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Code of Ethics for Nurses with Interpretive Statements
Code of Ethics for Nurses with Interpretive Statements
Code of Ethics for Nurses with Interpretive Statements
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Code of Ethics for Nurses with Interpretive Statements

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The American Nurses Association is proud to announce a completely updated Code of Ethics for Nurses with Interpretive Statements (The Code). This book is the definitive framework for ethical analysis and decision-making for RNs across all practice levels, roles and settings.
Revisions were made in response to the complexities of modern nursing, to simplify and more clearly articulate the content, to anticipate advances in health care, and to incorporate aids that would make it richer, more accessible, and easier to use.
The Code, consisting of nine provisions and the accompanying interpretive statements:
Provides a succinct statement of the ethical values, obligations, and duties of every individual who enters the nursing profession.
Serves as the profession’s nonnegotiable ethical standard.
Expresses nursing’s own understanding of its commitment to society.
The Code is particularly useful to in today’s health care environment because it reiterates the fundamental values and commitments of the nurse (Provisions 1–3), identifies the boundaries of duty and loyalty (Provisions 4–6), and describes the duties of the nurse that extend beyond individual patient encounters (Provisions 7–9).
This revision retains interpretive statements for each provision that provide more specific guidance for practice. The statements are responsive to the contemporary context of nursing and recognize the larger scope of nursing’s concern in relation to health. It also includes another innovation: links to foundational and supplemental documents, which will be available later in 2015.
ANA’s Code of Ethics for Nurses with Interpretive Statements is the promise that nurses are doing their best to provide care for their patients and their communities and are supporting each other in the process so that all nurses can fulfill their ethical and professional obligations. It is important tool that can be used now as leverage to a better future for nurses, patients and health care. This Code is a reflection of the proud ethical heritage of nursing, a guide for all nurses now and into the future.
LanguageEnglish
PublisherNursesbooks
Release dateJan 9, 2015
ISBN9781558106017
Code of Ethics for Nurses with Interpretive Statements
Author

American Nurses Association

The American Nurses Association (ANA) is the premier organization representing the interests of the nation's 4 million registered nurses. ANA is at the forefront of improving the quality of health care for all. Founded in 1896, and with members in all 50 states and U.S. territories, ANA is the strongest voice for the profession

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    Code of Ethics for Nurses with Interpretive Statements - American Nurses Association

    Contributors and Acknowledgments

    This revision of the Code of Ethics for Nurses with Interpretive Statements was informed by over 7,800 responses from 2,780 nurses in an online public survey of the 2001 Code. After a revised code was drafted, it was posted for public comment to which more than 1,500 additional responses, representing approximately 1,000 nurses were posted. The contributions of these nurses are gratefully acknowledged.

    The revisions were implemented by a steering committee convened to revise the 2001 Code. The members of that committee represented a variety of nursing roles and settings and were drawn from across the United States. The following persons were members of the Steering Committee for the Revision of the Code of Ethics for Nurses with Interpretive Statements:

    Margaret Hegge, EdD, RN, FAAN – Chair

    Marsha Fowler, PhD, MDiv, MS, RN, FAAN

    Dana Bjarnason, PhD, RN, NE-BC

    Timothy Godfrey, SJ, DNP, RN, PHCNS-BC

    Carla Lee, PhD, APRN-BC, FAAN

    Lori Lioce, DNP, FNP-BC, CHSE, FAANP

    Margaret Ngai, BSN, RN

    Catherine Robichaux, PhD, RN, CNS

    Kathryn Schroeter, PhD, RN, CNOR, CNE

    Josephine Shije, BSN, RN

    Elizabeth Swanson, DNP, MPH, APRN-BC

    Mary Tanner, PhD, RN

    Elizabeth Thomas, MEd, BS, RN, NCSN, FNASN

    Lucia Wocial, PhD, RN

    Karen Zanni, MSN, FNP-C

    The Steering Committee was staffed by Laurie Badzek, LLM, JD, RN, FAAN, Director of ANA’s Center for Ethics and Human Rights (Co-Chair), and Martha Turner, PhD, RN-BC, Assistant Director for ANA’s Center for Ethics and Human Rights, who served as content editor, revision coordinator, and co-lead writer. Committee member Marsha Fowler, PhD, MDiv, MS, RN, FAAN, who was named Historian and Code Scholar, served as co-lead writer.

    Contents

    Contributors and Acknowledgments i

    Provisions of the Code of Ethics for Nurses with v Interpretive Statements

    Preface vii

    Introduction xi

    Provision 1 1

    1.1 Respect for Human Dignity

    1.2 Relationships with Patients

    1.3 The Nature of Health

    1.4 The Right to Self-Determination

    1.5 Relationships with Colleagues and Others

    Provision 2 5

    2.1 Primacy of the Patient’s Interests

    2.2 Conflict of Interest for Nurses

    2.3 Collaboration

    2.4 Professional Boundaries

    Provision 3 9

    3.1 Protection of the Rights of Privacy and Confidentiality

    3.2 Protection of Human Participants in Research

    3.3 Performance Standards and Review Mechanisms

    3.4 Professional Responsibility in Promoting a Culture of Safety

    3.5 Protection of Patient Health and Safety by Acting on Questionable Practice

    3.6 Patient Protection and Impaired Practice

    Provision 4 15

    4.1 Authority, Accountability, and Responsibility

    4.2 Accountability for Nursing Judgments, Decisions, and Actions

    4.3 Responsibility for Nursing Judgments, Decisions, and Actions

    4.4 Assignment and Delegation of Nursing Activities or Tasks

    Provision 5 19

    5.1 Duties to Self and Others

    5.2 Promotion of Personal Health, Safety, and Well-Being

    5.3 Preservation of Wholeness of Character

    5.4 Preservation of Integrity

    5.5 Maintenance of Competence and Continuation of Professional Growth

    5.6 Continuation of Personal Growth

    Provision 6 23

    6.1 The Environment and Moral Virtue

    6.2 The Environment and Ethical Obligation

    6.3 Responsibility for the Healthcare Environment

    Provision 7 27

    7.1 Contributions through Research and Scholarly Inquiry

    7.2 Contributions through Developing, Maintaining, and Implementing Professional Practice Standards

    7.3 Contributions through Nursing and Health Policy Development

    Provision 8 31

    8.1 Health Is a Universal Right

    8.2 Collaboration for Health, Human Rights, and Health Diplomacy

    8.3 Obligation to Advance Health and Human Rights and Reduce Disparities

    8.4 Collaboration for Human Rights in Complex, Extreme, or Extraordinary Practice Settings

    Provision 9 35

    9.1 Articulation and Assertion of Values

    9.2 Integrity of the Profession

    9.3 Integrating Social Justice

    9.4 Social Justice in Nursing and Health Policy

    Afterword 39

    Glossary 41

    Timeline: The Evolution of Nursing’s Code of Ethics 47

    Index 49

    Provisions of the Code of Ethics for Nurses with Interpretive Statements

    Provision 1 | The nurse practices with compassion and respect for the inherent dignity, worth, and unique attributes of every person.

    Provision 2 | The nurse’s primary commitment is to the patient, whether an individual, family, group, community, or population.

    Provision 3 | The nurse promotes, advocates for, and protects the rights, health, and safety of the patient.

    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.

    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.

    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 are conducive to safe, quality health care.

    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.

    Provision 8 | The nurse collaborates with other health professionals and the public to protect human rights, promote health diplomacy, and reduce health disparities.

    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.

    Preface

    The Code of Ethics for Nurses with Interpretive Statements (the Code) establishes the ethical standard for the profession and provides a guide for nurses to use in

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