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Ahmadi F, Shaker H, Eterafi M, Kamran A. Exploring nursing students' perceptions from nursing role function (SP-NRF) during the COVID-19 pandemic in Ardabil Province: a cross sectional study from Iran. BMC Nurs 2023; 22:219. [PMID: 37365591 DOI: 10.1186/s12912-023-01389-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2022] [Accepted: 06/20/2023] [Indexed: 06/28/2023] Open
Abstract
BACKGROUND Perception of nursing roles among nursing students significantly influences their active engagement in nursing processes and care delivery. However, there is evidence to suggest that students' interest in and perceptions from the nursing profession at the undergraduate level are often insufficient. OBJECTIVE This study aimed to assess nursing students' perceptions of nursing role function and identify areas that require improvement. METHODS A cross-sectional study was conducted in 2021 among nursing students in the third- and fourth-years from three faculties in the Ardabil Province. The participants were selected through census sampling. The data were collected through interviews with the Standardized Professional Nursing Role Function (SP-NRF) questionnaire. Statistical analysis was performed using the SPSS-18 software at a significance level of less than 0.05. RESULTS A total of 320 nursing students participated in this study. The mean score for nursing role perception was 223.1 ± 20.3 out of 255. The results indicated significant gender differences in the mean scores of perception of the nursing role function, particularly in the supportive, professional-moral care, and professional-educational dimensions. Women scored significantly higher than men did (P < .05). Additionally, students who obtained a mean score of 19 to 20 (A) had significantly higher total scores in perception of the nursing role function than other students. Furthermore, a positive correlation was observed between students' interest in nursing and their perceived ability with nursing role perception (r = .282, P < .01) and all its dimensions. CONCLUSION Overall, nursing students demonstrated a favorable perception of nursing role function. However, their perception of mental and spiritual care was relatively weak. These findings highlight the need to review nursing education programs and incorporate the spiritual care dimension to enhance students' understanding of and preparation for their role as nurses.
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Affiliation(s)
- Fatemeh Ahmadi
- Students Research Committee, Ardabil University of Medical Sciences, Ardabil, Islamic Republic of Iran
| | - Hamidreza Shaker
- Students Research Committee, Ardabil University of Medical Sciences, Ardabil, Islamic Republic of Iran
| | - Majid Eterafi
- Students Research Committee, Ardabil University of Medical Sciences, Ardabil, Islamic Republic of Iran
| | - Aziz Kamran
- School of Medicine, Ardabil University of Medical Sciences, Ardabil, Iran.
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Abstract
As health care professionals practice as a team, they take on responsibilities that are specific to their roles-responsibilities that are recognized and understood by the team and management as pertaining to their professional domain and expertise. Is advocacy part of the role of the nurse? Members of the nursing profession commonly maintain that it is, but is there a consensus on this issue, both within the profession and among other stakeholders? Is there a clear understanding of the term advocacy, and is this reflected in Codes of Practice and research into practice? An examination of significant documents and reports of empirical research reveals conflicting conceptions and opinions. There is potential for a common definition, but agreements need to be reached on whether advocacy is an essential function of nursing within the management of health care, and if so, what is advocacy's importance, focus, and limits.
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3
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Nichols LS, Eagerton G, Bordelon C. Promoting Sustainable Nursing Leadership: The Nightingale Legacy. Creat Nurs 2020; 26:272-276. [PMID: 32917842 DOI: 10.1891/crnr-d-19-00081] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
The year 2020 features the 200th anniversary of Florence Nightingale's birth. Her legacy is often recalled as simply being "the lady with the lamp" who cared for sick and wounded British soldiers; however, her impact on the nursing profession includes serving as a role model for many leadership behaviors and strategies that have positively impacted the health of communities and populations around the world. Through her tireless endeavors, Nightingale exemplified many leadership roles, including advocate, change agent, interprofessional collaborator, and visionary. The development of effective skills in these leadership roles remains important for all levels of nursing leaders in today's health-care environment. This article showcases Nightingale's leadership in selected leadership roles, and demonstrates her continued impact on contemporary nurses.
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Nsiah C, Siakwa M, Ninnoni JPK. Barriers to practicing patient advocacy in healthcare setting. Nurs Open 2020; 7:650-659. [PMID: 32089864 PMCID: PMC7024610 DOI: 10.1002/nop2.436] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2019] [Accepted: 12/03/2019] [Indexed: 11/09/2022] Open
Abstract
Aim To explore barriers to practicing patient advocacy in healthcare setting. Design This study used a qualitative research approach to arrive at the study result. Methods Twenty-five Registered Nurses were purposively selected. Semi-structured interviews were used to collect data and analysed using qualitative content analysis. Results The main theme identified was lack of cooperation between healthcare team, care recipients and the health institution which included the health institution and work environment, ineffective communication and interpersonal relationship, patients' family, religious and cultural beliefs. Unsuccessful advocacy resulted in increased complications, death, negative consequence on the health institution and nursing as a profession. This study has significantly created awareness of the need for an improved patient advocacy to enhance the quality and safety in the care of patients.
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Affiliation(s)
- Comfort Nsiah
- School of Nursing and MidwiferyUniversity of Cape CoastCape CoastGhana
| | - Mate Siakwa
- School of Nursing and MidwiferyUniversity of Cape CoastCape CoastGhana
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Novinmehr N, Hasanpour M, Salsali M, Mehrdad N, Qorbani M, Shamsaei F. Older adults' self-advocacy in patient safety: a cross-sectional study. ACTA ACUST UNITED AC 2020; 28:1076-1084. [PMID: 31518535 DOI: 10.12968/bjon.2019.28.16.1076] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
BACKGROUND patient advocacy is a major nursing role, which is linked to supporting, encouraging and reinforcing self-advocacy in patients. Patient safety is an important nursing outcome, especially in older adults. AIMS older adults' self-advocacy regarding patient safety behaviour and its relationship with some demographic characteristics were assessed. METHODS a valid older adult patients' self-advocacy questionnaire, which included subscales of behaviour, self-efficacy, attitude and outcome efficacy (range of scores=0-63), was used. In this cross-sectional study, 230 patients aged over 60 years were selected using a stratified sampling method. FINDINGS an association was found between total self-advocacy score (mean=40.16; SD=9.6) and rural living (β=-0.168; P=0.016) using multiple linear regression analysis. Similar findings were found between questionnaire subscales and sex, rural living, occupation and age. CONCLUSION older adults, especially women, those of advanced age and those in rural areas, may benefit from nursing interventions to improve their self-advocacy in patient safety.
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Affiliation(s)
- Nasser Novinmehr
- PhD Nursing Candidate, School of Nursing and Midwifery, Elderly Health Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Marzieh Hasanpour
- Associate Professor, School of Nursing and Midwifery, Knowledge Utilization Research Center, Tehran University of Medical Sciences, Tehran, Iran
| | - Mahvash Salsali
- Emeritus Professor, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
| | - Neda Mehrdad
- Associate Professor, Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran; and Nursing Care Research Center, Iran University of Medical Sciences, Tehran, Iran
| | - Mostafa Qorbani
- Associate Professor, Non-communicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, Iran
| | - Farshid Shamsaei
- Associate Professor, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamedan, Iran
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Nsiah C, Siakwa M, Ninnoni JPK. Registered Nurses' description of patient advocacy in the clinical setting. Nurs Open 2019; 6:1124-1132. [PMID: 31367438 PMCID: PMC6650676 DOI: 10.1002/nop2.307] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2017] [Revised: 04/11/2019] [Accepted: 04/29/2019] [Indexed: 11/08/2022] Open
Abstract
AIM To provide Registered Nurses description of patient advocacy in the clinical setting. DESIGN A qualitative approach with descriptive study design was used to meet the set objective. METHODS Purposive sampling was used to select the study participants. Through semi-structured interview, data were collected from 25 participants, transcribed and analysed using qualitative content analysis. RESULTS The Registered Nurses described patient advocacy as promoting patient safety and quality care which includes the following: protecting patients, being patients' voice, provision of quality care and interpersonal relationship as well as educating patients. The nurses had adequate understanding of patient advocacy and were willing to advocate for patients. There is, however, a need to research into barriers to patient advocacy in the clinical setting. This study made significant contribution to the understanding of patient advocacy and its positive effect on the provision of quality patient care.
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Affiliation(s)
- Comfort Nsiah
- School of Nursing and MidwiferyUniversity of Cape CoastCape CoastGhana
| | - Mate Siakwa
- School of Nursing and MidwiferyUniversity of Cape CoastCape CoastGhana
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Hanks RG, Eloi H, Stafford L. Understanding how advanced practice registered nurses function as patient advocates. Nurs Forum 2019; 54:213-219. [PMID: 30561014 DOI: 10.1111/nuf.12319] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2018] [Revised: 11/20/2018] [Accepted: 11/27/2018] [Indexed: 06/09/2023]
Abstract
Although patient advocacy experiences for registered nurses (RNs) have been researched over the past 40 years, very little is known about patient advocacy at the advanced practice registered nursing (APRN) level. The APRN role is distinct from the RN role, in that APRNs are focused on diagnosing, prescribing, and management of treatment of various medical conditions in the settings where APRNs are used. The purpose of this study was to explore the APRN's experience with patient advocacy using a phenomenology-based qualitative design. A total of seven Texas APRNs were randomly selected for participation in telephone interviews. Interview transcripts were analyzed by the research team for repetitive statements and four themes emerged from the data: (a) patients with APRN advocacy is providing resources, information, and protection; (b) outcomes of patient with APRN advocacy: positive and negative; (c) patient advocacy mostly experientially learned at APRN level; and (d) increased medical knowledge increases advocacy ability. This pilot study provides important preliminary exploratory results regarding APRN advocacy and differentiates it from RN level advocacy. In addition, this study provides significant insight into APRN educational preparation for the APRN advocate role, thus serving as a foundation for improving educational approaches to advocacy.
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Affiliation(s)
- Robert G Hanks
- Department of Graduate Studies, UTHealth Cizik School of Nursing, Houston, Texas
| | - Hildreth Eloi
- Department of Graduate Studies, UTHealth Cizik School of Nursing, Houston, Texas
| | - Linda Stafford
- Department of Graduate Studies, UTHealth Cizik School of Nursing, Houston, Texas
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Gormley JM. School Nurse Advocacy for Student Health, Safety, and School Attendance: Impact of an Educational Activity. J Sch Nurs 2018; 35:401-411. [DOI: 10.1177/1059840518814294] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
School nurses are expected to advocate for policies and procedures that support student health, safety, and school attendance. An educational activity to improve school nurse advocacy was developed and implemented based on advocacy literature, self-efficacy theory, and continuing education guidelines. A quantitative, repeated measure descriptive project design was used to compare school nurses’ advocacy measures before and following an educational activity and 6 weeks after the activity. Immediately after the education, there were significant increases in advocacy knowledge ( p < .001), confidence ( p < .001), and recalled behaviors ( p < .01) for a convenient sample of 51 Massachusetts school nurses. There were no significant differences across pre-, post-, and 6-week survey responses ( n = 6); however, advocacy outcomes from immediately after the education were maintained at 6 weeks. More effective school nurse advocacy may improve youth population health, increase safety for students at school, and improve school attendance.
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Ramos AM, Devos Barlem EL, Tomaschewisk Barlem JG, Pereira Rocha L, Lopes Amarijo C, de Mattos LM. Preditores da advocacia em saúde identificados por enfermeiros no contexto hospitalar. AQUICHAN 2018. [DOI: 10.5294/aqui.2018.18.3.9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Objetivos: identificar los predictores del ejercicio de la abogacía en salud por enfermeros en el contexto hospitalario. Materiales y método: estudio cuantitativo, transversal analítico, realizado con 157 enfermeros de dos instituciones hospitalarias del sur de Brasil, una pública y una filantrópica. Se realizó la recolección de datos entre los meses de septiembre y octubre del 2015. Se utilizó el instrumento Protective Nursing Advocacy Scale — versión brasileña, constituido por 20 ítems, dispuestos en cinco constructos. Para el análisis de los datos, se utilizaron elementos de la estadística descriptiva, la correlación de Pearson y el análisis de regresión lineal. Resultados: los resultados evidenciaron moderada asociación entre facilitadores al ejercicio de la abogacía y percepciones que favorecen su ejercicio. La dimensión “facilitadores al ejercicio de la abogacía” obtuvo el mayor promedio del instrumento y fue el principal predictor jurídico en salud en el contexto hospitalario, capaz de provocar en los enfermeros la sensibilidad y el deseo en abogar. Conclusiones: el sentimiento de responsabilidad por parte de los enfermeros en mantener el buen funcionamiento del equipo y manejar cuestiones conflictivas en ofrecer seguridad a los pacientes, aun ante resistencias oriundas del local de trabajo.
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Tomaschewski-Barlem JG, Lunardi VL, Barlem ELD, Silveira RSD, Ramos AM, Santos JMD. AÇÕES DOS ENFERMEIROS NO EXERCÍCIO DA ADVOCACIA DO PACIENTE: REVISÃO INTEGRATIVA. TEXTO & CONTEXTO ENFERMAGEM 2018. [DOI: 10.1590/0104-070720180000730014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
RESUMO: Objetivo: identificar as ações dos enfermeiros no exercício da advocacia do paciente, na literatura científica internacional publicada nos últimos dez anos. Método: revisão integrativa da literatura, cujos dados foram coletados na base de dados Cumulative Index to Nursing and Allied Health Literature e SAGE Journals Online, utilizando-se os descritores "patient advocacy" e "nursing", sendo encontrados 27 artigos. Resultados: como resultados, emergiram duas categorias: ações de advocacia exercidas por enfermeiros em diferentes nações e culturas; e ações de advocacia nos diferentes ambientes de atuação dos enfermeiros. Conclusão: acredita-se que os achados deste estudo poderão contribuir para a produção de pesquisas e conhecimentos em enfermagem, ampliando a compreensão da advocacia do paciente como um componente ético da prática dos enfermeiros.
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Sundqvist AS, Anderzén-Carlsson A, Nilsson U, Holmefur M. Protective Nursing Advocacy: Translation and Psychometric Evaluation of an Instrument and a Descriptive Study of Swedish Registered Nurse Anesthetists' Beliefs and Actions. J Perianesth Nurs 2018; 33:58-68. [PMID: 29362048 DOI: 10.1016/j.jopan.2016.10.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2016] [Revised: 10/04/2016] [Accepted: 10/08/2016] [Indexed: 11/30/2022]
Abstract
PURPOSE To translate and adapt the Protective Nursing Advocacy Scale (PNAS) into a Swedish version (PNAS-Swe), evaluate its psychometric properties, and describe registered nurse anesthetists' (RNAs) advocacy beliefs and actions from a protective perspective. DESIGN A cross-sectional design was used. METHODS First, the PNAS was translated into Swedish. Next, the content and construct validity of the PNAS four subscales was evaluated. Finally, the PNAS-Swe was used to describe Swedish RNA beliefs and actions regarding protective nursing advocacy. FINDINGS The final PNAS-Swe has 29 items in four subscales. The RNAs reported that they feel that they should provide protective nursing advocacy for their patients. There were no differences in gender, or associations with age, or work experience regarding their advocacy beliefs or actions. CONCLUSIONS The PNAS-Swe is valid for use in a Swedish context. Protective nursing advocacy is important to the RNAs, which is in congruence with earlier qualitative studies.
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Figueira AB, Barlem ELD, Amestoy SC, Silveira RSD, Tomaschewski-Barlem JG, Ramos AM. Health advocacy by nurses in the Family Health Strategy: barriers and facilitators. Rev Bras Enferm 2018; 71:57-64. [PMID: 29324945 DOI: 10.1590/0034-7167-2016-0119] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2016] [Accepted: 02/02/2017] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE Identify the barriers and facilitators of health advocacy to users delivered by nurses from the Family Health Strategy. METHOD Qualitative study carried out with nurses from the Family Health Strategy of a city in the south of Brazil. Study participants were 15 nurses, who were interviewed. The content of the interviews was recorded, transcribed and analyzed in the light of the discursive text analysis. RESULTS Two categories emerged, one about the lack of organization at the workplace, bureaucracy and limitations to professional work in health environments, and another about the facilitating aspects to exercise advocacy both individually and collectively. CONCLUSION When nurses, provided with technical, scientific and relational knowledge, are empowered to make decisions, they are not only supported by other professionals at work but also develop actions of health advocacy to users, thus qualifying the care delivered.
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Affiliation(s)
- Aline Belletti Figueira
- Universidade Federal de Rio Grande, Center of Health Sciences, Postgraduate Program in Nursing. Rio Grande, Rio Grande do Sul, Brazil
| | - Edison Luiz Devos Barlem
- Universidade Federal de Rio Grande, Center of Health Sciences, Postgraduate Program in Nursing. Rio Grande, Rio Grande do Sul, Brazil
| | - Simone Coelho Amestoy
- Universidade Federal da Bahia, Center of Health Sciences, Postgraduate Program in Nursing. Salvador, Bahia, Brazil
| | - Rosemary Silva da Silveira
- Universidade Federal de Rio Grande, Center of Health Sciences, Postgraduate Program in Nursing. Rio Grande, Rio Grande do Sul, Brazil
| | - Jamila Geri Tomaschewski-Barlem
- Universidade Federal de Rio Grande, Center of Health Sciences, Postgraduate Program in Nursing. Rio Grande, Rio Grande do Sul, Brazil
| | - Aline Marcelino Ramos
- Universidade Federal de Rio Grande, Center of Health Sciences, Postgraduate Program in Nursing. Rio Grande, Rio Grande do Sul, Brazil
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Sundqvist AS, Nilsson U, Holmefur M, Anderzén-Carlsson A. Promoting person-centred care in the perioperative setting through patient advocacy: An observational study. J Clin Nurs 2018; 27:2403-2415. [DOI: 10.1111/jocn.14181] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/02/2017] [Indexed: 11/28/2022]
Affiliation(s)
- Ann-Sofie Sundqvist
- Faculty of Medicine and Health; School of Health Sciences; Örebro University; Örebro Sweden
- Department of Cardiothoracic and Vascular Surgery; Faculty of Medicine and Health; Örebro University; Örebro Sweden
- Faculty of Medicine and Health; University Health Care Research Centre, Region Örebro County; Örebro University; Örebro Sweden
| | - Ulrica Nilsson
- Faculty of Medicine and Health; School of Health Sciences; Örebro University; Örebro Sweden
| | - Marie Holmefur
- Faculty of Medicine and Health; School of Health Sciences; Örebro University; Örebro Sweden
| | - Agneta Anderzén-Carlsson
- Faculty of Medicine and Health; School of Health Sciences; Örebro University; Örebro Sweden
- Faculty of Medicine and Health; University Health Care Research Centre, Region Örebro County; Örebro University; Örebro Sweden
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Dadzie G, Aziato L, Aikins ADG. "We are the best to stand in for patients": a qualitative study on nurses' advocacy characteristics in Ghana. BMC Nurs 2017; 16:61. [PMID: 29162984 PMCID: PMC5686914 DOI: 10.1186/s12912-017-0259-6] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2017] [Accepted: 11/07/2017] [Indexed: 01/08/2023] Open
Abstract
Background Patient advocacy has been identified as a core duty of the nurse, and certain nurse characteristics influence the performance of the role. However, these characteristics have not been adequately explored in Ghana. This study aimed to explore the perspectives of nurses about the characteristics of nurses that influence their role as patient advocates. Methods An exploratory descriptive qualitative study was conducted among 15 nurses from a regional hospital in Ghana. Purposive sampling was used to select participants and individual in-depth interviews were conducted in English using a semi-structured interview guide. The interviews were audio-taped and transcribed. Data analysis was done concurrently employing the principles of thematic analysis. Ethical approval was obtained for the study from the Noguchi Memorial Institute of Medical Research and the Ghana Health Service Ethical Review Committee. Results Themes generated revealed nurse traits which enhanced the advocacy role of nurses such as being empathetic, nurturing, ethical, assertive and persistent and nurse states which hindered the performance of the role such as fatigue and frustration. However, “compassionate” emerged as an additional nurse trait from this study. Out of empathy, participants availed themselves for patients to share their problems with them. In their nurturing roles, spending more time with patients and providing personal care fostered closeness which helped in identifying patients’ problems. Helping patients navigate the health system was also found. They perceived patient advocacy as a moral responsibility and identified good communication skills and determination to help patients get their problems solved as important in patient advocacy. Some participants also described compassion-based activities such as pleading on patients’ behalf, providing material and financial assistance, facilitating care and providing emotional support in their advocacy. However, heavy workload and lack of appreciation from patients were found to hinder the performance of the advocacy role. Conclusions We concluded that nurse characteristics that influence patient advocacy are comparable to those identified internationally such as being empathetic, assertiveness and fatigue. Enhancing these characteristics could help nurses overcome the negative states that undermine the patient advocacy role of nurses.
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Affiliation(s)
- Grace Dadzie
- Department of Adult Health, School of Nursing, College of Health Sciences, University of Ghana, P. O. Box LG 43, Legon, Accra, Ghana
| | - Lydia Aziato
- Department of Adult Health, School of Nursing, College of Health Sciences, University of Ghana, P. O. Box LG 43, Legon, Accra, Ghana
| | - Ama de-Graft Aikins
- Regional Institute for Population Studies, University of Ghana, P. O. Box LG 96, Legon, Accra, Ghana
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Abstract
As health care professionals practice as a team, they take on responsibilities that are specific to their roles-responsibilities that are recognized and understood by the team and management as pertaining to their professional domain and expertise. Is advocacy part of the role of the nurse? Members of the nursing profession commonly maintain that it is, but is there a consensus on this issue, both within the profession and among other stakeholders? Is there a clear understanding of the term advocacy, and is this reflected in Codes of Practice and research into practice? An examination of significant documents and reports of empirical research reveals conflicting conceptions and opinions. There is potential for a common definition, but agreements need to be reached on whether advocacy is an essential function of nursing within the management of health care, and if so, what is advocacy's importance, focus, and limits.
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16
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Tomaschewski-Barlem JG, Lunardi VL, Barlem ELD, Silveira RSD, Ramos AM, Piexak DR. ADVOCACIA DO PACIENTE NA ENFERMAGEM: BARREIRAS, FACILITADORES E POSSÍVEIS IMPLICAÇÕES. TEXTO & CONTEXTO ENFERMAGEM 2017. [DOI: 10.1590/0104-0707201700010001] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
RESUMO Objetivo: realizar uma reflexão acerca das barreiras, facilitadores e possíveis implicações do exercício da advocacia do paciente pelos enfermeiros. Resultados: essa reflexão resulta de uma leitura minuciosa da literatura internacional acerca da advocacia do paciente, acrescida de estudos nacionais e internacionais acerca do sofrimento moral e suas relações com o exercício da advocacia. Conclusão: as barreiras diante do exercício da advocacia do paciente são notórias, pautando-se na própria estrutura organizacional das instituições de saúde e nas relações de poder entre equipes médica e de enfermagem, desafiando e desencorajando os enfermeiros a agirem de acordo com seus conhecimentos e consciências, implicando, muitas vezes, em situações reconhecidas como de sofrimento moral.
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Perioperative Patient Advocacy: An Integrative Review. J Perianesth Nurs 2016; 31:422-33. [DOI: 10.1016/j.jopan.2014.12.001] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2014] [Revised: 12/08/2014] [Accepted: 12/15/2014] [Indexed: 11/19/2022]
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Water T, Ford K, Spence D, Rasmussen S. Patient advocacy by nurses – past, present and future. Contemp Nurse 2016; 52:696-709. [DOI: 10.1080/10376178.2016.1235981] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Affiliation(s)
- Tineke Water
- Department of Nursing, Auckland University of Technology, Auckland, New Zealand
| | - Katrina Ford
- School of Clinical Sciences, Auckland University of Technology, Auckland, New Zealand
| | - Deb Spence
- Department of Nursing, Auckland University of Technology, Auckland, New Zealand
| | - Shayne Rasmussen
- Department of Nursing, Auckland University of Technology, Auckland, New Zealand
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Abstract
A correlation study design was used to examine the interrelatedness of power, attitudes regarding intermittent fetal monitoring, and perceived barriers to research utilization with a labor and delivery nurse’s attitude toward patient advocacy using the conceptual framework of the science of unitary human beings. The linear combination of the three independent variables was significantly correlated to attitude toward patient advocacy and power as knowing participation in change had the greatest impact on patient advocacy.
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Tomaschewski-Barlem JG, Lunardi VL, Barlem ELD, Ramos AM, Silveira RS, Vargas MADO. COMO ENFERMEIROS VÊM EXERCENDO A ADVOCACIA DO PACIENTE NO CONTEXTO HOSPITALAR? - UMA PERSPECTIVA FOUCAULTIANA. TEXTO & CONTEXTO ENFERMAGEM 2016. [DOI: 10.1590/0104-0707201600002560014] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Objetivou-se conhecer como os enfermeiros vêm exercendo a advocacia do paciente no contexto hospitalar. Realizou-se uma pesquisa qualitativa, do tipo exploratório-descritiva, em um hospital universitário do Sul do Brasil. Foram respondentes da pesquisa 16 enfermeiros, selecionados por meio de amostragem não probabilística, do tipo bola de neve. Para a coleta de dados, foram realizadas entrevistas semiestruturadas, gravadas e transcritas, analisadas mediante análise textual discursiva e referencial teórico foucaultiano. Como resultados, emergiram duas categorias: a coragem de verdade: o exercício da advocacia mediado pelo diálogo franco; estratégias de resistência para o exercício da advocacia do paciente. Conclui-se que a estabilidade profissional e o apoio da instituição contribuem para que os enfermeiros se sintam encorajados a exercer a advocacia, mesmo diante de situações de difícil enfrentamento, utilizando-se da parrésia e de estratégias de resistência para garantir a defesa efetiva dos interesses dos pacientes.
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Barlem JGT, Lunardi VL, Barlem ELD, Ramos AM, Figueira AB, Fornari NC. Nursing beliefs and actions in exercising patient advocacy in a hospital context. Rev Esc Enferm USP 2015; 49:811-8. [DOI: 10.1590/s0080-623420150000500015] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2014] [Accepted: 05/05/2015] [Indexed: 11/22/2022] Open
Abstract
AbstractOBJECTIVEAnalyzing beliefs and actions of nurses in exercising patient advocacy in a hospital context.METHODA quantitative cross-sectional exploratory and descriptive study, conducted with 153 nurses from two hospitals in southern Brazil, one public and one philanthropic, by applying Protective Nursing Advocacy Scale - Brazilian version. Data were analyzed using descriptive statistics and analysis of variance.RESULTSNurses believe they are advocating for patients in their workplaces, and agree that they should advocate, especially when vulnerable patients need their protection. Personal values and professional skills have been identified as major sources of support for the practice of advocacy.CONCLUSIONNurses do not disagree nor agree that advocating for patients in their working environments can bring them negative consequences. It is necessary to recognize how the characteristics of public and private institutions have helped or not helped in exercising patient advocacy by nurses.
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Nogario ACD, Barlem ELD, Tomaschewski-Barlem JG, Lunardi VL, Ramos AM, Oliveira ACCD. Nursing Actions in practicing inpatient advocacy in a Burn Unit. Rev Esc Enferm USP 2015; 49:580-8. [DOI: 10.1590/s0080-623420150000400007] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVEUnderstanding nursing actions in the practice of inpatient advocacy in a burn unit.METHODA single and descriptive case study, carried out with nurses working in a referral burn center in southern Brazil. Data were collected through focus group technique, between February and March 2014, in three meetings. Data was analysed through discursive textual analysis.RESULTSThree emerging categories were identified, namely: (1) instructing the patient; (2) protecting the patient; and (3) ensuring the quality of care.CONCLUSIONSThis study identified that the nurses investigated exercised patient advocacy and that the recognition of their actions is an advance for the profession, contributing to the autonomy of nurses and the effectiveness of patients' rights and social justice.
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Tomaschewski-Barlem JG, Lunardi VL, Barlem ELD, da Silveira RS, Dalmolin GDL, Ramos AM. Cross-cultural adaptation and validation of the Protective Nursing Advocacy Scale for Brazilian nurses. Rev Lat Am Enfermagem 2015; 23:669-76. [PMID: 26444169 PMCID: PMC4623730 DOI: 10.1590/0104-1169.0214.2602] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2014] [Accepted: 02/21/2015] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVE to adapt culturally and validate the Protective Nursing Advocacy Scale for Brazilian nurses. METHOD methodological study carried out with 153 nurses from two hospitals in the South region of Brazil, one public and the other philanthropic. The cross-cultural adaptation of the Protective Nursing Advocacy Scale was performed according to international standards, and its validation was carried out for use in the Brazilian context, by means of factor analysis and Cronbach's alpha as measure of internal consistency. RESULTS by means of evaluation by a committee of experts and application of pre-test, face validity and content validity of the instrument were considered satisfactory. From the factor analysis, five constructs were identified: negative implications of the advocacy practice, advocacy actions, facilitators of the advocacy practice, perceptions that favor practice advocacy and barriers to advocacy practice. The instrument showed satisfactory internal consistency, with Cronbach's alpha values ranging from 0.70 to 0.87. CONCLUSION it was concluded that the Protective Nursing Advocacy Scale - Brazilian version, is a valid and reliable instrument for use in the evaluation of beliefs and actions of health advocacy, performed by Brazilian nurses in their professional practice environment.
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Ronnebaum ED, Schmer C. Patient Advocacy and the Affordable Care Act: The Growing Need for Nurses to Be Culturally Aware. ACTA ACUST UNITED AC 2015. [DOI: 10.4236/ojn.2015.53028] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Gazarian PK, Fernberg LM, Sheehan KD. Effectiveness of narrative pedagogy in developing student nurses' advocacy role. Nurs Ethics 2014; 23:132-41. [PMID: 25505084 DOI: 10.1177/0969733014557718] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND The literature and research on nursing ethics and advocacy has shown that generally very few nurses and other clinicians will speak up about an issue they have witnessed regarding a patient advocacy concern and that often advocacy in nursing is not learned until after students have graduated and begun working. OBJECTIVE To evaluate the effectiveness of narrative pedagogy on the development of advocacy in student nurses, as measured by the Protective Nursing Advocacy Scale. DESIGN We tested the hypothesis that use of a narrative pedagogy assignment related to ethics would improve student nurse's perception of their advocacy role as measured by the Protective Nursing Advocacy Scale using a quasi-experimental nonrandomized study using a pre-test, intervention, post-test design. Data collection occurred during class time from October 2012 to December 2012. The Protective Nursing Advocacy Scale tool was administered to students in class to assess their baseline and was administered again at the completion of the educational intervention to assess whether narrative pedagogy was effective in developing the nursing student's perception of their role as a patient advocate. ETHICAL CONSIDERATIONS Students were informed that their participation was voluntary and that the data collected would be anonymous and confidential. The survey was not a graded assignment, and students did not receive any incentive to participate. The institutional review board of the college determined the study to be exempt from review. SETTING School of Nursing at a small liberal arts college in the Northeastern United States. PARTICIPANTS A consecutive, nonprobability sample of 44 senior-level nursing students enrolled in their final nursing semester was utilized. FINDINGS Results indicated significant differences in student nurse's perception of their advocacy role related to environment and educational influences following an education intervention using an ethics digital story. CONCLUSION Using the Protective Nursing Advocacy Scale, we were able to measure the effectiveness of narrative pedagogy on nursing student's perception of the nurse's advocacy role.
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Affiliation(s)
| | - Lauren M Fernberg
- Brigham and Women's Hospital, USA; Simmons College, USASimmons College, USA
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Kelland K, Hoe E, McGuire MJ, Yu J, Andreoli A, Nixon SA. Excelling in the role of advocate: a qualitative study exploring advocacy as an essential physiotherapy competency. Physiother Can 2014; 66:74-80. [PMID: 24719513 PMCID: PMC3941126 DOI: 10.3138/ptc.2013-05] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
PURPOSE To explore the perspectives of leading advocates regarding the attributes required for excelling in the advocate role as described within the Essential Competency Profile for Physiotherapists in Canada (2009). METHODS We used a descriptive qualitative design involving in-depth, semi-structured interviews conducted with leading Canadian advocates within the physiotherapy profession. Transcribed interviews were coded and analyzed using thematic analysis. RESULTS The 17 participants identified eight attributes necessary for excelling in the role of advocate: collaboration, communication, scholarly practice, management, professionalism, passion, perseverance, and humility. The first five attributes correspond to roles within the Essential Competency Profile for Physiotherapists in Canada. Participants identified the attributes of collaboration, communication, and scholarly practice as the most important for successful advocacy. Participants also noted that the eight identified attributes must be used together and tailored to meet the needs of the advocacy setting. CONCLUSIONS Identifying these eight attributes is an important first step in understanding how competence in the advocate role can be developed among physiotherapy students and practitioners. Most importantly, this study contributes to the knowledge base that helps physiotherapists to excel in advocating for their clients and the profession.
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Affiliation(s)
- Kerri Kelland
- Department of Physical Therapy, Faculty of Medicine, University of Toronto
| | - Erica Hoe
- Department of Physical Therapy, Faculty of Medicine, University of Toronto
| | - Michaela J McGuire
- Department of Physical Therapy, Faculty of Medicine, University of Toronto
| | - Jane Yu
- Department of Physical Therapy, Faculty of Medicine, University of Toronto
| | - Angie Andreoli
- Department of Physical Therapy, Faculty of Medicine, University of Toronto
| | - Stephanie A Nixon
- Department of Physical Therapy, Faculty of Medicine, University of Toronto
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Maine J. Rise and shine: a story about advocacy. Nursing 2013; 43:12. [PMID: 24257521 DOI: 10.1097/01.nurse.0000437483.75992.04] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Affiliation(s)
- Jillian Maine
- Jillian Maine is a student at Holy Family University in Philadelphia, Pa
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Motamed-Jahromi M, Abbaszadeh A, Borhani F, Zaher H. Iranian Nurses' Attitudes and Perception towards Patient Advocacy. ISRN NURSING 2012; 2012:645828. [PMID: 23326680 PMCID: PMC3544248 DOI: 10.5402/2012/645828] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 11/16/2012] [Accepted: 12/10/2012] [Indexed: 11/23/2022]
Abstract
Patient advocacy is an inherent component of professional nursing ethics; in other words, nurses' enough knowledge would be essential to gain a positive attitude towards nursing advocacy. Using a descriptive-analytic design, this study aimed to assess the correlation between nurses' perception and attitudes towards patient advocacy, amongst 385 nurses in Kerman, Iran; hence, a three-part questionnaire was applied: part I, a demographic data sheet, part II, attitude measuring instrument, and part III, perception measuring instrument in nursing advocacy. The results implied that fairly positive attitudes and perception were found amongst the participants, and nurses' attitudes, in general, were positively correlated to their perception toward nursing advocacy. This means that with an improvement in perception, the attitude would also improve. In addition to our findings, it seems that these nurses needed more advocacy educational programs and support from responsible employers.
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Affiliation(s)
- Mohadeseh Motamed-Jahromi
- Razi School of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman 7616913555, Iran
| | - Abbas Abbaszadeh
- School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran 1981619573, Iran
| | - Fariba Borhani
- Razi School of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman 7616913555, Iran
| | - Homa Zaher
- Razi School of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman 7616913555, Iran
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Toth J. Development of the Basic Knowledge Assessment Tool for Medical-Surgical Nursing (MED-SURG BKAT) © and implications for in-service educators and managers. Nurs Forum 2011; 46:110-116. [PMID: 21517884 DOI: 10.1111/j.1744-6198.2011.00216.x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
UNLABELLED BACKGROUND OF THE PROBLEM: Medical-surgical nursing is now the largest specialty in acute care, and needs an objective measure of basic knowledge necessary to provide safe care to patients. The Joint Commission on Accreditation of Healthcare Organizations noted that healthcare organizations have in the past relied on education and experience to support competence, but an increasing number are seeking objective measures of a nurse's knowledge that is required for safe practice. The American Nurses Association adds that safe practice is both a professional and a moral responsibility. PROBLEM A review of the literature failed to locate a standardized test of basic knowledge in medical-surgical nursing. In-service educators and managers need such a test to facilitate orientation programs, and as a way to safely decrease the length of orientation for new employees with previous experience in medical-surgical nursing. METHODS The purpose of the study was to develop a valid and reliable test to measure basic knowledge in medical-surgical nursing. FINDINGS The Basic Knowledge Assessment Tool for Medical-Surgical nursing was developed with support for its validity and reliability.
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Affiliation(s)
- Jean Toth
- The Catholic University of America, School of Nursing, Washington, DC 20064, USA.
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