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Ethics and Ethical Standards for Nurses and Midwives
Course Description
Ethics and Ethical Standards for Nurses and Midwives is a comprehensive CPD course designed for registered nurses and midwives at all stages of practice. The programme strengthens ethical reasoning, professional judgement, and defensible decision-making in modern clinical environments. It explores core ethical principles, consent and capacity, confidentiality, safeguarding, justice in resource allocation, professional boundaries, and moral distress in team-based care.
This course is suitable for nurses and midwives undertaking CPD or NMC revalidation, and is particularly valuable for those facing fitness-to-practise investigations, employer inquiries, or regulatory scrutiny by the Nursing and Midwifery Council. Through structured reflection and clinically grounded analysis, participants develop ethical clarity, professional resilience, and confidence in navigating complex moral dilemmas.
Course Content
Course Objectives
Course Objectives
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Section 1: Foundations of Nursing and Midwifery Ethics
1.1 What Is Professional Ethics in Nursing and Midwifery?
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1.2 Ethical Theory in Clinical Practice
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1.3 The Role of Ethical Standards in Modern Nursing and Midwifery
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1.4 Ethical Accountability and the NMC
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1.5 Reflective Quiz
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Section 2: Core Principles of Biomedical Ethics in Nursing and Midwifery
2.1 Autonomy and Patient Advocacy
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2.2 Beneficence in Compassionate Care
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2.3 Non-Maleficence and Safe Practice
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2.4 Justice and Fairness in Care Delivery
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2.5 Balancing Competing Ethical Duties
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2.6 Structured Ethical Reasoning in Practice
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2.7 Reflective Quiz
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Section 3: Consent, Capacity, and Advocacy
3.1 The Nurse or Midwife’s Role in Informed Consent
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3.2 Assessing and Escalating Capacity Concerns
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3.3 Supporting Best Interests Decisions
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3.4 Refusal of Treatment
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3.5 Ethical Advocacy in Team-Based Care
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3.6 Documentation and Defensibility
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3.7 Reflective Quiz
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Section 4: Confidentiality, Safeguarding, and Professional Disclosure
4.1 Ethical Foundations of Confidentiality
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4.2 Information Sharing in the Public Interest
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4.3 Safeguarding Vulnerable Patients and Families
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4.4 Raising Concerns About Unsafe Practice
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4.5 Digital Confidentiality and Professional Conduct
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4.6 Documentation and Defensibility
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4.7 Reflective Quiz
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Section 5: Ethical Challenges in Clinical Practice
5.1 Resource Pressures and Prioritisation of Care
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5.2 Moral Distress in Team-Based Environments
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5.3 Cultural Sensitivity and Equality in Care
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5.4 Conscientious Objection in Nursing and Midwifery
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5.5 Conflicts of Interest and Professional Integrity
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5.6 Reflective Quiz
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Section 6: Ethical Boundaries with Patients and Colleagues
6.1 Power Imbalance in Therapeutic Relationships
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6.2 Sexual and Emotional Boundaries
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6.3 Boundaries in Community and Home Settings
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6.4 Financial and Material Boundaries
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6.5 Professional Boundaries Within Teams
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6.6 Early Warning Signs of Boundary Drift
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6.7 Regulatory Implications of Boundary Breaches
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6.8 Reflective Quiz
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Section 7: Ethical Failures, Moral Distress, and Insight
7.1 Recognising Ethical Lapses in Nursing and Midwifery
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7.2 Moral Distress in Nursing and Midwifery
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7.3 Cognitive Bias and Ethical Blind Spots
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7.4 Insight and Structured Reflection
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7.5 Ethical Maturity and Professional Growth
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7.6 Reflective Quiz
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Section 8: Fitness to Practise and Remediation in Ethical Cases
8.1 When Ethical Concerns Become Fitness-to-Practise Concerns
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8.2 Insight in Fitness-to-Practise Investigations
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8.3 Structured Reflective Accounts for Revalidation
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