{"id":39251,"date":"2025-01-20T20:50:25","date_gmt":"2025-01-20T20:50:25","guid":{"rendered":"https:\/\/carsp.ca\/?p=39251"},"modified":"2025-01-20T20:50:25","modified_gmt":"2025-01-20T20:50:25","slug":"care-ethics-and-the-built-environment-part-two-the-duty-to-care-and-safety-of-vulnerable-road-users","status":"publish","type":"post","link":"https:\/\/carsp.ca\/en\/news\/carsp-news\/care-ethics-and-the-built-environment-part-two-the-duty-to-care-and-safety-of-vulnerable-road-users\/","title":{"rendered":"Care Ethics and the Built Environment (Part Two): The Duty to Care and Safety of Vulnerable Road Users"},"content":{"rendered":"<b>Abstract<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Part One of this article introduced care ethics as a way of viewing the built environment and how it supports the safety of road users. Care ethics focuses on our collective human interdependence, vulnerability, and need, which draws attention to our relationships with each other, as well as the environments in which we occupy and travel. In the context of safe travel, the built environment is a caring matter, as its design has an impact on the safety of road users, particularly those who are made vulnerable by the current design of built environments that prioritize motor vehicle travel. As explained in Part One, road users are not inherently vulnerable; they are <\/span><i><span style=\"font-weight: 400;\">made<\/span><\/i><span style=\"font-weight: 400;\"> vulnerable by the design of the built environment. Part Two focuses on the needs of vulnerable road users (VRUs), including people with disabilities. Utilizing the language of care ethics and fundamental needs helps to reveal the inadequacies of current built environments. Elevating our understanding of <\/span><i><span style=\"font-weight: 400;\">how<\/span><\/i><span style=\"font-weight: 400;\"> the built environment is a matter of care can support road safety advocates in persuading decision-makers to implement necessary changes that enhance the safety of all road users.\u00a0<\/span><\/p>\n<p><b>Introduction<\/b><\/p>\n<p><span style=\"font-weight: 400;\">In this article I continue an important conversation about the value of employing the lens and language of care ethics to examine the relationship between road users\u2019 safety and the built environment. Safety is inherently a matter of care, and terms like <\/span><i><span style=\"font-weight: 400;\">care<\/span><\/i><span style=\"font-weight: 400;\"> and <\/span><i><span style=\"font-weight: 400;\">caring<\/span><\/i><span style=\"font-weight: 400;\"> are used liberally and often without much thought throughout our daily lives. It is pervasive and meaningful while, interestingly, remains inadequately interrogated or examined in the road safety space. Other important areas of life such as healthcare (1), education (2), and sport (3) have utilized a care ethics lens to examine caring relations between person, the conditions that help to cultivate caring relations between persons (or not), and organizations\u2019 contributions to creating caring conditions for their members by meeting their needs (or not) (4). Utilizing a care ethics lens helps to make visible our universal interconnectedness and how our relationships with each other and the environments in which we work, travel, and play (e.g., the built environment), impact our safety (5). In other words, \u201cpaying attention to\/with care may assist us in understanding the role of maintenance and repair in creating more caring and just cities; emphasize our collective interdependence and responsibility for one another; and reveal silences, injustices, and neglect in a way that provokes action\u201d (6 p1).<\/span><\/p>\n<p><span style=\"font-weight: 400;\">According to Bates and colleagues, \u201cthere is much to be done to improve the quality of the built environment and people\u2019s experiences of it\u201d (7 pxiii), as the design of our communities can protect and improve the quality of life for its inhabitants (8). This is particularly salient in the context of transportation, \u201cwhich is capable of providing the basic requirements of safety, well-being, comfort, health, economic growth, and social development to communities in varying degrees\u201d (9 p1). The inadequacies of current built environments are demonstrated by road-related injuries and deaths (10,11), the rates for which increase with vulnerable road users, such as people with disabilities (12). Thus, Part Two of this article series will more clearly illustrate the importance of <\/span><i><span style=\"font-weight: 400;\">caring<\/span><\/i><span style=\"font-weight: 400;\"> built environments for the safety of vulnerable road users (VRUs) and people with disabilities.\u00a0<\/span><\/p>\n<p><b>Care ethics: A quick review<\/b><\/p>\n<p><span style=\"font-weight: 400;\">To recall, care ethics defines care as a relation where one person responds to the needs of an other (13). Tronto and Fisher offer this helpful definition,<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Caring [can] be viewed as a species activity that includes everything that we do to maintain, continue, and repair our \u2018world\u2019 so that we can live in it as well as possible. That world includes our bodies, ourselves, and our environment, all of which we seek to interweave in a complex, life-sustaining web. (14 p40)<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In other words, activities that maintain, continue, and repair our world are those that establish, maintain, or restore the agency of people by ensuring their fundamental needs are met. It is the connection between agency and fundamental needs that emphasizes the importance of care, where agency is defined as \u201cthe ability to achieve some manner of results in the world, to affect change in accordance with one\u2019s volition, and to maintain the ability to carry out projects (often self-determined) in a surrounding environment\u201d (15 p24). Miller offers the following definition of the fundamental needs that, if not met, will compromise one\u2019s agency:<\/span><\/p>\n<p><span style=\"font-weight: 400;\">They are needs that a person cannot satisfy without the help of others. They are absolute in that they make those in need necessarily dependent on an other to meet those needs. Fundamental needs must be met in order to develop, maintain, or restore human agency. Not responding to fundamental needs results in serious harm to the individual. (15 p47).<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Thus, when we start to view the built environment as an entity that can be caring or uncaring for its users, we can more clearly articulate <\/span><i><span style=\"font-weight: 400;\">how<\/span><\/i><span style=\"font-weight: 400;\"> by referring to the eleven fundamental needs involved in caring: 1) nutrition and water; 2) rest; 3) shelter; 4) healthy environment; 5) bodily integrity; 6) healing; 7) education; 8) attachments; 9) social inclusion, participation, and recognition; 10) play; and 11) security.<\/span><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<p><b>Duty of Care<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Of course, the built environment is not an entity capable of actively adapting and responding to the needs of road users in real-time. However, decisions about the design of built environments are made by people in positions of power within organizations responsible for transportation, urban planning, etc. When we consider the role that organizations play in meeting fundamental needs, the <\/span><i><span style=\"font-weight: 400;\">Duty of Care<\/span><\/i><span style=\"font-weight: 400;\"> is useful because it helps to discern who must care, \u201cas well as how much, how often, and in which situations they are to offer care\u201d (15 p46). Broadly, the <\/span><i><span style=\"font-weight: 400;\">Duty of Care<\/span><\/i><span style=\"font-weight: 400;\"> \u201cobliges others to respond to individuals\u2019 fundamental needs so that those individuals can once again determine and seek their own subjective ends\u201d (15 p52). In the context of road safety, a duty to care means designing the built environment in such a way that all road users are safe. Given the responsibility of municipalities to ensure the safety of persons within their borders, it is reasonable to assert that, with regards to transportation safety and the built environment, they have a duty to care.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">As noted in Part One, a contribution of this current work is the novel imagining of the built environment as an entity capable of care and, by extension, those responsible for the design of the built environment as carers. In the context of the road user\/built environment relationship, to enact a <\/span><i><span style=\"font-weight: 400;\">Duty of Care<\/span><\/i><span style=\"font-weight: 400;\">, \u201ccarers need to know something about the individuals or groups to whom they are responding. They need information about internal conditions \u2013 the sufferings, longings, and fears of those who need care \u2013 as well as external conditions\u201d (17 p58). Understanding the needs of road users, particularly those who are rendered vulnerable by current built environments, is essential for municipal decision-makers tasked with designing environments that uphold fundamental needs. It has been clearly established that built environments designed for cars (18,19) neglect the needs of VRUs and people with disabilities. Thus, it is important to elevate our understanding of the road safety needs of these groups.<\/span><\/p>\n<p><b>Vulnerable Road Users (VRUs)<\/b><\/p>\n<p><span style=\"font-weight: 400;\">As noted above, road users are not inherently vulnerable; they are <\/span><i><span style=\"font-weight: 400;\">made<\/span><\/i><span style=\"font-weight: 400;\"> vulnerable by the design of the built environment (20,21), an important distinction that further highlights the value of employing a relational care lens to examine the built environment and how it cares for road users (or not). However, the term vulnerable road users (VRUs) is the language most commonly used in the road safety world, so I will continue to use this language. Recall the definition of VRUs: \u201cpedestrians, motorcyclists, and bicyclists are considered to be vulnerable road users since they do not have the protective shell of a vehicle in case of a collision\u201d (22 paragraph 1). Thus, built environments that \u201ccare\u201d for VRUs prioritize space for their safe travel, which means separate and protected lanes for cyclists, people who wheel, and people who walk or run, as well as safe crossing features such as crosswalks (23).\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Without protected lanes and spaces these road users <\/span><i><span style=\"font-weight: 400;\">become<\/span><\/i><span style=\"font-weight: 400;\"> vulnerable, which means their vulnerability can be reduced if the built environment is designed to protect them (24). Recall the eleven fundamental needs involved in caring (nutrition and water; rest; shelter; healthy environment; bodily integrity; healing; education; attachments; social inclusion, participation, and recognition; play; and security) \u2013 dedicated and protected lanes for VRUs helps to enhance road users\u2019 agency by fulfilling their fundamental need for a <\/span><i><span style=\"font-weight: 400;\">healthy environment<\/span><\/i><span style=\"font-weight: 400;\">: \u201cIn order to become an agent and to maintain agency, one must be surrounded by an environment that is sustaining rather than injurious. A hygienic, non-toxic environment is necessary\u201d (15 p41); \u201c...an environment that is sustaining rather than injurious\u201d is crucial, and particularly relevant when viewing the built environment through a lens of care. Space for VRUs also fulfills their fundamental need for <\/span><i><span style=\"font-weight: 400;\">security<\/span><\/i><span style=\"font-weight: 400;\">: \u201cFreedom from coercive, threatening environments \u2013 physical, psychological, and emotional \u2013 is required. Agency cannot fully develop or be sustained in environments of extreme anxiety and fear\u201d (15 p42). Places for folks to <\/span><i><span style=\"font-weight: 400;\">rest<\/span><\/i><span style=\"font-weight: 400;\"> along routes are also necessary, and are even more caring if they include <\/span><i><span style=\"font-weight: 400;\">shelter<\/span><\/i><span style=\"font-weight: 400;\"> and lighting, which also helps fulfill their fundamental need for <\/span><i><span style=\"font-weight: 400;\">security<\/span><\/i><span style=\"font-weight: 400;\">. Overall, it is clear to see how the design of the built environment can enhance or compromise care for VRUs.<\/span><\/p>\n<p><b>People with disabilities<\/b><\/p>\n<p><span style=\"font-weight: 400;\">There has been an increase in research concerned with the lived experiences of people with disabilities and how they navigate the built environment (25,26). Such research \u201cdemonstrates how the built environment has the capacity to impede and\/or prevent disabled people\u2019s mobility while restricting their access to specific spaces\u201d (27 p357). Easy access to essential amenities such as food, health care, and education is integral to mental and physical well-being and bestows a sense of dignity (28,29). Further, the link between people\u2019s well-being and their residential community environments (e.g., the built environment) supports the need to ensure that the design of the built environment fulfills these needs, as well as any interventions \u201cthat seek to change conditions to improve well-being and reduce inequalities\u201d (28 p1). Overall, the design of some built environments restricts the mobility and access required by people with disabilities (27).<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Built environment features that would be considered <\/span><i><span style=\"font-weight: 400;\">caring<\/span><\/i><span style=\"font-weight: 400;\"> for people with disabilities include wheelchair ramps and smooth pathways that are not full of obstacles (27), as well as wayfinding and signage, access to outdoor spaces, and acoustics in the built environment for people with vision impairments (30). More specifically, <\/span><i><span style=\"font-weight: 400;\">Accessibility Standards Canada<\/span><\/i><span style=\"font-weight: 400;\"> outlines areas where people with disabilities may experience barriers to accessibility of outdoor spaces, including outdoor paths (e.g., recreation trails, paths to beaches, sidewalks and walkways), lack of accessible parking, outdoor public use eating areas, and outdoor play spaces (30). Further, wayfinding and signage amenities such as tactile walking surface indicators, wayfinding cues, lighting, and audible beacons are required if people with disabilities are to safely navigate the built environment (30).\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Utilizing a care ethics lens shows how the absence of these important built environment features compromises the agency of people with disabilities as they travel; specifically, their fundamental need for a <\/span><i><span style=\"font-weight: 400;\">healthy environment<\/span><\/i><span style=\"font-weight: 400;\"> and <\/span><i><span style=\"font-weight: 400;\">security<\/span><\/i><span style=\"font-weight: 400;\">. In addition, the absence of accessible pathways and walkways to leisure amenities, such as green space and beaches, also compromises road users\u2019 agency by threatening their fundamental need for <\/span><i><span style=\"font-weight: 400;\">social inclusion, participation, and recognition<\/span><\/i><span style=\"font-weight: 400;\">: \u201cAgency calls for a degree of inclusion in the surrounding social world, participation in one\u2019s material and social environment, and sufficient recognition from others\u201d (15 p42). Their fundamental need for <\/span><i><span style=\"font-weight: 400;\">play<\/span><\/i><span style=\"font-weight: 400;\"> is also threatened: \u201cThe cultivation and maintenance of agency requires play \u2013 pleasurable recreational experiences during which humor and creativity flourish\u201d (15 p42). When we view the built environment through the lens of care ethics we can more clearly see how it cares for some road users more than others and, subsequently, where significant improvements can be made by decision-makers in positions of power.\u00a0<\/span><\/p>\n<p><b>Concluding Remarks<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Employing a care ethics lens to the relationship between road users and the spaces in (and through) which they travel demonstrates how road users\u2019 safety is inextricably linked to the design of the built environment. Safety is a matter of care, a central theme across the eleven fundamental needs required to maintain, establish or restore agency (15). Interestingly, the language of care, needs, and agency are not unheard of in the realm of health and safety. For example, as stated in the <\/span><i><span style=\"font-weight: 400;\">Ottawa Charter for Health Promotion<\/span><\/i><span style=\"font-weight: 400;\">, \u201cto reach a state of complete physical, mental, and social well-being, an individual or group must be able to identify and to realize aspirations, to satisfy needs, and to change or cope with the environment\u201d (31 p2), aligning with care ethics\u2019 definition of agency (15). While broad, this passage refers to satisfying needs and being able to adapt to an environment, one that has an influence on their health and well-being, such as the built environment. Further, there is research that identifies the role of healthy communities and the support required by municipalities and decision-makers to do so. For example, according to Dannenberg and colleagues, \u201ca healthy community protects and improves the quality of life for its citizens, promotes healthy behaviours and minimizes hazards for its residents, and preserves the natural environment\u201d (8 p1500).\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The purpose of Part One and Part Two of this article series was to employ the language of care ethics to the realm of road safety, focusing on the built environment. Drawing on the eleven fundamental needs involved in caring, and their inextricable link to agency, one can more clearly see how many built environments are designed to care for the safety needs of some road users over others. The safety of VRUs and people with disabilities are sometimes neglected, but it is the responsibility of decision-makers in positions of power within municipalities to ensure that all folks living within and who travel through their borders are safe and cared for by the built environment. Some progress has been made, but we have a long way to go. Perhaps the language of care ethics can help road safety advocates persuade decision-makers to design more caring built environments? As stated by Williams, care ethics has the power to \u201creveal silences, injustices, and neglect in a way that provokes action\u201d (6 p1).<\/span><\/p>\n<p><b>References<\/b><\/p>\n<ol>\n<li><span style=\"font-weight: 400;\"> Nortvedt P, Hem MH, Skirbekk H. The ethics of care: Role obligations and moderate partiality in health care. Nurs Ethics. 2011 Mar 1;18(2):192\u2013200.<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Diller A. The Ethics of Care and Education: A New Paradigm, Its Critics, and Its Educational Significance. In: The Gender Question In Education. Routledge; 1996.<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Duquin M. One future for sport: Moving toward and ethic of care. Canadian Woman Studies\/les cahiers de la femme. 1995;15(4):118\u201321.<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Noddings N. Care Ethics and \u201cCaring\u201d Organizations. In: Hamington M, Engster D, editors. Care Ethics and Political Theory. Oxford University Press; 2015. p. 72\u201384.<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> S\u00e1nchez de Madariaga I. Mobility of Care: Introducing New Concepts in Urban Transport. In: Fair Shared Cities. Routledge; 2013. p. 33\u201348.<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Williams MJ. The possibility of care-full cities. Cities. 2020 Mar 1;98:1\u201317.<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Bates C, Imrie R, Kullman K, editors. Care and Design: Bodies, Buildings, Cities. John Wiley &amp; Sons; 2016. 274 p.<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Dannenberg AL, Jackson RJ, Frumkin H, Schieber RA, Pratt M, Kochtitzky C, et al. The Impact of Community Design and Land-Use Choices on Public Health: A Scientific Research Agenda. Am J Public Health. 2003 Sep;93(9):1500\u20138.<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Dehghanmongabadi A, Ho\u015fkara S. Challenges of promoting sustainable mobility on university campuses: The case of Eastern Mediterranean University. Sustainability. 2018;10(12):1\u201321.<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Parachute. Potential lost, potential for change: The cost of injury in Canada 2021 [Internet]. 2021. 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Journal of Transport &amp; Health. 2022 Dec 1;27:1\u201314.<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Canadian Association of Road Safety Professionals. Vulnerable road users [Internet]. 2023. Available from: <\/span><a href=\"https:\/\/carsp.ca\/en\/news-and-resources\/road-safety-information\/vulnerable-road-users\/\"><span style=\"font-weight: 400;\">https:\/\/carsp.ca\/en\/news-and-resources\/road-safety-information\/vulnerable-road-users\/<\/span><\/a><\/li>\n<li><span style=\"font-weight: 400;\"> Mofolasayo A. Complete Street Concept, and Ensuring Safety of Vulnerable Road Users. Transportation Research Procedia. 2020 Jan 1;48:1142\u201365.<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> An R, Tong Z, Ding Y, Tan B, Wu Z, Xiong Q, et al. Examining non-linear built environment effects on injurious traffic collisions: A gradient boosting decision tree analysis. Journal of Transport &amp; Health. 2022 Mar 1;24:1\u201314.<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Hall E, Wilton R. Towards a relational geography of disability. Progress in Human Geography. 2017 Dec 1;41(6):727\u201344.<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Power ER. Assembling the capacity to care: Caring\u2010with precarious housing. Transactions - Institute of British Geographers. 2019 Dec;44(4):763\u201377.<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Imrie R, Kumar M. Focusing on Disability and Access in the Built Environment. Disability &amp; Society. 1998 Jun 1;13(3):357\u201374.<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Biglieri S, Dean J. Everyday built environments of care: Examining the socio-spatial relationalities of suburban neighbourhoods for people living with dementia. Wellbeing, Space and Society. 2021 Jan 1;2:1\u201310.<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Burton E, Mitchelle L. Inclusive urban design: Streets for life. Elsevier; 2006.<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Government of Canada. Built environment [Internet]. 2024. Available from: <\/span><a href=\"https:\/\/accessible.canada.ca\/centre-of-expertise\/built-environment\"><span style=\"font-weight: 400;\">https:\/\/accessible.canada.ca\/centre-of-expertise\/built-environment<\/span><\/a><\/li>\n<li><span style=\"font-weight: 400;\"> Canadian Public Health Association. Ottawa charter for health promotion. An International Conference on Health Promotion: The Move Towards a New Public Health [Internet]. 1986; Available from: <\/span><a href=\"https:\/\/www.canada.ca\/content\/dam\/phac-aspc\/documents\/services\/health-promotion\/population-health\/ottawa-charter-health-promotion-international-conference-on-health-promotion\/charter.pdf\"><span style=\"font-weight: 400;\">https:\/\/www.canada.ca\/content\/dam\/phac-aspc\/documents\/services\/health-promotion\/population-health\/ottawa-charter-health-promotion-international-conference-on-health-promotion\/charter.pdf<\/span><\/a><\/li>\n<\/ol>","protected":false},"excerpt":{"rendered":"<p>Abstract Part One of this article introduced care ethics as a way of viewing the built environment and how it supports the safety of road users. Care ethics focuses on our collective human interdependence, vulnerability, and need, which draws attention&#8230;<\/p>\n","protected":false},"author":2944,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_kad_post_transparent":"default","_kad_post_title":"default","_kad_post_layout":"default","_kad_post_sidebar_id":"","_kad_post_content_style":"default","_kad_post_vertical_padding":"default","_kad_post_feature":"","_kad_post_feature_position":"","_kad_post_header":false,"_kad_post_footer":false,"_kad_post_classname":"","footnotes":""},"categories":[6,451],"tags":[],"class_list":["post-39251","post","type-post","status-publish","format-standard","hentry","category-carsp-news","category-safety-network-newsletter-news"],"acf":[],"_links":{"self":[{"href":"https:\/\/carsp.ca\/en\/wp-json\/wp\/v2\/posts\/39251","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/carsp.ca\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/carsp.ca\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/carsp.ca\/en\/wp-json\/wp\/v2\/users\/2944"}],"replies":[{"embeddable":true,"href":"https:\/\/carsp.ca\/en\/wp-json\/wp\/v2\/comments?post=39251"}],"version-history":[{"count":1,"href":"https:\/\/carsp.ca\/en\/wp-json\/wp\/v2\/posts\/39251\/revisions"}],"predecessor-version":[{"id":39252,"href":"https:\/\/carsp.ca\/en\/wp-json\/wp\/v2\/posts\/39251\/revisions\/39252"}],"wp:attachment":[{"href":"https:\/\/carsp.ca\/en\/wp-json\/wp\/v2\/media?parent=39251"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/carsp.ca\/en\/wp-json\/wp\/v2\/categories?post=39251"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/carsp.ca\/en\/wp-json\/wp\/v2\/tags?post=39251"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}