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Ethical Issues

Ethical Issues

Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
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Current Trends in Nursing II

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Current trends in nursing include:

Nursing Code of Ethics

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The Nursing Code of Ethics sets the ethical benchmark for the profession, and guides nurses in ethical analysis and decision making at the societal, organizational, and clinical levels. The code encompasses showing compassion and respect for the patient, their families, and communities in all circumstances while committing to providing patient-centered care. In addition, the code states that nurses must advocate for the patient by defending a cause or recommendation to protect their rights,...

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Updated: Jun 20, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Racial Microaggressions in Nursing: A Scoping Review.

Heather Walsh¹

¹Heather Walsh is the program manager of the Simulation Program at Children's National Hospital in Washington, DC. The author would like to thank Angela M. McNelis, PhD, RN, CNE, ANEF, FAAN, and Kupiri Ackerman, PhD, RN, FADLN, ANEF, FAAN, for their mentorship, and Thomas Harrod, MLS, MS, for assistance with the literature search. Contact author: hwalsh@childrensnational.org. The author and planners have disclosed no potential conflicts of interest, financial or otherwise.

The American Journal of Nursing

|June 19, 2026

Summary

Most nurses experience workplace racism, including microaggressions, impacting their well-being and patient care. Addressing these racial microaggressions requires systemic changes in nursing practice to ensure a diverse workforce.

Keywords:

bias discrimination nurses prejudice racial microaggressions racism

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Last Updated: Jun 20, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Area of Science:

Nursing
Healthcare Disparities
Workplace Psychology

Background:

A national survey indicates most US Registered Nurses (RNs) experience workplace racism from patients, colleagues, and leaders.
Racial microaggressions, subtle forms of racism, negatively impact nurses' health, performance, and patient safety.

Purpose of the Study:

To review literature on US nurses' workplace experiences with racial microaggressions.
To identify the impact of these microaggressions on nurses and patient care.

Main Methods:

A scoping review of PubMed and CINAHL databases was conducted.
Included studies focused on nurses' workplace experiences with bias and discrimination in the US, from inception to November 2024.

Main Results:

Eleven studies met inclusion criteria (7 qualitative, 3 quantitative, 1 mixed-methods).
Themes included experiencing microaggressions, impacts on nurses (well-being, morale), responses, effects on patient care, and recommendations.
Nurses of color faced racial microaggressions, including patient refusal of care, impacting their emotional resources and patient safety.

Conclusions:

Racial microaggressions are prevalent in nursing workplaces, affecting nurses' well-being, job satisfaction, and patient care.
Systemic approaches are crucial to address microaggressions and support a diverse nursing workforce during shortages.