August 29, 2019

The Code of Conduct and you: Understanding principle 3

Trust is a key component of the therapeutic nurse-patient relationship, which means that understanding how to build and maintain your patient’s trust is an essential skill for any nurse. Patient trust is earned and maintained by providing safe and competent care. Principle 3 of the Code of Conduct breaks down “safe and competent care” into strategies and actions you can make part of your nursing practice. Some of these include...

Trust is a key component of the therapeutic nurse-patient relationship, which means that understanding how to build and maintain your patient’s trust is an essential skill for any nurse.

Patient trust is earned and maintained by providing safe and competent care. Principle 3 of the Code of Conduct breaks down “safe and competent care” into strategies and actions you can make part of your nursing practice. Some of these include:

Be a lifelong learner
Nursing practice is always changing, which means nurses must be lifelong learners. Make sure your knowledge and skills are always up-to-date. You can do this by routinely reflecting on the quality of your practice and setting annual learning goals. Make a plan with steps to achieve your goals and reflect on your progress.

Know your limits
Knowing when you don’t have the knowledge, skill or judgment to perform a procedure or activity is a critical part of providing safe care. Put patients first by collaborating with the broader health care team and seek advice when you need it.

Communication is key
Patients need to feel they are being heard and given information in a respectful way. You can assess your patients’ communication needs and adapt your style to meet them. Pay attention to the words you use to describe their care, so patients understand their care plans. Actively listening to patients, without interrupting, is important.

When you first meet your patient, introduce yourself by telling them your first and last name, title and your role in their care. Introducing yourself to your patient shows that you are professional, respectful and accountable. It’s the first step towards establishing the therapeutic nurse-patient relationship.

Understanding the Code

Watch our webcast to learn how the Code of Conduct applies to situations you may encounter in your everyday practice.

If you have questions about the Code or how it applies to your nursing practice, just ask us!

About CNO

The College of Nurses of Ontario (CNO) is the regulator of the nursing profession in Ontario. It is not a school or a nursing association. CNO acts in the public interest by:

  • assessing qualifications and registering individuals who want to practice nursing in Ontario.
  • setting the practice standards of the profession that nurses in Ontario are expected to meet.
  • promoting nurses' continuing competence through a quality assurance program.
  • holding nurses accountable to those standards by addressing complaints or reports about nursing care.

The College was founded in 1963. By establishing the College, the Ontario government was acknowledging that the nursing profession had the ability to govern itself and put the public's well-being ahead of professional interests.

For the latest information, please see our Nursing Statistics page.

Anyone who wants to use a nursing-related title — Registered Nurse (RN), Registered Practical Nurse (RPN) or Nurse Practitioner (NP) must become a member of CNO.

Frequently Asked Questions

Go to the public Register, Find a Nurse, to conduct a search for the nurse. Contact us if you can't find the person you are looking for.

All public information available about nurses is posted in the public Register, Find a Nurse, which contains profiles of every nurse in Ontario. Publicly available information about nurses include their registration history, business address, and information related to pending disciplinary hearings or past findings.

Unregistered practitioners are people who are seeking employment in nursing or holding themselves out as being able to practice nursing in Ontario, but who are not qualified to do so. They are not registered members of CNO. Only people registered with CNO can use nursing-related titles or perform certain procedures that could cause harm if carried out by a non-registered health professional. CNO takes the issue of unregistered practitioners seriously. See Unregistered Practitioners for more information.

To ensure procedural fairness for both the patient (or client) and the nurse, the Regulated Health Professions Act requires that information gathered during an investigation remain confidential until the matter is referred to the Discipline Committee or Fitness to Practise Committee. CNO will not disclose any information that could identify patients (or clients) or compromise an investigation. See Investigations: A Process Guide for more information.

Information obtained during an investigation will become public if the matter is referred to a disciplinary hearing. If a complaint is not referred to a hearing, no information will be available publicly.

See CNO's hearings schedule, which is updated as hearing dates are confirmed. Hearings at CNO are open to the public and the media. For details on how to attend a hearing, contact the Hearings Administration Team.

A summary of allegations and the disciplinary panel outcomes can be found on the public Register, Find a Nurse. Full decisions and reasons are also available.

Where a disciplinary panel makes a finding of professional misconduct, they have the authority to reprimand a nurse, and suspend or revoke a nurse's registration. Terms, conditions and limitations can also be imposed on a nurse's registration, which restricts their practice for a set period. Nurses can also be required to complete remedial activities, such as reviewing CNO documents and meeting with an expert, before returning to practice.

For detailed information see the Sexual Abuse Prevention section.

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