What should a nurse do if a patient refuses a recommended treatment?

A nurse should respect the patient’s autonomy and discuss their concerns if they refuse a recommended treatment. Patient autonomy is a key principle in healthcare that acknowledges the right of patients to make informed choices about their own care. It is important for nurses to engage in open communication with the patient to understand their reasons for refusing treatment. This discussion can provide valuable insight into the patient's values, beliefs, and concerns, which may lead to a better understanding of their needs and possibly to alternative treatment options that the patient may find acceptable.

In situations where a patient refuses treatment, forcing them or consulting the family without the patient’s consent would violate their rights and can damage the therapeutic relationship. Documenting the refusal without further engagement may leave the patient feeling unsupported and misunderstood, and consulting a psychiatrist may only be necessary if there is a concern about the patient's mental capacity to make an informed decision, not simply because they refuse treatment. Engaging in dialogue aligns with ethical nursing practices and promotes a patient-centered approach to care.