establishment of effective relationshipswith childbearing women in which plans forbirth are mutually negotiated is fundamental togood intrapartum nursing practice. Although intrapartumnurses make everyday decisions regardingwho and what is worthy of recognition, care,and response, little is known about how nurses determinewhat is required by the women and familiesthey encounter in their everyday practice orthe personal, relational, and contextual factors thatinfluence nurses’ understanding and enactment oftheir moral responsibilities to women in childbirth