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Patient advocacy actions by intensivist nurses
Caroline Porcelis Vargas1, Mara Ambrosina de Oliveira Vargas1, Jamila Geri Tomaschewski-Barlem2
1Universidade Federal de Santa Catarina , Departamento de Enfermagem , Programa de Pós-Graduação em Enfermagem , Florianópolis , SC , Brasil .
Revista Da Escola De Enfermagem Da U S P
|August 8, 2019
Summary
Intensivist nurses view patient advocacy as crucial but are unaware of its benefits. Factors like multiple jobs negatively impact advocacy practice, highlighting a need for better support and understanding in intensive care units.
Area of Science:
- Nursing Science
- Healthcare Management
Background:
- Patient advocacy is a critical nursing role, particularly in intensive care settings.
- Understanding the factors influencing nurses' advocacy actions is essential for improving patient care outcomes.
Purpose of the Study:
- To investigate the actions and influencing factors of patient advocacy among intensivist nurses.
- To utilize the Protective Nursing Advocacy Scale to assess these aspects.
Main Methods:
- A quantitative, descriptive-exploratory, cross-sectional study design was employed.
- Data were collected from 451 nurses in Intensive Care Units (ICUs) in Brazil.
- Statistical analyses included factorial exploratory analysis, T-tests, and chi-square tests.
Main Results:
- Most nurses disagreed with potential negative consequences of patient advocacy for themselves.
- Enhanced dialogue among nursing staff was identified as a factor improving teamwork.
- Nurses with multiple job relationships reported lower levels of patient advocacy due to increased effort and compromised well-being.
Conclusions:
- Intensivist nurses recognize patient advocacy as a vital professional duty.
- While aware of influencing factors, nurses lack understanding regarding the specific benefits of patient advocacy.
- Addressing workload and promoting inter-professional communication are key to enhancing patient advocacy in ICUs.
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