Patients and families often want to say thank you. A tin of biscuits for the ward is welcome almost everywhere. But what about cash, an expensive watch, or being named in a will?
The question: Should nurses accept personal gifts from patients and families?
The case for
- Refusing can offend, especially in cultures where gifts are a key way to show respect.
- Small gifts are a harmless and meaningful expression of gratitude.
- Accepting graciously can help families after a death.
- Sharing gifts with the whole team spreads the appreciation.
The case against
- Gifts can create a sense of obligation or the appearance of favouritism.
- Vulnerable or confused patients can be exploited.
- Large gifts may be seen as undue influence and lead to complaints or investigations.
- Cash and valuables can blur professional boundaries.
What the evidence says
Professional codes are cautious. The UK Nursing and Midwifery Council code, for example, tells nurses to refuse all but the most trivial gifts, favours or hospitality if accepting them could be seen as an attempt to gain preferential treatment. Most employers require gifts above a small value to be declared or refused, and many ban cash.
The bottom line
Small, shareable gifts given freely are widely accepted. Anything personal, valuable or from a vulnerable patient should be politely declined or declared. If you would feel uncomfortable telling your manager about it, that is your answer.
Related: Conscientious objection in nursing
Where do you stand? Tell us in the comments. We read every one, and the best answers may feature in a follow-up article.
Source: Nursing and Midwifery Council, The Code: Professional standards of practice and behaviour for nurses, midwives and nursing associates.
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