What are the factors influencing nurses to neglect patients' autonomy and decision-making?

Raziyeh Beykmirza, Reza Negarandeh
2017 Nursing Practice Today  
one of the dimensions of family-oriented care is enhancing the adequacy and empowerment of the family, and respecting their autonomy and decision-making in child care and treatment. The studies indicate that providing support and information for the parents in the hospital environment during child care, notifying parents about the treatment plan, educating them and using their participation are the most important needs of the parents. This requires the supportive educational relationship of
more » ... relationship of personnel, especially nurses with parents (3). However, there are many situations in nursing care that, if nurses are unaware or negligent, this patient's fundamental right will be violated. In this article, we will examine these factors and the findings of the studies conducted in this area. The study of Beykmirza et al (2017) revealed that among the nursing ethical codes, the domain of respect for autonomy and decision making from the perspective of mothers with a child with cancer was at the most unfavorable level of performance. In this study, nurses also acknowledged that they presented poor performance in this domain (4). These findings support the results of other studies on the contentment of parents of children with cancer with giving them the right to make decisions (5, 6). The findings from these studies may indicate the nurses' lack of knowledge about patient rights and the need for values-based practice. The health system in Iran is mainly far from the concept of patient and family orientation and giving decision-making rights on the basis of sufficient information. This is due to several reasons, such as lack of sufficient information from health care professionals, including doctors and nurses, about patient rights, having a stereotypical view about the lack of preparedness and competency of families to obtain information, the lack of a caring communication between the patient's family and caregivers along with empathy and attempt for empowerment, the high workload of professionals and in turn, assigning less t [...]
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