· Canada edition: online, self-paced courses with certificate

Profession-specific standards

Ethics for Nurses and Midwives

The CNA Code and provincial colleges applied to consent, confidentiality, boundaries, end-of-life and maternity care, MAID, candour and remediation

  • 2hours (estimated)
  • 7sections
  • 10final questions
  • 80%pass mark
  • PDFcertificate
  • Online and self-paced, on any device
  • Reflective account template
  • Knowledge checks in every section
  • Instant certificate of completion

Written province by provinceUpdated 25 October 2026

What you will learn

  • Explain the role of ethics in nursing and midwifery and how the CNA Code and provincial colleges set expectations.
  • Apply autonomy, beneficence, non-maleficence and justice, including cultural safety, to nursing and midwifery care.
  • Apply ethical standards to consent, confidentiality, boundaries and conflicts of interest.
  • Navigate ethical issues in end-of-life care, MAID and maternity care, including informed choice and conscientious objection.
  • Disclose errors honestly and keep accurate records that are never altered to conceal.
  • Identify common breaches and use reflection, insight and remediation to strengthen practice.

Who this course is for

Registered nurses, registered and licensed practical nurses, registered psychiatric nurses, nurse practitioners and midwives in Canada, including those responding to a complaint or college investigation.

After a concern

Structured learning and a written reflection to show insight after a complaint, an investigation or a college inquiry.

Routine CPD

Focused learning on a core standard of practice, with a certificate and reflection for your portfolio.

About this course

This course applies the core ethical principles and the Canadian Nurses Association Code of Ethics to nursing and midwifery practice in Canada. It explains how regulation works province by province, from the College of Nurses of Ontario and the College of Midwives of Ontario to the BC College of Nurses and Midwives, Alberta's separate nursing colleges and Quebec's ordres, and why reading your own college's standards matters as much as the national code.

It sets out the standards expected of nurses and midwives: honesty and integrity, confidentiality, competence and CPD, conflicts of interest, and boundaries in close, sustained and intimate care, together with what a college looks for when an ethical concern is raised. It then applies them to consent and shared decision-making, disclosure of errors, end-of-life care and MAID, maternity care and informed choice, and resource pressure and moral distress, with a checklist for working through an ethical dilemma.

The final sections cover common breaches, investigations, possible outcomes and their impact, including a worked case on a late medication entry, and how self-awareness, reflective practice, insight and remediation support public protection and professional growth. It suits all nurses and midwives, including those responding to a complaint.

Course details

Learning time
2 hours (estimated learning time including knowledge checks, reflection and assessment)
Standards covered
CNA Code of Ethics for Registered Nurses; College of Nurses of Ontario, College of Midwives of Ontario, BC College of Nurses and Midwives, Alberta nursing and midwifery colleges and Quebec ordres; Ontario Nursing Act, 1991, Midwifery Act, 1991 and Regulated Health Professions Act, 1991; BC Health Professions and Occupations Act (in force April 2026); Alberta Health Professions Act; Quebec Professional Code and Civil Code; Ontario Health Care Consent Act; federal MAID framework; PHIPA and PIPEDA; apology legislation
Format
Online and self-paced: gated lessons with knowledge checks, case studies, a reflective account and a final assessment
Assessment
10 multiple-choice questions, 80% to pass (8 of 10), with explanations after each attempt
Outcome
Certificate of completion and a written reflective account you can keep for your CPD or quality-assurance record

Course curriculum

7 sections · 28 lessons · 2 hours (estimated) · 10-question final assessment

  1. 1Introduction4 lessons
    • Why ethics matters in Canadian nursing and midwifery
    • The regulatory framework: CNA and provincial and territorial colleges
    • Province-by-province notes: who regulates whom
    • Ethics as the foundation of trust in care
  2. 2Core Ethical Principles4 lessons
    • Autonomy: respecting patient rights and decision-making
    • Beneficence: acting in the patient’s best interests
    • Non-maleficence: the duty to do no harm
    • Justice: fairness, equity, and cultural safety
  3. 3Ethical Standards Expected6 lessons
    • Honesty, transparency, and integrity in care
    • Confidentiality and patient information
    • Maintaining competence and lifelong learning (CPD)
    • Managing conflicts of interest in nursing and midwifery
    • Professional boundaries in nurse-patient and midwife-patient relationships
    • What a college looks for when an ethical concern is raised
  4. 4Ethics in Clinical Decision-Making4 lessons
    • Informed consent and shared decision-making in care
    • Truth-telling and disclosure of errors
    • Ethical issues in end-of-life care and maternity care
    • Ethical challenges in resource allocation and system pressures
  5. 5Breaches & Consequences4 lessons
    • Examples of misconduct in nursing and midwifery
    • How concerns are raised and investigated by regulators
    • Possible outcomes of investigations
    • Impact of ethical breaches
  6. 6Reflection, Insight & Remediation5 lessons
    • Self-awareness as the foundation of ethical practice
    • Reflective practice as expected by regulators
    • Demonstrating insight when standards are questioned
    • Remediation: CPD, supervision, mentorship, counselling, or practice changes
    • How reflection and remediation support public protection and professional growth
  7. 7Conclusion & Key Takeaways1 lesson
    • Key takeaways

Assessment and certificate

Final assessment

10scenario-based questions

  • Pass mark 80%: 8 correct out of 10
  • Knowledge checks in each section as you go
  • Tests whether you can apply the standards, not recall a page
  • Not passed yet? Review the sections and retake it

Certificate of completion

A certificate of completion for your learning portfolio.

  • Your name, the course title and the estimated learning time (record the time you actually spend)
  • Completion date and a unique certificate ID that can be verified
  • Ready to download as a PDF as soon as you complete the course

Your reflective account

The course includes a structured reflective account template: guided prompts to record what you learned, how you will apply it and how the change will show in your practice. It gives you written evidence of insight after a concern, and a ready record for your CPD portfolio.

Write it in your own words and leave out anything that could identify a patient, a colleague or a case. If you have an open complaint or case, talk to your adviser before reflecting on it in writing.

Questions about this course

Which nurses and midwives is the course for?

Registered nurses, registered practical and licensed practical nurses, registered psychiatric nurses, nurse practitioners and midwives in Canada. The course explains that the categories and the college that regulates each one depend on your province.

How is nursing regulated in different provinces?

Section 1.4 gives examples: the College of Nurses of Ontario under the Nursing Act, 1991 with midwives regulated by the College of Midwives of Ontario; the BC College of Nurses and Midwives as a single college, now under the Health Professions and Occupations Act in force since April 2026; separate Alberta colleges under the Health Professions Act; and the Quebec ordres under the Professional Code.

Does it cover MAID and end-of-life care?

Yes. Section 4.3 covers advance care plans, palliative care and the framework for Medical Assistance in Dying, in which nurse practitioners and registered nurses have defined roles, and conscientious objection within limits that ensure patients are not abandoned.

Is maternity ethics included?

Yes. It covers informed choice, choice of birthplace, and the occasional tension between the birthing person's autonomy and fetal wellbeing, with a worked case about informed choice during a planned home birth with an Ontario midwife.

What does a college look for when an ethical concern is raised?

Section 3.6 explains that reviewers ask whether the public is protected now and in future, looking at what happened, your insight, whether it was isolated or a pattern, and what you have changed. A worked case about a late opioid entry shows why records must never be altered to hide a mistake.

Can I use this course if my college has asked for remediation?

It is designed to support reflection, insight and remediation after a concern, but your college decides what meets an order or undertaking, so confirm with your college. Nurses can also seek advice from the CNPS or their union or professional association.

How is it assessed?

There are knowledge checks in each section, a final assessment of 10 multiple-choice questions with an 80% pass mark, a reflective account and a certificate of completion. It is about 2 hours online and CA$95.

How this course was built

Official sources only

Every legal and regulatory point comes from primary sources: provincial and territorial health professions statutes, the regulatory colleges' standards and codes, and federal and provincial privacy law. Anything we cannot confirm is left out.

Original, edition by edition

Lessons, scenarios and assessment questions are written by us for each edition separately, then checked for accuracy, teaching quality and fair assessment before publication.

Reviewed when rules change

When a code, standard or law changes, the affected courses are reviewed and updated. Reported errors in legal or regulatory facts are corrected first.

Page updated 25 October 2026

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