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L’autorité du professionnel de santé à la lumière de l’autonomie décisionnelle du patient 根据病人的决策自主权,卫生专业人员的权威
Pub Date : 2023-02-24 DOI: 10.17184/eac.6956
Colette Smentek, M. Darrason, Thibaut Reverdy
Il existe un changement de paradigme dans la pratique médicale impliquant une modification des postures et comportements de la part du professionnel de santé mais nécessitant également une nouvelle implication de la part du patient. La volonté de prendre en compte l’avis du patient en ce qui concerne sa santé est mise en avant tant par les soignés que les soignants. Néanmoins, considérer pleinement l’autonomie et les droits de l’autre nécessite d’accepter un référentiel de valeurs qui lui est propre et donc différent du nôtre. Se crée alors une tension entre d’une part des compétences et connaissances que nous reconnaissons au professionnel de santé et pour lesquelles il fait autorité, et d’autre part l’autonomie décisionnelle du patient. Bon nombre de travaux abordent la question du patient dans la prise de décision et dans la décision partagée mais trop peu l’envisagent du côté du professionnel de santé et de ce que ce partenariat implique. Au travers de cet article nous souhaitons donc interroger la notion de consentement liée au concept d’autonomie au prisme du rôle attendu du professionnel de santé dans la relation thérapeutique qui le lie au patient. Ce travail apporte une réflexion sur l’autorité du professionnel de santé dans la prise de décision autonome du patient.
医疗实践中的范式转变涉及到医疗专业人员的姿势和行为的改变,但也需要患者的新的参与。护理人员和护理人员都强调愿意考虑病人对其健康的意见。然而,要充分考虑他人的自治和权利,就必须接受一种独特的、因此与我们不同的价值体系。这就产生了一种紧张关系,一方面是我们认为卫生专业人员具有权威的技能和知识,另一方面是病人的自主决策。许多研究涉及决策和共同决策中的病人问题,但很少从卫生专业人员的角度考虑这一问题,以及这种伙伴关系所涉及的内容。因此,通过这篇文章,我们希望通过卫生专业人员在与患者的治疗关系中所期望的角色的棱镜来质疑与自主概念相联系的同意的概念。这项工作反映了卫生专业人员在病人自主决策中的权威。
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引用次数: 0
Les EHPAD « à l’école » des personnes handicapées vieillissantes : un nouveau métier pour les soignantes ? 老年残疾人“在学校”的EHPAD:照顾者的新职业?
Pub Date : 2023-02-24 DOI: 10.17184/eac.6960
Yann Bastide
Depuis le début des années 2010, les Unités pour Personnes Handicapées Vieillissantes s'implantent peu à peu dans les EHPAD, en réponse à l'amélioration de l'espérance de vie des ressortissants de foyers d'ESAT et foyers de vie (établissements d’accueil non médicalisé pour personnes handicapées dans la nomenclature FINESS). Aujourd’hui classées parmi les dispositifs innovants par le rapport de l’ANCREAI sur le vieillissement des personnes en situation de handicap, ces UPHV sont le produit d’un compromis qui fût difficile à trouver, au point de rencontre entre d’une part, l’institution du handicap et d’autre part, celle de la gérontologie.Dans un contexte marqué par la crise Covid et par les scandales de maltraitance, ces UPHV ouvrent discrètement la voie vers un autre modèle de maisons de retraite, aussi bien en termes de financement, que de pratique, d'éthique et donc de qualité réelle d'accompagnement.L’enquête rapportée dans cet article nous a conduit à recueillir divers matériaux, parmi lesquels une série d’entretiens semi-directifs réalisés auprès de professionnels chargés de mettre en œuvre l’une de ces unités. Nous faisons l’analyse de ces matériaux au regard des dynamiques d’appropriation et de réappropriation observées pour l’ensemble des UPHV dans l’une des ex-régions de Nouvelle Aquitaine.
自2010年代初期,各单位为残疾人老化进军EHPAD回复中渐渐地改善国民的平均寿命d’ESAT住户和家庭生活中的不安全(寄养机构为残疾人FINESS)命名。如今,这些UPHV被ancreai关于残疾人老龄化的报告列为创新设备之一,它们是一种难以找到的妥协的产物,一方面是残疾机构,另一方面是老年学机构。在以Covid危机和虐待丑闻为特征的背景下,这些UPHV谨慎地为另一种养老院模式铺平了道路,无论是在资金、实践、道德方面,还是在真正的支持质量方面。本文所报道的调查导致我们收集了各种材料,包括对负责实施其中一个单元的专业人员进行的一系列半指导性访谈。我们根据在新阿基坦前地区观察到的所有UPHV的拨款和再拨款动态对这些材料进行了分析。
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引用次数: 0
Revue Education, Santé, Sociétés, Vol. 8, No. 1 《教育、卫生、社会》杂志,第8卷第1期
Pub Date : 2021-12-01 DOI: 10.17184/eac.9782813004383
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引用次数: 0
Just war theory in the International Politics “Theoretical study” 国际政治中的正义战争理论《理论研究》
Pub Date : 2020-12-01 DOI: 10.31271/10039
Just war is a theory that contains moral and legal justifications, and governs the time and circumstances in which states are allowed to enter the war. Therefore, just war theory and the laws of war are reflecting to each other. The first has a long history of legitimizing war and its appearance possibly goes back to the Greek and Roman civilisation as the public interest was a reasoning for their wars. In the Middle-Ages, religious authority played a significant role in legitimizing the use of force by political authority. In the modern era, the nature of war and the principles of intervention have undergone changes, so that the implementation of that theory built and established the nation-state in the West. In contemporary times, Michael Walzer developed the theory so that individual rights became a central principle of just war. The main question of this study is whether war can be legitimized and reasonable or when intervention is legitimate? As well as how the forces are used? This study examines and explains the mentioned questions by presenting the roots and principles of that theory. Thus, it is assumed that a war is just when it is decided through the principles of a just war theory. This theory deals with the justification of how and why wars are fought. It can be concluded that Just war is a last resort and that its essential aim is always peace and Justice.
正义战争是一种包含道德和法律理由的理论,并支配着允许国家参与战争的时间和环境。因此,正义战争理论与战争规律是相互反映的。第一种观点有很长的合法化战争的历史,它的出现可能可以追溯到希腊和罗马文明,因为公共利益是他们战争的理由。在中世纪,宗教权威在使政治权威使用武力合法化方面发挥了重要作用。近代以来,战争的性质和干预的原则发生了变化,正是这一理论的实施建立了西方的民族国家。在当代,迈克尔·沃尔泽发展了这一理论,使个人权利成为正义战争的核心原则。本研究的主要问题是战争是否可以合法化和合理,或者何时干预是合法的?以及如何使用这些力量?本研究通过提出该理论的根源和原理来检验和解释上述问题。因此,当一场战争是根据正义战争理论的原则来决定时,就假定它是正义的。这一理论研究的是如何以及为什么打仗的理由。可以得出结论,正义战争是最后的手段,其基本目的永远是和平与正义。
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引用次数: 0
Revolution as an Arena of Practicing Political Freedom in (Hanna Arendt)’s Perspective 革命是(汉娜·阿伦特)实践政治自由的舞台
Pub Date : 2020-12-01 DOI: 10.31271/10044
عابد رسول, مبارک حمد
Freedom concept in the perspective of (Arendt)’s political philosophy and theory has a place and a special important, that in the way of (Arendt)’s thinking in political appearance’s Greece and Romanian ancient, criticism in the ancient philosophy about view, cristian philosophy, westerns philosophy custom, political theory and moderns phenomenon concerning freedom concept formalized. (Arendt)’s freedom passes the philosophical picture to freedom, all beliefs metaphisics about this concept are neglected, philosophical freedom as will freedom is pictured far from inner feeling in the political really world. In the opposite, (Arendt) sees action and speech as political freedom activity in the way individuals meeting in the public sphere is produced in the opposite problem and general issues. In this way, revolution as an arena, or public sphere in the doing politica freedom has crucial importance in the Arendt’s perspective, and in here political theory especially about American and French revolution has stood; in this way, the aim of this research is to answer and deal research main problem in the way of this question: what is the act of the revolution as arena in doing political freedom in Arendt political theory? We can to the conclution that revolution is like an arena in Arendt’s perspective, so new beginning foundation and public sphere of doing political freedom, which in it relation, discussion, and exchanging different opinion among equal individuals should provide, and participation of political citizenship afford in it.
自由概念在阿伦特的政治哲学和理论视野中有着特殊的地位和重要意义,即阿伦特的政治思维方式在希腊和罗马尼亚古代的政治表象中,批判了古代哲学的关于观、基督教哲学、西方哲学习俗、政治理论和现代现象中关于自由概念的形式化。(阿伦特)的自由将哲学图景传递给了自由,所有关于这一概念的信仰形而上学都被忽略了,哲学自由作为意志自由被描绘得远离政治真实世界的内在情感。相反,(阿伦特)将行动和言论视为政治自由活动,以个人在公共领域相遇的方式产生于相反的问题和一般问题。这样一来,革命作为一个舞台,或公共领域在政治自由中在阿伦特看来是至关重要的,在这里政治理论尤其是关于美国和法国革命的理论;这样,本研究的目的就在于以这样一个问题的方式来回答和处理研究的主要问题:在阿伦特的政治理论中,作为政治自由舞台的革命行为是什么?我们可以得出这样的结论:在阿伦特看来,革命就像一个竞技场,因此,实现政治自由的新起点基础和公共领域应该在其中提供平等的个人之间的关系、讨论和交换不同意见,并在其中提供政治公民的参与。
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引用次数: 0
Building the civil state: A study in foundation and requirements 构建公民国家:基础与要求研究
Pub Date : 2020-12-01 DOI: 10.31271/10037
شتيوان حمدأمين, إحسان النائب
This study establishes the concept of the civil state, and deals with the research in its foundations and main components, in terms of the foundational texts in liberal thought that are necessary preludes for its emergence and the consolidation of its foundations and requirements in Western societies. The roots and emergence of the civil state in liberal political thought came in the context of the transformations and changes that began with the renaissance and enlightenment in Western thought, and through our research we try to analyze the foundational texts of the concept of the civil state and explain its foundations and requirements in this context. The study touched on the liberal democracy and the separation of religion from the state rule of law, as it represents the most important foundations of the civil state, in addition to talking about the civil society, citizenship and culture of pluralism as the main requirements of building the civil state. This was crystallized through multiple contributions by Enlightenment philosophers and thinkers as part of the Enlightenment process. The aim of it is to establish a modern state whose mission is to manage public affairs, based on the principles of equality, respect for rights and protection of freedoms, and based on moral values ​​in governance. In order to arrive at a presentation of our problem and prove the research hypothesis, we used the historical approach and the descriptive analytical method.
本研究确立了公民国家的概念,并从自由主义思想中的基础文本出发,对公民国家的基础和主要组成部分进行了研究,这些文本是公民国家在西方社会出现和巩固其基础和要求的必要前奏。自由主义政治思想中公民国家概念的产生和产生是在西方思想从文艺复兴和启蒙运动开始的转型和变化的背景下产生的,我们试图通过研究来分析公民国家概念的基本文本,并在这一背景下解释公民国家概念的基础和要求。除了将公民社会、公民身份和多元文化作为构建公民国家的主要要求之外,本研究还涉及自由民主和宗教与国家法治的分离,因为它代表了公民国家最重要的基础。作为启蒙运动过程的一部分,启蒙运动的哲学家和思想家的多种贡献使这一观点具体化。它的目标是建立一个现代国家,其使命是管理公共事务,以平等、尊重权利和保护自由的原则为基础,并以治理中的道德价值观为基础。为了得到我们的问题的呈现和证明研究假设,我们使用了历史的方法和描述性的分析方法。
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引用次数: 0
Internal Security Threats on the Kurdistan Region – Iraq 库尔德斯坦地区的内部安全威胁-伊拉克
Pub Date : 2020-12-01 DOI: 10.31271/10040
بارزان صادق
After the Cold War, security policy has been changed dramatically. Currently, security no longer covers only war and army. For instance, at the time I am writing this paper, health security because of Corona virus is much riskier than atomic weapons, terrorists or any other army threats. Political systems are concerned to care about political, health, cyber, economic, food, water, environment, education and other security sectors. Kurdistan region has faced some interior and foreign security challenges. In theoretical framework, the research sheds some light on security situation in concept, changing of security priority and different approaches to point out security threat of various types. This research has come to this result that there are ten major domestic security challenges that threaten Kurdistan region. Later on, in the field framework the research has collected data for each one of security threats depending on deep discussions with tens of specialized experts in Kurdistan region security policy.
冷战结束后,安全政策发生了巨大变化。目前,安全不再仅仅包括战争和军队。例如,在我写这篇论文的时候,冠状病毒造成的卫生安全比原子武器、恐怖分子或任何其他军事威胁都要危险得多。政治系统关心政治、卫生、网络、经济、粮食、水、环境、教育等安全领域。库尔德斯坦地区面临着一些内部和外部安全挑战。在理论框架上,研究从概念上、安全优先级的变化以及指出各种类型安全威胁的不同方法上对安全形势进行了阐述。这项研究得出的结论是,库尔德斯坦地区面临着十大国内安全挑战。随后,在实地框架中,根据与数十名库尔德斯坦地区安全政策专家的深入讨论,研究收集了每一种安全威胁的数据。
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引用次数: 0
The Impact of Good Governance on Human Development Iraq case study for the period (2005-2018) 善治对人类发展的影响——2005-2018年伊拉克案例研究
Pub Date : 2020-12-01 DOI: 10.31271/10038
احمد قادر
Good governance has a major role in most economic, social and political variables, among them human development, as the success or failure of any country’s efforts to enhance the level of human development is closely linked to the nature and level of good governance. The latter constitutes the establishment of a sound environment for economic, social and human development. The study’s significance comes from the subject matter which explores good governance and its impact on human development. The study is based on the hypothesis that the relationship between good governance as an independent variable and human development as a dependent variable is a direct or positive one. In order to verify the research hypothesis, the level of both variables was studied as well as revealing the effect and the relationship between them, by using the descriptive method alongside the quantitative method represented by the econometric analysis. Finally, the study concluded with several findings which validate the hypothesis of the research, the most important of which is the existence of a positive relationship between the indicators of good governance and human development and that Iraq is experiencing a low level of good governance as it reached (7.9%) during the research period, leading to a poor level of human development which was (0.609) for the same period. In light of the findings, several proposals were put forward to raise the level of good governance in Iraq, the most important of which, as suggested by the researcher, is to elevate the level of political stability, absence of violence and combating corruption. Also the rule of law index should be increased due to its high level of influence among the indicators of good governance in Human Development.
善政在大多数经济、社会和政治变数中,其中包括人的发展,都起着重要作用,因为任何国家提高人的发展水平的努力的成败,都与善政的性质和水平密切相关。后者是为经济、社会和人的发展建立良好的环境。这项研究的意义在于其探讨善治及其对人类发展的影响的主题。这项研究基于这样一个假设,即作为自变量的善政与作为因变量的人的发展之间的关系是直接的或积极的。为了验证研究假设,采用描述性方法和以计量经济学分析为代表的定量方法,研究了两个变量的水平,揭示了它们之间的影响和关系。最后,该研究得出了几个结果,这些结果验证了研究的假设,其中最重要的是善治指标与人类发展之间存在正相关关系,伊拉克正在经历低水平的善治,在研究期间达到(7.9%),导致同期人类发展水平较低,为(0.609)。根据调查结果,提出了几项建议,以提高伊拉克的良好治理水平,其中最重要的是,正如研究人员所建议的那样,提高政治稳定、没有暴力和打击腐败的水平。此外,法治指数也应提高,因为它在人类发展善治指标中具有很高的影响力。
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引用次数: 0
Media policy in the Kurdistan region 库尔德斯坦地区的媒体政策
Pub Date : 2020-12-01 DOI: 10.31271/10043
ڕۆژان اسکندر
The media has a significant role in directing and forming public opinion, so it is important to set and determine public and long-term policies to help the media at the public level. Since the space of media has a complex and multidimensional nature, scientific research and appropriate solutions must be found to solve public media problems and serve public goals. One of these ways is media policy. It is here intended to be a wide-scale strategy for directing the media to reach a public framework in a way that serves the high goals of society. This study was conducted to focus on media policy in the Kurdistan Region and to address the needs of this field, as well as to fill the gap in media policy in the Kurdistan Region. This study is an attempt to highlight the importance of this policy to the Kurdistan Regional Government’s media and following that, the concept of politics in general, media policy and its objectives are discussed. This has been done by investigating the literature of the research and using the method of library research.
媒体在引导和形成舆论方面具有重要作用,因此制定和确定公共和长期政策以帮助公众层面的媒体是很重要的。媒体空间具有复杂性和多维性,解决公共媒体问题,服务于公共目标,必须进行科学研究,找到合适的解决方案。其中之一就是媒体政策。在这里,它旨在成为一种广泛的战略,指导媒体以服务于社会的崇高目标的方式进入公共框架。本研究的目的是关注库尔德斯坦地区的媒体政策,解决这一领域的需求,并填补库尔德斯坦地区媒体政策的空白。本研究试图强调这一政策对库尔德斯坦地区政府媒体的重要性,随后讨论了一般政治概念、媒体政策及其目标。本文通过查阅文献资料,运用图书馆研究法进行了研究。
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引用次数: 0
Revue Education, Santé, Sociétés, Vol. 7, No. 1 《教育、卫生、社会》杂志,第7卷第1期
Pub Date : 2020-11-01 DOI: 10.17184/eac.esasos.9782813003812
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引用次数: 0
期刊
Revue Education, Santé, Sociétés, Vol. 6, No. 2
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