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Protective Nursing Advocacy: Translation and Psychometric Evaluation of an Instrument and a Descriptive Study of Swedish Registered Nurse Anesthetists' Beliefs and Actions
Örebro University, School of Health Sciences. Department of Cardiothoracic and Vascular Surgery. (Perioperativ omvårdnad)ORCID iD: 0000-0002-9002-6145
Örebro University Hospital. (Perioperative omvårdnad)ORCID iD: 0000-0001-7352-8234
Örebro University, School of Health Sciences. (Centre for Perioperative Nursing)ORCID iD: 0000-0001-5403-4183
Örebro University, School of Health Sciences. (Perioperativ omvårdnad)ORCID iD: 0000-0001-5418-3154
2017 (English)In: Journal of Perianesthesia Nursing, ISSN 1089-9472, E-ISSN 1532-8473Article in journal (Refereed) Epub ahead of print
Abstract [en]

Purpose: To translate and adapt the Protective Nursing Advocacy Scale (PNAS) into a Swedish version (PNAS-Swe), evaluate its psychometric properties, and describe registered nurse anesthetists' (RNAs) advocacy beliefs and actions from a protective perspective.

Design: A cross-sectional design was used.

Methods: First, the PNAS was translated into Swedish. Next, the content and construct validity of the PNAS four subscales was evaluated. Finally, the PNAS-Swe was used to describe Swedish RNA beliefs and actions regarding protective nursing advocacy.

Finding: The final PNAS-Swe has 29 items in four subscales. The RNAs reported that they feel that they should provide protective nursing advocacy for their patients. There were no differences in gender, or associations with age, or work experience regarding their advocacy beliefs or actions.

Conclusions: The PNAS-Swe is valid for use in a Swedish context. Protective nursing advocacy is important to the RNAs, which is in congruence with earlier qualitative studies.

Place, publisher, year, edition, pages
WB Saunders , 2017.
Keyword [en]
nursing advocacy, Protective Nursing Advocacy Scale, psychometrics, Rasch analysis
National Category
Nursing
Research subject
Caring Sciences w. Medical Focus
Identifiers
URN: urn:nbn:se:oru:diva-57127DOI: 10.1016/j.jopan.2016.10.002OAI: oai:DiVA.org:oru-57127DiVA: diva2:1089598
Available from: 2017-04-20 Created: 2017-04-20 Last updated: 2017-10-18Bibliographically approved
In thesis
1. Perioperative patient advocacy: having the patient's best interests at heart
Open this publication in new window or tab >>Perioperative patient advocacy: having the patient's best interests at heart
2017 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Patient advocacy implies taking action on someone else’s behalf, and has been described as a key element of nurses’ professional care. In the perioperative setting, it involves not only critical decision making, but also all the small things that the nurses do for the sake of the patients during their working day. Since previous research on the advocacy role of a registered nurse anesthetist (RNA) is sparse, and has not been conducted in a Swedish context, this thesis was intended to contribute to a greater understanding of advocacy in the perioperative context. The overall aim was therefore to explore the characteristics and consequences of perioperative patient advocacy (Study I), and to describe RNAs’ views of advocacy in anesthetic nursing through interviews (Study II), a questionnaire (Study III), and observations (Study IV).

The synthesis of the characteristics and consequences of perioperative patient advocacy was interpreted in this thesis as the RNAs having the patient’s best interests at heart, in that they (1) had control of the situation, (2) preserved human values, and finally (3) were emotionally affected, as the results from the four studies suggested this as the core of perioperative patient advocacy.

Perioperative patient advocacy is not always perceived as easy. In praxis, it is linked to the code of ethics outlined by the International Council of Nurses, which states that all registered nurses, regardless of their working context, shall respect human rights, promote health, prevent illness, and ensure that the individual receives accurate and sufficient information. This thesis elaborates on how this is done by describing how RNAs exert perioperative patient advocacy and how they interact in order to facilitate the best possible care for the patient. The results deepen the understanding of perioperative patient advocacy from the RNA’s perspective and contribute to a new insight in the RNA’s professional role.

Place, publisher, year, edition, pages
Örebro: Örebro University, 2017. 89 p.
Series
Örebro Studies in Care Sciences, ISSN 1652-1153 ; 71
National Category
Other Health Sciences
Identifiers
urn:nbn:se:oru:diva-55998 (URN)978-91-7529-187-1 (ISBN)
Public defence
2017-05-19, Universitetssjukhuset, Wilandersalen, Södra Grev Rosengatan, Örebro, 09:00 (Swedish)
Opponent
Supervisors
Available from: 2017-03-01 Created: 2017-03-01 Last updated: 2017-10-18Bibliographically approved

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Sundqvist, Ann-SofieAnderzen-Carlsson, AgnetaNilsson, UlricaHolmefur, Marie
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