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Ethical issues in perianesthesia nursing.

C Green
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Abstract

Ethical issues have historically been a significant focus in perianesthesia nursing. Issues of safety, privacy, and informed consent are never far from the consciousness of the perianesthesia nurse. As the national organization that serves as a clearing ground for issues and goals of perianesthesia nursing practice, ASPAN has begun the process of developing a code of ethics for perianesthesia nursing practice. This report is designed to provide a brief review of the important definitions and principles that are used in the discussion of ethics, review the contemporary forces that mandate and justify the development of an ethical code, and explore how such a code may function to aid and guide nursing practice.

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Ethics, NursingGuidelines as TopicHumansPerioperative NursingSocieties, NursingJournal ArticleReview

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BibTeXRIS

C Green. 2000. Ethical issues in perianesthesia nursing.. https://doi.org/10.1053/jpan.2000.9464

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PubMed2007

Developing a mid-range theory of patient advocacy through concept analysis.

AIM: The aim of this paper is to clarify and refine the concept of patient advocacy through synthesizing the advocacy literature in nursing and to establish a theoretical basis for future studies on patient advocacy in nursing. BACKGROUND: Patient advocacy is an essential component of the Registered Nurse professional role. During the past 30 years, the patient advocacy role has become more important, but the concept of patient advocacy lacks a consistent definition and research into nurses' patient advocacy roles is limited. There have been few quantitative empirical studies on patient advocacy in nursing. METHOD: Walker and Avant's method of concept analysis was used as a guideline in examining the concept of patient advocacy through synthesizing the advocacy literature in English (1974-2006). FINDINGS: A mid-range theory of patient advocacy emerges during the process of synthesizing and analysing the advocacy literature. Three core attributes of the concept of patient advocacy are identified: (1) safeguarding patients' autonomy; (2) acting on behalf of patients; and (3) championing social justice in the provision of health care. They reflect nurses' patient advocacy roles at both macro- and micro-social levels. Antecedents of patient advocacy occur at both macro- and micro-social levels and call for nurses' advocacy roles in the healthcare system. Consequences produced by nurses' patient advocacy behaviours are contextual. Nurses' patient advocacy behaviours not only can positively influence the patients, other nurses and the nursing profession, but also can cause negative consequences for nurses who take action to advocate for patients. CONCLUSION: The proposed mid-range theory may be useful in guiding advocacy practice in nursing and in guiding research in the advocacy area. The proposed theory needs to be furthered refined and tested in the future.

Ethics, Nursing↗