CODE OF ETHICS FOR NURSES International Code of Ethics

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CODE OF ETHICS FOR NURSES International person and in all media, including social media.

Code of Ethics 6. Nurses share with society the responsibility for


initiating and supporting action to meet the
Preamble: Nurses have four fundamental
health and social needs of all people. 7. Nurses
responsibilities: to promote health, to prevent
advocate for equity and social justice in resource
illness, to restore health, and alleviate suffering.
allocation, access to health care and other social
The need for nursing is universal. Inherent in
and economic services. 8. Nurses demonstrate
nursing is respect for human rights, including the
professional values such as respect, justice,
right to life, dignity and to be treated with
responsiveness, caring, compassion, empathy,
respect. Nursing care is unrestricted by
trustworthiness and integrity. They support and
considerations of age, color, creed, culture,
respect the dignity and universal rights of all
disability or illness, gender, nationality, politics,
people, including patients, colleagues and
race, or social status. The ICN Code The ICN Code
families. 9. Nurses facilitate a culture of safety in
of Ethics for Nurses has four principal elements
health care environments, recognising and
that provide a framework for ethical conduct: 1.
addressing threats to people and safe care in
nurses and patients or other people requiring
health practices, services and settings. 10.
care or services 2. nurses and practice 3. nurses
Nurses provide evidence-informed,
and the profession 4. nurses and global health.
personcentred care, recognising and using the
Nurses and Patients or other people requiring
values and principles of primary health care and
care or services. 1. Nurses’ primary professional
health promotion across the lifespan. 11. Nurses
responsibility is to people requiring nursing care
ensure that the use of technology and scientific
and services now or in the future, whether
advances are compatible with the safety, dignity
individuals, families, communities or populations
and rights of people. In the case of artificial
(hereinafter referred to as either ‘patients’ or
intelligence or devices, such as care robots or
‘people requiring care’). 2. Nurses promote an
drones, nurses ensure that care remains person-
environment in which the human rights, values,
centred and that such devices support and do
customs, religious and spiritual beliefs of the
not replace human relationships. Nurses and
individual, families and communities are
Practice 1. Nurses carry personal responsibility
acknowledged and respected by everyone.
and accountability for ethical nursing practice,
Nurses’ rights are included under human rights
and for maintaining competence by engaging in
and should be upheld and protected. 3. Nurses
continuous professional development and
ensure that the individual and family receive
lifelong learning. 2. Nurses maintain fitness to
understandable, accurate, sufficient and timely
practice so as not to compromise their ability to
information in a manner appropriate to the
provide quality, safe care. 3. Nurses practice
patient’s culture, linguistic, cognitive and
within the limits of their individual competence
physical needs, and psychological state on which
and regulated or authorised scope of practice
to base consent for care and related treatment.
and use professional judgement when accepting
4. Nurses hold in confidence personal
and delegating responsibility 4. Nurses value
information and respect the privacy,
their own dignity, well-being and health. To
confidentiality and interests of patients in the
achieve this requires positive practice
lawful collection, use, access, transmission,
environments, characterised by professional
storage and disclosure of personal information.
recognition, education, reflection, support
5. Nurses respect the privacy and confidentiality
structures, adequate resourcing, sound
of colleagues and people requiring care and
management practices and occupational health
uphold the integrity of the nursing profession in
and safety. 5. Nurses maintain standards of developing and sustaining a core of professional
personal conduct at all times. They reflect well values 4. Nurses, through their professional
on the profession and enhance its image and organisations, participate in creating a positive
public confidence. In their professional role, and constructive practice environment where
nurses recognise and maintain personal practice encompasses clinical care, education,
relationship boundaries. 6. Nurses share their research, management and leadership. This
knowledge and expertise and provide feedback, includes environments which facilitate a nurse’s
mentoring and supporting the professional ability to practice to their optimal scope of
development of student nurses, novice nurses, practice and to deliver safe, effective and timely
colleagues and other health care providers. 7. health care, in working conditions which are safe
Nurses are patient advocates, and they maintain as well as socially and economically equitable for
a practice culture that promotes ethical nurses. 5. Nurses contribute to positive and
behaviour and open dialogue. 8. Nurses may ethical organisational environments and
conscientiously object to participating in challenge unethical practices and settings.
particular procedures or nursing or health- Nurses collaborate with nursing colleagues,
related research but must facilitate respectful other (health) disciplines and relevant
and timely action to ensure that people receive communities to engage in the ethical creation,
care appropriate to their individual needs. 9. conduct and dissemination of peer reviewed and
Nurses maintain a person’s right to give and ethically responsible research and practice
withdraw consent to access their personal, development as they relate to patient care,
health and genetic information. They protect the nursing and health. 6. Nurses engage in the
use, privacy and confidentiality of genetic creation, dissemination and application of
information and human genome technologies research that improves outcomes for individuals,
10. Nurses take appropriate actions to safeguard families and communities. 7. Nurses prepare for
individuals, families, communities and and respond to emergencies, disasters, conflicts,
populations when their health is endangered by epidemics, pandemics, social crises and
a co-worker, any other person, policy, practice or conditions of scarce resources. The safety of
misuse of technology. 11. Nurses are active those who receive care and services is a
participants in the promotion of patient safety. responsibility shared by individual nurses and
They promote ethical conduct when errors or the leaders of health systems and organisations.
near misses occur, speak up when patient safety This involves assessing risks and developing,
is threatened, advocate for transparency, and implementing and resourcing plans to mitigate
work with others to reduce the potential of these Nurses and Global Health 1. Nurses value
errors. 12. Nurses are accountable for data health care as a human right, affirming the right
integrity to support and facilitate ethical to universal access to health care for all. 2.
standards of care. Nurses and Profession 1. Nurses uphold the dignity, freedom and worth of
Nurses assume the major leadership role in all human beings and oppose all forms of
determining and implementing exploitation, such as human trafficking and child
evidenceinformed, acceptable standards of labour. 3. Nurses lead or contribute to sound
clinical nursing practice, management, research health policy development. 4. Nurses contribute
and education. 2. Nurses and nursing scholars to population health and work towards the
are active in expanding research-based, current achievement of the United Nations Sustainable
professional knowledge that supports evidence- Development Goals (SDGs). (UN n.d.) 5. Nurses
informed practice. 3. Nurses are active in recognise the significance of the social
determinants of health. They contribute to, and
advocate for, policies and programmes that
address them. 6. Nurses collaborate and practise
to preserve, sustain and protect the natural
environment and are aware of the health
consequences of environmental degradation,
e.g. climate change. They advocate for initiatives
that reduce environmentally harmful practices to
promote health and well-being. 7. Nurses
collaborate with other health and social care
professions and the public to uphold principles of
justice by promoting responsibility in human
rights, equity and fairness and by promoting the
public good and a healthy planet. 8. Nurses
collaborate across countries to develop and
maintain global health and to ensure policies and
principles for this

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