HCA Exam 3
advocacy - ANS protecting and defending what one believes in for both self and others
involves helping others to grow and self-actualize
inform others of their rights and make sure they have enough information to make informed
decisions
nurses must advocate for ___, ___, ___, and ____ - ANS themselves, clients, subordinates,
and their profession
advocacy values - ANS caring, autonomy, respect, and empowerment
nursing values central to advocacy - ANS 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
how nurses can act as advocates - ANS helping others make informed decisions
acting as intermediaries in the environment
directly intervening on behalf of others
advocating for social justice
advocating for patients as managers - ANS 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
common areas requiring nurse-patient advocacy - ANS -End-of-life decisions
-aging populations
-Technological advances
-Health-care reimbursement
-Access to health care
-Provider-patient conflicts
-Withholding of information
-Insurance authorization
-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
1998 patient bill of rights - ANS -help the patient feel comfortable in whatever syste they are in
-provides strong patient provider relationships
-patient have a role in staying healthy themselves
subordinate advocacy - ANS 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
biggest thing is staffing levels so quality does not change
workplace advocacy - ANS work environment is safe and conducive to growth
workplace violence
nurses are concerned with reporting due to fear of retaliation
internal whiste-blowing - ANS occurs within an organization, reporting up the chain of command
external whistle-blowing - ANS involves reporting outside the organization, such as to the
media or an elected official
, disadvantage of whistle-blowing - ANS often looked down upon by the public and they are
distrusted, even though public wants corruption reported
what can managers do for whistle-blowers - ANS support them, it takes a lot of courage to
come forward
profession of nursing - ANS 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
tips for interacting with the media - ANS 1. Respect and meet the reporter's deadlines
2. Assume, until proven otherwise, that the reporter will be fair and accurate in his/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
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
writing a letter to a legislator - ANS 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
greatest impact on legislator - ANS meeting with them with a strong, collective, clinical group
philosophy of learning organizations - ANS collective learning goes beyond the boundaries of
individual learning and releases gains for both the individual and the organization
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