Characteristics of moral distress from nurses’perspectives:An integrative review

Objective:This integrative review aimed to identify the common characteristics of moral distress in nursing and distinguish it from other types of distress by examining nurses’perspectives in the literature.These insights will help update existing tools and create new ones to capture moral distress better,guiding the development and implementation of strategies to support nurses in addressing this challenge.Methods:Whittemore and Knafl’s integrative review method was employed to guide a systematic search for literature in three databases(EBSCO Medline,CINAHL,and PubMed).Additionally,two journals,Bioethics and Nursing Ethics,were manually searched to reduce search bias.The included studies were primary resources published in English between 2018 and 2023,utilizing quantitative,qualitative,or mixed methods to examine moral distress’s characteristics,components,and definitions.All of identified studies were screened,extracted,and analyzed independently by two researchers.Results:Nineteen studies were included.The results were grouped into five themes shaping the main characteristics of moral distress:1)experiencing a moral situation,with five ethically conflicted situations identified,including treatment plans,professional and personal moral values,team dynamics,complex contexts,clinical practices,and patient-centered care;2)making a moral judgment,where nurses experience moral distress when they cannot act consistently with their values,ethical principles,and moral duties;3)the presence of constraints,categorized at three levels:individual factors related to the nurse,patient,and patient’s family;team factors related to the team or unit involved;and system factors,including institutional and policy elements;4)moral wrongdoing,which occurs when nurses are unable to perform the right moral action;and 5)moral suffering,with studies showing that moral distress impacts physical,emotional,and psychological well-being.Conclusion:The findings enhance the understanding of moral distress characteristics among nursing staff,highlighting the concept of the crescendo effect,which underscores the cumulative and escalating nature of unresolved moral distress,emphasizing the need to address moral conflicts proactively to prevent the erosion of moral integrity and professional satisfaction.

Trade credit contracting in a risk-averse supply chain under adverse selection and moral hazard

Trade credit,as an effective tool for integrating and coordinating material,information,and financial flows in supply chain management,is becoming increasingly widespread.We explore how a manufacturer can design optimal trade credit contracts when a risk-averse retailer hides its sales cost information(adverse selection)and selling effort level(moral hazard).We develop incentive models for a risk-averse supply chain when adverse selection and moral hazard coexist,which are then compared with the results under single information asymmetry(moral hazard).Moreover,we analyze the effects of private information and risk-aversion coefficient on contract parameters,selling effort level and the profit or utility of the supply chain.The study shows that when the degree of retailer’s risk aversion is within a certain range,reasonable trade credit contracts designed by the manufacturer can effectively induce the retailer to report its real sales cost and encourage it to exert appropriate effort.Furthermore,we find that the optimal trade credit period,optimal transfer payment,and retailer’s optimal sales effort level under dual information asymmetry are less than those under single information asymmetry.Numerical analysis are conducted to demonstrate the effects of the parameters on decisions and profits.

Exploring the Path of Implementing the Home-School Co-education Model from the Perspective of Moral Education Field

As a social psychological field derived from the concept of physical field,the moral education field plays a very important role in guiding the construction of a home-school co-education model.In this paper,by analyzing the internal power system of the moral education field,with a policy oriented approach and combined with contemporary factors,it aims to empower the traditional home-school co-education model.Only by combining home education and school education,supplemented by social policy guidance,strengthening the construction of the"trinity"community,creating a harmonious and stable ecological interactive moral education field,expanding the path of home-school cooperation,strengthening the boundary of home and school responsibility,and innovating the form of home-school co-education,can it support the bright future of education.

On the Dilemma of Contemporary Liberal Theory of Moral Rights for Penalty Justification——Exemplified by the Right to Personal Liberty

Contemporary liberal theory on moral rights argues that moral rights associated with personal liberty constitute a strong constraint on the boundaries of state power.Therefore,the core issue of the penalty justification is not the purpose of the penalty,but the reason for the penalty to refrain from infringing on the moral rights of individuals.In order to justify the penal system,scholars have explored solutions such as limiting the content of rights,waiving rights,and finally rights forfeiture.However,the concept of rights forfeiture cannot be reasonably integrated into the framework of the liberal theory of moral rights.The failure of these attempts stems from the patchwork understanding of rights presupposed by the liberal theory of moral rights.There is another systematic way of understanding rights that offers a better justification.Individual rights are not an independent non-derivative moral justification,and both individual rights and the penal power of the state are only part of a specific(realistic or ideal)system of rules that collectively serve certain values.The real question of penalty justification is not why the punishment does not infringe on the moral rights of individuals,but whether the overall institutional arrangements,including the penal system,are justifiable for all citizens,including the punished.

Moral Perspective as Depicted in the Archetypes on Divine-Human Perspective of Dianshizhai Pictorial

This article examines the archetypes related to the divine-human perspective in the Dianshizhai Pictorial and uses the basic theory of“Myth-Archetype Criticism”to analyze the concepts of moral perspective and the view of cause and effect reflected in the text.It summarizes the interactive modes and various archetypes of cause and effect in three contexts:gods to humans,humans to gods,and humans to humans,explores the social reality and the relevant views of moral perspective and causality reflected in the illustrated magazine,and reveals the archetype foundation of the narrative of moral perspective retribution in Dianshizhai Pictorial in the three dimensions of psychology,literature,and society.

On Evaluating University Teachers’ Morality and Ethics in the New Era

University teachers play an important role in promoting moral and political education among university students.Regular and long-term construction of teachers’morality and ethics will contribute to the success of the fundamental task of cultivating talents.The present study proposes that due to the multiple identities of university teachers,it is necessary to evaluate the construction of teachers’morality and ethics in terms of what to evaluate and how to evaluate?It is expected that the attempt will provide useful guidance for the construction of university teachers’morality and ethics.

An Empirical Study on Students’Evaluation of Moral Education in Foreign Language Education in China

Students’evaluation of moral education is of great significance for improving the quality of teaching.Through a survey of 2715 undergraduates majoring in foreign languages,this paper analyzes their evaluation of the moral education.Findings show that students speak highly of teachers’competence in moral education,teaching methods and the integration of moral education in the textbooks,but not in the course assessment and the overall effect of moral education.Suggestions were proposed accordingly to improve moral education of foreign language education in China.

A Cosmological Neuroscientific Examination of Bertrand Russell’s Essays on Religion and Related Subjects

This work examined Bertrand Russell’s main arguments against the existence of God and his strongly negative opinion on the historic role of religions.These arguments were:(1)The idea that God is a First Cause is invalid because the cosmos doesn’t have to have a beginning;(2)If there were reasons for God to issue the observed natural laws and not others then God Himself was just an intermediary of older laws;(3)Considering all the defects of the world one cannot consider God as an omnipotent designer;(4)If God created both right and wrong then it is no longer a significant statement that God is good;And(5)most people believe in God just because they have been taught from early infancy to do it.The criticisms of cosmological neuroscience were as follows:(1)The particular cosmic wave that carries our Universe could have a beginning;(2)Although there were reasons for the natural laws which God issued,it cannot diminish the divine creativity of this act;(3)Although the world is indeed full of defects,they are as much parts of the cosmic order as its splendors,due to their common roots in the Law of Coexistence in Diversity;(4)Although right and wrong may ultimately be both in God’s blueprint,He is still benevolent due to the Law of Divine-Evil Asymmetry permitting wrong only under the dominance of right;And(5)although many believe in God only because they were taught to do so and hope it provides safety,this is an oversimplification unable to explain the genuine Faith of others.The devastating judgement of Russel that religions have been just“a source of untold misery to the human race”was also examined.This brief article could not detail all the positive social changes with which the religions of goodness(e.g.,Abrahamic religions)enriched history,such as introducing the respect for human life.But the paper did remind the reader of the God-inspired work of Lao Tzu,Rumi,Michelangelo,the Bach-interpreting Leonard Bernstein,Mother Teresa,Martin Luther King Jr.,George Harrison and others including the architects of the Borobudur temple and astronauts like Frank Borman who read from the Bible while flying around the Moon.The paper ended with the central thought of Bertrand Russell that“The good life is one inspired by love and guided by knowledge”,to emphasize that if committed to their Conscience atheists like him can live as moral lives as the men and women of Faith—the difference is being nothing else than sensing or not the Soul that permeates the cosmos.

A Study of a Moral Dilemma Stories Teaching Model Focusing on the Development of Higher-Order Thinking --"Synthetic polymers" as an example

Cultivating students'higher-order thinking is one of the important goals of modern education,and innovative teaching model is an effective way to achieve this goal.Aiming at the inadequacy of the existing moral dilemma stories approach in the transformation of knowledge and behavior,this research constructs a new Project Based Learning-Ethical Dilemma Stories(PBL-EDS)Teaching Model applicable to China's secondary education stage based on the innovative features of the moral dilemma stories approach on the core competencies,taking the chemistry subject as an example to carry out practice,and puts forward suggestions for the implementation of the teaching model.Chemistry as an example to carry out the practice,and suggestions are made for the implementation of the teaching model.

Challenges and Countermeasures of Youth Moral Education in the Era of Big Data

Youth moral education is an extremely important work,which is related to the inheritance of traditional virtues of the Chinese nation,the fundamental plan of“successor,”and the construction of modern Chinese spiritual civilization.In the era of big data,the moral education of youth is facing new challenges and opportunities.The wide application of big data technology has brought about an information explosion,exposing young people to more diverse and complex social information.It not only brings opportunities for positive moral education but also many challenges.The main problems of youth moral education in the era of big data are neglected youth subjectivity,insufficient youth moral practice,and utilitarian youth value orientation.We should develop personalized moral education programs,strengthen the integration of moral knowledge and action,and pay more attention to moral practice to improve the pertinence and effectiveness of moral education for young people in the era of big data.

Reflections on Teachers’Professional Ethics in Colleges and Universities

Teachers in colleges and universities are the nurturers of the core talents of the country.Teachers’comprehensive quality levels in colleges and universities fundamentally determine the quality of talent cultivation in colleges and universities,the level of scientific research,and the contribution to society.Based on moral cultivation and teachers’professional moral cultivation,this paper discusses the problems in the professional moral cultivation of college teachers and the measures to improve the professional moral cultivation of college teachers.

Collaborative Cultivation of Ideological and Political Education and Undergraduate Management in Colleges and Universities Under the Guidance of Moral Education

Guided by moral education,improving the ideological and moral quality of college students is an important goal of college education.To achieve this goal,it is necessary to strengthen ideological and political education and continuously improve the level of undergraduate management.This paper outlines the feasibility of collaborative cultivation of ideological and political education and undergraduate management in colleges and universities and analyzes its significance and the specific implementation strategies,with a view to providing valuable references for relevant colleges and universities to carry out educational work.

An Empirical Evaluation of the Impact of Moral and Law Course Teaching on the Effectiveness of University Students’Ideals and Beliefs Education

The Moral and Law course serves as a critical platform for educating university students about ideals and beliefs,and it has a significant impact on the effectiveness of ideals and beliefs education.This paper establishes a mechanism through which Moral and Law course teaching influences the effectiveness of ideals and beliefs education and conducts an empirical evaluation.The results reveal that factors such as the relevance and applicability of the teaching content,the integration of theory and practice,the innovation,interactivity,and participation of teaching methods,as well as classroom atmosphere,teaching facilities,and campus culture,all have a significant positive impact on the effectiveness of ideals and beliefs education for university students.

Practical Paths for Integrating“Stories of China”in the New Era into Ideological and Political Education in Universities

As socialism with Chinese characteristics enters a new era,ideological and political education in universities is presented with new opportunities.Telling the“Stories of China”is not only necessary for inheriting and promoting the excellent traditional Chinese culture but also an important way to build the socialist core value system and cultivate qualified builders of socialism.Effectively integrating the“Stories of China”with the ideological and political theory courses in universities is of great significance for guiding students to establish correct worldviews,outlooks on life,and values.This paper focuses on the practical paths of integrating the“Stories of China”with ideological and political theory in universities,deeply analyzes the existing integration mechanisms,principles to follow,and challenges faced,and explores innovative paths.It aims to provide a new perspective for ideological and political education in universities,promote the comprehensive development of students,and provide solid theoretical support for cultivating qualified socialist builders.

旅游主体行为合理化的伦理机制与引导策略

一、我国旅游伦理问题的突出表现道德（morality）是有关判断个人与组织行为正确与错误的原则。伦理（ethics）是指约束或影响个人与组织行为的道德准则与行为规范,主要涉及个人与组织（企业、机构等）具有社会影响部分的行为,并具有个人自律与社会自律的性质。在最基本的行为层面,伦理也可以称为文明礼仪（civilized etiquette）。文明礼仪是人类为维持社会的正常运转而要求人们共同遵守的最基本的道德规范。它是人们在长期共同生活和相互交往中逐渐形成,并且以善恶评价方式、依靠内心信念和传统习惯以及社会舆论来调整人们之间以及个人与社会、自然环境之间关系的自律性行为规范。

公民敏感性与居民的文明素养

旅游是一面镜子,一种观照方式,通过它,不但目的地居民知道我们如何看他们,而且我们也知道他们如何看我们。然而,旅游中的相互观看,既有可能加深彼此的理解,也有可能造成误解,甚至加深冲突。为了降低旅游造成误解的概率,促进相互理解,就有必要形成一些文明的行为准则。媒体上所报道的一些中国游客在境外的不雅和不端行为,就是不文明的体现。当然,大部分中国出境游客还是体现出了应有的文明水平,否则,世界各地热门，

先秦儒家“义利观”及其商业伦理价值

一商业实践的价值论是对人生理想和商业实践本身存在的意义的认识，儒家对体现商业实践指导思想和根本原则的“义利之辨”十分重视。孔子说：“富与贵，是人之所欲也；不以其道得之，不处也。贫与贱，是人之所恶也；不以其道得之，不去也。”①一方面，承认对物质利益的追...

用青春书写的道德篇章——李春华给我们的启示

湖南师范大学历史文化学院2003级学生李春华舍己救人的英雄事迹正在全国引起强烈的反响。在李春华身上究竟体现出了一种什么样的精神?由此我们应该如何评价80后的中国大学生的整体道德风貌?李春华的事迹对于我们加强大学生思想政治教育和公民道德建设有何启示?中华民族的传统美德如何在当代大学生身上得以传承和发扬?带着对这些问题的求解,我们选编了这几篇稿子,希望能够作为引玉之砖,引起大家的思考和讨论。

作为moral reasonability的道德理性及其优先性

通行的"道德理性"概念的所指及有效性并未局限在理论范围,还必然地延展到实践领域。对于其丰富内含,植根于西方传统形而上学的reason和rationality却不能给予充分表达。基于这两个概念的一些西方传统道德哲学(如康德的道义论)看起来至高至远,其实并不具有经验或实践层面的可普遍化性,因而在实际生活中难免走向反面。研究发现,如果使用英文词moral reasonability来理解和解释道德理性,或可弥补上述欠缺。因为,相较而言,这后一概念蕴含有一种着眼于"探究原因、提供理由"的最低限度的道德要求或"超底线准则",作为一种形式性的"前道德立场",它更易于落实到现实生活。这个概念不仅能够表达出道德理性中被前两个概念所忽略的含义,而且因为其历史特点具有优先性。

论大学生网络思想道德教育生活化

大学生网络思想道德教育生活化是相对于概念化、抽象化的现实思想道德教育而言的。它以大学生的日常现实生活为中心,以现实性与理想性相统一为原则、以教育对象的生活体验为主要背景、以网络文化为主要传播媒介,具备着多重特性,并通过大学生切身的网络生活实践实现对其思想道德的教育与引导。