There are reasons to believe that decision‐making capacity (mental competence) of women in labor may be compromised in relation to giving informed consent to epidural analgesia. Not only severe labor pain, but also stress, anxiety, and premedication of analgesics such as opioids, may influence women’s decisional capacity. Decision‐making capacity is a complex construct involving cognitive and emotional components which cannot be reduced to ‘understanding’ alone. A systematic literature search identified a total of 20 empirical studies focused on women’s decision‐making about (...) epidural analgesia for labor pain. Our review of these studies suggests that empirical evidence to date is insufficient to determine whether women undergoing labor are capable of consenting to epidural analgesia. Given such uncertainties, sufficient information about pain management should be provided as part of prenatal education and the consent process must be carefully conducted to enhance women’s autonomy. To fill in the significant gap in clinical knowledge about laboring women’s decision‐making capacity, well‐designed prospective and retrospective studies may be required. (shrink)

Creating an ethical culture -- Winning through people -- Winning with customers -- Winning for the community -- Action steps and strategies -- Summary -- Appendix A: An ETHICS evaluation tool: ethics assessment and goal-setting -- Appendix B: Debate and guidance: the literature and best practices.

This article is a reexamination of the author’s understanding of pedagogy, aimed at developing an increased awareness of the provinciality, limits and blind spots of the pedagogy and knowledge systems of colonial modernity. It engages with particular Indigenous epistemological theorisations of non-human agency, with Haraway’s notion of multispecies entanglement, and with the Australian Great Barrier Reef in an inquiry aimed at noticing absences and hauntings of pedagogies of modernity, including the absence of ways of knowing and being without separability and (...) determinacy and the damage that has come of this. This opens space for contemplating separability and determinacy as ontological difficulties contributing to socio-ecological crises of our time. The article is intended as a move by the author toward developing greater capacity to stay with the trouble of educating and living on a damaged planet that is fast becoming uninhabitable. (shrink)

… surely there would be men enough, willing and glad to contribute to the regeneration of the poor outcasts of the city. It is no longer an experiment since the Children's Aid has removed of this class, in thirteen years, eleven thousand two hundred and seventy two! Who would not rejoice to aid in such an enterprise…? Money only is wanting. Shall that be an insurmountable obstacle in the way of accomplishing such an unspeakable blessing? New York Children's Aid Society, (...) 1866 Annual Report. (shrink)

This experimental writing piece by the Earth Unbound Collective explores the ethical, political and pedagogical challenges in addressing climate change, activism and justice. The provocation Earth Unbound: the struggle to breathe and the creative thoughts that follow are inspired by the contagious energy of what Donna Haraway calls response-ability or the ability to respond. This energy ripples through monthly reading groups and workshops organised by this interdisciplinary collective that emerged organically in January 2020.