ANA and the Nine Provisions
The American Nursing Association (ANA) is a professional organization that supports over 3.1 million nursing professionals in the areas by providing high standards of nursing practice, supporting the rights of nurses in the workplace, exhibiting a progressive and sincere view on nursing, and by raising awareness regarding regulatory agencies on health care issues affecting nurses and the public. (American Nurses Association, 2013) In 2001, the ANA presented its updated version of the Code of Ethics for the nursing field. (Bosek & Savage, 2007, p.57) The Code of Ethics contains nine provisions which illustrate the responsibilities the nurse should emulate while upholding professional ethical practices and providing quality care and for her patients, their families and his/her colleagues. (American Nurses Association, 2013)
The nurse, in all professional relationships, practices with compassion and respect for the inherent dignity, worth, and uniqueness of every individual unrestricted by considerations for social or economic status, personal attributes, or the nature of health problems. (Bosek & Savage, 2007, p. 57) The nurse showed compassion and consideration while providing care for the obese patient with the open wound. (Bosek & Savage, 2007, p. 57) She refrained from gawking at the patient as well as protected her privacy and dignity by closing the door and being considerate. (Bosek & Savage, 2007, p. 57) The author’s two year old daughter (Bella) had an active case of MRSA for five months. On a particular visit one of the doctors had cut a large incision and placed a vessel loop to maintain drainage. Bella ripped out the vessel loop leaving a large wound in her inguinal area. Due to how small she was many and the training hospital she was in, many residents came in to take a look. Bella’s nurse demonstrated consideration for this small two year olds feelings and insisted that instead of ten doctors coming in individually that they all come in at one time. This prevented Bella from a lot of pain and well as emotional stress. Provision 2
The nurse’s primary commitment is to the patient, whether an individual, family, group, or community. (Bosek & Savage, 2007, p. 59) The nurse is showing her commitment to honor Mr. Keith’s wishes even though she may or may not agree with it. Although she may acknowledge the families concerns and wishes, her top priority is to Mr. Keith. (Bosek & Savage, 2007, p. 59) A patient in the oncology wing has decided that they no longer want to continue their chemotherapy. They state that it is too painful and they would much rather live out the rest of their life at home in peace. The patient’s grandson disagrees with this and wishes for the continuation of her treatment. The grandson had power of attorney but since the patient was still competent to make her own decisions, the nurse honored the wishes of the patient. She took the time to sit down with the patient’s grandson and explain the patient’s wishes as well as answer every question he had. Provision 3
The nurse promotes, advocates for, and strives to protect the health, safety, and rights of the patient. (Bosek & Savage, 2007, p. 59) A nursing student promoted the confidentiality of his patients by maintaining discretion regarding who does and does not view patient information. He upheld the ethical principle behind HIPPA and thus promoted patient privacy. (Bosek & Savage, 2007, p. 59) An 18 year old female went to see her nurse practitioner upon realization that she was six weeks late for her period. A week later a woman claiming to be the patient’s mother called the doctor’s office requiring information regarding her daughters visit. Although the lady stated she was the patient’s mother, the patient was eighteen years of age and had not requested her information be given to...