Concept Analysis Patient Advocacy Nursing Essay

Concept Analysis Patient Advocacy Nursing EssayThe settle of this concept compend is to identify, focus, and refine how long-suffering protagonism is perceived by professional maintains in the nursing community. This paper depart follow the pram and Advant (2011) method of concept analysis to identify the concept of tolerant advocacy from existing publications with the aim to analyze and return clarity and c atomic number 18 for enhancement of advocacy in nursing. Further, steps will include the merelyt of identifying attributes of the concept, describing all model drives selected, identifying antecedents and consequences regarding the concept, and lastly, identifying faces of empirical referents of the concept (Walker Avant, 2011). Identification of Concept and steer of AnalysisPatients often prep atomic number 18 an inadequate go to bedledge of illness and medicine, save they desire more control over their individualized fountainheadnessc are. In numero us healthcare settings, uncomplaining care is unpredictable and long-sufferings right to self-determine and quality-of-life has a vogue to be ignored (Bu Jezewski, 2006). Advocacy is understood as the act of appeal for, supporting, or recommending (Websters Online Dictionary, n.d.). Moreover, the concept most often noted in belles-lettres as a component of nursing advocacy involves acting on behalf of unhurrieds, including shields activitiesof speaking, fighting, and standing up for their perseverings (Hanks, 2007). declares are in a unique view to support their perseverings interests in the re-establishment of health and well-being through unhurried advocacy. However, payable to the limited number of quantitative empirical studies of uncomplaining advocacy in nursing, the definition of patient advocacy is not consistent, and some(prenominal) admits cede a limited view of what patient advocacy is and how to perform the challenging tax of protecting and support ing patients rights. (Bu Jezewski, 2006). The aim of this analysis is to clarify, define, and refine the concept of patient advocacy in order to expand understanding of this concept in nursing practice.Defining AttributesAc heaping to much of the literature, defining attributes of patient advocacy involves a series of specific actions by nurses to protect, represent, and safeguard the patients rights, dress hat interests, and determine within the healthcare system (Bu Jezewski, 2006). As well, safeguarding patients impropriety, acting on behalf of patients, and reason social justice in the deli really of health care are all kernel attributes of patient-care advocacy (Bu Jezewski, 2006). The title of patient service and patient representative is also used frequently in research literature to describe the role of the nurse advocate (Hank, 2007). These attributes place patients at the totalof the of the healthcare system, emphasizing patients legal rights and well-being, and nurses humanity, kindness, and fairness in the delivery of health care (Bu Jezewski, 2006). eccentric persons of Patient AdvocacyCases of patient advocacy can be drills of several main factors that define and challenge the attributes that facilitate or block up nurses as patient advocates. A model case is defined as an example of the use of the concept that demonstrates all the defining attributes of the concept (Walker Avant, 2011, p. 163). In addition to the model case exemplar, the attributes of patient advocacy will be defined and challenged through case examples of borderline, related, and contrary cases.Model CaseAn example of a model case for patient advocacy involves a Registered Nurse who has been working as the flush nurse of a busy requirement part for 15 years. P.B. has just come on shift, when an air indispensableness vehicle lands on the helipad with a 22-year-old, male, trauma patient. The paramedic reports that the patient was intricate in a two veh icle head-on collision, the patient was ejected from the vehicle, and that in that respect is a possibility of a spinal cord injury. Immediately, the trauma aggroup attends to any life-threatening injuries, piece of music P.B. quietly and efficiently attends to the patients emotional and sentry go deprivations. She quickly determines that the patient would like his mother pinchedonly, that he would like to know the extent of his injuries, and that he suffering a considerable amount of bruise. aft(prenominal) the patients primary care is complete, P.B. explains spinal shock to the patient, allows the previously-contacted mother to enter the requirement Department, and carefully reviews the plan-of-care with both the patient and the mother. She then posts to contact further family as needed, and presents herself available for any further questions. Further, subsequently administering ordered pain medications, P.B. is very astute with timed, follow-up, assessments regar ding effective pain control. The in a higher place nurse demonstrates the core attributes necessity when a nurse is successful in the role as patient advocate. The nurse acted as a patient protector from pain and fear, representing and safeguarding the patients rights and autonomy through contacting the appropriate family members, and addressing the patients pain with medication and personal reassessment of patients pain control. As well, the nurse showed kindness, fairness, and humility with congruity of care by personally providing the patient and the patients family with compassion and education regarding the patients injury and treatment.Borderline CaseAn example of a borderline case regarding the role of a nurse as a patient-advocator would involve the same scenario, but slightly different reactions from the preceding(prenominal) charge nurse. As the helicopter lands and the patients life-threatening injuries are attended to by the trauma team, P.B. offers to contact the family members of the patient. The patient asks that only his mother be notified, that he is afraid, and that he is in tremendous pain. P.B. quickly reassures the patient that she will contact his mother, that being afraid is natural, and that as concisely as she is given the order, she will provide the patient pain medicine. When the patients mother arrives in the Emergency Department, P.B. explains the temper of the patients injuries, assures the mother that her son is going to be fine, and then leaves the two just to discuss their options for care.The above example represents a borderline case cod to the mid-range of appropriate reactions by the nurse attending the needs of a patient. The patients autonomy, privacy, and rights were safeguarded when the nurse contacted the appropriate family members. However, the nurse did not demonstrate effective fairness when secure the patient and the patients mother that everything would be fine with regard to the patients injuries. Further, the nurse did not display kindness and compassion when leaving the patient and his mother merely without first determining that their educational and emotional needs were met.Related CaseAn example of a related case using the previous scenario involves a variance in the actions of thecharge nurse. P.B has just begun her role as charge nurse on the night shift in the Emergency Department. single of the trauma nurses has called in sick, and she is now required to provide care as a nurse on the trauma team as well as fulfill the role as charge nurse. Shortly after her shift begins, a 24-year-old, male, trauma victim arrives via air transport, and P.B. realizes that she will score to be the primary nurse on this patients case. The patient is quickly stabilized, but a spinal cord injury with possible paralysis is soon diagnosed by the trauma physician. The patient is very frightened, in pain, and requests that P.B. phone his mother. P.B. calmly assures the patient th at she will contact his mother, administers ordered pain medication, and then assures the patient that she will return to check on him shortly. However, due to P.B.s charge nurse status, she is needed in another trauma case and the 24-year-old trauma victim is replaced by another trauma nurse.This case appears to demonstrate the concept of patient advocacy. However, when examined closely, the trauma patient may have felt that P.B. did not provide kindness, compassion, and congruity of care when failing to return to his bedside after stating that she would. Unknown to the patient, P.B.s responsibilities as a charge nurse kept her busy for the rest of the shift, and in fact, P.B. explained the transfer of nursing care to thepatients mother. However, the patients mother left the department while the patient was asleep, and no explanation was ever made to effectively bring through the patients feeling of desertion. This exemplar may simply be a materialization of a nurse who is ve ry busy with patient care quite a than the absence of patient advocacy.Contrary CaseUsing the scenario provided above, the contrary case example involves P.B. as she has just arrived to work as the Emergency Department charge nurse for the evening shift. A trauma victim has been transported into the fate bay, and he is suffering paralysis due to a spinal cord injury. The victim is 24-year-old male, appears extremely frightened, and is in pain. As the charge nurse, P.B. does not typically have individual patients assigned to her, and this is no exception. However, the nurse assigned to the patient asks P.B. to contact the patients mother and to stay with the patient until his anxiety and pain have lessened. P.B. calls the number provided on the patients chart, and asks the patients father to immediately come to the Emergency Department, relaying that he should contact the victims mother as well. Following the phone call, P.B. stays with the patient for a short time, but does not provide any protect measures instead, P.B. frequently leaves the patients bedside, avoids speaking with patient, and denies any knowledge of his condition when askedfor updates by the patient.The above nurse does not demonstrate the core attributes identified when a nurse is successful in the role of patient advocate. The nurse fails to act as a patient protector from fear or to represent and safeguard the patients rights and autonomy through contacting the inappropriate family member. Further, the nurse does not attempt to pass kindness, humanity, or supporter-of-patients needs by frequently leaving his bedside and failing to offer reassurance or education regarding the patients injuries. This is clearly not the concept of a patient advocate role.Identification of AntecedentsAntecedents are those incidents or events in place precedent to the occurrence of the concept being researched (Walker Avant, 2011). Antecedents of patient advocacy occur at all levels of the health care system, and appeal for nurses to advocate for patients. Advocacy for patients stems from a need to protect a vulnerable population that loses power to represent or fulfil itself (Hank, 2007). Vulnerable patients are the most frequently mentioned situation demanding nurses advocacy actions (Bu Jezewski, 2006). Populations of vulnerable people include groups or individuals who cannot fully embody and defend their own rights, needs, welfares and wishes, are inefficient to make suitable choices, or unable to carry out their choices (Bu Jezewski, 2006). Identification ofConsequencesThe consequences of patient advocacy are a result of nurses patient advocacy and can be either irresponsible or negative (Bu Jezewski, 2006). Successful patient advocacy actions produce unconditional consequences through the protection of patients rights, needs, welfares, and wishes (Bu Jezewski, 2006). The nursing profession may also have positive consequences as a result of patient advocacy through increases in professional fulfillment, self-confidence and self-respect through the preservation of personal integrity and moral principles (Bu Jezewski, 2006). Negative consequences can occur when nurses advocate for patients and risks are reported as the advocator being insubordinate many patient advocators suffer loss of reputation, support system, and self-esteem (Bu Jezewski, 2006).Identification of Examples of Empirical denotativeEmpirical referents are classes or categories of actual phenomena demonstrating the occurrence of the concept, and in many cases the defining attributes and empirical referents will be the same (Walker Avant, 2011). The concept of patient advocacy, or specific patient advocacy action, is classified under the core attributes listed above, and the empirical referents of this concept analysis are the same. The defining attributes include safeguarding, protecting, representing patients rights, best interests, and values within the healthca resystem (Bu Jezewski, 2006). Safeguarding patients autonomy, acting on behalf of patients, and argue social justice in the delivery of health care are also listed as defining attributes of patient advocacy (Bu Jezewski, 2006). Patient supporter and patient representative are also included in this analysis to be attributes in the role of nurse patient-advocate (Hank, 2007).In conclusion, patient advocacy is an essential part of the professional nursing practice. If the need for advocacy is not appropriately acknowledged and applied, effective healthcare will not be received. The concept analysis of this paper provided clarity, definition, and refinement of the concept of patient advocacy and promotes advocating of patients as a necessary step in the advancement mean for nurses professional practice.