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Nursing ideology: identification and legitimation.

J S Taylor
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Abstract

Nursing is undergoing radical change and with this has come the emergence of a 'new' nursing. However, in struggling to define ourselves, it is imperative that we identify a nursing ideology. Whilst ideology can begin to be clarified within a historical context, the threads of beliefs, values, power, and politics must also be respected. In attempting to explore the ideology of nursing, this paper considers the pluralistic nature of nursing and the modes of operation utilised in legitimizing its ideology. In particular, a uniquely nursing strategy has been identified-that of patientization. Nursing has more than one ideology and whilst all may be criticized, self-knowledge is seen as imperative in enhancing any future this occupation might have.

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Ethics, NursingHumansKnowledgeModels, NursingNursingNursing TheoryPhilosophy, NursingPoliticsPower, PsychologicalProfessional AutonomyJournal ArticleReview

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BibTeXRIS

J S Taylor. 1997. Nursing ideology: identification and legitimation.. https://doi.org/10.1046/j.1365-2648.1997.1997025442.x

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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↗