Essex, Ryan ORCID: https://orcid.org/0000-0003-3497-3137, Mainey, Lydia, Dillard-Wright, Jess and Richardson, Sarah (2024) Political action in nursing and medical codes of ethics. Nursing Ethics:e12658. ISSN 0969-7330 (Print), 1477-0989 (Online) (doi:10.1111/nin.12658)

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Abstract

Political action has a long history in the health workforce. There are multiple historical examples, from civil disobedience to marches and even sabotage that can be attributed to health workers. Such actions remain a feature of the healthcare community to this day; their status with professional and regulatory bodies is far less clear, however. This has created uncertainty for those undertaking such action, particularly those who are engaged in what could be termed ‘contentious’ forms of action. This study explored how advocacy and activism were presented in nursing and medical codes of ethics. Comparing disciplinary and temporo-spatial differences and understanding how such action may be promoted or constrained by codes. The data for this study comes from 217 codes of ethics. Because of the size of the corpus and to facilitate analysis, natural language processing was utilised, which allowed for an automated exploration of the data and for comparisons to be drawn between groups. This was complemented by a manual search and contextualisation of the data. While there were noticeable differences between medical and nursing codes, overall, advocacy, activism and even politics were rarely discussed explicitly in most codes. When such action was spoken about, this was often vague and imprecise with codes speaking of “political action” and “advocacy” in general terms. While some codes were far more forthright in what they meant about advocacy or broader political action (i.e. Nursing codes in Denmark, Norway, Canada) more forceful language that spoke in specific terms or in terms of oppositional or specific actions (i.e. civil disobedience or marches for example) was almost completely avoided. These results are discussed in relation to the broader literature on codes and the normative questions they raise, namely whether such action should be included in codes of ethics at all.

Item Type:	Article
Uncontrolled Keywords:	nursing; ethics; codes of ethics; political action; advocacy
Subjects:	B Philosophy. Psychology. Religion > BJ Ethics R Medicine > R Medicine (General) R Medicine > RT Nursing
Faculty / School / Research Centre / Research Group:	Faculty of Education, Health & Human Sciences Faculty of Education, Health & Human Sciences > Institute for Lifecourse Development Faculty of Education, Health & Human Sciences > Institute for Lifecourse Development > Centre for Chronic Illness and Ageing Faculty of Education, Health & Human Sciences > Institute for Lifecourse Development > Centre for Professional Workforce Development Faculty of Education, Health & Human Sciences > School of Health Sciences (HEA)
Last Modified:	11 Jul 2024 13:44
URI:	http://gala.gre.ac.uk/id/eprint/47491

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