Nurse Patient Case Study

1710 Words7 Pages
In this case, I, the nurse, can convince Marie to change her mind and receive the operation that can ultimately save her life. In doing so, I would breach her trust in me as her caregiver. However, I would decrease her risk of death and increase her family members and the health care team’s happiness. On the contrary, I can respect Marie’s choice of not undertaking the operation. I would honour her wishes and explain her position to her family and the health care team. I believe that the latter action should be chosen in this case. As Marie’s nurse, I have a duty of respecting her wishes and honouring the trust, which is the foundation of the nurse-and-patient relationship. Therefore, I choose to explain Marie’s position to her family members…show more content…
When an individual seeks treatment for his or her health problems, there is a one-on-one interview between the patient and the health care provider. In order for the patient to tell the nurse the sensitive information about him or her, trust must be established. To gain trust from the patient, the nurse demonstrates knowledge and interest in their needs. The nurse also emphasizes the confidentiality of the interview because the patient would feel safe in that environment. Trust is important because the nurse can adequately identify and prioritize the needs of the client and then implement interventions to meet those needs. Once trust is violated, then a nurse cannot earn that trust back. As a consequence, a patient’s health is compromised because the nurse cannot deliver their service adequately. If I were to approach Marie and breach her trust, in order to convince her to receive the surgery, I would violate something that is vital in the nurse-and-patient relationship. If Marie decided to take the operation after talking to her, this choice would not be solely Marie’s own decision. She would not have given the opportunity to freely make her own…show more content…
In this case, I would not jeopardize my professional relationship with Marie by breaching her trust. The care ethics approach does not undermine the patient’s values and preferences. It emphasizes the importance of the nurse-and-patient relationship. In health care, the paternalism model acknowledges that health care providers are the sole decision-makers for their patients as they know what is best for them (Collier & Haliburton, 2015, p. 87). The patients are expected to be adherent and obey the treatments that the health care providers implement (Collier & Haliburton, 2015, p. 87). However, patients should be included in the decision-making process. They have the right to be involved in their own care and make decisions that are free of coercion. Sometimes, the patient’s values, beliefs and preferences may not be in-line with the health care providers’ preferences and they have to respect those differences. In Marie’s case, she has the right to be respected in terms of her preferences and choices, especially that she was given all the information regarding her condition and treatment and she was competent enough to make those decisions. Using the care ethics approach, I am able to consult Marie first and determine why she does not want to receive the treatment that could ultimately save her life. Marie could have her own preferences such as a different surgeon that has the ability to
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