OʼConnor Mary
School of Nursing, Notre Dame of Maryland University, Baltimore.
Nurs Adm Q. 2018 Apr/Jun;42(2):136-142. doi: 10.1097/NAQ.0000000000000283.
Advocacy is a core competency of the nurse, and especially the nurse leader. It is a multidimensional concept that requires knowledge, experience, self-confidence, and above all, courage. This article describes and illustrates the perspectives of nursing administration graduate students, as they depict advocacy in many relationships. These include advocacy for the patient, family, self, community, organization, profession, and society. The themes that emerged from narratives written by these nurse leaders were the development of courage and the finding of their voices. Stories demonstrate participants' courage to speak up despite feeling conflicted due to issues of autonomy, moral distress, or fear of retribution. Implications for nurse administrators to support advocacy at all levels are presented.
倡导是护士尤其是护士长的一项核心能力。它是一个多维度的概念，需要知识、经验、自信，最重要的是勇气。本文描述并阐释了护理学管理专业研究生的观点，他们描绘了在多种关系中的倡导行为。这些关系包括为患者、家庭、自身、社区、组织、专业及社会进行倡导。这些护士长所写叙事中呈现出的主题是勇气的培养以及找到自己的声音。故事展示了参与者尽管因自主权问题、道德困扰或害怕遭到报复而内心矛盾，但仍有勇气大声表达。文中还提出了对护士长在各级支持倡导行为的启示。
