2025 Code of Ethics Revision Interested Partners Feedback

Interested Partners,

Thank you again for your contributions to the revision of the 2025 Code of Ethics for Nurses. This week, we seek your feedback on a proposed new provision focusing on global nursing and health communities. We have chosen select text from the draft and offer it for feedback below. Please submit your comments by April 15, at 5 pm ET.

For questions, please contact ethics@ana.org.

Please refer to: The 2015 Code of Ethics for Nurses (view only)

Nurses in the military face unique challenges in a range of settings including armed conflict zones, combat arenas, or humanitarian missions, each with different ends and distinctive challenges. Nursing care of enemy combatants, at times hostile enemy combatants, poses diverse clinical and interpersonal challenges and risks. Enemy combatants, as patients, are not the enemy: nurses strive to affirm the personhood of all patients and provide care according to the individual needs of the patient. Nurses in the military also care for civilians in war zones, often facing language and cultural barriers that affect patient choices and care. In the care of civilians or in humanitarian missions, nurses, whether military or civilian, prepare themselves in advance, as much as possible, to cross language and cultural barriers in order to provide respectful and compassionate care that affirms the individuality and dignity of the patient. In disaster zones there are particular challenges when resources are limited, the risk of injury is. present, and there is a necessity for triage. Nurses engage in triage equitably and without partiality in accord with the canons of triage decision making and observance of international wartime conventions. 

 

Nurses from the U.S. also work with international agencies such as WHO, with health or disaster organizations, faith-based groups, and with humanitarian non-governmental organizations (NGOs). Nurses working in these settings (employed or as volunteers) should prepare for such service through developing basic language skills and familiarity with the history, customs, laws and norms of the community and nation. Nurses in foreign communities or nations show respect for patients’ way of being in the world, understandings of health and illness, and health and illness practices, without complicity in imposing their own cultural understandings or norms. Nurses serve as both learners and listeners, and health partners, who earn the trust and goodwill of the community. 


Nursing advances a vision of a good and healthy global society and sustainable environmental practices. The need for nursing is universal, thus nurses are engaged in activities that further societal and environmental health through policy development and implementation, program development and evaluation, political engagement, global health and nursing research, and health diplomacy. These activities address the political determinants of health; support health, broadly understood as encompassing both human and environmental health and their inter-relatedness, and issues of planetary health.  Nurses and nursing organizations work toward the realization of the United Nations Sustainable Development Goals and other global-based benchmarks as they affect health and well-being.  This includes:  the eradication of poverty, hunger, and malnutrition, and the diseases they foster; a positive agenda toward the realization of health and well-being including the reduction of maternal and child morbidity and mortality; universal literacy and education; and universal gender equality. Nursing and nurses also work to bring about access to clean water, safe food and milk supplies, sanitation, affordable clean energy and access; dignified, decent work, economic growth, and reduction of income inequality; equitable development of industry, innovation, and infrastructure including transportation and technological development; reduced inequalities among nations; sustainable, healthy cities and communities; ecological protection through responsible consumption and production and shared natural resources; climate action; conservation of oceanic and terrestrial life, waters, and lands; peace, justice, human rights, and strong institutions; and global partnerships to further these goals.  In accord with their knowledge, skill, interests, and commitments, individual nurses work toward the goals to which they are most committed and for which they are best equipped. 

Nursing brings to the world a uniquely intimate knowledge of the human condition and its interaction with the environment, and is well positioned to address the social, economic, political, and institutional causes that inhibit health, well-being, and flourishing. Nursing works to undermine those forces that harm all life and the environment, and to reinforce those forces that foster health and flourishing, and to repair and heal the world.   

The American Nurses Association (ANA) Center for Ethics and Human Rights (CEHR) is undergoing the revision of the 2015 Code of Ethics for Nurses with Interpretive Statements. The Code of Ethics for Nurses is a foundational document in the nursing profession that should always remain relevant and reflective of the ethical tenets that guide the nursing profession. The purpose of revising the Code of Ethics for Nurses is to align with the evolving ethical and healthcare landscape, and nursing practice. You have been identified as an interested partner either through self nomination or by a colleague. We invite you to engage with us to further develop ethical guidance on the values and ideals of the profession and identify ethical challenges affecting the health and well-being of populations we serve, including individual nurses, and the nursing profession. 

Interested Partners will engage in frequent review and feedback via a user-friendly online platform (no meetings required)We request that Interested Partners commit to confidentiality of content as requested and provide timely feedback regarding the proposed content.  We thank you for your feedback and dedication to this important work. Questions? Email ethics@ana.org