This category reflects the principle of being patient orientated, sometime to the extent of giving the patient priority over all others (including self). In this category, participants made comment such as : always keeps patient needs and desires first ahead of standards or policies puts her patient's best interests first and i believe that nurses have a responsibility to all members of a care team, but more importantly to the patient. A small category in terms of responses , this content was stated explicitly by the participants and could not be ignored