In this paper I examine the following claims by William Eaton in his monograph Boyle on Fire： （i） that Boyle＇s religious convictions led him to believe that the world was not completely explicable, and this shows ...In this paper I examine the following claims by William Eaton in his monograph Boyle on Fire： （i） that Boyle＇s religious convictions led him to believe that the world was not completely explicable, and this shows that there is a shortcoming in the power of mechanical explanations; （ii） that mechanical explanations offer only sufficient, not necessary explanations, and this too was taken by Boyle to be a limit in the explanatory power of mechanical explanations; （iii） that the mature Boyle thought that there could be more intelligible explanatory models than mechanism; and （iv） that what Boyle says at any point in his career is incompatible with the statement of Maria Boas-Hall, i.e., that the mechanical hypothesis can explicate all natural phenomena. Since all four of these claims are part of Eaton＇s developmental argument, my rejection of them will not only show how the particular developmental story Eaton diagnoses is inaccurate, but will also explain what limits there actually are in Boyle＇s account of the intelligibility of mechanical explanations. My account will also show why important philosophers like Locke and Leibniz should be interested in Boyle＇s philosophical work.展开更多
Nurses＇ unintentional medication errors during treatment are relatively frequent and yet inevitable. Errors provoke emotions which influence the nurses＇ professional careers. Little is known about the relationship b...Nurses＇ unintentional medication errors during treatment are relatively frequent and yet inevitable. Errors provoke emotions which influence the nurses＇ professional careers. Little is known about the relationship between nurses＇ supervisors constructive listening （CL） and the emotional reactions of nurses who committed an error and its relation to patients＇ safety. Our purpose was to explore the relationship between nurses＇ perceptions regarding their supervisors＇ CL and their emotional experiences after committing an error related to patient care. Dependent variables included of guilt, empathy towards the patient, general and professional self-assessment, shame, and Negative and Positive Affect （NA/PA）. In this descriptive study, we used a snowball sampling method. Participants were asked to sign an informed-consent form and complete the questionnaire before or after work. No compensation （material or otherwise） was offered to participants. The study was approved by the ethics committee of the academic institution involved. A total of 162 nurses participated： 103 （63.6%） held a registered and 40 （25%） held a managerial role. Seniority had high variability, ranging from 3 months to 45 years （M=1 3.54, SD=0.78）. The majority of errors reported （67.7%） concerned the administration of medications. We used Structural Equation Modeling to measure relationships between the main variables （X2（9）=14.52, p=.105, CFI=.911, RMSEA=.062 （90% CI=.00-. 11）. The main findings were： a high rating of perceived supervisor＇s CL led to high state-guilt （β=. 15, p=.04）. Next, higher state-guilt led to high PA （β=.18, p=.02） and to high NA （β=.45, p〈.001）. High PA led to reporting the error （β=.17, p=.03）, whereas high NA led to a high degree of empathy towards the patient （β=.17, p=.03）. Our findings show the importance of CL, which led to reporting error and to empathy towards patients, mediated by increased state-guilt and by increased positive and negative effect. Supervisor nurses should use CL to create an atmosphere of trust which fosters the reporting of errors and improves patients＇ safety.展开更多
文摘In this paper I examine the following claims by William Eaton in his monograph Boyle on Fire： （i） that Boyle＇s religious convictions led him to believe that the world was not completely explicable, and this shows that there is a shortcoming in the power of mechanical explanations; （ii） that mechanical explanations offer only sufficient, not necessary explanations, and this too was taken by Boyle to be a limit in the explanatory power of mechanical explanations; （iii） that the mature Boyle thought that there could be more intelligible explanatory models than mechanism; and （iv） that what Boyle says at any point in his career is incompatible with the statement of Maria Boas-Hall, i.e., that the mechanical hypothesis can explicate all natural phenomena. Since all four of these claims are part of Eaton＇s developmental argument, my rejection of them will not only show how the particular developmental story Eaton diagnoses is inaccurate, but will also explain what limits there actually are in Boyle＇s account of the intelligibility of mechanical explanations. My account will also show why important philosophers like Locke and Leibniz should be interested in Boyle＇s philosophical work.
文摘Nurses＇ unintentional medication errors during treatment are relatively frequent and yet inevitable. Errors provoke emotions which influence the nurses＇ professional careers. Little is known about the relationship between nurses＇ supervisors constructive listening （CL） and the emotional reactions of nurses who committed an error and its relation to patients＇ safety. Our purpose was to explore the relationship between nurses＇ perceptions regarding their supervisors＇ CL and their emotional experiences after committing an error related to patient care. Dependent variables included of guilt, empathy towards the patient, general and professional self-assessment, shame, and Negative and Positive Affect （NA/PA）. In this descriptive study, we used a snowball sampling method. Participants were asked to sign an informed-consent form and complete the questionnaire before or after work. No compensation （material or otherwise） was offered to participants. The study was approved by the ethics committee of the academic institution involved. A total of 162 nurses participated： 103 （63.6%） held a registered and 40 （25%） held a managerial role. Seniority had high variability, ranging from 3 months to 45 years （M=1 3.54, SD=0.78）. The majority of errors reported （67.7%） concerned the administration of medications. We used Structural Equation Modeling to measure relationships between the main variables （X2（9）=14.52, p=.105, CFI=.911, RMSEA=.062 （90% CI=.00-. 11）. The main findings were： a high rating of perceived supervisor＇s CL led to high state-guilt （β=. 15, p=.04）. Next, higher state-guilt led to high PA （β=.18, p=.02） and to high NA （β=.45, p〈.001）. High PA led to reporting the error （β=.17, p=.03）, whereas high NA led to a high degree of empathy towards the patient （β=.17, p=.03）. Our findings show the importance of CL, which led to reporting error and to empathy towards patients, mediated by increased state-guilt and by increased positive and negative effect. Supervisor nurses should use CL to create an atmosphere of trust which fosters the reporting of errors and improves patients＇ safety.
