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Can the revised UK code direct practice?

Paul C Snelling1

  • 1University of Worcester, UK.

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PubMed
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This summary is machine-generated.

The UK's Nursing and Midwifery Council code revision is flawed. Key clauses lack clarity and contradict established practice and law, failing to provide essential action guidance for nurses and midwives.

Keywords:
Code of conductconfidentialityconsentprofessional regulationprofessional relationships

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Area of Science:

  • Nursing Ethics
  • Professional Regulation
  • Healthcare Law

Background:

  • The Nursing and Midwifery Council (NMC) in the UK revised its professional code of practice.
  • Professional codes are intended to guide practice and withstand close scrutiny.

Purpose of the Study:

  • To evaluate the revised NMC code of practice for its clarity, consistency, and practical utility.
  • To determine if the revised code effectively guides nursing and midwifery practice.

Main Methods:

  • Analysis of four exemplar clauses from the revised NMC code.
  • Comparison of revised clauses with established professional practice, UK law, and authoritative guidance.
  • Examination of changes made during the code's editing process.

Main Results:

  • Significant alterations in clauses on consent, documentation, and professional relationships render them inconsistent with practice.
  • A clause on confidential information disclosure is factually incorrect and contradicts UK law.
  • The use of 'inappropriate' creates circularity, particularly in clauses on expressing personal beliefs.
  • Reduced provision of detailed guidance by the NMC hinders the code's action-directing function.

Conclusions:

  • The revised NMC code is seriously flawed and fails to meet its purpose of guiding professional practice.
  • The code requires further revision and the provision of detailed guidance to ensure clarity and legal/professional consistency.