Patient refusal of Care often puts healthCare professionals in an ethical dilemma. The ethics of refusing nursing Care are examined in this editorial, which emphasizes the Patient’s autonomy and the healthCare professional’s duty to provide Care. Coercion and information manipulation to override Patient’s refusal contradict principles of autonomy and justice. Through ethical analysis and case examples of assisting post-operative Patients with early ambulation, it is clear that an excessive focus on Patient’s autonomy and the duty to provide Care could jeopardize ethical practice.

Background: Care of Patient is a complex function; then the Care givers must establish standards and criteria for delivery and evaluation of Care of Patient. Along this fact, Joint Commission on Accreditation of HealthCare Organizations (JCAHO) has considered the international standards for Care of Patient (COP) in the hospital accreditation program; on the otherwise we must use international experiences for promotion of national hospital standards. So thisresearch conducted to depict weaknesses of national Care of Patientstandards in comparison with international one.Methods: In this descriptive-comparative study the Joint Commission's COP standards (70 statements) were compared with MOH's hospital standards (43 questions). Data collection methods were use of available information on the internet (Joint nCommission's COP standards) and the relevant references (MOH's standards). Data were collected using seven checklists based on the joint commission COP standards and were analyzed with comparative tables and descriptive statistical methods.Results: Final collation of MOH's standards for hospitals and the Joint Commission's COP standards (43 questions versus 70 statements) showed that the former covered 13 statements (18.6%) of the joint commission completely, covered 20 statements (28.6%) partially, and did not cover the remaining 37 statements (52.8%) at all. In other words, correspondence of MOH's hospital standards with those of Joint Commission was 18.6% completely, 28.6% partially and 52.8% without any correspondence.Conclusion: In general Ministry Of Health's COP standards have been very weak from the point of compilation, quantity and content. According to philosophy of healthCare organizations and importance of qualified healthCares services; it is necessary to reform national Care of Patient standards.

Introduction: Patient-centered Care is one of the major priorities of the health system to improve Patient safety and satisfaction, but in many cases it is not provided in accordance with the Patient Rights Charter. Therefore, the present study aimed to design a Patient-centered model of Care with the approach of the Charter of Patient Rights in Arbitrary Hospitals of the Ministry of Health of Iran. Materials and Methods: This study was a qualitative study. Participants included 21 expert managers and nurses, nursing managers of educational hospitals and selected hospitals. The method of data collection was in-depth interviews. The data were analyzed by qualitative content analysis. Results: The process of data analysis led to the emergence of 6 themes. These themes were titled with nursing services management, information, resource and Care, Patient charter, Patient safety, and spiritual Care, each of them derived from categories, subcategories, and primary codes, which are described in detail in the article. Conclusion: Paying attention to the dimensions of Patient-centered Care and the need to promote Patient rights is one of the priorities of the health Care system. It is recommended that the Patient-centered model of Care with the Patient rights charter approach be used in order to provide better health Care services and satisfy the Patients.