ENTRAR            

 


 

Texto & Contexto. ISSN:0104-0707 2017 v26n3 r26331p

 

 

 

ARTIGO ORIGINAL

 

Ir a Sumario

 

 

Full text - English version

 

 

Advocacia do paciente na enfermagem: barreiras, facilitadores e possÍveis implicações*

Jamila Geri Tomaschewski-Barlem,1 Valéria Lerch Lunardi,2 Edison Luiz Devos Barlem,3 Rosemary Silva da Silveira,4 Aline Marcelino Ramos,5 Diéssica Roggia Piexak6
1Doutora em Enfermagem. Docente do Programa de Pós-Graduação em Enfermagem da Universidade Federal do Rio Grande (FURG). Rio Grande, Rio Grande do Sul, Brasil. E-mail: jamila_tomaschewski@hotmail.com 2Doutora em Enfermagem. Docente do PPGEnf/FURG. Rio Grande, Rio Grande do Sul, Brasil. E-mail: vlunardi@terra.com.br 3Doutor em Enfermagem. Docente do PPGEnf/FURG. Rio Grande, Rio Grande do Sul, Brasil. E-mail: ebarlem@gmail.com 4Doutora em Enfermagem. Docente do PPGEnf/FURG. Rio Grande, Rio Grande do Sul, Brasil. E-mail: anacarol@mikrus.com.br 5Mestranda do PPGEnf/FURG. Rio Grande, Rio Grande do Sul, Brasil. E-mail: aline-ramos-@hotmail.com 6Doutoranda do PPGEnf/FURG. Rio Grande, Rio Grande do Sul, Brasil. E-mail: diessicap@yahoo.com.br

*Artigo extraído da tese - O exercício da advocacia do paciente pelos enfermeiros: uma perspectiva foucaultiana, defendida no Programa de Pós-Graduação em Enfermagem (PPGEnf) da Universidade Federal do Rio Grade (FURG), em 2014

Recebido: 24 de março de 2015
Aprovado: 03 de dezembro de 2015

 

 

 

Cómo citar este documento

Tomaschewski-Barlem, Jamila Geri; Lunardi, Valéria Lerch; Barlem, Edison Luiz Devos; Silveira, Rosemary Silva da; Ramos, Aline Marcelino; Piexak, Diéssica Roggia.Advocacia do paciente na enfermagem: barreiras, facilitadores e possÍveis implicações. Texto Contexto Enferm, jul-sep 2017, 26(3). Disponible en <http://www.index-f.com/textocontexto/2017/26331p.php> Consultado el

Resumo

Objetivo: realizar uma reflexão acerca das barreiras, facilitadores e possíveis implicações do exercício da advocacia do paciente pelos enfermeiros. Resultados: essa reflexão resulta de uma leitura minuciosa da literatura internacional acerca da advocacia do paciente, acrescida de estudos nacionais e internacionais acerca do sofrimento moral e suas relações com o exercício da advocacia. Conclusão: as barreiras diante do exercício da advocacia do paciente são notórias, pautando-se na própria estrutura organizacional das instituições de saúde e nas relações de poder entre equipes médica e de enfermagem, desafiando e desencorajando os enfermeiros a agirem de acordo com seus conhecimentos e consciências, implicando, muitas vezes, em situações reconhecidas como de sofrimento moral.
Descritores: Advocacia em saúde/ Enfermagem/ Ética em enfermagem.
 

Resumen
Defensa del paciente en enfermerÍa: barreras, facilitadores y las posibles implicaciones

Objetivo: realizar una reflexión sobre las barreras, facilitadores y las posibles consecuencias del ejercicio de la defensa de los pacientes por enfermeras. Resultados: esta reflexión resulta de una lectura exhaustiva de la literatura internacional en defensa de los pacientes, como estudios nacionales e internacionales acerca de la angustia moral y su relación con la práctica de la defensa de los pacientes. Conclusión: los obstáculos al ejercicio de la defensa de los pacientes son notorios, basándose en la estructura organizativa de las instituciones de salud y de las relaciones de poder entre los equipos de médicos y enfermeros, desafiando y desencorajando los enfermeras para actuar de acuerdo con sus conocimientos y conciencia, resultando a menudo en situaciones consideradas como sufrimiento moral.
Descriptores: Defensa de la salud/ Enfermería/ Ética en enfermería.
 

Abstract
Patient advocacy in nursing: barriers, facilitators and possible implications

Objective: to promote reflection upon the barriers, facilitators and potential implications of patient advocacy on the part of nurses. Results: this reflection results from a thorough reading of the international literature addressing patient advocacy along with Brazilian and international studies addressing moral distress and its relationship with patient advocacy. Conclusion: the barriers imposed on patient advocacy are well-known and such constraints are based on the organizational structure of health institutions and power relationships established between doctors and nurses, challenging and discouraging nurses from acting in accordance with their knowledge and conscience, often leading to a condition known as moral distress.
Descriptors: Health advocacy/ Nursing/ Nursing; ethics.
 

Referências

1. Negarandeh R, Oskouie F, Ahmadi F, Nikravesh M, Hallberg IR. Patient advocacy: barriers and facilitators. BMC Nurs. 2006 Mar; 5(3):1-8.
2. Grace PJ. Professional advocacy: widening the scope of accountability. Nurs Philos. 2001 Jul; 2(2):151-62.
3. Bu X, Wu YB. Development and psychometric evaluation of the instrument: attitude toward patient advocacy. Res Nurs Health. 2008 Feb; 31(1):63-75.
4. Hanks RG. Development and testing of an instrument to measure protective nursing advocacy. Nurs Ethics. 2010 Mar; 17(2):255-67.
5. Hamric AB. What is happening to advocacy? Nurs Outlook. 2000 May-Jun; 48(3):103-4.
6. Hanks RG. The medical-surgical nurse perspective of advocate role. Nurs Forum. 2010 Apr-Jun; 45(2):97- 107.
7. Vaartio, H. Leino-Kilpi H, Salantera S, Suominen T. Nursing advocacy: how is it defined by patients and nurses, what does it involve and how is it experienced? Scand J Caring Sci. 2006 Sep; 20(3):282-92.
8. Vaartio H, Leino-Kilpi H, Suominen T, Puukka P. The content of advocacy in procedural pain care - patients' and nurses' perspectives. J Adv Nurs. 2008 Dec; 64(5):504-13.
9. Cole C, Wellard S, Mummery J. Problematising autonomy and advocacy in nursing. Nurs Ethics. 2014 Aug; 21(5):576-82.
10. Hanna DR. The lived experience of moral distress: nurses who assisted with elective abortions. Res Theory Nurs Pract. 2005 Mar-May; 19(1):95-124.
11. Barlem ELD, Lunardi VL, Lunardi GL, Tomaschewski- Barlem JG, Silveira RS. Moral distress in everyday nursing: hidden traces of power and resistance. Rev Latino-Am Enfermagem. 2013 Feb; 21(1):293-9.
12. Barlem ELD, Lunardi VL, Lunardi GL, Dalmolin GL, Tomaschewski JG. The experience of moral distress in nursing: the nurses' perception. Rev Esc Enferm USP. 2012 Jun; 46(3):681-8.
13. Barlem ELD, Lunardi VL, Lunardi GL, Tomaschewski- Barlem JG, Silveira RS, Dalmolin GL. Moral distress in nursing personnel. Rev Latino-Am Enfermagem. 2013 Feb; 21(spe):79-87.
14. Barlem ELD, Lunardi VL, Tomaschewski JG, Lunardi GL, Lunardi Filho WD, Schwonke CRGB. Moral distress: challenges for an autonomous nursing professional practice. Rev Esc Enferm USP. 2013 Apr; 47(2):506-10.
15. Jameton A. Nursing practice: the ethical issues. Englewood Cliffs (US): Prentice-Hall; 1984.
16. Hanks RG. Barriers to nursing advocacy: a concept analysis. Nurs Forum. 2007 Oct-Dec; 42(4):171-7
17. Cawley T, Mcnamara PM. Public health nurse perceptions of empowerment and advocacy in child health surveillance in West Ireland. Public Health Nurs. 2011 Mar-Apr; 28(2):150-8.
18. Bull R, Fitzgerald M. Nurses' advocacy in an Australian operating department. AORN J. 2004 Jun; 79(6):1265-74.
19. O'Connor T, Kelly B. Bridging the Gap: a study of general nurses' perceptions of patient advocacy in Ireland. Nurs Ethics. 2005 Sep; 12(5):453-67.
20. Spenceley SM, Reutter L, Allen MN. The road less traveled: nursing advocacy at the policy level. Policy Polit Nurs Pract. 2006 Aug; 7(3):180-94.
21. Gosselin-Acomb T, Schneider, Robert W, Veenstra BV. Nursing advocacy in North Carolina. Oncol Nurs Forum. 2007 Sep; 34(5):1070-4.
22. Llewellyn P, Northway R. An investigation into the advocacy role of the learning disability nurse. Nurse Educ Today. 2007 Nov; 27(8):955-63.
23. Sorensen R, Iedema R. Advocacy at end-of-life research design: an ethnographic study of an ICU. Int J Nurs Stud. 2007 Nov; 44(8):1343-53.
24. Thacker KS. Nurses' advocacy behaviors in end-of-life nursing care. Nurs Ethics. 2008 Mar; 15(2):174-85.
25. Ware LJ, Bruckenthal P, Davis GC, O'Conner-Von SK. Factors that influence patient advocacy by pain management nurses: results of the American society for pain management nursing survey. Pain Manag Nurs. 2011 Mar; 12(1):25-32.
26. Josse-Eklund A, Jossebo M, Sandin-Bojo AK, Wilde- Larsson B, Petzall K. Swedish nurses' perceptions of influencers on patient advocacy. Nurs Ethics. 2014 Jan 29. In Press.
27. Simmonds AH. Autonomy and advocacy in perinatal nursing practice. Nurs Ethics. 2008 May; 15(3):360-70.
28. Hyland D. An exploration of the relationship between patient autonomy and patient advocacy: implications for nursing practice. Nurs Ethics. 2002 Sep; 9(5):472-82.
29. Seal M. Patient advocacy and advance care planning in the acute hospital setting. Aust J Adv Nurs. 2007 Jun-Aug; 24(4):29-36.
30. Lunardi VL, Lunardi Filho WD, Silveira RS, Silva MRS, Dei Svaldi JS, Bulhosa MS. Nursing ethics and its relation with power and work organization. Rev Latino-Am Enfermagem. 2007 Jun; 15(3):493-7.
31. Erlen JA. Moral distress: a pervasive problem. Orthop Nurs. 2001 Mar-Apr; 20(2):76-80.
32. Davis AJ, Konishi E, Tashiro M. A pilot study of selected japanese nurses' ideas on patient advocacy. Nurs Ethics. 2003 Jul; 10(4):404-13.
33. McGrath P, Holewa H, Mcgrath Z. Nursing advocacy in an Australian multidisciplinar context: findings on medico-centrism. Scand J Caring Sci. 2006 Dec; 20(4):394-402.
34. Welchman J, Griener GG. Patient advocacy and professional associations: individual and collective responsibilities. Nurs Ethics. 2005 May; 12(3):296-304.
35. Mahlin M. Individual patient advocacy, collective responsibility and activism within professional nursing associations. Nurs Ethics. 2010 Mar; 17(2):247-54.
36. McSteen K, Peden-mcAlpine C. The role of the nurse as advocate in ethically difficult care situations with dying patients. J Hosp Palliat Nurs. 2006 Oct; 8(5):259-68.
37. Bu X, Jezewski MA. Developing a mid-range theory of patient advocacy through concept analysis. J Adv Nurs. 2007 Jan; 57(1):101-10.
38. Hanks RG. The lived experience of nursing advocacy. Nurs Ethics. 2008 Jul; 15(4):468-77.
39. Lunardi VL, Barlem EL, Bulhosa MS, Santos SS, Lunardi Filho WD, Silveira RS, et al. Moral distress and the ethical dimension in nursing work. Rev Bras Enferm. 2009 Jul-Aug; 62(4):599-603.
40. Dalmolin GL, Lunardi VL, Barlem ELD, Silveira RS. Implications of moral distress on nurses and its similarities with Burnout. Texto Contexto Enferm. 2012 Mar; 21(1):200-28.
41. Barlem ELD, Lunardi VL, Lunardi GL, Tomaschewski- Barlem JG, Almeida AS. Psycometric characteristics of the Moral Distress Scale in Brazilian nursing professionals. Texto Contexto Enferm [Internet]. 2014 [cited 2014 Dec 01]. 23(3): Available from: http:// www.scielo.br/pdf/tce/v23n3/pt_0104-0707-tce-2014000060013.pdf
42 Ventura CAA, Mello DF, Andrade RD, Mendes IAC. Nursing partnership with users in the defense of SUS. Rev Bras Enferm. 2012 Dec; 65(6):893-8.

Principio de p�gina 

Pie Doc

 

RECURSOS CUIDEN

 

RECURSOS CIBERINDEX

 

FUNDACION INDEX

 

GRUPOS DE INVESTIGACION

 

CUIDEN
CUIDEN citación

REHIC Revistas incluidas
Como incluir documentos
Glosario de documentos periódicos
Glosario de documentos no periódicos
Certificar producción
 

 

Hemeroteca Cantárida
El Rincón del Investigador
Otras BDB
Campus FINDEX
Florence
Pro-AKADEMIA
Instrúye-T

 

¿Quiénes somos?
RICO Red de Centros Colaboradores
Convenios
Casa de Mágina
MINERVA Jóvenes investigadores
Publicaciones
Consultoría

 

INVESCOM Salud Comunitaria
LIC Laboratorio de Investigación Cualitativa
OEBE Observatorio de Enfermería Basada en la Evidencia
GED Investigación bibliométrica y documental
Grupo Aurora Mas de Investigación en Cuidados e Historia
FORESTOMA Living Lab Enfermería en Estomaterapia
CIBERE Consejo Iberoamericano de Editores de Revistas de Enfermería