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Nine Provisions of the ANA’s Code of Ethics for Nurses Read a summary of the nine provisions in the following box. Each provision contains several clarifying or “interpretive” statements.

The Code of Ethics for Nurses contains nine provisions. A code of ethics makes explicit the primary goals, values, and obligations of the profession.” The ethical tradition of nursing is self-reflective, enduring, and distinctive. It states, “Individuals who become nurses are expected to adhere to the ideals and moral norms of the profession and also to embrace them as a part of what it means to be a nurse. The American Nurses Association Code of Ethics for Nurses With Interpretive Statements is an ethical standard that guides nursing practice and ethical decision-making.

ETHICAL PRINCIPLE JUSTICE PROFESSIONAL

Represents the nursing perspective in clinic, institutional, community, or professional association ethics discussions.Īmerican Nurse Association Code of Ethics.Collaborates with other health professionals and the public to protect human rights, promote health diplomacy, enhance cultural sensitivity and congruence, and reduce health disparities.Contributes to the establishment and maintenance of an ethical environment that is conducive to safe, quality health care.Engages in self-care and self-reflection practices to support and preserve personal health, well-being, and integrity.Depicts one’s professional nursing identity through demonstrated values and ethics, knowledge, leadership, and professional comportment.Refines ethical competence through continued professional education and personal self-development activities.Integrates principles of social justice in all aspects of nursing practice (Justice).Identifies ethics resources within the practice setting to assist and collaborate in addressing ethical issues.Safeguards sensitive information within ethical, legal, and regulatory parameters (Nonmaleficence).

Maintains therapeutic relationships and professional boundaries.

Demonstrates a primary commitment to the recipients of nursing and health care services in all settings and situations (Fidelity).

Advocates for health care consumer perspectives, preferences, and rights to informed decision-making and self-determination (Respect for autonomy).

Demonstrates that every person is worthy of nursing care through the provision of respectful, person-centered, compassionate care, regardless of personal history or characteristics (Beneficence).

Uses the Code of Ethics for Nurses With Interpretive Statements as a moral foundation to guide nursing practice and decision-making.

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The problem of how to resolve conflicts between the principles will be explored, demonstrating the merit of the approach through its application to a real-life moral problem from the pre-hospital setting. Critics of the approach have suggested that there is a lack of guidance on how to resolve this conflict.This paper will argue that principlism facilitates an organised and thorough method of reflecting upon an ethical problem and is well suited to the pre-hospital setting. On occasion, ethical dilemmas are complex and one or more of the four principles come into conflict with each other. Beauchamp and Childress’ ‘Four Principles’ approach to medical ethics, or ‘Principlism’ for short, is highly regarded as a simple methodology for considering ethical dilemmas, and is common to many undergraduate clinical programmes. To ensure morally justified decisions, clinicians are encouraged to apply ethical theories and frameworks.

Ethical principle justice