The Nightingale Pledge, 2020
I solemnly pledge myself before God, in accordance with my understanding and belief system, and in the presence of this assembly, to pass my life with integrity and to practice my profession faithfully. I will abstain from all that is deleterious and mischievous, and will not take or knowingly administer any harmful drug.
I will commit myself to the provision of culturally competent and compassionate nursing care, and to the safeguarding of patients’ rights. I will ensure that informed consent for medical treatment, in its many forms and as it is currently understood, be given without conflict of interest, judgment or discrimination.
I will do all in my power to maintain and elevate the standard of my profession, and will hold in confidence all personal matters committed to my keeping, and all family affairs coming to my knowledge in the practice of my calling. With wisdom will I endeavor to aid the physician in the ethical practice of medicine and devote myself to the welfare of those committed to my care.
Entrusted as a ‘missioner of health’ and in service to the greater good, I will dedicate myself to the promotion of human wellness, remembering always to care for myself so that I can care for others in the fulfillment of my life’s work.
© 1935, 1893 Lystra Gretter (original pledge)
Cassandra Partridge, RN, BSN revised the pledge in 2020 to reflect:
⬥ Individualized language in relationship to God and nurses’ accountability to a power greater than themselves (in keeping with the spirit of the original pledge).
⬥ The need for culturally competent and compassionate nursing care.
⬥ The nurse’s role in the protection of patients’ rights and ensuring they are receiving appropriate informed consent.
⬥ A broader understanding of the various forms of medicine (Western/allopathic, herbal, homeopathic, complementary/alternative, naturopathic, chiropractic, Eastern, Ayurvedic, etc).
⬥ The modern role of the nurse in relationship to the physician.
⬥ A restoration of the nurse’s mandate to model integrity and safeguard the ethical practice of medicine, as stated in the Hippocratic Oath.
⬥ The need for self care practices in the profession of nursing to promote balance and prevent burnout.
A New Mandate
The practice of Western medicine has descended into a state of crisis, moral injury and disease. The system failure has many causes. Healing is needed to bring it back into balance. Nurses are mandated to stop enabling the abuse of power and the unethical practice of medicine.
© 2020 Mamatrice, LLC