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10

Canadian Nurses Association

14. When differences among members of the health-care team affect care, nurses

seek constructive and collaborative approaches to resolving them and commit

to conflict resolution and a person-centred approach to care.

15. Nurses support each other in providing person-centred care.

B. Promoting Health and Well-Being

Nurses work with persons who have health-care needs or are receiving care to

enable them to attain their highest possible level of health and well-being.

Ethical responsibilities:

1. Nurses provide care directed first and foremost toward the health and well-

being of persons receiving care, recognizing and using the values and principles

of

primary health care

.

2. Nurses work with persons receiving care to explore the range of health-care

choices available to them, recognizing that some have limited choices because of

social, economic, geographic or other factors that lead to inequities (Registered

Nurses’ Association of Ontario [RNAO], 2011). Nurses recognize the social

determinants of health in their assessments, diagnoses, outcomes planning,

implementations and evaluations with individuals, families and communities,

collaborating with others in and outside of the health sector (CNA, 2013).

3. When a community health intervention interferes with the individual rights of

persons, nurses use and advocate for the use of the least restrictive measures

possible for those in their care (CNA, 2008).

4. Nurses collaborate with other health-care providers and others to maximize

health benefits to persons receiving care and with health-care needs and

concerns, recognizing and respecting the knowledge, skills and perspectives

of all.

5. When the integrity of nurses is compromised by patterns of institutional

behaviour or professional practice that erode the ethical environment and the

safety of persons receiving care (generating moral distress), nurses express and

report their concern individually or collectively to the appropriate authority or

committee (American Nurses Association [ANA], 2015).