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Responses to questions

Posting #1

Provision 8 of the American Nurses Association (ANA) Code of Ethics calls for nurses to collaborate with healthcare professionals and the public to preserve human rights, influence health policy, and reduce disparities in healthcare. This provision asserts that health is a human right and that nurses must participate in collaborative efforts and use innovative approaches to address social determinants of health (ANA, 2015).

In addition to individual health, nurses have responsibilities for societal health (Grace & Gaylord, 2022). This requires leadership even at macro- and meso-levels. During the Crimean War, Florence Nightingale observed that soldiers were dying more due to infectious disease than battle wounds. Despite meeting resistance from military leaders and physicians, she demonstrated leadership at the macro-level when she used research results and persuasiveness to change the outcome. By collaborating with military and healthcare personnel, she was able to implement sanitation measures and dramatically reduce the death toll (Grace & Gaylord, 2022). This is the heart and soul of provision 8.

Nearly a year ago, I sat down to have a conversation with a friend who is a leader in our local health community. At that time she felt as though obesity was one of the largest health risk factors threatening the community. As a matter of fact, Hale County is included within the top district for obesity percentages in Alabama (ADPH, 2019). Type II diabetes is a closely related concern with disease mortality related to endocrine disorders being well above the state and national averages (IHME, 2016).

I have had the pleasure of precepting as a nurse practitioner student within this same community and I have been able to witness these issues myself. The number of obese and diabetic patients that I have seen who are noncompliant with dietary measures, medication regimens, and home glucose monitoring is unruly. But are these patients intentionally non-compliant or is this due to a lack of knowledge about their health? I would be inclined to choose the latter. 35% of Hale County operates at or below level 1 literacy which is statistically higher than the state and national averages (NCES, n.d.). There are also


local diabetes education centers and many of these patients are unable to travel to larger cities like Tuscaloosa for such resources.

Social justice is a meaningful concept as applies to nursing. Justice as fairness cleaves to provision 8 (Grace, 2022). Operationalizing this provision could include collaborating with our local hospital’s Chief of Medical Staff, the Chief Executive Officer, and local stakeholders to discuss offering diabetes and nutrition education classes within this community. Offering this resource could help to target injustices and promote health and healing within an underprivileged community.

By collaborating with community organizations and leaders, we can promote policies, projects, and programs that address barriers to health. I hope that my degree, cardiovascular background, and the product of my research will be influential in bringing these necessary resources to my own community.


ADPH. (2019).

Percentage of obesity by Public Health Districts, Alabama 2019

. Alabama Public Health. Retrieved July 20, 2022, from

https://www.alabamapublichealth.gov/obesity/assets/obesity_districts2019.pdf (Links to an external site.)

American Nurses Association. (2015).

Code of ethics for nurses with interpretive statements


https://www.nursingworld.org/practice-policy/nursing-excellence/ethics/code-of-ethics-for-nurses/coe-view-only/ (Links to an external site.)

Grace, P. J., & Gaylord, N. (2022). Ethical Leadership by Advanced Practice Nurses. In

Nursing Ethics and Professional Responsibility in Advanced Practice

(3rd ed., p. 164). essay, JONES & BARTLETT LEARNING.

Grace, P. J. (2022). Philosophical Foundations of Applied and Professional Ethics. In Nursing Ethics and Professional Responsibility in Advanced Practice (3rd ed., pp. 24–25). essay, JONES & BARTLETT LEARNING.

IHME. (2016).

COUNTY PROFILE: Hale County, Alabama

. Institute for Health Metrics and Evaluation. Retrieved July 20, 2022, from

https://www.healthdata.org/sites/default/files/files/county_profiles/US/2015/County_Report_Hale_County_Alabama.pdf (Links to an external site.)

Response # 1

Posting #2

Provision 3

As a nurse leader, I can apply the third provision of the ANA’s Code of Ethics (2015) by promoting and advocating for my patient’s rights, health, and safety. Specifically, I can be cautious to collaborate with approved members of my patient’s healthcare team only when discussing their care (as in people the patient has consented for me to discuss their healthcare with). I can be cautious to not disclose information that is not relevant to that specific collaboration. For example, if a patient divulges that they are in an abusive relationship than I do not need to discuss that with the dermatologist when they are requesting a referral for their psoriasis. Making sure that whatever the patient confides in me is protected is important for having a trusting relationship to be able to provide the highest quality of care. In pediatric relationships, making sure that the children know the boundaries for the information that they tell me and what I have the right to then tell the parents. For example, if they tell me that they are having thoughts of harming themselves, then I will need to tell their parents to help keep them safe. Making sure those types of rights for the pediatric patients are clearly established prior to the care and the conversations is very important. In regards to patients seeking care for reportable diseases, ensuring that their privacy is maintained throughout all reportable diseases monitoring processes, as well as when contacting the other exposed individuals. In today’s society, it is common practice to engage in social media. Social media is not a place for anything that occurs at work. If posting a picture of a potluck at work, to make sure that patients or patient information/documents are not in the background. It is part of our due diligence as nurse leaders to advocate for and protect our patient’s rights, safety, and health.


Code of ethics. (2015).


pp. 9-14. Retrieved from


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