In providing ethically competent care, what should a nurse do after parents request not to inform their daughter about her impending death?

In situations where parents request that their child not be informed about a serious medical condition, it is essential for the nurse to assess the patient's desire for information. This is crucial for several reasons.

First, patients have the right to be informed about their health conditions, and this right extends to minors, depending on their age and maturity level. Assessing how much information the patient wishes to receive acknowledges her autonomy and helps to empower her in her care.

Second, understanding the patient's perspective allows the nurse to support her emotionally and psychologically. If the patient is unaware of her condition, she may experience feelings of fear and confusion, which can be alleviated by providing honest and compassionate communication tailored to her developmental level.

Furthermore, navigating family dynamics can be complex in these situations, and directly addressing the patient's needs can help balance the wishes of the family with the ethical obligation to promote transparency and informed decision-making.

While the parents' wishes should be considered, they are not absolute, and the nurse has a responsibility to advocate for the patient’s right to know about her own health status. This approach promotes a more ethically competent model of care that respects the patient's dignity and supports shared decision-making.