Aim: Midwives are expected to identify and help resolve ethics problems that arise in practice, skills that are presumed to be taught in midwifery educational programs. In this study, we explore how midwives recognize ethical dilemmas in clinical practice and examine the sources of their ethics education. Methods: We conducted semi-structured, individual interviews with midwives from throughout the United States (U.S.) (n = 15). Transcripts of the interviews were analysed using an iterative process to identify themes and subthemes. Findings: Midwives described a range of professional ethical dilemmas, including challenges related to negotiating strained interprofessional relationships and protecting or promoting autonomy for women. Ethical dilemmas were identified by the theme of unease, a sense of distress that was expressed in three subthemes: uncertainty of action, compromise in action, and reflecting on action. Learning about ethics and ethical dilemmas occurred, for the most part, outside of the classroom, with the majority of participants reporting that their midwifery program did not confer the skills to identify and resolve ethical challenges. Conclusion: Midwives in this study reported a range of ethical challenges and minimal classroom education related to ethics. Midwifery educators should consider the purposeful and explicit inclusion of midwifery-specific ethics content in their curricula and in interprofessional ethics education. Reflection and self-awareness of bias were identified as key components of understanding ethical frameworks. As clinical preceptors were identified as a key source of ethics learning, midwifery educators should consider ways to support preceptors in building their skills as role models and ethics educators.
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This article examines environmental ethics theories focused on the division between “anthropocentric” and “ecocentric” approaches in regard to three valuebases for environmental concern: self-interest, humanistic altruism, and biospheric altruism. The author argues that while applied anthropologists claim to be morally engaged, this engagement rarely supports biospheric altruism. Anthropological advocacy of indigenous rights as well as support for development enterprise on the part of applied anthropologists results in anthropocentric bias in anthropology. While moral engagement may be said to be the mark ofapplied anthropology, environmental ethics is rarely evoked and moral engagements seem to extend only to humans. On the other hand, constructivist anthropologists often describe environment, nature, or wilderness as social constructions and do not engage with questions of value and rights, resulting in relativism that ignores the urgency of conservation efforts. https://doi.org/10.1080/1943815X.2011.625951 https://www.linkedin.com/in/helenkopnina/
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Environmental advocacy has a difficult position within environmental education (EE) and education for sustainable development (ESD). Proponents of pluralistic approaches to education see advocacy as a form of indoctrination. However, pluralistic education itself can be seen as a form of indoctrination. Its normative assumptions are based on the neo-liberal capitalist values that tend to view environmentalism as a threat to the established norms. In this paper I will argue that environmental advocacy is in fact essential for educating critical citizens capable of addressing sustainability challenges. This argument will be supported by the written reports on the documentary film about the radical environmental movement presented to the students of International Business Management Studies (IBMS) of The Hague University of Applied Science (HHS). This case study will provide an example of how environmental advocacy and the objective of pluralistic education can be reconciled and explore the advantages of combining business education with education for deep ecology. https://doi.org/10.1504/IJISD.2014.066621 https://www.linkedin.com/in/helenkopnina/
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