The code of ethics for the profession of nursing states that the nurses’ primary commitment is to”:

3.5 Acting on questionable practice -The nurse's primary commitment is to the health, well-being, and safety of the patient across the life span and in all settings in which health care needsare addressed. As an advocate for the patient, the nurse must be alert to and take appropriateaction regarding any instances of incompetent, unethical, illegal, or impaired practice by anymember of the health care team or the health care system or any action on the part of others thatplaces the rights or best interests of the patient in jeopardy. To function effectively in this role,nurses must be knowledgeable about the Code of Ethics, standards of practice of the profession,relevant federal, state and local laws and regulations, and the employing organization's policiesand procedures.When the nurse is aware of inappropriate or questionable practice in the provision or denial ofhealth care, concern should be expressed to the person carrying out the questionable practice.Attention should be called to the possible detrimental affect upon the patient's well-being or bestinterests as well as the integrity of nursing practice. When factors in the health care deliverysystem or health care organization threaten the welfare of the patient, similar action should bedirected to the responsible administrator. If indicated, the problem should be reported to anappropriate higher authority within the institution or agency, or to an appropriate externalauthority.There should be established processes for reporting and handling incompetent, unethical, illegal,or impaired practice within the employment setting so that such reporting can go through officialchannels, thereby reducing the risk of reprisal against the reporting nurse. All nurses have aresponsibility to assist those who identify potentially questionable practice. State nursesassociations should be prepared to provide assistance and support in the development andevaluation of such processes and reporting procedures.When incompetent, unethical, illegal, orimpaired practice is not corrected within the employment setting and continues to jeopardizepatient well-being and safety, the problem should be reported to other appropriate authoritiessuch as practice committees of the pertinent professional organizations, the legally constitutedbodies concerned with licensing of specific categories of health workers and professionalpractitioners, or the regulatory agencies concerned with evaluating standards or practice. Somesituations may warrant the concern and involvement of all such groups. Accurate reporting andfactual documentation, and not merely opinion, undergird all such responsible actions. When a

Hello class, After reading the ANA code of ethics there are various aspects that can relate back to nursing informatics. However, the main sections I would like to discuss would be; provisions two, three, seven, eight and nine. Provision two in the ANA code of ethics states that "the nurses primary commitment is to the patient (NursingWorld)." This relates back to nursing informatics because is clearly shows the importance of patient centered care. This also relates to clause 1.4 in provision one , which briefly discusses autonomy or a patients right to choose their treatment. Healthcare informatics helps not only patients but also healthcare workers in their decision making and provides the necessary means to make an informed decision (NurseWorld). By using information systems, healthcare providers (nurses included of course) are able to provide more accurate, up to date patient information, thus enhancing care. Provision three focuses on a patients right to privacy and confidentiality. In any healthcare career you will always strive to maintain patient privacy and confidentialy. This relates back not only to the code of ethics but also to HIPPA. Patient privacy and confidentiality definitley falls under the ethical aspect of the healthcare system." If we as healthcare providers do not promote a trusting enviroment, a patient would most likely be less apt to seek care or share sensitive information that could impact their health. Provision seven states that "the

The main points of provision five of the ANA code of ethics are as follows: section 5.1, which is moral self-respect, suggests that nurses must care for themselves as much as they care for their patients. Nurses must do their best to maintain professional respect to themselves in regards of their competence and moral character. Section 5.2, which is professional growth and maintenance of competence, suggests that nurses must continue to self and peer evaluate themselves throughout their careers. Nurses must continue to learn current, up to date nursing practices through self, peer, and higher education. Section 5.3, which is wholeness of character, suggests that nurses must develop and take into consideration their own moral perspectives when practicing in their careers. Nurses are encouraged to express their moral viewpoint when it is helpful to the recovery of their patients, but must never express moral beliefs based on social stigmas that could negatively affect patient outcomes.

Section 5.4, which is the preservation of integrity, suggests that nurses will inevitably have to deal with threats to their moral or professional integrity at some point in their careers. Nurses should do their best to maintain professional integrity when met with adversity, weather it be from uncooperative issuance companies, an unsound work environment, or from the patients themselves. When working in an unsound or unsafe work environment that violates law or the ANA code of ethics nurses must go through the proper channels to fix the problem. If a nurse feels that a procedure or treatment their patient is having conflicts with his or her own moral integrity and they cannot participate, the nurse must report they unwilling to tr...

... middle of paper ... ...l of how their decisions affect patients and the healthcare system as a whole. It stated that nurses should maintain their professional growth and competency in their professional careers. The Canadian code of ethics for registered nurses social determinates addressed more patient advocacy and getting involved in policy making. This was also addressed in the ANA code, but the Canadian code seemed to be more encouraging of nurses getting involved in policy making. It stated that nurses should advocate the necessity for healthcare to be universally accessible. Works Cited American Nurses Association (ANA), (2001), Code of Ethics for Nurses, American Nurses Association, Washington, D.C.

Canadian Nurses Association. (2008). Code of ethics for registered nurses. Retrieved from http://www.cna-aiic.ca/CNA/documents/pdf/publications/Code_of_Ethics_2008 _e.pdf

The principle of nonmaleficence would ensure no harm is caused to Daisy since she is already at risk for psychological damage related to this sort of experimental procedure. If, for example, Daisy were to die before she competently decided what to do with her ovarian tissue the proper consent with detailed information would have been established, so that no other person may use her tissue. On the other hand, no one has ever died from not being able to reproduce making removal and freezing of the tissue not necessary for survival. Daisy’s mother, Mrs. Jones, may believe that by going through with the OTC procedure she is protecting her daughter from future psychological distress associated with being an infertile woman. Mrs. Jones is considering the “good” Daisy may have in the future with the option of being able to access those tissues. The principles of proportionality can be considered in the decision making for the case of Daisy. Proportionality factors are alternatives to attaining good, the level, certitude, probability, and wedge principle of good or evil. In doing good the nurse’s obligation for a certain individual is dependent on the accountability and responsibility to providing optimum care. Confidentiality in Nursing Code of Ethics

Many patients confide in health care providers with their personal information. Therefore, it is critical for nurses to protect a