2900, Boulevard Edouard-Montpetit, Montréal, QC, H3T 1J4, Canada; CESSMA (IRD-Paris-Diderot University), Université Sorbonne Paris Cité, Bâtiment Olympe de Gouges (8ème étage - secrétariat bureau 817) rue Albert Einstein, 75013, PARIS, France.
| | - Stéphanie Degroote
- Institute for Research on Sustainable Development, CEPED (IRD-Université de Paris), Université de Paris, ERL INSERM SAGESUD, 45 Rue des Saints-Pères, 75006, Paris, France.
| | | | - Fanny Chabrol
- Institute for Research on Sustainable Development, CEPED (IRD-Université de Paris), Université de Paris, ERL INSERM SAGESUD, 45 Rue des Saints-Pères, 75006, Paris, France.
| | - Valéry Ridde
- Institute for Research on Sustainable Development, CEPED (IRD-Université de Paris), Université de Paris, ERL INSERM SAGESUD, 45 Rue des Saints-Pères, 75006, Paris, France; Fellow de l'Institut Français des Migrations, Paris, France.
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Samuels R, Scharp K. Analytic Pragmatism and Universal LX Vocabulary. Philosophia (Ramat Gan) 2017; 45:1803-1827. [PMID: 30147184 PMCID: PMC6086266 DOI: 10.1007/s11406-017-9866-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 06/06/2017] [Accepted: 06/16/2017] [Indexed: 06/08/2023]
Abstract
In his recent John Locke Lectures - published as Between Saying and Doing - Brandom extends and refines his views on the nature of language and philosophy by developing a position that he calls Analytic Pragmatism. Although Brandom's project bears on an extraordinarily rich array of different philosophical issues, we focus here on the contention that certain vocabularies have a privileged status within our linguistic practices, and that when adequately understood, the practices in which these vocabularies figure can help furnish us with an account of semantic intentionality. Brandom's claim is that such vocabularies are privileged because they are a species of what he calls universal LX vocabulary -roughly, vocabulary whose mastery is implicit in any linguistic practice whatsoever. We show that, contrary to Brandom's claim, logical vocabulary per se fails to satisfy the conditions that must be met for something to count as universal LX vocabulary. Further, we show that exactly analogous considerations undermine his claim that modal vocabulary is universal LX. If our arguments are sound, then, contrary to what Brandom maintains, intentionality cannot be explicated as a "pragmatically mediated semantic phenomenon", at any rate not of the sort that he proposes.
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Affiliation(s)
- Richard Samuels
- Department of Philosophy, The Ohio State University, Columbus, OH USA
| | - Kevin Scharp
- Department of Philosophy; Arché Philosophical Research Centre; Centre for Exoplanet Science, University of Saint Andrews, St Andrews, Fife UK
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Abstract
Experimental philosophy brings empirical methods to philosophy. These methods are used to probe how people think about philosophically interesting things such as knowledge, morality, and freedom. This paper explores the contribution that qualitative methods have to make in this enterprise. I argue that qualitative methods have the potential to make a much greater contribution than they have so far. Along the way, I acknowledge a few types of resistance that proponents of qualitative methods in experimental philosophy might encounter, and provide reasons to think they are ill-founded.
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Affiliation(s)
- James Andow
- Department of Philosophy, University of Reading, Reading, UK
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18
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Timonen V, Conlon C. Beyond Mannheim: Conceptualising how people 'talk' and 'do' generations in contemporary society. Adv Life Course Res 2015; 24:1-9. [PMID: 26047985 DOI: 10.1016/j.alcr.2015.03.001] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/11/2014] [Revised: 12/18/2014] [Accepted: 03/26/2015] [Indexed: 06/04/2023]
Abstract
In the 1920s, Karl Mannheim developed the concept of generation in a treatise entitled 'The Problem of Generations' (1952/1928). His conceptualisation pertained to what Pilcher (1994) calls 'social generations', that is, cohort members who have similar attitudes, worldview and beliefs grounded in their shared context and experiences accumulated over time. It is often argued that social generation has been hollowed out as a sociological concept, yet it continues to feature prominently in policy debates, media, academic literature and everyday talk. This article develops a grounded conceptual framework of how the notion of 'generation' is employed by 'ordinary people'. We induct the meaning of 'generation' from how people use the term and the meaning they attribute to it. We contribute to the current scholarship engaging with Mannheim to explore how people's portrayals of their 'performance' of generation can help to develop further the concept of social generation. We draw on qualitative primary data collected in the Changing Generations project, a Grounded Theory study of intergenerational relations in Ireland. Far from outdated or redundant, generation emerges as a still-relevant concept that reflects perceptions of how material resources, period effects and the welfare state context shape lives in contemporary societies. Generation is a conceptual device used to 'perform' several tasks: to apportion blame, to express pity, concern and solidarity, to highlight unfairness and inequity, and to depict differential degrees of agency. Because the concept performs such a wide range of important communicative and symbolic functions, sociologists should approach generations (as discursive formations) as a concept and practice that calls for deeper understanding, not least because powerful political actors have been quicker than sociologists to recognise the potential of the concept to generate new societal cleavages.
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Affiliation(s)
- Virpi Timonen
- School of Social Work and Social Policy, Trinity College Dublin, Ireland.
| | - Catherine Conlon
- School of Social Work and Social Policy, Trinity College Dublin, Ireland
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Abstract
Cognitive neuroscience must attend to the conceptual coherence of its hypotheses as well as to their empirical support. Examining the most influential studies of the neural antecedents to voluntary action, our Discussion Paper sought to identify the real-world consequences of neglecting the former in what we argued has been too narrow a pursuit of the latter. Though conceptual in form, our analysis is sharply empirical in its conclusions, revealing what have long been thought to be momentous experimental observations--such as the readiness potential--as the outcome of previously unidentified confounds that rob them of significance. Conversely, we suggested that experimental studies of two-way control, amongst other defining features of the voluntary, have been given less emphasis than the subject demands. Here, we ramify our analysis down the paths identified by others in the commentaries we received.
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Affiliation(s)
| | - Peter Hacker
- b Department of Philosophy , University of Kent , Kent , UK
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