2.50
Hdl Handle:
http://hdl.handle.net/10755/155265
Type:
Presentation
Title:
Nursing and Patient Advocacy: A Grounded Theory
Abstract:
Nursing and Patient Advocacy: A Grounded Theory
Conference Sponsor:Sigma Theta Tau International
Conference Year:2007
Author:Negarandeh, Reza, PhD
P.I. Institution Name:Tehran University of Medical Sciences
Title:Assistant Professor
[Evidence-based Presentation] Background: nursing as an independent profession has its unique values, characteristics and practices, one of which is advocacy. An examination of advocacy in the nursing literature reflects broad and sometimes different perspective. This study is an attempt to explain the nurses' patient advocacy role and develop a model for this issue. Method: Participants were 24 Iranian registered nurses working in a large university hospital in Tehran, Iran. Semi-structured interview were used for data collection. All recorded interviews were transcribed verbatim and simultaneously, constant comparative analysis was used according to the Strauss and Corbin method. Results: Patient vulnerability necessitates nurses' advocacy as a role being acknowledged by them as a professional role. In reply to the question, what patient advocacy is, nurses identified informing and educating; valuing and respecting; physical, emotional and financial supporting; protecting; and promoting continuity of care as means of advocacy. There are some factors like powerlessness, lack of support & code of ethics and risk of advocacy as barriers to advocacy. Regarding factors facilitating nurses' activities towards patient advocacy; it was found that the many factors such as nurse-patient relationship, nurses' responsibility & knowledge could be influential in adopting advocacy role by nurses. Finally, advocacy endeavors could culminate in one of the following outcomes: effective advocacy, failure or limited advocacy. Conclusion: participants believed that within the current context and circumstances, adopting an advocacy role by the nurses are difficult. Therefore, they make decisions and act as a patient's advocate according to patient needs and status of barriers and facilitators. In most cases, they cannot act at an optimal level; instead, they accept only what they can do, what was called in this study 'limited advocacy'. It can be concluded that advocacy is a contextually complex phenomenon, and is a controversial and risky component of the nursing practice.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleNursing and Patient Advocacy: A Grounded Theoryen_GB
dc.identifier.urihttp://hdl.handle.net/10755/155265-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Nursing and Patient Advocacy: A Grounded Theory</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Negarandeh, Reza, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Tehran University of Medical Sciences</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">rnegarandeh@tums.ac.ir</td></tr><tr><td colspan="2" class="item-abstract">[Evidence-based Presentation] Background: nursing as an independent profession has its unique values, characteristics and practices, one of which is advocacy. An examination of advocacy in the nursing literature reflects broad and sometimes different perspective. This study is an attempt to explain the nurses' patient advocacy role and develop a model for this issue. Method: Participants were 24 Iranian registered nurses working in a large university hospital in Tehran, Iran. Semi-structured interview were used for data collection. All recorded interviews were transcribed verbatim and simultaneously, constant comparative analysis was used according to the Strauss and Corbin method. Results: Patient vulnerability necessitates nurses' advocacy as a role being acknowledged by them as a professional role. In reply to the question, what patient advocacy is, nurses identified informing and educating; valuing and respecting; physical, emotional and financial supporting; protecting; and promoting continuity of care as means of advocacy. There are some factors like powerlessness, lack of support &amp; code of ethics and risk of advocacy as barriers to advocacy. Regarding factors facilitating nurses' activities towards patient advocacy; it was found that the many factors such as nurse-patient relationship, nurses' responsibility &amp; knowledge could be influential in adopting advocacy role by nurses. Finally, advocacy endeavors could culminate in one of the following outcomes: effective advocacy, failure or limited advocacy. Conclusion: participants believed that within the current context and circumstances, adopting an advocacy role by the nurses are difficult. Therefore, they make decisions and act as a patient's advocate according to patient needs and status of barriers and facilitators. In most cases, they cannot act at an optimal level; instead, they accept only what they can do, what was called in this study 'limited advocacy'. It can be concluded that advocacy is a contextually complex phenomenon, and is a controversial and risky component of the nursing practice.</td></tr></table>en_GB
dc.date.available2011-10-26T13:41:11Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T13:41:11Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.