Barriers to uptake and use of codes of ethics by nurses |
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| Institution: | 1. Faculty of Science Medicine & Health, School of Nursing, University of Wollongong, St George Hospital, Centre for Research in Nursing and Health, Kogarah, NSW 2217, Australia;2. Faculty of Health Sciences, Nelson Mandela University, Port Elizabeth, Eastern Cape Province, 6031, South Africa;3. Dr Sulaiman Al Habib Medical Group, Saudi Arabia;4. Wollongong University, Australia;5. School of Nursing, Faculty of Science, Medicine & Health, University of Wollongong, South Western Sydney Campus, Liverpool, NSW 2170, Australia;6. Faculty of Science Medicine & Health, School of Nursing, University of Wollongong, Northfields Avenue, NSW 2500, Australia;7. Global Challenges Program, Research and Innovation Division, University of Wollongong, Northfields Avenue, NSW 2500, Australia;1. Children’s Health Queensland Hospital and Health Service, Australia;2. School of Nursing, Faculty of Health, Queensland University of Technology, Australia;3. Clinical Excellence Queensland, Australia;4. School of Nursing and Midwifery, University of Queensland, Australia;5. School of Nursing and Midwifery, Griffith University, Australia;1. Nursing and Midwifery, College of Healthcare Sciences, James Cook University, Townsville, Australia;2. Nursing, School of Health & Biomedical Sciences, RMIT University, Melbourne, Australia;3. College of Health, Massey University, Wellington, New Zealand;1. Southern Adelaide Local Health Network, Australia;2. Flinders University of South Australia, College of Nursing and Health Sciences, GPO Box 2100, Adelaide 5001, Australia |
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| Abstract: | BackgroundFollowing Australia’s adoption of the International Council of Nurses Code of Ethics for Nurses (ICN Code) (2012) on 1st March 2018, a literature review was conducted as a part of the University of Sydney Summer Scholar Program to examine what is already known about the use and implementation of the ICN Code by nurses in an international context. The first part of this literature review explored the origins of professional codes of ethics in nursing, and what nurses perceive their utility and functions to be.AimThis paper seeks to explore why, despite acknowledging the attributes of the various codes, nurses do not necessarily implement them actively in practice. Additionally, this paper examines whether these barriers differ between countries.MethodA literature search was conducted using the CINAHL and Scopus databases. The findings from the selected articles were then organised and synthesised according to the predominant barriers that nurses have identified in relation to their uptake and use of the codes.FindingsThe barriers identified were organised into the following categories: individual attributes of nurses, organisational barriers, the ongoing presence of professional subordination, cultural barriers and educational shortcomings.DiscussionIn light of the barriers identified, it is considered how individual, organisational, professional, cultural and educational factors influence nurses’ application of the values and principles articulated in the various codes.ConclusionAlthough the values and principles embedded in the ICN Code of Ethics (2012) are considered fundamental to ethical nursing practice, the findings from this review suggest that various barriers constrain nurses’ abilities to effectively utilise professional codes of ethics in their decision-making and practice. |
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| Keywords: | Codes of ethics Barriers to use and uptake of codes of ethics Nursing |
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