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

Nurses General Nursing

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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 circumstances. Each individual code is as important as every other code. They are not weighted nor are they ranked in importance. In Short, if you break one ethical code on a list then you are being unethical even if you follow all the rest. There is no such thing as being a little unethical just as there is no such thing as being a little guilty. It is black or white, you either are or you are not behaving unethically.

In example, if it is unethical to assist in a suicide under a code of ethics, then no mater what the circumstances, it is still unethical. Also with the same example in hand, it does not mater how many people are participating in the act, because it is still a violation of an ethical code.

The dictionary defines the word "ethic" as the following:

eth-ic (thk)

n. 1.

a. A set of principles of right conduct.

b. A theory or a system of moral values: "An ethic of service is at war with a craving for gain" (Gregg Easterbrook).

1. ethics (used with a sing. verb) The study of the general nature of morals and of the specific moral choices to be made by a person; moral philosophy.

2. ethics (used with a sing. or pl. verb) The rules or standards governing the conduct of a person or the members of a profession: medical ethics.

ethic n 1: the principles of right and wrong that are accepted by an individual or a social group; "the Puritan ethic"; "a person with old-fashioned values" [syn: moral principle, value-system, value orientation] 2: a system of principles governing morality and acceptable conduct [syn: ethical code]

http://www.dictionary.com/cgi-bin/dict.pl?term=ethic

The following is from the code of ethics recently approved and accepted by the ANA:

"The nurse's primary commitment is to the patient, whether an individual, family, group, or community."

https://allnurses.com/forums/showthread.php?s=&threadid=12342

This code is straight forward and uses strict and specific language. I have emphasized two words so that there can be no mistake as to it's meaning. The word is primary not to be anyway confused with secondary or any other meaning. The other word is community. It is well known that a community is based on perception and there are no defined physical boundaries. The term "global community" has even become common place.

In this individual code you will not find the word or phrases "except" or "in case of" or any other variation used to later nullify it.

So by strict definition, which any code of ethics is based on, it is unethical for nurses to strike or walk out thus turning their back to their "primary commitment".

It is also ethical for another nurse to step in to fulfill the "primary commitment", that other nurses have forsaken, to the "community".

Oh I can hear everyone now saying to themselves, "hey what about the nurses union (UAN) within the ANA. According to the "Code of Ethic", it is not unethical to be a member of and/or use collective bargaining. It only becomes unethical when nurses strike or otherwise walk out and forsake their primary commitment.

Many of the other codes included in the ANA's "Code of Ethics" continue to strengthen this position.

I can also hear, "A while back the president or the ANA went to jail for actively joining and participating in a strike, does that mean that she was acting unethically and against the ANA code?" To answer this you first have to remember that this code was only recently adopted. So the answer would be no. If she did this today or in anyway encouraged a strike or walkout, then yes she would be acting unethically and directly against the established ANA's "Code of ethics".

Now here is a good question for everyone? Morals and ethics are ever changing and are based on the majority's perception of right and wrong. Is it actually ethical for a small minority of less than 8% to establish the rules and/or codes for the overwhelming majority to follow, or do these rules/codes only hold true and binding for the small minority of nurses who are actually members?

Well I found the answer for the question that I posted earlier, even though it still lacks in a answer for past conduct and lack of action.

https://allnurses.com/forums/showthread.php?s=&threadid=12130

Now if this seems like a bunch of double talk, then you need to also look at the following:

https://allnurses.com/forums/showthread.php?s=&threadid=12321

One more thing to remember is that a "Code of Conduct" can never override/overrule a "Code of Ethics".

<. i am just tired of messing with you.>

because you cant! :cool:

hmmmm.... hallucinating again?

Whenever you cant beat me in arguing facts, you resort to writing that I stated something which I never did.

You keep saying that. Maybe someday youll get up & do something about it: Organize those nurses with the group you think is best for them or be the leader yourself. Do something worthwhile & constructive to improve your situation if you dont think others are adequate enough, instead of wasting all your time & energy trashing everything they do. You know what you dont like, so why not set up something that you would like?

Too hard for you?

Or is this all about sour grapes because so many nurses are doing lots of things out there & making a difference & you are doing.........what?

I dont know why you persist in harping on just one piece of the legislation that the ANA has put forth to solve the shortage of nurses willing to work at the bedside. Yes, there is a recruitment bill being reviewed by Congress. There is also a retention bill, a safe staffing bill that encompasses abolishing mandatory OT and several other bills that were put forth at the same time as the recruitment bill. Its a whole campaign to reverse the crisis. Its not just recruitment. You keep ignoring the others but they are being fought for just as hard as the recruitment bill. And from reading the nurse testimonies before Congress, the news articles, and texts of interviews, you know the ANA has repeatedly said with all of these bills that recruitment will not work without first fixing working conditions & compensation. (in fact, you are echoing the ANA's own position). I think you conveniently refuse to recognize any of these because then you will have nothing to argue about.

Like I said before, if you wanted to have any input to or debate on developing the National Code of Nurse Ethics, or the National Nurses Bill of Rights, or any of the legislations that will affect us all, you could have been in there for it.

You choose not to.

Every nurse in this country had the opportunity to have a hand in developing these guides and bills. If 92% of the nurses, for whatever their own reasons are, chose to leave themselves out of the decision-making that guides their profession, you really cant blame the 8% of the nurses who chose to be part of the process.

If some nurses refuse to have anything to do with making the decisions, they really cant complain about the decisions that the nurses who were there made.

No matter what you feel about it, the ANA is recognized by the media, the government, & internationally as the authority on the nursing profession in this country & that is not going to change. You can continue to have your temper tantrums far outside of the loop or you can get in there & make it what you think it should be.

Or you can go with another less recognized organization or start up your own & make that what you think it should be. You have options.

Stop complaining about nurses who are trying to do something to fix things & do something yourself.

To quote you once again:

"There is nothing left to debate".

Specializes in CV-ICU.

oops! I goofed. See below

Specializes in CV-ICU.

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: http://www.nursingworld.org/ethics/ecode.htm

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.

Specializes in Pediatric Rehabilitation.

Jenny,

I'm confused. We're required to PAY to see the code of ethics??? ..now just who is being represented?

Specializes in Home Health.

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.

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

Specializes in Home Health.

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! :D

Specializes in Gerontological, cardiac, med-surg, peds.

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...

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.

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?

Specializes in Vents, Telemetry, Home Care, Home infusion.

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.

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.

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