Overview
This clinical placement unit is the third of four that provides you with midwifery clinical experience. You will apply your knowledge of highly complex physiological and psychosocial factors that impact upon the childbearing continuum. In addition to this, you will employ midwifery knowledge, cultural safety, and inclusivity in the care of marginalised groups such as women experiencing substance misuse, and/or incarceration, refugee and immigrant women, or members of the Lesbian, Gay, Bisexual, Transgender, or Queer (LGBTQ+) community. The clinical practicum component of this unit will require you to complete a minimum of 224 hours in addition to Continuity of Care Experiences (COCE).
Details
Pre-requisites or Co-requisites
Co-requisites: MDWF13008 Foundations of Midwifery 3
Important note: Students enrolled in a subsequent unit who failed their pre-requisite unit, should drop the subsequent unit before the census date or within 10 working days of Fail grade notification. Students who do not drop the unit in this timeframe cannot later drop the unit without academic and financial liability. See details in the Assessment Policy and Procedure (Higher Education Coursework).
Offerings For Term 3 - 2025
Attendance Requirements
All on-campus students are expected to attend scheduled classes - in some units, these classes are identified as a mandatory (pass/fail) component and attendance is compulsory. International students, on a student visa, must maintain a full time study load and meet both attendance and academic progress requirements in each study period (satisfactory attendance for International students is defined as maintaining at least an 80% attendance record).
Recommended Student Time Commitment
Each 12-credit Undergraduate unit at CQUniversity requires an overall time commitment of an average of 25 hours of study per week, making a total of 300 hours for the unit.
Class Timetable
Assessment Overview
Assessment Grading
This is a graded unit: your overall grade will be calculated from the marks or grades for each assessment task, based on the relative weightings shown in the table above. You must obtain an overall mark for the unit of at least 50%, or an overall grade of 'pass' in order to pass the unit. If any 'pass/fail' tasks are shown in the table above they must also be completed successfully ('pass' grade). You must also meet any minimum mark requirements specified for a particular assessment task, as detailed in the 'assessment task' section (note that in some instances, the minimum mark for a task may be greater than 50%). Consult the University's Grades and Results Policy for more details of interim results and final grades.
All University policies are available on the CQUniversity Policy site.
You may wish to view these policies:
- Grades and Results Policy
- Assessment Policy and Procedure (Higher Education Coursework)
- Review of Grade Procedure
- Student Academic Integrity Policy and Procedure
- Monitoring Academic Progress (MAP) Policy and Procedure - Domestic Students
- Monitoring Academic Progress (MAP) Policy and Procedure - International Students
- Student Refund and Credit Balance Policy and Procedure
- Student Feedback - Compliments and Complaints Policy and Procedure
- Information and Communications Technology Acceptable Use Policy and Procedure
This list is not an exhaustive list of all University policies. The full list of University policies are available on the CQUniversity Policy site.
Feedback, Recommendations and Responses
Every unit is reviewed for enhancement each year. At the most recent review, the following staff and student feedback items were identified and recommendations were made.
Feedback from SUTE data
The therapeutic section of the midwifery practice reflective portfolios seem really repetitive.
The format of the reflective portfolio assessment task will be revised to clarify assessment expectations and minimise repetition.
Feedback from SUTE data
The assessment time of 16:00 hrs does not work for most students.
Students in this cohort were previously accustomed to assessment due times of 11:55 p.m. during Term 1 of 2024. Transitioning to a 4:00 p.m. deadline may have posed a challenge to their study planning. However, all units in the 2025 course offering will have a consistent 4:00 p.m. due time, which may help eliminate this issue.
- Critically evaluate the consequences of physiological and socio-cultural complexities upon the physical, social and emotional wellbeing of women across the childbearing continuum
- Apply midwifery knowledge, cultural safety, inclusivity, and digital health and emerging technologies to the care of women from marginalised groups.
- Demonstrate midwifery knowledge of regional, national, and global maternal health priorities and translate these into practice
- Employ midwifery knowledge, cultural safety, and inclusivity in the care of Aboriginal and Torres Strait Islander women and their families
- Critically reflect on clinical learning related to your continuity of care experiences (COCE) to enhance practice
- Demonstrate developing midwifery competence based upon the Nursing and Midwifery Board Australia (NMBA) Midwife Standards for Practice (2018) requirements.
The proposed changes to learning outcomes and the unit will meet the following:
The draft ANMAC Midwifery Education Standards (2020).
Standard 1: Safety of the public.
Standard 3: Program of study.
Standard 4: Student experience.
Standard 5: Student assessment.
NMBA Midwife Standards for Practice (2018).
Standard 1: Promotes evidence-based maternal health and wellbeing.
Standard 2: Engages in respectful partnerships and professional relationships.
Standard 3: Demonstrates the capability and accountability for midwifery practice.
Standard 4: Undertakes comprehensive assessments.
Standard 5: Develops plans for midwifery practice.
Standard 6: Provides safe and quality midwifery practice.
Standard 7: Evaluates outcomes to improve midwifery practice.
The Nursing and Midwifery Board of Australia (NMBA) Code of Conduct for Midwives (2018).
Principle 1. Legal compliance.
Principle 2. Woman-centred practice.
Principle 3. Cultural practice and respectful relationships.
Principle 4. Professional Behaviour.
Principle 5: Teaching, supervising, and assessing.
Principle 7: Health and wellbeing.
The International Confederation of Midwives (ICM) International Code of Ethics for Midwives (2014).
1. Midwifery Relationships.
2. Practice of Midwifery.
3. The Professional Responsibilities of Midwives.
4. Advancement of Midwifery Knowledge and Practice.
National Safety and Quality Health Service Standards (2017).
Clinical Governance Standard.
Partnering with Consumers Standard.
Preventing and Controlling Healthcare-Associated Infection Standard.
Medication Safety Standard.
Comprehensive Care Standard.
Communicating for Safety Standard.
Blood Management Standard.
Recognising and Responding to Acute Deterioration Standard.
The Nursing and Midwifery Digital Health Framework.
Alignment of Assessment Tasks to Learning Outcomes
| Assessment Tasks | Learning Outcomes | |||||
|---|---|---|---|---|---|---|
| 1 | 2 | 3 | 4 | 5 | 6 | |
| 1 - Critical Review - 40% | ||||||
| 2 - Portfolio - 60% | ||||||
| 3 - Professional Practice Placement - 0% | ||||||
Textbooks
Midwifery Preparation for Practice
Edition: 5th (2022)
Authors: Sally Pairman, Sally Tracy, Hannah Dahlen, Lesley Dixon
Elsevier Australia
Sydney Sydney , NSW , Australia
ISBN: 9780729544764
Myles Textbook for Midwives
Edition: 17th (2020)
Authors: Jayne Marshall, Maureen Raynor
Elsevier
Chatswood Chatswood , N.S.W , Australia
ISBN: 9780702076428
IT Resources
- CQUniversity Student Email
- Internet
- Unit Website (Moodle)
- Zoom access
All submissions for this unit must use the referencing style: American Psychological Association 7th Edition (APA 7th edition)
For further information, see the Assessment Tasks.
a.moran@cqu.edu.au
Module/Topic
This clinical placement unit is the third of four that provides you with midwifery clinical experience. The focus of this unit is on the role of the midwife in complex childbearing. You will be involved in the provision of care of the woman and her family throughout pregnancy, birth, and the postnatal period. The practical application of different models of care will be explored with an emphasis on best practice. The clinical practicum component of this unit will require a minimum of 224 hours to be completed in addition to Continuity of Care Experiences (COCE). This unit is to be studied in conjunction with the units Foundations of Midwifery 3 and Midwifery Practice for Aboriginal and Torres Strait Islander Families.
Chapter
Australian College of Midwives' National Midwifery Guidelines for Consultation and Referral.
Nursing and Midwifery Board of Australia: Code of Conduct, Ethics and Professional Standards for Midwives
Queensland Health State-Wide Maternal and Neonatal Clinical Guidelines
CQUniversity Bachelor of Midwifery (Graduate Entry) Student Clinical Experience Record Book
Events and Submissions/Topic
Recorded presentations - Welcome and Unit Introduction.
Activity- Access the General Discussion page and introduce yourself to your colleagues by providing your name and maybe why you are studying this unit and course.
Assessments- Review the assessment tasks and make a study plan. Start your literature searching and preparing assessment.
Foundations of Academic Integrity Program- Complete your annual program.
Announcements and Discussion Forums- Check for posts and updates.
Module/Topic
Chapter
Australian College of Midwives' National Midwifery Guidelines for Consultation and Referral.
Nursing and Midwifery Board of Australia: Code of Conduct, Ethics and Professional Standards for Midwives
Queensland Health State-Wide Maternal and Neonatal Clinical Guidelines
CQUniversity Bachelor of Midwifery (Graduate Entry) Student Clinical Experience Record Book
Events and Submissions/Topic
Ongoing clinical placement.
Zoom/Teams – Weekly Zoom
Assessment 1- Read the literature to identify the credibility of the evidence and continue preparing your assessment.
Announcement and Discussion Forums – Check for posts and updates.
Student email – Check your student email at least twice per week for important communications.
Module/Topic
Chapter
Australian College of Midwives' National Midwifery Guidelines for Consultation and Referral.
Nursing and Midwifery Board of Australia: Code of Conduct, Ethics and Professional Standards for Midwives
Queensland Health State-Wide Maternal and Neonatal Clinical Guidelines
CQUniversity Bachelor of Midwifery (Graduate Entry) Student Clinical Experience Record Book
Events and Submissions/Topic
Ongoing clinical placement.
Zoom/Teams: Weekly Zoom
Announcement and Discussion Forums – Check for posts and updates.
Student email – Check your student email at least twice per week for important communications.
Assessment 1 Due: Week 3 Wednesday (26 Nov 2025) 4:00 pm AEST
Module/Topic
Chapter
Australian College of Midwives' National Midwifery Guidelines for Consultation and Referral.
Nursing and Midwifery Board of Australia: Code of Conduct, Ethics and Professional Standards for Midwives
Queensland Health State-Wide Maternal and Neonatal Clinical Guidelines
CQUniversity Bachelor of Midwifery (Graduate Entry) Student Clinical Experience Record Book
Events and Submissions/Topic
Census Date – Tuesday Week 4
Ongoing clinical placement.
Zoom/Teams: Weekly Zoom
Announcement and Discussion Forums – Check for posts and updates.
Student email – Check your student email at least twice per week for important communications.
Module/Topic
Chapter
Australian College of Midwives' National Midwifery Guidelines for Consultation and Referral.
Nursing and Midwifery Board of Australia: Code of Conduct, Ethics and Professional Standards for Midwives
Queensland Health State-Wide Maternal and Neonatal Clinical Guidelines
CQUniversity Bachelor of Midwifery (Graduate Entry) Student Clinical Experience Record Book
Events and Submissions/Topic
Ongoing clinical placement.
Zoom/Teams- Weekly Zoom
Announcement and Discussion Forums – Check for posts and updates.
Student email – Check your student email at least twice per week for important communications.
Module/Topic
Chapter
Australian College of Midwives' National Midwifery Guidelines for Consultation and Referral.
Nursing and Midwifery Board of Australia: Code of Conduct, Ethics and Professional Standards for Midwives
Queensland Health State-Wide Maternal and Neonatal Clinical Guidelines
CQUniversity Bachelor of Midwifery (Graduate Entry) Student Clinical Experience Record Book
Events and Submissions/Topic
Ongoing clinical placement.
Zoom/Teams- Weekly Zoom
Announcement and Discussion Forums – Check for posts and updates.
Student email – Check your student email at least twice per week for important communications.
Module/Topic
Vacation week
Chapter
Vacation week
Events and Submissions/Topic
Ongoing Clinical Placement
Module/Topic
Vacation week
Chapter
Vacation week
Events and Submissions/Topic
Ongoing Clinical Placement
Module/Topic
Chapter
Australian College of Midwives' National Midwifery Guidelines for Consultation and Referral.
Nursing and Midwifery Board of Australia: Code of Conduct, Ethics and Professional Standards for Midwives
Queensland Health State-Wide Maternal and Neonatal Clinical Guidelines
CQUniversity Bachelor of Midwifery (Graduate Entry) Student Clinical Experience Record Book
Events and Submissions/Topic
Ongoing clinical placement.
Zoom/Teams- Weekly Zoom
Announcement and Discussion Forums – Check for posts and updates.
Student email – Check your student email at least twice per week for important communications.
Module/Topic
Chapter
Australian College of Midwives' National Midwifery Guidelines for Consultation and Referral.
Nursing and Midwifery Board of Australia: Code of Conduct, Ethics and Professional Standards for Midwives
Queensland Health State-Wide Maternal and Neonatal Clinical Guidelines
CQUniversity Bachelor of Midwifery (Graduate Entry) Student Clinical Experience Record Book
Events and Submissions/Topic
Ongoing clinical placement.
Zoom/Teams- Weekly Zoom
Announcement and Discussion Forums – Check for posts and updates.
Student email – Check your student email at least twice per week for important communications.
Module/Topic
Chapter
Australian College of Midwives' National Midwifery Guidelines for Consultation and Referral.
Nursing and Midwifery Board of Australia: Code of Conduct, Ethics and Professional Standards for Midwives
Queensland Health State-Wide Maternal and Neonatal Clinical Guidelines
CQUniversity Bachelor of Midwifery (Graduate Entry) Student Clinical Experience Record Book
Events and Submissions/Topic
Ongoing clinical placement.
Zoom/Teams- Weekly Zoom
Announcement and Discussion Forums – Check for posts and updates.
Student email – Check your student email at least twice per week for important communications.
Module/Topic
Chapter
Australian College of Midwives' National Midwifery Guidelines for Consultation and Referral.
Nursing and Midwifery Board of Australia: Code of Conduct, Ethics and Professional Standards for Midwives
Queensland Health State-Wide Maternal and Neonatal Clinical Guidelines
CQUniversity Bachelor of Midwifery (Graduate Entry) Student Clinical Experience Record Book
Events and Submissions/Topic
Ongoing clinical placement.
Zoom/Teams- Weekly Zoom
Announcement and Discussion Forums – Check for posts and updates.
Student email – Check your student email at least twice per week for important communications.
Module/Topic
Chapter
Australian College of Midwives' National Midwifery Guidelines for Consultation and Referral.
Nursing and Midwifery Board of Australia: Code of Conduct, Ethics and Professional Standards for Midwives
Queensland Health State-Wide Maternal and Neonatal Clinical Guidelines
CQUniversity Bachelor of Midwifery (Graduate Entry) Student Clinical Experience Record Book
Events and Submissions/Topic
Ongoing clinical placement.
Zoom/Teams- Weekly Zoom
Announcement and Discussion Forums – Check for posts and updates.
Student email – Check your student email at least twice per week for important communications.
Assessment 2 Due: Week 11 Wednesday (4 Feb 2026) 4:00 pm AEST
Module/Topic
Chapter
Australian College of Midwives' National Midwifery Guidelines for Consultation and Referral.
Nursing and Midwifery Board of Australia: Code of Conduct, Ethics and Professional Standards for Midwives
Queensland Health State-Wide Maternal and Neonatal Clinical Guidelines
CQUniversity Bachelor of Midwifery (Graduate Entry) Student Clinical Experience Record Book
Events and Submissions/Topic
Ongoing clinical placement.
Zoom/Teams- Weekly Zoom
Announcement and Discussion Forums – Check for posts and updates.
Student email – Check your student email at least twice per week for important communications.
Module/Topic
Chapter
Events and Submissions/Topic
As this unit is the clinical practice unit, students are asked to prepare their own individual study plan to undertake self-led and self-directed study throughout the term. A key to your success is a strategic self-directed approach to learning and regular contact with your Unit Coordinator/s. Please check the Announcements and Discussion forums at least twice a week – there will be regular announcements about assessments and unit resources throughout the term and reviewing this information is essential to unit knowledge and your success. CQUniversity communicates with students through CQUniversity email. We recommend that you access your CQUniversity email at least twice a week so that you do not miss vital information about your studies.
1 Critical Review
You will complete a critical review to examine the continuity of the midwifery care model as a cornerstone of professional practice. This task requires you to analyse the evidence base for continuity of care, evaluate its impact on women’s wellbeing, and explore the barriers and enablers to implementing continuity within the Australian context. You are encouraged to connect your own Continuity of Care Experience (CoCE) learning with broader national and global maternal health priorities.
Instructions
Please refer to the assessment task instructions on the unit Moodle site.
Academic Integrity
You must abide by the principles of academic integrity (see Student Academic Integrity Policy and Procedure). Completion of this assessment with another party or sharing of responses is not permitted at any time. This assessment requires students to adhere to the guidelines on the use of artificial intelligence tools as specified in the Artificial Intelligence Assessment Scale (AIAS). Any misuse or lack of disclosure regarding the use of AI tools will be considered a breach of academic integrity. CQUniversity Gen AI tools approved for use in this assessment are Microsoft CoPilot (protected version), Studiosity and Grammarly. You are permitted to use technology or tools that assist with spelling, grammar or formatting. Use of Gen AI: Students must declare their use of generative artificial intelligence in accordance with university policy. State either "Gen AI has not been used in this assessment" or "Gen AI agent [insert name] has been used for editing and proofreading this assessment." The Gen AI declaration must be cited on the assessment coversheet.
Level of GenAI Use Allowed: Level 2: You may use Al for planning, idea development, and research. Your final submission should show how you have developed and refined these ideas.
Extensions
Extensions to this assessment are available as per policy. The 72-hour grace period may apply to this assessment.
Minimum Pass Criteria
To pass this unit, you are required to achieve a pass grade in all assessments.
Supplementary assessment is not available as per policy for Work Integrated Learning Units.
In accordance with policy, any marks and/or grades for assessments released to students prior to Certification of Grades are provisional and are subject to moderation and confirmation through the relevant Program and Divisional Assessment Committees.
Week 3 Wednesday (26 Nov 2025) 4:00 pm AEST
Online
Week 6 Wednesday (17 Dec 2025)
Online
Refer to the marking rubric on the Moodle site for more detail on how marks will be assigned
- Critically evaluate the consequences of physiological and socio-cultural complexities upon the physical, social and emotional wellbeing of women across the childbearing continuum
- Apply midwifery knowledge, cultural safety, inclusivity, and digital health and emerging technologies to the care of women from marginalised groups.
- Demonstrate midwifery knowledge of regional, national, and global maternal health priorities and translate these into practice
- Employ midwifery knowledge, cultural safety, and inclusivity in the care of Aboriginal and Torres Strait Islander women and their families
2 Portfolio
You will complete a portfolio to demonstrate your understanding and application of reflective practice in midwifery. This assessment allows you to critically reflect on your experiences, values, beliefs, learning needs, and the sociocultural structures that influence midwifery practice. Reflective practice is a key component of the Nursing and Midwifery Board of Australia’s Midwife Standards for Practice (2018) and supports the development of professional growth and culturally safe care.
Instructions
Please refer to the assessment task instructions on the unit Moodle site.
Academic Integrity
You must abide by the principles of academic integrity (see Student Academic Integrity Policy and Procedure). Completion of this assessment with another party or sharing of responses is not permitted at any time. This assessment requires students to adhere to the guidelines on the use of artificial intelligence tools as specified in the Artificial Intelligence Assessment Scale (AIAS). Any misuse or lack of disclosure regarding the use of AI tools will be considered a breach of academic integrity. CQUniversity Gen AI tools approved for use in this assessment are Microsoft CoPilot (protected version), Studiosity and Grammarly. You are permitted to use technology or tools that assist with spelling, grammar or formatting. Use of Gen AI: Students must declare their use of generative artificial intelligence in accordance with university policy. State either "Gen AI has not been used in this assessment" or "Gen AI agent [insert name] has been used for editing and proofreading this assessment." The Gen AI declaration must be cited on the assessment coversheet.
Level of GenAI Use Allowed: Level 2: You may use Al for planning, idea development, and research. Your final submission should show how you have developed and refined these ideas.
Extensions
Extensions to this assessment are available as per policy. The 72-hour grace period may apply to this assessment.
Minimum Pass Criteria
To pass this unit, you are required to achieve a pass grade in all assessments.
Supplementary assessment is not available as per policy for Work Integrated Learning Units.
In accordance with policy, any marks and/or grades for assessments released to students prior to Certification of Grades are provisional and are subject to moderation and confirmation through the relevant Program and Divisional Assessment Committees.
Week 11 Wednesday (4 Feb 2026) 4:00 pm AEST
Online
Exam Week Friday (20 Feb 2026)
For the clinical portfolio, results remain provisional until all required components have been completed and verified.
Refer to the marking rubric on the Moodle site for more detail on how marks will be assigned
- Critically evaluate the consequences of physiological and socio-cultural complexities upon the physical, social and emotional wellbeing of women across the childbearing continuum
- Apply midwifery knowledge, cultural safety, inclusivity, and digital health and emerging technologies to the care of women from marginalised groups.
- Demonstrate midwifery knowledge of regional, national, and global maternal health priorities and translate these into practice
- Critically reflect on clinical learning related to your continuity of care experiences (COCE) to enhance practice
3 Professional Practice Placement
You will demonstrate your midwifery knowledge and apply theoretical principles to clinical practice, ensuring safe and effective care for the women and neonates in your care. This assessment provides an opportunity to show competence in midwifery practice consistent with the Nursing and Midwifery Board of Australia’s (2018) Midwife Standards for Practice. Your performance will be assessed through direct clinical supervision, documentation, and feedback from clinical facilitators and preceptors.
Instructions
Please refer to the assessment task instructions on the unit Moodle site.
Academic Integrity
You must abide by the principles of academic integrity (see Student Academic Integrity Policy and Procedure). Completion of this assessment with another party or sharing of responses is not permitted at any time. This assessment requires students to adhere to the guidelines on the use of artificial intelligence tools as specified in the Artificial Intelligence Assessment Scale (AIAS). Any misuse or lack of disclosure regarding the use of AI tools will be considered a breach of academic integrity. Use of Gen AI: Students must declare their use of generative artificial intelligence in accordance with university policy. State either "Gen AI has not been used in this assessment" or "Gen AI agent [insert name] has been used for editing and proofreading this assessment." The Gen AI declaration must be cited on the assessment coversheet.
The use of any generative artificial intelligence is not permitted as per Level 1 (No AI) in the AI Assessment scale tool indicators.
Formative AMSAT due: 4 pm (AEST) Wednesday 17th December 2025 (Week 5) Summative AMSAT and Record of Clinical Hours due: 4 pm (AEST) Wednesday 11th February 2026 (Week 12)
Results remain provisional until all required components have been completed and verified.
Students are assessed against the Australian Midwifery Standards Assessment Tool (AMSAT). A copy of this is available to you through SONIA and the Student Professional Experience Practice Record Book.
Any unsatisfactory performance that jeopardises people's safety in your care or that does not adhere to the NMBA Midwife standards for practice, Code of professional conduct, Code of ethics, A nurse's guide to professional boundaries, and Social media policy criteria, may result in your placement being cancelled.
You must achieve a minimum grade of 3 for all AMSAT criteria to pass this assessment.
To pass this unit, you are required to achieve a pass grade in all assessments.
Supplementary assessment is not available as per policy for Work Integrated Learning Units.
- Demonstrate developing midwifery competence based upon the Nursing and Midwifery Board Australia (NMBA) Midwife Standards for Practice (2018) requirements.
As a CQUniversity student you are expected to act honestly in all aspects of your academic work.
Any assessable work undertaken or submitted for review or assessment must be your own work. Assessable work is any type of work you do to meet the assessment requirements in the unit, including draft work submitted for review and feedback and final work to be assessed.
When you use the ideas, words or data of others in your assessment, you must thoroughly and clearly acknowledge the source of this information by using the correct referencing style for your unit. Using others’ work without proper acknowledgement may be considered a form of intellectual dishonesty.
Participating honestly, respectfully, responsibly, and fairly in your university study ensures the CQUniversity qualification you earn will be valued as a true indication of your individual academic achievement and will continue to receive the respect and recognition it deserves.
As a student, you are responsible for reading and following CQUniversity’s policies, including the Student Academic Integrity Policy and Procedure. This policy sets out CQUniversity’s expectations of you to act with integrity, examples of academic integrity breaches to avoid, the processes used to address alleged breaches of academic integrity, and potential penalties.
What is a breach of academic integrity?
A breach of academic integrity includes but is not limited to plagiarism, self-plagiarism, collusion, cheating, contract cheating, and academic misconduct. The Student Academic Integrity Policy and Procedure defines what these terms mean and gives examples.
Why is academic integrity important?
A breach of academic integrity may result in one or more penalties, including suspension or even expulsion from the University. It can also have negative implications for student visas and future enrolment at CQUniversity or elsewhere. Students who engage in contract cheating also risk being blackmailed by contract cheating services.
Where can I get assistance?
For academic advice and guidance, the Academic Learning Centre (ALC) can support you in becoming confident in completing assessments with integrity and of high standard.
What can you do to act with integrity?
