Chapter 6 Assignment

What types of advocacy exist for nurses today? Certainly, we can see how there are many ways and different groups to advocate for as a nurse. Definition of Advocate:1. Defends or promotes the rights of others.2. Changes systems to meet the needs of others.3. Empowers and promotes self-determination in others.4. Promotes autonomy of diverse cultures.5. Ensures respect, equality, and dignity for others.6. Cares for the humanness of all.Instructions:1. Examine the term advocate as defined above, and think of how advocacy can be demonstrated in everyday practice.2. Select at least three (3) of the factors that make up the definition and give a very specific explanation of how you or someone you know has demonstrated they were/are an advocate. 3. Your paper should be: o Typed according to APA style for margins, formatting and spacing standards o Typed into a Microsoft Word document or complete the Staffing Table, save the file, and then upload the file
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Chapter 6 – Assignment
What types of advocacy exist for nurses today? Certainly, we can see how
there are many ways and different groups to advocate for as a nurse.
Definition of Advocate:
1.
2.
3.
4.
5.
6.
1. Defends or promotes the rights of
others.
2. Changes systems to meet the needs
of others.
3. Empowers and promotes selfdetermination in others.
4. Promotes autonomy of diverse
cultures.
5. Ensures respect, equality, and dignity
for others.
6. Cares for the humanness of all.
Instructions:
1. Examine the term advocate as defined above, and think of how
advocacy can be demonstrated in everyday practice.
2. Select at least three (3) of the factors that make up the definition and
give a very specific explanation of how you or someone you know has
demonstrated they were/are an advocate.
3. Your paper should be:
o Typed according to APA style for margins, formatting and
spacing standards
o
Typed into a Microsoft Word document or complete the Staffing
Table, save the file, and then upload the file
Chapter 6
Patient, Subordinate,
Workplace, and Professional
Advocacy
Advocacy
• Advocacy involves helping others to grow and selfactualize.
• Nurses must advocate for themselves, clients,
subordinates, and their profession.
• Advocates must inform others of their rights and
make sure they have enough information to make
informed decisions.
• Advocacy is defined as protecting and defending
what one believes in for both self and others.
Copyright © 2018 Wolters Kluwer · All Rights Reserved
Nursing Values Central to Advocacy
1. Each individual has a right to autonomy in deciding what
course of action is most appropriate to meet his or her
health-care goals.
2. Each individual has a right to hold personal values and to
use those values in making health-care decisions.
3. All individuals should have access to the information they
need to make informed decisions and choices.
4. The nurse must act on behalf of patients who are unable
to advocate for themselves.
5. Empowerment of patients and subordinates to make
decisions and take action on their own is the essence of
advocacy.
Copyright © 2018 Wolters Kluwer · All Rights Reserved
How Nurses Can Act as Advocates
• Helping others make informed decisions
• Acting as intermediaries in the environment
• Directly intervening on behalf of others
• Advocating for social justice
Copyright © 2018 Wolters Kluwer · All Rights Reserved
Question
Tell whether the following statement is true or false:
One way nurses can act as advocates is by directly
intervening on behalf of others.
A. True
B. False
Copyright © 2018 Wolters Kluwer · All Rights Reserved
Answer
A. True
Rationale: Sometimes it is advisable for nurses to
advocate for patients by directly intervening on their
behalf.
Copyright © 2018 Wolters Kluwer · All Rights Reserved
Controlling Patient Choices Versus
Assisting Patient Choices
It is important for the patient advocate to be able to
differentiate between controlling patient choices
(domination and dependence) and assisting patient
choices (allowing freedom).
Copyright © 2018 Wolters Kluwer · All Rights Reserved
Advocating for Patients as Managers
• Creating a work environment that recognizes patients’
needs and goals as paramount
• Creating a work culture in which patients are
respected, well informed, and empowered
• Advocating for patients with regard to distribution of
resources and the use of technology
• Taking risks particularly when advocating for a client
may be in direct conflict with a provider or institutional
goal
Copyright © 2018 Wolters Kluwer · All Rights Reserved
Common Areas Requiring Nurse–Patient
Advocacy
• End-of-life decisions; aging populations
• Technological advances
• Health-care reimbursement
• Access to health care
• Provider–patient conflicts
• Withholding of information
• Insurance authorization
Copyright © 2018 Wolters Kluwer · All Rights Reserved
Common Areas Requiring Nurse–Patient
Advocacy—(cont.)
• Medical errors
• Patient information disclosure
• Patient grievance and appeals process
• Culture and ethnic diversity and sensitivity
• Respect for patient dignity
• Inadequate consents; complex social problems
• Incompetent health-care providers
Copyright © 2018 Wolters Kluwer · All Rights Reserved
• Please show Leadership Video Case: Patient
Advocacy: Suspicion of Abuse, available as part of
Lippincott CoursePoint for Marquis and Huston:
Leadership Roles and Management Functions in
Nursing, 9th edition.
• For more info, visit thePoint.lww.com/CPMarquis9e.
Copyright © 2018 Wolters Kluwer · All Rights Reserved
Patient Rights
• 1998 Patient’s Bill of Rights
– Helps patients feel comfortable in the system
– Stresses strong patient–provider relationship
– Stresses key role patients play in staying
healthy
• 2010 Patient Protection and Affordable Care Act
– Gives patients protection in dealing with
insurance companies
Copyright © 2018 Wolters Kluwer · All Rights Reserved
Subordinate Advocacy
• Nurse administrators should advocate for other
health-care providers (including subordinates) as
well as patients, especially when this is related to
health and safety.
• Workplace advocacy occurs when the manager
works to see that the work environment is both safe
and conducive to professional and personal growth
for subordinates.
Copyright © 2018 Wolters Kluwer · All Rights Reserved
Internal Versus External Whistleblowing
• Internal whistleblowing occurs within an organization,
reporting up the chain of command.
• External whistleblowing involves reporting outside the
organization, such as to the media or an elected official.
Copyright © 2018 Wolters Kluwer · All Rights Reserved
Whistleblowing Concern
• Although much of the public wants wrongdoing or
corruption to be reported, such behavior is often looked
upon with distrust, and whistleblowers are often
considered disloyal and experience negative
repercussions for their actions.
Copyright © 2018 Wolters Kluwer · All Rights Reserved
Question
Tell whether the following statement is true or false:
Reporting an offense to one’s boss is an example of
external whistleblowing.
A. True
B. False
Copyright © 2018 Wolters Kluwer · All Rights Reserved
Answer
B. False
Rationale: Reporting a problem to a higher-up within the
organization is called internal whistleblowing. External
whistleblowing involves reporting outside the organization
such as the media and an elected official.
Copyright © 2018 Wolters Kluwer · All Rights Reserved
Leader-Managers
• Leader-managers also must be advocates for the
nursing profession.
• When nurses find a discrepancy between their perceived
role and society’s expectations, they have a
responsibility to advocate for the profession.
Copyright © 2018 Wolters Kluwer · All Rights Reserved
Profession of Nursing
• Entry into a profession involves a personal and public
promise to serve others with the special expertise that a
profession can provide and that society legitimately
expects it to provide.
• If nursing is to advance as a profession, practitioners
and leader-managers must broaden their sociopolitical
knowledge base to understand better the bureaucracies
in which they live.
• Nurses who participate in professional organizations are
integral in determining whether voluntary or legal
controls represent what nursing is and should be.
Copyright © 2018 Wolters Kluwer · All Rights Reserved
Question
What are some ways nurses can advance the nursing
profession? (Select all that apply.)
A. Learn about sociopolitical issues
B. Participate in professional organizations
C. Participate in bureaucracy
Copyright © 2018 Wolters Kluwer · All Rights Reserved
Answer
A. Learn about sociopolitical issues
AND
B. Participate in professional organizations
Rationale: It is important for nurses to participate in the
larger social framework in a professional capacity in
order to advance the profession as a whole.
Copyright © 2018 Wolters Kluwer · All Rights Reserved
Making Concerns Known
Nurses must exert their collective influence and make
their concerns known to policy makers before they can
have a major impact on political and legislative
outcomes.
Copyright © 2018 Wolters Kluwer · All Rights Reserved
Writing a Letter to a Legislator
• Write a personal letter. Be formal but polite. The letter
should be one page.
• Address the legislator by title.
• Establish your credibility early in the letter as both a
constituent and as a health-care expert.
• Refer to a specific bill by number.
• State your position on the issue. Offer your assistance as
a resource person for additional information.
• Sign the letter, including your name and contact
information. Be persistent and write repeatedly to
legislators who are undecided on an issue.
Copyright © 2018 Wolters Kluwer · All Rights Reserved
Question
Which should one not do when writing a letter to a
legislator?
A. Be persistent.
B. Write a personal letter.
C. Address the legislator by his or her title.
D. Make the letter at least two pages long.
Copyright © 2018 Wolters Kluwer · All Rights Reserved
Answer
D. Make the letter at least two pages long.
Rationale: The letter should be succinct and to the point
(not more than one page in length).
Copyright © 2018 Wolters Kluwer · All Rights Reserved
Media Exposure
• Many nurses avoid media exposure because they
believe they lack the expertise or because they lack
self-confidence.
• However, nurses should take every opportunity to
appear in newspapers and on radio and television.
Copyright © 2018 Wolters Kluwer · All Rights Reserved
Tips for Interacting with the Media
1. Respect and meet the reporter’s deadlines.
2. Assume, until proven otherwise, that the reporter
will be fair and accurate in his or her reporting.
3. Have key facts and figures ready for the interview
4. Limit your key points to two or three and frame
them as bullet points.
5. Avoid technical or academic jargon.
Copyright © 2018 Wolters Kluwer · All Rights Reserved
Tips for Interacting with the Media—(cont.)
6. Speak confidently but do not be afraid to say when
you do not have the expertise to answer a question or
when a question is better directed to someone else.
7. Avoid being pulled into inflammatory arguments or
blame setting and repeat key points if you are pulled
off into tangents.
8. Provide the reporter with contact information for
follow-up and needed clarifications.
Copyright © 2018 Wolters Kluwer · All Rights Reserved
Question
Tell whether the following statement is true or false:
Nurses should avoid media exposure.
A. True
B. False
Copyright © 2018 Wolters Kluwer · All Rights Reserved
Answer
B. False
Rationale: Although many nurses avoid media
exposure out of self-consciousness, in fact
it is advantageous to appear in newspapers and on radio
and television when the opportunity arises.
Copyright © 2018 Wolters Kluwer · All Rights Reserved
Tips for Interacting with the Media—
(cont.)
• Be prepared.
• Stick to three or four key points.
• Provide the media with clear, concise information.
• Stay on track by sticking to predetermined points.
• Do not be afraid to say that you do not have enough
information or expertise to answer a question.
Copyright © 2018 Wolters Kluwer · All Rights Reserved

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