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Abstract Social–ecological disruptions, such as changing climate, extreme weather‐related events and the COVID‐19 pandemic, can have cascading and long‐term consequences for people, ecosystems and multispecies relationships. As the early COVID‐19 pandemic disrupted people's lives through isolation and restricted human contact, more‐than‐human relationships played a heightened role in individuals' day‐to‐day lives with potential long‐term impacts on multispecies justice. We analysed 72 interviews conducted during the early (May–June 2020) COVID‐19 lockdown in the United States to investigate how social–ecological disruptions and spatial re‐orderings, exemplified by the pandemic, reassemble more‐than‐human relationships. We consider new relational values through a transformative multispecies justice framing, which contends that times of uncertainty can inspire meaningful connections with the more‐than‐human world, facilitating care and reciprocal relationships during times of disruption. Among interviewee accounts, we find that disorderings of daily life during the pandemic interweave with past and ongoing experiences of inequity to form mosaics of disruption. These mosaics of disruption created circumstances in which interviewees formed new connections with the more‐than‐human world. The more‐than‐human connections of interviewees sat along a spectrum and did not universally represent the same strength of relational values. The more‐than‐human connections were defined by individual's positionality and restricted geographies of the circumstances. However, the newly formed relationships seemed to be ephemeral, indicating that they would not necessarily endure outside of an early‐pandemic context. Thus, while individuals reported rearranged relationships out of pandemic precarity, their transitory qualities do not directly promise long‐term transformational multispecies connections. Our findings suggest that moments of disruption alone do not necessarily produce durable change and there is a need to go beyond merely recognizing relationality. Policy implications: Transformative multispecies justice requires long‐term, routine commitment to deepening relationships with the more‐than‐human world. While future social–ecological and spatial disturbances can be a window of opportunity to initiate multispecies relationships, future initiatives and policies must actively support and foster these relationships and strong relational values beyond the disturbances—recognizing the long‐term, non‐linear processes of transformation needed to address our future challenges. Read the free Plain Language Summary for this article on the Journal blog.

Abstract Advancing research and practice that recognize diverse worldviews, knowledge systems, and value orientations is essential to enable transformative change towards sustainability. Biocultural approaches recognize the diverse ways in which people relate to nature, offering a potential pathway for sustainability transformations. However, recent scholarship on biocultural approaches to sustainability has highlighted that social aspects such as equity and justice have not been substantively addressed, whereby gender issues have been overlooked to a great extent. Through qualitative content analysis, this review synthesizes the conceptualizations of gender and social difference within the literature on biocultural approaches to sustainability published in English and Spanish. The biocultural literature predominantly focuses on describing knowledge and management practices, neglecting power and gender relations that affect access and control over resources, and how different axes of social difference matter across different social‐ecological contexts. Overall, we found that gender considerations within the literature reviewed do not build upon feminist and gender theories. Based on these findings, we provide insights into how more nuanced engagements, especially in relation to feminist theories and tools as intersectionality and decolonial perspectives, can allow for more just scholarly efforts to address biocultural relations. Finally, we draw attention to responsible and engaged praxis towards promoting biocultural approaches that include the diverse perspectives of those who can contribute to transformative change, and which prevent the reinforcement of gender‐based power relations. Read the free Plain Language Summary for this article on the Journal blog.

Abstract The medical device and pharmaceutical industries include a range of drugs, machines, instruments, and apparatuses used to prevent, diagnose, treat disease and illness, or aid in rehabilitation for patients, and are expected to grow substantially in the coming years. However, they are often targets of criminal organizations who manufacture and profit from fraudulent products, infiltrating the market with counterfeit medical supply chains. In this paper, we discuss and analyze the extent and nature of this problem and make suggestions for mitigation and prevention of this worldwide challenge. Ultimately, we argue that a holistic approach is essential to addressing this problem, including the creation and dissemination of reliable and good quality data, developing healthcare systems to be more robust, establishing/enhancing intra‐ and international cooperation around this issue, and employing effective technological solutions, such as digital tracing.

Abstract Urbanization is a key driver of global environmental change and is adversely impacting wildlife populations. Human tolerance for wildlife is critical to wildlife conservation in urban areas. Using metropolitan Atlanta, Georgia, United States, as a case study, we investigated human tolerance for a range of different wildlife species. Almost half of the human–wildlife interactions that are reported to the state wildlife agency originate from metropolitan Atlanta, which is one of the fastest growing metropolises in the United States. We surveyed a representative sample of 1006 residents of metropolitan Atlanta in 2022. We found heterogeneity in respondents' tolerance for various species, although most respondents were intolerant of bobcats, coyotes, opossums and snakes. Respondents' tolerance for different species largely depended on their attitudes and emotions towards species, and their basic beliefs pertaining to wildlife and the relationships between humans and wildlife. We found some evidence that tolerance also depended on people's prior interactions with wildlife, their beliefs that they can mitigate conflicts with wildlife and their demographic characteristics. Our results suggest that communication that improves urban residents' attitudes towards wildlife and/or reinforces positive emotions towards wildlife may increase wildlife tolerance in urban areas. Read the free Plain Language Summary for this article on the Journal blog.

Abstract Parks are an integral component of cities. Ensuring city residents have equitable and easy access to parks is crucial for human well‐being. In temperate climates, park accessibility is particularly important in the summer months when these green spaces provide an area to recreate, exercise and escape indoor temperatures and heat emanating from paved and built surfaces. However, there are well‐known disparities in park accessibility in cities globally that may threaten the health of city residents, especially with global warming. We examined some of the largest city parks (>50 ha) in Toronto, Canada, by comparing park activity, housing demographics and daily weather patterns. We found that parks that provided more green space area per resident were situated in neighbourhoods that had higher proportions of single‐detached housing, higher automobile use and fewer multistorey apartments. We also found a strong correlation between park activity with population density and the number of amenities in the park. Surprisingly, we found no relationship between park activity and daily weather patterns, although park use was higher on weekends and holidays. These results suggest denser communities are at a disadvantage because they have proportionately less park area within walking distance in addition to having no private green spaces (e.g. backyards). We recommend revising municipal zoning around certain parks and the creation of new green spaces as methods to balance park provisioning in the city. Our findings suggest that designing and maintaining accessible, amenity‐rich parks is an important strategy for promoting health and well‐being in urban populations. Read the free Plain Language Summary for this article on the Journal blog.

Attention to social justice is essential to improving cardiovascular health outcomes. In the absence of social justice, equitable cardiovascular health is impossible. This viewpoint provides a brief synopsis of the 2023 Journal of the American Heart Association (JAHA)–sponsored session titled “Moving Towards Social Justice in Cardiovascular Health.” We define social justice and summarize the burden of cardiovascular disease inequity in the United States. We also highlight strategies for achieving social justice, including addressing workforce diversity, integrating social determinants into cardiovascular research, designing cardiovascular interventions to close the equity gap, and improving inclusivity in cardiovascular disease trials.

Abstract This is the protocol for a Campbell systematic review. The objectives are as follows. The proposed systematic review is an update to, and extension of, Lipsey et al. (2007). As such we build on their previous aims to: (i) Assess and synthesise the overall impact of cognitive behavioural therapy (CBT) on offender recidivism; (ii) Examine possible sources of variability in the effectiveness of CBT. Data permitting, we will examine if the effectiveness of CBT varies by: (a) Characteristics of the CBT intervention (e.g., cognitive restructuring vs. cognitive skills training, group v. individual implementation; and/or custodial v. community setting, and/or), (b) Characteristics of the population (e.g., juveniles vs. adult offenders), (c) Implementation factors (e.g., implementing practitioner, use of structured/manualised approaches, delivery mode, and/or programme duration or intensity), (d) Evaluation methods (e.g., randomised vs. non‐randomised research designs); (iv) Determine whether there is a decline in the effect of CBT on recidivism over time; and (v) Investigate whether there is an interaction between implementation factors and time in terms of the effect on recidivism.

Abstract Unprecedented urbanisation in the Global South is transforming natural urban landscapes, impacting on the ability of nature to provide essential ecosystem services. Within the context of pressures facing many urban natural open spaces, particularly in Africa, we used a local municipality in South Africa as a case study to (i) identify local government priorities for a natural open space system; (ii) develop an understanding of whether, and how, ecosystem services are considered by local government, and the reasons thereof; and (iii) ascertain the extent of proactive planning regarding regulating and other ecosystem services, including the temporal and spatial scales, and implications. In‐depth qualitative interviews (n = 12) were undertaken with senior municipal officials representing departments whose work impacts the environment. Municipal decision‐support documents were also analysed for any direct and/or indirect references to ecosystem services. Planning for, and management of, ecosystem services provided by natural open spaces is influenced by interwoven infrastructure, municipal service delivery and equity challenges, complex institutional constraints and poverty, with little focus on the socio‐economic opportunities and other benefits of natural open space systems. Values, perceptions and knowledge also influence the management of ecosystem services. The study contributes to understanding the opportunities and challenges for the future governance of natural open space in the Global South, which require explicit consideration in municipal planning, management and budgeting processes. Policy and management implications identified include prioritisation of the regulating functions provided by natural open space systems, pivotal to the urban resilience agenda; building on the inherent appreciation of nature features as city assets, while achieving socio‐economic upliftment; improved (on‐site) collaborative management of natural open spaces; and involvement of local government officials in the preparation and updating of environmental policies and decision‐support documents, to ensure skills and knowledge transfer and interest are entrenched in local government departments. Read the free Plain Language Summary for this article on the Journal blog.

Abstract Social science methodologies are increasingly used by conservation organisations to improve social‐ecological outcomes. However, ethnographic approaches seeking to understand organisations themselves and how organisational culture impacts biodiversity and social justice are rarely discussed. By exploring previous studies of the methodological considerations of organisational ethnography in conservation, we provide conservationists and ethnographers with an empirically grounded understanding of the opportunities, challenges and underlying ethical considerations of this approach. We conducted a scoping review of a disparate body of literature where ethnographers were embedded in conservation organisations and discussed their methodology, identifying 26 studies for analysis. We then extracted information on key themes relevant to methodological process and uptake. Our review found such research spanned the globe, with a broad range of methodological and ethical considerations related to how ethnographers and conservationists interact. For example, organisational ethnography was perceived as valuable by conservationists as it allowed tracking progress toward internal goals such as diversification of staff and providing moral and emotional support and valuable information for transforming organisational practices. However, conservationists also worried about ethnographers' presence in their organisations. A key methodological challenge we identify, corroborating with the literature, is how ethnographers can benefit organisations while supplying critique. Based on the results, we provide recommendations and areas of reflection for conservation organisations and ethnographers. Mainstreaming organisational ethnography through attention to certain methodological considerations can be beneficial for the future of conservation organisations and the biodiversity and people they impact.

Abstract Despite evidence about the contribution of Indigenous Peoples and local communities (IPLCs) to conservation, prevailing strategies still seek their separation from nature, often triggering conflicts. Current pledges to expand global protected area coverage suggest a need for the critical analysis of governance quality and the way conservation interacts with the well‐being of IPLCs. We present the case of Catimbau National Park in the Caatinga dry forest of northeast Brazil, where we explored connections between the well‐being of IPLCs and landscape through different values, practices and institutions, and perceptions of how environmentally just the park's governance has been. The well‐being of IPLCs is inextricably connected with the Caatinga landscape, through multiple place‐based relational values that, although differing between Indigenous and non‐indigenous inhabitants, have in both cases developed over generations. Although often framed as degraders, IPLCs exhibit a strong motivation to conserve, reflected through local institutions including forest gardens, sustainable use regulations, restoration activities and prevention of external encroachment. The strict form of protected area implemented at Catimbau, instead of a locally led or sustainable use reserve, explicitly targeted the resettlement of IPLCs and livelihood reorientation. These imposed objectives have clashed with a way of life in this peopled landscape and precluded local stewardship on a larger scale. Long‐term conflict arose through governance deficiencies which sparked multidimensional injustices. These include not only the misrecognition of local values and customary institutions but also the lack of procedures for consent or decision‐making influence, plus distributional harms including tenure insecurity and denied development assistance. Development and conservation strategies must reject narratives about poor, resource‐dependent rural communities and embrace the opportunities that local knowledge and institutions bring for effective conservation. As conservation efforts are expanded post‐2020, the people of the Caatinga and beyond must be recognised as embedded and a key part of any solution. In strict protected areas like Catimbau, where social conflict constrains their ability to function, seeking legal changes in governance type can be onerous. However, we describe other local‐level actions to build relationships and agency that may foster transitions towards better governance, and just treatment of IPLCs. A free Plain Language Summary can be found within the Supporting Information of this article.

Abstract Patient and public involvement and engagement (PPIE) is critically important in healthcare research. A useful starting point for researchers to understand the scope of PPIE is to review the definition from the National Institute for Health and Care Research (NIHR) as, ‘research being carried out “with” or “by” members of the public rather than “to”, “about” or “for” them’. PPIE does not refer to participation in research, but to actively shaping its direction. The ‘Effectiveness of a decision support tool to optimise community‐based tailored management of sleep for people living with dementia or mild cognitive impairment (TIMES)’ study is funded through the NIHR programme grant for applied research. TIMES has thoroughly embraced PPIE by ensuring the person's voice is heard, understood, and valued. This editorial showcases how the TIMES project maximised inclusivity, and we share our experiences and top tips for other researchers. We base our reflections on the six key UK standards for public involvement; Inclusive Opportunities, Working Together, Support and Learning, Communications, Impact and Governance. We present our work, which had been co‐led by our PPIE leads, academics and partners including, together in dementia everyday, Innovations in Dementia, The UK Network of Dementia Voices (Dementia Engagement & Empowerment Project) and Liverpool Chinese Wellbeing. We have a Lived Experience Advisory Forum on Sleep, which includes people with dementia, family carers, representatives of the South Asian Community and the Chinese community.

Abstract Background and Aim Long Covid is often stigmatised, particularly in people who are disadvantaged within society. This may prevent them from seeking help and could lead to widening health inequalities. This coproduced study with a Community Advisory Board (CAB) of people with Long Covid aimed to understand healthcare and wider barriers and stigma experienced by people with probable Long Covid. Methods An active case finding approach was employed to find adults with probable, but not yet clinically diagnosed, Long Covid in two localities in London (Camden and Merton) and Derbyshire, England. Interviews explored the barriers to care and the stigma faced by participants and were analysed thematically. This study forms part of the STIMULATE‐ICP Collaboration. Findings Twenty‐three interviews were completed. Participants reported limited awareness of what Long Covid is and the available pathways to management. There was considerable self‐doubt among participants, sometimes reinforced by interactions with healthcare professionals (HCPs). Participants questioned their deservedness in seeking healthcare support for their symptoms. Hesitancy to engage with healthcare services was motivated by fear of needing more investigation and concerns regarding judgement about the ability to carry out caregiving responsibilities. It was also motivated by the complexity of the clinical presentation and fear of all symptoms being attributed to poor mental health. Participants also reported trying to avoid overburdening the health system. These difficulties were compounded by experiences of stigma and discrimination. The emerging themes reaffirmed a framework of epistemic injustice in relation to Long Covid, where creating, interpreting and conveying knowledge has varied credibility based on the teller's identity characteristics and/or the level of their interpretive resources. Conclusion We have codeveloped recommendations based on the findings. These include early signposting to services, dedicating protected time to listening to people with Long Covid, providing a holistic approach in care pathways, and working to mitigate stigma. Regardless of the diagnosis, people experiencing new symptoms must be encouraged to seek timely medical help. Clear public health messaging is needed among communities already disadvantaged by epistemic injustice to raise awareness of Long Covid, and to share stories that encourage seeking care and to illustrate the adverse effects of stigma. Patient or Public Contribution This study was coproduced with a CAB made up of 23 members including HCPs, people with lived experience of Long Covid and other stakeholders.

Abstract Adapting to and mitigating against climate change requires the protection and expansion of natural carbon sinks, especially ecosystems with exceptional carbon density such as mangrove forests (an example of ‘blue carbon’). Projects that do this are called ‘nature‐based solutions’ (NbS). International norms regulating NbS stipulate the importance of justice, in contrast with some of the history and practice in wider conservation. However, what justice means and how it manifests in practice remain contentious. Selling carbon credits on the voluntary market is a growing source of funding for NbS. A large literature examines the ethics, economics, science and politics of such payments for ecosystem services (PES), including for blue carbon. The interpretations of justice in this context are particularly contentious, but operational blue carbon projects have not been examined from a justice perspective. Here we report on a case study involving the first blue carbon project, Mikoko Pamoja, and its sister project Vanga Blue Forest, both based in Kenya. We consider how justice is conceived by local participants and beneficiaries, using interviews, focus groups and participant observation to collect data, as well as by international stakeholders and in relevant governing documents and policy. We compare these perceptions with expectations and critiques derived a priori from the literature, including a classic thought experiment that influential justice philosopher John Rawls called the ‘original position’. In contrast to high‐level policy and much of the literature, but in common with Rawls, local stakeholders emphasised distributional aspects of justice. Locally situated interpretations of contentious issues such as elite capture and commodification differed markedly from common interpretations in the literature. Our work emphasises the importance of situating abstract concepts in their local contexts when evaluating justice in NbS projects. It shows how narratives advocating technical precision and economic efficiency in NbS can militate against transparency and agency at a local level and emphasises the critical importance of benefit sharing that is perceived to be fair. Read the free Plain Language Summary for this article on the Journal blog.

Abstract Mounting evidence suggests that win‐wins are elusive and trade‐offs are the norm in marine conservation development practice. The status quo involves trade‐offs, and any change brought to ecosystems, economies and societies will alter the distribution of costs and benefits, creating other winners and losers among ecosystem services, sectors and people. While studies are increasingly acknowledging the prevalence of trade‐offs, this article analyses how practitioners working for conservation development agencies consider, facilitate and make trade‐off decisions a priori and post hoc when designing and implementing marine conservation development programmes in Southeast Asia. We find that these practitioners recognize both substantive trade‐offs, which are diverse social and ecological trade‐offs resulting from their programmes, and process trade‐offs, related to how they design programmes, including between their prioritization of different locations; between strategic relationships; and between the efficacy, equity and sustainability of projects. Existing decision support tools only capture a limited range of substantive (mainly ecological) trade‐offs, however, and are not widely used. Typically, social trade‐offs are not systematically assessed. Instead, they are implicitly identified by participants and beneficiaries voicing their concerns during consultation processes. Importantly, whether a trade‐off is then deemed acceptable is not determined through transparent assessment of trade‐offs and principles of equity or justice but by the uneven political power of stakeholders to project their values in decision‐making processes. The article concludes that practitioners should facilitate inclusive, transparent and systematic identification and deliberation of the social acceptability of multidimensional trade‐offs, and formulate response options to avoid or minimize adverse consequences. Tackling trade‐offs in this way has the potential to make invisible trade‐offs visible and improve the sustainability and legitimacy of marine conservation development programmes while promoting the interests of the most marginalized in efforts to achieve the sustainable development goals. Read the free Plain Language Summary for this article on the Journal blog.

Abstract Background Children are amongst the most susceptible groups to environmental exposures, for both immediate and life‐course health outcomes. Despite their increased susceptibility, children's knowledge, experiences and voices are understudied. A deeper understanding of children's environmental health perceptions has the potential to better inform policy, develop targeted interventions and improve public health outcomes. Methods In this study, our community–academic partnership used the Photovoice research method to examine how urban children from low‐income communities perceive environmental influences on their health. Twenty children, ages 10–12, took photographs and participated in focus group interviews regarding their perspectives on how the environment influences their health. Results Qualitative analyses revealed five major thematic categories: environmental exposures, environmental health sentiments, environmental health outcomes, interest in environmental health and environmental health solutions. We used the findings to develop an environmental health perspective theoretical framework that can inform future work designed to promote the environmental health and well‐being of children from low‐income communities in urban communities. Conclusion Photovoice enabled children from low‐income communities to capture and communicate their environmental health perceptions. These findings have the potential to inform and identify potential targets and opportunities for environmental health interventions and promotion in their communities. Patient or Public Contribution Partnerships with community‐based organizations were central to the present study. By design, these community‐based partners were involved in the conduct and procedures of the study.

Abstract Aim The aim of the study was to analyse the correlations among organizational justice, knowledge‐hiding behaviour and nurses' innovation ability. Design A descriptive and cross‐sectional design and the data were collected using questionnaires. Methods Demographic information, professional data, innovation capacity scales, knowledge‐hiding scales and organizational justice scales were used in this study. Using descriptive statistics, t‐tests, one‐way analysis of variance and Pearson's or Spearman's correlation analyses, we compared the differences and examined the correlations between participants' demographic and innovation capacity scales, and knowledge‐hiding scales and organizational fairness scales. Results We received 1486 valid responses, with an effective response rate of 96.68%. We found team role, nursing age, number of training, literature‐reading habits, organizational justice, information justice, fair distribution and deaf knowledge‐hiding as the influencing factors of nurses' innovation. Nurses' sense of organizational fairness negatively correlated with knowledge concealment and positively correlated with innovation ability. Moreover, knowledge hiding negatively correlated with nurses' innovation ability. Furthermore, knowledge‐hiding plays a partial intermediary role between organizational fairness and nurses' innovation ability.

Abstract Aim To examine registered nurses' individual strengths (psychological capital and grit) and an organizational resource (organizational justice) as well as associated work‐related outcomes. In a time of a global nursing shortage, there is an urgent need to identify strengths and resources that can have a positive impact on the health, well‐being and retention of registered nurses. Design A cross‐sectional survey. Methods A nationwide convenience sample of 514 registered nurses responded to a survey. Data were collected using a self‐reported questionnaire between March and May 2018. Data were analysed using descriptive statistics and multivariate path analysis. Results Participants rated their psychological capital and grit moderately high. Grit and organizational justice were found to have significant direct effects on psychological capital. Furthermore, psychological capital had positive direct effects on engagement and the perception of well‐conducted everyday nursing as well as negative direct effects on burnout, the stress of conscience and the intent to leave the profession. Conclusion The results suggest that nurse leaders and managers could consider improving registered nurses' well‐being with two complementary approaches. It might be useful to reinforce positive, individual strengths, such as psychological capital, and at the same time create more favourable nursing work environments, for example by strengthening organizational justice. Implications for the Profession Psychological capital and grit are emerging concepts in nursing workforce research. Identifying registered nurses' positive strengths and resources is important for inventing interventions that enhance nurses' engagement and well‐being as well as reduce turnover intentions. Impact Nurse leaders and managers play crucial roles in managing and developing registered nurses' individual strengths and organizational resources. This has gained even more importance now as the COVID‐19 pandemic could have a long‐term negative impact on nurses' well‐being. Reporting Method The study is reported following STROBE guidelines. Patient or Public Contribution No patient or public contribution.

Abstract As humanity has become increasingly urban, a growing number of people have been deprived of access to nature and the benefits it provides. This is especially true for marginalized groups, who often live in neighbourhoods where nature has been so diminished and degraded that it provides fewer types, and much lower levels of benefits. We review the literatures on human–nature relationships, urban sustainability and justice to create an actionable definition of ‘access to nature’ that people can use to advocate for and guide investments that improve access to nature in urban contexts. We show how the interplay of three dimensions of justice—recognitional, procedural and distributional—determines access to nature in cities, and how these dimensions are core to increasing access to urban nature. We present a design thinking framework that centres justice in creating interventions for access to nature, together with questions that can guide the process of designing and implementing new interventions. Lastly, we illustrate how our framework can be operationalized by showcasing three case studies that improve access to nature to marginalized communities in the United States: Latino Outdoors, Sogorea Te′ Land Trust and the Nature Imagery in Prisons Project. We conclude by re‐affirming the importance of centring justice in improving access to nature, so that all people can enjoy the benefits that nature provides and lead healthy, fulfilling lives. Read the free Plain Language Summary for this article on the Journal blog.

Abstract The concept of the ‘shifting baseline syndrome’ has assisted researchers in understanding how expectations for the health of the environment deteriorate, despite known, often widespread, and significant impacts from human activities. The concept has been used to demonstrate that more accurate assessment of historical ecosystem decline can be achieved by balancing contemporary perceptions with other sorts of evidence, and is now widely referred to in studies assessing environmental change. The potential of this concept as a model for examining and addressing complex and multidimensional social‐ecological interactions, however, is underexplored and current approaches have limitations. We perceive the shifting baseline syndrome as a rare working example of a ‘connective concept’ that can work across fields of science, the humanities and others and that re‐envisioning the concept in this way would assist us to establish more complete, true and reflective environmental baselines. Through our diverse author team, from a range of disciplines, geographies and cultural backgrounds, we identify gaps in current knowledge of the shifting baseline syndrome concept, its use and its effects, and describe several approaches that could be taken to improve investigations and capitalise on the connectivity that it fosters. This re‐envisioning could support a more informed and just way forward in addressing global environmental change. Read the free Plain Language Summary for this article on the Journal blog.

Abstract Introduction Transvaginal mesh (mesh) surgeries have been used to treat stress urinary incontinence (incontinence) and/or pelvic organ prolapse (prolapse). In Australia, as in many other countries, the harms caused by mesh eventually prompted individual and collective attempts to achieve redress. The rise of mesh surgery as a procedure, the experience of mesh‐affected women and the formal inquiries and legal actions that followed all occurred in social, cultural and discursive contexts. One strategy to understand these contexts is to track how the mesh and key actors in the mesh stories have been portrayed in mass media sources. We conducted a media analysis of the most highly read Australian newspapers and online news media platforms, focusing on how mesh and the interaction of stakeholders in mesh stories were presented to the Australian public. Method We searched systematically in the top 10 most‐read print and online media outlets in Australia. We included all articles that mentioned mesh, from the date of first use of mesh in Australia to the date of our final search (1996–2021). Result After early scant media reporting focusing on the benefits of mesh procedures, major Australian medicolegal processes created a hook to shift reporting about mesh. The news media then played a significant role in redressing women's experienced epistemic injustice, including by amplifying previously ignored evidence of harm. This created an opportunity for previously unreported suffering to be revealed to powerful actors, in settings beyond the immediate control and epistemic authority of healthcare stakeholders, validating women's testimony and creating new hermeneutic resources for understanding mesh. Over time, media reports show healthcare stakeholders responding sympathetically to these new understandings in public discourse, contrasting with their statements in earlier media coverage. Conclusion We argue that mass media reporting, in synergy with medicolegal actions and the Australian Senate Inquiry, appears to have provided women with greater epistemic justice, giving their testimony privileged epistemic status such that it was considered by powerful actors. Although medical reporting is not recognised in the hierarchy of evidence embedded in the medical knowledge system, in this case, media reporting appears to have contributed to shaping medical knowledge in significant ways. Patient or Public Contribution We used publicly available data, print and online media outlets, for our analysis. Therefore, this manuscript does not contain the direct contribution of patients, service users, caregivers, people with lived experience or members of the public.

Abstract Introduction Many researchers want to include seldom involved groups, such as refugees and youth, in patient and public involvement (PPI), but experience a number of barriers. The PPI research community calls for critical evaluations that are prospective, data‐based and conducted by researchers and public contributors together. In this study, we conducted a longitudinal evaluation of a core activity in all collaborations: communication strategies. The aim was to evaluate the communication strategies adopted throughout a research project with refugee youth coresearchers. Methods This article is based on the evaluation of a project where refugee youth were involved in the online adaptation of a group‐based programme for youth with posttraumatic stress. Behavioural observations and field notes collected during the project were analysed with qualitative content analysis and a readability index, and discussed through the lens of epistemic injustice. The article was cowritten by researchers and refugee youth. Findings Four manifest categories were identified: Facilitating engagement through coplanning and circumstantial flexibility; Different needs require different channels; It's not just about the channel—facilitation skills matter; Finding a common language opens a communicative flow. In addition, a latent underlying theme reflecting the role of trust was identified: Interactive moments facilitate trust—trust facilitates richer involvement. Conclusion At the core of the identified communication strategies were strengthening relationship‐building and actively facilitating involvement. Establishing trusting relationships enabled refugee youth to share input. The communication strategies increased hermeneutical justice by contributing to a common understanding; thus, taking a step towards ameliorating epistemic injustice. Patient or Public Contribution This article is a participatory analysis of a PPI process; it was written in collaboration between researchers and refugee youth coauthors, who were all previously involved in the evaluated project.

Abstract This work examines the flawed narrative linking ecological crises to overpopulation, with a focus on its impact on women in the Global South. The paper argues that this perspective enables control over women's bodies under the pretence of environmental concern, aligning with necropolitics and a new form of eugenics. It calls for a nuanced understanding of the effects of environmental crisis on women, advocating for a human‐centred approach that elevates the experiences and rights of historically marginalized groups. The discussion includes a critical analysis of the Malthusian discourse, highlighting alternative views on food scarcity and the problematic nature of family planning initiatives. The paper promotes reproductive environmental justice, challenging the overpopulation narrative and underscoring the need for equitable and respectful solutions that support the rights and well‐being of women in the Global South.

Abstract In the intricate tapestry of environmental discourse, the field of political ecology emerges as a powerful lens through which we scrutinise the interplay of power, nature and society. This paper stages a dialogue with Paul Robbins to examine environmental justice, the decolonisation of political ecology, colonialism, sovereignty, climate change and capitalism. The dialogue challenges the conventional narratives of sovereignty and underscores the imperative of genuine decolonisation—beyond metaphorical interpretations—calling for the restitution of land and authority to Indigenous Peoples and other historically marginalised communities. The dialogue highlights the importance of moving away from capitalist systems that exacerbate environmental degradation. The dialogue calls for decolonising political ecology by including diverse perspectives, methodologies and ontologies and underlines the importance of control over productive resources. It emphasises that addressing the impacts of colonialism requires recognising and honouring the sovereignty of Indigenous Peoples and suggests that political ecology can contribute to decolonisation by focusing on sovereignty and supporting legal and institutional frameworks that empower marginalised communities. The paper discusses the way forward and the future trajectory of political ecology by suggesting that future research in political ecology should focus on diverse economies, embrace emerging technologies and rework academic institutions to value knowledge co‐production.

Abstract This article explores the fundamental right to food, examining its legal framework, its relationship with other human rights, and the efforts being made globally to improve this right. It begins by looking at international and national laws that protect the right to food and examining their importance in ensuring food security and sovereignty. It then explores how food rights intersect with other rights, such as health, education, and labor, revealing the interrelated web of human rights. The article further highlights how the right to food is closely tied to the objectives of reducing poverty and promoting social justice, which are crucial components in the collective effort to achieve food security for all. Additionally, it evaluates the effectiveness of current policies and strategies in promoting the right to food, particularly in sub‐Saharan Africa. The novelty of the article is that it brings into perspective, the encumbrance of food sovereignty in sub‐Saharan Africa and concludes with potential solutions.

Abstract The aim of this perspective is to argue that carbon pricing is not unjust. Two important dimensions of justice are distributive and procedural (sometimes called “participatory”) justice. In terms of distributive justice, it is argued that carbon pricing can be made distributionally just through revenue recycling and that it should be expected that even neutral reductions in emissions will generate progressive benefits, both internationally and regionally. In terms of procedural justice, it is argued that carbon pricing is in principle compatible with any procedure; however, there is also a particular morally justifiable procedure, the Citizens’ Assembly, which has been implemented in Ireland on this precise question and has generated broad agreement on carbon pricing. It is suggested that this morally matters because such groups are like “ideal advisors” that offer morally important advice. Finally, an independent objection is offered to some ambitious alternatives to carbon pricing like Green New Deal‐type frameworks, frameworks that aim to simultaneously tackle multiple social challenges. The objection is that these will take too long to work in a climate context, both to develop and to iterate.

Abstract A wealth of evidence suggests an important relationship between nature and human health and well‐being and this appears to hold particular resonance for coastal environments. Notably, this relationship has been explored in assessments of ecosystem services, or the benefits that people derive from nature. In this paper, we extend the debate to encompass ideas around relational values which considers that human well‐being is derived from relationships with nature rather than being solely delivered as the benefits commonly suggested in the ecosystem services literature. The paper draws on conceptual ideas around relational values, sense of place and environmental justice to understand the values and importance of coastal environments for people. These value concepts are explored through detailed narratives revealed by participants in two case study UK coastal locations, using a form of civic dialogue and videography approach called Community Voice Method (CVM). We find that despite levels of relative deprivation in our case study locations, interviewees express values which are striking in terms of the depth of care felt; values which are ‘time‐deepened’ and shaped not only by what people do and are able to do, but also by personal histories and memories which remain strong despite material changes and transformations in people's lives and the places they live. The CVM method in addition provides a practical approach for creating deliberative spaces to explore those deeply embodied and shared connections to the coast which are important and should have greater prominence in coastal management policy and practice.

Abstract Calling on the concept of environmental justice in its distributive, procedural and recognition dimensions, we implemented a coelaborative scenario building approach to explore sustainable livelihoods pathways in four sites belonging to two Transfrontier Conservation Areas (TFCAs) in southern Africa. Grounded on participation and transdisciplinarity, as a foundation for decolonised anticipatory action research, we aimed at stimulating knowledge exchange and providing insights on the future of local livelihoods engaging experts living within these TFCAs. Our results show that wildlife and wildlife‐related activities are not seen as the primary drivers of local livelihoods, despite the focus and investments of dominant stakeholders in these sectors. Instead, local governance and land use regulations emerged as key drivers in the four study sites. The state of natural resources, including water, and appropriate farming systems also appeared critical to sustain future livelihoods in TFCAs, together with the recognition of indigenous culture, knowledge and value systems. Nature conservation, especially in Africa, is rooted in its colonial past and struggles to free or decolonise itself from the habits of this past despite decades of reconsideration. To date, the enduring coloniality of conservation prevents local citizens from truly participating in the planning and designing of the TFCAs they live in, leaving room for limited benefits to local citizens and often limiting Indigenous people's capacity to conserve. A practical way forward is to consider environmental justice as a cement between the two pillars of the TFCA concept, that is, nature conservation and socio‐economic development of local or neighbouring communities, as part of a more broadly and urgent need to rethink the relationships between people in, and with, the rest of nature. Read the free Plain Language Summary for this article on the Journal blog.

Abstract Projects designed to incentivize ecosystem management for societal benefits are becoming increasingly popular and are often touted as win–win solutions for social and environmental challenges. Yet, there are important concerns about the equity and justice implications of these programs, and there is strong evidence that a lack of attention to justice can exacerbate or create inequities. We focus on water funds, a subset of watershed ecosystem investment programs that are being scaled globally. We specifically discuss how three long‐standing Andean programs have shifted through time toward a greater focus on equity and justice. We argue that these shifts, while imperfect, have been critical to their durability and that, more generally, continued alignment of nature‐based investment programs with broader equity and justice concerns is essential for long‐term durability and success.

Abstract Sea‐level rise (SLR) will cause coastal groundwater to rise in many coastal urban environments. Inundation of contaminated soils by groundwater rise (GWR) will alter the physical, biological, and geochemical conditions that influence the fate and transport of existing contaminants. These transformed products can be more toxic and/or more mobile under future conditions driven by SLR and GWR. We reviewed the vulnerability of contaminated sites to GWR in a US national database and in a case comparison with the San Francisco Bay region to estimate the risk of rising groundwater to human and ecosystem health. The results show that 326 sites in the US Superfund program may be vulnerable to changes in groundwater depth or flow direction as a result of SLR, representing 18.1 million hectares of contaminated land. In the San Francisco Bay Area, we found that GWR is predicted to impact twice as much land area as inundation from SLR, and 5,282 additional state‐managed sites of contamination may be vulnerable to inundation from GWR in a 1.0 m SLR scenario. Increases of only a few centimeters of elevation can mobilize soil contaminants, alter flow directions in a heterogeneous urban environment with underground pipes and utility trenches, and result in new exposure pathways. Pumping for flood protection will elevate the saltwater interface, changing groundwater salinity and mobilizing metals in soil. Socially vulnerable communities are disproportionately exposed to this risk at both the national scale and in a regional comparison with the San Francisco Bay Area.

Abstract This critical analysis examines the geopolitics of planetary environmental injustice and the imperative for systems change to address the intertwined crises of climate breakdown and unsustainable economic growth. Climate breakdown has heightened attention to uneven anthropogenic use and abuse of the planet's biosphere and common pool resources. Recent arguments by climate scholars suggest that various planetary boundaries have already been breached, resulting in dramatic and harmful socio‐ecological consequences. These trends raise crucial questions of equity and justice, especially concerning responsibilities and impacts. By centring Global South perspectives, prevailing ideologies promoting hyperconsumption, overproduction and waste are interrogated. The incommensurability of socioecological justice with ongoing unsustainable extractive and exploitative economic growth paradigms, which contribute to further transgressions of planetary boundaries, underscore the urgency of decolonising underlying colonial‐capitalist ideologies and practices. This entails a fundamental reformulation of paradigms to envision a more just and sustainable future, one that dismantles oppressive systems and advances justice‐oriented praxis.

Abstract Smoke from wildfires presents one of the greatest threats to air quality, public health, and ecosystems in the United States, especially in the West. Here we quantify the efficacy of prescribed burning as an intervention for mitigating smoke exposure downwind of wildfires across the West during the 2018 and 2020 fire seasons. Using the adjoint of the GEOS‐Chem chemical transport model, we calculate the sensitivities of population‐weighted smoke concentrations in receptor regions, including states and rural environmental justice communities, to fire emissions upwind of the receptors. We find that the population‐weighted smoke exposure across the West during the September 2020 fires was 44 μg/m3 but would have been 20%–30% greater had these wildfires occurred in October or November. We further simulate a set of prescribed burn scenarios and find that controlled burning interventions in northern California and the Pacific Northwest could have reduced the population‐weighted smoke exposure across the western United States by 21 μg/m3 in September 2020, while doing so in all other states would have reduced smoke exposure by only 1.5 μg/m3. Satellite records of large, prescribed burns (>1,000 acres, or 4 km2) reveal that northern California and western Oregon conducted only seven such prescribed fires over a 6‐year period (2015–2020), even though these regions have a disproportionate impact on smoke exposure for rural environmental justice communities and population centers across the West. Our analysis suggests that prioritizing northern California and the Pacific Northwest for prescribed burns might mitigate future smoke exposure.

Abstract Introduction Patient and public involvement in research is anchored in moral and epistemological rationales. Moral rationales relate to the public having a right to influence how knowledge about them is generated. Epistemological rationales relate to how research design and implementation can improve when informed by experiential, as well as technical, knowledge. In other words, public involvement can increase the epistemological resources of researchers, and contribute to research that is fit for purpose and has high external validity. Methods This article presents an analysis of 3 meetings and 11 interviews with public collaborators and researchers in three UK‐based health research studies. Data comprised transcripts of audio‐recorded research meetings and interviews with public collaborators and researchers. Data were first analysed to develop a data‐informed definition of experiential knowledge, then thematically to investigate how this experiential knowledge was considered and received within the research space. Results At meetings, public collaborators shared their experiential knowledge as stories, comments, questions, answers and when referring to their own roles. They were aware of crossing a boundary from everyday life, and some adapted their contributions to fit within the research space. Although researchers and public collaborators made efforts to create an inclusive climate, obstacles to impact were identified. Conclusions Considering experiential knowledge as a boundary object highlights that this knowledge has a different form to other kinds of knowledge that contribute to research. To enable impact from experiential knowledge, researchers need to create a space where public collaborators experience epistemic justice. Patient and Public Contribution The Peninsula Public Engagement Group (PenPEG) was involved in the planning and conceptualization of the study, including the development of the ethics application and the interview schedules. One member of this group (Richard Fitzgerald) and one from outside the group (Leon Farmer), were full members of the author team and were involved in the data analysis. Leon Farmer has since become a member of PenPEG. Richard Fitzgerald and Leon Farmer were not involved in the three research studies sampled for this study. Sadly Richard Fitzgerald died during the course of this study.

Abstract Background In 2020, the long‐lasting effects of the Covid‐19 virus were not included in public messages of risks to public health. Long Covid emerged as a novel and enigmatic illness with a serious and life‐changing impact. Long Covid is poorly explained by objective medical tests, leading to widespread disbelief and stigma associated with the condition. The aim of this organic research is to explore the physical and epistemic challenges of living with Long Covid. Methods Unlike any previous pandemic in history, online Covid communities and ‘citizen science’ have played a leading role in advancing our understanding of Long Covid. As patient‐led research of this grassroots Covid community, a team approach to thematic analysis was undertaken of 66 patient stories submitted online to covid19‐recovery.org at the beginning of the Covid‐19 pandemic between April and September 2020. Results The overriding theme of the analysis highlights the complexities and challenges of living with Long Covid. Our distinct themes were identified: the life‐changing impact of the condition, the importance of validation and how, for many, seeking alternatives was felt to be their only option. Conclusions Long Covid does not easily fit into the dominant evidence‐based practice and the biomedical model of health, which rely on objective indicators of the disease process. Patient testimonies are vital to understanding and treating Long Covid, yet patients are frequently disbelieved, and their testimonies are not taken seriously leading to stigma and epistemic injustice, which introduces a lack of trust into the therapeutic relationship. Patient Contribution The research was undertaken in partnership with our consumer representative(s) and all findings and subsequent recommendations have been coproduced.

Abstract This editorial reflects on the history of the conservation movement, the strong continuing influence of its colonial past, and the counter‐emergence of a more pluralistic and respectful worldview. Conservation Letters seeks to support and foster an ethical and inclusive discipline of conservation that discards elements of its colonial and racist history. This will involve broadening the disciplinary scope of “conservation” and paying greater attention to traditional ecological knowledge and nonwestern conservation approaches. We also see a particular need for theoretical advances that guide conservation practice by informing and connecting different kinds of expertise to understand social‐ecological interactions and their implications for both people and ecosystems. Conservation can and should play a vital role in securing the joint future of ecosystems and people, but it will only achieve its full potential if it retains its social license and stays relevant to emerging concerns and values.

Abstract Carbon pricing has been criticized by environmental justice advocates on the grounds that it fails to reduce emissions significantly, fails to reduce the disproportionate impacts of hazardous co‐pollutants on people of color and low‐income communities, hits low‐income households harder than wealthier households, and commodifies nature. Designing carbon pricing policy to address these concerns can yield outcomes that are both more effective and more equitable.

Abstract Cities in warmer climate zones have experienced extreme heat and unbearable drought conditions due to climate change. Developing a practical and integrated framework to tackle the trade‐off between land surface temperature (LST) reduction and water conservation is essential for heat mitigation and resilience planning. We developed a multi‐objective framework of spatial optimization for priority areas that considers environmental justice. We identified the priority areas (i.e., residential districts, socio‐economically disadvantaged neighborhoods, hotspot regions, and opportunity areas) using ECOSTRESS‐based LST, actual evapotranspiration (ETa, as a proxy to outdoor water use [OWU]), Landsat‐based LST and ETa changes (2000–2020), and the evaporative stress index. The configuration of vegetation was spatially optimized to achieve the highest co‐benefits by equally balancing both objectives. We found that LST decreased and OWU increased as the vegetation percentage rose from 25% to 45%. The trade‐off between heat reduction and water conservation indicates that LST is not significantly reduced, as OWU reaches above the mid‐level if we focus mainly on LST reduction. The associated green space configurations suggest that grass coverage gradually increases as tree coverage decreases slightly in unmanaged soil. Overall, hotspot regions have a higher potential to lower LST by consuming less water than other areas with the same percentage of new vegetation. Based on this perspective, we suggest that urban planners and city managers prioritize hotspot regions by considering environmental justice and co‐benefits to ensure highly efficient LST amelioration and OWU conservation.

Abstract Synthesis research in ecology and environmental science improves understanding, advances theory, identifies research priorities, and supports management strategies by linking data, ideas, and tools. Accelerating environmental challenges increases the need to focus synthesis science on the most pressing questions. To leverage input from the broader research community, we convened a virtual workshop with participants from many countries and disciplines to examine how and where synthesis can address key questions and themes in ecology and environmental science in the coming decade. Seven priority research topics emerged: (1) diversity, equity, inclusion, and justice (DEIJ), (2) human and natural systems, (3) actionable and use‐inspired science, (4) scale, (5) generality, (6) complexity and resilience, and (7) predictability. Additionally, two issues regarding the general practice of synthesis emerged: the need for increased participant diversity and inclusive research practices; and increased and improved data flow, access, and skill‐building. These topics and practices provide a strategic vision for future synthesis in ecology and environmental science.

Abstract Anthropogenic greenhouse gas emissions are causing unprecedented changes to the climate. In 2015, at the United Nations (UN) Conference of the Parties in Paris, France, countries agreed to limit the global mean temperature (GMT) increase to 2°C above preindustrial levels, and to pursue efforts to limit warming to 1.5°C. Due to the long‐term irreversibility of sea level rise (SLR), risks to island and coastal populations are not well encapsulated by the goal of limiting GMT warming by 2100. This review article investigates the climate justice implications of temperature targets in light of our increasing understanding of the spatially variable impact and long temporal commitment to rising seas. In particular we highlight the impact that SLR will have on island states and the role of the Alliance of Small Island States (AOSIS) in UN climate negotiations. As a case study we review dual impacts from the Antarctic Ice Sheet under a changing climate: (a) recent climate and ice sheet modeling shows that Antarctic melt has the potential to cause rapid SLR with a distinct spatial pattern leading to AOSIS nations experiencing SLR at least 11% higher than the global average and up to 33% higher; and (b) future ice sheet melt will result in a negative feedback on GMT, thus delaying temperature rise. When considering these impacts in conjunction, justice concerns associated with the Paris Agreement are exacerbated.

Abstract Committees touch nearly every facet in the science, technology, engineering, and mathematics research enterprise. However, the role of gatekeeping through committee work has received little attention in Earth and space sciences. We propose a novel concept called, “regenerative gatekeeping” to challenge institutional inertia, cultivate belonging, accessibility, justice, diversity, equity, and inclusion in committee work. Three examples, a hiring committee process, a seminar series innovation, and an awards committee, highlight the need to self‐assess policies and practices, ask critical questions and engage in generative conflict. Rethinking committee work can activate distributed mechanisms needed to promote change.

The purpose of this qualitative study is to assess facilitating factors and barriers for medications to treat opioid use disorder (MOUD) initiation among justice-involved individuals in one rural Appalachian community, as well as how those factors may differ across the three types of Food and Drug Administration (FDA) approved medications. Qualitative interviews were conducted with rural justice-involved individuals (N = 10) with a history of opioid use in the target community. Overall, participants demonstrated knowledge of the different types of MOUD and their pharmacological properties, but limited overall health literacy around opioid use disorder and MOUD treatment. Treatment access was hampered by transportation, time burdens, and costs. Findings call for research into improving health literacy education, training, and resources to decrease stigma and increase access to MOUD, particularly in light of the ongoing opioid crisis. State policies also need to increase access to all FDA medications among justice-involved individuals, as well as supporting a care continuum from facility entry, release, and community re-entry., (© 2023 Wiley Periodicals LLC.)

The conflation of race and genetic ancestry can have harmful consequences. Biological conceptualizations of race have long been used to justify inequities and distract from social structures that afford opportunities to some that are unjustly denied to others. Despite recent efforts within the scientific community to distinguish between the sociopolitical constructs of race and ethnicity and the biological constructs of genetic ancestry and genetic similarity, their conflation continues to influence genomic research and its translation into clinical care. One overlooked aspect of this problematic conflation is the extent to which discrete monoracial and monoethnic categorization systems persist and perpetuate unequal benefit-sharing in the clinical translation of genomic technologies. In genetic service delivery, reliance on discrete racial and ethnic categories undermines the clinical translation of genomic technologies for large segments of the global population. For multiracial and multiethnic individuals, who have complex identities that defy discrete categorization systems, the potential benefits of genomic discoveries are especially elusive. Scholars have recently begun to call for the inclusion of multiracial, multiethnic, and admixed individuals in race, ethnicity, and ancestry frameworks in genetics and genomics. However, little work has been done to explore and address the unique challenges and opportunities posed by multiracial/multiethnic individuals in genetic counseling specifically. We discuss how conceptualizing diversity along discrete racial and ethnic lines perpetuates inequitable patient care and limits efforts to increase inclusion and belonging within genetic counseling. Moreover, we argue that ongoing efforts to mitigate racial inequity must actively challenge the paradigm of monoracial and monoethnic categories to accomplish their goal., (© 2024 National Society of Genetic Counselors.)

The imperative to decolonise health disciplines underscores the need for a critical examination of the coloniality of nursing knowledge development. Decolonising nursing requires epistemic resistance aimed at exposing and dismantling epistemological hierarchies that marginalise indigenous knowledges. This paper introduces the 'Pluriverse of Nursologies' as paradigm to guide decolonial theorising in nursing. Through a four-part exploration, I first elucidate the coloniality embedded in mainstream nursing knowledge. Next, I offer a decolonial critique of Fawcett's nursing metaparadigm as an exemplar of pyramidal epistemology. I then discuss pluriversality as an approach to decolonising nursing knowledge. Finally, I introduce the Pluriverse of Nursologies (PoN) as a meta-theoretical paradigm for theory and knowledge development that decentres and dismantles the pyramidal epistemology of colonial/modern nursing, and relinks diverse nursologies from marginalised communities to the centre of intellectual nursing discourse, thereby revitalising the theoretical landscape of the discipline., (© 2024 John Wiley & Sons Ltd.)

Nursing education holds a history framed in white supremacy and whiteness. Efforts to employ antiracist strategies have been hindered, largely due to an inability for faculty to acknowledge and hold accountability for racialized harms that occur within nursing educational structures. A nurse-midwifery program in the Pacific Northwest United States uncovered harm that impacted students and identified a need to respond and hold accountability. Guided by the framework of Transformative Justice, a truth and reconciliation process was implemented as a first step to better address racism within nursing and nurse-midwifery education. This paper describes the process to support other institutions in their work to address harms within nursing education., (© 2024 John Wiley & Sons Ltd.)

Throughout all areas of medical practice, genetic counselors (GCs) occupy a key position in promoting patients' personal autonomy while facilitating informed medical decision-making. This professional position aligns with the concept of reproductive justice. Previous literature has attempted to define reproductive advocacy in medicine as well as the potential intersection of genetic counseling and reproductive justice advocacy work, yet limited data exist regarding GCs' perceptions of their role and involvement in reproductive justice advocacy work. This study aimed to identify the perceptions and actions of GCs regarding reproductive justice advocacy measures, as well as explore motivating factors influencing their attitudes and behaviors. Family planning providers, who tend to prioritize reproductive justice and advocacy, were surveyed to be a comparison group. We distributed an anonymous online survey within the National Society of Genetic Counselors (NSGC) and the Society of Family Planning (SFP) consisting of a 10-item personality inventory and Likert scale questions exploring characteristics and behaviors regarding reproductive justice advocacy. Results from 252 eligible respondents were analyzed using descriptive statistics, Chi-square, and Mann-Whitney U analyses. NSGC members are significantly less involved in several areas of reproductive justice advocacy, including regular participation in advocacy efforts when compared to SFP members (p = 0.04). The most cited barrier to NSGC members' participation was feeling unsure how to become involved, a significant difference compared to SFP members (p = 0.01). Findings from this study, undertaken in the final days of Roe v. Wade, suggest that GCs want to be more involved in reproductive justice advocacy but are uncertain where to begin. Intersociety collaboration and intra-society promotion of grassroots reproductive justice efforts may reduce this perceived barrier and others like it., (© 2023 National Society of Genetic Counselors.)

Social justice is widely advanced as a central nursing value, and yet conceptual understandings of social justice remain inconsistent and vague. Further, despite persistently articulated commitments to upholding social justice, the profession of nursing has been implicated in perpetuating inequities in health and health care. In this context, it is essential to establish both conceptual clarity and tangible guidance for nurses in enacting practices to advance social justice-particularly through regulatory, education and accreditation documents that shape the nursing profession. This Foucauldian discourse analysis examines how social justice is discursively positioned within nursing professional documents in Canada, and illustrates that social justice was largely discursively excluded from these texts. Where social justice discourses were invoked, we identified that four central discursive patterns obscured and de-centred this nursing value: (i) Vague language undermined professional commitments to social justice; (ii) Constructions of knowledge and awareness de-emphasized practice; (iii) Individualism discourses minimized institutional/professional responsibility; and (iv) Aspirational language obscured present action. Extending from this analysis, we contend that the nursing profession must re-examine how social justice is understood and articulated, and call for a re-conceptualization of social justice grounded in nursing practice toward remediating inequities in health and health care., (© 2024 The Author(s). Nursing Inquiry published by John Wiley & Sons Ltd.)

Introduction: Non-Hispanic Black women and their infants experience the worst pregnancy-related outcomes in the United States. Social safety is a health-relevant resource found in environments communicating safety, connectedness, inclusion, and protection. Approaches promoting social safety may be particularly relevant to preventing adverse perinatal health outcomes among Black women. However, there remains a lack of conceptual clarity. The purpose of this concept analysis was to provide a theoretical clarification of the concept social safety for Black women within perinatal health care., Methods: PubMed, PsycINFO, and CINAHL were searched using Boolean search strategy. Retrieved articles were managed in Zotero. Duplicates were removed, and each article was assessed and categorized by both investigators. Articles reporting Black women's perinatal health care experiences were included. Thematic analysis guided by Rodgers' evolutionary method identified defining attributes, antecedents, and consequences of social safety in perinatal care for Black women., Results: Social safety for Black women is defined as the process of feeling understood, respected, cared for, and in control in perinatal health care settings that make space, care for, and recognize strengths, thereby cultivating safety and empowerment., Discussion: Social safety offers actionable insights for practice and research that have the potential to drive positive change in perinatal care delivery for Black women. Developing interventions and measurements that are valid, reliable, and reflect social safety are essential to promote positive experiences and equity in health care practices and policies., (© 2024 by the American College of Nurse‐Midwives.)

Historically, countries have primarily relied on policy rather than legislation to implement Maternal and Perinatal Death Surveillance and Response systems (MPDSR). However, evidence shows significant disparities in how MPDSR is implemented among different countries. In this article, we argue for the importance of establishing MPDSR systems mandated by law and aligned with the country's constitutional provisions, regional and international human rights obligations, and public health commitments. We highlight how a "no blame" approach can be regulated to provide a balance between confidentiality of the system and access to justice and remedies., (© 2024 The Author(s). International Journal of Gynecology & Obstetrics published by John Wiley & Sons Ltd on behalf of International Federation of Gynecology and Obstetrics.)

Abstract Background Racial and ethnic minority status, structural racism, low educational attainment, and poverty are consistently associated with cancer disparities and with higher rates of incarceration. The objective of this scoping review is to conduct a qualitative synthesis of the literature on cancer prevalence, incidence, mortality, and disparities in these outcomes for incarcerated and formerly incarcerated patients, as this literature is fragmented and heterogenous. Methods This scoping review included Bureau of Justice Statistics reports and searched PubMed in May 2021 for all English language studies published between 1990 and 30 April 2021, that reported on cancer prevalence, incidence, or mortality for incarcerated or formerly incarcerated individuals in the United States. Results Twenty studies were selected. Data on cancer prevalence and incidence were scarce but suggested that incarcerated and formerly incarcerated patients have a similar overall risk of cancer diagnosis as the general population, but elevated risk of certain cancers such as cervical, lung, colorectal, and hepatocellular carcinoma for which effective prevention and screening interventions exist. Cancer mortality data in state and local jails as well as prisons were robust and suggests that both incarcerated and formerly incarcerated patients have higher cancer mortality than the general population. Conclusions Incarcerated and formerly incarcerated patients likely have a higher risk of dying from cancer than the general population, but important gaps in our knowledge about the extent and drivers of disparities for this population remain. Additional research is needed to guide interventions to reduce cancer disparities for patients experiencing incarceration.