TY - JOUR TI - The value of nurses' codes: European nurses' views AU - Tadd, W. AU - Clarke, A. AU - Lloyd, L. AU - Leino-Kilpi, H. AU - Strandell, C. AU - Lemonidou, C. AU - Petsios, K. AU - Sala, R. AU - Barazzetti, G. AU - Radaelli, S. AU - Zalewski, Z. AU - Bialecka, A. AU - Van Der Arend, A. AU - Heymans, R. JO - Nursing Ethics PY - 2006 VL - 13 TODO - 4 SP - 376-393 PB - SN - 0969-7330, 1477-0989 TODO - 10.1191/0969733006ne891oa TODO - adult; aged; article; attitude to health; comparative study; education; educational status; ethics; Finland; Greece; health personnel attitude; health service; human; information processing; Italy; medical ethics; middle aged; Netherlands; nurse attitude; nursing methodology research; nursing staff; Poland; practice guideline; professional competence; psychological aspect; qualitative research; questionnaire; social behavior; standard; United Kingdom, Adult; Aged; Aged, 80 and over; Attitude of Health Personnel; Codes of Ethics; Educational Status; Finland; Focus Groups; Great Britain; Greece; Health Knowledge, Attitudes, Practice; Health Services Needs and Demand; Humans; Italy; Middle Aged; Netherlands; Nurse's Role; Nursing Methodology Research; Nursing Staff; Poland; Practice Guidelines; Professional Competence; Qualitative Research; Questionnaires; Social Identification TODO - Nurses are responsible for the well-being and quality of life of many people, and therefore must meet high standards of technical and ethical competence. The most common form of ethical guidance is a code of ethics/professional practice; however, little research on how codes are viewed or used in practice has been undertaken. This study, carried out in six European countries, explored nurses' opinions of the content and function of codes and their use in nursing practice. A total of 49 focus groups involving 311 nurses were held. Purposive sampling ensured a mix of participants from a range of specialisms. Qualitative analysis enabled emerging themes to be identified on both national and comparative bases. Most participants had a poor understanding of their codes. They were unfamiliar with the content and believed they have little practical value because of extensive barriers to their effective use. In many countries nursing codes appear to be 'paper tigers' with little or no impact; changes are needed in the way they are developed and written, introduced in nurse education, and reinforced/implemented in clinical practice. © 2006 Edward Arnold (Publishers) Ltd. ER -