Professional autonomy and patient advocacy in nurses

Kurt, Duygu; Gürdoğan, Eylem Paslı

doi:10.1016/j.colegn.2022.09.015

Cited by 3 publications

(1 citation statement)

References 26 publications

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“…The last decade has been active changes in nursing practice, nursing leadership and nurses' career opportunities along with greater autonomy and responsibilities. Hereby, nurses' professional autonomy has also increased with an opportunity to act as a patient advocate and advance the patient's needs (Kurt & Gurdogan, 2023; Porter‐O'Grady, 2022). While nurses' professional work has constantly been under pressure to better meet the population's health needs, the legal backing has not followed the clinical decisions or actions expected from nurses (Grinberg & Sela, 2022).…”

Section: Discussionmentioning

confidence: 99%

Nurse managers' perceptions of nurses' professional autonomy—A qualitative interview study

Pursio

Kankkunen

Kvist

2023

Journal of Advanced Nursing

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AimsTo describe nurse managers' perceptions of nurses' professional autonomy in hospitals and their role in promoting it.DesignA qualitative descriptive approach.MethodsFifteen nurse managers participated in semi‐structured focus group interviews in two university hospitals in Finland between May and June 2022. The data were analysed using inductive content analysis.ResultsNurses' professional autonomy in hospitals is perceived according to three themes: individual qualities behind independent actions, limited influencing opportunities in the organization and physicians' central effect. The nurse managers perceive that they enhance nurses' professional autonomy by promoting the nurses' independence at work, their sufficient and up‐to‐date competence, their expert role in multi‐professional cooperation and joint decision‐making and an open and appreciative work community.ConclusionsNurse managers can enhance nurses' professional autonomy with shared leadership. However, there are still gaps in nurses' equal possibilities to influence multi‐professional work, especially outside of patient care. Promoting their autonomy requires commitment and support from leadership at all levels of the organization. The results advise nurse managers and the administration of the organization to maximize the potential of nurses' expertise, along with encouraging nurses towards self‐leadership.ImpactThis study provides an innovative approach to nurses' roles through their professional autonomy from the perspective of nurse managers. These managers have an important role in enhancing nurses' professional autonomy, empowering and supporting them in their expertise, enabling necessary advanced training, and maintaining an appreciative work community where all have equal participation opportunities. Thus, nurse managers have the opportunity to strengthen high‐quality multi‐professional teams' ability to jointly develop the patient's care for better outcomes through their leadership.Patient or Public ContributionNo patient or public contribution.

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Section: Discussionmentioning

confidence: 99%

Nurse managers' perceptions of nurses' professional autonomy—A qualitative interview study

Pursio

Kankkunen

Kvist

2023

Journal of Advanced Nursing

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Patient’s best interest as viewed by nursing students

Zolkefli,

Chandler

2024

Nurs Ethics

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Background In recent years, patient advocacy has emerged as a prominent concept within healthcare. How nursing students decide what is best for their patients is not well understood. Objective The objective is to examine nursing students' views on doing what is best for patients during their clinical experiences and how they seek to establish patient interests when providing care. Research questions guiding the interview were as follows: (1) What are nursing students' perceptions of patient interests? (2) What factors influence nursing students' perceptions of advocating for patient’s interests? Research design Qualitative descriptive research using thematic analysis. Participants and research context Data was collected through individual online interviews with nine nursing students with clinical experience. Ethical considerations The study was approved by the University Research Ethics Committee. Participants provided digital informed consent. Results The students asserted that they are able to understand the patients' interests by placing emphasis on the patients' needs. They believe that it is crucial to adopt a collaborative strategy for the provision of care to meet these requirements. In addition, some of them expressed concern over the most effective methods of advocating for the interests of patients. Three themes were identified. (1) Focussing on patient needs first, (2) taking a collective approach, and (3) learning how to advocate. Conclusions Students understand and value the ethical commitments associated with advocating for the patient's best interest by considering factors such as prioritising the patient's needs, adopting a strategy that involves everyone, and acquiring the ability to undertake the advocacy role. Additionally, nursing education strategies in clinical contexts require additional study to inspire students to do what is in their patient’s best interests.

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Hemşirelik Öğrencilerinin Hasta Savunuculuğu Durumlarının Belirlenmesi

GÜLNAR,

BAYRAM,

ÖZVEREN

2024

Black Sea Journal of Health Science

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Bu çalışma hemşirelik öğrencilerinin hasta savunuculuğu durumlarının belirlenmesi amacıyla yapılmıştır. Bu çalışma tanımlayıcı olarak yapılmıştır. Araştırmanın örneklemi bir üniversitenin hemşirelik bölümü dördüncü sınıfta öğrenim gören 206 öğrenci oluşturmuştur. Araştırmanın verileri tanıtıcı özellikler formu ve Hemşireler için Hasta Savunuculuk Ölçeği kullanılarak toplanmıştır. Verilerin değerlendirilmesinde sayı, yüzdelik hesaplaması, ortalama ölçüleri (minimum, maksimum) student t testi ve One way ANOVA testi kullanılmıştır. Bu çalışmada, hemşirelik öğrencilerinin hasta savunuculuğu ölçeği puan ortalaması 159,67±21,49 olarak belirlenmiştir. Ölçeğin alt boyutları puan ortalamaları; tedavi ve bakım 51,35±7,65, eşitlik 34,50±4,58, hasta hakların 27,62±5,62, bilgilendirme 12,74±2,09, seçim hakkı 16,23±2,82, kültürel bakım 8,41±1,59 ve mahremiyet 8,78±1,40 olarak saptanmıştır. Bu çalışma sonucunda hemşirelik öğrencilerinin hasta savunuculuğu ve alt boyutları puan ortalamasının yüksek olduğu belirlenmiştir. Hemşirelik eğitiminde öğrencilerde savunuculuğun kazandırılmasında interaktif eğitim yöntemlerinin kullanılması önerilmektedir.

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Professional autonomy and patient advocacy in nurses

Cited by 3 publications

References 26 publications

Nurse managers' perceptions of nurses' professional autonomy—A qualitative interview study

Nurse managers' perceptions of nurses' professional autonomy—A qualitative interview study

Patient’s best interest as viewed by nursing students

Hemşirelik Öğrencilerinin Hasta Savunuculuğu Durumlarının Belirlenmesi

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