Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Obedience01:08

Obedience

33.0K
According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation,...
33.0K
Nursing Ethical Principles II01:27

Nursing Ethical Principles II

1.0K
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
1.0K
Ethical Issues01:27

Ethical Issues

1.1K
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
1.1K
Ethical Standards II01:23

Ethical Standards II

754
Ethical standards are the backbone of nursing practice, guiding nurses as they interact with patients, families, and colleagues. These standards are crucial for providing safe, empathetic care centered on the patient's needs.
Nurses are entrusted with upholding various ethical principles and standards. Nurses forge solid therapeutic relationships using trust, empathy, autonomy, confidentiality, and professional competence.
Confidentiality is crucial, embodying respect for individual privacy...
754
Patient-centered Care01:13

Patient-centered Care

2.1K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.1K
Legal Guidelines for Documentation01:06

Legal Guidelines for Documentation

1.4K
The legal guidelines for nursing documentation are essential for ensuring accurate, professional, and ethical recording of patient care. The guidelines are discussed here:
1.4K

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same authorSame journal

The Box: A Message from the Heart in 55 Words.

Methodist DeBakey cardiovascular journal·2026
Same author

Predictors of General Anesthesia Receipt During Cesarean Deliveries in the U.S. Military Health System: A Retrospective Cohort Study.

Military medicine·2026
Same author

Perioperative coagulopathy and refractory hypoglycaemia in a patient with metastatic gastrointestinal stromal tumour undergoing cytoreductive surgery.

BMJ case reports·2026
Same author

Otherwise: A Discussion of Jane Kenyon and Her Place in the Medical Humanities.

Methodist DeBakey cardiovascular journal·2026
Same author

Falling Into Life: a Reflection on "Back" by Jane Kenyon.

Journal of general internal medicine·2026
Same author

Commentary on "Monet Refuses the Operation".

Academic medicine : journal of the Association of American Medical Colleges·2026

Related Experiment Video

Updated: Aug 16, 2025

A Clinical Trial Assessing the Safety, Efficacy, and Delivery of Olive-Oil-Based Three-Chamber Bags for Parenteral Nutrition
04:53

A Clinical Trial Assessing the Safety, Efficacy, and Delivery of Olive-Oil-Based Three-Chamber Bags for Parenteral Nutrition

Published on: September 20, 2019

10.7K

The Noncompliant Patient.

James B Young1, Justin C Cordova2

  • 1Emeritus Executive Director of Academic Affairs, Cleveland Clinic, Professor of Medicine, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, Ohio, US.

Methodist Debakey Cardiovascular Journal
|December 23, 2022
PubMed
Summary

This poem explores the challenges healthcare providers face when patients refuse recommended treatments, often labeled as noncompliance or against medical advice. It highlights the ethical and emotional difficulties in delivering the best care under such circumstances.

More Related Videos

E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
06:28

E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

Published on: August 1, 2019

8.4K
Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
07:13

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform

Published on: April 12, 2021

4.4K

Related Experiment Videos

Last Updated: Aug 16, 2025

A Clinical Trial Assessing the Safety, Efficacy, and Delivery of Olive-Oil-Based Three-Chamber Bags for Parenteral Nutrition
04:53

A Clinical Trial Assessing the Safety, Efficacy, and Delivery of Olive-Oil-Based Three-Chamber Bags for Parenteral Nutrition

Published on: September 20, 2019

10.7K
E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
06:28

E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

Published on: August 1, 2019

8.4K
Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
07:13

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform

Published on: April 12, 2021

4.4K

Area of Science:

  • Medical Ethics
  • Patient Autonomy
  • Healthcare Communication

Background:

  • Healthcare providers strive to offer optimal patient care.
  • Patient noncompliance or refusal of medical advice presents a significant challenge.
  • Understanding patient decisions is crucial for effective healthcare.

Purpose of the Study:

  • To explore the complex issue of patients refusing medical advice.
  • To examine the healthcare provider's perspective on patient noncompliance.
  • To provoke thought on delivering "best care" in challenging situations.

Main Methods:

  • Poetic narrative exploring a healthcare provider's experience.
  • Experiential submission reflecting on patient interactions.
  • Qualitative exploration of a common clinical dilemma.

Main Results:

  • The poem "Against Medical Advice" highlights the emotional and ethical struggles of clinicians.
  • It illustrates the difficulties in providing care when patients deviate from medical recommendations.
  • The work emphasizes the multifaceted reasons behind patient noncompliance.

Conclusions:

  • The poem serves as a powerful reflection on the "against medical advice" phenomenon.
  • It underscores the need for empathetic and nuanced approaches to patient noncompliance.
  • Further dialogue is needed to address the complexities of patient autonomy and provider best practices.