Management Workbook
Promoting the Development and Understanding of Management Issues for Pre-Registration Nurses
Professional and Ethical Issues
A Code of Professional Conduct as laid down by the governing body, the NMC, binds registered nurses and midwives. (2004). This code outlines the standards that you must work according to, what is expected of you as a registered professional by colleagues, employers and members of the public and what your professional responsibilities and accountabilities are. You may sometimes be faced with situations which require you to challenge the actions of colleagues, or which require you to challenge and question things that they are asking you to do if you feel that these things are unsafe or are not in the best interests of the patient or organisation. It is well recognised that it can be difficult to address these issues due to factors such as fear of the consequences, embarrassment and lack of support. Semple and Kenkre (2002) point out that the UKCC (2001) [now the NMC] reported the research of Moira Attree, which highlighted the fact that nurses are often reluctant to raise concerns about standards of care because they feared either inaction or retribution from employers. Nurses may also be inhibited by fears of being ostracised by the team if deciding to speak out against poor practice. It is clear however that the onus is on the individual to promote best practice and uphold the standards of the profession.
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Policies and Procedures
- Policy for Consent to Examination or Treatment
- Advocacy Policy
- Procedure for Dealing with Concerns on Health Service Matters
NMC Proficiencies
- Domain: Professional & Ethical Practice: Outcome:
- 1.1,1.2, 1.3, 1.4 (1.1.1, 1.1.2, 1.1.3,1.1.5, 1.2.1, 1.2.2, 1.3.1, 1.3.2)
- Domain: Care Delivery: Outcome:
- 2.1, 2.2, 2.3, 2.4, 2.5, 2.7 (2.1.3, 2.2.2, 2.2.4)
- Domain: Care Management: Outcome:
- 3.1 (3.1.1, 3.1.2, 3.1.4)
- Domain: Personal & Professional Development: Outcome:
- 4.2
NB - outcomes in brackets refer to new curriculum (2005) Diploma / BSc outcomes
References
- Nursing and Midwifery Council (2004) ‘The NMC Code of Professional Conduct: standards for conduct, performance and ethics.’
- Semple, M and Kenkre, J ‘The Need to Combat Clinical Fraud’ Nursing Standard May 2002 vol.16 no 36