Problematising autonomy and advocacy in nursing

@article{Cole2014ProblematisingAA,
  title={Problematising autonomy and advocacy in nursing},
  author={Clare Cole and Sally J Wellard and Jane Mummery},
  journal={Nursing Ethics},
  year={2014},
  volume={21},
  pages={576 - 582}
}
Customarily patient advocacy is argued to be an essential part of nursing, and this is reinforced in contemporary nursing codes of conduct, as well as codes of ethics and competency standards governing practice. However, the role of the nurse as an advocate is not clearly understood. Autonomy is a key concept in understanding advocacy, but traditional views of individual autonomy can be argued as being outdated and misguided in nursing. Instead, the feminist perspective of relational autonomy… 
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69 Citations

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[Nursing Actions in practicing inpatient advocacy in a Burn Unit].

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The actions of nurses when advocating for patients as reported by the international scientific literature published in the last ten years are identified, broadening understanding of patient advocacy as an ethical component of the nursing practice.

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To understand how nurses deal with the elderly's autonomy at the end of life, qualitative, exploratory study guided by the Grounded Theory is conducted in Rio de Janeiro/Brazil.

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Making the understanding about crucial attributes explicit, the nurse may receive confirmation and recognition of crucial attributes for ethical care in order to move toward an ethical care.
...

References

SHOWING 1-10 OF 41 REFERENCES

Advocacy in mental health nursing: an integrative review of the literature.

A critique of nursing advocacy models is offered, raising a number of mental health nursing issues and identifying some areas for further research.

Ethical advocacy based on caring: A model for neonatal and paediatric nurses

  • K. Spence
  • Medicine, Political Science
    Journal of paediatrics and child health
  • 2011
Advocacy has been identified as an ideal in nursing practice. National codes (Australian Nursing and Midwifery Council) and professional standards (Australian College of Neonatal Nurses) state that…

An Exploration of the Relationship Between Patient Autonomy and Patient Advocacy: implications for nursing practice

Whether patient/client autonomy is always compatible with the nurse’s role of advocacy is examined to examine whether the traditionally paternalistic approach to health care provision truly respects the autonomous rights of each patient.

Enhancing patient well-being: advocacy or negotiation?

  • A. Bird
  • Medicine
    Journal of medical ethics
  • 1994
The author examines the case for and against the nurse being the best person to act as advocate, and critically evaluates the criteria of advocacy, and concludes that the health care professional's role is to help people to assert control over the factors which affect their lives, that is empowerment, rather than advocacy.

Advocacy in Nursing

This qualitative study explored the perceptions of eight learning disability nurses about their advocacy role, using semi-structured interviews, and found that nurses used the term `advocacy' to describe a variety of activities that are underpinned by the opposing ethical principles of autonomy and paternalism.

Advocacy in nursing--a review of the literature.

  • M. Mallik
  • Medicine
    Journal of advanced nursing
  • 1997
It is argued that support systems are inadequate except in low-risk situations and ultimately acts of advocacy remain a moral choice for the individual nurse.

Individual patient advocacy, collective responsibility and activism within professional nursing associations

It is argued that, through collective advocacy, professional nursing associations ought to extend the reach of individual nurses in order to address systemic problems in health care institutions and bureaucracies.

Ethics in Nursing Practice: A Guide to Ethical Decision Making

This third edition of Ethics in Nursing Practice takes into account recent changes in ICN position statements, WHO documents, as well as addressing current issues in healthcare, such as providing for the health and care needs of refugees and asylum seekers, bioethics and the enforcement of nursing codes.

The nature of advocacy vs. paternalism in nursing: clarifying the 'thin line'.

Truly 'knowing' patients, their life experiences, values, beliefs and wishes can help clarify the 'thin line' and gain a grasp of these difficult to distinguish theoretical concepts.

Developing a mid-range theory of patient advocacy through concept analysis.

A mid-range theory of patient advocacy emerges during the process of synthesizing and analysing the advocacy literature and may be useful in guiding advocacy practice in nursing and in guiding research in the advocacy area.