Advocacy-the power to influence

Corish, Colleen L.

doi:10.1188/05.cjon.478

Cited by 2 publications

(1 citation statement)

References 3 publications

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“…Described by the International Council of Nurses (2) as ‘a key nursing role’, the concept of patient advocacy has, in recent times, become enshrined in nursing practice (3). According to Corish (4), advocacy can be stated simply as standing up for what one believes in – for self or for others. Advocacy has been defined as a process that aims at promoting client empowerment, independence and autonomy (5).…”

Section: Introductionmentioning

confidence: 99%

Nursing advocacy in an Australian multidisciplinary context: findings on medico‐centrism

McGrath

Holewa

McGrath

2006

Scandinavian Caring Sciences

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As a follow-up to a recent study which highlighted the existence of medical dominance in multi-disciplinary team (MDT) meetings, this paper presents research findings from an Australian study which shows that medico-centrism is a key cause of tension within MDTs. The findings are from a 1-year qualitative study in a regional hospital that explored the ethical decision-making of health professionals within an acute care medical unit. This exploration was conducted through an iterative, phenomenological, qualitative research methodology that consisted of open-ended interviews with a multi-disciplinary representation of health professionals and a sample of consumers for whom they care. The paper situates the notion of nursing advocacy within the context of medico-centrism and examines how the nursing profession interfaces with other disciplines. The findings indicate that the professional framework of nursing includes the language of advocacy, whilst the framework of doctors centres around the medical decision-making process. All professional groups made reference to the MDT as the modus operandi for patient-centred care. All participants noted that time and familiarity with patients and their families is essential for patient-centred care and this could be achieved through MDT collaboration. However, doctors who have scant time to spend with patients saw it as their responsibility to direct the decisions of the MDT and viewed the MDT as adding confusion to the decision-making process. Nurses reported that the limited amount of time spent by doctors in patient consultation translated into the need for advocacy. Professional and clinical confidence and experience are noted as necessary to successfully engage in the process of advocacy. The findings of this article indicate that the adoption of an advocacy role by nurses represents an important means through which MDT operation can be enhanced, medico-centrism limited and patient-centred care improved.

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Section: Introductionmentioning

confidence: 99%

Nursing advocacy in an Australian multidisciplinary context: findings on medico‐centrism

McGrath

Holewa

McGrath

2006

Scandinavian Caring Sciences

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Nurses as Patient Advocates in Oncology Care

Vaartio-Rajalin¹,

Leino‐Kilpi²

2011

Clinical Journal of Oncology Nursing

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This article will explore oncology nurses' patient advocacy activities and compare those activities with patient advocacy activities defined in an earlier study by the authors. Data were collected from 42 English-language peer-reviewed articles published from 2000-2010. Search terms used included cancer care and advocacy and oncology nursing and advocacy. According to the findings of the reviewed articles, oncology nurses promote the interests of their patients by analyzing patients' psychosocial and physical distress and care plans, particularly at the beginning of the illness trajectory. Oncology nurses also are instructed in the literature to educate patients about cancer management prior to the first treatment and during cancer management to promote informed consent, but not to analyze patients' information or self-determination preferences. Oncology nurses do, however, advocate for their patients by presenting and raising awareness of patients' needs and preferences in regard to the healthcare system. To some degree, this advocacy can be seen as responding to patients' care and self-determination preferences. Oncology nurses' patient advocacy activities are similar to advocacy activities defined in the context of procedural pain care but are more focused on the beginning of the illness trajectory. However, care and self-determination needs, information needs, and advocacy needs of patients with cancer vary during the illness trajectory. Those needs should be analyzed and responded to systematically.

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Advocacy-the power to influence

Cited by 2 publications

References 3 publications

Nursing advocacy in an Australian multidisciplinary context: findings on medico‐centrism

Nursing advocacy in an Australian multidisciplinary context: findings on medico‐centrism

Nurses as Patient Advocates in Oncology Care

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