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Advocacy and the APN Advocacy and the APN Presentation Transcript

  • Module Fifteen Advocacy and the APN
  • Code of Ethics Mandate
    • Nurse’s role is to promote community and national efforts to meet the health needs of the public (ANA, 1985)
    • The International Council of Nurses also includes advocacy as an essential nursing activity.
  • Definitions
    • Advocacy: participation with clients in co authorship of a health narrative
    • Paternalism: commitment to making decisions for the client because the professional is obligated to impose expertise on behalf of person in need
    • Consumerism: commitment to remain uninvolved in client decisions
  • Levels of Advocacy
    • Individual/family level: Help people identify their needs and identify services and provide support to meet those needs
    • Systems level: advocate for changes in health-care delivery system itself.
  • Models of Advocacy
    • Counseling Paradigm is the most dominant model that includes the
    • ethico-legal framework of human rights of advising, informing, and counseling.
    • Nurse’s responsibility is to transfer as much knowledge to patient and support patient in making informed choices.
  • More Models for Advocacy
    • Consumer empowerment model:
    • Consumers seek professionals who can help them navigate the system.
    • Sullivan’s strength based case management model: identify strengths as well as gaps in the system and apply practical solutions
  • Systems Level Advocacy
    • Policy level support of health
    • Developing new policies and programs
    • Changing the old ways of doing things to make a difference
    • Assertive enough to overcome resistance to change and collaborative enough to join others as a team
  • How do we learn advocacy?
    • Dialogue with other nurses, patients, patient’s families, other clinicians, community members
    • Role modeling
    • Mentoring
    • Preceptorships