Advertisement

The Nurse as Patient Advocate?

  • P. Anne Scott
Chapter

Abstract

The need to act as an advocate for the patient, as an important part of the nurse’s role in the 21st Century, appears to be taken for granted; this is especially the case in the nursing literature, and in the British, Irish and international nurseing practice contexts. However while some nurse scholars, nursing registration bodies, professional organisations, and many practising nurses seem quite happy with the rhetoric of ‘nurse as patient advocate’ this is not an uncontroversial stance. A number of authors have challenged both the basis for the claim that nurses should be patient advocates, and the possibility of such a role for nurses.

Given that claims to the advocacy role for nurses are continuing to appear both in our literature and in our codes of practice it seems relevant to ask what the notion of nurse advocacy means, and what are the relative strengths and weaknesses of claims for and against an advocacy role for nurses.

Keywords

Advocacy Nurse advocacy Nursing role Codes of practice Patient advocate 

References

  1. Allmark P, Klarzynski R (1992) The case against nurse advocacy. Br J Nurs 2(1):33–36CrossRefGoogle Scholar
  2. American Nurses Association (ANA) (2015) Code of ethics for nurses with interpretive statements. Silver Spring. http://www.nursingworld.org/codeofethics. Accessed 7 July 2016
  3. Bandman E, Bandman B (2002) Nursing ethics through the life-span. Prentice Hall, Englewood CliffsGoogle Scholar
  4. Barlem ELD, Lunard VL, Lunard GL, de Lima DG, Tomaschewshi JG (2012) The expereince of moral distress in nursing: the nurses’ perception. Rev Esc Enferm USP J School Nurs USP 46(3):678–685 http://www.scielo.br/pdf/reeusp/v46n3/en_21.pdf. Accessed 19 July 2016Google Scholar
  5. Begley CM, Brady AM, Byrne G, Griffiths HP (2004) A study of the role and workload of the public health nurse in the Galway community care area. School of Nursing and Midwifery Studies. Trinity College, DublinGoogle Scholar
  6. Care Quality Commission (2011) Dignity and nutrition inspection programme: national overview. www.cqc.org.uk. http://www.cqc.org.uk/sites/default/files/media/documents/20111007_dignity_and_nutrition_inspection_report_final_update.pdf. Accessed 2 Aug 2012
  7. Citizens Information Board (2015) Advocacy services guide. CIB, Dublin http://www.citizensinformationboard.ie/en/publications/advocacy/. Accessed 7 July 2016Google Scholar
  8. Conlon J (2013) Children in pain: “subjects” of the system. PhD thesis, Dublin City University, DublinGoogle Scholar
  9. Curtain L (1979) The nurse as patient advocate: a philosophical foundation for nursing. ANS Adv Nurs Sci 1(3):1–10CrossRefGoogle Scholar
  10. Francis R (2010) Independent inquiry into care provided by Mid Staffordshire NHS Foundation Trust January 2005 – March 2009, (Vol 1). Chaired by Robert Francis QC. Stationary Office, LondonGoogle Scholar
  11. Harding Clark M (2006) The Lourdes Hospital inquiry: an inquiry into peripartum hysterectomy at Our Lady of Lourdes Hospital, Drogheda. Report of Judge Maureen Harding Clark S.C., The Stationary Office, Dublin. http://health.gov.ie/wp-content/uploads/2014/05/lourdes.pdf. Accessed 19 July 2016
  12. Health Information and Quality Authority (HIQA) (2015) Compliance Monitoring Inspection report Designated Centres under Health Act 2007, as amended. HIQA, Dublin https://static.rasset.ie/documents/news/4910-14-january-2015.pdf. Accessed 7 July 2016Google Scholar
  13. Health Service Executive (2011) Good faith reporting policy. https://www.hse.ie/eng/staff/Resources/hrppg/Good_Faith_Reporting_Policy_2011.pdf. Accessed 18 July 2016
  14. Latimer J (2000) The conduct of care: understanding nursing practice. Blackwell Science, OxfordGoogle Scholar
  15. National Health Service (2015) NHS constitution. https://www.gov.uk/government/publications/the-nhs-constitution-for-england. Accessed 18 July 2016
  16. Negarandeh R, Oskouie F, Ahmadi F, Nikravesh M, Rahm Hllberg I (2006) Patient advocacy: barriers and facilitators. BMC Nurs 5(3). doi: 10.1186/1472-6955-5-3
  17. Nursing and Midwifery Board of Ireland (NMBI) (2014) Code of professional practice and ethics for registered nurses and midwives. Nursing and Midwifery Board of Ireland, Blackrock, Dublin. http://www.nmbi.ie/Standards-Guidance/Code Accessed 7 July 2016
  18. Nursing and Midwifery Council (2015) The Code: professional standards of practice and behaviour for nurses and midwives. Nursing and Midwifery Council, Portland Place, London. https://www.nmc.org.uk/standards/code/. Accessed 7 July 2016
  19. Paley J (1996) How not to clarify concepts in nursing. J Adv Nurs 24(3):572–578CrossRefGoogle Scholar
  20. Papastavrou E, Efstathiou G, Charalambous A (2011) Nurses and patients’ perceptions of caring behaviours: quantitative systematic review of comparative studies. J Adv Nurs 67(6):1191–1205CrossRefGoogle Scholar
  21. Scott PA, Treacy MP, MacNeela P, Hyde A, Morris R, Byrne A, Butler M, Drennan J, Henry P, Corbally IK, Clinton G (2006) Report of a Delphi study of Irish nurses to articulate the core elements of nursing care in Ireland. Dublin City University, DublinGoogle Scholar
  22. Scott PA, Matthews A, Kirwan MP (2014) What is nursing in the 21st century and what does the 21st century health service require from nurses? Nurs Philos 15:23–34CrossRefGoogle Scholar
  23. Seedhouse D (2000) Practical nursing philosophy: the universal ethical code. Wiley, London, Chapter Two.Google Scholar
  24. Tomaschewski-Barlem JG, Lunardi VL, Barlem ELD, Ramos AM, Figueria AB, Fornari NC (2015) Nursing beliefs and actions in exercising patient advocacy in a hospital context. Rev Esc Enferm USP J School Nurs USP. doi: 10.1590/S0080-623420150000500015 CrossRefGoogle Scholar
  25. Woodrow P (1997) Nurse advocacy: is it in the patient’s best interest? Br J Nurs 6(4):225–229CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  1. 1.National University of Ireland GalwayGalwayIreland

Personalised recommendations