Academic literature on the topic 'Midwives Professional ethics'

Background: Nurse midwives are often expected to make ethical decisions in the context of their professional practice, which can lead to ethical confrontations, some of which may lead to ethical dilemmas. The nurses and midwives in the delivery room must keep ethical considerations in mind while caring for a woman in labor so that correct judgments can be made. As a result, the current study emphasized raising ethical efficacy by creating scenarios that simulate the reality of working in the field of reproductive health in order to prepare nurse-midwives who comply with ethical rules during professional practice. Purpose: The main aim of this study is examining how an instructional nursing professional ethics-focused program may affect practice among nurses- midwives in the delivery room. Methods: The quiz experimental design (one-group pretest–posttest design) was used. The purposive non-probability sample consisted of 50 nurse-midwives who worked during the data collection phase in the delivery room. Data collection began in May 2021 - June 2022, using a tool that contains 20 case-scenario that simulate the reality of reproductive care and clinical practice of nurses and midwives regarding professional ethical issues Results: The findings revealed that instructional intervention had a positive impact on nurses - midwife's ethical performance in terms of following professional ethics rules Conclusion: The use of the case-scenario based simulation approach to teach professional nursing ethics contributed to improving compliance with the ethical rules for nurses-midwives working in the delivery room Keywords: Ethical Rules, Instructional Program, Delivery Room, Nurses-midwifes, Practices

Background: When midwives are not treated with respect and their professional competencies are not recognised, their professional dignity is violated. Objective: This study explored and described how the professional dignity of midwives in the selected hospital can be enhanced based on their experiences. Research design: A descriptive phenomenological research design was used with in-depth interviews conducted with 15 purposely selected midwives. Ethical considerations: The Faculty of Health Sciences Research Ethics Committee of the University of Pretoria approved the study. The research was conducted in an academic tertiary hospital with voluntary participants. Findings: To dignify midwives it is essential to enhance the following: ‘to acknowledge the capabilities of midwives’, ‘to appreciate interventions of midwives’, ‘to perceive midwives as equal health team members’, ‘to invest in midwives’, ‘to enhance collegiality’, ‘to be cared for by management’ and ‘to create conducive environments’. Conclusion: The professional dignity of midwives is determined by their own perspectives of the contribution that they make to the optimal care of patients, the respect that they get from others and the support that hospital management gives them. With support and care, midwives’ professional dignity is enhanced. Midwives will strive to render excellent services as well as increasing their commitment.

This article approaches the problem of multifetal pregnancy reduction from a moral perspective. It is one of many complex moral issues arising from reproductive technology and is one with which midwives and nurses are faced more frequently with advancing technology. The work is intended to be used as an educational tool for those who prepare tomorrow’s nurses and midwives. The subject is discussed from three perspectives, the pregnant woman and her partner (clients), a midwife, and from a philosophical ethical perspective. In an attempt to introduce a degree of reality, the perspective of the clients is presented as a dialogue. The midwife’s moral position and her professional difficulties are also discussed. The dialogue and discussion are supplemented with notes in which the issues raised by the characters are critically analysed and discussed. This article is designed to encourage reflection and critical thinking in tomorrow’s health care professionals, and in those who have the responsibility of educating them for a future where reproductive technology is posed to generate more major moral quandaries.

The majority of midwives in the UK are employed within the NHS. They are legally bound to fulfil their contractual obligations to their employers. At the same time they are professionally mandated to interpret and act on the UKCC's Code of professional conduct. Midwives have always maintained that they are autonomous practitioners, and the Code is written in a way that endorses this belief. Underlying the Code is the assumption that midwives have moral and professional freedom to act on its imperatives. However, midwives' claim to autonomy is flawed, and therefore the Code's claim to be a source of empowerment is also flawed. Underlying the difficulties is a conflict derived from the imposition of a deontologically-based professional Code on to a workforce that is constrained within and employed by the utilitarian-based NHS.

Background: Most undergraduate midwifery curricula comprise ethics courses to strengthen the moral competences of future midwives. By contrast, surprisingly little is known about the specific moral competences considered to be relevant for midwifery practice. Describing these competences not only depends on generic assumptions about the moral nature of midwifery practice but also reflects which issues practitioners themselves classify as moral. Objective: The goal of this study was to gain insight into the ethical issues midwives encounter in their daily work, the key competences and resources they consider indispensable to understand and deal with them, and to assess phenomena linked to moral distress. Methods: We conducted individual semi-structured interviews with eight midwives and two other health professionals, varying in terms of years of experience and work setting. Interview transcripts were analyzed in an interdisciplinary research group, following thematic analysis. Ethical considerations: This study was not subject to approval according to the Swiss Law on Research with Humans. Participants were informed about the study goals and gave written informed consent prior to participation. Results: External constraints limiting the midwife’s and the patient’s autonomy and resulting interpersonal conflicts were found to be the most relevant ethical issues encountered in clinical practice and were most often associated with moral distress. These conflicts often arise in the context of medical interventions midwives consider as not appropriate and situations in which less experienced midwives in particular observe a lack of both interprofessional communication and trust in their professional competence. Ethical issues related to late abortions or prenatal diagnostics and selective abortions were also frequently addressed, but many midwives involved had learned to cope with them. Discussion: In the light of the ethical issues and factors contributing to phenomena of moral distress, an empirically grounded profile of moral competences is drafted. Curricular implications in the light of possible adaptations within undergraduate midwifery education are critically discussed.

A code of professional conduct is a collection of norms appropriate for the nursing profession and should be the point of reference for all decisions made during the care process. Codes of ethics for nurses are formulated by members of national nurses’ organizations. These codes can be considered to specify general norms that function in the relevant society, adjusting them to the character of the profession and enriching them with rules signifying the essence of nursing professionalism. The aim of this article is to present a comparative analysis of codes of ethics for nurses: the ICN’s Code of ethics for nurses, the UK’s Code of professional conduct, the Irish Code of professional conduct for each nurse and midwife, and the Polish Code of professional ethics for nurses and midwives. This analysis allows the identification of common elements in the professional ethics of nurses in these countries.

It is important to define and practice ethical rules and codes for professionalisation. Several national and international associations have determined midwifery ethical codes. In Turkey, ethical rules and codes that would facilitate midwifery becoming professionalised have not yet been determined. This study was planned to contribute to the professionalisation of midwifery by determining national ethical values and codes. A total of 1067 Turkish midwives completed the survey. The most prevalent values of Turkish midwives were care for mother–child health, responsibility and professional adequacy. The preferred professional codes chosen by Turkish midwives were absence of conflicts of interest, respect for privacy, avoidance of deception, reporting of faulty practices, consideration of mothers and newborns as separate beings and prevention of harm. In conclusion, cultural values, beliefs and expectations of society cannot be underestimated, although the international professional values and codes of ethics contribute significantly to professionalisation of the midwifery profession.

Background Midwives and nurses appear vulnerable to moral distress when caring for women whose babies are removed at birth. They may experience professional dissatisfaction and their relationships with women, families and colleagues may be compromised. The impact of moral distress may manifest as anger, guilt, frustration, anxiety and a desire to give up their profession. While there has been much attention exploring the concept of moral distress in midwifery, this is the first study to explore its association in this context. Aim This article explores midwives’ experiences of moral distress when providing care to women whose babies were removed at birth and gives valuable insight into an issue nurses and midwives encounter in their profession. Methods Four mothers and eight midwives took part in this research. Narrative inquiry incorporating photo-elicitation techniques was used to generate data; mothers were interviewed face to face and midwives through focus groups. The images and audio data were collected, transcribed and analysed for emerging themes. For the purpose of this article, only the midwives’ stories are reported. This research received a favourable ethical opinion from the University of Surrey Ethics committee. Ethical considerations This study received a favourable ethical approval from a higher education institutes ethics committee. Results Midwives who care for women whose babies are removed at birth report it as one of the most distressing areas of contemporary clinical practice. Furthermore, they report feelings of guilt, helplessness and betrayal of the midwife–mother relationship. Many of the midwives in this study state that these experiences stay with them for a long time, far more than more joyful aspects of their role. Conclusion Midwives experience moral distress. Support systems, education and training must be available to them if we are to reduce the long-term impact upon them, alleviate their distress and prevent them from leaving the profession.

Introduction: Respect for patients’ rights and observance of professional ethics standards improves medical services that will have an essential role in promoting patients’ health. Objective: This study aimed to determine the relationship between awareness of patient’s rights charter and professional ethics with patient’s rights charter observance. Materials and Methods: This analytical correlational study was performed on 285 staff members (196 nurses and 85 midwives) working in 2 hospitals affiliated to Alborz University of Medical Sciences, Iran, and 2 social security hospitals. They were selected using a stratified random sampling method. The study data were collected using the sociodemographic characteristics questionnaire, awareness and observance of the patient’s rights, and professional ethics charter questionnaires. Descriptive statistics and inferential statistics, including the independent t-test, Pearson correlation, Chi-square tests, and multivariate linear regression, were used for data analysis. Results: The Mean±SD ages of nurses and midwives were 36.2±8.3 and 37.5±7.9 years, respectively. The results also showed an association of professional ethics and awareness of patient’s rights charter with patient’s rights charter observance in both nurses (P=0.0001) and midwives (P=0.0001). Based on multivariate linear regression analysis, there were relationships between gender (B=-0.3; 95%CI; -2.0, 2.0; P=0.000), work experience (B=-0.6; 95%CI; -4.0, 3.0; P=0.000), marital and employment status (B=-3.2; 95%CI; -6.0, -0.0; P=0.045), in nurses and between job position (B=9.5; 95%CI; 5.4, 13.5; P=0.000), interest to work (B=-7.9; 95%CI; -11.5, -4.3; P=0.000), and income status (B=6.3; 95%CI; 3.3, 9.2; P=0.000), in midwives with Observance of the Charter of Patient Rights. Conclusion: It is possible to improve compliance with the charter of patient’s rights and its dimensions by strengthening the knowledge of nurses and midwives in this area and their professional ethics, which results in patient satisfaction in this area.

Introduction: Midwives play an important role in maintaining and increasing women’s health and well-being. Training professional midwives is one of the main policies of any healthcare system. Since the number of complaints against midwives has increased recently, this study was conducted to explore the perspectives of midwives regarding patients’ complaint to authorities and their impacts on the profession of midwifery. Methods: Being conducted in 2013, this qualitative study was the first of its type in Iran. Data were collected through in-depth semi-structured interviews with 14 midwives working in different cities across the country. The participants were selected using a purposive sampling method. Interviews were transcribed verbatim and analyzed following a qualitative content analysis approach. Written text was then coded, and themes were extracted from the data. Ethical considerations: The study was conducted with midwives’ free informed consent and was approved by Ethics Committee of Tehran University of Medical Sciences. Findings: By analyzing the data, four main themes regarding the impact of complaint on midwifery profession were developed. These included the following: “dissatisfied of midwifery, professional deviation, obsession with work, and weakening of the professional status.” Conclusion: The experience of patients’ complaint to legal authorities against midwives was described, by participants, as a painful experience. Lack of midwives’ knowledge about professional rules and litigation process created many problems for them and could negatively affect their practice and the society’s attitude toward midwifery. Thus, we suggest that in order to prevent such problems, midwives and midwifery students should be educated regarding factors that have the potential to create such problems and also prevention strategies.

Midwifery is a dynamic, ever changing, specialised field of nursing involving the care of women and childbearing families. Clients are central to the practice of midwifery and thus their well-being is the main focus of midwives. So, it is not surprising that much of the relatively small body of midwifery research is client focused. As a result, client perspectives have been studied in a number of ways, regarding several aspects of midwifery care. This research, however, aimed to consider midwifery from the midwives' perspective by exploring the everyday encounters of everyday midwives who are working in institutional settings, and identifying the ethical aspects of those encounters. From the researcher's standpoint, it is clear that midwives' everyday encounters are ethical encounters and have potential to be either beneficent or harmful. There was, however, uncertainty that midwives recognized this "everydayness" of ethics. This research sought to clarify the place of ethics within midwives' everyday activities. A further purpose was to ascertain how the ethics that entered into the encounters and activities midwives participated in on a daily basis had affected their practise, their profession and/ or themselves. In doing this, the intent was to broaden the understandings of the ethical dimension of the practice. A particular ethical approach was adopted for this project. It is a view of ethics where persons have regard for, and responsibility toward, each other (Isaacs, 1998). The fact that midwifery is a social practice was expected to be significant in both the everyday encounters that midwives experienced and the ethical responses to those encounters. Members of social practices share an overall purpose and have a moral obligation or desire to practise ethically. As they share a culture and a covenantal commitment to care for those the profession seeks to serve - in a context of gift, fidelity and trust (Isaacs, 1993; Langford, 1978), it was anticipated that midwives would, generally, work in an ethically laden "world". Narrative research offered an appropriate framework for investigating these dimensions of midwifery practice. Many authors have noted the value of story-telling for making sense, and illuminating the ethical features, of our lives. It is, Kearney says, "an open-ended invitation to ethical ... responsiveness" (2000, p. 156). By enabling the participants to tell their stories, rich, contextual narrative material was obtained. The researcher was able to engage with both the participants and the stories as audience. An introduction to the study is provided in Chapter One, while Chapter Two explains both why narrative inquiry was chosen for this research project and the framework that was utilised. The insights from the study are presented in Chapters Three through Six. Each chapter considers the issues and concepts arising from stories that involve midwives' relationships and interactions with a different group of people: midwives, institutions and administration ("them"), doctors and families. In Chapter Three different types of interactions between midwives and their colleagues are explored. Some of the issues that arise are the importance of understanding one's own values and the place of ethics in practice, as well as the need to "do ethics-on-the-run". Many ethical concepts are evident including autonomy, integrity and professional identity. Participants had many negative experiences, and some conveyed feeling a lack of support, threatened or overwhelmed. Conversely, some stories share very positive images of mutual understanding where midwives worked together empathetically. Chapter Four looks at how managers' interactions with midwives impacted upon them and their practice. Unfortunately, this seems to be mostly negative. The midwives convey a sense of feeling undervalued both professionally and personally. Doctors have their turn to interact with the midwives in Chapter Five. In this chapter it becomes evident that doctors and midwives view birth from different perspectives. The participants' stories tell of challenging situations that alert us to the fact that normal, in the context of birth, is not as simple and common place as one might think when doctors and midwives have to work together. Wonderful, positive stories of midwives and doctors working together told of the symbiotic relationship that these two groups of professionals can have when the client is the focus. The last of the insights chapters, Chapter Six, focuses on the relationships midwives have with families. Interestingly, these are the people they spoke of least, even though they are the people for whom the profession exists. Here the concept of midwife as friend is discussed. Then, through their stories some of the participants help us to learn how midwives work together with their clients, care about them, not just for them, and how their past experience has had a lasting impact on their practice. Professionalism (or a lack of it) was implicated as a possible cause of some of the participants' concerns, as was the improper use of power. Both of these concepts arose many times throughout the project. Chapter 7 discusses these issues in some depth. The final chapter provides an overview of midwives situated within their practice. An account is offered of how the participants see the future of their practice and it is questioned if midwifery is, in fact, a social practice with common goals. The thesis draws attention to the embeddedness of ethics in the everyday practice of midwives, and to the vital role that relationships play in midwifery practice. This suggests the need for a relational, contextual ethics approach if the practice is to flourish.

Midwifery is a dynamic, ever changing, specialised field of nursing involving the care of women and childbearing families. Clients are central to the practice of midwifery and thus their well-being is the main focus of midwives. So, it is not surprising that much of the relatively small body of midwifery research is client focused. As a result, client perspectives have been studied in a number of ways, regarding several aspects of midwifery care. This research, however, aimed to consider midwifery from the midwives' perspective by exploring the everyday encounters of everyday midwives who are working in institutional settings, and identifying the ethical aspects of those encounters. From the researcher's standpoint, it is clear that midwives' everyday encounters are ethical encounters and have potential to be either beneficent or harmful. There was, however, uncertainty that midwives recognized this "everydayness" of ethics. This research sought to clarify the place of ethics within midwives' everyday activities. A further purpose was to ascertain how the ethics that entered into the encounters and activities midwives participated in on a daily basis had affected their practise, their profession and/ or themselves. In doing this, the intent was to broaden the understandings of the ethical dimension of the practice. A particular ethical approach was adopted for this project. It is a view of ethics where persons have regard for, and responsibility toward, each other (Isaacs, 1998). The fact that midwifery is a social practice was expected to be significant in both the everyday encounters that midwives experienced and the ethical responses to those encounters. Members of social practices share an overall purpose and have a moral obligation or desire to practise ethically. As they share a culture and a covenantal commitment to care for those the profession seeks to serve - in a context of gift, fidelity and trust (Isaacs, 1993; Langford, 1978), it was anticipated that midwives would, generally, work in an ethically laden "world". Narrative research offered an appropriate framework for investigating these dimensions of midwifery practice. Many authors have noted the value of story-telling for making sense, and illuminating the ethical features, of our lives. It is, Kearney says, "an open-ended invitation to ethical ... responsiveness" (2000, p. 156). By enabling the participants to tell their stories, rich, contextual narrative material was obtained. The researcher was able to engage with both the participants and the stories as audience. An introduction to the study is provided in Chapter One, while Chapter Two explains both why narrative inquiry was chosen for this research project and the framework that was utilised. The insights from the study are presented in Chapters Three through Six. Each chapter considers the issues and concepts arising from stories that involve midwives' relationships and interactions with a different group of people: midwives, institutions and administration ("them"), doctors and families. In Chapter Three different types of interactions between midwives and their colleagues are explored. Some of the issues that arise are the importance of understanding one's own values and the place of ethics in practice, as well as the need to "do ethics-on-the-run". Many ethical concepts are evident including autonomy, integrity and professional identity. Participants had many negative experiences, and some conveyed feeling a lack of support, threatened or overwhelmed. Conversely, some stories share very positive images of mutual understanding where midwives worked together empathetically. Chapter Four looks at how managers' interactions with midwives impacted upon them and their practice. Unfortunately, this seems to be mostly negative. The midwives convey a sense of feeling undervalued both professionally and personally. Doctors have their turn to interact with the midwives in Chapter Five. In this chapter it becomes evident that doctors and midwives view birth from different perspectives. The participants' stories tell of challenging situations that alert us to the fact that normal, in the context of birth, is not as simple and common place as one might think when doctors and midwives have to work together. Wonderful, positive stories of midwives and doctors working together told of the symbiotic relationship that these two groups of professionals can have when the client is the focus. The last of the insights chapters, Chapter Six, focuses on the relationships midwives have with families. Interestingly, these are the people they spoke of least, even though they are the people for whom the profession exists. Here the concept of midwife as friend is discussed. Then, through their stories some of the participants help us to learn how midwives work together with their clients, care about them, not just for them, and how their past experience has had a lasting impact on their practice. Professionalism (or a lack of it) was implicated as a possible cause of some of the participants' concerns, as was the improper use of power. Both of these concepts arose many times throughout the project. Chapter 7 discusses these issues in some depth. The final chapter provides an overview of midwives situated within their practice. An account is offered of how the participants see the future of their practice and it is questioned if midwifery is, in fact, a social practice with common goals. The thesis draws attention to the embeddedness of ethics in the everyday practice of midwives, and to the vital role that relationships play in midwifery practice. This suggests the need for a relational, contextual ethics approach if the practice is to flourish.

Background: According to the Swedish Social Board induced abortions are increasing in the modern day society. Nurses who work with in the gynecological department can come across patients seeking care for an induced abortion. Theoretical framework: The findings of the study will be discussed in relation to Peplau's nursing theory, ethical concepts and nursing concepts. Aim: The aim of the literature review was to illuminate the experiences of nurses working with induced abortion. Method: A systematic literature review with an inductive approach was chosen. The findings are based on seven qualitative and two quantitative studies. The articles were assessed through two different modified templates based on qualitative or quantitative design. Findings: Nurses and midwives experienced their work with induced abortions as emotionally stressful. However, it was highlighted that all women have the right whether to choose abortion or to proceed with the pregnancy. Difficulties were identified in coping with abortion work. Such difficulties could easily occur when ethical dilemmas were caused by religion, personal values and experiences. Several coping strategies were identified. However, nurses and midwives aired their views concerning the need of more support from colleagues and the department head. Conclusion: It is clear that nurses are in need of assistance in various forms to ventilate and manage their emotions, in order to promote the professional approach and be able to offer a patient-centered care.

Aim: The purpose of this study is to establish midwives’ perception of ethical and professional malpractices in labour units and to enhance the awareness of ethical behaviour and professional practice by midwives. Design: A qualitative, exploratory, descriptive and cross sectional design was followed to explore the midwives understanding of and experiences of ethical practice and professional malpractices in Labour Units of Tshwane, Gauteng Province. A non-probability purposive sampling was used to draw a sample from midwives with two or more years of experience working in Labour Units. Data collection: Individual in-depth interviews using open ended questions were used to collect data. Interviews were recorded using an audio tape recorder, which was later transcribed verbatim. Data collection was continuous until saturation was reached with the eight (n=8) participant. Findings: the results of the study revealed that midwives do understand the ethical code of conduct. However, due to challenges such as shortage of staff; shortage of material resources; non-compliance of midwives to policies and guidelines; fear of decision-making; and lack of management support, all this makes ethical conduct more challenging. It is hoped that the findings of this research will make contributions to midwifery training and practice.
Health Studies
M.A. (Health Studies)

In September 2014, 93 delegates participated in the third Home Birth Summit at the “discreet, quintessentially Northwest hideaway” Cedarbrook Lodge outside of Seattle, Washington. Nurse-midwives, direct-entry midwives, obstetricians, general practitioners, nurses, activists, philosophers, historians, epidemiologists, activists, a documentary filmmaker, and representatives from ACNM, MANA, and ACOG wrangled with the current policies, regulation, evidence, and ethics of home birth in the United States. This epilogue explores the impact of the Home Birth Summit on current debates on childbirth and midwifery. What is missing in 21st-century reports of the current status of midwifery, birthplace options, and birth outcomes is an awareness of the earlier collaborative efforts between some doctors, midwives, and consumers. Despite competition, criticism, and crises, attempts to improve the birthing experience started well before the year 2000. Many individuals and organizations confronted legislative, professional, and educational hurdles, determined to make birth both safe and meaningful for everyone involved.

This is the first chapter in the part of the book exploring each of the four domains comprising the Nursing and Midwifery Council (NMC) Standards for Pre-Registration Nursing Education (NMC 2010) in which the student nurse in the United Kingdom has to demonstrate attainment of the specific competencies to achieve registration as a nurse. In keeping with the overall aims of the book, the aim of this chapter is to help you to develop your decision-making skills in the domain of ‘professional values’. It will offer real-life case studies to illustrate key issues and how you, as a student, can learn to make effective decisions in your journey to becoming a registered nurse. Because this book is written by registered nurses, many of whom work in education, you will probably not be very surprised to learn that we think your decision to become a nurse could be one of the best decisions that you have made to date—but do you really understand what lies before you? Before you begin to be concerned about the ‘right-ness’ of your decision to become a nurse, it is important to remember that there are many individuals who are there to help you on your professional journey, including your personal tutors, mentors and other practitioners in practice, lecturers, other students, and most importantly the patients and clients for whom you will be caring and with whom you will be working. In addition, you will have friends and family who offer a different kind of support to you, as well as those organizations that can offer professional support to you as a student nurse and subsequently to you as a qualified nurse. This chapter also intends to help you to appreciate the significance of the NMC’s Guidance on Professional Conduct for Nursing and Midwifery Students (NMC 2011) as you embark on your professional and personal journey to become a registered practitioner who is able to demonstrate the required standards of conduct, performance, and ethics, as expressed in The Code: Standards of Conduct, Performance and Ethics for Nurses and Midwives (NMC 2008).

The chapter first explores the issues involved in how and why mental health nurses come to learn about the decisions that they need to take in clinical practice, and why these are crucial to the establishment and maintenance of therapeutic relationships. It must be noted that various terms will be used throughout this chapter that refer to individuals requiring care and support from nurses—that is, ‘patients’, ‘service users’, and ‘clients’. We will also explore some of the challenges and tensions that can arise when there is a difference between what the professional and the service user might feel is the right decision. Reference is made to the prevailing mental health legislation in the United Kingdom and, in particular, the legislation around care being provided possibly against an individual’s wishes and while he or she is living in the community. If you are not living or studying in the UK, you should seek out the relevant legislation that applies to your country. You might want to see where the similarities and differences are between that and the UK legislation. The chapter concludes with a discussion of how the mental health nurse can ensure that inclusive and informed decision making leads to safe, secure, and effective mental health care. By means of the case studies and the discussion, it will enable you, as the student nurse, to learn how different kinds of decision making can influence outcomes of care, and it will also help you to work towards achieving the Nursing and Midwifery Council (NMC) competencies as they relate to decision making in nursing practice. Note that while the case studies are based on real-life examples of decision-making situations, all names in the case studies have been changed, in keeping with The Code: Standards of Conduct, Performance and Ethics for Nurses and Midwives (NMC 2008). Mental health nurse education, practice, and research have long championed innovative approaches to improving our understanding of the impact, on individuals, the communities in which they live, and wider society, of the decisions and actions taken in the name of therapeutic endeavour.