Values Based Nursing and Professional Regulation (The NMC Code)

Comprehensive flashcards covering professional regulation, statutory duties under The Code (NMC, 2018), ethical and legal frameworks, and Values Based Nursing (VBN).

How many statutory health and care registers and regulated professions exist in the UK?

There are 9 statutory UK health and care registers regulating 32 professions.

What are the three main objectives of statutory healthcare regulators in the UK?

1. To protect the public
2. To maintain public confidence in the profession
3. To declare and uphold professional standards

Which body oversees the statutory healthcare regulators in the UK?

The Professional Standards Authority for Health and Social Care.

Under which statutory order is the Nursing and Midwifery Council (NMC) assigned legal responsibilities and obligations?

The Nursing & Midwifery Order 2001 [Article 5(2)(a)].

What legal rule applies to the protected title 'nurse' in the UK?

Any person practicing as a nurse must be registered with the NMC; it is illegal to profess oneself as a 'nurse' without active NMC registration.

What standard of proof is used by the NMC Conduct & Competence Committee, and what four sanctions can it impose?

The standard of proof is the balance of probabilities. The sanctions are: 1. Caution for a specific period of 1 to 5 years; 2. Conditions of practice for up to 3 years; 3. Suspension of registration for up to 1 year; 4. Removal from the register.

What are the four interrelated domains of The Code (NMC, 2018)?

1. Prioritise people
2. Practise effectively
3. Preserve safety
4. Promote professionalism & trust

What protected characteristics are legally protected from discrimination under the Equality Act (2010)?

Age, disability, gender reassignment, being married or in a civil partnership, being pregnant or in the maternity period, race (colour, nationality, ethnic or national origin), religion or belief, sex, and sexual orientation.

How does the lecture define a 'duty of care' versus 'negligence'?

A duty of care exists when a person is in a situation where harm can occur from another's actions. Negligence occurs when a person causes injury to another by failing to prevent a foreseeable problem.

What new criminal offence came into force in April 2015 following the Francis (2013) report and Winterbourne View (2011), and what is the maximum prison sentence?

The criminal offence of ill treatment or wilful neglect in respect of health and social care (applicable in England and Wales), which carries a penalty of up to 5 years in prison for individual doctors and nurses.

How does the NMC define 'good health' and 'good character' for student declarations?

'Good health' does not necessarily mean the absence of disability or health conditions, but managing them to practice safely and effectively. 'Good character' is determined by the absence of incidents indicative of poor character and requires disclosing all police charges, cautions, and convictions.

Within the University of Manchester DNMSW, what structures investigate student nurse misconduct or academic malpractice?

Concern Review Panels (CRP) and Fitness to Practice panels (FTP), with the Academic Advisor (AA) acting as the first port of call.

What is the Latin etymology and historical evolution of the concept of 'values'?

Derived from the Latin 'Valere' (meaning to be strong, to be well, to be of worth). It evolved through Old French (economic/material price, 13th C), Middle English (general usefulness/utility, 14th C), the 19th Century (moral principles), and the 20th Century (societal standards, ethics, and guiding beliefs).

How do 'values' differ from 'ethics' in Values Based Nursing?

Values are internal guides, beliefs, and a personal moral compass that shape preferences and attitudes. Ethics are external normative frameworks, shared principles, rules, and social constructs that protect the group through reasoned moral action.

What are the four biomedical ethical principles proposed by Beauchamp & Childress (2026)?

1. Non-maleficence: do no harm
2. Beneficence: do good
3. Autonomy: respect others' choices
4. Justice: treat people fairly

What sequence describes the alignment of a virtuous cycle in ethical practice?

Beliefs support values $\rightarrow$ Values guide principles $\rightarrow$ Principles build virtues $\rightarrow$ Virtues strengthen morality $\rightarrow$ Morality aligns with ethical environments.

What are the '6 C's' of core nursing values established in 2012?

Care, Compassion, Competence, Communication, Courage, and Commitment.

What was the main criticism of the Department of Health (2012) paper 'Liberating the NHS: no decision about me, without me'?

It was criticized for being too narrow in focus by placing emphasis on patient choice over the time and location of treatment rather than choice over the treatment options themselves.

What are the six core values outlined in the NHS Constitution (2023)?

1. Working together for patients
2. Respect and dignity
3. Commitment to quality of care
4. Compassion
5. Improving lives
6. Everyone counts

What are the five organizational values of the Nursing and Midwifery Council (NMC)?

1. Integrity
2. Fairness
3. Respect
4. Equity
5. Effectiveness

How does Price (2025) contrast Person-Centred Care (PCC) with the traditional Nursing Process (NP)?

PCC stages: Anticipating, Relating, Negotiating, Collaborating, Evaluating. NP stages: Assessing, Planning, Implementing, Evaluating.

Under the Person-centred Nursing Framework (Dewing et al., 2021), what are the five nurse attributes (prerequisites)?

1. Professionally competent
2. Developed interpersonal skills
3. Commitment to job
4. Knowing 'self'
5. Clarity of beliefs & values

What seven components comprise the 'care environment' in the Person-centred Nursing Framework (Dewing et al., 2021)?

Appropriate skill mix, shared decision-making systems, effective staff relationships, power sharing, potential for innovation and risk taking, supportive organisational systems, and physical environment.

What are the five 'person-centred processes' identified in the Person-centred Nursing Framework?

1. Working with the person's beliefs & values
2. Sharing decision-making
3. Engaging authentically
4. Providing holistic nursing care
5. Being sympathetically present

How is 'intelligent kindness' described by Ballatt et al. (2020) in the context of Values Based Nursing?

It is based on curiosity, compassion, trust, human connection, and relationships. It questions uncritical obedience to targets, efficiency, and bureaucracy, while eschewing paternalism and determinism.

What are the opportunities and challenges of Artificial Intelligence (AI) for Values Based Nursing?

AI offers opportunities in assessing results, predicting risks, streamlining tasks, and integrating data. It presents challenges requiring nurses to safeguard professional values against algorithmic bias and dehumanisation, while protecting independent cognitive, critical appraisal, and writing skills.