Premium Essay

Patient Advocacy Paper

Submitted By
Words 1048
Pages 5
“Since 1973 advocacy has been considered a major component of nursing practice - politically, socially, professionally, and academically” (Selanders & Crane, 2012). With the complexity of today’s health issues, coupled with co-morbidities, multiple readmissions, and lack of understanding of diagnoses and medications, it is more important than ever that nurses advocate for their patients. Nurses are usually the first and last person a patient interacts with in the hospital or outpatient setting. They are also the person patients have the most contact with during their stay in the hospital and patients tend to express their concerns more openly with nurses then they do with anyone else. It’s up to the nurse to then advocate for the patient …show more content…
Advocacy wasn’t taught in the initial nursing programs, as it was thought that nurses should be submissive and do as they were told by physicians and those in authority above them. Florence Nightingale thought advocacy enhanced the relationship between the caregiver and patient. “It is argued that Nightingale implicitly laid the foundation for nurse advocacy and established the expectation that nurses would advocate for their patients” (Selanders & Crane, 2012) Advocacy wasn’t used in literature until 1973 by the International Council of Nurses. Since then, “the American Nurse Association states that quality practice includes advocacy as an integral component of patient safety” (Selanders & Crane, 2012). Nightingale undoubtedly laid the foundation for the nurses who have come after her who would advocate for their patients*use in …show more content…
The rights protection model sets the nurse as the patient’s defender inside the healthcare system. The nurse makes sure the patient knows what his or her rights are, then makes sure that those rights aren’t encroach on. An example of this would be that every patient has the right to pick his or her health care provider. Should the patient decide that they no longer wanted the provider they had, but that provider was assigned to them again the next day, the nurse would speak up for the patient, making sure a new provider was assigned to the patient. The values-based model has the nurse discuss the patient’s needs and choices with them, then helps them come to a decision while remaining impartial and without giving any of your own opinions as to what you think they should do. An example of this could be a patient deciding about end of life care. As their nurse, you provide them with all the information necessary for them to make an informed decision regarding their code status, then support them in what they choose, regardless of your own feelings. The third model, respect-for-persons model, sees the patient as a human being, entitled to respect. An example of this would be treating each patient as if they were a member of your family. As busy as we tend to get as nurses, imagining that patient, lying in that bed in your grandmother or uncle makes you take an extra two

Similar Documents

Premium Essay

Hit-120

...Course Project: MCAS MIRAMAR FAMILY ADVOCACY CENTER HIT 120- Introduction to Health Information Technology December 12, 2012 Course Project: MCAS MIRAMAR FAMILY ADVOCACY CENTER Electronic health records (EHR) are health records that are generated by health care professionals when a patient is seen at a medical facility such as a hospital, mental health clinic, or pharmacy. The EHR contains the same information as paper based medical records like demographics, medical complaints and prescriptions. There are so many more benefits to the EHR than paper based medical records. Accuracy of diagnosis, quality and convenience of patient care, and patient participation are a few examples of the benefits of the HER system. MCAS MIRAMAR FAMILY ADVOCACY CENTER MCAS Miramar Family Advocacy Center, also known as FAP for the Family Advocacy Program, is a military mental health facility that is located in San Diego, California aboard the Marine Corps Base. It provides services to active duty military members and their immediate family members, veterans, and all other military beneficiaries. The mission of the Mental Health Directorate is to horizontally utilize mental health providers from differing disciplines to support the mission of NMCSD (Naval Medical Center San Diego) through the provision of a full range mental health services (Mental Health Services, 2011.) Mental health, substance abuse, sexual abuse prevention, domestic...

Words: 861 - Pages: 4

Premium Essay

Taking a Stand

...And Systems Leadership Barbara De Groot, RN November 14, 2014 Introduction Patient advocacy extends back to Florence Nightingale and remains relevant today. While Nightingale did not explicitly address advocacy in nursing, she did demonstrate advocacy in many ways (Selanders and Crane, 2012). Today advocacy extends beyond the individual patient to local and global populations, and nationally and globally to the nursing profession itself. The purpose of this paper is to describe this author’s role as a moral agent or advocate for a specific issue in this author’s work, and explain one or more negative outcomes that may result if this role is not fulfilled. This paper will also analyze the skills, dispositions, and strategies necessary to help this author fulfill this role, and explain this author’s motivation for taking a stand. Role as an Advocate Advocacy has been described in ethical and legal frameworks, and as a philosophical foundation for practice (Negarandeh et al., 2007). Malik (1997) states that “the core condition which demands advocacy action is the vulnerability of a patient, either personal vulnerability due to illness and/or the vulnerability to risks inherent in the institutional processes to which the patient is exposed in the health care system.” As a nurse discharge planner case manager, part of this author’s job is to identify potential barriers to patient care and safe discharge. As a nurse, this author also has the responsibility to speak...

Words: 1327 - Pages: 6

Premium Essay

Nursing Law

...imperative to include international educational perspectives in the nursing profession (Robinson, Sportsman, Eschiti, Bradshaw and Bol, (2006). Caldwell, Lu & Harding (2010) argue that the quality of nursing care necessitates nurses to reflect on nursing ethics in relation to their individual principled way of life. Cadwell, Lu & Harding (2010) paper explores these ideas. Summary: The fundamental nature of professional development implies personal development (Glen, 2005). ‘Encompassing multiple moral paradigms: a challenge for nursing educators’, is an in-depth analysis of nursing ethical dilemmas; the efforts that are undertaken to implement professional development through reflection, self-monitoring and self-control; and the challenges for nurse educators to integrate the syllabus into real-life clinical practice situations. Caldwell, Lu & Harding (2010) study analyses nursing ethics, Chinese ethical philosophies, and Judeo/Christian traditions as they endeavour to demonstrate the real-life issues of morally conflicting situations in nursing practice within these groups and the possible legal consequences. Relevant to topic yes/no? This paper clearly outlines ethico-legal nursing dilemmas in nursing practice, and the difficulties faced implementing them when striving to achieve competence in nursing. The acquirement of nursing competence and its relationship to different views of nursing is demonstrated by Cadwell, Lu & Harding (2010) through the case study of a Chinese student...

Words: 1039 - Pages: 5

Premium Essay

The Role of Nursing Advocacy Across All Healthcare Settings

...The Role of Nursing Advocacy Across all Healthcare Settings Nursing is an autonomous profession where lives are saved every day. Nursing advocacy can affect patient outcomes. As the nursing profession evolves and responsibilities increase, it is necessary to better understand the concept of nursing advocacy. The role of advocacy is not new for the nursing profession, but the nature of advocacy in the nursing practice remains ambiguous. Nurses are obligated to act as an advocate for their patients, but there is lack of clarity on how to perform this role. The purpose of this paper is to better understand nursing advocacy and to explore ways it is practiced across all fields of nursing in order to promote improved patient care. Advocacy is an essential role for the nursing profession; however, it can be affected by many factors. The goal of advocacy is to balance the relationship between the healthcare system and the patients who are served by evaluating patient/family needs, providing information and education, ensuring access to proper care and supporting the patient and family’s decision within the structure of a multidisciplinary team. This paper will explore the following research question: What are the variables that affect the role of nursing advocacy and in what ways is it practiced across all fields of nursing? Review of Literature Introduction The general topic of the review of literature is nursing advocacy. We are examining and exploring a clearer definition...

Words: 4638 - Pages: 19

Premium Essay

Historical Development of Nursing Timeline

...transformed nursing into a more complicated science. Nurses are expected to do more with fewer resources and the patient-centered care vanishes in the mix, but patient advocacy is imperative to nursing. As stated by Selanders and Crane (2012) “modern nursing is complex, ever changing, and multi-focused. Since the time of Florence Nightingale, however, the goal of nursing has remained unchanged, namely to provide a safe and caring environment that promotes patient health and well-being. Effective use of an interpersonal tool, such as advocacy, enhance the care-giving environment.” This paper will focus on the nursing theorists that have continued to emphasize advocacy through effective communication and interpersonal relationships. Florence Nightingale-Environment Theory Known as the founder of modern nursing, Nightingale is the theorist that most nurses can readily recall. Her desire to treat patients with a holistic approach has been influential to nursing advancing from an art to a science. Her theories have been studied and mimicked since 1860 when the first nursing school opened in London, Nightingale School of Nursing at St. Thomas’ Hospital. Nightingale’s holistic approach is still relevant in practice. Holistic care encompasses mind, body, spirit, and the environment. By providing therapeutic communication and advocacy nurses empower patients to regain health and wellness. Nightingale outlined a...

Words: 892 - Pages: 4

Premium Essay

Domestic Violence

...Running Head: DOMESTIC VIOLENCE Crisis Reaction Paper SW 521 Lisa Moffett Rosie Thomas Domestic Violence Intimate partner violence (IPV) in the United States continues to be a growing public health concern. Research reveals that 1 in 4 women have experienced domestic violence in her lifetime; 1.3 million women are victims of physical assault by an intimate partner yearly and 85% of domestic violence victims are women (Tjaden & Thoennes, 2000). According to the Centers for Disease Control (CDC), Intimate partner violence (IPV) is a problem that affects millions of Americans. The term "intimate partner violence" describes physical, sexual, or psychological harm by a current or former partner or spouse. The violence can occur among heterosexual or same-sex couples and does not require sexual intimacy (http://www.cdc.gov/ViolencePrevention/intimatepartnerviolence/index.html). Intimate partner violence affects people all socioeconomic status, race, ethnicity, age gender, religion and sexual orientation. The purpose of this paper is to provide a case scenario of a person who has experienced domestic violence. The paper will also discuss the role of the crisis worker, the crisis intervention method appropriate for addressing the needs of the client and the theoretical basis of the intervention. Case Scenario Tina is a 17 year-old African American female referred by the Victim Advocate at a local emergency room. Tina was thrown from her boyfriend’s car during...

Words: 2363 - Pages: 10

Premium Essay

Hosice

...HOSPICE NETTAH NDUNGU Texas Tech University Health Science Center School of Nursing Hospice Hospice is a comprehensive, medically directed, team oriented program of care that emphasizes pain control and symptom management rather than curative treatment. It directs acceptance of death as a natural part of life and addresses the psychological and spiritual needs of the patient and family. This paper will outline the history of hospice, the effect it has on healthcare today, why it is important to nursing, how nursing is impacted by the availability of hospice services, and finally, what nursing has done to affect change related to hospice. History of Hospice Hospice was first applied to specialized care for dying patients by Dr. Dame Cicely Saunders, who started working with the terminally ill in 1948 (NHCPO, 2015). Dr. Saunders later created the first modern hospice – St. Christopher’s Hospice in a residential suburb in London. Her approach was later introduced to healthcare professionals and chaplains in the U.S in 1963 during a lecture at Yale University. In 1969 Elizabeth Kubler-Ross contributed to the idea of hospice centered care in her book: On Death and Dying which highlighted the five stages of dying and a plea for home care as opposed to treatment in an institutional setting. In 1978, the United States’ Department of Health, Education and Welfare Task Force acknowledged the hospice concept as a means of providing more humane care for America’s terminally...

Words: 1224 - Pages: 5

Free Essay

Mission Statement

...with the use of a mission statement, one can put the ideas in an order that can be understood and provide a direction for that goal. The purpose of a mission statement is to provide one with a purpose, by declaring desired values, in order to meet a need (Radtke, 1998). Addressing these areas not only addresses the purpose, but also can provide inspiration, commitment, innovation and courage to the author (Radtke, 1998). Following is the author’s mission statement and the explanation of that statement. Mission Statement will show dedication to the continual growth in new knowledge and adapting of acquired knowledge as it relates to the healthcare industry and information technology. Primarily, providing patient advocacy and the education and care of the patient in a changing healthcare environment through one’s competency, leadership skills, management skills, and diversity. Explanation Purpose The purpose, as it relates to this mission statement, is the dedication to continual growth in new knowledge and the adapting of acquired knowledge as it relates to the healthcare industry and information technology. Tim Porter-O’Grady (2003) points out that knowledge is the one asset that an individual possesses that can be transported with them from job to job and place to place. In this case, increasing, expanding, and adapting of knowledge will increase the worth of the asset of that individual for future...

Words: 824 - Pages: 4

Premium Essay

Nursing Philosophy

...for that individual. Apart from knowledge of medicine, there are vital characteristics that a nurse must possess in order to be effective in their plan of care for patients. My philosophy of nursing incorporates three characteristics that I feel are vital to superior nursing care. In this paper I will express the values I feel are necessary when providing care for patients. In order to be an effective nurse, I feel that one must have remarkable communication skills, they have to be a good listener, they must have an inordinate sense of empathy, and they must possess patient advocacy. If one lacks in any of these areas, then their knowledge of just medicine is meaningless and their patient care will be ineffective. In regards to the nature of human beings, people rely on trustful and understanding relationships. These relationships require a nurse to have remarkable communication skills. According to Whitehead, communication is integral to a nurse’s ability to develop a therapeutic relationship with patients/clients. Communication is defined as “a two-way process--- sending the right message that is also being correctly received and understood by the other person” (Tay, Hegney, & Ang, 2011). If a nurse goes into a patient’s room and speaks only medical terms and doesn’t establish a relationship with that patient through effective communication, this could be a barrier to the effectiveness of that nurse’s...

Words: 1035 - Pages: 5

Premium Essay

Professional Identity And Stewardship: Peer Review

...fundamental for professional culture assimilation (Slay & Smith, 2011). In this paper, there will be a summary of an interview conducted with a peer named Ms. S, which provide an understanding from her responses to the four questions related to her particular opinions concerning, professional identity and stewardship. Also, it will give a detail about her role, as a registered nurse (RN), how she defines leadership and professional, and as well as how that converts into and influences her nursing career and practice. Her Role It was a pleasure to interview Ms. S....

Words: 737 - Pages: 3

Premium Essay

Error Avoidance in Post Modern/ Complex Adaptive Systems

...Week 10 Assignment Yvonne Walton Walden University Week 10 Assignment In this paper I will incorporate sections of assignments done in weeks 8, 9 and 10 starting with week 8: Advocacy involves the process of persuading someone to at least consider one’s point of view. The role of the nurse as an advocate in healthcare policy is not a new one. The many opportunities nurses have to observe firsthand the positives and negatives of the current healthcare system enable them to identify needs and concerns related to the care patients currently receive ( or don’t receive)( Gonzalez, 2012). Some health needs returning veterans and their families might need health care, psychological and family reorientation to life outside of the war zone, gainful employment. How might one advocate for the needs of this population? First, set up a plan which describes the things that you want to advocate for in terms of helping the veteran find organizations and funding for their needs in civilian life. Get in touch with legislators and other resource groups that can help with accomplishing the goals you set. What responsibility must a nurse have to be an advocate? First, she must have expertise in the care of needy populations, be familiar with legislators who would be sympathetic to the cause and be willing to help with the advocacy of the plan presented. Collaborate with peers and other nurses who can assist in the development and presentation of the plan. My choice is the current nursing...

Words: 1228 - Pages: 5

Premium Essay

Areflective Commentry

...A REFLECTIVE COMMENTRY. The document Essence of Care (2010) published by the Department of Health addresses twelve fundamentals, which are important guide lines in providing holistic care for the patient admitted in this ward.. Food and drink is one such area, which is the focus of my service improvement initiative. The change I propose was to introduce different colour lids for the water jugs to indicate fresh water is being provided twice a day in the ward where I was under going my recent placement. This ward caters “step down” patients who are initially admitted to cardiac care unite, thus involvement of multidisciplinary team and interprofessional working is essential. The paper ‘Making a Difference’ Department of Health (1999) suggests that ‘effective care is the product of interprofessional working. Professionals working in collaboration provide care which is designed to meet the needs of the patient’ I shall use a model of reflection in order to describe the proposed change I have suggested. Reid (1993) suggests ‘that reflective practice is potentially is both, a way of learning and a mode of survival and development once formal education ceases’. I have chosen Gibbs model (1988) of reflection as it incorporates the following: description, feelings, evaluation, analysis, conclusion and an action plan thus Gibbs’ reflective cycle encourages me to think systematically about the phases of an experience and therefore I shall use all the headings to structure...

Words: 1585 - Pages: 7

Premium Essay

The Differnce in Competency Between Baccalaureate of Science in Nursing and Associate Degree of Nursing

... established earlier on as a quick fix to address nursing shortage in 1958. Its focus is more on application of the basic nursing skills to achieve patient care. This program is usually in community colleges. BSN is a four year college education whose program is more extensive and expansive of the fundamentals of the ADN program to include “physical and social sciences, nursing research, public and community health, nursing management, and the humanities” (American Association of Colleges of Nursing., 2012). Both BSN and ADN educated nurses have to take the NCLEX exam for initial licensure and so, one may wonder why spend more time and money in school to achieve the same result. This paper is therefore going to show the competency differences between the BSN and ADN as applied to nursing practices. It goes without saying that the BSN being a four year program will definitely mean more education, knowledge, skill and, with knowledge and skill comes confidence. BSN will equip the nurse with the ability to compete and take her place in the healthcare field, and better able to put herself in the forefront of evident base patient care delivery, answering to the demands of the ever changing healthcare system and needs of the patient. The BSN is better equipped with independent critical thinking abilities, effective decision-making,...

Words: 565 - Pages: 3

Premium Essay

Community Health Advocacy

...Community Health Advocacy Project-Part One Community health is a way to provide the necessary information patients need without having to give patients a new health care provider. Community health provides families with the help that they may need and a peace of mind knowing that they are there. The disciplines of people that are helped vary from community to community. This paper will explore an aggregate that has health concerns that are interesting to the reader. To find an aggregate that has health concerns is easy but finding one that interests a person enough to research is slightly harder to find. Geriatrics is one aggregate that is becoming a larger and is growing every year. People are living longer and need more nursing care as their health declines (Coleman, 2005). Medication compliance is a major problem for those who are in the geriatrics population. Some do not understand why they need to take their medication daily, while others cannot afford to continue taking them. Geriatrics is what the population mostly consists of in the community. Some of the questions that come up include are geriatric patients taking too many medications at one time, are the medications making the patient confused, and do the patients have someone who can assist them when they have questions regarding their medications. Some of the areas considered to have strengths include the use of public health or even home care. Different factors affect how well the medication regime...

Words: 371 - Pages: 2

Premium Essay

Ethics Case Study

... January 6, 2010 Barbara Scheibe, RNC, MSN Ethics Case Study Healthcare professionals are faced with ethical dilemmas and issues on a regular basis especially in the emergency department. The purpose of this paper is to identify ethical issues within a case study. This case study involves an eight month old infant who presents to the emergency department with injuries. After arriving at the emergency department it is noted that the infant has bilateral fractured femurs. The ethical issue identified within this case study is the possibility of child abuse by either the mother or a worker at the daycare facility. The nurse makes notes of her concerns within the patients chart as well as verbalizes concern to the emergency room physician regarding the injuries to the infant. It appears to be a lack of follow-up with these concerns so this presents an ethical issue. There are eight ethical principles that a nurse should learn to apply to each situation that he or she feels there is an ethical decision that needs to be made. The eight principles to apply are autonomy, beneficence, nonmaleficence, veracity, fidelity, justice, paternalism, and respect for others (Guido, 2010). Within the nursing field advocacy plays a critical role in keeping the patients safe throughout their encounters with the health care system (Beyea, 2005). One of the conflicts noted in the situation listed is, more research should have been conducted to investigate the cause of the injuries in...

Words: 787 - Pages: 4