Patient Advocacy

Preferences for Decision‐Making Autonomy

“…Also of interest was the extent of disagreement about involvement in the rest of the decisions. Responses were spread across all levels of involvement for activities that have been suggested as ways to promote increased professional autonomy for nurses-patient advocacy (Wiseman, 1990); collaboration with physicians in planning care, ordering tests and determining discharge (Eubanks, 199 1 ;Schroeder, 1992); self-scheduling (Havens & Mills, 1992;McCoy, 1992); budget planning (Haven & Mills, 1992); peer review (Havens & Mills, 1992) and involvement in unit based research (Rizzuto, Lough, & Palange, 1990). It should be noted that the majority of staff nurses wanted little to no involvement in several of these decisions; i.e.…”

Are Perioperative Nurses Really Patient Advocates?

“…Nurses must therefore be independent and free from the constraints of rules and regulations imposed on them by their professional body and their employing authority (Gates 1994). Wiseman (1990) shares this conviction and suggests that nurses who act as advocates under the constraints of their employing institutions and using their own values and beliefs can only be 'passive advocates'. However, a nurse who does not abide by these conventions can act as a true or 'active advocate'.…”

Nurses' Perspective of Patient Advocacy: A Systematic Mixed Studies Review

“…In active advocacy role, actions are undertaken on the client's, not the institution's behalf. The nurse's action of advocacy is based on professional standards and personal beliefs about what is morally and ethically right [18][19][20]. Segesten and Fagring [21] stated that a patient advocacy situation can be triggered in three ways: an independent decision by the nurse, particularly when the client is a child or very ill.…”