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Perioperative Patient Advocacy: An Integrative Review
Örebro University, School of Health Sciences. Department of Cardiothoracic and Vascular Surgery, Örebro University Hospital, Örebro, Sweden. (Perioperativ omvårdnad)ORCID iD: 0000-0002-9002-6145
Örebro University, School of Health Sciences. (Perioperativ omvårdnad)ORCID iD: 0000-0001-5418-3154
Örebro University, School of Health Sciences. (Perioperativ omvårdnad)ORCID iD: 0000-0001-5403-4183
Centre for Health Care Sciences, Örebro County Council, Örebro, Sweden. (Perioperativ omvårdnad)ORCID iD: 0000-0001-7352-8234
2016 (English)In: Journal of Perianesthesia Nursing, ISSN 1089-9472, E-ISSN 1532-8473, Vol. 31, no 5, 422-433 p.Article in journal (Refereed) Published
Abstract [en]

Purpose: The purpose of this review was to identify the characteristics and consequences of perioperative patient advocacy.

Design: An integrative review method was employed.

Methods: A database search to identify peer-reviewed articles that focused on perioperative patient advocacy was conducted in PubMed and CINAHL, followed by a manual search for additional articles. Studies were selected if they reported original empirical research findings with regard to perioperative patient advocacy. The data abstraction and synthesis were achieved with an inductive qualitative content analysis.

Finding: The analysis resulted in seven categories, two subthemes, and one main theme. The main theme, “Doing good for another human being—a balancing act between philanthropy and personal gratification,” was the core of perioperative patient advocacy.

Conclusion: Perioperative patient advocacy is part of the professional role of the perioperative nurse, and it affects the perioperative nurse emotionally. This advocacy shares similarities with descriptions of patient advocacy in general nursing.

Place, publisher, year, edition, pages
New York, USA: Elsevier, 2016. Vol. 31, no 5, 422-433 p.
Keyword [en]
Advocacy, integrative review, perioperative nursing
National Category
Nursing
Research subject
Caring sciences
Identifiers
URN: urn:nbn:se:oru:diva-49820DOI: 10.1016/j.jopan.2014.12.001ISI: 000385340100010PubMedID: 27667349Scopus ID: 2-s2.0-84962502652OAI: oai:DiVA.org:oru-49820DiVA: diva2:919459
Projects
Anestesisjuksköterskan, patientens advokat
Note

Funding Agencies:

Örebro University

Research Committee at Örebro County Council, Örebro, Sweden OLL-426621

Available from: 2016-04-14 Created: 2016-04-14 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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