ANA officially states strikes are unethical and approves use of replacement nurses - page 3

We all know that a code of ethics is not subject to a personal interpretation by an individual or an individual group. Nor can you pick and choose which code you follow and do not under different... Read More

  1. by   Jenny P
    Wildtime, I was an ANA delegate when this Code of Ethics came before the House of Delegates at the ANA Convention last summer; just as I was the previous year when we rejected the draft copy of the Code of Ethics that was presented then. We were unhappy with the draft that was presented to us in 2000, it did not address several issues we felt were important to us. We overwhelmingly supported this 2001 Code of Ethics because it addresses things like: #5.THE NURSE OWES THE SAME DUTY TO SELF as to others, including the responsibility to preserve integrity and safety, to maintain competence, and to continue personal and professional growth.
    #6 The nurse participates in establishing, maintaining, and IMPROVING HEALTHCARE ENVIRONMENTS AND CONDITIONS OF EMPLOYMENTS conducive to the provision of quality health care and consistent with the values of the profession THROUGH INDIVIDUAL AND COLLECTIVE ACTION. It is there in black and white: we strive to improve our workplace and may need to take collective action (STRIKE!).

    You are quoting the short version - a 9 point Code of Ethics (which is kind of like talking points and will fit on a bookmark); my copy which we approved of the Code and its interpretive statements is a 30+ page document and is the full Code of Ethics. You can buy it online at ANA's website:

    I strongly urge anyone to go to this site and read what is written there if you have any questions concerning the Code of Ethics.
  2. by   nurs4kids
    I'm confused. We're required to PAY to see the code of ethics??? <scratches head> just who is being represented?
  3. by   hoolahan
    Gotta agree with that one. Pay for the code? But this is not surprising, in order to get the home health aides code of ethics for my agency I would have had to pay $44, sorry, not worth it. If I did buy it, the FIRST thing I would do is put it on a web page, for FREE!!

    Just like the standards. Maybe if more nurses could actually SEE the work the the ANA does, they would become more excited about it and join up, but right now, you have to pay to see the fruits of the labor, and yes I know, you have to support the cause somehow, but it seems odd that the code of ethics wouldn't be freely shared.

    I quite simply cannot afford the ANA's fees. I won't defend that, so not sense arguing with me, it just won't happen.

    Why not try a limited acces membership for a reduced fee, like $50-75 per year, for web-site access to some of these papers. That I could swing. I don't need the AJN journal, etc...

    MY intention is not to bash the ANA here at all. I have no head for politics, I admit it, so I am happy to have the 8% who do, be my voice.
  4. by   cmggriff
    Read down a little further and you will see the cost is for the printed version and the online version is free for the down load.
    As for wildtimes interpretation of the ANA's adoption of this code and the implications for future collective bargaining, I'm afraid I don't read it exactly the same way. And as for there being 93% of the nurses in the nation looking for leadership and not finding any, I would have to say that my experience is a little different there too. I have found that in any crowd of 10, there is 1 doing the work, 2 or 3 complaining about the quality of the work done and 6 or 7 who may join in any ***** sessions but not in any of the work they state needs to be done. I have seen this in every field, not just nursing.
    So, Lead, follow or get out of the way. Gary
  5. by   hoolahan
    Gary, that sound you hear is defeaning applause, very well said!! And so true. I am getting the heck out of the way now! Ignorance really can be bliss!!

    I thought by what Jenny said you had to buy the complete version, and only an abbreviated version was available on line. I didn't actually go to the site for myself. I am comfortable with my own ethics and values, and it would be nice to see the code, but to be honest, I have no burning desire or need to see it at this present time. I am the sort of person who files these things in the "for future use" cells of my wee little brain!
  6. by   VickyRN
    Wildtime, you are extrapolating quite a bit. Have tried very hard, but cannot follow the logic of this thread. I think the ANA statement means just what it says (very appropriate) and nothing more. Unless THE ANA comes up with a DEFINITIVE STATEMENT about strikes/strikebreaking, etc., all you have is empty SPECULATION. 'Nuff said...
  7. by   fergus51
    Originally posted by wildtime88
    fergus51, are you saying that these codes are so braod that individuals can interpret them to mean many things? Even though they are written in precise language with one building into the next one?
    Are you saying as JT has, that the words that were used are different from the people who wrote these were actually intending to write? So that someone who read these codes and was not there when they were actually written, would have to use their powers of ESP and disregard the actual words and their meanings to understand them?
    I am saying that you are being positively silly in believing that there is no interpretation as to what is in a patient's best interest and thinking that YOU are the only one who knows what these codes mean in each situation. I am saying that YOUR interpretation is an interpretation too!

    My primary commitment is to my patient. My commitment to them requires that I act in their best interest, which is not the same in every case or for every patient. I think it is ridiculous to think that there is only one way to be commited to your patients.

    Personally I am not really concerned about the ANA or the distinction you say they make in union ans non-union nurses because I don't work in the US right now and we don't have any non-union nurses here. I just don't understand why you insist on believing that your interpretation is not an interpretation but gospel.
  8. by   prn nurse
    How can it be mandatory that all nurses in the province join the union? Who requires them to join and who enforces it?

    I work in a state without a union for nurses, so, I do not know much about U.S. nurses and their unions. I thought if you had a an opportunity to join a union in the u.s., that it was your choice, it was voluntary. Is that correct?? U.S. nurses? Do we have a choice to join or not to?
  9. by   NRSKarenRN
    Fergus is practicing in CANADA now, which requires that all nurses be members of the nursing union in her provence.

    This the SAME as looking at the AMA as the PROFESSIONAL association for physicians who establish professional goals/guidelines for doctors. They are having the same problems as ANA with not all physicans joining as members now because of COST and not viewing the need to support professional association.

    Spelling edit.
    Last edit by NRSKarenRN on Dec 10, '01
  10. by   fergus51
    Karen said it for me. We have a liscensing body, RNABC (RN Association of British Columbia), and a union BCNU (British Columbia Nurses' Union). Nurses wishing to practice in the province are required to belong to both. No union membership=no job. I think it is the same in most other provinces as well. There is really no point in having a union if everyone in the workplace doesn't want to belong to it. When I worked in the US, my hospital was not unionized, but the one across town was and I assumed all nurses in that facility were union members.
    Last edit by fergus51 on Dec 10, '01
  11. by   cmggriff
    Thanks, it's always nice to receive the accolades of your fellow level headed peers. Gary
  12. by   NRSKarenRN
    from the website:

    i bolded important statements for all to reflect on.karen

    the code of ethics project was initiated by the ana board of directors and the congress on nursing practice in 1995. the code of ethics project task force, appointed in 1996, was charged with establishing a comprehensive process of review, analysis and revision of the code for nurses (1985), providing initial substantive critique and suggested modifications, creating open review process, and developing final recommendations.
    the revised code for nurses proposed as the code of ethics for nurses was forwarded to the congress of nursing practice and board of directors to the 1998 house of delegates (hod) for approval. the hod voted to refer the code of ethics for nurses back to the ana board of directors for further work. the ana board decided that further revisions with increased staff nurse input were needed.

    during the ana convention 2000 in indianapolis, indiana, a continuing education session about the code revision process and a policy issues forum were convened. the continuing education session demonstrated how the new draft code could be usefully applied to actual case situations. in june of 2001, the ana house of delegates voted to accept the nine major provisions of a revised code of ethics. in july, 2001, the congress of nursing practice and economics voted to accept the new language of the interpretive statements resulting in a fully approved revised code of ethics for nurses with interpretive statements.

    throughout this revision process, the task force has attempted to seek the opinions and suggestions of a wide range of nurses, individuals, and groups. this is done through regional conference calls, presentations, extensive field reviews, and numerous individual and group discussions.

    congress of nursing practice: group of rn's interested in promoting and enhancing nursing practice in the us.

    ana house of delegates (hod): ana members in each constituent group elect these nurses to represent themselves at yearly meetings. entire hod meets every two years; next biennial meeting in philadelphia 2002. (my backyard! karen)

    why must i pay for the code for nurses?
    the cost associated with the entire code covers the cost to print, warehouse, and respond to requests for the document. the major provisions of the code are available online for free.

    the provisions and the interpretive statements are both copyrighted. ana does routinely grant permission to members, publishers, organizations, and educational institutions to reproduce the provisions of the code. most nurses and others who desire a full understanding of the breadth of acceptable ethical conduct desire the code with the interpretive statements.

    although ana generally sells the book, the ethics center staff
    has never denied a copy of the document to a state association or to a state association member who had a specific need for the document and who had no means (financial or other) to acquire the document.
  13. by   Jenny P
    Thanks NrsKaren for straightening that out. Sorry I didn't make it clearer when I wrote the previous reply. Didn't mean to confuse everyone.