Engward Hilary, Goldspink Sally, van Veggel Nieky, Abdulmohdi Naim, Tuckwell Andrea, Alexander Marie
Anglia Ruskin University (ARU), Veterans and Families Institute for Military Social Research, Chelmsford, Essex, United Kingdom.
Anglia Ruskin University (ARU), Faculty of Health, Medicine and Social Care, Cambridge, Cambridgeshire, United Kingdom.
Policy Polit Nurs Pract. 2025 Aug;26(3):208-218. doi: 10.1177/15271544251331052. Epub 2025 Apr 24.
This article discusses the development of professional advocacy in the U.K. nursing and midwifery professions. Initially established in midwifery, the discourse of professional advocacy has gradually shifted from a patient focus to advocating for the professionals in their professional roles. This move is driven by the need to influence the health, well-being, and efficacy of the health professions, thereby positively impacting patient care. The concept of advocacy is thus expanding from advocacy focussing on patients/social groups, to incorporating advocating for health professionals by health professionals. However, it is unclear if literature and evidence is keeping pace with this potential conceptual shift taking place in the practice setting, and it is unclear if past patient-centered conceptualizations of advocacy are relevant to the context of professional-oriented advocacy. This article aims to initiate this discussion specific to the nursing profession.
本文探讨了英国护理和助产专业中专业倡导的发展情况。专业倡导的话语最初在助产领域确立,后来逐渐从以患者为重点转向为专业人员在其职业角色中进行倡导。这一转变是由影响卫生专业人员的健康、福祉和效能的需求驱动的,从而对患者护理产生积极影响。因此,倡导的概念正在从专注于患者/社会群体的倡导,扩展到包括卫生专业人员对卫生专业人员的倡导。然而,尚不清楚文献和证据是否跟上了实践环境中正在发生的这一潜在概念转变,也不清楚过去以患者为中心的倡导概念是否与以专业为导向的倡导背景相关。本文旨在发起针对护理专业的这一讨论。