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Nurses who understand their state practice acts are best able to use established processes to advocate effectively for their patients while protecting themselves from retaliation and from violations against their license. We also share information about your use of our site with our social media, advertising and analytics partners who may combine it with other information that you’ve provided to them or that they’ve collected from your use of their services. Finally, participatory management structures and shared decision-making processes support proactive behaviors to improve care processes and prevent problems. Nursing is the single largest healthcare profession, with almost 4 million RNs in the US. At times the work we do is routine; at other times it is complex and critical. When it comes to patient care, nurses consistently play the role of advocate as they support each patient’s emotional well-being, contribute to the healing process and speak on their patients’ behalf. They help assess the needs of patients and families and develop a plan to meet those needs, utilizing available resources and ancillary staff. Nursing Advocacy: Standing Up for Patients and the Profession. However, by specifically describing the nature of the concern—for example, “I’m concerned that our planned staffing didn’t account for an ICU patient being transferred in and two additional patients being admitted from the ED. As federal healthcare laws continue to change and evolve, nurses are often the ones carrying out various healthcare policies, as they treat their patients on a daily basis. This means that nurse advocates are now needed in many areas of healthcare. According to payscale.com, nurse advocates can earn from $45,006 to $85,312 annually. Nurse advocates can work in hospitals, outpatient clinics, specialty departments, long-term care facilities, non-profit organizations, or as independent healthcare consultants. The roles and duties of a nurse advocate is multi-faceted, but the cornerstone is patient education. For example, the Texas Nursing Practice Act (NPA) has specific provisions to protect nurses who raise concerns about patient safety. This program takes nine months to complete and requires continuing education to maintain certification. Patient advocacy is also one of the ethical expectations for nurses. Institute of Medicine. An organization committed to a culture of safety makes safety an explicit priority and responsibility shared by every individual at every level of the organization. Decision-making opportunities concerning patient care include performance-improvement activities, staffing committees, and product evaluation teams. Realistically, every nurse is an advocate. The nurse’s duty to patient safety is well established and is reflected in the nurse’s role of patient advocate. The SBAR (Situation, Background, Assessment, Response) technique has been adopted by many organizations as a tool for framing communication to accomplish mutual understanding about patient care as well as organizational or process issues. You consent to our cookies if you continue to use our website. Direct-care nurses are poised especially well to identify and speak up about conditions that may result in near misses or actual adverse events. Hospice and Palliative Care Month All trademarks are the property of their respective trademark holders. build(); It’s illegal to retaliate against a nurse who reports a licensed healthcare practitioner, agency, or facility to a licensing board (such as the Texas Department of Aging and Disability Services, which licenses nursing homes), to an accrediting agency (such as The Joint Commission), or internally (within the facility) because he or she believes they have exposed a patient to a substantial risk of harm. Most nurses don’t wear nursing caps any longer, but we still wear many hats. Over 10 years ago, the Institute of Medicine (IOM) shocked the nation when it reported in To Err is Human: Building a Safer Health System that an amazing 100,000 deaths each year were attributable to medical errors. googletag.defineSlot('/21733458972/AN_PopupInterstitial', [[640, 480], [300, 250]], 'div-gpt-ad-1579275482351-0').defineSizeMapping(mapping).addService(googletag.pubads()); If identifying concerns or opportunities for improvement is viewed as complaining, those raising concerns may be labeled “troublemakers.”, One of the most egregious examples of retaliation for patient advocacy activities occurred recently in Winkler County, Texas, when two nurses, Vickilyn Galle and Anne Mitchell, were criminally indicted by the county attorney for reporting a physician to the Texas Medical Board because of patient-safety concerns. Haig KM, Sutton S, Whittington J. SBAR: a shared mental model for improving communication between clinicians. Regis College’s online Master of Science in Nursingprogram can help students build skills to become powerful patient advocates. Nurses in all roles and at all levels of the organization have a duty to patient safety, although each may have different circles of influence. Another program teaches nurses how to become independent RN patient advocates (iRNPAs). window.googletag = window.googletag || {cmd: []}; Nurses have long claimed patient advocacy as fundamental to their practice. While formal certifications or credentials are not required, there are learning opportunities available to strengthen the practice of nurse advocacy. Nurses are rising to the occasion and exhibiting amazing fortitude through tumultuous times, and continue to put their lives on the line while they care for others. The NPRC determined that her assignment did violate her duty to protect the residents. National Inspirational Role Models Month, December 1 - 7: National Handwashing Awareness Week, December 1 - 7: National Influenza Vaccination Week, © 2020 HealthCom MediaAll rights reserved. Lisa Bushman, RN, started Patient Advocacy Nurse Denver, in July 2017, to help people navigate complex medical situations. National Diabetes Month Nurses must be confident, skilled in the art of having difficult conversations and assertiveness and be able to keep an open mind and maintain professionalism. A suboptimal level of advocacy is often apparent in the literature, encompassing paternalistic concepts of protecting patie … Cultures of safety promote and encourage staff to raise issues, yet most workplace cultures are imperfect and nurses may face challenges in their advocacy efforts. Ensure Safety. RegisteredNursing.org does not guarantee the accuracy or results of any of this information. Even though research indicates that short staffing increases the chance of patient complications and medical errors, you may find that your facility still fails to employ enough nurses. Some nurses work as special patient advocate nurses. As the bedside caregiver who spends much time with a patient, a nurse is specifically positioned to be an advocate. The value of patient advocacy in supporting an organizational culture of safety isn’t always appreciated, yet the knowledge and response to nursing concerns about patient safety can make a powerful contribution to patient outcomes. In nursing, advocacy … She believed her duty to patient safety was compromised by the increased workload and she invoked Safe Harbor. She continued in her role as the single wound care nurse for the facility until the NPRC met. PLEASE NOTE: The contents of this website are for informational purposes only. Nurses are needed now more than ever to help patients navigate the complex, growing health care industry. Jt Comm J Qual Patient Saf. The American Nurses Association’s Code of Ethics for Nurses and Scope and Standards of Nursing Practice clearly identify nurses’ ethical and professional responsibility for protecting the safety and rights of their patients. Home / Nursing Careers & Specialties / Nurse Advocate. By Megan M. Krischke, contributor. As Donald Berwick stated, nurses are the “ideal leaders” for improving patient safety. They intervene when there is a care concern, and following the proper channels, work to resolve any patient care issues. Patient safety depends on nurse advocacy. National Alzheimer's Disease Month Silver Spring, MD: American Nurses Association; 2010. The role of nurses as patient advocates is well recognised by healthcare professionals, yet the processes and practices involved in patient advocacy are not clearly understood. http://www.bon.texas.gov/. The same holds true for organizational policies and procedures. Nurses need nurse leaders to advocate for their work conditions, safety, and welfare while they provide care under difficult conditions. And the advocacy hat is one we never take off. For example: Nurses may lack communication skills to clearly articulate their concerns in such a manner that others are able to respond. (See SBAR communication example.). Perhaps this is advocacy at its best—proactive behavior that works to improve and correct rather than report once something has gone wrong. To be effective in advocacy efforts, nurses first need to understand the laws and regulations governing their practice. Policies and procedures should adhere to the intent as well as the word of laws and regulations and be clearly communicated so nursing staff understand how and where to raise concerns. 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