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  • Title: Competence and the nurse-patient relationship.
    Author: Jurchak M.
    Journal: Crit Care Nurs Clin North Am; 1990 Sep; 2(3):453-9. PubMed ID: 2264970.
    Abstract:
    Patient competence is a prerequisite to fulfilling the primary ethical principle of patient autonomy or self-determination. This article defines the legal designation of incompetence and describes the components of the assessment of a patient's decision-making capacity. These assessments occur within the context of relationships, the most influential of which is that between the nurse and patient. Attention to the nurse-patient relationship promotes patient autonomy, patient advocacy, and decision making based upon the patient's values--which is, ultimately, ethical health care.
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