Predicting Patient Advocacy Engagement: A Multiple Regression Analysis Using Data From Health Professionals in Acute-Care Hospitals

Jansson, Bruce S.; Nyamathi, Adeline; Heidemann, Gretchen; Duan, Lei; Kaplan, Charles D.

doi:10.1080/00981389.2015.1054059

Cited by 4 publications

(3 citation statements)

References 40 publications

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“…The authors’ finding that survivors endorsed self-advocacy as a way to manage their treatment reflects national trends of cancer survivors’ desires to be involved throughout their cancer care experience (Chewning et al, 2012; Say, Murtagh, & Thomson, 2006). Although providers in the current study reported overall positive views of survivor self-advocacy, research has demonstrated that nurses, social workers, and other clinicians frequently report barriers to advocating for survivors, including lack of professional skill, not being eager to engage in advocacy, and lack of institutional support (Jansson, Nyamathi, Heidemann, Duan, & Kaplan, 2015; Vaartio-Rajalin & Leino-Kilpi, 2011). These barriers are analogous to those reflected in the current study, including concerns about the ability to answer questions and develop treatment plans, both of which require refined skill and dedicated effort on the part of providers.…”

Section: Implications For Nursingmentioning

confidence: 69%

Perspectives on Self-Advocacy: Comparing Perceived Uses, Benefits, and Drawbacks Among Survivors and Providers

Hagan¹,

Rosenzweig²,

Zorn³

et al. 2017

ONF

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Purpose/Objectives To describe and compare survivors’ and providers’ views of the uses of and perceived benefits and drawbacks of survivor self-advocacy. Design A cross-sectional, two-group, mixed-methods survey. Setting Survivors were recruited from local and national registries and advocacy organizations. Providers were recruited from the University of Pittsburgh Medical Center Cancer Center and a regional Oncology Nursing Society chapter. Sample 122 female cancer survivors and 39 providers involved in their direct care. Methods Quantitative survey data were summarized using descriptive statistics, including means and frequencies. Qualitative survey data were collected and analyzed using content analysis techniques, and main themes were counted and summarized. Main Research Variables Perceptions of the uses, benefits, and drawbacks of female cancer survivor self-advocacy. Findings Survivors and providers perceived similar but distinct uses of self-advocacy. Survivors and providers generally agreed on the potential benefits of self-advocacy but had different views of the potential drawbacks. Survivors were most concerned with finding and making sense of information, that their questions would not be answered, and having a worse relationship with their provider; providers were concerned with increases in clinic time and difficulties developing treatment plans. Conclusions Although survivors and providers recognized similar benefits to survivor self-advocacy, they had different views of the uses and drawbacks of female cancer survivor self-advocacy. Implications for Nursing Attempts to increase self-advocacy among female cancer survivors must address survivors’ and providers’ views and apprehensions about self-advocacy.

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Section: Implications For Nursingmentioning

confidence: 69%

Perspectives on Self-Advocacy: Comparing Perceived Uses, Benefits, and Drawbacks Among Survivors and Providers

Hagan¹,

Rosenzweig²,

Zorn³

et al. 2017

ONF

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“…For patients, the consequence is that improving patient safety 33,56 and quality of care, 57 development of a sense of self-determining 3 and empowering, 58 improving collaboration among patients, families, and the healthcare team, 9 improving access to health and social services, 44 and improving the public health. 59,60 For nurses, the consequences of patient advocacy could be positive and negative. The positive consequences for nurses are experiencing a sense of being worthwhile, 22 improving self-concept, 7 job motivation, 9 job satisfaction, 22 and enhancement of the public image of nursing.…”

Section: Resultsmentioning

confidence: 99%

Patient advocacy in nursing: A concept analysis

2019

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Background: The concept of patient advocacy is still poorly understood and not clearly conceptualized. Therefore, there is a gap between the ideal of patient advocacy and the reality of practice. In order to increase nursing actions as a patient advocate, a comprehensive and clear definition of this concept is necessary. Research objective: This study aimed to offer a comprehensive and clear definition of patient advocacy. Research design: A total of 46 articles and 2 books published between 1850 and 2016 and related to the concept of patient advocacy were selected from six databases and considered for concept analysis based on Rodgers’ evolutionary approach. Ethical considerations: This study was approved by the Research Ethics Committee of Tarbiat Modares University. Findings: The attributes of patient advocacy are safeguarding (track medical errors, and protecting patients from incompetency or misconduct of co-workers and other members of healthcare team), apprising (providing information about the patient’s diagnosis, treatment, and prognosis, suggesting alternatives of healthcare, and providing information about discharge program), valuing (maintaining self-control, enabling patients to make decisions freely, maintaining individualization and humanity, maintaining patient privacy, and acting in the patients’ values, culture, beliefs, and preferences), mediating (liaison between patients, families, and healthcare professionals, being patients’ voice, and communicate patient preferences and cultural values to members of the healthcare team), and championing social justice in the provision of healthcare (confronting inappropriate policies or rules in the healthcare system, identifying and correcting inequalities in delivery of health services, and facilitating access to community health services and health resources). Discussion and conclusion: The analysis of this concept can help to develop educational or managerial theories, design instruments for evaluating the performance of nurses in patient advocacy, develop strategies for enhancing patient advocacy, and improve the safety and quality of nursing care in the community and healthcare system.

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“…4 In this approach, human behavior is guided by their behavioral beliefs and, as a result, the sum of efforts and collective perceptions strengthens the engagement in political advocacy, besides making health professionals more prone to political advocacy if they perceive it as effective to improve the population's health. 5 Committing to the defense of health-related rights and seeking to transform dysfunctional policies that increase the well-being of users is a moral duty of those who provide care and are committed to their work in the eld of health.1 As members of the multiprofessional health team, nurses should perceive the importance of defending users in situations of avoidable harm, a fact that encourages them to leave the comfort zone and enter the political sphere, with the objective that their actions impact public policies, while also providing real examples to contribute to the defense of users' rights and interests.6…”

Section: Introductionmentioning

confidence: 99%

Clustering the Engagement of Brazilian Nurses in Political Advocacy

Figueira¹,

Barlem²,

Brum³

et al. 2020

Preprint

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Background: The political advocacy highlights that the union among nurses, other health professionals, users and managers is able to promote improvements to the health of people and communities.Objective: To analyze the level of nurses’ engagement in political advocacy by performing cluster analysis.Method: The study was attended by 184 nurses working in primary, secondary and tertiary care in a city in Brazil, through the application of the Policy Advocacy Engagement Scale. The data analysis consisted of descriptive statistics, cluster analysis, analysis of variance and chi2.Ethical considerations: The approval for the study was received by the local Ethics Committee.Result: The clustering performed in this study pointed out the factor defense of care for families and communities with higher average, indicating that political defense is effective in organizational environments and even that professional qualification provides greater engagement in political advocacy.Conclusion: The results reveal that nurses play an active role in political advocacy, seeking to promote positive changes in health, especially those working in tertiary care, the nurse group that obtained the highest means in this study.

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Predicting Patient Advocacy Engagement: A Multiple Regression Analysis Using Data From Health Professionals in Acute-Care Hospitals

Cited by 4 publications

References 40 publications

Perspectives on Self-Advocacy: Comparing Perceived Uses, Benefits, and Drawbacks Among Survivors and Providers

Perspectives on Self-Advocacy: Comparing Perceived Uses, Benefits, and Drawbacks Among Survivors and Providers

Patient advocacy in nursing: A concept analysis

Clustering the Engagement of Brazilian Nurses in Political Advocacy

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