Breeding Jeff, Turner de Sales
Westmead Hospital, NSW.
Aust Crit Care. 2002 Aug;15(3):110-7. doi: 10.1016/s1036-7314(02)80051-0.
Anecdotally, it has often been expressed by registered nurses (RNs) working within critical care environments that they are patient advocates. However, to date, little systematic research has been undertaken to validate this assertion. Thus this project, which explored the lived experience of RNs working within a critical care unit in a country area of Australia, was conceived. The five participants of this study were all Division 1 RNs possessing a critical care certificate and a minimum of 4 years' nursing experience. Through their participation in an in-depth audiotaped interview they revealed a wealth of experiences and ideas about their involvement as patient advocates. The results of this research indicate that the phenomenon of nurse advocacy is a multi-faceted process and embraces many kinds of activities that nurses engage in on behalf of their clients. The findings of this study indicate that some of the participants' experiences are congruent with elements of advocacy contained within the nursing literature and statements of professional nursing bodies. However, there are some findings in this study that are not consistent with available literature. For instance, these participants markedly reject the notion that advocacy is an inappropriate concept for nurses, despite suggestions in the literature that this is an inappropriate role. Instead they wholeheartedly embrace this role, asserting it as central to their practice. Further, although the literature identifies potential controversies regarding enactment of the role of advocacy, the participants of this study are silent on these matters. It is not known what this silence implies and, in light of the study findings, it is recommended that nursing organisations, theorists and clinicians consider whether it is worthwhile to more clearly confirm the nature and role of advocacy within Australian nursing.
据传闻，在重症监护环境中工作的注册护士（RN）常表示自己是患者的倡导者。然而，迄今为止，几乎没有进行系统研究来验证这一说法。因此，构思了这个项目，该项目探索了在澳大利亚乡村地区重症监护病房工作的注册护士的生活经历。本研究的五名参与者均为一级注册护士，拥有重症护理证书且至少有4年护理经验。通过参与深入的录音访谈，他们透露了大量有关其作为患者倡导者参与情况的经历和想法。这项研究的结果表明，护士倡导现象是一个多方面的过程，涵盖了护士代表患者所从事的多种活动。本研究的结果表明，一些参与者的经历与护理文献及专业护理机构声明中所包含的倡导要素一致。然而，本研究中有一些发现与现有文献不一致。例如，尽管文献中暗示这是一个不适当的角色，但这些参与者明显拒绝认为倡导对护士来说是一个不适当概念的观点。相反，他们全心全意地接受这个角色，并宣称它是其职业实践的核心。此外，尽管文献指出了关于倡导角色实施的潜在争议，但本研究的参与者对这些问题保持沉默。尚不清楚这种沉默意味着什么，鉴于研究结果，建议护理组织、理论家及临床医生考虑是否有必要更明确地确定澳大利亚护理中倡导的性质和作用。
