School of Nursing, University of California Los Angeles, Los Angeles, CA, USA.
Nurs Ethics. 2012 Jul;19(4):538-49. doi: 10.1177/0969733011421627. Epub 2012 Apr 11.
Working at the bedside and within communities as patient advocates, nurses frequently intervene to advance individuals' health and well-being. However, the International Council of Nurses' Code of Ethics asserts that nurses should expand beyond the individual model and also promote a rights-enabling environment where respect for human dignity is paramount. This article applies the results of an ethnographic human rights study with displaced populations in Rwanda to argue for a rights-based social advocacy role for nurses. Human rights advocacy strategies include sensitization, participation, protection, good governance, and accountability. By adopting a rights-based approach to advocacy, nurses contribute to health agendas that include more just social relationships, equitable access to opportunities, and health-positive living situations for all persons.
护士在床边和社区中作为患者的倡导者,经常进行干预以促进个人的健康和福祉。然而,国际护士理事会的《伦理守则》宣称,护士不应局限于个人模式,而应促进一个赋予权利的环境,在这个环境中,对人的尊严的尊重至高无上。本文运用在卢旺达流离失所者中进行的一项人种学人权研究的结果,主张赋予护士以基于权利的社会倡导角色。人权倡导战略包括宣传、参与、保护、善治和问责。通过对倡导采取基于权利的方法,护士有助于制定卫生议程,其中包括更公正的社会关系、公平获得机会以及所有人都能过上健康的积极生活。