Advocacy Strategies For Facilitating Advocacy

It’s the nurse's duty to advocate for her patient and to make sure that the patient understands and ask questions if necessary.

Nursing is defined as the promotion, protection and the prevention of illness and Injury, the treatment of a patient’s disease or diseases, the patient’s response to a disease, as well as one big thing that nurses are known for, and that is being a patient’s advocate nursing has been one of the fastest growing fields since the 1990’s (Mueller et al.,2012). Advocacy is defined as an action in which a person speaks out, argues a cause, supports and defends on the behalf of others. I believe that the role of being a patient advocate is one of the most important things a nurse can do because there are many patients that cannot speak on their behalf, I believe that it is up to the nurses to be those patients as well as all patient’s voices (Mueller et al., 2012).

As nurses we accept the responsibility of caring for the patient therefore, we have to be hold accountable for the care that we provide. It is important for nurses to use their own judgement in accepting responsibility, when to seek consultation and when and what to delegate to others. According to Battie & Steelam (2014), “a prospective nurse should hold themselves accountable for patient advocacy, continuity of care, lifelong learning, to colleagues, the nursing profession, and their organization”.

According to Tomajan, “the role of an advocate is to work on behalf of self and/or others to raise awareness of a concern and to promote solutions to the issue” (Tomajan, 2012, para 5). Acting as a patient advocate plays an important role in providing patient-centered care. In this role, nurses should be aware of patients’ vulnerability and pay much attention to their individual values and preferences in receiving care. However, in reality, it is challenging for nurses to focus exclusively on patients’ needs and

Not all patients are capable of independently identifying and articulate their care needs, so the nurse also adapts the role as an advocate. Clarity and continuity in a trusting environment enables good communication. Progressive identification of needs takes place as nurse and patient communicate with one another in the interpersonal relationship (Peplau 1988, p. 84). Being considerate to the needs and vulnerability of patients is a moral attribute, as nurses are accountable for the care they deliver.

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

Advocating for patients is a key part of nursing. Working in the emergency department, I meet people from all different walks of life, who are sometimes not able to fend or stand up for themselves. As a nurse, it is my job to advocate for them and make sure that they receive the care that they need. . Recently I had a patient who was in pain and was shy to ask for pain management. I advocated for this patient by going to the doctor and requesting pain management for this patient. By recognizing the signs of pain in my patient and having a good form of communication with the doctor, I was able to provide my patient with quick and appropriate care.

The roles and responsibility of a nurse are that most nurses face moral problems similar to these faces by the physician as well as a moral problem uniquely related to their professional role thus nurse must sometimes choose between doing what they believe will promote patients well-being and the respecting the patient ’ self-determination. Lisa explained the role as a role, is a “norm-governed patterns of action that undertaken in accordance with the social expectations” (Lisa page 690). Thus, the ability to serve and work according to the

The Tennessee Nurses Association has a goal to enhance nurse advocacy. For a nurse to practice advocacy for patients, one must understand the importance. Research had to be done to determine what the nurses were expected to advocate for their patients. Choi, Pin-Pin, and Mei-che Pang (2014) conducted a study to discover how the nurses integrate the advocacy. Choi, Pin-pin, Cheung, and Mei-che Pang’s discovered that nurses are a huge part of recognizing safety concerns and health changes for patients throughout their hospital stay (Para. 5).

Everyday nurses encounter situations in the workplace and frequently find themselves in the role for advocate for both patients and staff. Advocacy is a process used to facilitate growth in others and provide others with the information that empowers them to make their own decisions. While advocating nurses main focus remains on supporting decision making rather than making decision for others (Grand Canyon University, 2011).

Nurses play many essential roles in the care of their patients, one is being an advocate. Nurse advocates are the liaison between patients and doctors.

Curtin's (1979) concept of advocacy is based on the nurse/patient relationship that forms from the common bond of humanity. The nurse must realize patient reactions and needs created by illness, which may threaten the integrity of the person (Bu & Jzewski, 2006, p103)(McSteen & Peden-McAlpine, 2006, p. 260). Gadow (1980) states that advocacy not only preserves, but also positively contributes to self-determination. "The effort to assist patients become clear about what they want in a situation, to assist them in discerning and clarifying their values and examining available options in light of those values" (MacDonald, 2007, p.120) Kohnke's (1982) definition of advocacy focuses on ensuring patient self-determination over decision-making (MacDonald, 2007, p. 120). Advocacy involves the nurse supplying patients with information needed to make appropriate choices and then supporting the decisions they make along with their right to make that decision (Bu & Jzewski, 2006, p103). Robinson (1985) thought advocacy involved allowing patients to make decisions without pressure and promote informed decision-making" (Baldwin, 2003, p. 35). Chafey et. al. (1998) indicated that the nurse-patient relationship is an important feature of advocacy. Teaching, informing, and supporting are activities of patient advocates. Lindahl and Sandman (1998) described patient advocacy as "building a caring relationship, carrying out a commitment, empowering, making room for and

When it comes to patient care, nurses play a critical role in the health care system that is simply just not replaceable. As Maya Angelou says, “they may forget your name, but they will never forget how you made them feel.” Nurses interact so closely with patients every day and spend the most time with them and their families. But nursing not only involves delivering care, it also involves patient advocacy. Demonstrating advocacy in nursing practice is necessary for providing effective care because it allows for development of a strong nurse-patient interpersonal relationship, which is needed to support the patient and promote healing. Nurses can demonstrate advocacy to help enhance this relationship by helping protect patient privacy, speaking

While providing safe care, nurses are also taught to be an advocate for their patients. To be an

An advocator is a person who pleads the cause for others and as patient advocators; it would be for their rights. Mallik (1997), noted a difference in the structure of the advocacy relationship in law and in nursing. Whilst in law the etymology of the word advocacy relates to a “calling to” and the establishment of a contract between the parties. In nursing the action tends to reflect more a “giving of” helping an individual. Nursing advocacy had been defined as “communicating with and informing patients and building relationships with patients” (Hanks, 2008). Nygardth et al. (2011) highlighted a range of nursing definitions of advocacy; one of it is protecting patients’ rights and empowering them in decision making.