“…Research into the reasons why healthcare professionals, in this case nurses, are reluctant to report malpractice have been linked to both apathy, tied to an assumption that no action will be taken, and fear of retribution to their professional standing or personal lives, which have included both negative physical and emotional affects. 27,30,[32][33][34] In a recent UK National Health Service (NHS) survey of more than 2000 managers and clinicians a disparity of opinion emerged on the 'culture of voice. ' Here, staff were invited to report on the quality of leadership, transparency, and whistleblowing.…”