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This continuing nursing education activity examines the ethical implications of recent developments involving the Advisory Committee on Immunization Practices (ACIP), judicial intervention in public health policy, and the role of nurse advocacy in complex healthcare environments.
Through real-world experiences shared by nurse whistleblowers, participants will explore the gap between nursing education and the practical application of the 2025 Code of Ethics for Nurses, particularly in high-pressure, ethically ambiguous situations.
This course emphasizes informed consent, moral courage, and the nurse’s responsibility to advocate for patients—even in the face of institutional pressure.


Upon completion of this activity, the learner will be able to:
Describe the role of the ACIP and how public health decisions are influenced by legal and procedural actions.
Explain the concept of informed consent and its ethical implications in clinical practice.
Identify gaps in nursing education related to the application of the Code of Ethics.
Analyze real-world scenarios where nurses faced ethical dilemmas involving institutional pressure.
Apply provisions from the 2025 Code of Ethics to situations involving advocacy, patient rights, and professional integrity.


Upon completion of this activity, the learner will be able to:
Describe the role of the ACIP and how public health decisions are influenced by legal and procedural actions.
Explain the concept of informed consent and its ethical implications in clinical practice.
Identify gaps in nursing education related to the application of the Code of Ethics.
Analyze real-world scenarios where nurses faced ethical dilemmas involving institutional pressure.
Apply provisions from the 2025 Code of Ethics to situations involving advocacy, patient rights, and professional integrity.
I. Introduction to Current Event (ACIP + Judicial Action)
Overview of ACIP function
Role of public comment and transparency
Explanation of judicial injunction and its implications
II. Ethical Tensions in Practice
Disconnect between policy and bedside care
Institutional pressure vs. patient advocacy
Real-world nurse experiences (Bridges + O’Malley)
III. Informed Consent in Practice
Definition vs. application
Ethical requirement vs. institutional compliance
Barriers to true informed consent
IV. The Nursing Code of Ethics (2025)
Overview of the 10 provisions
Key provisions related to:
Patient advocacy
Wholeness of character
Professional responsibility
Moral courage
V. The Education Gap
Bioethics vs. Code of Ethics
Lack of formal instruction in nursing programs
Impact on nurse confidence and action
VI. Moral Courage and Whistleblowing
Real-world case studies
Risk vs. ethical duty
Long-term implications for nurses and patients
Informed consent requires full transparency and freedom from coercion
Nurses are ethically obligated to advocate for patients—even under pressure
The Code of Ethics provides a framework for navigating complex situations
Lack of education on the Code contributes to moral distress and inaction
Ethical nursing practice requires both knowledge and courage

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Jodi O’Malley, MSN, RN, founder of Nurses Out Loud is a long-standing provider of accredited Nursing Continuing Professional Development through the Kansas State Board of Nursing (Provider #LT 0345-1225)
For monthly donor options, sponsor recognition, or collaboration inquiries, email us at: [email protected]
Thank you for standing with us.
Let’s keep the volume up — together.
Jodi O’Malley, MSN, RN, founder of Nurses Out Loud is a long-standing provider of accredited Nursing Continuing Professional Development through the Kansas State Board of Nursing (Provider #LT 0345-1225)
For monthly donor options, sponsor recognition, or collaboration inquiries, email us at: [email protected]
Thank you for standing with us.
Let’s keep the volume up — together.