Development and psychometric evaluation of the instrument: Attitude toward patient advocacy

Bu, Xiaoyan; Wu, Yow-Wu B.

doi:10.1002/nur.20233

Cited by 33 publications

(67 citation statements)

References 26 publications

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“…[1][2] Patient advocacy has a broad conception in the nursing field and the actions of nurses, applicable to different situations and contexts related to patient advocacy, have been explored in the literature. [2][3][4] Therefore, the actions of nurses related to patient advocacy can be defined as an integral part of their effort to promote the interests of patients, ensuring they are aware of their rights and have access to information when making decisions, as well as defending their rights, and helping them to access health care and ensuring quality health care. 1,[5][6][7][8][9] Moreover, the role of nursing in patient advocacy reveals in its essence a direct relationship with the moral sphere; patient advocacy is an essential activity of the nursing field.…”

Section: Introductionmentioning

confidence: 99%

Advocacia Do Paciente Na Enfermagem: Barreiras, Facilitadores E Possíveis Implicações

Tomaschewski-Barlem

Lunardi

Barlem

et al. 2017

Texto contexto - enferm.

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Objective: to promote reflection upon the barriers, facilitators and potential implications of patient advocacy on the part of nurses.Results: this reflection results from a thorough reading of the international literature addressing patient advocacy along with Brazilian and international studies addressing moral distress and its relationship with patient advocacy.Conclusion: the barriers imposed on patient advocacy are well-known and such constraints are based on the organizational structure of health institutions and power relationships established between doctors and nurses, challenging and discouraging nurses from acting in accordance with their knowledge and conscience, often leading to a condition known as moral distress.DESCRIPTORS: Health advocacy. Nursing. Nursing ethics. ADVOCACIA DO PACIENTE NA ENFERMAGEM: BARREIRAS, FACILITADORES E POSSÍVEIS IMPLICAÇÕES RESUMOObjetivo: realizar uma reflexão acerca das barreiras, facilitadores e possíveis implicações do exercício da advocacia do paciente pelos enfermeiros.Resultados: essa reflexão resulta de uma leitura minuciosa da literatura internacional acerca da advocacia do paciente, acrescida de estudos nacionais e internacionais acerca do sofrimento moral e suas relações com o exercício da advocacia.Conclusão: as barreiras diante do exercício da advocacia do paciente são notórias, pautando-se na própria estrutura organizacional das instituições de saúde e nas relações de poder entre equipes médica e de enfermagem, desafiando e desencorajando os enfermeiros a agirem de acordo com seus conhecimentos e consciências, implicando, muitas vezes, em situações reconhecidas como de sofrimento moral. DESCRITORES:Advocacia em saúde. Enfermagem. Ética em enfermagem.http://dx.doi.org/10.1590/0104-07072017000100014Texto Contexto Enferm, 2017; 26(3):e0100014Tomaschewski-Barlem JG, Lunardi VL, Barlem ELD, Silveira RS, Ramos AM, Piexak DR 2/7 DEFENSA DEL PACIENTE EN ENFERMERÍA: BARRERAS, FACILITADORES Y LAS POSIBLES IMPLICACIONES RESUMENObjetivo: realizar una reflexión sobre las barreras, facilitadores y las posibles consecuencias del ejercicio de la defensa de los pacientes por enfermeras.Resultados: esta reflexión resulta de una lectura exhaustiva de la literatura internacional en defensa de los pacientes, como estudios nacionales e internacionales acerca de la angustia moral y su relación con la práctica de la defensa de los pacientes.Conclusión: los obstáculos al ejercicio de la defensa de los pacientes son notorios, basándose en la estructura organizativa de las instituciones de salud y de las relaciones de poder entre los equipos de médicos y enfermeros, desafiando y desencorajando los enfermeras para actuar de acuerdo con sus conocimientos y conciencia, resultando a menudo en situaciones consideradas como sufrimiento moral. DESCRIPTORES:Defensa de la salud. Enfermería. Ética en enfermería.

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Section: Introductionmentioning

confidence: 99%

Advocacia Do Paciente Na Enfermagem: Barreiras, Facilitadores E Possíveis Implicações

Tomaschewski-Barlem

Lunardi

Barlem

et al. 2017

Texto contexto - enferm.

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“…Instrument The tool was developed by Wu and BU (2008) [19] and adapted to measure nurses ' attitudes toward advocacy of oncology patients. It includes 64 items categorized into three components of nurses attitude: safeguarding patients' autonomy (28 items), acting on behalf patients (17items), championing social justice (19 items).…”

Section: Instrument: Attitude Toward Patient Advocacymentioning

confidence: 99%

“…All of them were responsible for providing direct health care to oncology patients. Data gathering tool used was the Attitude toward patient advocacy instrument which was developed by Wu and BU (2008) and adapted to measure nurses ' attitudes toward advocacy of oncology patients. It consists of three components of nurses attitudes 64 items.…”

Section: Introductionmentioning

confidence: 99%

Nurses’ Attitudes Toward Patient Advocacy in Oncology Department University Hospital

Seesy¹,

Nagshabandi²

2016

AJNS

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Abstract:The concept of patient advocacy has received international recognition over the last two decades. Although much researches has been done on nurses' attitudes in general, little has been done focusing particularly on oncology patient advocacy and almost no research was conducted in Saudi Arabian: The current study aimed to assess nurses' attitudes toward patient advocacy in oncology department University hospital. The study followed a cross-sectional descriptive design and was carried out in the oncology department at university hospital in Jeddah, kingdom of Saudi Arabian. All nurses (n= 46) who were working in the previously mentioned units and willing to participate in study were included. All of them were responsible for providing direct health care to oncology patients. Data gathering tool used was the Attitude toward patient advocacy instrument which was developed by Wu and BU (2008) and adapted to measure nurses ' attitudes toward advocacy of oncology patients. It consists of three components of nurses attitudes 64 items. This study found that the mean percentage scores of the participants' overall attitudes toward oncology patients advocacy was relatively positive 82.06 (SD 5.61). The highest mean scores percentages of participants' attitudes were found on nurses response to acting on behalf of patients dimension 84.80 (SD 5.92), However, participants' attitude to championing social justice dimension of patient advocacy was the least item 79.59 (SD 6.49). Also, the results explains the relationship between nurses' attitudes and socio demographic characteristics. Nurses who were working in oncology wards had positive attitude toward patient advocacy. This study recommended incorporating patient advocacy in their curricula or designed programs. It is necessary to be included in the Saudi nursing student curriculum, and it should be continued for nurses to improve the quality of this role. In addition, encourage non Saudi nurses specifically, those from different cultural backgrounds to express their feelings toward patient advocacy. The study highlights important issues to be considered in hospital settings that recruit healthcare providers of diverse nationalities and support changes needed in the workplace setting to promote advocacy action for the patients' sake.

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“…Dodd et al's (2004) scale only measures advocacy with respect to violations of or problems related to patients' ethical rights. Because Bu and Wu (2008) and Hanks (2010) measured advocacy attitudes and other contextual factors, their instruments do not measure actual engagement in advocacy. The instruments described by Bu and Wu (2007), Hanks (2010), and Vaartio et al (2009); focus exclusively on nurses.…”

Section: Gaps In Existing Patient Advocacy Instrumentsmentioning

confidence: 99%

“…The stages were very similar to those of Bu and Wu (2008) and included two primary stages: instrument development and instrument validation. The instrument development stage included three steps: (1) preliminary planning; (2) generating an initial item pool; and (3) refining the scale.…”

Section: Approachmentioning

confidence: 99%

Validation of the Patient Advocacy Engagement Scale for Health Professionals

Jansson

Nyamathi

Duan

et al. 2014

Research in Nursing & Health

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Codes of ethics of nursing, social work, and medicine, as well as Joint Commission Accreditation Standards, require members of these professions to engage in advocacy on behalf of patients. With use of expert panels, seven categories of patient problems in the healthcare milieu were identified: ethical rights, quality care, preventive care, culturally competent care, affordable/accessible care, mental health care, and care linked to patients' homes and communities. To measure the frequency with which healthcare professionals engage in patient advocacy related to these specific problems, the Patient Advocacy Engagement Scale (Patient-AES) scale was developed and validated through analysis of responses of 297 professionals (94 social workers, 97 nurses, and 104 medical residents) recruited from the personnel rosters of eight acute-care hospitals in Los Angeles County. Hospitals included public, not-for-profit, HMO, and church-affiliated hospitals that served general hospital populations, veterans, cancer patients, and children. Results supported the validity of both the concept and the instrument. Construct validity was supported by testing the hypothesized seven-factor solution through confirmatory factor analysis; 26 items loaded onto seven components. Pearson correlations for the overall scale and seven subscales in two administrations supported their test-retest stability. Cronbach a ranged from .55 to .94 for the seven subscales and .95 for the overall Patient-AES. The Patient-AES is, to our knowledge, the first scale that measures patient advocacy engagement by healthcare professionals in acute-care settings related to a broad range of specific patient problems. ß

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Development and psychometric evaluation of the instrument: Attitude toward patient advocacy

Cited by 33 publications

References 26 publications

Advocacia Do Paciente Na Enfermagem: Barreiras, Facilitadores E Possíveis Implicações

Advocacia Do Paciente Na Enfermagem: Barreiras, Facilitadores E Possíveis Implicações

Nurses’ Attitudes Toward Patient Advocacy in Oncology Department University Hospital

Validation of the Patient Advocacy Engagement Scale for Health Professionals

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