Be the Change

Eaton, Melody; deValpine, Maria Gilson; Sanford, Julie; Lee, Jamie; Trull, Laura; Smith, Kandy

doi:10.1097/nne.0000000000000382

Cited by 9 publications

(27 citation statements)

References 14 publications

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“…Considerable literature exists studying nursing advocacy and nurses' role in the rights of health service users (15)(16)(17)(18)(19)(20)(21)(22) . Despite these studies, there are still gaps in the conceptualization of nursing law, which for some makes it an ambiguous and abstract term, making its practice difficult (15) .…”

Section: Advocacy In Health and Nursingmentioning

confidence: 99%

“…From this perspective, the nurse acts to make the health service users exercise their rights, especially that of self-determination. There are, then, some inherent elements of advocacy: 1) the existence of some kind of difficulty, conflict or situations involving ethical choices that generate the need for health advocacy; 2) the proactivity of the nurse; 3) nurses' actions in favor of health service users, usually mediating their relationships with family, health team members and other sectors of society (20)(21)(22) .…”

Section: Advocacy In Health and Nursingmentioning

confidence: 99%

“…Thus, in everyday life, nurses are explicitly or implicitly called upon to act for the service users' right to health when, for example, they protect them against unnecessary treatment, unwanted interventions, or especially when they inform the service users about their rights, with a view to informed decisions on their future actions. Nurses need to face conflicts and be ready to negotiate and defend changes in the status quo, seeking to grant visibility and voice to those who cannot exercise their rights and autonomy (19)(20)(21)27) . Health service users are therefore vulnerable, uninformed and intimidated, and their rights are often overlooked (28) .…”

Section: Advocacy In Health and Nursingmentioning

confidence: 99%

“…Through health advocacy, nurses exercise their empathy, ethical values, assertiveness and persistence to deal with their own fear, fatigue, frustrations and stress in an environment of potential conflict among team members, lack of economic resources, infrastructure and the existence of traditional models of organizational management and health care itself, which may jeopardize the safety of their work (20)(21)28) . The work burden and lack of recognition by patients impair their performance of the advocacy role though.…”

Section: Advocacy In Health and Nursingmentioning

confidence: 99%

“…In short, the characteristics of self-confidence and the strength of their conviction are important influences on advocacy and facilitate the interaction between nurses and their service users through genuine dialogues in a context of openness, availability, and exchange (20) . In this context, several barriers exist for the practice of nursing advocacy in different contexts, including primary care.…”

Section: Contributions To the Nursing Areamentioning

confidence: 99%

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Health advocacy and primary health care: evidence for nursing

et al. 2020

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Objectives: to analyze nursing actions involving health advocacy in the context of primary health care and the consolidation of this right to health. Methods: this is an integrative literature review with content analysis of the results on health advocacy and its relationship with nursing in the context of primary health care. Results: the content analysis of the seven selected studies resulted in two thematic categories: “Right to health - a complex and progressive consolidation movement in Brazil” and “Advocacy in health and nursing”. Conclusions: despite the difficulties in defining the concept of health advocacy, nurses, in their practice, act with innovative alternatives to daily conflicts, exercising the users’ right to health in their relationships with health team members and the community.

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Section: Advocacy In Health and Nursingmentioning

confidence: 99%

Section: Advocacy In Health and Nursingmentioning

confidence: 99%

Section: Advocacy In Health and Nursingmentioning

confidence: 99%

Section: Advocacy In Health and Nursingmentioning

confidence: 99%

Section: Contributions To the Nursing Areamentioning

confidence: 99%

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Health advocacy and primary health care: evidence for nursing

et al. 2020

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Introducing legislative advocacy into the dental school curriculum: A mixed‐methods evaluation

Meyer

Fearnow

Wolcott

2020

Journal of Dental Education

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The aim of this project was to evaluate a legislative advocacy exercise in pediatric dentistry at 1 North American dental school. A mixed‐methods approach was employed using focus groups and questionnaires. All third‐year dental students (n = 84) participated in an exercise as part of the pediatric dentistry course. Participation in the program evaluation was voluntary. Questionnaires were administered to assess students’ advocacy beliefs, behaviors, self‐efficacy, and knowledge 1 week before and 1 week after the exercise. Six months later, a focus group with questionnaire non‐respondents (n = 9) was conducted to explore participants’ attitudes and beliefs about oral health advocacy within the dental school curriculum. The focus group followed a semi‐structured guide, and transcripts were analyzed using thematic content analysis. Questionnaires were returned from 27 students before (33% response rate) and 23 students (28% response rate) following the advocacy exercise. Students’ advocacy beliefs, behaviors, and knowledge showed no change, whereas self‐efficacy improved following the advocacy exercise. Students enjoyed the advocacy exercise and viewed it as a positive addition to the curriculum; however, they requested more exposure to advocacy across the curriculum. Students described the power of their collective voice rather than a single person as a major driver of policy change. These findings suggest that curricular changes should incorporate experiential advocacy activities more frequently to help students learn about and gain advocacy skills.

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Fourth‐year dental hygiene students’ educational preparedness: Self‐confidence ratings of the Canadian Dental Hygienists Association baccalaureate competencies (2017‐2019)

Sunell

Laronde

Kanji

2021

Journal of Dental Education

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Problem statement: The Canadian Competencies for Baccalaureate Dental Hygiene Programs (CCBDHP) were first published in 2015 by the Canadian Dental Hygienists Association. They reflect the first articulation of dental hygiene baccalaureate competencies in North America. However, there is little evidence to support baccalaureate graduates acquire these abilities. Objective: To examine the confidence levels of baccalaureate fourth-year students in their ability to demonstrate the CCBDHPs.Methods: This 3-year longitudinal study rated the self-confidence levels of fourth-year students as they neared graduation from the University of British Columbia from 2017 to 2019. It involved an online, anonymous survey using a 5point scale ranging from not confident to confident. Respondents rated their selfconfidence in the 110 sub-competencies articulated within the 13 competency domains of the CCBDHP. Results: Responses were received from 54 of the 70 graduating students for a cumulative 77% response rate. Respondents expressed the most confidence in the competency domains of Clinical Therapy (100%), Collaboration (100%), Disease Prevention (100%), Professionalism (100%), and Oral Health Education (90%) but expressed less confidence in Research Use (73%), Health Promotion (70%), Leadership (67%), Policy Use (20%), and Advocacy (11%). Conclusion: These data suggest that curriculum revisions are needed in 5 domains but such changes may not be sufficient. Transition support may be warranted to assist graduates as they enter practice, while some competencies may be more appropriate for graduate studies. The study contributes to an international discussion about the educational preparedness of baccalaureate graduates, and the boundaries between diploma, baccalaureate and master's education.

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Be the Change

Cited by 9 publications

References 14 publications

Health advocacy and primary health care: evidence for nursing

Health advocacy and primary health care: evidence for nursing

Introducing legislative advocacy into the dental school curriculum: A mixed‐methods evaluation

Fourth‐year dental hygiene students’ educational preparedness: Self‐confidence ratings of the Canadian Dental Hygienists Association baccalaureate competencies (2017‐2019)

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