An important part of the student nurse's training involves reflection
on practice, as expressed in written assignments and seminar discussio
ns. In this, students make use of material drawn from their work with
clients. A key ethical question is, therefore: should clients' permiss
ion be sought by students for this use of case material in coursework
assignments. This article examines in some detail the arguments both f
or and against seeking clients' permission and concludes that, in view
of the principle of respect for autonomy, there is a moral obligation
to gain consent. It is argued, however, that there may be legitimate
exceptions to this.