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Pensar Enfermagem / v.28 n.sup / October 2024
DOI: 10.71861/pensarenf.v28iSup.394
Abstract
Introduction
Several authors define advocating the person as a central concept in nursing practice, whose
main objective is to promote the person's autonomy, preserving their beliefs and values in
the decision-making process, ensuring the quality of care in a therapeutic relationship.1
Objective
To map the concept of advocating for the person in nursing practice.
Methods
Scoping review, based on the Joanna Briggs Institute (JBI) methodology, following the
PCC version (Population; Concept; Context), using the databases: CINAHL Complete
(EBSCOhost), MEDLINE (via PubMed) and Google Schoolar. Inclusion criteria were
English, Portuguese and Spanish and articles published between January 2019 and April
2024. The PRISMA-ScR EQUATOR checklist was followed.
Results
A total of 492 articles were identified, of which 15 were included in the review. The articles
selected cover studies carried out in various countries and include both qualitative and
quantitative designs. Regarding the attributes of advocating for the person, some studies
emphasize that it involves promoting safety, protection and ensuring quality care.2-3 The
antecedents included facilitating factors, such as professional motivation, interprofessional
collaboration, as well as hindering factors, such as ineffective communication,2-3among
others. The consequences for individuals included satisfaction, involving a shared decision-
making process; for nurses, gratitude and happiness were highlighted 2-3, among others.
Conclusion
Advocating for the person is an indispensable practice that contributes significantly to
improving the quality and safety of healthcare. The attributes, antecedents and
consequences identified in the studies provide a basis for understanding its importance and
how it can be sustained in practice. However, it is crucial to address the challenges and
overcome the barriers to ensure that advocacy is effective in promoting people's autonomy
and achieving health gains.
Keywords
Patient advocacy; Patient Rights; Nursing; Nursing Care; Review.
References
1. Sundqvist AS, Nilsson U, Holmefur M, Anderzén-Carlsson A. Promoting person-
centred care in the perioperative setting through patient advocacy: An observational study.
J Clin Nurs. [Internet] 2018 [cited 2024.03.14];27(11-12):2403-2415. Available from:
https://doi.org/10.1111/jocn.14181
2. Abbasinia M, Ahmadi F, Kazemnejad A. Patient advocacy in nursing: A concept
analysis.Nurs Ethics [Internet].2020 [cited 2024.03.10];27(1):141-151. Available from:
https://doi.org/10.1177/0969733019845123
3. Luca CE, Cavicchioli A, Bianchi M. Nurses Who Assume the Role of Advocate for
Older Hospitalized Patients: A Qualitative Study. SAGE Open Nurs. [Internet]. 2021
[cited2024.03.17];7:23779608211030651.Available from: https:
//doi.org/10.1177/23779608211030651
Patient Advocacy in Nursing Practice: a Scoping
Review
Sara Morais Pires1
orcid.org/0000-0001-6461-195X
Idalina Gomes2
orcid.org/0000-0003-2974-0734
1 PhD student in Nursing at UL/ESEL. Lisbon Center
for Nursing Research, Innovation and Development.
DEMC/AI, Lisbon School of Nursing, Lisbon,
Portugal.
2 Lisbon Nursing Research, Innovation and
Development Center. DEMC/AI, Lisbon School of
Nursing, Lisbon, Portugal.
Corresponding author:
Sara Morais Pires
E-mail: sarapires@esel.pt
