Professor Ann Gallagher

Professor Ann Gallagher

Professor of Ethics and Care, Lead for Ethics in Integrated Healthcare, Director of the International Care Ethics (ICE) Observatory

Academic and research departments

The International Care Ethics (ICE) Observatory.



Ann Gallagher is Professor of Ethics and Care, International Care Ethics Observatory, School of Health Sciences in the Faculty of Health and Medical Sciences.

Ann trained as a general nurse at the Royal Victoria Hospital, Belfast, during 'the Troubles'. She moved to England to pursue post-registration training as a mental health nurse. Following practice experience in elder care and adolescent psychiatry, Ann completed a BA (Hons) degree in philosophy and health studies in London. She went on to complete an MA in medical and social ethics at the University of Wales College of Cardiff and a PhD in professional ethics at the University of Central Lancashire, under the supervision of Professor Ruth Chadwick.

Ann has extensive experience as a care ethicist, nurse, educator, researcher and editor (of the international journal 'Nursing Ethics'). She is Co-Chair of Princess Alice Hospice Clinical Ethics Committee and a member of the Nuffield Council on Bioethics. She is also a Fellow of the Royal College of Nursing.

Ann has recently been on sabbatical exploring 'Cross-cultural perspectives on ethics and elder care'. She was Fulbright Scholar-in-Residence at the National Center for Bioethics in Research and Healthcare at the University of Tuskegee in Alabama, USA in 2017. Her sabbatical blog can be accessed at Ann will be taking up a visiting position at the University of Tuskegee from 2019


From January 2018, Ann will be working with Mikey Dunn at the University of Oxford, Professor Yonghui Ma at the University of Xiamen in China and other international researchers, on a Wellcome Trust funded project on the theme of 'Roles, Responsibilities and the Future of Care for Older Adults: Building a Cross-Cultural and Interdisciplinary Network”.

Recent projects

The current focus of research is two-pronged: relating to the promotion and sustainability of ethical care; & understanding and responding to deficits in care. Specific research themes include: dignity in care, professionalism, end of life ethics and research ethics. Ann has published on a wide range of topics, for example, on ethics education, slow ethics, love, dignity, compassion, dishonesty, restraint, whistleblowing and conflicts of interest.

Previous Research

Evaluation of the RCN Dignity Campaign - 'The Little Things Make a Difference' (2009) - co-authored with Lesley Baillie.

'Receiving bad news about your mental health' pilot research project (2008) - A collaborative project with Anne Arber, University of Surrey and Rob Chaplin and Alan Quirke, Royal College of Psychiatrists.

'The Good Nurse: UK Pilot Study' (2008) - A replication of the Far East Good Nurse Project with Khim Horton, Verena Tschudin and Sara Lister.

'Defending Dignity - Challenges and Opportunities' (2008) - commissioned to develop e-survey, analyse data, write report and contribute to the development of educational materials with Professor Paul Wainwright and Dr Lesley Baillie.

Conflicts of Interests, General Practitioners and Safeguarding Children research project report (Tompsett et al 2008) - funded by the Department for Education and Skills and Department Health 'Safeguarding Children Research Initiative' - Co-researcher with social work and health colleagues at Kingston University and St George's University of London - member of project management team and lead on designing, implementing and analysing Delphi Expert panel component.

'Arts for Life' report (2007) - patients' and carers' perceptions of the value of the arts in palliative care - Commissioned by St Christopher's Hospice. Awaiting publication in Nursing Standard.

'Complementing the Community Project' report (2007) relating to the perceived benefits of complementary therapies by those with non -malignant conditions - Commissioned by St Christopher's Hospice.

Dignity in Practice Pilot Project Report (2001) with Professor David Seedhouse at Middlesex University.


Ann teaches ethics to undergraduate and post-graduate health and social care professionals and unregistered practitioners.

She recently led the development of an online course entitled: 'Introduction to Ethics in Health and Social Care'. The course forms part of the first year curriculum and will be developed and rolled out as a MOOC (Massive Open Online Course) in 2019.

Departmental duties

  • Developing research proposals, applying for funding and conducting empirical research relating to health and social care ethics
  • Writing and publishing in peer-reviewed and professional journals
  • Leading staff development in relation to teaching health and social care ethics
  • Developing international research and scholarship collaborations through the International Care Ethics (ICE) Observatory
  • Editor-in-Chief of international journal Nursing Ethics (see )
  • Teaching ethics to undergraduate and post-graduate students
  • Supervising MSc, DCP and PhD students undertaking ethics-related research
  • Chair of AWERB

Supervision of PhD students

Current PhD Students

Wendy Grosvenor - Students' experience of a Time for Dementia project

Cajetan Ndukwe - Dignity and spirituality in mental health practice

Olivia Luijnenburg - Ethics, spirituality and care

Hanna Groothuizen - The evolution of student nurses' values

Completed PhDs

Andrew McKie, University of Aberdeen - Exploring the relationship between the expressive arts and ethical nursing practice - External supervisor - Completed 2010

Iris Gault, Kingston University and St George's University of London - Therapeutic coercion and supervised community orders - Co-supervisor - Completed in 2012

Julia Woods, Kingston University and St George's University of London - Decision-making and dementia care - Completed in 2012

Ruth Jackson, University of Surrey - Midwives' experience of obstetric emergencies - completed May 2014

Kit Tapson - The perspectives of counsellors and of young people who bully on the counselling process - completed in 2015

Maggie Davies - The perspectives of Directors of Nursing on UK care practices - completed in 2015

Vince Mitchell - An Ethical Framework for Dementia Care - Completed January 2016

Davis Mpavaenda - Investigating the impact of a new intervention for Obsessive Compulsive Disorder - Co-supervisor - Completed 2016

Tiziana Sala Defilippis - Moral resilience in healthcare practice - Completed 2017

External examiner of PhD theses:

2018 - University of Birmingham - Georgina Morley - Moral Distress and ITU Nurses

2016 - University of Salford - Julie Winifred Morton - Mapping Ethical Regulation: The Work of Research Ethics Committees

2012 - University of Dundee - Gordon McLaren - Ethical decision making in the NHS: a theoretical analysis of clinical negligence with reference to the existentialist writings of Kierkegaard, Levinas and Sartre

2011 - University of Sao Paulo, Brazil - Maria Cristina Paganini - Professional autonomy of nurses in the intensive care unit

2010 - University of Hertfordshire - Jennifer Susan Beckwith - Uncovering complexity in everyday practice: A post-modern study of community nursing assessment


My publications


Lucas G., Gallagher A., Zasada M., Austin Z., Jago R., Banks S. & van der Gaag A. (2018) Understanding complaints about paramedics: a qualitative exploration in a UK context Australasian Journal of Paramedicine (in press)

Groothuizen J.E., Callwood A. & Gallagher A. (April 2018) The NHS Constitution Values for Values Based Recruitment: a Virtue Ethics Perspective Journal of Medical Ethics (online doi:10.1136/medethics-2017-104503

Gallagher A., Watson F. & Fitzpatrick N. (2018) Love as a core value in veterinary and medical practice: Towards a humanimal ethics Clinical Ethics (published online - )

Gallagher A., Zasada M., Jago R., Austin Z., Banks S., Gallagher A., Lucas G. & van der Gaag A.(2018) Fitness-to-practise concerns and preventative strategies Journal of Paramedic Practise 10 (4) pp.163-169

van der Gaag A., Jago R., Austin Z., Zasada M., Banks S., Lucas G. & Gallagher A. (2018) Why do paramedics have a high rate of self-referral? Journal of Paramedic Practice 5 (10): 205-210

 Gallagher A. (2017) Commentary: Intersectionality, Dignity and the Value of Stories Journal of Healthcare, Science and the Humanities Volume VII, Number 2:81-87

Groothuizen J.E., Callwood A. & Gallagher A. (2017) What is the value of Values Based Recruitment for nurse education programmes? Journal of Advanced Nursing (published online - - doi: 10.1111/jan.12512)

Ramage C., Curtis K., Glynn A., Montgomery J., Hoover E., Leng J., Martin C., Theodosius C. & Gallagher A., (2017) Developing and Using a Toolkit for Cultivating Compassion in Healthcare: An Appreciative Inquiry Approach International Journal of Practice-based Learning in Health and Social Care 5 (1): 42-64

Curtis K., Gallagher A., Ramage C., Montgomery J., Martin C., Leng J., Theodosius C., Glynn A., Anderson J. and Wrigley M. (2017) Using Appreciative Inquiry to develop, implement and evaluate a multi-organisational ‘Cultivating Compassion’ programme for health professionals and support staff Journal of Research in Nursing 22(1-2): 150-165 [*Judged paper of the year by the journal]

Gallagher A. & Leng J. (2017) Care assistants’ experiences of an ethics-in-care simulation project: letters to a friend British Journal of Healthcare Assistants 11(04): 180-184

Cox, AC, Arber, A, Gallagher, A, MacKenzie, M and Ream, E (2017) Establishing priorities for UK cancer nursing research: Nurse and patient collaboration in a UK Oncology Nursing Society Delphi survey Oncology Nursing Forum 44(2): 192-203

Gallagher A., Peacock M., Zasada M., Coucke T. Cox A. & Janssens N. (2016 published online) Care-givers’ reflections on an Ethics Education Immersive Simulation Care Experience: A Series of Epiphanous Events Nursing Inquiry (See )

Gallagher A., Curtis K., Dunn M. & Baillie L. (2016 published online) Realising Dignity in Care Home Practice: An Action Research Project International Journal of Older People Nursing (See )

Gallagher A. & Vanlaere L. (2016) Care-givers' Perspectives on Ethical Aspects of Residential and Domiciliary Social Care for Older People: Towards skilled companionship? Nursing Older People 28 (10): 33-37 (See

 Gallagher A., Snook V., Horsfield C., Rutland S., Vyvyan E., Juniper J. & Collen  A. (2016) Experts’ perspectives on professionalism in paramedic practice: findings from a Delphi process British Paramedic Journal 1 (2): 9-17

Gallagher A., Vyvyan E., Juniper J., Snook V., Horsfield C., Collen  A. & Rutland S., (2016) Professionalism in paramedic practice: the views of paramedics and paramedic students British Paramedic Journal 1 (2): 1-8

Gallagher A. & Members of International Research Group (2015) Nurses’ Involvement in End of Life Decision-Making in ICE: A Five Country Qualitative Study International Journal of Nursing Studies 52 (4): 794-803

Olsen D. & Gallagher A. (2014) Ethics, force-feeding and military nurses’ values conflict American Journal of Nursing (See )

Gallagher A. (2013) Slow ethics: A sustainable approach to ethical care practice? Clinical Ethics vol. 8, 4: pp. 98-104

Ventura C., Gallagher A., Jago R. & Mendes I. Assisted Dying: the view from solidarity Medicine and Law (accepted – publication 2013) - 'Assisted Dying: The View from Solidarity'. Michigan State University College of Law Journal of Medicine and Law

Gault I., Gallagher A. & Chambers M. (2013) Perspectives on medicine adherence in service users and carers with experience of legally sanctioned detention and medication: a qualitative study Patient Preference and Adherence 7, 787-799

Gallagher A., Jago R. Ventura C. & Mendes I. (2013) Transcultural research ethics: impossibility or panacea?  Health and Society/Salute E Societá 12 (3) pp.67-82

Hunt G., Gannon C. & Gallagher A. (2013) Elements of an engaged clinical ethics: a qualitative analysis of hospice clinical ethics committee discussion Clinical Ethics 7 (4) pp. 175-182

Gallagher A., Wainwright P, Tompsett H. & Atkins C. (2012) Findings from a Delphi Exercise regarding Conflicts of Interests, General Practitioners and Safeguarding Children: ‘Listen carefully, judge slowly’ Journal of Medical Ethics 38, pp. 87-92

Wainwright P., Gallagher A., Tompsett H. & Atkins C. (2010) The use of vignettes within a Delphi exercise – a useful  approach in empirical ethics? Journal of Medical Ethics 36, pp.656-660

Wainwright P. & Gallagher A (2010) Understanding general practitioners’  conflicts of interest and the paramountcy principle in safeguarding children Journal of Medical Ethics 36 pp.302-305

Gallagher A., Arber A., Chaplin R. & Quirk A. (2010) Service users’ experience of receiving bad news about their mental health Journal of Mental Health 19 (1) 34-41

Baillie, L., Gallagher, A. (2010) The RCN Dignity campaign: exploring enablers and challenges. Journal of Research in Nursing 15:1, 15-28.

Urwin S., Stanley R., Jones M., Gallagher A., Wainwright P. & Perkins A. (2010) Understanding student nurse attrition: learning from the literature Nurse Education Today 30 pp.202-207

Gallagher A. & Tschudin V. (2010) Education for ethical leadership Nurse Education Today 30 pp.224-227

King L.A., Jackson M.T., Gallagher A., Wainwright P. & Lindsay J. (2009) Towards a model of the expert practice educator – interpreting multi-professional perspectives in the literature Learning in Health and Social Care Vol. 8, Issue 2, pp.135-144

Arber A. & Gallagher A. (2009) Generosity and the moral imagination in the practice of teamwork Nursing Ethics 16 (6) pp. 775-785

Gallagher A., Li S., Wainwright P., Rees Jones I. and Lee D. (2008) Dignity in the Care of Older People - A Review of the Theoretical and Empirical Literature BMC Nursing 2008, 7:11 (11 July 2008)

Baillie L., Ford P., Gallagher A. & Wainwright P. (2009) Dignified care for children and young people Paediatric Nursing 21(2): 24

Wainwright P. and Gallagher A. (2008) ‘On different types of dignity in nursing care: a critique of Nordenfelt’ Nursing Philosophy 9. pp.46-54

Gallagher A. (2007) ‘The Respectful Nurse’ Nursing Ethics Vol.14, No.3, pp. 360-371

Gallagher A. (2004) ‘Dignity and Respect for Dignity – Two Key Health Professional Values: Implications for Everyday Nursing Practice’ in Nursing Ethics 11 (6) pp.587-599.

Arber A. & Gallagher A. (2003) ‘Breaking bad news revisited: the push for negotiated disclosure and changing practice implications’ International Journal of Palliative Nursing Volume 9. No.4, pp.166-172

Seedhouse D. & Gallagher A. (2002) ‘Undignifying Institutions’ Journal of Medical Ethics 28: 368-372

McHale J., Gallagher A. & Mason I. (2001) ‘The Human Rights Act 1998: Implications for Nurses’ Nursing Ethics, 8 (3), pp. 223-233

Gallagher A. (1995) ‘Medical and Nursing Ethics; Never the Twain?’ Nursing Ethics 2 (2) pp. 95-101

Books published

Chadwick C. & Gallagher A. (2016) Ethics and Nursing Practice 2nd Edition, Palgrave/MacMillan, Basingstoke

Banks S. & Gallagher A. (2009) Ethics in Professional Life: Virtues for Health and Social Care Palgrave/MacMillan, Basingstoke

McHale J. & Gallagher A. (2003) Human Rights and Nursing Butterworth Heinemann/Elsevier, Edinburgh

Books edited

In press – Gallagher A. & Herbert C. Faith in Care: 11 Worldviews on Ethics, Spirituality and Care

Gallagher A. & Hodge S. (Editors) (2012) Ethical, legal and professional aspects in healthcare: a practice-based approach Palgrave/MacMillan

 Book chapters in press and published

Gallagher A. & Warren R. ‘Ethical Aspects of Individualised Care’ (2018 in press) in Suhonen R., Stolt M., & Papastravrou E. (Eds) Individualised Care – Theory, measurement, Research and Practice Springer

Gallagher A. ‘Mental Health Ethics’ in Norman I. & Ryrie I. (2018) The Art and Science of Mental Health Nursing, 2nd Edition (in press), Open University Press, Maidenhead

Gallagher A. (2017) ‘Care Ethics and Nursing Practice’ (Chapter 15) in Scott A. Key Concepts and Issues in Nursing Ethics, Springer

Gallagher A. (2014) ‘Moral Boundaries and Nursing Ethics’ in Kohlen H. et al Marking 20th Anniversary of Joan Tronto’s ‘Moral Boundaries’, Peeters, Leuven

Gallagher A. (2013) ‘Ann Gallagher’ Chapter 8 in: Forss A, Ceci C. & Drummond J. (Eds) Philosophy of Nursing: 5 Questions Automatic Press/VIP, Copenhagen

Gallagher A. ‘Preparing students for ethical practice’ in Higgs J., Sheehan D., Baldry Currens J., Letts W. & Jensen G.M.(Eds) (2013) Realising Exemplary Practice-Based Education Sense Publications, Rotterdam

Gallagher A. (2012) ‘Nursing Ethics’ entry in Chadwick R.(Editor-in-Chief) Encyclopaedia of Applied Ethics Second Edition, Elsevier, Edinburgh

Gallagher A. ‘Care environments which support dignity in care’ in Matiti M. & Baille L. (Eds) (2011) Dignity in Care: A Practical Approach Radcliffe Publishing, London

Gallagher A. and McKie A. ‘The potential of literature and poetry’ in Warne T.and McAndrew S. (Editors)  (2010) Creative Approaches in Health and Social Care Education and Practice: Knowing Me, Understanding You Palgrave MacMillan, Basingstoke

Gallagher A ‘Ethics and Culturally Competent Care’ in Papadopolous R. (Ed.) (2006) Transcultural Health and Social care: The Development of Culturally Competent Practitioners Elsevier, Edinburgh

Gallagher A. ‘Promoting Ethical Competence’ in Davis A.J., Tschudin V. and De Raeve (eds) (2006) The Teaching of Nursing Ethics: content and methods Elsevier, Edinburgh

Gallagher A. Chapter ‘Do virtues have a role in the practice of counselling?’ in Robb M., Barrett S, Komaromy C. and Rogers A. (2004) Communication, Relationships and Care: A Reader Routledge, London

Baxter C. & Gallagher A. ‘Blowing the Whistle on Racism in Services: Ethical Professional and Legal Aspects’ in Baxter C. (ed.) (2001)  Diversity & Equality in Health Care, Bailliere Tindall/ Harcourt,

Gallagher A. ‘Negotiating the Dilemmas of Antenatal Testing for Genetic Disorders  What is the Virtuous Person to Do?’ Chapter published in Genetic Information: Acquisition, Access and Control (Chapter 25) in Thompson A.K. & Chadwick R. (Eds) (1999) Publisher Kluwer Academic/Plenum Publishers, New York

Hodder P. & Gallagher A. ‘Ethics & Standard-Setting’ (Chapter 6) in Chadwick R. (ed.) (1998) Ethical Issues in Community Health Care Edward Arnold Ltd., London.

Examples of media opinion pieces

Gallagher A. (2017) Blog: Learning from the case of Charlie Gard: How a hard case can make bad ethics (see )

Gallagher A. (2017) Let's tackle 'careism' and give workers the respect they deserve The Guardian 22/02/2017 (See )

Gallagher A. (2015) Ethical Responses to Child Sexual Exploitation and Abuse Inquiries - Why We Need a Slow Approach The Huffington Post (see

Gallagher A. (2013) 'Proposal for hidden cameras in care homes is misguided' The Conversation 15th October (See )

Gallagher A. (2013) 'Dignitas case raises tough questions over right to die and duty to protect' The Conversation 20th August (see

Gallagher A (2013) 'Should Brady be kept alive? The ethics of force feeding' The Conversation 19th June (see

Gallagher A. (2013) The Ethics of Force-Feeding Inmates New York Times 1st May (see

Gallagher A. (2013) 'Care: A higher calling' Times Higher Education 28th February (see

Gallagher A. (2013) 'Slow ethics will tackle moral winter' Times Higher Education 10th January (see

Gallagher A. (2012) The key to improving nursing lies with nurses themselves The Times 04/05/12 p.61 (Public Sector section)

Gallagher A. (2012) How nursing should tackle its image problem The Guardian 10/05/2012 (See

Editorials in Nursing Ethics

  • Gallagher A. & Gannon C. (2018) Learning from Gosport: Deterring Institutional Deafness Nursing Ethics 25(6): 687-689
  • Gallagher A. & Jago R. (2018) Understanding professional misconduct: Snowflakes, stoics or organisational culture? 25(4): 415-417
  • Gallagher A. & Hodge D.A. (2018)  Gun Violence: Care Ethicists Making the Invisible Visible Nursing Ethics 25(1)
  • Gallagher A. (2017) What can we learn from the case of Charlie Gard? Perspectives from an inter-disciplinary panel discussion Nursing Ethics 24(7): 775-776
  • Gallagher A. (2017) What can we learn from the case of Charlie Gard (24)7:
  • Gallagher A. & Tschudin V. (2017) Celebrating exemplary ethical care: The Human Rights and Nursing Awards 24(6): 637-639
  • Gallagher A. (2017) Ethical leadership revisited: The value of sharing diverse perspective 24(5): 515-516
  • Gallagher A. & Christie I. (2017) Towards a Sustainable Care Utopia Nursing Ethics 24(4): 389-391
  • Gallagher A. (2017) The Good Enough Doctor Nursing Ethics 24(2): 123-4
  • Gallagher A, (2016) Highlights from the 2016 Conference Nursing Ethics 23 (7): 727-728
  • Gallagher A. (2016) Mindfulness, Moral Distress and Dementia Care Nursing Ethics 23 (6): 599-600
  • Gallagher A., Naden D. & Karterud D. (2016) Ethical aspects of Robots in Care Nursing Ethics 23 (4) 369-371
  • Gallagher A. (2016) The 'good' professional regulator: Superhero or adversary? Nursing Ethics 23 (3) 251-153
  • Gallagher A. (2016) What counts as 'ethics education?' Nursing Ethics 23 (2) 131
  • Gallagher A. (2016) The Nursing Ethics Heritage Project Nursing Ethics 23 (1) 3