Chapter 14: Advocacy and the Advanced Practice Nurse Flashcards
ROOTS OF ADVOCACY IN NURSING
Florence Nightingale
Sojourner Truth
Lillian Wald
Margaret Sanger
And many more
DEFINING ADVOCACY
Essentially, conceptually ambiguous
Very thin evidence base and little research
Neither paternalism nor consumerism
To act for, speak for, plead for, or defend
The professional helps the patient reorient to the situation, reflect on his or her values, and make decisions
LEVELS OF ADVOCACY
Individual/family client level
Systems level
Consumer-driven systems level
ADVOCACY TO THE INDIVIDUAL OR FAMILY
Derived from the counseling paradigm and the framework of human rights
Includes responsibility to transfer knowledge to the patient and support that person in making informed choices and acting on them
More contemporary models provide consultation and a person who can navigate the system for the patient
ex. Individual- and Family-Level Advocacy:
The Case of Maria
SYSTEMS-LEVEL ADVOCACY
Nursing in the community
Policy-level advocacy role
Communication skills—active listening skills and verbal skills—are crucial
Requires assertiveness and the ability to negotiate and collaborate
Skill in program and policy development
ex. Systems-Level Advocacy:
Community Choice Counseling
CONSUMER-DRIVEN SYSTEMS LEVEL OF ADVOCACY
A role often assumed by the consumer
Consumer groups are particularly effective here
The consumer can be the expert
A partnership exists between consumers and professionals
ex. Consumer-Driven Systems Level of Advocacy:
The Case of Elsie
HOW NURSES LEARN ADVOCACY
By regular dialogue with other members of the nursing community, the patient and family, and other clinicians
From a need for administrative support
Through recognition that it is the individual, not the professional, who can make decisions for himself or herself
Through a process deeply rooted in values
Via effective role modeling
