Causal understanding is a defining characteristic of human cognition. Like many animals, human children learn to control their bodily movements and act effectively in the environment. Like a smaller subset of animals, children intervene: they learn to change the environment in targeted ways. Unlike other animals, children grow into adults with the causal reasoning skills to develop abstract theories, invent sophisticated technologies and imagine alternate pasts, distant futures and fictional worlds. In this Review, we explore the development of human-unique causal (...) learning and reasoning from evolutionary and ontogenetic perspectives. We frame our discussion using an ‘interventionist’ approach. First, we situate causal understanding in relation to cognitive abilities shared with non-human animals. We argue that human causal understanding is distinguished by its depersonalized (objective) and decontextualized (general) representations. Using this framework, we next review empirical findings on early human causal learning and reasoning and consider the naturalistic contexts that support its development. Then we explore connections to related abilities. We conclude with suggestions for ongoing collaboration between developmental, cross-cultural, computational, neural and evolutionary approaches to causal understanding. (shrink)

Obsession toward technology has a long background of parallel evolution between humans and machines. This obsession became irrevocable when AI began to be a part of our daily lives. However, this AI integration became a subject of controversy when the fear of AI advancement in acquiring consciousness crept among mankind. Artificial consciousness is a long-debated topic in the field of artificial intelligence and neuroscience which has many ethical challenges and threats in society ranging from daily chores to Mars missions. This (...) paper deals with the impact of AI-based science fiction films in society. This study aims to investigate the fascinating AI concept of artificial consciousness in light of posthuman terminology, technological singularity and superintelligence by analyzing the set of science fiction films to project the actual difference between science fictional AI and operational AI. Further, this paper explores the theoretical possibilities of artificial consciousness through a range of neuroscientific theories that are related to AI development. These theories are built toward prospective artificial consciousness in AI. This study discloses the posthuman fallacies that are built around the fear of AI acquiring artificial consciousness and its outcome. (shrink)

Panpsychism is the view that all things are associated with consciousness. Panpsychism has a number of significant theoretical implications, with respect to the mind–body problem and other problems in metaphysics. Here I will consider one of its potential practical or ethical implications; specifically, whether, if panpsychism is true, it follows that 'we are all one', in a sense that implies that egoism (understood as bias towards what we normally take to constitute the self or ego) is not only immoral but (...) fundamentally irrational (or imprudent). (shrink)

We consider emergence from the perspective of dynamics: states of a system evolving with time. We focus on the role of a decomposition of wholes into parts, and attempt to characterize relationships between levels without reference to whether higher-level properties are “novel” or “unexpected.” We offer a classification of different varieties of emergence, with and without new ontological elements at higher levels. -/- Submitted to a volume on Real Patterns (Tyler Milhouse, ed.), to be published by MIT Press.

Cultural tourism is one of the oldest and most prosperous tourisms in the world, which dates back to the history of cultural culture. The prosperity of cultural tourism will lead to economic development and cultural and social changes. Therefore, the purpose of this research is to investigate the role of factors affecting cultural tourism in economic development and cultural and social changes. This article explains the characteristics of cultural tourism and its importance in all-round growth and development according to the (...) image of cultural tourism. This research seeks to answer the basic question, what are the factors affecting the development of cultural tourism? What strategies can be formulated and presented for the development of cultural tourism in the country? The presented research method is mixed in terms of practical purpose and descriptive in terms of data collection. For this purpose, after stating the topic and examining the background of the research, the role of factors affecting cultural tourism in economic development and social effects was identified. The results showed that cultural tourism has an effect on both economic and cultural variables of the tourism area. Also, according to the findings of the research, among the identified factors, the factors of providing information about cultural places and their history, promoting tourism businesses for tourist, and creating security are more important than other factors in the development of tourism. (shrink)

This study introduces and evaluates the GIBAC Learning Model, aimed at enhancing students’ mathematical communication skills in Indonesian secondary schools, achieving an impressive 30% increase in students’ mathematical communication skills as evidenced by the n-gain method and dependent t-test analysis. Grounded in cooperative learning theory and motivation, the model integrates local academic culture and promotes student independence, offering a promising avenue for educational advancement in Indonesia. Employing a Mixed Methods approach, data from three secondary schools were collected via cluster random (...) sampling, encompassing interviews, observations, expert assessments, and questionnaires. Analysis reveals the model’s effectiveness in improving mathematical communication skills, underscoring its relevance to Indonesian educational practices. Practical implications for teachers emphasize the integration of cultural aspects and student autonomy in mathematics education, thereby contributing to the advancement of educational literature through Indonesian innovation and cultural adaptation in pedagogical frameworks. (shrink)

There are two metaphysical pictures of spacetime: The evolutionary picture and the all-at-once picture. According to the evolutionary picture, spacetime is nothing but the evolution of space over time. In contrast, the all-at-once picture considers spacetime as ‘a global, four-dimensional boundary value problem’ that can be solved only in an all-at-once manner, i.e. as a whole which is fundamentally four-dimensional and non-decomposable into spatial and temporal parts. The two most-known formulations of general theory of relativity, i.e. the Hamiltonian (or the (...) canonical) and the Lagrangian (or the standard) formulations, enjoy the evolutionary and all-at-once pictures of spacetime respectively. Here, we have argued that (1) the all-at-once picture is more aligned with the philosophy of relativity theory, i.e. uniting space and time into spacetime, (2) the evolutionary picture is not as general as the all-at-once, since only in special cases, such as globally hyperbolic spacetimes, is it possible to deal with spacetime as the evolution of a spatial slice over time, and (3) the all-at-once picture paves the way to better understanding _four-dimensional_ physical entities, like event horizons, which cannot be explained within an evolutionary picture without raising a paradox. Therefore, the evolutionary picture is neither the _fundamentally-true_ nor the _naturally-chosen_ picture of spacetime. Rather, we choose the evolutionary picture for practical and computational reasons. While the all-at-once picture seems a more appropriate description of the quantum and cosmological reality, the evolutionary picture can be applied occasionally and locally, or quasi-locally, and is not the proper metaphysical picture of spacetime at the fundamental level of reality. (shrink)

Using delay differential equations to study mathematical models of Parkinson's disease and Huntington's disease is important to show how important it is for synchronization between basal ganglia loops to work together. We used the delay circuit RLC (resistor, inductor, capacitor) model to show how the direct pathway and the indirect pathway in the basal ganglia excite and inhibit the motor cortex, respectively. A term has been added to the mathematical model without time delay in the case of the hyperdirect pathway. (...) It is proposed to add a non-linear term to adjust the synchronization. We studied Hopf bifurcation conditions for the proposed models. The desynchronization of response times between the direct pathway and the indirect pathway leads to different symptoms of Parkinson's disease. Tremor appears when the response time in the indirect pathway increases at rest. The simulation confirmed that tremor occurs and the motor cortex is in an inhibited state. The direct pathway can increase the time delay in the dopaminergic pathway, which significantly increases the activity of the motor cortex. The hyperdirect pathway regulates the activity of the motor cortex. The simulation showed bradykinesia occurs when we switch from one movement to another that is less exciting for the motor cortex. A decrease of GABA in the striatum or delayed excitation of the substantia nigra from the subthalamus may be a major cause of Parkinson's disease. An increase in the response time delay in one of the pathways results in the chaotic movement characteristic of Huntington's disease. (shrink)

Peckham claims that my "behavior" in dealing with the quotations in Natural Supernaturalism is the same, in methodology and validity, as the interpretative behavior of Booth's waiter. But the great bulk of the utterances in my quotations—and no less, of the utterances constituting Peckham's own essay—do not consist of orders, requests, or commands. Instead, they consist of assertions, descriptions, judgments, exclamations, approbations, condemnations, and many other kinds of speech-acts, the meanings of which are not related to my interpretative behavior, even (...) in the indirect way in which the meaning of Booth's order is related to the future behavior of his waiter. M. H. Abrams, author of Natural Supernaturalism and The Mirror and the Lamp and Class of 1916 Professor of English at Cornell University, responds in this essay to Morse Peckham's "The Infinitude of Pluralism" . Morse Peckham, in his Critical Response, was commenting on issues raised by the forum on "The Limits of Pluralism" , to which M. H. Abrams contributed. Previous contributions to Critical Inquiry are "Rationality and Imagination in Cultural History: A Reply to Wayne Booth" and "The Deconstructive Angel". (shrink)

In retrospect, I think I was right to compose Natural Supernaturalism by relying on taste, tact, and intuition rather than on a controlling method. A book of this kind, which deals with the history of human intellection, feeling, and imagination, employs special vocabularies, procedures, and modes of demonstration which, over many centuries of development, have shown their profitability when applied to matters of this sort. I agree with Booth that these procedures, when valid, are in a broad sense rational, and (...) subject to analysis and some degree of definition. But the rules underlying such a discourse are complex, elusive, unsystematic, and subject to innovative modification; they manifest themselves in the intuitive expertise of the historian; and the specification of these rules should not precede, but follow practice. . . . After the fact, nevertheless, a book like Natural Supernaturalism is subject to close critical inquiry about its methods and rationale. I am grateful to Booth for opening up such an inquiry, and for doing so in a way that is not only disarming, but seems to me to be the most promising of useful results. That is, instead of adopting a prosecutorial stance, demanding: "Justify the rationality and probative force of what you have done; it looks dammed suspicious to me," he has adopted the friendly tactic of saying: "Your book, in my experience of it, has yielded discoveries that I want to call knowledge, by methods, however deviant from standard rubrics of valid reasoning, that it seems irrational to call non-rational. Let's set out to clarify what these methods are, and to see what grounds we can find for the claim that they provide warranted knowledge." M.H. Abrams' contributions to Critical Inquiry are "The Deconstructive Angel" and "Behaviorism and Deconstruction: A Comment on Morse Peckham's 'The Infinitude of Pluralism'". (shrink)

We consider conditionals of the form A ⇒ B where A depends on the future and B on the present and past. We examine models for such conditional arising in Talmudic legal cases. We call such conditionals contrary to time conditionals.Three main aspects will be investigated: Inverse causality from future to past, where a future condition can influence a legal event in the past (this is a man made causality).Comparison with similar features in modern law.New types of temporal logics arising (...) from modelling the Talmudic examples. We shall see that we need a new temporal logic,which we call Talmudic temporal logic with linear open advancing future and parallel changing past, based on two parameters for time. (shrink)

This research, titled "The Triliteral Root (ʿAgnosia) in the Holy Quran: This paper aims at offering both linguistic and semantic analysis of the triliteral root “ʿ-Agnosia” in the Quran: A Linguistic Study. Incredibly, the language study of The Holy Quran is an academic interest to date, with the Holy Scripture being an ocean of knowledge. This research resulted from the need to be more precise in understanding some of the suras and certain features of Arabic and the Quran in particular (...) some aspects of the root “ʿ-Agnosia” which is mentioned in some verses of the Quran with different meaning in Arabic. The work is divided into three sections each discussing a facet of the root ‘ʿAgnosia’ In the first place, the morphological and phonological properties of the root ‘ʿ ʿAgnosia’ with reference to the Quran. This is how this root expands the quantitative and qualitative meaning sphere of Quranic Arabic and adds its variety to the language, in general. The second section is therefore concerned with the phonic properties of the root: the place and the manner of articulation of the letters making up the root, and the phonological regularity which may be gleaned from the use of the root. The present analysis proves useful to throw the light on the auditory profile and the rhythm pattern of the root and how it is intoned in quranic recital with harmony and precision. The third section is devoted to the relations of this root with the internal structure of the words and phrases of the Quranic text: analysis of the morphological aspect of “ʿ- ʿAgnosia” In addition, identification and differentiation of number of forms and derivations of the root and correlation with the variables of the verses where it is used to determine the significance of the root in the verses of QURAN. When this analysis is done, not only works of classical and modern linguistics in reference to the root are reviewed and discussed and but also interpretations of the Quran. In the final section of the study, the authors reiterate the findings of investigation also bringing out the major ideas regarding the centrality of the root for enhancing the proclamatory task of the Quran as the Word of God. It is in this light, then, that this study aims at contributing to the existing body of knowledge on Quranic linguistics through a word by word examination of a particular root, the lack of which greatly hinders meaning construction in the Quran. It serves at making the reader to be appreciate on the difficulty in the language of the Quran and that the writers took their time to pen down the Quran. The study concludes by tabulating the basic findings in addition to identifying the sources that have been used in the course of the study. I pray to Allah, the Almighty Allah to shower his blessings to this work and any other further research to be made on the linguistic miracles of the Holy Quran. (shrink)

Rising rates of female incarceration within the United States are incompatible with the lack of federal standards outlining the rights of incarcerated mothers and their children. A robust body of evidence demonstrates that prison nurseries, programmes designed for mothers to keep their infants under their care during detainment or incarceration, provide essential and beneficial care that could not otherwise be achieved within the current carceral infrastructure. These benefits include facilitation of breastfeeding, bonding during a critical period of child development, and (...) decreased recidivism rates for participants. Legal precedent exists to support the rights of the mother to continue to parent their child but remains in stark opposition to current prison infrastructure that could allow them to do so. Existing state policies also have inconsistent mechanisms for determining child eligibility and should move to centre decision-making on a case-by-case basis. This work will demonstrate that a just society, supported by law and ensuring maternal–child welfare supports the establishment of prison nursery programmes as a part of the existing right to healthcare for incarcerated individuals. (shrink)

In this paper, I am going to explore an alternative explanation of causation in Graham Priest’s modal meinongianism. Priest proposes an understanding of causation, which is either too confusing, or against the metaphysical core of modal meinongianism. In his proposals, causation is discussed in the context of defining purely fictional and abstract objects, by using a counterfactual approach. In this case, causation is understood as an existence-entailing relation. I will argue that such an account of causation proves ineffective. Instead, I (...) will give another interpretation for causation, which is based on Peter Menzies and Huw Price’s version of agency theory of causation. My interest in studying such a particular subject is to find an answer which is to be used in a further research. The end result of my work will be the fact that causation as agency can, at best, be useful in understanding intentional acts, but not suitable for explaining what it means for a particular object to causally interact with us. (shrink)

Technological evaluations have significantly enhanced college students’ fine arts competence development by providing advanced tools and platforms that foster creativity, improve technical skills, and enable innovative artistic expression. In this study 500 college students were mentioned as participators. The variables Technological Tools, Technical Proficiency, Advanced Technologies, Creativity and Innovation, Online Platforms, Skill Development, and Collaborative Competencies are built to evaluate various aspects of technological and creative capabilities in educational and professional settings. Fine arts competitions like the (Artificial Intelligence) AI art (...) contest, digital choreography competition, and speech AI innovation challenge are held for the students to improve their skill development. The questionnaires are taken to measure the student's technological skills development based on before and after competitions. The SPSS software version 28 is used to statistically analyze the data with multiple regression analysis and pearson correlation analysis. The results showed that the integration of technological tools and platforms significantly improved college student's technical proficiency, creativity, and collaborative skills in fine arts. Students exhibited notable enhancements in skill development and engagement with advanced technologies post-competition. Technology significantly enhances fine arts education by improving students' artistic skills and collaboration. Embracing digital tools offers valuable opportunities to enrich curricula and foster innovation. (shrink)

In South Sulawesi Province of Indonesia, stunting poses a significant challenge, with minimal reduction observed in recent years according to BPS data. Despite a notable increase in government spending to address stunting, this research aims to analyze the impact of government expenditures (DAK, Regional Expenditures, Village Funds) on the Human Development Index (HDI) and the prevalence of stunting in 2022. This quantitative study involves 21 districts and 3 cities in South Sulawesi Province. Quantitative analysis using Eviews 13 reveals that DAK, (...) Regional Expenditures, and Village Funds have a direct positive effect on increasing the HDI in Barru District but do not directly influence stunting reduction. Collaboration among various Local Government Agencies (OPDs), stakeholder training, and innovations like the "One Day One Egg" program contribute to addressing stunting. Cross-sectoral synergy is key in combating stunting in this region. (shrink)

A guide for everyone involved in medical decision making to plot a clear course through complex and conflicting benefits and risks.

In this paper, the authors have detected a new effect in the area of geomagnetism, related to the behavior of a magnetic dipole freely floating on water surface. An experiment is described in the present paper in which a magnetic dipole fixed upon a float placed on non- magnetized water surface undergoes displacement along with reorientation caused by fine structure of the earth's magnetic field. This fact can probably be explained by secular decrease of the earth's major dipole moment. Further, (...) a detailed study of the phenomenon may create interesting premises for its practical use, particularly for the analysis of fine structure of geomagnetic field and its time-dependent anomalies. A strange behavior of some sea fish species prior to strong earthquakes may be explained if the fish are assumed as 'live magnetic dipoles'. (shrink)

Disagreement is a pervasive feature of human discourse and a crucial force in shaping our social reality. From mundane squabbles about matters of taste to high-stakes disputes about law and public policy, the way we express and navigate disagreement plays a central role in both our personal and political lives. Legal discourse, in particular, is rife with disagreement - it is the very bread and butter of courtroom argument and legal scholarship alike. Consider a debate between two legal philosophers, Ronald (...) and Herbert, about the Eighth Amendment of the U.S. Constitution, which prohibits ‘cruel and unusual punishment’. Ronald asserts: ‘It is the law that capital punishment is prohibited’. In response, Herbert states: ‘It is not the law that capital punishment is prohibited’. We intuitively think Ronald and Herbert are disagreeing, which reveals in the fact that they are licensed to use ex¬pressions like no (it isn’t) and nuh-uh when responding to their opponent’s claim. But despite the ubiquity and significance of legal disagreement, its precise nature remains elusive. This chapter discusses what exactly is going on when two people disagree about what the law requires, and how can hybrid theory may answer this question. (shrink)

Welfarism is the view that individual welfare is the only thing that matters. One important contribution of social choice theory has been to provide a precise formulation and axiomatic characterization of welfarism using Amartya Sen's framework of social welfare functionals. This paper is motivated by the observation that the standard formalization of welfarism is too restrictive, since a welfarist social planner need not be committed to maximizing a preference ordering or any other binary relation over alternatives. We therefore provide a (...) characterization of welfarism in a more general choice-functional setting and show that welfarism, so understood, carries no commitment to rationalizability. This characterization is compatible with welfare values having any structure whatsoever. It also sheds light on different formulations of anonymity, revealing only some of these to be fundamental requirements of impartiality. (shrink)

We often appeal to the notion of an agent’s commitment to action to characterize, e.g., an agent’s faithfulness to a promise she has given to another, her robust disposition to pursue a goal she values or cares about, and her determination to stick to that goal. In the philosophy of action, that notion is often associated with the idea of an agent’s intention to act. In ethics, it is associated primarily with the idea of an agent’s commitment to, or endorsement (...) of, a certain norm. This essay argues that both these ideas, of intention and of normative endorsement, are central to the –or, at least, an—ordinary notion of an agent’s (psychological) commitment to action. In so doing, the essay also sheds light on important features of intention. -/- Keywords: commitment – intention – normative endorsement – stability across contexts – coordination. (shrink)

The introduction to a special issue of Religious Studies on the theme of experimental philosophy of religion.

This study investigates contemporary Mayan oral stories through the lens of Julian Jaynes's theory on the origin of consciousness, aiming to identify a potential connection between the literary elements of these narratives and traits of pre-consciousness outlined by Jaynes. Jaynes's neuropsychological thesis argues that human consciousness emerged around 3000 years ago after a period of “bicameral mind,” characterized by auditory “hallucinations” that guided non-habitual behavior. He claims that remnants of bicameral mentality linger to this day in all cultures. While his (...) theoretical framework has been applied to cultures in Europe, the Middle East, and Asia, this research uniquely surveys early Mayan texts and focuses on 78 oral narratives from Lake Atitlán, Guatemala. Our findings reveal traces of bicamerality, evident in the gradual fading of inner voices replaced by divination, anomalous mental states, encounters with the supernatural, and spiritual possession. Contrary to pathologizing these phenomena, the narratives often present them as abilities the Maya may not have felt culturally compelled to suppress to the extent presumed in other societies. (shrink)

This essay raises questions about the role of reciprocity as it pertains to the various formulations of the liberal principle of legitimacy as interpreted by Constitutional Essentials.

One of the most widely acknowledged Filipino cultural values is utang na loob. Sometimes translated as “debt of gratitude,” it refers to an informal form of reciprocal social obligation that arises when a person is significantly assisted by another during a difficult time. As it touches on the Filipino sense of human dignity and social responsibility, utang na loob is one critical theme in most research investigating the characteristics of the Filipino psyche, culture, and social behavior. Explaining the nature and (...) occurrence of utang na loob, however, has its challenges, foremost of which is how to appropriately account for its negative or morally problematic instantiations. This essay examines how some approaches that regard utang na loob as a moral virtue handle this challenge. After identifying several difficulties with these approaches, the essay argues for an alternative approach that maintains the status of utang na loob as a cultural value whose instantiating actions are subject to moral evaluation. (shrink)

Nursing's efforts at organizing in the United States have encompassed various approaches to creating change at a systemic and political level, namely shared governance, professional associations, and nurse unions. The United States is currently experiencing the effects of an authoritarian sociopolitical agenda that has taken aim at our profession's ethic of providing equitable care for all people through legislation that bans gender‐affirming care and abortions. Nursing is simultaneously experiencing a crisis of burnout and moral distress, as we navigate the everyday (...) functions of a for‐profit healthcare system under the Capitalocene. As we situate ourselves within these policies and practices of late‐stage capitalism and an increasingly authoritarian nation‐state, we are compelled to think deeply about how nursing is currently organizing ourselves. Our paper will explore the evolution of various forms of organizing through the lens of intersectionality, which offers a framework for considering the ways that power operates, creating a matrix of sociostructural processes that fuel injustice. Intersectionality also compels us to examine whether our organizing has resisted, or perpetuated, a matrix of oppression. We will conclude by offering examples of radical imagining for a future of nursing resistance, where our collective organizing has a greater impact and responsibility for dismantling the status quo to achieve justice and liberation. (shrink)

In “Bioethicists Today: Results of the Views in Bioethics Survey,” Pierson et al. (2024) provide a valuable snapshot of the normative commitments and demographic backgrounds of 824 U.S. bioethicist...

In this pilot study, deliberate practice and competence-based assessment were incorporated into a first-year graduate course on professional issues and ethics. Students responded to challenging simulations of basic ethical situations in therapy before and after the course. Aspects of deliberate practice were incorporated into the course. Student self-report ratings and independent performance ratings blind to timing found improvements in students’ ability to manage basic ethical situations in practice. Pilot evidence suggests competence-based assessment and training have potential use for training students (...) preparing to engage in their first therapy practicum experiences. Additional controlled studies are needed to examine the benefits of competence-based assessment and training. (shrink)

Wil Waluchow has advanced perhaps the most convincing argument in favour of what he eloquently termed ‘inclusive legal positivism’, the view that a given legal system could make legal validity depend on moral truths. This chapter refocuses the case for the opposing view of exclusive positivism on the metaphysical tension in seeing law as an institutional social fact and yet for its validity to depend on something that is not a social fact, developing an understanding of official mistake as a (...) way of highlighting that tension. If legal validity itself is understood as a socially constructed status (something with which any legal positivist would agree), key officials (as a group) cannot be wrong about the criteria sufficient for institutional membership having been met. While the officials cannot be wrong about the sufficient conditions, they can be wrong about the necessary (gatekeeping) ones and the moral criteria that inclusive positivists say could be included among the criteria of validity are invariably understood to be necessary conditions. That might look like a point in favour of inclusive positivism, but it is only the sufficient conditions that are constitutive of legal validity. Two facets of legal decisions are then marshalled to buttress the case for exclusive positivism: that almost every legal decision is also a determination of validity, and that all such decisions are systemically treated as correct until reviewed by a court of superior jurisdiction (which is itself a sufficient condition for membership). The implication of this is that moral criteria, understood as gatekeepers for legal validity, cannot be constitutive of legal validity. (shrink)

Background Nurses in acute care are frequently involved in ethical decision making and experience a higher prevalence of ethical conflicts and dilemmas. Nurses in underresourced rural acute care settings also are likely to face unique ethical challenges. However, rarely have the particular contexts of these experiences in rural acute care settings been researched. A culture of silence and fear in small towns has made exploring these issues difficult. Objectives To explore registered nurses’ experiences of ethical issues and ethical decision making (...) in rural acute care hospitals in northern Ontario, Canada. Research design Guided by an interpretive descriptive approach, data were collected by two nurse researchers using in-depth, individual, and semistructured telephone interviews. Data were managed with NVivo v.11 and analyzed using inductive, comparative, thematic analyses. Participants and research context The participants were eight registered nurses working in two acute care hospitals in northern Ontario. Ethical considerations Ethical protocols were followed in accordance with ethics approval from the researchers’ university and the hospitals. Findings Results identified four themes that culminated in the development of a quadruple helix ethical decision-making framework of power, trust, care, and fear. Discussion and conclusion The participants described complex ethical conflicts and dilemmas in acute care settings that were influenced by the context of working and living in small rural communities in northern Ontario. Nurses described navigating ethics in practice using a tension-based approach to ethical decision making, needing to carry these issues silently and often having no resolution to ethical challenges. These findings have important implications for nursing education, research, and practice. Nurses need safe spaces, formal ethics support, and improved access to resources. Additional ethics education and training specific to the unique contexts of rural settings are needed. (shrink)