Icncode english


Published on

Published in: Health & Medicine
1 Like
  • Be the first to comment

No Downloads
Total views
On SlideShare
From Embeds
Number of Embeds
Embeds 0
No embeds

No notes for slide

Icncode english

  1. 1. The ICNCode of Ethicsfor Nurses
  2. 2. All rights, including translation into other languages, reserved. No part of thispublication may be reproduced in print, by photostatic means or in any othermanner, or stored in a retrieval system, or transmitted in any form without theexpress written permission of the International Council of Nurses. Short excerpts(under 300 words) may be reproduced without authorisation, on condition thatthe source is indicated.Copyright © 2006 by ICN - International Council of Nurses,3, place Jean-Marteau, 1201 Geneva (Switzerland)ISBN : 92-95040-41-4 Printing : Imprimerie Fornara
  3. 3. THE ICN CODE OF ETHICS FOR NURSESAn international code of ethics for nurses was first adopted by theInternational Council of Nurses (ICN) in 1953. It has been revisedand reaffirmed at various times since, most recently with thisreview and revision completed in 2005.PREAMBLENurses have four fundamental responsibilities : to promote health, toprevent illness, to restore health and to alleviate suffering. The needfor nursing is universal.Inherent in nursing is respect for human rights, including culturalrights, the right to life and choice, to dignity and to be treated withrespect. Nursing care is respectful of and unrestricted by consider-ations of age, colour, creed, culture, disability or illness, gender,sexual orientation, nationality, politics, race or social status.Nurses render health services to the individual, the family and thecommunity and co-ordinate their services with those of relatedgroups. 1
  4. 4. THE ICN CODEThe ICN Code of Ethics for Nurses has four principal elements thatoutline the standards of ethical conduct.ELEMENTS OF THE CODE1. NURSES AND PEOPLEThe nurse’s primary professional responsibility is to people requiringnursing care.In providing care, the nurse promotes an environment in which thehuman rights, values, customs and spiritual beliefs of the individual,family and community are respected.The nurse ensures that the individual receives sufficient informationon which to base consent for care and related treatment.The nurse holds in confidence personal information and uses judge-ment in sharing this information.The nurse shares with society the responsibility for initiating and sup-porting action to meet the health and social needs of the public, inparticular those of vulnerable populations.The nurse also shares responsibility to sustain and protect the nat-ural environment from depletion, pollution, degradation anddestruction.2. NURSES AND PRACTICEThe nurse carries personal responsibility and accountability fornursing practice, and for maintaining competence by continuallearning. 2
  5. 5. The nurse maintains a standard of personal health such that theability to provide care is not compromised.The nurse uses judgement regarding individual competence whenaccepting and delegating responsibility.The nurse at all times maintains standards of personal conductwhich reflect well on the profession and enhance public confidence.The nurse, in providing care, ensures that use of technology andscientific advances are compatible with the safety, dignity andrights of people.3. NURSES AND THE PROFESSIONThe nurse assumes the major role in determining and implement-ing acceptable standards of clinical nursing practice, manage-ment, research and education.The nurse is active in developing a core of research-based pro-fessional knowledge.The nurse, acting through the professional organisation, partici-pates in creating and maintaining safe, equitable social and eco-nomic working conditions in nursing.4. NURSES AND CO-WORKERSThe nurse sustains a co-operative relationship with co-workers innursing and other fields.The nurse takes appropriate action to safeguard individuals, fam-ilies and communities when their health is endangered by a co-worker or any other person. 3
  6. 6. SUGGESTIONS FOR USE OF THE ICN CODE OF ETHICS FOR NURSESThe ICN Code of Ethics for Nurses is a guide for action based onsocial values and needs. It will have meaning only as a living doc-ument if applied to the realities of nursing and health care in achanging society.To achieve its purpose the Code must be understood, internalisedand used by nurses in all aspects of their work. It must be avail-able to students and nurses throughout their study and work lives.APPLYING THE ELEMENTS OF THE ICN CODE OF ETHICS FOR NURSESThe four elements of the ICN Code of Ethics for Nurses : nurses andpeople, nurses and practice, nurses and the profession, and nursesand co-workers, give a framework for the standards of conduct. Thefollowing chart will assist nurses to translate the standards intoaction. Nurses and nursing students can therefore :• Study the standards under each element of the Code.• Reflect on what each standard means to you. Think about how you can apply ethics in your nursing domain : practice, education, research or management.• Discuss the Code with co-workers and others.• Use a specific example from experience to identify ethical dilem- mas and standards of conduct as outlined in the Code. Identify how you would resolve the dilemmas.• Work in groups to clarify ethical decision making and reach a consensus on standards of ethical conduct.• Collaborate with your national nurses’ association, co-workers, and others in the continuous application of ethical standards in nursing practice, education, management and research. 4
  7. 7. Element of the Code # 1 : NURSES AND PEOPLEPractitioners and Educators and National Nurses’Managers Researchers AssociationsProvide care that In curriculum include Develop positionrespects human references to human statements andrights and is sensi- rights, equity, justice, guidelines thattive to the values, solidarity as the basis support humancustoms and beliefs for access to care. rights and ethicalof all people. standards.Provide continuing Provide teaching and Lobby for involve-education in ethical learning opportunities ment of nurses inissues. for ethical issues and ethics review decision making. committees.Provide sufficient Provide Provide guidelines,information to teaching / learning position statementspermit informed opportunities and continuingconsent and the related to informed education related toright to choose or consent. informed consent.refuse treatment.Use recording and Introduce into Incorporate issuesinformation curriculum concepts of confidentialitymanagement of privacy and confi- and privacy intosystems that ensure dentiality. a national code ofconfidentiality. ethics for nurses.Develop and Sensitise students to Advocate for safemonitor environ- the importance of and healthymental safety in the social action in environment.workplace. current concerns. 5
  8. 8. Element of the Code # 2 : NURSES AND PRACTICEPractitioners and Educators and National Nurses’Managers Researchers AssociationsEstablish standards Provide Provide accessof care and a teaching / learning to continuingwork setting that opportunities that education, throughpromotes safety foster life long journals, confer-and quality care. learning and ences, distance competence for education, etc. practice.Establish systems Conduct and dis- Lobby to ensurefor professional seminate research continuing educa-appraisal, continu- that shows links tion opportunitiesing education and between continual and quality caresystematic renewal learning and standards.of licensure to competence topractice. practice.Monitor and Promote the Promote healthypromote the importance of per- lifestyles forpersonal health of sonal health and nursing profes-nursing staff in illustrate its relation sionals. Lobbyrelation to their to other values. for healthy workcompetence for places andpractice. services for nurses.6
  9. 9. Element of the Code # 3 : NURSES AND THE PROFESSIONPractitioners and Educators and National Nurses’Managers Researchers AssociationsSet standards for Provide Collaborate withnursing practice, teaching / learning others to setresearch, opportunities in standards foreducation and setting standards nursing education,management. for nursing practice, research practice, research, and management. education and management.Foster workplace Conduct, dissemi- Develop positionsupport of the nate and utilise statements,conduct, research to guidelines anddissemination and advance the standards relatedutilisation of nursing profession. to nursingresearch related research.to nursing andhealth.Promote participa- Sensitise learners Lobby for fairtion in national to the importance social andnurses’ associa- of professional economic workingtions so as to nursing associa- conditions increate favourable tions. nursing. Developsocio-economic position statementsconditions for and guidelines innurses. workplace issues. 7
  10. 10. Element of the Code #4 : NURSES AND CO-WORKERSPractitioners and Educators and National Nurses’Managers Researchers AssociationsCreate awareness Develop under- Stimulateof specific and standing of the co-operation withoverlapping roles of other other relatedfunctions and the workers. disciplines.potential forinterdisciplinarytensions.Develop work- Communicate Develop awarenessplace systems that nursing ethics to of ethical issues ofsupport common other professions. other professions.professionalethical values andbehaviour.Develop Instil in learners Provide guidelines,mechanisms to the need to position statementssafeguard the safeguard the and discussionindividual, family individual, family fora related toor community or community when safeguardingwhen their care is care is endangered people when theirendangered by by health care care is endangeredhealth care personnel. by health carepersonnel. personnel.8
  11. 11. DISSEMINATION OF THE ICN CODE OF ETHICS FOR NURSESTo be effective the ICN Code of Ethics for Nurses must be familiarto nurses. We encourage you to help with its dissemination toschools of nursing, practising nurses, the nursing press and othermass media. The Code should also be disseminated to otherhealth professions, the general public, consumer and policy-mak-ing groups, human rights organisations and employers of nurses.GLOSSARY OF TERMS USED IN THE ICN CODE OF ETHICS FOR NURSESCo-worker Other nurses and other health and non-health related workers and professionals.Co-operative A professional relationship based on collegialrelationship and reciprocal actions, and behaviour that aim to achieve certain goals.Family A social unit composed of members connected through blood, kinship, emotional or legal relationships.Nurse shares A nurse, as a health professional and a citizen,with society initiates and supports appropriate action to meet the health and social needs of the public.Personal health Mental, physical, social and spiritual wellbe- ing of the nurse.Personal Information obtained during professionalinformation contact that is private to an individual or family, and which, when disclosed, may violate the right to privacy, cause inconvenience, embar- rassment, or harm to the individual or family.Related groups Other nurses, health care workers or other pro- fessionals providing service to an individual, family or community and working toward desired goals. 9
  12. 12. ÈRES • CONSEJO IRMI INF INT E ES RN D AL ACI NSEIL INTERNATION ONA L DE ENFERMERA• CO S• INT ER RSE S NA TIO N NU A L C O U N CIL O F International Council of Nurses 3, place Jean-Marteau 1201 Geneva, Switzerland Tel. +41 (22) 908 01 00 Fax +41 (22) 908 01 01 email: icn@icn.ch Web site: www.icn.ch