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The aim of this study was to evaluate district nurses’ perceived and factual knowledge about nutritional care after an updated and expanded educational intervention. Furthermore, we aimed to compare the outcomes of the revised and the original educational intervention.
Background:
In-depth knowledge of nutritional care is a prerequisite to supporting older adults’ well-being and health. District nurses’ actual knowledge of the nutrition care process, older adults’ need for food, and palliative care in diverse phases of disease is therefore of utmost importance. An updated and expanded educational intervention meeting these needs was evaluated.
Methods:
A study-specific questionnaire about nutritional care was used before and after the educational intervention. Participants (n = 118) were district nurses working in primary health care in Region Stockholm. Additionally, a pre- and post-test quasi-experimental design was used to assess differences in learning outcomes of the revised intervention compared with the original intervention.
Findings:
District nurses who completed the questionnaire had worked in health care for about 18 years and as district nurses for 5 years after their specialist examination. After the revised educational intervention, significant improvements were found in all statements concerning perceived challenges and actions related to nutritional care, while questions about factual knowledge showed significant improvements in three of the four questions.
Comparison between the revised and the original intervention revealed no differences in most areas of perceived challenges and actions related to nutritional care. Additionally, in half of the areas assessed, factual knowledge improved more after the revision than after the original educational intervention, including the maximum length of overnight fast and the type of oral nutritional supplements (ONS) that should be prescribed.
Conclusion:
The intervention was successful in increasing knowledge about nutritional care, nutritional counselling, food adaptation, and prescribing ONS in an individually tailored way. In-depth knowledge supports usability in clinical practice. Nevertheless, we need to follow-up and understand how increased knowledge about undernutrition and ONS prescription are implemented in primary health care when caring for older adults’ desires and needs.
Heather Battaly has argued that vice-epistemology has a Responsibility Problem. From analysing the ‘card-carrying feminist’ committing testimonial injustice due to implicit gender bias, Battaly argues that non-voluntarist vice-epistemologists are committed to either (1) counting some vices as blameworthy yet not reprehensible, or (2) holding agents equally responsible for cognitive defects as for implicit bias. This in turn implies that (2a) epistemic vices include certain cognitive defects or (2b) that implicit bias is excluded as epistemic vice. This paper aims to deflate the Responsibility Problem, by arguing that vice-epistemologists can embrace route (2b) without problematic implications. In applying Miranda Fricker’s ‘no-fault responsibility’ to the card-carrying feminist case, I defend the following three claims: First, Battaly’s analysis of the card-carrying feminist case is flawed, because it fails to acknowledge that the vice of testimonial injustice and implicit prejudice are conceptually distinct. Second, excluding implicit prejudice as a vice is actually compatible with Fricker’s theoretical commitments. Third, contrary to what much of the literature seems to assume, it isn’t that problematic to exclude (individual) implicit bias as a vice, or to assign equal responsibility for implicit prejudice as for cognitive defects like impaired vision.
It has been argued that rationality consists in responding correctly to reasons. Recent defenses of the normativity of rationality assume that this implies that we always ought to be rational. However, this follows only if the reasons rationality requires us to correctly respond to are normative reasons. Recent meta-epistemological contributions have questioned whether epistemic reasons are normative. If they were right, then epistemic rationality wouldn’t provide us with normative reasons independently of wrong-kind reasons to be epistemically rational. This paper spells out this neglected challenge for the normativity of epistemic rationality by connecting the two bodies of literature. Moreover, it generalizes this challenge to the rationality of desire, intention, and emotion. The upshot is that we can only answer the normative question about rationality if we debate about blame and accountability for holding different kinds of irrational attitudes, as well as about the sources of mental normativity.
What’s the good of getting angry with a person? Some would argue that angry emotions like indignation or resentment are intrinsically good when they are an apt response. But many think this answer is not fully satisfactory. An increasing number of philosophers add that accusatory anger has value because of what it communicates to the blamee, and because of its downstream cultivating effects on the blamee.
Mediators and conflict resolution strategists share an interest with philosophers in the value of reactive attitudes for interpersonal communication, but prominent thinkers from those fields arrive at rather different verdicts about the effects of accusatory anger. On a more therapeutic approach to interpersonal conflict, angry accusation is commonly understood to obfuscate mutual understanding and to have bad downstream effects on the blamee.
Below, I discuss how the compassionate communication approach casts doubt on the purported valuable effects of angry accusation, and I provide empirical support for this worry. I argue that philosophers should reconsider their empirical assumptions about the human psychology of discord, and hypothesize that accusatory anger is unlikely to have the communicative and cultivating effects that it is purported to have. I conclude by highlighting further empirical and ethical questions this hypothesis generates.
The transnational movement of peoples across the globe is one of the most bitterly contested political issues of our times, eliciting populist anger against migrants and refugees. This public outcry has muffled, however, a more dramatic process: the contemporaneous reconfiguration of territory, rights, and jurisdiction. This chapter highlights the formation of “shifting borders” that enable states to create lawless zones as well as rightless subjects. It then explores a combination of juridical and democratic possibilities for resistance and claims-making in a world of shifting borders and cosmopolitanism without illusions.
This chapter engages with Bowen’s writings of the Second World War. It explores how these texts responded to the narratives, myths, and lies fed to Britons to maintain wartime morale and to aid the transformation, in the immediate post-war period, of traumatic and discontinuous experiences into palatable histories. The chapter begins with Bowen’s wartime autobiographical works, Bowen’s Court and Seven Winters (1942), both of which register anxieties about how personal experiences and recollections may be disputed by the assertions of historical accounts. These works are then discussed in relation to comparable concerns which emerged in the final months of the Second World War, once news of the Holocaust began to challenge both narratives which had stressed the terrible conditions endured in Britain and the scepticism many civilians had professed about reports of Nazi atrocities. Central to this argument is a reading of Bowen’s The Heat of the Day (1949): a post-war novel that links the painful forms of retrospective censure suffered by its heroine to questions circulating in this period about personal responsibility and the limits of judgement.
This chapter develops a critique of the “safe third country” concept, its legality, and its implications for understanding the nature and purpose of international refugee law. It does so, in part, on a different plane of analysis than has predominated the literature thus far. While most scholars have criticized the safe third country concept as undermining individual rights protection, this author argues that it is implicated in a preceding and more foundational harm: It deforms the possibility of democratic responsibility. We would do well to see the violations of refugee rights in question as more than privatized harms inflicted on an individual. They are relational and structural wrongs that concern the objective relationships guaranteed by domestic constitutional and administrative law. Perceiving this harm illuminates not only how the safe third country concept has corrupted international refugee law, but also why international human rights should be understood, more broadly, to protect the political agency of democratic citizens. This conclusion yields an important analytic shift, in which we see commitments to international human rights and humanitarian ideals to align, constructively and in new form, with the public integrity of democratic states.
Given its role as a legal instrument not only to try superiors but also to prevent both them and their subordinates from committing grave international crimes, the correct understanding and proper application of the doctrine of superior responsibility is of paramount importance. This article aims to illuminate specific and some controversial aspects of the third element of the doctrine—the failure to adopt necessary and reasonable measures—and obtain a clearer and more comprehensive understanding on the superiors’ duties, its limits and main prerequisites under the doctrine. For this purpose, an interdisciplinary study was conducted to investigate whether basic principles and business aspects of corporate governance and compliance management may be applied for a better understanding and refinement of the doctrine. The underlying analysis in corporate governance and compliance covers American (U.S.), German, and international standards.
Objections to the orthodox doctrine of an eternal hell often rely on arguments that it cannot be a person’s own fault that she ends up in hell. The article summarizes and addresses three significant arguments which aim to show that it could not be any individual’s fault that they end up in hell. I respond to these objections by showing that those who affirm a classical picture of sin have Moorean reasons to reject these objections. That classical perspective holds that all (serious) sin involves choosing eternal destiny apart from God and that no sin could possibly be caused by God. Consequently, it is necessary for ending up in hell that someone commit a serious sin, and it is sufficient for ending up damned that one persists forever in sin. Since the objections conflict with Moorean commitments central to the classical perspective, those who hold to such a classical perspective on sin would have good reason to reject all these arguments, which involve assumptions that would entail that such a perspective is false.
Despite R. G. Collingwood’s relation to British Idealism, a close reading of his subtle descriptions of imagination and expression reveals important points of contact with the phenomenological tradition. In the first section, I bring together Collingwood’s exploration of the role of imagination in art with Merleau-Ponty’s concepts of intentionality and expression. This provides insights into both thinkers’ attempts to describe lived experience and action, highlighting important aspects of their work overlooked by readers. In the second section, I explore how Collingwood and Merleau-Ponty both describe communication as an open and evolving movement of understanding that does not fall back upon a supposedly isolated consciousnesses, thereby eluding the threat of solipsism. In the third section, I outline the connection between Husserl’s identification of a “crisis” in the European sciences and Collingwood’s invocation against what he calls the “corruption of consciousness,” a particularly modern shirking of our responsibilities as expressive and active members of the community.
Chapter 10 provides an overview of the role and functions of private enforcement within regulatory regimes and the availability of redress. It draws attention to different ‘models of legal responsibility’ upon which regulatory regimes rely in allocating and distributing legal rights and duties between those who are subject to regulation and those whom regulation is intended to protect (‘regulatory beneficiaries’). This chapter is the most legally focused chapter in the volume, selectively highlighting several features of the institutional and enforcement context in which regulation occurs. Examples are private litigation, collective redress mechanisms, the role of courts as authoritative and final interpreters of the law and ‘alternative’ avenues for redress.
Knowledge of the molecular and physiological mechanisms of the Developmental Origins of Health and Disease (DOHaD) is no longer confined to the lab. Rather, DOHaD is part of a scattered landscape of policy initiatives, including political discourses, programmatic statements, and public health measures. This chapter examines what could be called the ‘moral paradox’ of DOHaD in policymaking; that is, the idea that while the scope, foundations, and practical implications of DOHaD research call for structural interventions addressing social determinants of health over the lifecourse, messages can boil down to simplistic claims of individual responsibility addressed to parents and gestating bodies. The chapter draws from a systematic literature review to document claims towards individual responsibilities in DOHaD publications. It shows that scientists rarely make any straightforward argument in favour of individual responsibilities for health. The ‘moral paradox’ of DOHaD arises from an ambiguous stance on the pragmatic possibilities of health promotion strategies inspired by DOHaD knowledge, which mixes up the current practical possibilities of the field with its policy framing, opportunities, and political ambitions. The chapter concludes that a greater awareness of these moral idiosyncrasies in DOHaD research may help the field embrace a social justice framing.
Much of norm research that focuses on actors’ behaviour in relation to a norm refers either to behaviour in accordance with a norm (e.g., appropriateness or compliance) or to behaviour that constitutes critical engagement or even rejection with a norm (e.g., contestation or norm violation). What remains unchartered by these approaches is behaviour that not only is in accordance with a norm but also goes in some way beyond the expected behaviour. We suggest calling this ‘responsible behaviour’. Based on constructivist norms research and research on responsibility in world politics, we develop a conceptualisation that allows to better understand such behaviour. To substantiate our understanding of norm-related behaviour, we develop a typology of four ideal types: appropriate, responsible, inappropriate, and irresponsible behaviour. We then zoom into responsible behaviour and identify three configurations of responsible behaviour. First, over fulfilment of a norm by an actor; second, actors previously not addressed by the norm nevertheless decide to act accordingly to the norm; third, norm generative behaviour. Finally, we illustrate these three configurations with different examples from the realm of global politics, looking at diverse actors such as municipal governments and armed non-state actors, studying different norms and norm types in various situations.
According to relational egalitarianism, justice requires equal relations. In this paper, I ask the question: can equal relations be unjust according to relational egalitarianism? I argue that while on some conceptions of relational egalitarianism, equal relations cannot be unjust, there are conceptions in which equal relations can be unjust. Surprisingly, whether equal relations can be unjust cuts across the distinction between responsibility-sensitive and non-responsibility-sensitive conceptions of relational egalitarianism. I then show what follows if one accepts a conception in which equal relations can be unjust, including why it provides a reason to grant some people less political power than others.
Genetically complete yet authorless artworks seem possible, yet it is hard to understand how they might really be possible. A natural way to try to resolve this puzzle is by constructing an account of artwork completion on the model of accounts of artwork meaning that are compatible with meaningful yet authorless artworks. However, I argue that such an account of artwork completion is implausible. Therefore, I leave the puzzle unresolved.
Pursuing German and Japanese war criminals and gaining compensation for survivors were high on the agenda of the victorious Allies after 1945. Enthusiasm, however, waned considerably and unforgivably in the context of the Cold War and partial restoration of pre-war elite networks. Long-term continuities in business–government networks in the coordinated economies of Germany and Japan meant that some of those who had been charged with war crimes – and/or those whose wealth derived at least in part from activities associated with the war – figured prominently in major post-war scandals. Over time, however, those directly tainted with pre-1945 crimes and practices begin to retire and die off. Moreover, the export orientation of both countries, combined with other aspects of the globalisation of business, finance, and markets, also changed the composition and dynamics of elite networks. This happened more rapidly and thoroughly in Germany than in Japan, owing to Germany’s greater dependence on exports; its central role in the European Union; and its greater openness to foreign imports and investment. German corporate governance therefore experienced more far-reaching reform than its Japanese counterpart. For many of the same reasons, Germany has made greater strides towards coming to terms with its pre-1945 past than Japan.
150 words: The books of Nahum, Habakkuk, and Zephaniah contain oracles that address problems in and around ancient Judah in ways that are as incisive and critical as they are optimistic and constructive. Daniel C. Timmer’s The Theology of Nahum, Habakkuk, and Zephaniah situates these books in their social and political contexts and examines the unique theology of each as it engages with imposing problems in Judah and beyond. In dialogue with recent scholarship, this study focuses on these books’ analysis and evaluation of the world as it is, focusing on both human beings and their actions and God’s commitment to purify, restore, and perfect the world. Timmer also surveys these books’ later theological use and cultural reception. Timmer also brings their theology into dialogue with concerns as varied as ecology, nationalism, and widespread injustice, highlighting the enduring significance of divine justice and grace for solid hope and effective service in our world.
50 words: This volume examines the powerful and poignant theology of the books of Nahum, Habakkuk, and Zephaniah. Daniel C. Timmer situates these books’ theology in their ancient Near Eastern contexts and traces its multifaceted contribution to Jewish and Christian theology and to broader cultural spheres, without neglecting its contemporary significance.
20 words: This volume draws out the theology of Nahum, Habakkuk, and Zephaniah, attending to their ancient contexts, past use and reception, and contemporary significance.
The books of Nahum, Habakkuk, and Zephaniah address problems in and around ancient Judah in ways that are as incisive and critical as they are optimistic and constructive. Daniel C. Timmer's The Theology of the Books of Nahum, Habakkuk, and Zephaniah situates these books in their social and political contexts, examining the unique theology of each as it engages thorny problems in Judah and beyond. In dialogue with recent scholarship, this study focuses on these books' analysis and evaluation of the world as it is, focusing on both human beings and their actions, and God's commitment to purify, restore, and perfect the world. Timmer also surveys these books' later theological use and cultural reception. His study brings their theology into dialogue with concerns as varied as ecology, nationalism, and widespread injustice. It highlights the enduring significance of divine justice and grace for solid hope and effective service in our world.
The chapter views automatism in the light of the Victorian emphasis on the value of free will and individual responsibility. Daily life involved repeated practical synthesis of contradictory judgments about the determined, or automatic, and moral sources of action. Criminal court cases in which there was a defense of insanity exemplified the issues at stake in relating the disordered brain and the moral will. In the Victorian period, medical experts began to play a large part in legal judgments about insanity and criminal responsibility, and they articulated evidence for the involuntary, or automatic, form of insane actions. Public interest in these issues preceded and informed debate about automatism in philosophy and science. The chapter uses a spectacular 1854 case of multiple child murder by the children’s mother to shape discussion of the wider issues. The case both shows the complexity of social issues touching on automatism and offers insight into the imagination that accompanied Victorian fears about automatism replacing free will.
Daoist philosophy takes as axiomatic that the constant transformation of things in the world is not to be deprecated, but rather celebrated as the basis for the mutual flourishing of the myriad things. This view contains both cyclical and linear conceptions of time and is predicated on a view of a porous body that does not simply occupy blank space or time, but rather is transformed by and also transforms space and time. The porosity and pliability of our cosmos suggests that we should value what is soft and weak rather than what is conventionally hard and strong. This leads to the formulation of an ethic of “plasticity” that governs our responsible engagement with our planetary context.