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Discuss the importance of advocacy as it pertains to patient care
New challenges for nurses
Discuss the importance of advocacy as it pertains to patient care
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Nursing professionals have a variety of job responsibilities but one of the most important, if not the most important, is that of patient advocate. Advocacy is the act of supporting the patients as they navigate through the health care system. It is vital that direct care nurses develop and use advocacy skills to focus on workplace concerns, promote positive work environments, advocate for the profession and the patients. Nurses can advocate for patients in a variety of ways such as direct patient care, patient and community education, and political action. To grow into stronger advocates nurses need to understand the political, social, ethnic, organizational, financial, and discriminatory barriers to health care for individuals, and communities. …show more content…
Nursing is confronted by a variety of unfavorable work conditions such as cost containment, increasing service demands, short staffing and mixed skill levels with the increasing number of new nurses in the workforce. However, regardless of these challenges, the role of patient advocate in safeguarding patients’ interests and well-being is consistently upheld. Nurses play a vital role in ensuring safe practice in hospitals through lowering risks from changes in patients’ condition, and hospital processes and detection of or correction of near-misses to prevent harm. Emphasis should be placed on the importance of building nurse-patient relationships to empower and support patients in decision-making about their care. In an article by Donadio (2016) she points out “having one’s needs identified and advocated for is an essential component of the patient’s healing journey” (p. 13) as a necessary element of the patient’s overall recovery process. The nursing profession has been consistently regarded as the most trusted member of the health team. As trustworthy advocates, nurses are engaged to speak and act on behalf of patients, families, and the communities they serve to positively influence the systems which provide care. We naturally address socioeconomic concerns …show more content…
There may need to be changes in staffing ratios, positions to lighten nurse loads, and staff education on community needs and limitations. Factors of medical facility and managerial support include facility policies and practices, the healthcare reimbursement structure, and the ability to quantify and demonstrate the value of nurse contributions. Medical facility policies should support and encourage nurses to use their judgment to perform care rather than completing task-based actions. An important point made by Choi (2014) is that “the modelling of expert nurses and team-based learning emerged as essential factors facilitating the development of nurses’ advocacy role and practices” (p. 1584). A nurse leader can mentor new nurses about getting involved in health policy development. Leaders also fulfill the advocacy role by protecting nursing resources during times of budget scrutiny, work process redesign, or work flow change. It is important that all nurses engage in, and become involved in developing processes in their respective work settings to advocate for realistic changes that meet the needs of both patients and staff. Professional nursing organizations should continue to monitor health policy regulations to ensure they are supportive of patient care and
Although nurses do not wield the power of doctors in hospital settings, they are still able to effectively compensate for a doctor’s deficits in a variety of ways to assure patient recovery. Nurses meet a patient’s physical needs, which assures comfort and dignity Nurses explain and translate unfamiliar procedures and treatments to patients which makes the patient a partner in his own care and aids in patient compliance. Nurses communicate patient symptoms and concerns to physicians so treatment can be altered if necessary and most importantly, nurses provide emotional support to patients in distress.
The first provision of the American Nurses Association’s (ANA) “Code of Ethics” states, “ The nurse, in all professional relationships, practices with compassion and respect for the inherent dignity, worth and uniqueness of every individual, unrestricted by considerations of social or economic status, personal attributes, or the nature of health problems.” The second provision states, “The nurse’s primary commitment is the patient, whether the patient is an individual, family, group, or community” (Fowler, 2010). As nurses we need to respect the autonomy and allow for the patient to express their choices and concerns. We also need to provide them with support by giving them knowledge and understanding so they
Nursing advocacy is a professional obligation and the standard of practice expected by the Ontario College of Nurses (CNO, 2009). The concept of advocacy is enshrined into the code of professional ethics that nurses “must promote the interests of clients in their care” (CNO 2009). To meet this standard the nurse must first ensure a deep understanding of advocacy and how it relates to the nursing profession. Advocacy in nursing is a concept that can be first seen in the early work of nursing theorist Florence Nightingale and her plight to protect the safety of patients through autonomous nursing actions (Goldie, 1987). Although the concept of advocacy had been presented in early nursing theory, the term “advocacy” had not been
Frequently, nurses are confronted with the task of finding the balance between advocating for the patient, and remaining loyal to their hospital or institution (Hanks, 2007). Risks that are associated with patient advocacy are more on the institutional level (Bu & Jezewski, 2007). Risks such as accusations of insubordination, reputation slander, hostile work environment, and loss of job security are among some of the top reasons nurses tend to shy away for patient advocacy (Bu & Jezewski, 2007). Another problem with advocacy is that there isn’t a universal definition as to what being an advocate means, along with inconsistency of interpretations (Bu & Jezewski,
“Eighty three percent of Americans believe nurses are honest and have high ethical standards” (American Nurses p4). Nurses are in high demand; patient overload and large shortages of qualified nurses makes their jobs even harder. Health care reform would like to help ease the work load as well as increase the number of nurses coming into this field. These reforms are about delivering care that is more effective in the community. This includes improving out of hospital services to make sure that people are able to access the care they need. Many people go to hospital for a minor cold or a sore throat because they are unable to pay for high costs.(unable to see a physician, who usually requires a patient to have medical insurance.
The healthcare system can be difficult for clients to navigate and they are often unsure how to access information which puts them at the mercy of others and can lead to feelings of helplessness (Erlen, 2006). Nurses can provide resources to educate patients when they becomes dependent on a health care provider and no longer feel in control of their own body which can lead to fear, hopelessness, helplessness and loss of control (Cousley et al., 2014). The change in roles individuals face can further increase their stress and feelings of powerlessness (Scanlon & Lee, 2006). According to the CNA code of ethics, nurses are responsible for protecting patients from objective risks that place them in an increased level of vulnerability (Carel, 2009). They can do this by providing the resources necessary for patients to educate themselves and be better able to cope with the health challenges they
The American Nurses Association (ANA) developed a foundation for which all nurses are expected to perform their basic duties in order to meet the needs of the society we serve. The ANA “has long been instrumental in the development of three foundational documents for professional nursing; its code of ethics, its scope and standards of practice, ands statement of social policy.” (ANA, 2010, p. 87) The ANA defined nursing as “the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations” and used to create the scope and standards of nursing practice. (ANA, 2010, p. 1) These “outline the steps that nurses must take to meet client healthcare needs.” () The nursing process, for example, is one of the things I use daily. Other examples include communicating and collaborating with my patient, their families, and my peers, and being a lifelong learner. I continually research new diagnoses, medications, and treatments for my patients. As a nurse of ...
Client based advocacy is an important backbone to the relationship the nurse has with the client. In a 2017 survey by GALLUP nurses were found to have the highest expected honesty and ethics standards (GALLUP, 2017). Clients trust the nurses to be their advocates for the best possible care while in a vulnerable and often frightening time. In the healthcare setting the nurse acts as a bridge for the client to appropriate information and other practitioners in the healthcare system. Nurses are in the position to advocate for the various client rights and the rights of their family (CNO, 2015).
Healthcare is a continuous emerging industry across the world. With our ever changing life styles and the increased levels of pollution across the world more and more people are suffering from various health issues. Nursing is an extremely diverse profession and among the highest educated with several levels ranging from a licensed practical nurse (LPN) to a registered nurse (RN) on up to a Doctorate in Nursing. Diane Viens (2003) states that ‘The NP is a critical member of the workforce to assume the leadership roles within practice, education, research, health systems, and health policy’.
Nurses are uniquely qualified to fill a demand for change through leadership. Unlike business minded individuals whose primary outcome concern is monetary, a nurses’ primary concern is organic: a living, breathing, tangible being. In a leadership role, a nurse might consider an organization as if it were a grouping of patients, or perhaps an individual patient, each limb with its own characteristics and distinct concerns. They can effectively categorize and prioritize important personal and professional matters and are therefore ideally positioned to lead change efforts. Perhaps most importantly, effective nurse leaders can provide clarity to the common goal and empower others to see their self-interests served by a better common good (Yancer, 2012).
In Nursing, there will always be instances where the patient's nurse needs to advocate for their patient. There are numerous reasons why a nurse would advocate for their patient ranging from getting the doctor to change the patient’s orders, helping the patient’s treatment team understand what it is the patient is requiring for the day, to expressing the patient’s last wishes before death. In every situation, the nurse should do what is in the patient’s best interest. Tomajan (2012), “Advocacy skills are the ability to successfully support a cause or interest on one’s own behalf or that of another. Advocacy requires a set of skills that include problem solving, communication, influence, and collaboration”(p. 2). With those skills, the nursing staff will be able to work together to advocate for their patients. Along with those skills, nurses need to keep in mind the three core attributes that are: safeguarding patients’ autonomy; acting on behalf of patients; and championing social justice in the provision of health care. (Bu & Jezewski, 2006)
As nurses, it is important that we “be both empowered and competent enablers of patient empowerment.” (Burkhardt & Nathaniel, 2014, p. 493) We took an oath to follow an ethical code which requires us to act as our patient’s advocate while providing safe nursing care. Nevertheless, we cannot make every medical choice or decision on their behalf. We also cannot empower them, “because to do so removes the element of choice.” (Burkhardt & Nathaniel, 2014, p. 501) We can, however, “facilitate empowerment by working directly with patients and through addressing social, political, and environmental factors affecting empowerment of individuals and communities.” (Burkhardt & Nathaniel, 2014, p. 493) In this paper, I will discuss how nurses can provide empowerment, some of the issues and constraints affecting empowerment, and how I feel regarding empowerment in my workplace.
The purpose of this paper is to discuss a power dynamics in the clinical practices, discuss the significance of power, its use, and responsibility of power in nursing work. This paper will also discuss theories of power and the impacts of legitimate and illegitimate use of power at all levels of healthcare. The rapid changes in the healthcare environments have drastically called for nurses to exercise power in order to have a strong voice in shaping these changes (Premji, & Hatfield, 2016). In today’s work force, nurses have to apply their power and flex their political muscle to be able to serve as healthcare advocates for their patient and to the public (Wolf, Finlayson, Hayden, Hoolahan, & Mazzoccoli, 2014). In the past, the media, physicians, politicians, and healthcare executives have conventionally seen nursing and nurses as powerless (King-Jones, 2011). However, as nurses become more vocal in the political movements in the local, state and national level, it became obvious that nursing profession and the nurses gained new respect in the
Being a registered nurse affords one the option of working in many diverse healthcare settings. In any practice setting the climate of health care change is evident. There are diverse entities involved in the implementation and recommendation of these practice changes. These are led by the Robert Wood Johnson Foundation (RWJF), the Institute of Medicine (IOM), nursing campaign for action initiatives, as well as individual state-based action coalitions. Nurses need to be prepared and cognizant of the transformations occurring in health care settings as well as the plans that put them at the forefront of the future.
Nurses roles in advocating empowerment to patients: Patient advocacy in the international scenario in nursing reflects extensive and different perspectives on ethical and legal contexts. Researcher had found that the denial of the nurse’s role as patient advocate can be a major source of moral suffering (O’Connor et al. 2005). Nurses role in advocacy had been define as the voice of patients. According to Nedd (2006), nurses had embraced the role of advocating the patients, as the patients are generally vulnerable while dealing with illness. They need someone who can look out for their best interest and help navigate their own health care.