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.

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.

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.

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.

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.

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.

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.

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.

中国儿童道德情感发展的动态演变及生态系统模型建构——基于三轮大样本实证调查

道德情感是品德现实化的动力因素,是考察儿童知行统一性的关键点。基于2016、2019、2022年中国儿童道德发展的大样本整体动态数据(77953,77367,79914),采用回归分析、夏普里值分解发现中国儿童道德情感的发展:(1)类型不均衡,同情心表现需要关注;(2)水平随年龄的增高呈现先增高后降低的发展趋势,10岁为儿童道德情感发展的关键点;(3)存在性别和城乡区域的结构差异;(4)按因素影响强度呈现独特的生态系统逻辑,从高到低排列为“个体-学校-社会支持-家庭”;生活满意度、了解儿童的人、学校和家庭心理环境是高影响因素;不同因素对不同性别和学段儿童的道德情感发展影响存在差异。由上发现提出,中国儿童道德情感培育要重视道德情感类型的发展失衡、群体发展的差异和关键影响因素,优化儿童道德情感发展的生态系统,抓住发展的关键期,进一步明确教育的侧重点,提升针对性和时效性。

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。

GAMES ANALYSIS OF INSURANCE PRICING UNDER CONSIDERING MORAL HAZARD

This paper first gives an explanation of moral hazard in the insurance field,and then offers a game theory model about insurance pricing according to the non zero sum game analysis between the insurer and the insured when moral hazard exists.On the basis of the game analysis,this paper also presents a lowest pricing formula and studies the cost of moral hazard simultaneously.

康德有没有区分伦理与道德?——从Sitten和Moral之译名谈起

学界一般认为,康德没有严格区分Sitten和Moral,故均以“道德”译之。近有文章予以严格区分,分以“伦理”和“道德”译之。主要理由有4条:(1)古代只有伦理(Sitten),并无道德(Moral);(2)Metaphysik der Sitten(道德形而上学)与Moralphilosophie(道德哲学)不同;(3)Sittenlehre(道德学说)与Moral(道德学)不同;(4)Sittlichkeit与Moralit?t不同。经文献梳理发现:(1)古代既有道德的词源即ηθοs,又有道德的内容即德性(Tugend);(2)道德形而上学与道德哲学之不同非Sitten和Moral不同之故,系哲学和形而上学不同之故;(3)道德学说和道德学之差异非Sitten和Moral之差异,系两者作为“学说”(Lehre)在性质和范围上的差异;(4)按严格区分Sittlichkeit与Moralit?t的方式翻译康德文本,会导致与这一区分预设的立场相悖的结论。故严格区分的理由并不成立。

Study on the Price Design and Contract Stability of "Company + Farmer" Model with Time Preference under Double Moral Hazards

The double moral hazard of ＂company ＋ farmer＂ and the time preference cost of company and farmer was analyzed. According to static game model, it re-vealed that the reason for low compliance rate of ＂company ＋ farmer＂ model was the existence of market risk, namely, the fluctuation of market price, and the stable market price in contracts was actualy a kind of interval, instead of a specific value. Furthermore, the effect of default penalty, market transaction cost and time prefer-ence cost on the stability of contract was studied. The results showed that default penalty, market transaction cost and time preference cost had positive influence on the price interval range of a contract.

Struggling in a Chaste Labyrinth:Tess,a Victim in Traditional Moral Concepts

The present article makes comments on the film,Tess and draws the conclusion that the film carved a resourceful heroine and showed the audience a real,alive social world and also let us review our social moral standards through the character,which is a victim of traditional moral concepts.

Analysis on Morality of the Protagonist of The Adventures of Huckleberry Finn

The Adventures of Huckleberry Finn is honored as the most typical novel of American literature after the Civil War. This story unveils the hypocrisy of religion and scoffs at the conventional social principle. Affected by the deep-rooted racial discrimination, Huck pays little respect to the black slaves as other white people do at first. After embarking on the raft with Jim together, he has got the chance to know more about what the black slave truly is. He never stops struggling inside, and eventually Jim's kindness and loyalty helps Huck to waken humanity in his heart and defeat his moral conflict. Therefore through the deepened analysis of the plot and the author, the reasons for the change of Huck's morality can boil down to social conventions, Huck's complicated character, and moreover the democratic ideal of Twain.

Emotional Identity： Fundamental of Moral Practice

影响道德践履的诸多因素中,情感认同是一个非常重要却常被忽视的重要因素.作为一种内心体验,情感认同是道德认知和接受的前提条件,更是影响道德教育实效的深层次原因.分析情感认同对道德践履产生作用的内在机理,以期对道德教育理论和实践提供有益帮助.

Reflections of Gender Morality on the Character Maggie in The Mill on the Floss

As an excellent novelist of Victorian Age, George Eliot is famous for her brilliance and anti traditional thoughts. Eliot's views on morality and rich life experiences are also drawing people's attention. The Mill on the Floss is Eliot's early works,which describes the heroine Maggie's short life experiences. She's brave enough to struggle for the outer strength. And from Maggie's behaviors, we can realize the standard of Eliot's views on morality. George Eliot is a faithful believer in the importance of morality in society. She acted by high moral standards in her own life and developed her moral ideas in her books.Eliot's moral ideas will be of great help in studying Eliot's works.

道德概念是一种HPC概念吗?——浅议厚道德概念与道德概念自然化

道德概念与自然概念的关系是元伦理学领域的重要议题,自然主义者同意道德概念可以通过自然概念说明却被摩尔批判为“自然主义谬误”,博伊德提出属性稳态丛聚理论(homeostatic property cluster,以下简称HPC)以规避该批评。定义HPC类词项的内在属性间应具有因果联系,但对“善”概念进行的两个思想实验证明“善”概念不具有归纳推理适宜性,这意味着薄道德概念难以具备成为HPC概念的必要条件。厚道德概念由于含有丰富的描述性内容更有利于归纳。文章试将厚道德概念作为HPC概念定义并确定其丛聚属性,以维护部分道德概念的自然性、彰显道德概念的历史与社会维度。