Canadian Nurses Association
The glossary is intended to provide nurses with a common language for
their reflections, discussions and actions related to nursing ethics.
not necessarily providing formal definitions, the glossary presents information in a
manner and language that is meant to be helpful and accessible.
Advance care planning:
an ongoing process of reflection, communication and
documentation regarding a person’s values and wishes for future health and personal
care in the event they become incapable of consenting to or refusing treatment or
other care. Conversations to inform health-care providers, family and friends — and
especially a substitute decision-maker — are regularly reviewed and updated. Such
conversations often clarify their wishes for future care and options for their end of
life. Attention must also be paid to provincial/territorial legal and health guidelines
(CNA, Canadian Hospice Palliative Care Association [CHPCA], & Canadian Hospice
Palliative Care Nurses Group [CHPC-NG], 2015).
actively supporting a right and good cause; supporting others in speaking
for themselves or speaking on behalf of those who cannot speak for themselves.
a boundary in the nurse-person relationship is the point at which
the relationship changes from professional and therapeutic to unprofessional and
personal (College and Association of Registered Nurses of Alberta [CARNA], 2011;
being able to understand and appreciate the consequences of various
options and make informed decisions about one’s own life, care and treatment.
to build consensus and work together on common goals, processes
and outcomes (RNAO, 2006).
all health-care providers and nurses working in all domains of practice.
the ability to recognize and be aware of the suffering and
vulnerability of another, coupled with a commitment to respond with competence,
knowledge and skill.