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In the Event of Conflicting Values When Caring for a Patient, Whose Set of Values Dominates When You Are Acting in a Professional Manner?

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In the event of conflicting values when caring for a patient, whose set of values dominates when you are acting in a professional manner?
Evidence-based practice is a problem-solving approach to the delivery of care that integrates (a) the best evidence from well-designed studies, (b) a clinician's expertise, and (c) patient preferences and values. In EBP, it is most important that the nurse should include the patients and listen carefully to their preferences and values, keeping in mind that patients may choose to be active or inactive participants in clinical decision-making. The consideration of patient values and preferences in making clinical decisions is essential to deliver the highest quality of care (Melnyk & Fineout-Overholt, 2006). According to the Australian Nursing Code of Professional Conduct, as a nurse we should respect and consider patient values, beliefs, personal wishes and decisions. We tend to think of values primarily as principles, standards, virtues and social norms ‘owned’ by individuals, groups and societies, as relatively fixed and stable. S0, values demand attention when they are at odds with other values, as choosing between conflicting values may produce entirely different, sometimes mutually exclusive, decisions and consequences. Consideration for individual values, particularly those of the patient, has also been increasing as a part of holistic care. However, such consideration is difficult within the context of modern health care, where complex and conflicting values are often in play. This is particularly so when a patient's values seem to be at odds with evidence-based practice or widely shared ethical principles, or when a health professional's personal values may compromise the care provided (Petrova,Dale, & Fulford,,2006). For instance, if an intervention or treatment is selected or decided by the physician in order to meet the

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