Ethics is a foundational competency in healthcare inherent in everyday nursing practice. Therefore, the promotion of qualified nurses’ and nursing students’ moral competence is essential to ensure ethically high-quality and sustainable healthcare. The aim of this integrative literature review is to identify the factors contributing to the promotion of qualified nurses’ and nursing students’ moral competence. The review has been registered in PROSPERO (CRD42023386947) and reported according to the PRISMA guideline. Focusing on qualified nurses’ and nursing students’ moral (...) competence, a literature search was undertaken in January 2023 in six scientific databases: CINAHL, Cochrane Library, PsycINFO, PubMed Medline, Scopus and Web of Science. Empirical studies written in English without time limitation were eligible for inclusion. A total of 29 full texts were retrieved and included out of 5233 citations. Quality appraisal was employed using Joanna Briggs Institute checklists and the Mixed Method Appraisal Tool. Data were analysed using inductive content analysis. Research about the factors contributing to the promotion of qualified nurses’ and nursing students’ moral competence is limited and mainly explored using descriptive research designs. The contributing factors were identified as comprising two main categories: (1) human factors, consisting of four categories: individual, social, managerial and professional factors, and ten sub-categories; and (2) structural factors, consisting of four categories: educational, environmental, organisational and societal factors, and eight sub-categories. This review provides knowledge about the factors contributing to the promotion of qualified nurses’ and nursing students’ moral competence for the use of researchers, nurse educators, managers, organisations and policymakers. More research about the contributing factors is needed using complex intervention, implementation and multiple methods designs to ensure ethically sustainable healthcare. (shrink)

Many believe that normative reasons for action are necessarily connected with the promotion of certain states of affairs: on Humean views, for example, there is a reason for you to do something if and only if it would promote the object of one of your desires. But although promotion is widely invoked in discussions of reasons, its nature is a matter of controversy. I propose a simple account: to promote a state of affairs is to make it more (...) likely to obtain than it previously was. I argue that this view has been unfairly neglected, that it avoids serious problems faced by many other views, and that it is a contender for the correct theory of promotion. (shrink)

This paper discusses means for promoting artificial intelligence that is designed to be safe and beneficial for society. The promotion of beneficial AI is a social challenge because it seeks to motivate AI developers to choose beneficial AI designs. Currently, the AI field is focused mainly on building AIs that are more capable, with little regard to social impacts. Two types of measures are available for encouraging the AI field to shift more toward building beneficial AI. Extrinsic measures impose (...) constraints or incentives on AI researchers to induce them to pursue beneficial AI even if they do not want to. Intrinsic measures encourage AI researchers to want to pursue beneficial AI. Prior research focuses on extrinsic measures, but intrinsic measures are at least as important. Indeed, intrinsic factors can determine the success of extrinsic measures. Efforts to promote beneficial AI must consider intrinsic factors by studying the social psychology of AI research communities. (shrink)

With the rapid development of artificial intelligence, its application in art education is becoming increasingly widespread, providing students with new ways to enhance creativity and critical thinking. This paper analyses the specific application of artificial intelligence in art education and explores how it fosters students' creativity through innovative teaching methods, personalized learning, and thinking guidance in artistic creation. At the same time, the study also reveals the positive role of artificial intelligence in helping students to screen and criticize information, analyze (...) and evaluate art works, and encourage innovative thinking and critical thinking. The research demonstrates that artificial intelligence significantly enhances students' independent thinking and critical appreciation of art, improving their artistic literacy and innovation while supporting the modernization of art education. (shrink)

The term “technological fix”, coined by technologist/administrator Alvin Weinberg in 1965, vaunted engineering innovation as a generic tool for circumventing problems commonly conceived as social, political or cultural. A longtime Director of Oak Ridge National Laboratory, government consultant and essayist, Weinberg also popularized the term “Big Science” to describe national goals and the competitive funding environment after the Second World War. Big Science reoriented towards Technological Fixes, he argued, could provide a new “Apollo project” to address social problems of the (...) future. His ideas – most recently echoed in “solutionism” – have channeled confidence and controversy ever since. This paper traces the genesis and promotion of the concept by Weinberg and his contemporaries. It argues that, through it, the marginal politics and technological confidences of interwar scientists and technocrats were repositioned as mainstream notions closer to the heart of Big Science policy. (shrink)

It is generally wrong to manipulate. One leading reason is because manipulation interferes with autonomy, in particular the component of autonomy called ‘independence’, that is, freedom from intentional control by others. Manipulative health promotion would therefore seem wrong. However, manipulative techniques could be used to counter-manipulation, for example, playing on male fears of impotence to counter ‘smoking is sexy’ advertisements. What difference does it make to the ethics of manipulation when it is counter-manipulation? This article distinguishes two powerful defences (...) of counter-manipulative health promotion: that the counter-manipulation would prevent manipulation occurring, leaving people unmanipulated; and that the counter-manipulation would make people healthier without being any more manipulated than they would otherwise be. The article explains how counter-manipulation might work and the limits to its scope. The upshot is that counter-manipulative health promotion could respect the independence people are owed in virtue of their autonomy. However, autonomy is not the only consideration, and the article discusses further potential problems. Counter-manipulative health promotion might be misapplied, it might undermine trust, it might infringe on some norms for role behaviour and it might encourage a regrettable social practice. These objections are likely to be decisive against the counter-manipulation in some but not all cases. (shrink)

Every recent presidential administration praises global democracy, but how do they do in funding democracy-supporting activities? Building on analyses of the George W. Bush and Barack Obama presidencies, this essay looks at the disappointing landscape of international democracy, and then considers what the Donald Trump administration said, particularly in its National Security Strategy, and what it did in terms of funding of activities to support democracy abroad. Rooted in wider social science evidence, this analysis suggests that there are differences between (...) top-down, bottom-up, and middle-range democracy promotion activities. It demonstrates that the Trump administration’s National Security Strategy privileged a holistic approach to democracy and human rights, and when it came to funding levels, according to government data, there was not the overall decline expected by many. The Trump National Security Strategy emphasized especially international religious freedom as fundamental to human rights and democratic governance in ways considerably different from previous administrations. (shrink)

Expertise in the field of pedagogy began to be more thoroughly researched at the end of the last and the beginning of this century. It has been observed that expert teachers possess a range of characteristics that enhance the quality of educational system. Flexibility, analytical thinking, a strong understanding of abstract concepts, attention to detail, and better problem solving and decision-making strategies are among the traits of expert teachers. Through continuous work on their own professional development, teachers achieve excellence in (...) their field and become experts, demonstrating their expertise, among other ways, through advancement to higher professional ranks. The aim of this research was to explore the experiences of expert teachers regarding professional advancement and their role within the educational system. A qualitative study was conducted using a focus group. Data were collected through semi-structured interviews with eight female teachers who had attained the titles of teacher advisor or teacher excellent advisor. The findings indicate that there are numerous challenges in the process of professional advancement into higher ranks for teachers and that expert teachers often represent an underutilized potential within the educational system. (shrink)

We examined social role‐taking and moral judgement improvement after an educational group‐oriented intervention emphasizing guided reflection and role‐taking dimensions among 11 groups, made up of a total of 61 female and male Italian university students. They were compared to a control group of 59 students. We twice applied Italian adaptations of two role‐taking and two moral development measures, originally developed by Gibbs and by Lind respectively in the USA and in Germany. Good empirical support for the reliability and validity of (...) the American and German instruments was noted in the Italian setting. Students assumed more responsibility in a variety of social roles, exposed themselves increasingly to social role‐taking opportunities, and showed increased moral judgement maturity after the educational intervention. An active orientation toward role‐taking opportunities was related to higher levels of moral judgement among both men and women. (shrink)

The goal of this paper is to examine the impact of leadership and promotion regulatory focus on employees’ willingness to engage in unethical pro-organizational behavior . Building from a person–situation interactionist perspective, we investigate the interaction of leadership style and how leaders frame messages, as well as test a three-way interaction with promotion focus. Using an experimental design, we found that inspirational and charismatic transformational leaders elicited higher levels of UPB than transactional leaders when the leaders used loss (...) framing, but not gain framing. Furthermore, followers’ promotion regulatory focus moderated this relationship such that the effect held for followers with low promotion focus, but not for individuals with high promotion focus. Our findings extend the understanding of UPB, offer theoretical mechanisms to explain when this behavior occurs, and contribute to leadership theory and research on ethical decision making. (shrink)

El objetivo de este trabajo es proponer un modelo eficiente e integrado para la selección de habilidades personales, con la idea de inducir su adquisición entre los estudiantes de la universidad. Definidas las competencias de amplio espectro a mejorar, se sugieren herramientas y procesos para su consecución. En concreto, como trabajo aplicado, se ofrece el uso del Trabajo de Fin de Grado como guía para realizarlo. El método consiste en permitir al docente implicado en la tutorización del TFG la elección (...) de competencias que aseguren el aprendizaje transversal del alumno así como la motivación del estudiante en la realización del proyecto. Los resultados obtenidos sugieren que es posible a través de programas aplicados como el aquí descrito lograr mejoras en la habilidad de los estudiantes, a la vez que se podrían mejorar los resultados académicos finales. (shrink)

El quehacer docente durante la pandemia, llevo hacer cambios en su metodología de trabajo, la experiencia en aula virtual de la asignatura de microbiología involucra a los alumnos de quinto semestre del área de la salud, de la preparatoria licenciado Benito Juárez García. En ésta el alumno debe aprender a investigar, diseñar y poner en marcha una propuesta de difusión sobre la etiología y prevención de enfermedades causadas por microorganismos. Por lo que, debido a la contingencia sanitaria la difusión fue (...) por medios digitales a través de Blogs. (shrink)

Health education and promotion is part and parcel of public health. Its importance was emphasized in the Declaration of Alma Ata sponsored by the WHO in 1978.

Epistemic teleology is the view that (a) some states have fundamental epistemic value, and (b) all other epistemic value and obligation are to be understood in terms of promotion of or conduciveness to such fundamentally valuable states. Veritistic reliabilism is a paradigm case: It assigns fundamental value to true belief, and it makes all other assessments of epistemic value or justification in terms of the reliable acquisition of beliefs that are true rather than false. Teleology faces potentially serious problems (...) from cases of cross-propositional tradeoffs and cases of epistemic self-promotion. Both are cases in which committing some intuitive epistemic ill (such as believing against one’s evidence) promotes the greater epistemic good. It can seem that epistemic teleologies must incorrectly endorse intuitively unjustified beliefs as justified in such cases. This paper defends epistemic teleology on two fronts. First, I argue that the problems of tradeoffs and self-promotion do not affect minimally plausible epistemic teleologies. Second, I rehearse some of what I take to be the main reasons to prefer epistemic teleology to alternative views. A theme that develops along the way is that plausible teleologies evaluate belief-forming methods by appeal to their promotion of epistemic goals, but they evaluate individual beliefs by appeal to their causal histories. That is the feature that enables them to avoid tradeoff problems, without abandoning teleology and without resorting to ad hoc epicycles. (shrink)

This study examines how local officials’ promotion incentives affect firms’ green innovation. The Creating National Hygienic City campaign in China provides promotion incentives for local officials to voluntarily enhance environmental governance, which exerts political pressure on local polluting firms. We find that local polluting firms, relative to non-polluting firms, increase their green patent applications by 17.4 percentage points after their governments participate in the campaign. This effect is more pronounced when local economic performance is weaker and when firms (...) exhibit a higher level of resource dependence on local governments. In addition, polluting firms receive more government subsidies and long-term loans after their local governments join the campaign. This suggests the effectiveness of green innovation as a corporate political strategy. Lastly, we find that the increased green patent applications are of low quality, indicating that firms’ green innovation improvement tends to be a symbolic response to local officials’ demand. Overall, our study provides insight into the impact of local officials’ promotion incentives on firms’ environmental ethics. (shrink)

Social media users have increased rapidly in recent years; however, most are “silent users” who rarely share information online. To maintain social media companies’ stable operation and development, this research explored the effects of flow experience and identity formation on users’ intrinsic motivation to facilitate aggressive, spontaneous, and habitual participation in virtual communities. A total of 487 valid questionnaires were collected and underwent regression analysis. The results revealed that all three intrinsic motivations had a significant impact on social media participation, (...) with social interaction exerting the strongest influence. Flow experience and identification had significant, partial mediating effects on the relationship between motivation and participation. Several suggestions were provided based on the results to help social media enterprises increase user participation. It is hoped that this research could facilitate in transforming users into habitual participants to keep the operations of the virtual community stable and enduring. (shrink)

State-sponsored breastfeeding promotion campaigns have become increasingly common in developed countries. In this article, by using the tools of liberal political theory, as well as public health and health promotion ethics, we argue that such campaigns are not justified. They ignore important costs for women, including undermining autonomy, fail to distribute burdens fairly, cannot be justified neutrally and fail a basic efficacy test. Moreover, our argument demonstrates that breastfeeding campaigns are a rare case that bridges the fields of (...) public health ethics and the ethics of health promotion campaigns. This demonstrates the need to consider the ethics of state promotion of both voluntary and coercive behavioural change that benefits third parties. (shrink)

A consideration of current debates in the philosophy of medicine and health care regarding the nature of health and health promotion, concepts and measurements of mental health problems, phenomenological conceptions of health and illness, allocation of health care resources and medical ethics.

This paper shows the ways in which Kant’s notions of the feeling of life and the feeling of the promotion of life may be influenced by Epicurus’ theory of pleasure and the Stoic notion of oikeiôsis, respectively. Accordingly, getting a clear picture of Epicurus’ theory of pleasure and the Stoic notion of oikeiôsis will help us (i) understand why Kant introduces these notions in the third Critique and (ii) why he identifies aesthetic pleasure with the feeling of the (...) class='Hi'>promotion of life. As I will demonstrate, the feeling of life allows us to be conscious of the harmonious interaction of our faculties with each other while the feeling of the promotion of life allows us to be aware of the harmonious relationship between our faculties and nature. Hence, the feeling of the promotion of life indicates the well-being of the subject in its relation to its environment. (shrink)

Background Education is a tool for the promotion of ethical skills that ensure the principles of conduct and the quality of care provided. The literature is still incipient in this theme; however, some studies point to education and ethical consultations as strategies to promote an ethical environment. Objective To map the interventions that aim to prospect the ethical environment in health services. Method Scoping review to answer the question “What interventions are being used by health professionals to prospect an (...) ethical environment in health services?” It occurred in the Medline (PubMed), CINAHL with Full Text (EBSCO), Scopus, Embase (Elsevier), and Web of Science databases in January 2023 by two reviewers, via the Rayyan platform. Articles with health professionals addressing interventions to prospect the ethical environment in any health service were included, without time frame. A form was used for data extraction and analysis occurred via Bardin content analysis. The review protocol was registered in the Open Science Framework. Results 2429 records were found; however, only 12 articles were included for analysis, these being randomized, cross-sectional, descriptive, and qualitative studies. Among the interventions, it was noticed that 58.3% ( n = 7) is about ethical education, 16.7% ( n = 2) about ethical guidelines and codes, 16.7% ( n = 2) about ethical reflection and leadership, and 8.3% ( n = 1) of ethical consultations. A theoretical map was elaborated, and four types of interventions were identified, based on ethical consultation, ethical education, guidelines and codes of ethics, reflection, and ethical leadership. Conclusions The interventions were considered effective to prospect the ethical environment in health services, and their effectiveness was evaluated by validated instruments, as well as through interviews and focus groups. (shrink)

This article claims that health promotion is best practised in the light of an Aristotelian conception of the good life for humans and of the place of health within it.

The international pharmaceutical industry has made significant efforts towards ensuring compliant and ethical communication and interaction with physicians and patients. This article presents the current status of the worldwide governance of communication practices by pharmaceutical companies, concentrating on prescription-only medicines. It analyzes legislative, regulatory, and code-based compliance control mechanisms and highlights significant developments, including the 2006 and 2012 revisions of the International Federation of Pharmaceutical Manufacturers and Associations (IFPMA) Code of Practice.

One of the responses to the attacks upon the contemporary university, particularly upon the humanities, has been to encourage faculty to engage in so-called ‘public intellectualism.’ In this paper I urge philosophers to embrace this turn, but only if the academy can effectively address how to credit such work in the tenure and promotion process. Currently, public philosophy is typically placed under ‘service’, even though the work is often more intellectually and philosophically rigorous than committee work, even sometimes more (...) than publications. I address this problem by providing an analysis of what is academically valuable about good scholarship and then showing how much of public philosophy achieves those goods. From this I argue that the academy should abandon the traditional categories of teaching/research/service and replace them with a holistic and qualitative single category of “teacher-scholar.” I then recommend that evaluation criteria should be very inclusive, giving credit to the wide range of activities in which faculty participate and I provide some suggestions for how those criteria should read. (shrink)

A tourist village is a form of industry which is a tourist trip that encourages tourists to use the various products offered by the tourist village, consisting of culinary tourism, educational tourism, natural tourism, and so on. Data on tourist visits to Sumedang Regency during 2022 was 1,293,953 people and in 2023 there were 1,738,502 people. Based on this data, it is known that the number of tourist visits has increased but the number of visits is not spread across all (...) tourist attractions or tourist villages in Sumedang Regency. Therefore, the Sumedang Regency Tourism, Culture, Youth and Sports Department is targeting an increase in the number of tourist visits by 17% from 2023. So it is necessary to develop a promotional strategy for tourist villages in Sumedang Regency. Thus, the aim of this research is to develop a tourism village promotion strategy in developing local wisdom-based tourism in Sumedang Regency. In determining a tourism promotion strategy, it is necessary to pay attention to several dimensions of tourism promotion which consist of: image marketing, atraction marketing, infrastructure marketing, and people marketing. The research method used was qualitative research methods. Data collection was carried out through literature and field studies. Meanwhile, data processing is carried out by referring to data processing procedures which consist of data reduction, data presentation and data verification. (shrink)

Health promotion is a key element of public health practice. Among strategies aiming to deal with public health problems, health promotion purports to help people achieve better health. Health promotion can significantly alter people’s lifestyles, and three main ethical issues relate to it: ( i ) what are the ultimate goals for public health practice, i.e. what ‘good’ should be achieved? ( ii ) how should this good be distributed in the population? and ( iii ) what (...) means may we use to try to achieve and distribute this good? The last question is the subject of this article. Concerns raised about health promotion can be divided into two groups: ( i ) efficacy-based considerations – are they cost-effective or cost-ineffective? and ( ii ) autonomy-based concerns – (to what extent) do they interfere with free choice, i.e. do they attempt to direct social values and lifestyles? Ways in which an individual’s autonomy may be compromised by means of influencing behaviour change are considered. This article has been retracted: See RETRACTION NOTICE. (shrink)

In this paper I provide a critique of a set of assumptions relating to agency, choice and the legitimacy of actions impacting health that can be seen in some approaches to health promotion. After a brief discussion about the definition of health promotion, I outline two contrasting approaches to this area of health care practice. The first is focused on the provision of information and the second is concerned with seeking to change people’s preferences in a particular way. (...) It has been argued by a number of critics of health promotion that only the first approach is ethical, as it is for individuals to make their own lifestyle choices and adopt their own conception of the good life. I argue against this ‘information’ approach to health promotion on two grounds. First, I suggest that given the aims of health promotion, the provision of information is, as a matter of fact, of limited effectiveness in achieving these aims. Second, I argue that we have good reasons to question the appropriateness of respecting many of the preferences that individuals happen to have, given the origins and quality of such preferences. I then go on to argue, that by contrast we have good reasons to focus on changing at least some of the preferences that people have related to their lifestyle choices. This involves a commitment to both paternalism and a defence of a certain conception of the good life, but both can be defended. I use the example of potential responses to the growing problem of obesity to illustrate my argument, arguing that only policy that, at least sometimes, aims at preference change will be both effective and ethical. (shrink)

This paper attempts to analyse the notion of health promotion and related conceptual issues within an action-theoretical framework. The purpose is both theoretical and ethical. The paper provides a taxonomy as well as a system for classifying various types of health promotion. This system is inspired by Professor G H von Wright's theory of action explanation. The theoretical framework is used in the ethical part of the paper where some major ethical dilemmas in health promotion are analysed. (...) Particular attention is paid to the use of manipulation and force in health promotion. An attempt is made to define when such measures are justified in various health enhancing contexts. (shrink)

This article explores the values that should be promoted in civic education for democracy and also how the promotion of values can be non-coercive. It will be argued that civic education should promote the values of reasonableness, mutual respect and fairness, but also that only public, political reasons count in attempting to justify the content of civic education. It will also be argued that the content of civic education may legitimately be broader than this, including but not restricted to (...) the values of autonomy, integrity, magnanimity, truthfulness and generosity. At the same time, if civic education is seen merely as a means to shape and form future citizens, then the promotion of values in civic education will be a coercive imposition on children and young people. If the promotion of values instead is to be non-coercive it must be defended with reasons that children and young people should be able to accept. (shrink)

Health communication researchers and practitioners continue to debate about the types of influence that are appropriate in health promotion. A widely held assumption is that health campaigns and communicators should respect the autonomy of their audiences, and that the most appropriate way to do so is to persuade them by means of truthful substantive information. This approach to ethical persuasion, though, suffers from certain blind spots. To account for circumstances when respecting autonomy might take a back seat to other (...) ethical considerations, a comprehensive framework for the ethics of health communication needs to acknowledge types of communication that aim to do something other than provide substantive information (disclosive and directive communication), and subjective circumstances when people are not motivated to process information or make active choices (low processing motivation and decision aversion). (shrink)

It has been shown that reward motivation can facilitate proactive control, a cognitive control mode that is characterized of prior preparation and sustained holding of the goal-relevant information in working memory. However, it remains to be established the neural networks that may be involved in this promotion effect. In this study, participants underwent the AX-Continuous Performance Task (AX-CPT) that measures relative proactive control during functional magnetic resonance imaging (fMRI) scanning. We employed independent component analysis to decompose multiple brain networks (...) and identified the task related network. Results showed that the salience network (SN) was engaged in the AX-CPT protocol. Importantly, our data demonstrated that reward modulated the association between task engagement of SN and proactive control, whereby the positive correlation was particularly observed in the reward condition. Moreover, reward modulated task engagement of the SN in a proactive manner, which may contribute to the behavioral proactive performance. Overall, our data suggest the involvement of SN in the reward facilitation effect of proactive control. (shrink)

One important ethical issue for health promotion and public health work is to determine what the goals for these practices should be. This paper will try to clarify what some of these goals are thought to be, and what they ought to be. It will specifically discuss two different approaches to health promotion, such as, behavior change and empowerment. The general aim of this paper is, thus, to compare the behavior-change approach and the empowerment approach, concerning their immediate (...) goals or aims, and to morally evaluate the strengths and weaknesses of these two goal models, in relation to the ultimate goal of health promotion. The investigation shows that the behavior-change approach has several moral problems. First of all, it is overly paternalistic and often disregards the individual’s or group’s own perception of what is important—something that also increases the risk of failed interventions. Furthermore, it risks leading to ‘victim blaming’ and stigmatization, and to increased inequalities in health, and it puts focus on the ‘wrong’ problems, i.e., behavior instead of the ‘causes of the causes’. It is thereafter shown that the empowerment approach does not have any of these problems. Finally, some specific problems for the empowerment approach are discussed and resolved, such as, the idea that empowering some groups might lead to power over others, the objection that the focus is not primarily on health, and the fact that empowered people might choose to live lives that risk reducing their health. (shrink)