Patient advocacy in nursing: A concept analysis
Patient advocacy in nursing: A concept analysis
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DOI：
10.1177/0969733019832950
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发表时间：
2020-02-01
期刊：
影响因子：
4.2
通讯作者：
Kazemnejad, Anoshirvan
中科院分区：
文献类型：
--
作者：
Abbasinia, Mohammad;Ahmadi, Fazlollah;Kazemnejad, Anoshirvan
背景：患者权益倡导这一概念仍未得到充分理解，也没有清晰的概念界定。因此，患者权益倡导的理想与实践现实之间存在差距。为了增加护士作为患者权益倡导者的行动，对这一概念进行全面且清晰的定义是必要的。
研究目的：本研究旨在提供一个全面且清晰的患者权益倡导的定义。
研究设计：从六个数据库中选取了1850年至2016年间发表的共46篇文章和2本书籍，这些文献都与患者权益倡导概念相关，并基于罗杰斯的进化方法进行概念分析。
伦理考量：本研究得到了德黑兰马达雷斯大学研究伦理委员会的批准。
研究结果：患者权益倡导的属性包括保障（追踪医疗差错，保护患者免受同事及医疗团队其他成员的不称职或不当行为的伤害）、告知（提供有关患者诊断、治疗和预后的信息，提出医疗保健的替代方案，并提供出院计划的信息）、尊重（保持自我控制，使患者能够自由决策，保持个性化和人性化，维护患者隐私，并按照患者的价值观、文化、信仰和偏好行事）、调解（在患者、家属和医疗专业人员之间进行联络，为患者发声，并向医疗团队成员传达患者的偏好和文化价值观）以及在医疗保健提供中倡导社会正义（对抗医疗保健系统中不恰当的政策或规则，识别和纠正医疗服务提供中的不平等现象，并促进获取社区医疗服务和医疗资源）。
讨论与结论：对这一概念的分析有助于发展教育或管理理论，设计用于评估护士在患者权益倡导方面表现的工具，制定加强患者权益倡导的策略，并提高社区和医疗保健系统中护理的安全性和质量。
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.