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Journal articles on the topic 'Nursing advocacy'

Author: Grafiati

Published: 4 June 2021

Last updated: 31 January 2023

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1

Cole, Clare, Sally Wellard, and Jane Mummery. "Problematising autonomy and advocacy in nursing." Nursing Ethics 21, no. 5 (January 7, 2014): 576–82. http://dx.doi.org/10.1177/0969733013511362.

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Customarily patient advocacy is argued to be an essential part of nursing, and this is reinforced in contemporary nursing codes of conduct, as well as codes of ethics and competency standards governing practice. However, the role of the nurse as an advocate is not clearly understood. Autonomy is a key concept in understanding advocacy, but traditional views of individual autonomy can be argued as being outdated and misguided in nursing. Instead, the feminist perspective of relational autonomy is arguably more relevant within the context of advocacy and nurses’ work in clinical healthcare settings. This article serves to highlight and problematise some of the assumptions and influences around the perceived role of the nurse as an advocate for patients in contemporary Western healthcare systems by focusing on key assumptions concerning autonomy inherent in the role of the advocate.

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O’Mahony Paquin, Siobhan. "Social Justice Advocacy in Nursing: What Is It? How Do We Get There?" Creative Nursing 17, no. 2 (2011): 63–67. http://dx.doi.org/10.1891/1078-4535.17.2.63.

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Social justice advocacy is an expectation of all nurses as expressed in the professional codes that guide nursing practice. Nursing literature reflects this shift in the focus of nursing advocacy, providing insight into the potentials and challenges associated with nursing’s evolution toward a broader social justice advocacy model. This article describes the concept of social justice advocacy as currently reflected in professional codes and nursing literature and contrasts this with the individual patient–nurse advocacy model, which continues to dominate in nursing practice today. Challenges associated with movement toward a social justice advocacy model and options for addressing these hurdles are also discussed.

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3

Thacker, Karen S. "Nurses' Advocacy Behaviors in End-of-Life Nursing Care." Nursing Ethics 15, no. 2 (March 2008): 174–85. http://dx.doi.org/10.1177/0969733007086015.

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Nursing professionals are in key positions to support end-of-life decisions and to advocate for patients and families across all health care settings. Advocacy has been identified as the common thread of quality end-of-life nursing care. The purpose of this comparative descriptive study was to reveal acute care nurses' perceptions of advocacy behaviors in end-of-life nursing practice. The 317 participating nurses reported frequent contact with dying patients despite modest exposure to end-of-life education. This study did not confirm an overall difference in advocacy behaviors among novice, experienced and expert nurses; however, it offered insight into the supports and barriers nurses at different skill levels experienced in their practice of advocacy.

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Chiu, Patrick, Greta G. Cummings, Sally Thorne, and Kara Schick-Makaroff. "Policy Advocacy and Nursing Organizations: A Scoping Review." Policy, Politics, & Nursing Practice 22, no. 4 (November 2021): 276–96. http://dx.doi.org/10.1177/15271544211050611.

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Policy advocacy is a fundamental component of nursing's social mandate. While it has become a core function of nursing organizations across the globe, the discourse around advocacy has focused largely on the responsibilities and accountabilities of individual nurses, with little attention to the policy advocacy work undertaken by nursing organizations. To strengthen this critical function, an understanding of the extant literature is needed to identify areas that require further research. We conducted a scoping review to examine the nature, extent, and range of scholarly work focused on nursing organizations and policy advocacy. A systematic search of six databases produced 4,731 papers and 68 were included for analysis and synthesis. Findings suggest that the literature has been increasing over the years, is largely non-empirical, and covers a broad range of topics ranging from the role and purpose of nursing organizations in policy advocacy, the identity of nursing organizations, the development and process of policy advocacy initiatives, the policy advocacy products of nursing organizations, and the impact and evaluation of organizations’ policy advocacy work. Based on the review, we identify several research gaps and propose areas for further research to strengthen the influence and impact of this critical function undertaken by nursing organizations.

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5

Bennett, Owen. "Advocacy in nursing." Nursing Standard 14, no. 11 (December 1999): 40–41. http://dx.doi.org/10.7748/ns1999.12.14.11.40.c2723.

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6

Becker, Patricia H. "Advocacy in nursing:." Holistic Nursing Practice 1, no. 1 (November 1986): 54–63. http://dx.doi.org/10.1097/00004650-198601010-00009.

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7

Blackmore, Ros. "Advocacy in Nursing." Journal of Learning Disabilities 5, no. 3 (September 2001): 221–34. http://dx.doi.org/10.1177/146900470100500302.

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Gazarian, Priscilla K., Lauren M. Fernberg, and Kelly D. Sheehan. "Effectiveness of narrative pedagogy in developing student nurses’ advocacy role." Nursing Ethics 23, no. 2 (December 10, 2014): 132–41. http://dx.doi.org/10.1177/0969733014557718.

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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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9

Mahlin, Margaret. "Individual patient advocacy, collective responsibility and activism within professional nursing associations." Nursing Ethics 17, no. 2 (February 25, 2010): 247–54. http://dx.doi.org/10.1177/0969733009351949.

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The systemic difficulties of health care in the USA have brought to light another issue in nurse—patient advocacy — those who require care yet have inadequate or non-existent access. Patient advocacy has focused on individual nurses who in turn advocate for individual patients, yet, while supporting individual patients is a worthy goal of patient advocacy, systemic problems cannot be adequately addressed in this way. The difficulties nurses face when advocating for patients is well documented in the nursing literature and I argue that, through collective advocacy, professional nursing associations ought to extend the reach of individual nurses in order to address systemic problems in health care institutions and bureaucracies.

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10

Jeon, Ji Young, and Hyunkyung Choi. "Factors influencing clinical nurses’ advocacy for people with disability." Journal of Korean Academic Society of Nursing Education 26, no. 3 (August 31, 2020): 269–80. http://dx.doi.org/10.5977/jkasne.2020.26.3.269.

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Purpose: Clinical nurses are the ideal health care providers to advocate for vulnerable and underserved populations such as people with disability. This study aimed to understand factors influencing nursing advocacy for people with disability among clinical nurses.Methods: The subjects of this study were 186 clinical nurses who were working in three hospitals in B and D cities. Self-report questionnaires were used to collect the data. Data were analyzed using IBM SPSS Statistics 25 with descriptive statistics, t-test, one-way ANOVA, Pearson’s correlation coefficients, and multiple regression analysis.Results: Clinical experience and esthetical nursing competency have positive correlations with nursing advocacy, and optimism-human rights has a negative correlation with nursing advocacy. Factors influencing nursing advocacy for people with disability were identified as patient directivity (<i>β</i>=0.36, <i>p</i>=.001), optimism-human rights (<i>β</i>=-0.18, <i>p</i>=.008) and clinical experience (≥10) (<i>β</i>=0.14, <i>p</i>=.036). The final model consisting of these factors explained 19% of the variance of nursing advocacy (F=14.99, <i>p</i>=.001).Conclusion: The findings of this study indicate the importance of developing and implementing nursing interventions that can improve patient directivity and optimism-human rights toward people with disability among clinical nurses. These nursing advocacy interventions can be provided as part of continuing education as well as the nursing curriculum.

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Kayser-Jones, Jeanie, and Marshall B. Kapp. "Advocacy for The Mentally Impaired Elderly: A Case Study Analysis." American Journal of Law & Medicine 14, no. 4 (1989): 353–76. http://dx.doi.org/10.1017/s0098858800007656.

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The authors present a case study to illustrate how a mentally impaired but socially intact nursing home resident, who had no one to act as an advocate for her, was denied appropriate treatment for an acute illness which ultimately resulted in her death. The case raises important questions about advocacy for the mentally-impaired, acutely-ill institutionalized patient. This Article explores the role of the advocate, how advocates are selected, what qualities and talents they should possess, and what responsibilities should be assigned to them. The authors suggest that nursing home residents should be encouraged to engage in self-advocacy to the greatest extent possible. The competent elderly should be urged to name their preferred advocates. Individuals who serve in advocacy roles should be advised to seek information regarding the patient's wishes from those who know the patient well. Furthermore, there is a need for quality education and training of those who serve in advocacy roles on behalf of nursing home residents, and state laws need to specify the responsibilities of persons who serve as advocates.

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Vargas, Caroline Porcelis, Mara Ambrosina de Oliveira Vargas, Flávia Regina Souza Ramos, Maria José Menezes Brito, Priscila Orlandi Barth, and Carolina da Silva Caram. "Advocacia do paciente por enfermeiros brasileiros no contexto da terapia intensiva." Revista Recien - Revista Científica de Enfermagem 12, no. 37 (March 5, 2022): 45–56. http://dx.doi.org/10.24276/rrecien2022.12.37.45-56.

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O objetivo do estudo é identificar fatores da atuação dos enfermeiros, de unidades de terapia intensiva do sul e sudeste do Brasil, na advocacia do paciente, através de análise exploratória da escala Protective Nursing Advocacy Scale. O estudo é quantitativo, transversal, no qual o questionário Protective Nursing Advocacy Scale foi submetido à análise fatorial exploratória. Foi realizado com 451 enfermeiros que atuam em Unidades de Terapia Intensiva das regiões Sul e Sudeste do Brasil. Foram identificados dois fatores sobre o exercício dos enfermeiros na advocacia do paciente de unidades de terapia intensiva: “Antecedentes, barreiras e implicações negativas do exercício da advocacia do paciente pelo enfermeiro de Unidade de Terapia Intensiva”; e “Ações dos enfermeiros e benefícios da advocacia do paciente na Unidade de Terapia Intensiva”. Foi identificado que enfermeiros de unidades de terapia intensiva conhecem as necessidades do paciente, logo agem em seu nome quando escutam seus desejos e avaliam as melhores decisões para seu cuidado, e tratamento, juntamente com o paciente e família. Descritores: Defesa do Paciente, Enfermagem, Unidades de Terapia Intensiva. Patient advocacy by Brazilian nurses in the context of intensive care Abstract: The aim of this study is to identify factors affecting the performance of nurses, from intensive care units in the South and Southeast of Brazil, in patient advocacy through an exploratory analysis of the Protective Nursing Advocacy Scale scale. The study is quantitative, transversal, in which the Protective Nursing Advocacy Scale questionnaire was submitted to exploratory factorial analysis. It was carried out with 451 nurses who work in Intensive Care Units of the South and Southeast regions of Brazil. Two factors were identified on the practice of nurses in intensive care unit advocacy: "Background, barriers and negative implications of the practice of patient advocacy by the Intensive Care Unit nurse"; and "Nurses' actions and benefits of patient advocacy in the Intensive Care Unit". It was identified that intensive care unit nurses know the patient's needs, then act on their behalf when they listen to their wishes and evaluate the best decisions for their care and treatment, along with the patient and the family. Descriptors: Patient Advocacy, Nursing, Intensive Care Units. Defensa del paciente por enfermeros brasileños en el contexto de cuidados intensivos Resumen: El objetivo del estudio es identificar factores de la actuación de los enfermeros, de unidades de terapia intensiva del sur y sureste de Brasil, en la abogacía del paciente, a través de análisis exploratorio de la escala Protective Nursing Advocacy Scale. El estudio es cuantitativo, transversal, en el cual el cuestionario Protective Nursing Advocacy Scale fue sometido al análisis factorial exploratorio. Se realizó con 451 enfermeros que actúan en Unidades de Terapia Intensiva de las regiones Sur y Sudeste de Brasil. Se identificaron dos factores sobre el ejercicio de los enfermeros en la abogacía del paciente de unidades de terapia intensiva: "Antecedentes, barreras e implicaciones negativas del ejercicio de la abogacía del paciente por el enfermero de Unidad de Terapia Intensiva"; y "Acciones de los enfermeros y beneficios de la abogacía del paciente en la Unidad de Terapia Intensiva". Se identificó que enfermeros de unidades de terapia intensiva conocen las necesidades del paciente, luego actúan en su nombre cuando escuchan sus deseos y evalúan las mejores decisiones para su cuidado, y tratamiento, junto con el paciente y la familia. Descriptores: Defensa del Paciente, Enfermería, Unidades de Cuidados Intensivos.

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13

&NA;. "NURSING AND CHILD ADVOCACY." Holistic Nursing Practice 5, no. 4 (July 1991): 78. http://dx.doi.org/10.1097/00004650-199107000-00018.

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14

Natal, Erica. "EFFECTIVE ADVOCACY FOR NURSING." Gastroenterology Nursing 45, no. 6 (October 26, 2022): 459–60. http://dx.doi.org/10.1097/sga.0000000000000703.

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15

Abbasinia, Mohammad, Fazlollah Ahmadi, and Anoshirvan Kazemnejad. "Patient advocacy in nursing: A concept analysis." Nursing Ethics 27, no. 1 (May 20, 2019): 141–51. http://dx.doi.org/10.1177/0969733019832950.

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Background: The concept of patient advocacy is still poorly understood and not clearly conceptualized. Therefore, there is a gap between the ideal of patient advocacy and the reality of practice. In order to increase nursing actions as a patient advocate, a comprehensive and clear definition of this concept is necessary. Research objective: This study aimed to offer a comprehensive and clear definition of patient advocacy. Research design: A total of 46 articles and 2 books published between 1850 and 2016 and related to the concept of patient advocacy were selected from six databases and considered for concept analysis based on Rodgers’ evolutionary approach. Ethical considerations: This study was approved by the Research Ethics Committee of Tarbiat Modares University. Findings: The attributes of patient advocacy are safeguarding (track medical errors, and protecting patients from incompetency or misconduct of co-workers and other members of healthcare team), apprising (providing information about the patient’s diagnosis, treatment, and prognosis, suggesting alternatives of healthcare, and providing information about discharge program), valuing (maintaining self-control, enabling patients to make decisions freely, maintaining individualization and humanity, maintaining patient privacy, and acting in the patients’ values, culture, beliefs, and preferences), mediating (liaison between patients, families, and healthcare professionals, being patients’ voice, and communicate patient preferences and cultural values to members of the healthcare team), and championing social justice in the provision of healthcare (confronting inappropriate policies or rules in the healthcare system, identifying and correcting inequalities in delivery of health services, and facilitating access to community health services and health resources). Discussion and conclusion: The analysis of this concept can help to develop educational or managerial theories, design instruments for evaluating the performance of nurses in patient advocacy, develop strategies for enhancing patient advocacy, and improve the safety and quality of nursing care in the community and healthcare system.

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Gaylord, Nan, and Pamela Grace. "Nursing Advocacy: an Ethic of Practice." Nursing Ethics 2, no. 1 (March 1995): 11–18. http://dx.doi.org/10.1177/096973309500200103.

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Advocacy is an important concept in nursing practice; it is frequently used to describe th nurse-client relationship. The term advocacy, however, is subject to ambiguity of interpretation. Such ambiguity was evidenced recently in criticisms levelled at the nursing profession by hospital ethicist Ellen Bernal. She reproached nursing for using 'patient rights advocate' as a viable role for nurses. We maintain that, for nursing, patient advocacy may encompass, but is not limited to, patient rights advocacy. Patient advocacy is not merely the defence of infringements of patient rights. Advocacy for nursing stems from a philosophy of nursing in which nursing practice is the support of an individual to promote his or her own well-being, as understood by that individual. It is an ethic of practice. La défense des malades joue un grand rôle dans la pratique des infirmiers/ères. Le terme est souvent utilisé pour définir les rapports entre malades et soignants. Le mot 'defénse' pourtant, peut être mal compris. Une ambiguïté était évidente récemment dans la critique de la profession infirmière faite par la philosophe éthique Ellen Bernal. Elle reproche à la profession d'utiliser le terme 'avocat des droits des malades' pour désigner le rôle primordial des infirmiers/ères. Nous croyons que pour les soignants, la défense des malades peut comprendre le rôle 'd'avocat des droits des malades' mais elle ne s'y borne pas. La défense n'est pas limitée à la défense des infractions des droits des malades. La défense dans la profession infirmière est basée sur une philosophie où la pratique infirmière est le soutien des malades dans leur quête de promouvoir leur propre bien-être. Die Fürsprache spielt eine wichtige Rolle in der Krankenpflege. Sie wird oft als kennzeichnend für die Beziehung zwischen Patient und Pflegepersonal beschrieben. Der Ausdruck 'Fürsprache' kann aber auch mehrdeutig interpretiert werden. Das wurde letzthin in der Kritik der Ethikerin Ellen Bernal an der Krankenpflege sichtbar. Sie machte den Pflegenden den Vorwurf, dass sie sich die Rolle des 'Rechts-Advokat des Patienten' aneignen. Wir sind der Meinung, dass es die Aufgabe des Pflegepersonals ist, auch die Rechte der Patienten zu vertreten, aber dass das nur ein Teil der Fürsprache ist. Sie ist nicht nur Verteidignung von verletzten Patientenrechten. Die Fürsprache in der Krankenpflege stammt von einer Philosophie, deren Ausübung die Unterstützung der Patienten für ihr Wohlergehen zum Ziel hat, so wie die Patienten selbst ihr Wohlergehen verstehen. Sie ist eine Ethik der Tat.

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Gormley, Jenny M. "School Nurse Advocacy for Student Health, Safety, and School Attendance: Impact of an Educational Activity." Journal of School Nursing 35, no. 6 (November 29, 2018): 401–11. http://dx.doi.org/10.1177/1059840518814294.

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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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18

Hanks, Robert G. "The Lived Experience of Nursing Advocacy." Nursing Ethics 15, no. 4 (July 2008): 468–77. http://dx.doi.org/10.1177/0969733008090518.

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Nursing advocacy for patients is considered to be an essential component of nursing practice. This phenomenological qualitative pilot study explored registered nurses' lived experience of nursing advocacy with patients using a sample of three medical-surgical registered nurses. The guiding research questions were: (1) how do registered nurses practicing in the medical-surgical specialty area describe their experiences with nursing advocacy for their patients; and (2) what reflections on educational preparation for their professional roles do registered nurses identify as related to their practices of nursing advocacy with their patients? Data analysis procedures were based on Moustakas' data analysis method, and Lincoln and Guba's criteria were applied for rigor. The emergent themes were: speaking out and speaking for patients; being compelled to act on unmet needs of patients; fulfillment and frustration; the patient is changed; primarily learned on the job; and confidence gained through practice. The findings increase the body of knowledge surrounding nursing advocacy as practiced by nurses.

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Shimek, Aric, Pennie Sessler Branden, Valerie Clary-Muronda, Janice Hawkins, and Dania Itani Mousa. "Global Health and Nursing Advocacy." AJN, American Journal of Nursing 122, no. 8 (August 2022): 47–51. http://dx.doi.org/10.1097/01.naj.0000854988.47387.d5.

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Muetzel, Lori, Mallory Dye, Colleen O'brien, Stephanie Milburn, and Robin Rosselet. "Nursing Government Affairs Advocacy Fellow." Nursing 52, no. 10 (October 2022): 47–49. http://dx.doi.org/10.1097/01.nurse.0000872404.14935.31.

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21

Robinson, Jane J. A. "Advocacy and conflict in nursing." International Nursing Review 57, no. 3 (August 12, 2010): 277. http://dx.doi.org/10.1111/j.1466-7657.2010.00843.x.

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Schroeter, Kathryn. "Advocacy in Perioperative Nursing Practice." AORN Journal 71, no. 6 (June 2000): 1205–22. http://dx.doi.org/10.1016/s0001-2092(06)61440-3.

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Gosselin-Acomb, Tracy K., Susan M. Schneider, Robert W. Clough, and Brittney A. Veenstra. "Nursing Advocacy in North Carolina." Oncology Nursing Forum 34, no. 5 (September 1, 2007): 1070–74. http://dx.doi.org/10.1188/07.onf.1070-1074.

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Hanks, Robert G. "Sphere of Nursing Advocacy Model." Nursing Forum 40, no. 3 (April 2, 2006): 75–78. http://dx.doi.org/10.1111/j.1744-6198.2005.00018.x.

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Perry, Cheryl, and Jan Emory. "Advocacy Through Education." Policy, Politics, & Nursing Practice 18, no. 3 (August 2017): 158–65. http://dx.doi.org/10.1177/1527154417734382.

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Nurses are one of the largest groups of policy stakeholders in the health-care workforce, yet their influence on policy is not necessarily commensurate with their numbers. Since 2011, grassroots action coalitions have emerged to advance the profession’s impact on health-care policy. In one state, a partnership among professional nursing organizations, policy stakeholders, and academics resulted in educational presentations focused on political advocacy knowledge and skills. The goal of this project was to bring awareness to nurses and nursing students about their potential contributions to the political and advocacy processes that shape health policy. The purpose of this study was to determine the effectiveness of focused educational presentations in correcting misconceptions, increasing awareness, and providing clarification of the roles of advanced practice registered nurses, and identifying related policy implications. This quasi-experiment used a retrospective pre–post intervention self-evaluation tool administered immediately following an educational presentation. The sample ( N = 137) consisted of baccalaureate nursing students and licensed nurses. The results showed ( p < .001) that education could have a significant improvement in political advocacy participation.

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Vincent Balang, Rekaya, Rob Burton, and Nichola Barlow. "The Existence of Advocacy among Nurses Within Nursing Documentation in Malaysia: An Exploratory Study." INTERNATIONAL JOURNAL OF CARE SCHOLARS 3, no. 1 (January 31, 2020): 11–16. http://dx.doi.org/10.31436/ijcs.v3i1.135.

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Nursing documentation is vital to nursing care in hospitals. Literature suggests nursing documentation that contains evidence nursing care which has been planned and implemented have a significant relationship with nurses’ practice, particularly regarding the existence of advocacy. Despite the significance of nursing documentation in nursing practice, no study has been conducted and published on this crucial aspect of nursing practice, particularly in Malaysia. Hence, a qualitative design is utilised to explore how nurses in Malaysia demonstrate the element of advocacy in the context of their nursing documentation. A total of forty semi-structured interviews were conducted with nurses involved in completing the nursing documentation. Thematic analysis was used to identify categories and themes in nurses’ perceptions about the existence of advocacy in their documentation. Findings highlight that the nurses could comprehend and acknowledge the existence of advocacy within their documentation. These findings are likely to suggest to highlight the advocative roles of nursing documentation in nursing practice, besides the significance of education to improve advocacy among nurses in Malaysia.

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Toda, Yumiko, Masayo Sakamoto, Akira Tagaya, Mimi Takahashi, and Anne J. Davis. "Patient advocacy." Nursing Ethics 22, no. 7 (September 22, 2014): 765–77. http://dx.doi.org/10.1177/0969733014547971.

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Background: Advocacy is an important role of psychiatric nurses because their patients are ethically, socially, and legally vulnerable. This study of Japanese expert psychiatric nurses’ judgments of interventions for patient advocacy will show effective strategies for ethical nursing practice and their relationship with Japanese culture. Objectives: This article explores Japanese psychiatric nurses’ decision to intervene as a patient advocate and examine their ethical, cultural, and social implications. Research design: Using semi-structured interviews verbatim, themes of the problems that required interventions were inductively summarized by a qualitative analysis and their contexts and nursing judgments were examined. Participants and research context: The participants were 21 nurses with 5 or more years of experience in psychiatric nursing. Ethical considerations: The research was approved by Institutional Review Board of research site and study facilities. The participants gave written informed consent. Findings: Analysis of 45 cases showed that nurses decided to intervene when (a) surrounding people’s opinions impeded patients’ safety, (b) healthcare professionals’ policies impeded patients’ decision-making, (c) own violent behaviors impeded treatment and welfare services for patients, (d) own or families’ low acceptance of illness impeded patients’ self-actualization, (e) inappropriate treatment or care impeded patients’ liberty, and (f) their families abused patients’ property. Discussion: To solve conflicts between patients and their surrounding people, the nurses sought reconciliation between them, which is in accordance with Japanese cultural norms respecting harmony. When necessary, however, they protected patients’ rights against cultural norms. Therefore, their judgments cannot be explained by cultural norms alone. Conclusion: The findings indicate that the nurses’ judgments were based on respect for patients’ rights apart from cultural norms, and they first sought solutions fitting the cultural norms before other solutions. This seems to be an ethical, effective strategy if advocates know the culture in depth.

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Motamed-Jahromi, Mohadeseh, Abbas Abbaszadeh, Fariba Borhani, and Homa Zaher. "Iranian Nurses’ Attitudes and Perception towards Patient Advocacy." ISRN Nursing 2012 (December 30, 2012): 1–5. http://dx.doi.org/10.5402/2012/645828.

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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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Barlem, Jamila Geri Tomaschewski, Valéria Lerch Lunardi, Edison Luiz Devos Barlem, Aline Marcelino Ramos, Aline Belletti Figueira, and Nerizane Cerutti Fornari. "Nursing beliefs and actions in exercising patient advocacy in a hospital context." Revista da Escola de Enfermagem da USP 49, no. 5 (October 2015): 811–18. http://dx.doi.org/10.1590/s0080-623420150000500015.

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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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Reed, Frances M., Les Fitzgerald, and Melanie R. Bish. "Rural District Nursing Experiences of Successful Advocacy for Person-Centered End-of-Life Choice." Journal of Holistic Nursing 35, no. 2 (May 5, 2016): 151–64. http://dx.doi.org/10.1177/0898010116646643.

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Choices in care during the end stages of life are limited by the lack of resources and access for rural people. Nursing advocacy based on the holistic understanding of people and their rural communities may increase the opportunity for choice and improve the quality of care for people living and dying at home. Pragmatism and nurse agency theory were used for a practical exploration of how district nurses successfully advocate for rural Australian end-of-life goals to begin the development of a practice model. In two stages of data collection, rural district nurse informants ( N = 7) were given the opportunity to reflect on successful advocacy and to write about their experiences before undertaking further in-depth exploration in interviews. They defined successful advocacy as “caring” that empowers people in the “big and small” personal goals important for quality of life. The concepts described that enable successful advocacy were organized into a network with three main themes of “willing” investment in holistic person-centered care, “knowing” people and resources, and feeling “supported.” The thematic network description provides deep insight into the emotional skill and moral agency involved in successful end-of-life nurse advocacy and can be used as a sound basis for modeling and testing in future research.

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MacKinnon, Karen, and Pertice Moffitt. "Informed Advocacy." Advances in Nursing Science 37, no. 2 (2014): 161–73. http://dx.doi.org/10.1097/ans.0000000000000025.

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Kaplan, Louise. "NP advocacy." Nurse Practitioner 40, no. 2 (February 2015): 21. http://dx.doi.org/10.1097/01.npr.0000459734.23146.73.

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Davis, Anne J., Emiko Konishi, and Marie Tashiro. "A Pilot Study of Selected Japanese Nurses’ Ideas on Patient Advocacy." Nursing Ethics 10, no. 4 (July 2003): 404–13. http://dx.doi.org/10.1191/0969733003ne621oa.

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This pilot study had two purposes: (1) to review recent Japanese nursing literature on nursing advocacy; and (2) to obtain data from nurses on advocacy. For the second purpose, 24 nurses at a nursing college in Japan responded to a questionnaire. The concept of advocacy, taken from the West, has become an ethical ideal for Japanese nurses but one that they do not always understand, or, if they do, they find it difficult to fulfil. They cite nursing leadership support as necessary to enacting this role. Discussion on the meaning of and the rationale for advocacy in a society where goodness or badness is relative to social situations and its impact may reveal two parallel but overlapping views of morality. Such a situation would not only influence notions of advocacy but also possibly render them more complex.

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Reed, Frances M., Les Fitzgerald, and Melanie R. Bish. "District nurse advocacy for choice to live and die at home in rural Australia." Nursing Ethics 22, no. 4 (June 29, 2014): 479–92. http://dx.doi.org/10.1177/0969733014538889.

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Background: Choice to live and die at home is supported by palliative care policy; however, health resources and access disparity impact on this choice in rural Australia. Rural end-of-life home care is provided by district nurses, but little is known about their role in advocacy for choice in care. Objectives: The study was conducted to review the scope of the empirical literature available to answer the research question: What circumstances influence district nurse advocacy for rural client choice to live and die at home?, and identify gaps in the knowledge. Method: Interpretive scoping methodology was used to search online databases, identify suitable studies and select, chart, analyse and describe the findings. Results: 34 international studies revealed themes of ‘the nursing relationship’, ‘environment’, ‘communication’, ‘support’ and ‘the holistic client centred district nursing role. Discussion: Under-resourcing, medicalisation and emotional relational burden could affect advocacy in rural areas. Conclusion: It is not known how district nurses overcome these circumstances to advocate for choice in end-of-life care. Research designed to increase understanding of how rural district nurses advocate successfully for client goals will enable improvements to be made in the quality of end-of-life care offered.

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Vaartio, Heli, Helena Leino-Kilpi, Tarja Suominen, and Pauli Puukka. "Nursing Advocacy in Procedural Pain Care." Nursing Ethics 16, no. 3 (May 2009): 340–62. http://dx.doi.org/10.1177/0969733009097992.

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In nursing, the concept of advocacy is often understood in terms of reactive or proactive action aimed at protecting patients' legal or moral rights. However, advocacy activities have not often been researched in the context of everyday clinical nursing practice, at least from patients' point of view. This study investigated the implementation of nursing advocacy in the context of procedural pain care from the perspectives of both patients and nurses. The cross-sectional study was conducted on a cluster sample of surgical otolaryngology patients ( n = 405) and nurses ( n = 118) from 12 hospital units in Finland. The data were obtained using an instrument specially designed for this purpose, and analysed statistically by descriptive and non-parametric methods. According to the results, patients and nurses have slightly different views about which dimensions of advocacy are implemented in procedural pain care. It seems that advocacy acts are chosen and implemented rather haphazardly, depending partly on how active patients are in expressing their wishes and interests and partly on nurses' empowerment.

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Tomaschewski-Barlem, Jamila Geri, Valéria Lerch Lunardi, Edison Luiz Devos Barlem, Rosemary Silva da Silveira, Graziele de Lima Dalmolin, and Aline Marcelino Ramos. "Cross-cultural adaptation and validation of the Protective Nursing Advocacy Scale for Brazilian nurses." Revista Latino-Americana de Enfermagem 23, no. 4 (August 2015): 669–76. http://dx.doi.org/10.1590/0104-1169.0214.2602.

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AbstractObjective: 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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Mendonça, Linda. "School Nursing Practice Transformation Through Advocacy." NASN School Nurse 37, no. 3 (May 2022): 120–22. http://dx.doi.org/10.1177/1942602x221087422.

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Kalaitzidis, Evdokia, and Paul Jewell. "The Concept of Advocacy in Nursing." Health Care Manager 34, no. 4 (2015): 308–15. http://dx.doi.org/10.1097/hcm.0000000000000079.

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Kalaitzidis, Evdokia, and Paul Jewell. "The Concept of Advocacy in Nursing." Health Care Manager 39, no. 2 (2020): 77–84. http://dx.doi.org/10.1097/hcm.0000000000000292.

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Kennedy, Maureen Shawn. "From the Center for Nursing Advocacy." AJN, American Journal of Nursing 105, no. 6 (June 2005): 22. http://dx.doi.org/10.1097/00000446-200506000-00016.

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Foley, Barbara Jo, Ptlene Minick, and Carolyn Kee. "Nursing Advocacy during a Military Operation." Western Journal of Nursing Research 22, no. 4 (June 2000): 492–507. http://dx.doi.org/10.1177/01939450022044548.

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&NA;. "Patient Advocacy: A Simple Nursing Action?" Journal of Neuroscience Nursing 21, no. 5 (October 1989): 271–72. http://dx.doi.org/10.1097/01376517-198910000-00001.

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&NA;. "Center for Nursing Advocacy Ceases Operation." AJN, American Journal of Nursing 109, no. 4 (April 2009): 14. http://dx.doi.org/10.1097/01.naj.0000348575.43178.ce.

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Hamilton, Rebekah. "Nursing Advocacy in a Postgenomic Age." Nursing Clinics of North America 44, no. 4 (December 2009): 435–46. http://dx.doi.org/10.1016/j.cnur.2009.07.007.

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Novinmehr, Nasser, Marzieh Hasanpour, Mahvash Salsali, Neda Mehrdad, Mostafa Qorbani, and Farshid Shamsaei. "Older adults' self-advocacy in patient safety: a cross-sectional study." British Journal of Nursing 28, no. 16 (September 12, 2019): 1076–84. http://dx.doi.org/10.12968/bjon.2019.28.16.1076.

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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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Alsufyani, Abdulaziz M., Abdulaziz A. Aldawsari, Sayer M. Aljuaid, Khalid E. Almalki, and Yasir M. Alsufyani. "Quality of Nursing Care in Saudi Arabia: Are Empathy, Advocacy, and Caring Important Attributes for Nurses?" Nurse Media Journal of Nursing 10, no. 3 (December 14, 2020): 244–59. http://dx.doi.org/10.14710/nmjn.v10i3.32210.

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Background: The examination of the literature indicates that practicing nurses are barely engaged in developing enhancement programs for quality nursing care. There are numerous studies on the value of nursing care, but none offers ways of assessing the value of care provided by nurses. Identifying the essence of quality nursing care can facilitate effective enhancement approaches. It was prudent to explore the relationship between advocacy, caring, and empathy in delivering quality nursing care.Purpose: This study aimed to comprehend the views of Saudi Arabian nurses on how empathy, advocacy, and caring act as measurements of quality of nursing care.Methods: A qualitative investigative, descriptive design was used to explore the advocacy, empathy, and caring from the viewpoints of practicing nurses. Twenty-one general and specialized medical care nurses from King Saud Medical City in Saudi Arabia were recruited through purposive sampling. The researchers conducted semi-structured interviews that were recorded, written out, and subjected to thematic analysis.Results: The findings have led to the establishment of quality Saudi nursing care with the identification of core themes: empathy, advocacy, and caring. The findings of this study elevate the understanding of the quality of nursing care in the Saudi context.Conclusion: The participants aver that patient advocacy, empathy, and care are parts of the characteristics of nursing profession. These characteristics aid in listening and comprehending patients’ perspectives. Following the findings, it is suggested to provide training to the nurses to overcome the challenges faced by nurses in reflecting empathy.

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Konieczny, Leona. "Converting threats from COVID-19 in long term care into opportunities for improvement." Clinical Nursing Studies 9, no. 2 (January 5, 2022): 36. http://dx.doi.org/10.5430/cns.v9n2p36.

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The effects of the COVID-19 pandemic on long term care (LTC) have been published in the literature and experienced by residents, their support persons and nursing staff. The morbidity and mortality, as well as the threats of isolation and psychosocial distress continue. Both LTC residents and staff experience physiological and psychological impacts. Nurses can use the current threats produced by the pandemic to advocate for alternate models of care and reduced isolation for residents. The pandemic is an opportunity for nursing advocacy in LTC for shared governance and empowerment, involvement in policy development, and oversight in policy implementation. Nurses are presented with the opportunities for advocacy related to resources and reshaping the paradigm of residential care for older adults.

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Woolley, Mary. "Advocacy for health research means advocacy for patient care." Nursing Outlook 45, no. 1 (January 1997): 44. http://dx.doi.org/10.1016/s0029-6554(97)90060-9.

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Hanks, Robert G. "Development and testing of an instrument to measure protective nursing advocacy." Nursing Ethics 17, no. 2 (February 25, 2010): 255–67. http://dx.doi.org/10.1177/0969733009352070.

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Patient advocacy is an important aspect of nursing care, yet there are few instruments to measure this essential function. This study was conducted to develop, determine the psychometric properties, and support validity of the Protective Nursing Advocacy Scale (PNAS), which measures nursing advocacy beliefs and actions from a protective perspective. The study used a descriptive correlational design with a systematically selected sample of 419 medical-surgical registered nurses. Analysis of the 43-item instrument was conducted using principal components analysis with promax rotation, which resulted in the items loading onto four components. The four subscales have sufficient internal consistency, as did the overall PNAS. Satisfactory evidence of construct, content, and convergent validity were determined. Implications for nursing practice include using the PNAS in conjunction with an educational program to enhance advocacy skills, which may help to improve patient outcomes.

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Oulton, Judith A. "Advocacy in Action." International Nursing Review 45, no. 5 (September 1998): 130. http://dx.doi.org/10.1046/j.1466-7657.45.no.5issue341.1.x.

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