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A nurse's right to refuse a patient care assignment

J E Kuhn1

  • 1St Luke's Hospital, San Francisco, USA.

AORN Journal
|September 1, 1995
PubMed
Summary
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Perioperative nurse managers face daily ethical dilemmas. This article outlines criteria for nurses refusing patient care assignments and when managers can require nurses to accept assignments, prioritizing patient well-being.

Area of Science:

  • Healthcare Ethics
  • Nursing Management
  • Bioethics

Background:

  • Ethical dilemmas are frequent in healthcare settings.
  • Nurses and nurse managers require guidance for resolving ethical challenges.
  • Resolutions must prioritize the best interests of all involved parties.

Purpose of the Study:

  • To discuss criteria for nurses refusing patient care assignments.
  • To outline conditions under which nurse managers can mandate patient care assignments.
  • To support ethical decision-making in perioperative nursing.

Main Methods:

  • Literature review on nursing ethics and management principles.
  • Analysis of ethical frameworks relevant to healthcare assignments.
  • Discussion of legal and professional standards for patient care refusal/acceptance.
Keywords:
Health Care and Public HealthProfessional Patient Relationship

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Main Results:

  • Identified specific ethical principles guiding patient care assignment decisions.
  • Delineated nurse's rights and responsibilities in refusing assignments.
  • Established nurse manager's authority and obligations in assigning care.

Conclusions:

  • Clear criteria enhance ethical practice in perioperative nursing.
  • Understanding these criteria supports fair and just patient care assignment.
  • Promotes a framework for resolving ethical conflicts in nursing assignments.