Department of Nursing, Karlstad University, Karlstad, Sweden.
J Nurs Manag. 2013 Jul;21(5):753-61. doi: 10.1111/j.1365-2834.2012.01453.x. Epub 2012 Oct 18.
To describe and compare registered nurses' (RNs) and nurse managers' (NMs) attitudes towards patient advocacy in the community care of older patients.
RNs may act as patients' advocates in the care of older patients. NMs should support patient advocacy in order to make the best care available to patients.
A modified Attitudes towards Patient Advocacy Scale was used to collect data from 207 RNs and 23 NMs in the Swedish community care of older patients. The response rate was 52%. Descriptive and inferential statistics were used.
Both RNs and NMs showed positive attitudes towards patient advocacy. They were more positive towards patient advocacy for patients unable to help themselves than for competent patients.
This study showed that RNs and NMs did not differ in their attitudes towards patient advocacy. This result is consistent with the idea of giving the neediest and vulnerable patients greater care.
It is important for NMs to clarify their own and RNs attitudes towards patient advocacy as disparities may affect cooperation between the groups. Any effects on cooperation may, by extension, affect the quality of care.
描述和比较注册护士（RNs）和护士长（NMs）在社区老年患者护理中对患者倡导的态度。
RNs 可能在老年患者的护理中充当患者的代言人。NMs 应该支持患者倡导，以便为患者提供最佳护理。
使用改良的患者倡导态度量表从瑞典社区老年患者护理的 207 名 RNs 和 23 名 NMs 中收集数据。回应率为 52%。使用描述性和推理统计。
RNs 和 NMs 对患者倡导都表现出积极的态度。他们对无法自助的患者的倡导比对有能力的患者更积极。
本研究表明，RNs 和 NMs 在患者倡导方面的态度没有差异。这一结果与给予最贫困和弱势患者更多关怀的观点一致。
NMs 澄清他们自己和 RNs 对患者倡导的态度很重要，因为差异可能会影响两组之间的合作。任何对合作的影响都可能进而影响护理质量。
