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Provision One
Terrian Douglas
University of Hartford

Provision One
There are several ethical provisions that are used as guidelines for professional nurses; however, this paper will discuss ethical Provision One. According to Fowler (2010), the Nightingale Pledge, which was patterned after medicine’s Hippocratic Oath and accepted as the first nursing Code of Ethics, was used as the foundation of formulating Provision One. Although the Nightingale Pledge required that nurses devoted themselves to the welfare of those they were caring for, it lacked emphasis on the compassion and respect for human dignity (Fowler, 2010, p.1). As a result of this, the need for revision was determined and after several years of adding to the code, Provision One was established in 2001. Provision One emphasizes that “the nurse, in all professional relationships, practices with compassion and respect for the inherent dignity, worth, and uniqueness of every individual, unrestricted by considerations of social or economic status, personal attributes, or the nature of health problems” (Fowler, 2010, p.3). In general, I believe that this provision is significant to nursing practice because of the evolving healthcare environment which is changing in ways that has never been envisioned. The complexity of nurses’ responsibilities is expanding and health-care requirements are becoming more uncertain. There is a vast amount of patients that are now being diagnosed with chronic illnesses, such as, cardiovascular disease, chronic respiratory disease, diabetes, and obesity. These changes within the healthcare system are creating a more vulnerable population.
According to Fowler (2010), “ the Code of Ethics recognizes the many factors that result in injustices in health care and holds nurses to a high standard of compassion and respect for all-especially those most vulnerable” (p.

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