Reprinted from Kalaitzidis E, Jewell P. The concept of advocacy in nursing: a critical analysis. Health Care Manag. 2015;34(4):308-315. doi:10.1097/HCM.0000000000000079. Author Affiliations: Health Sciences Medicine and Nursing, Flinders University, South Australia.
Health Care Manag (Frederick). 2020 Apr/Jun;39(2):77-84. doi: 10.1097/HCM.0000000000000292.
As health care professionals practice as a team, they take on responsibilities that are specific to their roles-responsibilities that are recognized and understood by the team and management as pertaining to their professional domain and expertise. Is advocacy part of the role of the nurse? Members of the nursing profession commonly maintain that it is, but is there a consensus on this issue, both within the profession and among other stakeholders? Is there a clear understanding of the term advocacy, and is this reflected in Codes of Practice and research into practice? An examination of significant documents and reports of empirical research reveals conflicting conceptions and opinions. There is potential for a common definition, but agreements need to be reached on whether advocacy is an essential function of nursing within the management of health care, and if so, what is advocacy's importance, focus, and limits.
作为医疗保健专业人员,他们以团队的形式工作,承担特定于其角色的责任——这些责任是团队和管理层认可和理解的,属于他们的专业领域和专业知识。倡导是护士角色的一部分吗?护理行业的成员普遍认为是,但在这个问题上,无论是在该行业内部还是在其他利益相关者之间,是否存在共识?人们对倡导这个术语是否有明确的理解,这是否反映在实践准则和实践研究中?对重要文件和实证研究报告的审查揭示了相互冲突的概念和意见。有可能达成一个共同的定义,但需要就倡导是否是医疗保健管理中护理的基本职能达成一致,如果是,那么倡导的重要性、重点和局限性是什么。