Background: Nurses are expected by their international code of ethics to advocate for patients to enhance safety and quality care. However, there is a limited understanding regarding the implications of specific patie...Background: Nurses are expected by their international code of ethics to advocate for patients to enhance safety and quality care. However, there is a limited understanding regarding the implications of specific patient advocacy outcomes experienced by nurses who advocate for patients in the hospital context. Purpose: This study explored the implications of patient advocacy outcomes experienced among practicing nurses in the hospital context. Methods: A qualitative, descriptive study design was utilized. Data was collected through purposive sampling and an in-depth semi-structured interview of 25 Registered Nurses in an acute care hospital. An inductive qualitative content analysis method was used, and the SRQR guidelines for reporting qualitative studies were followed. Results: This study revealed that nurses who succeeded in advocating for patients experienced feelings of happiness, increased confidence levels, increased work output, and job satisfaction. However, nurses who failed to succeed in advocating for patients experienced physical, emotional, and psychological consequences, which contributed negatively to the quality of patient care. Therapeutic communication and nurses’ commitment to intervene for patients emerged as vital qualities and skills required to succeed in the patient advocacy process. Conclusions: This study showed that patient advocacy has advantages. However, when nurses fail to succeed in their attempt to advocate for patients in clinical practice, the outcomes can negatively affect their own well-being and the quality of patient care delivery. These study results could promote awareness and help nurses to develop strategies for improving patient advocacy activities based on their experiences. Additionally, nurses can seek help, including psychological counseling, when necessary to enhance their optimal well-being as they care for their patients. Nursing educational institutions and hospital managers can support, train, and equip nurses with the required skills for enhancing positive 展开更多
Training of emergency physicians through an emergency medicine residency program takes 5 years,that is,3 years in junior residency and 2 years in senior residency.Throughout this period,residents will be exposed to a ...Training of emergency physicians through an emergency medicine residency program takes 5 years,that is,3 years in junior residency and 2 years in senior residency.Throughout this period,residents will be exposed to a variety of educational methodologies and meet a spectrum of faculty,supervisors,and teachers,who will have different personalities,styles,and approaches to teaching and nurturing them.It is important to ensure the maintenance of psychological safety for these residents throughout their training journey and into the future years of practice s an emergency physician.Communications,interactions(which involve questioning),and presentations will be an important part of this training program.This article looks at two modes of questioning:advocacy inquiry and circular questioning,which can be applied as appropriate.These two methods are examples in which faculty may consider adopting in their many interactions,follow-up,feedback,tutorials,facilitation,partnerships,and counseling sessions with residents.These two techniques offer options to maintain psychological safety,which can facilitate learners sharing and opening up.It can be included in the faculty’s armamentarium of questioning techniques and applied where applicable.展开更多
The Building Nutritious Food Baskets (BNFB) Project explored advocacy and the use of advocates as a model strategy for scaling up biofortification in Nigeria during its three-year implementation. In addition to its di...The Building Nutritious Food Baskets (BNFB) Project explored advocacy and the use of advocates as a model strategy for scaling up biofortification in Nigeria during its three-year implementation. In addition to its direct advocacy efforts, the BNFB project identified and selected key personnel across disciplines, gender and sectors, based on some selected criteria, as Advocates to support the scaling up of biofortification by raise of investments, resource mobilization, the inclusion of biofortification in relevant policy documents, strategies and plans of action. To realize these, the selected 32 Advocates were empowered to mainstream biofortification into their existing and/or potential programs/projects, as well as create awareness and demand for biofortified crops within their spheres of influence. Training and retreats were organized for the Advocates to strengthen their capacities in advocacy and promotion of biofortification and biofortified crops, while a social platform was launched to share opportunities, experiences and address issues around biofortification within the Advocates. As a result of these efforts, biofortification was included in three key national policies, strategies/plans of actions with resource allocation, and investments, over USD3 million were raised for biofortification. The Federal Government of Nigeria and some external governments became committed to biofortification programs while biofortified crops were mainstreamed in at least two national programs in Nigeria. Biofortified crops were included in the Home-Grown School Feeding Program of two states. The use of Advocates proved to be a resultful strategy in the biofortification scaling up model of BNFB as the advocates, upon being trained, looked out within their sectors and disciplines to mainstream biofortification into their programs. They gave timely information on potential opportunities to follow up with in influencing favorable policies;they mobilized resources nationally, regionally and locally;they facilitated wider cove展开更多
文摘Background: Nurses are expected by their international code of ethics to advocate for patients to enhance safety and quality care. However, there is a limited understanding regarding the implications of specific patient advocacy outcomes experienced by nurses who advocate for patients in the hospital context. Purpose: This study explored the implications of patient advocacy outcomes experienced among practicing nurses in the hospital context. Methods: A qualitative, descriptive study design was utilized. Data was collected through purposive sampling and an in-depth semi-structured interview of 25 Registered Nurses in an acute care hospital. An inductive qualitative content analysis method was used, and the SRQR guidelines for reporting qualitative studies were followed. Results: This study revealed that nurses who succeeded in advocating for patients experienced feelings of happiness, increased confidence levels, increased work output, and job satisfaction. However, nurses who failed to succeed in advocating for patients experienced physical, emotional, and psychological consequences, which contributed negatively to the quality of patient care. Therapeutic communication and nurses’ commitment to intervene for patients emerged as vital qualities and skills required to succeed in the patient advocacy process. Conclusions: This study showed that patient advocacy has advantages. However, when nurses fail to succeed in their attempt to advocate for patients in clinical practice, the outcomes can negatively affect their own well-being and the quality of patient care delivery. These study results could promote awareness and help nurses to develop strategies for improving patient advocacy activities based on their experiences. Additionally, nurses can seek help, including psychological counseling, when necessary to enhance their optimal well-being as they care for their patients. Nursing educational institutions and hospital managers can support, train, and equip nurses with the required skills for enhancing positive
文摘Training of emergency physicians through an emergency medicine residency program takes 5 years,that is,3 years in junior residency and 2 years in senior residency.Throughout this period,residents will be exposed to a variety of educational methodologies and meet a spectrum of faculty,supervisors,and teachers,who will have different personalities,styles,and approaches to teaching and nurturing them.It is important to ensure the maintenance of psychological safety for these residents throughout their training journey and into the future years of practice s an emergency physician.Communications,interactions(which involve questioning),and presentations will be an important part of this training program.This article looks at two modes of questioning:advocacy inquiry and circular questioning,which can be applied as appropriate.These two methods are examples in which faculty may consider adopting in their many interactions,follow-up,feedback,tutorials,facilitation,partnerships,and counseling sessions with residents.These two techniques offer options to maintain psychological safety,which can facilitate learners sharing and opening up.It can be included in the faculty’s armamentarium of questioning techniques and applied where applicable.
文摘The Building Nutritious Food Baskets (BNFB) Project explored advocacy and the use of advocates as a model strategy for scaling up biofortification in Nigeria during its three-year implementation. In addition to its direct advocacy efforts, the BNFB project identified and selected key personnel across disciplines, gender and sectors, based on some selected criteria, as Advocates to support the scaling up of biofortification by raise of investments, resource mobilization, the inclusion of biofortification in relevant policy documents, strategies and plans of action. To realize these, the selected 32 Advocates were empowered to mainstream biofortification into their existing and/or potential programs/projects, as well as create awareness and demand for biofortified crops within their spheres of influence. Training and retreats were organized for the Advocates to strengthen their capacities in advocacy and promotion of biofortification and biofortified crops, while a social platform was launched to share opportunities, experiences and address issues around biofortification within the Advocates. As a result of these efforts, biofortification was included in three key national policies, strategies/plans of actions with resource allocation, and investments, over USD3 million were raised for biofortification. The Federal Government of Nigeria and some external governments became committed to biofortification programs while biofortified crops were mainstreamed in at least two national programs in Nigeria. Biofortified crops were included in the Home-Grown School Feeding Program of two states. The use of Advocates proved to be a resultful strategy in the biofortification scaling up model of BNFB as the advocates, upon being trained, looked out within their sectors and disciplines to mainstream biofortification into their programs. They gave timely information on potential opportunities to follow up with in influencing favorable policies;they mobilized resources nationally, regionally and locally;they facilitated wider cove
