Barriers to nurses health advocacy role

BackgroundSpeaking up to safeguard patients is a crucial ethical and moral obligation for nurses, but it is also a difficult and potentially dangerous component of nursing work. Health advocacy is gaining impetus in the medical literature, despite being hampered by barriers resulting in many nurses...

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Bibliographic Details
Authors: Laari, Luke (Author) ; Duma, Sinegugu E (Author)
Format: Electronic Article
Language:English
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Published: Sage 2023
In: Nursing ethics
Year: 2023, Volume: 30, Issue: 6, Pages: 844-856
Further subjects:B nurses role
B Barriers
B qualitative studies
B Ghana
B nursing practice
B Health advocacy
Online Access: Volltext (lizenzpflichtig)
Description
Summary:BackgroundSpeaking up to safeguard patients is a crucial ethical and moral obligation for nurses, but it is also a difficult and potentially dangerous component of nursing work. Health advocacy is gaining impetus in the medical literature, despite being hampered by barriers resulting in many nurses in Ghana remaining mute when faced with advocacy-required situations. We explored situations that thwart nurses from performing their health advocacy role.Research questionWhat would cause nurses to take no action when they witness situations that require them to act as health advocates for their clients or communities?Research DesignAn inductive, descriptive qualitative design was used to collect and analyse data on barriers that prevent nurses from practising their health advocacy role in Ghana. Individual one-on-one in-depth interviews were conducted using a semi-structured interview guide. The data were analysed using qualitative content analysis.Participants and research contextTwenty-four professional nurses and midwives registered with the Nursing and Midwifery Council were recruited from three regional hospitals in Ghana. These public hospitals were chosen from the upper, middle and coastal regions.Ethical considerationsThe UKZN Ethics Review Committee in South Africa and the GHS Ethics Review Committee in Ghana both gave their approval for this study.FindingsIntrapersonal barriers, interpersonal barriers, and structural barriers emerged as major obstacles that nurses experience when performing their health advocacy role.ConclusionsBarriers to health advocacy have undermined nurses' ability to function as health advocates and are preventing them from utilising their health advocacy position in nursing practise. Giving nursing students positive role models in the classroom and in the clinic can help them become more effective health advocates.
ISSN:1477-0989
Contains:Enthalten in: Nursing ethics
Persistent identifiers:DOI: 10.1177/09697330221146241