What is the best practice for nursing care when a patient is refusing to turn or move?

Explaining the importance of mobility and the potential risks of immobility is the best practice in this scenario. This approach respects the patient's autonomy while providing them with critical information about their health. Discussing the benefits of movement, such as improving circulation, preventing pressure ulcers, and enhancing overall well-being, can empower the patient to make an informed choice about their care.

By conveying the consequences of remaining still for prolonged periods, the nurse helps the patient understand that their active participation in care is essential for optimal health outcomes. Open communication can also strengthen the nurse-patient relationship and increase the likelihood that the patient will reconsider their decision to avoid moving or turning.

The other options do not adequately respect the patient’s autonomy or focus on informed consent. A directive approach, such as insisting on turning the patient, may cause resistance or discomfort. Allowing a patient to remain supine without discussion may lead to serious health complications, while consulting with a physician about restraints should be a last resort and only after all other options, including education, have been exhausted.