Consists of freedom to make decisions that will impact welfare and
take action for self. Self-determination
Acting in a fatherly or motherly manner, usually restricts client's
autonomy and impacts decision-making.
To act in the best interests of others. Includes promoting good, preventing
harm, and removing harm.
Fair, equitable, and appropriate treatment. Resources are distributed
equally to all.
The obligation to tell the truth.
The duty to do what one has promised.
as the basis of ethical codes such as the American Nurses' Association
Code of Ethics.
ANA Code of Ethics:
- The nurse, in all professional relationships practices with respect for the inherent dignity, worth, and uniqueness for every individual unrestricted by considerations of social or economic status, personal attributes or the nature of health status.
- The nurse’s primary commitment is to the patient whether an individual, family, group or community.
- The nurse promotes, advocates for, and strives to protect the rights of the patient.
- The nurse is responsible and accountable for individual nursing practice and determines the appropriate delegation of tasks consistent with the nurse’s obligation to provide optimum patient care.
- The nurse owes the same duties to self as others, including the responsibility to preserve integrity and safety, to maintain competence, and to personal and professional growth.
- The nurse participates in establishing, providing and promoting health care environments and conditions of employment conducive to the provision of quality health care and consistent with the values of the profession through individual and collective action.
- The nurse participates in the advancement of the profession through contributions to practice, education, administration and knowledge development.
- The nurse collaborates with other health care professionals and the public in promoting community, national, and international efforts to meet health care needs.
- The profession of nursing, as represented by associations and their members, is responsible for articulating nursing values, for maintaining the integrity of the profession, and its practice and for shaping social policy.
codes are not legally binding but the Board of Nurse Examiners has
authority to reprimand nurses for unprofessional conduct that results
from violation of ethical codes.
when there is a conflict between two or more ethical principles. There
is no correct decision and the nurse must choose between two alternatives
that are equally unsatisfactory.
have Ethics Committees to develop and establish policies and procedures
to address ethical dilemmas. Committees are multidisciplinary to address
many different viewpoints.