A constant and ready reference
An important new resource just released: the revised Code of Ethics for Nurses (Code). The American Nurses Association describes the Code as “The definitive standard for ethical nursing practice. It is an essential guide for nurses as they make everyday patient care and practice decisions.” It also supports nurses in developing and maintaining their professional identity and upholding their professional integrity. The association reminds us that the Code is anchored in nursing’s moral traditions and emphasizes the profession’s 21st century imperative to advance social justice and health equity.
Central themes include respect for human dignity, patient autonomy, beneficence, justice, and non-maleficence. The 10th provision, an important addition to the Code, specifically addresses global health issues and the nurse’s role in international nursing communities. You’ll find emphasis on social justice and actively recognizing and confronting systemic inequalities.
To apply the new Code, actively incorporate the core principles of patient-centered care, advocacy, professional responsibility, ethical decision-making, and self-care into your daily interactions with patients, colleagues, and healthcare systems. Prioritize patient well-being, respect their autonomy, and uphold the highest standards of practice while maintaining your own professional integrity. Refer to the provisions as a guide when facing ethical dilemmas.
For me, the Code serves as a constant and ready reference relevant to the following important elements of professional nursing:
- Patient-centered care. Always prioritize the patient’s needs and wishes; respect their dignity and unique attributes while you make informed decisions based on their best interests.
- Advocacy. Speak up for patients’ rights and needs, especially when facing challenges or disagreements with other providers.
- Professional responsibility. Maintain competence through ongoing education, work within your scope of practice, and hold yourself accountable.
- Ethical decision-making. When faced with ethical dilemmas, take a structured approach to analyze the situation, consider all perspectives, and make decisions that align with the Code ’s principles.
- Self-care. Prioritize personal well-being to maintain professional effectiveness and prevent burnout; seek support when needed.
How to use the Code in practice:
- Consult the provisions. Regularly review the Code ’s provisions to refresh your understanding of ethical guidelines.
- Identify ethical issues. Recognize potential ethical concerns in clinical situations and actively address them.
- Seek guidance. If you’re unsure about an ethical decision, consult colleagues, supervisors, or ethics committees for support.
- Reflect on practice. Regularly reflect on your own nursing practice to ensure alignment with the Code.
Also consider the importance of shared accountability. Nurses have a responsibility to promote ethical practice environments both individually and organizationally. And remember that many ethical dilemmas are complex. They require careful consideration and communication with all parties involved.
Read more about the updated Code in this month’s Frontline feature. And find the full Code at Codeofethics.ana.org/home.
American Nurse Journal. 2025; 20(4). Doi: 10.51256/ANJ042504
Lillee Gelinas, DNP, RN, CPPS, FAAN
Editor-in-Chief
