Nursing Code Of Ethics Explained | NurseJournal.org (2024)

Nursing Code Of Ethics Explained | NurseJournal.org (1)

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  • History of Nursing Code of Ethics
  • Nursing Code of Ethics Defined
  • Nursing Code of Ethics in Practice

The Code of Ethics is a foundation for complex decision-making necessary in today's healthcare climate. Knowing the code can help protect nurses.

Nursing Code Of Ethics Explained | NurseJournal.org (2)

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  • The American Nurses Association Code of Ethics for Nurses provides a foundation for ethical decision-making at the bedside.
  • Nursing has held the top spot as the most trusted and ethical profession in a list of diverse professions for more than 20 years.
  • With each passing year, nurses are confronted with more complex health-related decisions, which require a strong code of ethics as a foundation for care.

When faced with a professional ethical dilemma, where do you turn? The Code of Ethics for Nurses outlines nursing responsibilities and provides a foundation for the profession.

These codes help nurses fulfill their professional obligations and support their practice. Let’s explore the provisions within the Code, how you can use them, and how they shape your nursing practice.

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The Need for a Nursing Code of Ethics

To practice with integrity, nurses must follow key elements that guide the profession. This includes a rigorous system for licensure, accreditation for education, and a code of ethics relevant to current practice.

A foundational code of ethics helps practicing nurses remember that patients have unique backgrounds with different cultural needs, which requires withholding judgment to ensure all patients receive quality care. Key examples of how ethics impacts nurses daily include confidentiality, holistic treatment, advocacy, accountability, and equality.

Initially, there was no formalized code of ethics, and most nurses relied on Gretter’s Nightingale Pledge, which is similar to the Hippocratic Oath used in medicine. In 1926, the American Nurses Association (ANA) suggested an outline of ethical behavior framed in terms of relationships between colleagues, patients, and medicine.

A Tentative Code was published in 1940, and the first formal code was adopted in 1950. In 1968 the code was revised to help nurses interpret the provisions, which were also reduced from 17 to 10. In the following years, the code has been revised and expanded as the profession has become more independent, using advanced technology and expanding into advanced practice roles.

What Is the Code of Ethics for Nurses?

The ANA Code of Ethics for Nurses has nine provisions and support statements. It addresses four main principles of ethics: autonomy, justice, beneficence, and nonmaleficence. The provisions assert the ethical and moral foundation of the nursing profession.

  • Nursing Code Of Ethics Explained | NurseJournal.org (4)

    Provision 1

    The nurse practices with compassion and respect for the inherent dignity, worth, and unique attributes of every person.
  • Nursing Code Of Ethics Explained | NurseJournal.org (5)

    Provision 2

    The nurse’s primary commitment is to the patient, whether an individual, family, group, community, or population.
  • Nursing Code Of Ethics Explained | NurseJournal.org (6)

    Provision 3

    The nurse promotes, advocates for, and protects the rights, health, and safety of the patient.
  • Nursing Code Of Ethics Explained | NurseJournal.org (7)

    Provision 4

    The nurse has authority, accountability, and responsibility for nursing practice, makes decisions, and takes action consistent with the obligation to promote health and to provide optimal care.
  • Nursing Code Of Ethics Explained | NurseJournal.org (8)

    Provision 5

    The nurse owes the same duties to self as to others, including the responsibility to promote health and safety, preserve wholeness of character and integrity, maintain competence, and continue personal and professional growth.
  • Nursing Code Of Ethics Explained | NurseJournal.org (9)

    Provision 6

    The nurse, through individual and collective effort, establishes, maintains, and improves the ethical environment of the work setting and conditions of employment that support safe, quality healthcare.
  • Nursing Code Of Ethics Explained | NurseJournal.org (10)

    Provision 7

    The nurse, in all roles and settings, advances the profession through research and scholarly inquiry, professional standards development, and the initiation of both nursing and health policy.
  • Nursing Code Of Ethics Explained | NurseJournal.org (11)

    Provision 8

    The nurse collaborates with other health professionals and the public to protect human rights, promote health diplomacy, and reduce health disparities.
  • Nursing Code Of Ethics Explained | NurseJournal.org (12)

    Provision 9

    The profession of nursing, collectively through its professional organizations, must articulate nursing values, maintain the integrity of the profession, and integrate principles of social justice into nursing and health policy.

How Nurses Use the Nursing Code of Ethics

The ANA’s Code of Ethics for Nurses is designed to guide decision-making and assist clinical nurses in their roles within the healthcare system. The Code of Ethics is not a legal requirement mandated by law, but healthcare facilities and institutions typically incorporate its principles into their policies and procedures. Nurses are expected to follow these principles as a matter of professional integrity and commitment to patient well-being.

Patients have the right to make health-related decisions based on their beliefs and values, practicing an autonomy that could conflict with care guidelines or recommendations that healthcare professionals believe are best. So, if a patient chooses not to receive treatment, healthcare professionals must respect this decision, and nurses must advocate on their patient’s behalf.

Nurses must clearly understand the ethical principles that guide their profession and recognize their own moral and ethical foundation. There can be situations where nurses may perceive a conflict between the Code of Ethics and the practical realities of patient care. In such situations, nurses are encouraged to make the best ethical decision for patient well-being.


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Nursing Code Of Ethics Explained | NurseJournal.org (2024)

FAQs

What is Code of Ethics in nursing in simple words? ›

Being an advocate and protecting the rights and safety of their patients. Providing optimal care for patients in need, and assuming accountability to provide the best care possible. Safeguarding their own health, safety, and integrity as a nurse. Promoting ethics and integrity in the workplace.

What are the 4 main ethical principles in nursing PDF? ›

These principles are autonomy, beneficence, justice and nonmaleficence.
  • Autonomy. Autonomy in nursing means that patients have the right to make their own decisions based on their beliefs and values. ...
  • Beneficence. Beneficence in nursing is not as intimidating as it sounds. ...
  • Justice. ...
  • Nonmaleficence.
Jan 10, 2022

What are the 4 fundamental responsibilities of the ICN Code of Ethics? ›

Nurses have four fundamental responsibilities: to promote health, to prevent illness, to restore health and to alleviate suffering. The need for nursing is universal. Inherent in nursing is a respect for human rights, including cultural rights, the right to life and choice, to dignity and to be treated with respect.

What is the provision 9 code of ethics for nurses? ›

Provision 9 The profession of nursing, collectively through its professional organizations, must articulate nursing values, maintain the integrity of the profession, and integrate principles of social justice into nursing and health policy.

What is the code of ethics in simple words? ›

A code of ethics is a guiding set of principles intended to instruct professionals to act in a way that aligns with the organization's values and benefits all stakeholders. A business's code of ethics is drafted and tailored to the specific industry at hand, and it requires all business employees to adhere to it.

What is the definition of ethical nursing practice in your own words? ›

Ethical nursing practice is based on the belief that nurses have a professional and moral obligation to provide care that is in the best interest of their patients. This care includes protecting patients' rights, providing competent care, and maintaining patient confidentiality.

What are the 4 pillars of ethics in nursing? ›

Nurses are advocates for patients and must find a balance while delivering patient care. There are four main principles of ethics: autonomy, beneficence, justice, and non-maleficence. Each patient has the right to make their own decisions based on their own beliefs and values.[4]. This is known as autonomy.

What is the highest ethical principle in nursing? ›

Accountability

Accountability is chief among the ethical principles in nursing. Each nurse must be responsible for his or her own choices and actions in the course of patient care. Nurses who hold themselves accountable often provide higher-quality patient care.

What is an example of a non-maleficence? ›

Nonmaleficence: The avoidance or minimization of harm. Nonmaleficence in nursing requires the provision of safe, effective, high-quality care. Examples of nonmaleficence in nursing include holding a medication due to adverse reactions or taking steps to ensure a safe work environment.

Which is the best definition of Ethics? ›

First, ethics refers to well-founded standards of right and wrong that prescribe what humans ought to do, usually in terms of rights, obligations, benefits to society, fairness, or specific virtues.

Why is Ethics important in nursing? ›

The Nursing Code of Ethics has allowed nurses to become confident in the care that they are providing. By giving nurses a set of ethical principles and standards to adhere to, they can easily make morally-sound decisions for their patients, ensuring that they get the best possible care.

What is the meaning of beneficence in Ethics? ›

The generic definition of beneficence is an act of charity, mercy, and kindness. It connotes doing good to others and invokes a wide array of moral obligation. Beneficent acts can be performed from a position of obligation in what is owed and from a supererogatory perspective, meaning more than what is owed.

What happens if a nurse violates the code of ethics? ›

If a nurse or other medical professional violates the code of ethics, then they can be subject to license discipline and even revocation. A violation can also lead to civil or criminal liability, depending on the facts and circ*mstances.

What is the nursing code of ethics simplified? ›

The nurse owes the same duties to self as to others, including the responsibility to promote health and safety, preserve wholeness of character and integrity, maintain competence, and continue personal and professional growth.

What is the provision 7 of the nurse code of ethics? ›

Provision 7: The nurse, in all roles and settings, advances the profession through research and scholarly inquiry, professional standards development, and the generation of both nursing and health policy. All nurses can participate in the advancement of the profession.

Which is the best definition of ethics nursing? ›

Nursing ethics is the applied discipline that addresses the moral features of nursing practice. It is a subset of health care ethics or bioethics. Three dimensions of nursing ethics interrelate as they prescribe ethical norms, describe ethical aspects of nursing, and generate ethical guidance.

What is the nursing code of ethics quizlet? ›

The nurse promotes, advocates for, and strives to protect the health, safety, and rights of the patient. The nurse owes the same duties to self as to others, including the responsibility to preserve integrity and safety, to maintain competence, and to continue personal and professional growth.

Which of the following is the best description of a code of ethics? ›

The best description of a code of ethics is this: it is a document that permits others to know what principles guide professional decision making. Essentially, it is an established guide that delineates the standards of conduct expected within a particular organization or profession.

What does ethics of care mean in nursing? ›

Care ethics stem from the idea that care is basic to human existence. Caring weaves people into a network of relationships (Vanlaere & Gastmans, 2011). However, when a person chooses to be a nurse, he or she has made a moral commitment to care for all patients.

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