If the Board has concerns but insufficient evidence for disciplinary action, what can it issue?

When the Board has concerns about a nurse's practice but lacks sufficient evidence to pursue disciplinary action, it can issue a letter of concern. This document serves multiple purposes: it expresses the Board's apprehensions regarding specific aspects of the nurse’s practice, provides guidance for improvement, and encourages the nurse to reflect on their actions without imposing formal sanctions. This approach allows for addressing potential issues while maintaining a level of professionalism and support for the nurse, rather than resorting to punitive measures.

The letter of concern essentially acts as a constructive feedback mechanism, highlighting areas for improvement before escalating to disciplinary action, which is appropriate only when there is clear evidence of professional misconduct or negligence.