nursing-care-congress-2019-scientifictracks

12 / 18

Page 38
Notes:
Volume 3 Journal of Nursing Research and Practice Nursing Care Congress 2019
March 11-12, 2019
Nursing and Nursing Care Congress
March 11-12, 2019 Orlando, USA
5th World
Nurses’ perspective of patient advocacy: A systematic mixed studies review
Usama Saleh
The Chicago School of Professional Psychology, USA
Background: Nursing advocacy is a relatively modern concept and became a very important function of nursing practice as it is
considered a fundamental value of professional nursing. Patient advocacy is a complex concept and there have been inconsistencies
on the use of this concept and the literature indicate immaturity of the concept.
Purpose: The purpose of this review is to present the current states of evidence to report on nurses’ attitude and perception toward
patient advocacy.
Search Methods: We searched for evidence regarding nurses’ attitude, perceptions, feelings, thoughts, or behaviors toward patient
advocacy in three databases: CINHAL, MEDLINE, and OVID. Gray literature and online resources were used during the search
strategy. There was no restriction to the date of publication.
Search Criteria: The inclusion criteria were studies on nurses’ attitude, perception, feelings, thoughts, and behaviors toward patient
advocacy published in academic journals in English language. Qualitative, quantitative, or mixed-method research studies were
included in the review. The review excluded studies focused on pediatric and/or neonatal nurses.
Appraisal Process: The Critical Appraisal Skills Program (CASP) as a quality assessment tool was used as a framework to review the
quality of the full-text articles. The articles were assessed against each CASP criterion. Each article was awarded a value score out of
20 to signify its adherence to the CASP criteria.
Results: A total of 22 studies were eligible, of the 987studies retrieved from selected databases. The total appraisal points of the
articles ranged from 13-19 out of 20. The review resulted in two findings: (1) regardless of their clinical areas, nurses consistently
have positive attitude toward patient advocacy, and (2) the patient advocacy process includes four elements: (1) morally inappropriate
client situation, (2) a professional nurse, (3) advocacy-specific nursing interventions, and (4) the consequences of the advocacy
intervention.
Conclusion: The Patient Advocacy Process Model can be effective in defining the multidimensional construct of the advocacy.
Preparing professional nurses for the advocacy role is essential part of quality nursing care.
Biography
Usama Saleh has more than 16 years of experience and expertise in nursing clinical practice, clinical education, and academic leadership. He assumed various
positions starting as an RN caring for oncology patients, clinical instructor at the University of Kentucky, Oncology Clinical Educator, Director of Nursing Education
Department at a King Fahad Medical City and a Nursing Department Chair at Herzing University.
Usama Saleh, J Nursing Research and Practice, Volume 3
DOI: 10.4172/2632-251X-C2-005