Experiences of patient advocacy among nurses working in a resource constrained emergency department in Ghana

Adjei, Mabel Dorothy; Diji, Abigail Kusi‐Amponsah; Oduro, Evans; Bam, Victoria; Dzomeku, Veronica Millicent; Budu, Isaac Hayford; Lomotey, Alberta Yemotsoo; Sakyi, Richard; Kyerew, Abena Abebrese

doi:10.1016/j.ienj.2022.101252

Cited by 1 publication

(3 citation statements)

References 27 publications

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“…Over the decades, there have been some general frameworks related to but not specific to HA. As such, a study in Ghana by Adjei et al (2023) reported there were no specific documented guidelines or framework on advocating for clients, which leaves nurse advocates disappointed and frustrated by failed advocacy attempts. Carlisle (2000) developed a conceptual framework for health promotion, advocacy, and health inequalities that underscored the concepts of protecting the vulnerable and empowering the disadvantaged.…”

Section: Backg Rou N Dmentioning

confidence: 99%

“…Apart from the unassertiveness of some nurses and the lack of biopsychosocial assessment, there are barriers such as the covert nature of HA in the nursing curriculum (van Staden & Duma, 2022), the overlooking and not acknowledging of nurses in some developing countries during health policy development and reviews (Acheampong et al, 2021), and the lack of a framework to guide nurses to perform the HA role (Adjei et al, 2023) are impediments. These issues have culminated in the nurses' silence in performing the HA role, especially in Ghana.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Health advocacy role performance of nurses in underserved populations: A grounded theory study

Laari

Duma

2023

Nursing Open

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AimNurses' health advocacy (HA) role requires them to speak up for patients, clients, and communities in relation to healthcare. Various studies report the importance of the HA role of the nurse in healthcare. However, nurses' performance in this role is not clear yet. The present study aims to identify and explain how nurses perform their HA role in underserved populations.DesignQualitative grounded theory by Strauss and Corbin.MethodsData were gathered from three regional hospitals in Ghana with 24 registered nurses and midwives as participants through purposive and theoretical sampling techniques. Face‐to‐face in‐depth semi‐structured interviews were conducted from August 2019 to February 2020. The data were analysed using Strauss and Corbin's method and Nvivo software. The reporting follows Consolidated Criteria for Reporting Qualitative Research guidelines.FindingsThe HA role performance theory emerged from data with role enquiry, role dimension, role context, role influence, role reforms and role performance as building blocks. Data analysis showed that the main concerns of the nurses during their daily practice were mediating, speaking up, and negotiating. Among others, the intervening conditions were clientele influence and interpersonal barriers, whereas the outcome was a balance between role reforms and role performance.ConclusionAlthough some nurses proactively initiated biopsychosocial assessment and performed the HA role, most of them relied on clients' requests to perform the role. Stakeholders should prioritise critical thinking during training and intensify mentoring programmes in the clinical areas.Relevance for Clinical PracticeThe present study explains the process by which nurses perform their roles as health advocates in their daily activities as nurses. The findings can be used to teach and guide clinical practice for the HA role in nursing and other health care fields. There was no patient or public contribution.

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Section: Backg Rou N Dmentioning

confidence: 99%