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In the context of the global COVID-19 pandemic, this study focuses on Chinese university students, employing graphic elicitation as a qualitative research method to analyze their hand-drawn paintings and related descriptions. Augmented by A/r/tography and metacognitive methods, the research aims to unveil the participants' collective memory, as well as the perspectives and responses of these students to policies related to the pandemic. By specifically examining this particular demographic, the study incorporates Fairclough's ethical theory, applying deontological ethics, consequentialist ethics, and virtue ethics to establish a comprehensive framework for evaluating adjustments to pandemic response policies. This research not only enhances our understanding of how these university students perceive and adapt to COVID-19 policies but also provides valuable insights for decision-makers. The particular methodology, combining graphic elicitation and metacognitive research, contributes to policy assessment and ethical analysis, offering a nuanced perspective on the interplay between individual perceptions, policy responses, and ethical considerations amid the complexities of a public health crisis.
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In the field of observational and experimental natural sciences (as is the case for microbiology), recent decades have been overinfluenced by overwhelming technological advances, and the space of abstraction has been frequently disdained. However, the predictable future of biological sciences should necessarily recover the synthetic dimension of "natural philosophy." We should understand the nature of Microbiology as Science, and we should educate microbiology scientists in the process of thinking. The critical process of thinking "knowing what we can know" is entirely based on Kant's Critique of Pure Reason. However, this book is extremely difficult to read (even for Kant himself) and almost inaccessible to modern experimental natural scientists. Professional philosophers might have been able to explain Kant to scientists; unfortunately, however, they do not get involved this type of education for science. The intention of this review is to introduce natural scientists, particularly microbiologists and evolutionary biologists, to the main rigorous processes (aesthetics, analytics, dialectics) that Kant identified to gain access to knowledge, always a partial knowledge, given that the correspondence between truth and reality is necessarily incomplete. This goal is attempted by producing a number of "images" (figures) to help the non-expert reader grasp the essential of Kant's message and by making final observations paralleling the theory of scientific knowledge with biological evolutionary processes and the role of evolutionary epistemology in science education. Finally, the influence of Kant's postulates in key-fields of microbiology, from taxonomy to systems biology is discussed.
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Conhecimento , FilosofiaRESUMO
This paper is motivated by a desire to advance assessment in the health professions through encouraging the judicious and productive use of metaphors. Through five specific examples (pixels, driving lesson/test, jury deliberations, signal processing, and assessment as a toolbox), we interrogate how metaphors are being used in assessment to consider what value they add to understanding and implementation of assessment practices. By unpacking these metaphors in action, we probe each metaphor's rationale and function, the gains each metaphor makes, and explore the unintended meanings they may carry. In summarizing common uses of metaphors, we elucidate how there may be both advantages and/or disadvantages. Metaphors can play important roles in simplifying, complexifying, communicating, translating, encouraging reflection, and convincing. They may be powerfully rhetorical, leading to intended consequences, actions, and other pragmatic outcomes. Although metaphors can be extremely helpful, they do not constitute thorough critique, justified evidence or argumentation. We argue that although metaphors have utility, they must be carefully considered if they are to serve assessment needs in intended ways. We should pay attention to how metaphors may be misinterpreted, what they ignore or unintentionally signal, and perhaps mitigate against this with anticipated corrections or nuanced qualifications. Failure to do so may lead to implementing practices that miss underlying and relevant complexities for assessment science and practice. Using metaphors requires careful attention with respect to their role, contributions, benefits and limitations. We highlight the value that comes from critiquing metaphors, and demonstrate the care required to ensure their continued utility.
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Idioma , Metáfora , HumanosRESUMO
Race and racism are matters of urgent concern for the international nursing community. Recent global events have presented the discipline with an opportunity to generate and sustain long overdue discussions. However, with this opportunity comes a need to consciously attend to what we mean by race and racism, especially in the context of the nursing literature. Indeed, the development of antiracism depends on how we conceptualise race and racism; it is these conceptualisations that actively shape the scope and priorities of antiracist organising and action. The aim of this critical interpretative synthesis (CIS) is to examine conceptualisations of race and racism in the nursing literature by drawing on contemporary race scholarship. The synthesis of diverse literature is enabled through the explorative and expansive process of the CIS method. This review generates three synthesising arguments-a problem 'of' not 'for'; conceptual inconsistencies and drift; and reliance on the lens of experience-that both critique and contribute to the nursing literature. In the pursuit of antiracism, this article urges us to pay close attention to our conceptualisations of race and racism by illuminating the pitfalls that occur when our conceptualisations are inconsistent, contradictory, or simply neglected.
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Enfermeiros Internacionais , Racismo , Humanos , Antirracismo , Formação de Conceito , Dissidências e DisputasRESUMO
Nursing and nurses rely upon qualitative research to understand the intricacies of the human condition. Acknowledging the subjective nature of reality and commonly founded in a constructivist epistemology, qualitative approaches offer opportunities for uncovering insights from the perspective of the individual participants, the insider's view, and the construction of representations that maintain an intimacy with the subject's realities. Debate continues, however, about what is needed for a qualitative construction to be considered an authentic understanding of a subject's realities. Authenticity in the context of qualitative research has been described as entailing consideration of a number of well-trodden dimensions: fairness, ontological, educative, catalytic and tactical. Taking these dimensional requirements as key, this paper argues that authenticity may not always be as well-developed through some of the standard practices in qualitative research as perhaps expected. In particular, qualitative understandings of authenticity stress that participants should not be merely reported on but instead should be dynamically involved in and changed by the constructions and interpretations of data developed throughout the research process. As this paper illustrates, such engagements appear problematic for qualitative research approaches that are beholden to designative commitments in the context of language and meaning-making and which tend to prioritise commonality and generality at the expense of individual authenticity. An alternative qualitative approach, Hermeneutic Constructivism, is proposed as better able to achieve the requirements of the dimensions of authenticity. As outlined, this approach is well-placed to present an understanding of human experience through a genuinely expressivist approach and transcends the stress upon the common or the general that can be pervasive and problematic.
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Conhecimento , Humanos , Hermenêutica , Pesquisa QualitativaRESUMO
Many historical studies tend to underline two central Kantian themes frequently emerging in Georges Canguilhem's works: (1) a conception of activity, primarily stemming from the Critique of Pure Reason, as a mental and abstract synthesis of judgment; and (2) a notion of organism, inspired by the Critique of Judgment, as an integral totality of parts. Canguilhem was particularly faithful to the first theme from the 1920s to the first half of the 1930s, whereas the second theme became important in the early 1940s. With this article, I will attempt to show that a third important theme of technique arose in the second half of the 30s also in the wake of Kant's philosophy, especially Sect. 43 of the Critique of Judgment. This section, which states that technical ability is distinguished from a theoretical faculty, led Canguilhem to a more concrete and practical conception of activity. I will then suggest that it was by considering technique that the concept of normativity, which characterizes Georges Canguilhem's philosophy of life, also took shape.
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Julgamento , Filosofia , GranzimasRESUMO
Faced with the charge of value-ladenness in their theories, researchers in evolutionary psychology (EP) argue that their science is entirely free of values; their hypotheses only concern scientific facts, without any socio-cultural value judgments. Lynn Hankinson Nelson, a renowned feminist scholar of science, denies this. In her book and papers, Nelson finds that their hypotheses do contain evaluative components. One such example is the fear of snakes. While this fear was adaptive to the environment in the past, evolutionary psychologists argue that this trait is now "maladaptive" because city-dwellers would rarely encounter snakes in their environment. However, Nelson argues that labeling this trait "maladaptive" implies that this fear is irrational since this claim cannot be understood otherwise. This paper argues that this and other arguments made by Nelson for demonstrating the value-ladenness in EP's hypotheses have serious flaws. For instance, we argue that investigating the psychological mechanisms behind the fear and their developmental and energy costs would allow for proper interpretation of evolutionary psychologists' claims for the maladaptive fear of snakes without any normative implication. We also maintain that some of her arguments fail to demonstrate their connection to the point at the center of the debates between EP and feminism. While Nelson may be right in stating that EP's hypotheses have evaluative components, she does not prove their strong political or normative implications, which is central to the debate over EP.
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Evolução Biológica , Feminismo , Feminino , Humanos , Dissidências e Disputas , Julgamento , PsicologiaRESUMO
Drawing on queer of color critique, this paper uses mixed methods including participant observation, interviews, visual and textual analysis, and photovoice to interrogate sex workers' queer creative practices. Building upon the larger oeuvre of sex working artists, contemporary sex working artists in Los Angeles utilizes queer creativity to thwart hegemonic readings of sex work. Performances at two activist fundraisers drew on the themes and esthetics of sex work to counter mainstream narratives about sex work and workers, and to interrupt their objectification. The cover and graphics of a sex worker zine push back against dominant narratives about sex workers and the power structures that suppress sex worker self-representation. Photovoice methodology allowed sex workers to counteract objectification by telling their own stories. In their creative products, sex workers show how "queer" is a praxis of sex and gender disruption, rather than a simple identity category signaling non-heterosexuality, challenging homonormativity in addition to heteronormativity.
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From ordinary beliefs to delusions, we're all susceptible to misguidance. In search of meaning, we tell ourselves stories that resonate with our feelings, and we unconsciously adhere to them. These subjective truths become pathological when the circumstances and terrain lend themselves to it. The causes are manifold and go beyond the realms of psychiatry and medicine. In rehabilitation, we explain the delusional faculty as a failed narrative attempt by the subject in response to uncertainty and confusion. This combats stigmatization while promoting critical thinking as a protective factor.
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Delusões , Psiquiatria , Humanos , Pensamento/fisiologia , Emoções , Psicologia do EsquizofrênicoRESUMO
The purpose of this study was to evaluate the effect of intracutaneous pyonex on analgesia and sedation in critically ill patients who underwent mechanical ventilation. A total of 88 critically ill patients were divided into a control group and an intervention group. Critical Care Pain Observation Tool (CPOT) and Richmond Agitation and Sedation Scale (RASS) were used to evaluate pain and agitation. The dosage and treatment period of sedative and analgesic drugs in the intervention group were notably lower than the control group (p < 0.05). Analgesia compliance time in the intervention group was superior to control group (p < 0.05). The shallow sedation compliance rate in the intervention group was significantly higher than the control group (p < 0.01). There was significant difference in blood gas analysis before and after treatment between the two groups (p < 0.05). After 2 h of sedation and analgesia, heart rate in the intervention group was lower than control group, but respiratory rate was higher than the control group (p < 0.05). The traditional analgesia and sedation combined with intracutaneous pyonex reduced the total amount and treatment period of sedative and analgesic drugs in critically ill patients throughout the treatment process, and it also decreased the adverse reactions such as blood pressure drops and respiratory depression.
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Terapia por Acupuntura/métodos , Analgesia/métodos , Analgésicos/administração & dosagem , Ansiedade/etiologia , Ansiedade/terapia , Sedação Consciente/métodos , Estado Terminal , Hipnóticos e Sedativos/administração & dosagem , Manejo da Dor/métodos , Dor/etiologia , Respiração Artificial/efeitos adversos , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Redução da Medicação , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Adulto JovemRESUMO
The work-readiness skills and attributes that facilitate healthcare graduates to succeed in their new workplaces are not well defined. In particular, the perspectives of supervisors of graduates in the diverse hospital and community settings of healthcare practice are not well represented in research about work-readiness. Interview data from a case study of twenty-nine supervisors of speech-language pathology graduates was thematically analysed, using Boundary Critique Theory to interpret how the supervisors' understanding of graduate work-readiness was bounded within their understanding of their own system, needs and work environment. The four themes captured the skills that the supervisors perceived as critical for graduate work-readiness: Independence; Attitude; Teamwork; and Learning. A tension was identified within these themes, as supervisors' understanding of work-readiness was bounded by an expectation that graduates are able to moderate how they transfer and apply their graduate skills in their workplace according to the complexity of client needs and the workplace setting. This study increases the visibility of the supervisors' boundaries around what are and are not considered to be work-ready skills, attributes and expectations of a work ready speech-language pathology graduate. This knowledge can be used to facilitate speech-language pathology graduates to successfully transfer, apply and expand these skills as they transition to work, and may be useful for other health professions to explore.
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Patologia da Fala e Linguagem , Competência Clínica , Atenção à Saúde , Humanos , Patologia da Fala e Linguagem/educação , Local de TrabalhoRESUMO
The determination of death by neurological criteria (brain death) is practiced in at least 80 countries, though it is a matter of continuing controversy. At the same time, the brain is central to human life, thinking, and behavior; however, a growing "neurocentrism" or a brain-focused image of human identity became established in most Western and in many non-Western societies and acts as a forceful ideology. This paper seeks a broader theoretical and sociocultural basis to approaching death bioethically by analyzing criticisms aimed at a neurologically focussed vision of human life, and then turning these towards the brain death criteria exposed to the criticism. The overall critique of the "neuro-self" has scope to offer alternative perspectives to the contested issues in brain-death criteria. Specifically, the paper examines two major shortcomings of a narrow brain view of life and culture. First, it considers the reduction of the individual to the brain: this is the crux of the neurological way of determining death, and is a way that is seemingly context-independent and culturally neutral. Second, it considers how dimensions of society and culture for humans are detached from the brain and have little impact on clinical practice and thinking in brain-death criteria; however, a deeper exploration reveals that they actually have direct relevance and that social and cultural factors have greater contributions to make to the current debates.
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Morte Encefálica , Encéfalo , HumanosRESUMO
AIMS: To describe how mothers and mothering in the context of IPV are conceptualized in the nursing research and practice literature with attention to underlying ideologies, biases and potential harms. DESIGN: Feminist intersectionality was used as a theoretical and analytic lens. DATA SOURCES: Articles published between 2000 and 2021 in the nursing literature, identified by searching Google Scholar, CINAHL, PubMed and Scopus databases, and conducting bibliographic reviews of published articles. REVIEW METHODS: Search terms included: intimate partner violence, domestic violence, parenting, mother and nursing. Initial screening resulted in inclusion of 98 papers for analysis. RESULTS: Four dominant ways of conceptualizing mothering in the context of IPV were identified: (1) IPV is conceptualized as a discrete acute event and/or crisis, (2) mothering is treated as a practice, (3) mothers are valued as vehicles for child health and well-being and (4) mothers are seen as vulnerable and 'at risk'. These narrow constructions are rooted in ideologies such as normative motherhood, deficit and grit/resilience and neoliberalism. Emerging shifts in the literature are providing an important counter-balance. CONCLUSION: Biases in nursing knowledge about mothering in the context of IPV may limit nursing's capacity to support the health of these women and their children. The integration of emerging perspectives that emphasize strengths and equity is critical in strengthening nursing knowledge and practice and in beginning to redress existing limitations and potential harms. IMPACT: This critique focused on higher-income countries of the Global North but raises fundamental questions that should be considered in other contexts. Applying broader conceptualizations of mothers, mothering and IPV to research and practice can help improve the quality of care available.
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Violência Doméstica , Violência por Parceiro Íntimo , Criança , Feminino , Humanos , Mães , Poder FamiliarRESUMO
Social equity has been a concept of interest for many years, gaining increased focus from energy and environmental communities. The equitable development, collection, and reporting of sociodemographic data (e.g., data related to socioeconomic status, race, and ethnicity) are needed to help meet several of the United Nations Sustainable Development Goals (i.e., Affordable and Clean Energy; Reduce Inequalities; Peace, Justice and Strong Institutions; and Partnerships for the Goals). Yet, there has not been a consolidation of relevant concepts and application framing in energy and environmental life cycle assessment and decision-making practices. Our study aims to help fill this gap by consolidating existing knowledge on relevant equity applications, providing examples of sociodemographic data needs, and presenting a path toward a more holistic equity administration. In this critique, we present a framework for integrating equity in energy and environmental research and practitioner settings, which we call systemic equity. Systemic equity requires the simultaneous and effective administration of resources (i.e., distributive equity), policies (i.e., procedural equity), and addressing the cultural needs of the systematically marginalized (i.e., recognitional equity). To help provide common language and shared understanding for when equity is ineffectively administered, we present ostensible equity (i.e., when resource and policy needs are met, but cultural needs are inadequately met), aspirational equity (i.e., when policy and cultural needs are met, but resources are inadequate), and exploitational equity (i.e., when resource and cultural needs are met, but policies are inadequate). We close by establishing an adaptive 10-step process for developing standard sociodemographic data practices. The systemic equity framework and 10-step process are translatable to other practitioner and research communities. Nonetheless, energy and environmental scientists, in collaboration with transdisciplinary stakeholders, should administer this framework and process urgently.
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Understanding the impact of COVID-19 on nursing care delivery in critical care work systems is urgently needed. Theoretical frameworks guide understanding of phenomena in research. In this paper, we critique four theoretical frameworks (Donabedian's Quality Model, the Quality Health Outcomes Model, the Systems Research Organizing Model, and the Systems Engineering (SEIPS) 2.0 Model) using (blinded) (2018) Intermodern philosophical perspective of nursing science. (blinded) (2018) Intermodern approach to theory critique was selected for its pragmatic perspective and focus on personal and professional health and wellbeing. The SEIPS 2.0 Model was ultimately selected to guide the study of the impact of the COVID-19 Pandemic on nursing care delivery in the critical care work systems.
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COVID-19 , Cuidados de Enfermagem , Cuidados Críticos , Humanos , Teoria de Enfermagem , Pandemias , SARS-CoV-2RESUMO
Over the last two decades significant efforts have been made to implement patient and family 'centred' care as both a practical and moral imperative for adult acute care delivery. Although many resources have been developed and adopted by institutions, research suggests persistent and diverse barriers to implementing and achieving patient and family 'centred' care in adult acute care practice settings. These issues in implementation suggest re-examining the nature of 'centredness' in care may be useful. A structured problematisation method, as outlined by Alvesson and Sandberg, is utilised to identify and analyse assumptions about the central notions of 'centring' that inform patient and family centred care intervention research. From our analysis, we highlight three predominant areas within 'centring' intervention research that may benefit from rethinking: Vitruvian spatiality, democratising care, and 'centring' positioned as primarily a problem and accomplishment for nursing. As a challenge to these assumptions, we argue for the adoption of theoretical lenses that 'de-centre' individual actors to better account for complex relations among multiple actors, both human and nonhuman, which work to involve patients and families in care practices.
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Família , Assistência Centrada no Paciente , Adulto , Atenção à Saúde , Humanos , Assistência Centrada no Paciente/métodosRESUMO
This paper critically examines the metaphorical use of medical terms in philosophy. Three examples selected from distinct philosophical contexts demonstrate that such terms have been employed as metaphors both to describe the practice of philosophising and historically to diagnose philosophical positions. The selected examples are (i) the title of Avicenna's main philosophical work, The Book of Healing, (ii) the criticism of medical metaphors in Enlightenment philosophy, and (iii) recent historical diagnoses in philosophy. The underlying epistemological assumptions of all three contexts are reconstructed to critically analyse the medical metaphors. Through this tripartite synopsis, I arrive at a normative conclusions medical metaphors, such as the "healing of the soul" or "pathology of reason", do not stand up to the critique of Enlightenment and are obsolete against the theoretical background of my reference texts.
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Metáfora , Filosofia , Humanos , Conhecimento , Filosofia MédicaRESUMO
Virtual labs provide space for students to iteratively test, observe, and revise their understanding so as to improve their scientific literacy. However, one of the challenges that students face is that they need to think and act like scientists so as to be sensitively alert to methodological flaws and various sources of error. This study thus compared the effect of two instructional approaches using a virtual lab to enhance students' scientific literacy. Before students were given the opportunity to conduct science inquiries with the virtual lab, they were required to critique problematic inquiry cases (the critique group) or watch teachers' demonstrations (the teacher demonstration group) before taking part in the inquiry. By analyzing data from 50 middle school students, this study found that the effect of applying virtual labs can be augmented by an instructional design that engages students in critiquing experiments prior to their inquiry with the virtual lab. This study also found a limitation of the use of virtual labs in helping students transfer what they have learned from the teacher's demonstration to new inquiry contexts. A close relation among scientific literacy post-test scores, critiquing performance, and inquiry performance in the inquiry activity was detected, suggesting that student critiquing prior to inquiry is in alignment with the goal of developing students' inquiry skills and scientific literacy with virtual labs.
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In this paper I challenge the pernicious aspects of Milton Friedman's methodological outlook that continues to hold sway over mainstream neoclassical economists. I do this by showing how Friedman's own methodological dicta could have been used against him when he famously advanced the expectations critique of the Phillips curve at his presidential address to the American Economic Association. I use this case study to further suggest that psychological and neurophysiological data should not be deemed irrelevant to economic science.
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Economia , Humanos , Estados UnidosRESUMO
This contribution brings to the fore the lesbian silences veiled by dominant theorizations of queer studies in academia, nowadays more concerned with analyzing social affections such as queer diasporas, terrorism, human rights and necropolitics and positing intersectionality as the key configuration of queer epistemology. Yet, I am interested in eliciting how such existing approaches can help chart queer horizons in more inclusive ways without ignoring lesbian voices. Concomitantly, I will posit such lesbian positions as critical epistemologies we cannot do without, since only by unfolding past accretive knowledge on gender and sexuality will queer discourses become inclusive and relational. Hence, this article traces the evolution and theoretical shifts that queer theory has undergone in the last decades and further explores why "the lesbian" continues being dismissed as a marginal site of knowledge and material production, enacting a closeted identity, muted by other legitimate discourses in academia. Such a move toward new queer and affective frameworks, while convincingly essential, should not overshadow lesbian criticism. By drawing on relational and affective modes of being, I suggest recasting "the lesbian" as both a textual and ontological possibility capable of embracing the variety of lesbian-identified persons traditionally silenced by queer theory's canonical institutionalization.