Journal article

Advocacy in nursing -- a review of the literature

Mallik M ...see all

Journal of Advanced Nursing, vol. 25, issue 1 (1997) pp. 130-138

  • 5

    Readers

    Mendeley users who have this article in their library.
  • 83

    Citations

    Citations of this article.
Sign in to save reference

Abstract

Patient/client advocacy has been claimed as a new role for the professional nurse. This paper presents a critical review of the literature on advocacy in nursing. After briefly outlining the conditions which may have instigated the need for patient advocacy, meanings and models of advocacy are discussed. It is argued that although there are many examples of the advocacy role in health care, models proposed for the nurse as advocate are indeterminate which leads to multiple interpretations and lack of clarity in operationalizing advocacy. Much of the literature focuses on justification arguments for claiming the advocacy role. Key themes are outlined and include: patient advocacy as a traditional role, nurses are in the best position in the health care team, nurses have the knowledge to advocate and finally nurses and patients can be partners in advocacy. However, critical examination reveals many counter-arguments to the above claims and finally concludes that advocacy is a potentially risky role to adopt. It is argued that support systems are inadequate except in low-risk situations and ultimately acts of advocacy remain a moral choice for the individual nurse. Finally the need to conduct research into the interpretation of the patient advocate role by nurses in the United Kingdom is highlighted.

Author-supplied keywords

  • A4a
  • Autonomy
  • G2d
  • Nurse-Patient Relations
  • Nursing Models, Theoretical
  • Nursing Role
  • Patient Advocacy
  • Philosophy
  • R3a
  • T3b

Get free article suggestions today

Mendeley saves you time finding and organizing research

Sign up here
Already have an account ?Sign in

Find this document

Get full text

Authors

  • M Mallik

Cite this document

Choose a citation style from the tabs below

Save time finding and organizing research with Mendeley

Sign up for free