Advocacy in Nursing and Health Care
Advocacy in Nursing and Health Care
Advocacy in Nursing and Health Care
Health Care
Course outlines:
The Definition of Advocacy
The Nurse as Patient Advocate
Consumerism, Feminism, And Professionalization Of Nursing: The Emergence of
Patients' Rights Advocacy
The Emergence of Patients' Rights Advocacy
Philosophical Models of Nursing Advocacy
Advocacy Outside the Clinical Setting
Barriers to Successful Advocacy
Critique of nursing advocacy
Discussion Questions
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Objectives:
By the end of this lecture students will be able to:
Understand the nurses role as patient advocator
Identify the Emergence of Patients' Rights Advocacy
Explain Philosophical Models of Nursing Advocacy
Identify Barriers to Successful Advocacy
Summarize the practical way to get involved in advocacy
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• Through professional organizations such as the American Nurses 7
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REAL STORY in 1929 (loyalty and advocacy )
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Consumerism, Feminism, and Professionalization of
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The emergence of patients' rights advocacy.
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Philosophical Models of Nursing Advocacy
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1. Gadow, 1983
2. Curtin, 1979
3. Kohnke; model of functional advocacy
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Philosophical Models of Nursing Advocacy
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1. Gadow, 1983
Existential Advocacy
The nurse's role is to help patients clarify their values and the illness
experience, and exercise their right to self-determination.
• nurses are uniquely situated to advocate for patients, because they
frequently
• spend the most time with patients
• have an intimate connection with patients and their families.
• Gadow viewed advocacy as a moral imperative, with the ultimate goal
being to increase patient autonomy (Hanks, 2005).
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2. Curtin, 1979
Curtin sought to situate nursing advocacy as “human advocacy”
Curtin invited nurses to help patients:
identify meaning and purpose in their illnesses with the ultimate goal
of enhancing patient autonomy (Curtin, 1979; Mallik, 1997a).
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3. Professional Advocacy
Nursing, and nurses, matter. Consider the following:
Nurses compose the largest segment of the health care workforce.
Patients are in frequent contact with nurses who deliver almost all
of the care to patients in the hospital setting
Research has demonstrated that the amount and quality of nursing
care that patients receive is directly related to a number of health
outcomes
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3. Professional Advocacy
Because nurses have a direct relationship to the health of patients,
advocacy on behalf of the nursing profession is a powerful form of
patient advocacy.
Advocacy on behalf of the profession frequently involves:
workplace safety
nurse/patient ratios
expanded scope of practice
limitations on malpractice liability
ANA attempt to provide broad representation of nursing interests
to members of congress, policymakers, and thought leaders.
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1. Education and Training Barrier:
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2. Institutional Barriers and Fear of
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Retribution
Many nurses avoid advocating for better workplace
conditions, or for patient safety, for fear that their
employers will retaliate against them.
outright fear of retribution from employers or
governmental organizations as a result of advocacy
activities
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Research Article
Swedish nurses’ perceptions of influencers on patient
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Patient Characteristics that Influence the Advocacy Role of Nurses in Ghana: A Qualitative
Study in 2018
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Discussion
Q1: Give examples of advocacy do you see in your own nursing
practice, or the nursing practice of others??
Q2: What are the barriers you have experienced to effective nursing
advocacy? What are ways to mitigate those barriers??
Q3: How can schools of nursing more effectively prepare nurses to
serve as advocates?
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Summary
Advocacy is a fundamental nursing role, whether on behalf of
patients, communities, or the profession, and in crafting policy
solutions.
Barriers to successful advocacy are include: time, commitment,
education, training, and institutional barriers.
Despite the barriers, advocacy on behalf of health can be extremely
rewarding, and nurses are in a unique position to advance the
cause of patients' interests in the complex health care system.
Nurses have a direct relationship to the health of patients, advocacy
on behalf of the nursing profession is a powerful form of patient
advocacy.
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References
• Al-Ananbeh, E., Abu-Moghli, F., & Khalaf, I. (2018). Perception and experiences
of nurses regarding patients involvement in health care decisions: An Integrative
Review. International Journal of Applied and Natural Sciences (IJANS), 7, 99-110.
• Dadzie, G., Aziato, L., & de-Graft Aikins, A. (2018). Patient Characteristics that
Influence the Advocacy Role of Nurses in Ghana: A Qualitative Study. J Nurs
Patient Care 3, 1, 2.
• Josse-Eklund, A., Jossebo, M., Sandin-Bojö, A. K., Wilde-Larsson, B., & Petzäll,
K. (2014). Swedish nurses’ perceptions of influencers on patient advocacy: A
phenomenographic study. Nursing ethics, 21(6), 673-683.
• Mason D., Dickson E., McLemore M.., Perez A. (2020). Policy and politics in
nursing and health care.8th ed. Elsevier/Saunders.
• Oliveira, C., & Tariman, J. D. (2017). Barriers to the patient advocacy role: An
integrative review of the literature. Journal of Nursing Practice Applications &
Reviews of Research, 7(2), 7-12. WWW.SLIDEFOREST.COM
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Any Questions ?
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THANK YOU
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