Hanks Robert G
The University of Texas Medical Branch, Galveston, TX, USA.
Nurs Ethics. 2008 Jul;15(4):468-77. doi: 10.1177/0969733008090518.
Nursing advocacy for patients is considered to be an essential component of nursing practice. This phenomenological qualitative pilot study explored registered nurses' lived experience of nursing advocacy with patients using a sample of three medical-surgical registered nurses. The guiding research questions were: (1) how do registered nurses practicing in the medical-surgical specialty area describe their experiences with nursing advocacy for their patients; and (2) what reflections on educational preparation for their professional roles do registered nurses identify as related to their practices of nursing advocacy with their patients? Data analysis procedures were based on Moustakas' data analysis method, and Lincoln and Guba's criteria were applied for rigor. The emergent themes were: speaking out and speaking for patients; being compelled to act on unmet needs of patients; fulfillment and frustration; the patient is changed; primarily learned on the job; and confidence gained through practice. The findings increase the body of knowledge surrounding nursing advocacy as practiced by nurses.
护士对患者的支持被认为是护理实践的一个重要组成部分。这项现象学定性试点研究以三名内科-外科注册护士为样本,探讨了注册护士在为患者提供护理支持方面的生活经历。指导性研究问题如下:(1)在内科-外科专科领域执业的注册护士如何描述他们为患者提供护理支持的经历;(2)注册护士认为哪些与他们为患者提供护理支持的实践相关的专业角色教育准备方面的反思?数据分析程序基于穆斯塔卡斯的数据分析方法,并应用林肯和古巴的标准来确保严谨性。浮现出的主题有:为患者发声;被迫为患者未得到满足的需求采取行动;满足与挫折;患者发生改变;主要是在工作中学习;以及通过实践获得信心。这些发现增加了关于护士所践行的护理支持的知识体系。