Description

Nurses are commonly challenged with subtle and overt competent patient refusal of nursing care, including nursing procedures. Despite clear guidance and requirement of informed consent for medical procedures, there is lack of direction and training to guide response when met with resistance for nursing care. An integrative review of the literature from 2001-2016 identified only four articles that addressed competent patient refusal of nursing care, suggesting the need for further attention and research. A forum of nurses identified potential organizational interventions to address refusal of nursing care including: (1) development of institutional policies/guidelines that support refusal decision making, (2) implementation of a clear escalation plan, and (3) simulation training for nurses focused on negotiation skills. Review findings, recent literature, and innovation forum results will be summarized and interactively discussed with session participants.

Specialty

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  Continence
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  Foot & Nail
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  Ostomy
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  Professional Practice
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  Wound

Learning Outcome