The Siciliano-McLaughlin Model of Ethics


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The ANA Code of Ethics for Nurses (2025)

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I would like to use this platform to review the American Nurses Association (ANA) new Code of Ethics for Nurses , "the Code " (2025). The background here is that I attended the 2015 ANA Ethics Symposium, where the ANA dubbed 2015 as the Year of Ethics . Attending that conference was pivotal for me.  Up to that point, in my dissertation, I was struggling with how to approach my literature review and study. That conference gave me great clarity and inspiration.  I worked through that conference, and continued to work once arriving home, on my dissertation topic of ethics in nursing. Now ten years later, I am excited to say that I just received my 2025 updated Code  in the mail.   My plan is to review the updated Code in sections over time. I also intend to draw parallels between the Code and my ethics model, The Siciliano-McLaughlin Model of Ethics .    The ANA states, "The Code of Ethics for Nurses (Code) establishes the ethical standard for the profes...
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The Second Pillar of Professionalism - Autonomy

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  Copyrighted by Mary Ann Siciliano McLaughlin Ed.D., RN, 2017 PILLAR II: AUTONOMY 2. Autonomy, as defined by the AACN (2008), is "the right to self-determination".  I believe this right to self-determination relates to self-determination by both the patient and the nurse.  As nurses, we need to actively listen to our patients to ensure we know their wishes and respect their decisions.  This pillar includes nurses respecting the patients’ rights to make decisions about their healthcare (AACN, 2008) and, I believe, supporting those decisions.  I believe that nurses and nursing students showing respect for their patients’ decisions about their healthcare treatment leads to the actualization of a high-level of responsibility.    I view autonomy as being related to teaching the students how to be autonomous in their decisions as nurses. Therefore, this pillar results in good decision-making on the part of the nursing student.   This tra...
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Pillar 1: Altruism

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Copyrighted by Mary Ann Siciliano McLaughlin Ed.D., RN, 2017 PILLAR I: ALTRUISM 1. Altruism is "a concern for the welfare and well-being of others."  This concern and advocacy includes not only patients, but also other nurses and health care providers (AACN, 2008).   Under altruism, the students need to understand that they need to be concerned with the welfare of others including their patients. I also view altruism, as a concept, where the students really learn to advocate for their patients needs and issues.   I feel this comprises a large part of their duties as a professional nurse.   However, this pillar of altruism also includes concern for the fellow nurses and health care providers working alongside them. The most wonderful part of being a nurse, I feel, is how we get to care holistically for our patients and their families.   Nurses do not just take care of isolated problems for patients.   Rather, nurses look at the entir...
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