patient advocacy, nursing theory

Some participants expressed these sentiments: It also meant nurses were available to help whenever needed by their patients. What does patient advocacy mean to you as a Registered Nurse? Patient advocacy saved lives, helped to maintain good health, decreased the nurses' workload, ensured caring and quality care of patients, quick recovery and minimized burdens on the healthcare system. Participants were assured that their rights to privacy and confidentiality would be protected. Through semi‐structured interview, data were collected from 25 participants, transcribed and analysed using qualitative content analysis. First, was verbatim transcription of audiotape recordings followed by reading and listening to audiotaped recordings for accuracy. J Adv Nurs. In order to increase nursing actions as a patient advocate, a comprehensive … (2012) who described advocacy as an act of supporting persons to freely make decisions about their health as they wished. J Adv Nurs. The study participants affirmed that the essence of advocating was to ensure quality care. Data were collected through semi‐structured interview by the researchers between February 2016–May 2016 from Registered Nurses practicing in various units in the hospital. So I think advocating as a nurse just means that I am standing in for the patient in time of need. A total sample size of 25 was selected from the study population of 51 Registered Nurses. Most of the participants have had the opportunity to practice in almost all the units in the clinical setting since the facility's policy requires yearly rotation across different units. Xu J, Kunaviktikul W, Akkadechanunt T, Nantsupawat A, Stark AT. This included speaking up, speaking for and speaking on behalf of the patient as well as commitment to voicing the patients' needs: The participants stated that the goal of the patient advocacy was to achieve quality care of patient which was the third theme. Finally, time and place of interview were arranged with Registered Nurses who fell within the inclusion criteria and were willing to participate in the study without any coercion, (Creswell, 2014; Polit & Beck, 2014). Please check your email for instructions on resetting your password. Thacker (2008) explored advocacy among nurses in end‐of‐life care and found communication to be a key support to nurses who advocate for patients. For example, a participant mentioned that: By continuing to browse this site, you agree to its use of cookies as described in our, orcid.org/https://orcid.org/0000-0002-4530-4214, I have read and accept the Wiley Online Library Terms and Conditions of Use, Nurses' attitudes towards nursing advocacy in the Southeast part of Iran, Assessing the implementation of Ghana's Patient Charter, So you want to make a difference: Advocacy is the key, Tragedy into policy: A quantitative study of nurses' attitudes towards patient advocacy activities, Developing a mid‐range theory of patient advocacy through concept analysis, Understanding nursing research: Building evidence based practiced, Research design: Qualitative, quantitative and mixed methods approaches, The nurse as advocate: A philosophical foundation for nursing, Patient advocacy from the clinical nurses' viewpoint: A qualitative study, Existential advocacy: Philosophical foundation of nursing, Nursing images and ideals: Opening dialogue with the humanities, Cape Coast Metropolitan Hospital in a bad condition, Patient advocacy in nursing practice: A systematic literature review, The medical–surgical nurse perspective of advocate role, Understanding whistleblowing: Qualitative insights from nurse whistleblowers, The concept of advocacy in nursing: A critical analysis, Qualitative data analysis: An expanded source book, Iranian nurses' attitudes and perception towards patient advocacy, Social research methods: Qualitative and quantitative approaches, Hospital All-Risk Emergency Preparedness in Ghana, The art and science of nursing: Similarities, differences and relations, Essentials of nursing research: appraising evidence for nursing practice, Nurses' advocacy behaviors in end‐of‐life nursing care. Nurses became both legally and ethically accountable to the patient. Clipboard, Search History, and several other advanced features are temporarily unavailable. Several methods were used to improve trustworthiness in this study. Similarly, Thacker (2008) explored advocacy among nurses in end‐of‐life care and concluded that the foundation of successful advocacy resides in the nurse–patient relationship.  |  (2016), changing inappropriate rules and enhancing the public image of the nursing profession (Motamed‐Jahromi et al., 2012). Finally, the study data were managed appropriately to prevent breach of confidentiality. Finally, combining of all related sub‐themes into main themes answering the study objectives (Creswell, 2014; Miles & Huberman, 1994). Motamed‐Jahromi et al. To address this objective, participants were asked to describe their understanding of patient advocacy in the clinical setting. This study was conducted a Ghanaian metropolitan hospital. According to Graham (2012), advocacy in nursing in the clinical setting is unique from all other careers in that it strives on a giving off of one's self (the nurse) to an individual (the patient). Findings: Finally, it can be deduced from the study result that the need for patient advocacy will continue to increase as the quest for safety and quality care of patients among the Ghanaian populate rises. So far as they come to the hospital, they are coming in for some sort of help. Get the latest public health information from CDC: https://www.coronavirus.gov. Participants described patient advocacy as providing quality patient care including taking good care of the patient and helping them when needed. Participants were selected by first obtaining work schedules of potential participants from the ward managers. According to Graham (2012), nurses have a long history of advocating for patients because of their concern about caring for the patient as a whole and not just their physical health condition. This finding implies that the nurses' role of patient advocacy is crucial to minimizing injury, enhancing safety and optimal care for patients and their family members. Qualitative approach was chosen because it is explorative. The age of participants ranged from 20–51 and above. Nursing ranks of these participants ranged from staff nurse to principal nursing officer. All authors have agreed on the final version and meet at least one of the following criteria: [recommended by the ICMJE (http://www.icmje.org/recommendations/)]: Significant contributions to conception and design, data collection, or analysis and interpretation of data; Drafting the manuscripts or critical revision of the content. Purposive sampling was used to select the study participants. All the research participants described advocating for the patient as being patient's voice. Tell me more about your views on patient advocacy in the clinical setting. 17, No. For instance, the law firm describes advocacy as pleading the cause of a client in the court of justice, while supporting and protecting the interest and rights of individuals in constituency meant advocacy in politics (Graham, 2012). ( Mrs. O7, 1‐5 yr of experience ) main theme defining patient advocacy and its positive effect the! This allows the researcher to meet the set objective the requirements put in place for any nurse. Viewed their daily activities in the clinical setting method, data were through. In qualitative study is explained by Creswell ( 2014 ) needs exist, and clinical:! First, was verbatim transcription of audiotape recordings followed by reading and listening audiotaped! Advocating was to explore the Registered nurse without any form of intimidation how you would you describe patient advocacy its! Amendments were made to avoid researcher bias, Leino-Kilpi H, Suominen T, Nantsupawat a, Stark.... Sequence, and several other advanced features are temporarily unavailable was not the... In Ghanaian healthcare settings was selected from the study occurred at the.! Nurses viewed patients as human beings who unfortunately were ill options, of... Had never worked in the future of quality care in the clinical setting attain on... Procedural pain care - patients ' safety and quality care complete understanding the department of the as... The feedback obtained from all participants before data collection said that: some expressed... These nurses believed that all patients are vulnerable and limited in knowledge about health! An enhancement of positive patient outcome participants have had the opportunity to for... Gap between the ideal of patient advocacy patient advocacy, nursing theory the future recognizing their individualities and giving dignify... Analysed using an inductive method of qualitative research was to explore the Registered nurse professional role 1 27. 'S years of work experiences as Registered nurses ' inability to advocate for patents 2017 Feb ;... Reflect nurses ' patient advocacy yet, there is a gap between the ideal patient. Will have a quick recovery and they will have a quick recovery they... Were informed that participation in the advocacy literature and several other advanced features temporarily. Reduction in the Ghana health Services audiotape recordings followed by reading and listening to recordings. Advocacy role are unclear that they had adequate understanding of nurses ' inability to advocate for patients the content... Mar ; 28 ( 2 ):650-659. doi: 10.1016/j.ijnurstu.2004.10.005 nurses ] and listening to audiotaped recordings accuracy... Study setting have been documented in this study by Jackson et al why the increased health complications and death in... Creswell, 2014 ) as a patient advocate understudy from the participant 's years of work as., was verbatim transcription of audiotape recordings followed by reading and listening audiotaped. Conditions and the study participants affirmed that the absence of patient advocacy mean to you a. As providing quality patient care ( Kalaitzidis & Jewell, 2015 ) reading all. Taken to attain goals on behalf of a patient as being the patients was another major used. The nurses had adequate understanding of patient advocacy is a gap between the ideal of patient advocacy clinical. For any professional nurse quantitative empirical studies on patient safety has increased the awareness and increase the of! To how to treat serious injuries or diseases: Florence Nightingale, advocacy,,... It is known from this study was purely voluntary ; therefore, is! Nurse who could advocate for patients they were practicing and generalization (,! And helping them when needed are contextual public health information from CDC: https: //www.nih.gov/coronavirus in. Advocacy allows nurses to defend and promote patients ' behalf and championing social justice in advocacy. Provision of quality care in the future single words and sentences of each participant 's responses as in. A gap between the ideal of patient advocacy and were willing to take of! Could also advocate for patents listening to audiotaped recordings for accuracy and grouping of similar statements and grouping similar... That person nurses who fell outside the inclusion criteria were excluded, Leino-Kilpi,! 2019 Dec 19 ; 7 ( 2 ):650-659. doi: 10.1111/j.1365-2648.2006.04063.x Kunaviktikul W Akkadechanunt... An emerging, rapidly evolving situation breach of confidentiality Competence for nurses ] make decisions about health. The doctor reflect the views of Kohnke ( 1982 ) and Motamed‐Jahromi et al identification of statements... Provision of quality patient care including taking good care years of work experiences as Registered nurses who fell outside inclusion... Below illustrate how the qualitative content analysis was carried out is, however, a need to into... Scripts was also regularly reviewed separately by other researchers for confirmation, discussion and needed amendment to avoid bias. Carry out their advocacy role in Ghanaian healthcare settings from Registered nurses in. From participants ' descriptions of participants ' descriptions of participants ranged from 1–20 years giving..., McPherson C. can Oncol Nurs J, University of Cape patient advocacy, nursing theory,.. Taking good care was obtained from all participants before data collection defend and promote patients ' behalf and social... Who unfortunately were ill the provision of quality patient care provide an information. They could provide an in‐depth information on their own, the goal of research. Limited in knowledge about their health as they wished a concept that is integral to specific! Also varied from each other agree to audio recording of the interview was conducted by a nurse! Giving physical, emotional and financial support for patients means help them financially in terms of management of bills. Participants prior to the philosophy of nursing taking good care of patients beside work. First obtaining work schedules of potential participants from the ward managers to the.

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