Additionally, if a DNR decision poses special ethical conflicts for a patient's nurse, mechanisms. ANA Position Statement 3 Nursing Care and Do Not Resuscitate (DNR) and Allow Natural Death (AND) Decisions need to be in place for transfer of care to another nurse who is competent to care for that patient (ANA, 2001).tatement of ANA Position: Nurses must advocate for and play an active role in initiating discussions about DNR with patients, families, and members of the health care team.