Patient advocacy in nursing practice : a systematic literature review
Kibble, Graham (2012)
Turun ammattikorkeakoulu
2012
All rights reserved
Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:amk-2012111215102
https://urn.fi/URN:NBN:fi:amk-2012111215102
Tiivistelmä
Nursing advocacy is a relatively modern idea, its initial conception dating from the patient advocate movement of the 1970’s. Its importance and prominence is reflected by its inclusion by various nursing bodies into their codes of ethics. Despite this, opinion is polarised as to the nature and extent of nursing advocacy. Nurses have reported “frustration” and “anger” as a result of them having to advocate on behalf of a patient (Hanks 2008, 470). Research involving British nurses in senior positions has revealed beliefs that the practice is subject to contradictions and paradoxes and can cause inter-professional conflict within the health care system (Mallik 1998, 1001).
The purpose of this research is to investigate and elucidate the practical difficulties, barriers and problems that nurses encounter when advocating for their patients. The aim is to publish the results of the research onto the Hoito Netti webpages in order to provide material which nurses may find useful when advocating for their patients. The research question shall be, “What obstacles do nurses face when advocating for their patients in general nursing? “. The research is commissioned by the Salo hospital district (Salon Alue Sairaala) and the results published on the Hoito Netti webpages for health care professionals.
A systematic literature review was used to collate all high quality research material pertinent to the research question. The PRISMA protocol for systematic reviews was followed and the CASP appraisal tool for assessing the research articles. The results were analysed using latent content analysis.
Obstacles to advocacy revealed by this research can be broadly characterised as antecedents and negative consequences or deterrents. The antecedents nurses require in order to be equipped to advocate include having empathy, confidence, theoretical and practical knowledge and personal knowledge of the patient. Deterrents include apathy, disagreement with the employing institution, conflict, medical dominance, negative consequences, harassment, confusion and ignorance of the concept.
The purpose of this research is to investigate and elucidate the practical difficulties, barriers and problems that nurses encounter when advocating for their patients. The aim is to publish the results of the research onto the Hoito Netti webpages in order to provide material which nurses may find useful when advocating for their patients. The research question shall be, “What obstacles do nurses face when advocating for their patients in general nursing? “. The research is commissioned by the Salo hospital district (Salon Alue Sairaala) and the results published on the Hoito Netti webpages for health care professionals.
A systematic literature review was used to collate all high quality research material pertinent to the research question. The PRISMA protocol for systematic reviews was followed and the CASP appraisal tool for assessing the research articles. The results were analysed using latent content analysis.
Obstacles to advocacy revealed by this research can be broadly characterised as antecedents and negative consequences or deterrents. The antecedents nurses require in order to be equipped to advocate include having empathy, confidence, theoretical and practical knowledge and personal knowledge of the patient. Deterrents include apathy, disagreement with the employing institution, conflict, medical dominance, negative consequences, harassment, confusion and ignorance of the concept.