The core epistemic responsibilities of universities: Results from a Delphi study

Epistemic responsibilities (ERs) of universities concern equipping and empowering its researchers, educators and students to attain, produce, exchange and disseminate knowledge. ERs can potentially guide universities in improving education, research and in service to society. Building on earlier philosophical work, we applied empirical methods to identify core ERs of universities and their constituting elements. We used a three-round Delphi survey, alternating between closed questions to gain consensus, and open questions to let panelists motivate their answers. 46 panelists participated in our study. We reached consensus on six ERs: 1) to foster research integrity, 2) to stimulate the development of intellectual virtues, 3) to address the big questions of life, 4) to cultivate the diversity of the disciplinary fields, 5) to serve and engage with society at large, and 6) to cultivate and safeguard academic freedom. Together the six ERs contain 27 elements. Consensus rates ranged from 73%-100% for both the ERs and their elements. Participants' detailed responses led to substantial improvements in the accompanying descriptions of the ERs. Our findings can inform the debate about the roles and responsibilities of universities, and inform researchers and policy makers to emphasize epistemic tasks of universities.

Hiding in plain sight: Exploring the complex pathways between tactical concealment and relational wellbeing

We argue that the current environment in higher education is one of the primary drivers for the widespread adoption of concealment tactics with the aim of enhancing wellbeing. To explore the relationship between concealment and wellbeing, we draw upon Scott’s conceptualization of “hidden transcripts” and Keyes’s five dimensions of social wellbeing. Using a collaborative ethnographic approach, we examine a 2-year period of individual and collective inquiry by an eclectic multidisciplinary, international group of academics. Our empirical and theoretical contributions expose a complex and, at times, seemingly contradictory relationship between tactical concealments and relational wellbeing, with variously generative and destructive pathways between them. Our research offers a lens through which we can critically explore and extend our understanding of alternative pathways to wellbeing in organizational life.

Raising the Dead? Limits of CPR and Harms of Defensive Practices

We describe the case of an eighty-four-year-old man with disseminated lung cancer who had been receiving palliative care in the hospital and was found by nursing staff unresponsive, with clinically obvious signs of death, including rigor mortis. Because there was no documentation to the contrary, the nurses commenced cardiopulmonary resuscitation and called a code blue, resulting in resuscitative efforts that continued for around twenty minutes. In discussion with the hospital ethicist, senior nurses justified these actions, mainly citing disciplinary and medicolegal concerns. We argue that moral harms arise from CPR performed on a corpse and that legal concerns about failing to perform it are unfounded. We contend that such efforts are an unintended consequence of managerialist policies mandating do-not-resuscitate orders and advance care plans and of defensive practices that can value the interests of institutions and practitioners over those of patients. Health management teaching should include managerialism and its pitfalls, while clinician training should prioritize ethical reasoning and legal knowledge over defensive practice.