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Advocacy and the APN


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Advocacy and the APN

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