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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
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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.

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.

Related Experiment Videos

  • 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.