[hen-ui-dynamic-experience placement=”aboveTheFold” /][hen-ui-list variant=”unordered” bullet-style=”bullet”] [hen-ui-list-item][hen-ui-text variant=”b4″]The American Nurses Association Code of Ethics for Nurses provides a foundation for ethical decision-making at the bedside.[/hen-ui-text][/hen-ui-list-item] [hen-ui-list-item][hen-ui-text variant=”b4″]Nursing has held the top spot as the most trusted and ethical profession in a list of diverse professions for more than 20 years.[/hen-ui-text][/hen-ui-list-item] [hen-ui-list-item][hen-ui-text variant=”b4″]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.[/hen-ui-text][/hen-ui-list-item][/hen-ui-list][hen-ui-text variant=”b4″]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.[/hen-ui-text][hen-ui-text variant=”b4″]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.[/hen-ui-text][hen-ui-flex gap=”xl” align=”left” direction=”column”][hen-ui-flex gap=”xs” align=”left” direction=”column”][hen-ui-heading variant=”h2″]Popular Online RN-to-BSN Programs[/hen-ui-heading][hen-ui-text variant=”b4″ color=”subtext”]Learn about start dates, transferring credits, availability of financial aid, and more by contacting the universities below.[/hen-ui-text][/hen-ui-flex][hen-ui-dynamic-experience placement=”belowTheFold” /][/hen-ui-flex][hen-ui-heading variant=”h2″]The Need for a Nursing Code of Ethics[/hen-ui-heading][hen-ui-text variant=”b4″]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.[/hen-ui-text][hen-ui-text variant=”b4″]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.[/hen-ui-text][hen-ui-text variant=”b4″]Initially, there was no formalized code of ethics, and most nurses relied on Gretter’s [hen-ui-link href=”/articles/facts-about-florence-nightingale/”]Nightingale Pledge[/hen-ui-link], 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.[/hen-ui-text][hen-ui-text variant=”b4″]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.[/hen-ui-text][hen-ui-heading variant=”h2″]What Is the Code of Ethics for Nurses?[/hen-ui-heading][hen-ui-text variant=”b4″]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.[/hen-ui-text][hen-ui-list variant=”unordered” bullet-style=”bullet”] [hen-ui-list-item][hen-ui-heading variant=”h4″]Provision 1[/hen-ui-heading]The nurse practices with compassion and respect for the inherent dignity, worth, and unique attributes of every person.[/hen-ui-list-item] [hen-ui-list-item][hen-ui-heading variant=”h4″]Provision 2[/hen-ui-heading]The nurse’s primary commitment is to the patient, whether an individual, family, group, community, or population.[/hen-ui-list-item] [hen-ui-list-item][hen-ui-heading variant=”h4″]Provision 3[/hen-ui-heading]The nurse promotes, advocates for, and protects the rights, health, and safety of the patient.[/hen-ui-list-item] [hen-ui-list-item][hen-ui-heading variant=”h4″]Provision 4[/hen-ui-heading]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.[/hen-ui-list-item] [hen-ui-list-item][hen-ui-heading variant=”h4″]Provision 5[/hen-ui-heading]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.[/hen-ui-list-item] [hen-ui-list-item][hen-ui-heading variant=”h4″]Provision 6[/hen-ui-heading]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.[/hen-ui-list-item] [hen-ui-list-item][hen-ui-heading variant=”h4″]Provision 7[/hen-ui-heading]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.[/hen-ui-list-item] [hen-ui-list-item][hen-ui-heading variant=”h4″]Provision 8[/hen-ui-heading]The nurse collaborates with other health professionals and the public to protect human rights, promote health diplomacy, and reduce health disparities.[/hen-ui-list-item] [hen-ui-list-item][hen-ui-heading variant=”h4″]Provision 9[/hen-ui-heading]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.[/hen-ui-list-item][/hen-ui-list][hen-ui-heading variant=”h2″]How Nurses Use the Nursing Code of Ethics[/hen-ui-heading][hen-ui-text variant=”b4″]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.[/hen-ui-text][hen-ui-text variant=”b4″]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.[/hen-ui-text][hen-ui-text variant=”b4″]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.[/hen-ui-text][hen-ui-heading variant=”h2″]Related Resources[/hen-ui-heading] [hen-ui-article-row variant=”slider” ids=”44364,34351,34432,37100″][/hen-ui-article-row]