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Related Experiment Videos

Do you feel powerless when a patient refuses medication?

N Carey1, S L Jones, A W O'Toole

  • 1Saint Thomas Medical Center, Akron, Ohio.

Journal of Psychosocial Nursing and Mental Health Services
|October 1, 1990
PubMed
Summary

Nurses often use indirect communication when patients refuse medication, prioritizing counseling and identifying potential injury risks. Patient refusal can negatively impact nursing care and patient interactions.

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Area of Science:

  • Nursing
  • Patient Safety
  • Healthcare Communication

Background:

  • Patients possess the legal right to refuse medication.
  • Understanding nurses' responses to medication refusal is crucial for effective patient care.
  • Medication refusal can impact the therapeutic relationship and patient outcomes.

Purpose of the Study:

  • To explore nurses' perceptions and responses to patient medication refusal.
  • To identify hazards associated with medication refusal events.
  • To analyze the influence of medication refusal on nursing practice.

Main Methods:

  • Qualitative analysis of nurses' identification of medication refusal indicators.
  • Assessment of perceived risks and nursing interventions during medication refusal.

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  • Exploration of nurses' beliefs regarding the impact of refusal on care.

    • Main Results:

    • Nurses frequently identified indirect indicators of refusal over direct terms like 'control' or 'powerlessness'.
    • The primary hazard identified was potential injury to nurses and other staff.
    • Counseling emerged as the most common nursing response.
    • Most nurses perceived medication refusal as detrimental to nursing care, patient-nurse interaction, and patient education.

    Conclusions:

    • Nurses' communication during medication refusal may rely on indirect cues.
    • Addressing potential safety hazards for healthcare personnel is essential.
    • The negative impact of medication refusal on care quality necessitates further investigation and improved strategies.