What would you do if you disagreed with a physician's treatment plan for a patient?

SENIOR LEVEL
What would you do if you disagreed with a physician's treatment plan for a patient?
Sample answer to the question:
If I disagreed with a physician's treatment plan for a patient, I would first try to have an open and respectful conversation with the physician to understand their reasoning behind the plan. I would present my alternative perspective based on my clinical knowledge and expertise, and provide evidence-based research to support my viewpoint. If the disagreement persists, I would escalate the issue to the appropriate channels, such as the nurse manager, medical director, or hospital ethics committee. Ultimately, my priority is to ensure the best possible care for the patient, and I would be willing to collaborate and find a resolution that aligns with their well-being.
Here is a more solid answer:
If I found myself in a situation where I disagreed with a physician's treatment plan for a patient, my first step would be to initiate a private conversation with the physician. I would approach the discussion with an open mind and a willingness to truly understand their rationale. I would present my concerns in a respectful manner, backed by my clinical knowledge and expertise. It is crucial to provide concrete evidence and research to support my viewpoint. I firmly believe in the importance of collaborative decision-making, so I would actively listen to the physician's perspective and try to find common ground. If the disagreement persists, I would seek the input of other healthcare professionals involved in the patient's care, such as the nurse manager or medical director. Ultimately, the well-being of the patient is my utmost priority, and I am committed to providing patient-centered care. I would be willing to engage in further discussions, involving the hospital ethics committee if necessary, to ensure that the patient receives the most appropriate and effective treatment.
Why is this a more solid answer?
The solid answer expands on the basic answer by providing more specific details and examples of how the candidate would handle a disagreement with a physician's treatment plan. It emphasizes the importance of collaborative decision-making and includes a commitment to patient-centered care. However, it could still benefit from the candidate showcasing their past experiences in handling disagreements and how they have effectively resolved conflicts.
An example of a exceptional answer:
In the event of a disagreement with a physician's treatment plan for a patient, I would approach the situation with a focus on effective communication and collaboration. Firstly, I would research and thoroughly review the medical literature and evidence-based guidelines relevant to the patient's condition. Armed with this knowledge, I would initiate a meeting with the physician, maintaining a respectful and open attitude. During the discussion, I would present my concerns, clearly articulating my perspective based on the available evidence. I would actively listen to the physician's viewpoint and seek to understand their reasoning and clinical experience. If there is still a disagreement, I would suggest involving other members of the healthcare team, such as a nurse manager or medical director, to facilitate a multidisciplinary discussion. By bringing different perspectives to the table, we can collectively analyze the situation and strive to reach a consensus that aligns with the best interest of the patient. Ultimately, patient-centered care is paramount, and I would not hesitate to involve the hospital ethics committee or seek a second opinion from another healthcare professional if necessary. It is crucial to maintain professionalism and ensure that the patient's well-being remains the central focus throughout the resolution process.
Why is this an exceptional answer?
The exceptional answer demonstrates a high level of professionalism and a commitment to patient-centered care. It goes beyond the solid answer by incorporating additional elements such as thorough research, multidisciplinary collaboration, and involvement of the hospital ethics committee or seeking a second opinion if necessary. The answer also highlights the candidate's ability to maintain professionalism and prioritize the patient's well-being throughout the resolution process. However, the answer could be further improved by providing specific examples of past experiences in handling disagreements and successful resolutions.
How to prepare for this question:
  • Familiarize yourself with evidence-based guidelines and medical literature relevant to emergency nursing
  • Develop strong interpersonal and communication skills to effectively express your concerns and actively listen to others
  • Practice presenting your viewpoints in a respectful and evidence-based manner
  • Gain experience in multidisciplinary healthcare teams to better understand different perspectives
  • Reflect on past experiences where you have handled disagreements or conflicts, and consider how you can further enhance your resolution skills
What are interviewers evaluating with this question?
  • Clinical knowledge and expertise
  • Interpersonal and communication skills
  • Ability to work in a multidisciplinary healthcare team
  • Patient-centered care

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