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Respecting End-of-Life Decisions.

Nadine Donahue1

  • 1Nadine Donahue is an associate professor of nursing at York College, City University of New York. Contact author: ndonahue@york.cuny.edu . The author has disclosed no potential conflicts of interest, financial or otherwise.

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Nurses must prioritize patient autonomy, even when it conflicts with their own preferences. Respecting patient desires is crucial for ethical and effective nursing care.

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Area of Science:

  • Nursing Ethics
  • Patient-Centered Care

Background:

  • Patient autonomy is a cornerstone of modern healthcare.
  • Nurses often face ethical dilemmas balancing patient wishes with clinical judgment.

Purpose of the Study:

  • To explore the challenges nurses encounter in accepting patient preferences.
  • To emphasize the importance of respecting patient autonomy in nursing practice.

Main Methods:

  • Qualitative analysis of nurse-patient interactions.
  • Ethical framework application.

Main Results:

  • Nurses reported internal conflict when patient desires differed from their recommendations.
  • Successful patient-centered care was linked to nurses validating and respecting patient choices.

Conclusions:

  • Accepting patient preferences, despite potential challenges, is vital for ethical nursing.
  • Prioritizing patient autonomy enhances therapeutic relationships and care outcomes.