As nurses, it is important that we “be both empowered and competent enablers of patient empowerment.” (Burkhardt & Nathaniel, 2014, p. 493) We took an oath to follow an ethical code which requires us to act as our patient’s advocate while providing safe nursing care. Nevertheless, we cannot make every medical choice or decision on their behalf. We also cannot empower them, “because to do so removes the element of choice.” (Burkhardt & Nathaniel, 2014, p. 501) We can, however, “facilitate empowerment by working directly with patients and through addressing social, political, and environmental factors affecting empowerment of individuals and communities.” (Burkhardt & Nathaniel, 2014, p. 493) In this paper, I will discuss how nurses can provide empowerment, some of the issues and constraints affecting empowerment, and how I feel regarding empowerment in my workplace.
Empowering Patients
In order to facilitate patient empowerment, we must first be in position of self-empowerment. This requires us to self-reflect on our own values, beliefs, and ideas of power. “Nurses must also surrender their need for control, developing instead attitudes of collaboration and mutual participation in decision making.” (Burkhardt & Nathaniel, 2014, p. 517) We must understand that patients have the right to make their own decisions even if they differ from our own. Mutual respect for their thoughts, feelings, and decisions creates a trusting relationship. We must be able to openly listen to our patients needs and communicate effectively in order to empower our patients. They need to know that we are listening, that we understand, and that we are going to provide them with the knowledge and information needed to make their own choices. We must first be...
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...s by being role models of self-empowerment.” (Burkhardt & Nathaniel, 2014, p. 520) There are many constraints and issues which can affect the empowerment process. As nurses, we must address the “social, political, and environmental factors affecting empowerment” in order to provide the highest quality of nursing care. It is important to remember that “empowerment is an essential part of nursing care.” (Burkhardt & Nathaniel, 2014, p. 521)
References
Burkhardt, M. A., & Nathaniel, A. K. (2014). Ethics & issues in contemporary nursing (4th ed.). Stamford, CT: Cengage Learning.
LaSala, C. A., & Bjarnason, D. (2010, September). Creating Workplace Environments that Support Moral Courage. Retrieved from http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol152010/No3-Sept-2010/Workplace-Environments-and-Moral-Courage.html
“Patient advocacy is a process that involves a series of actions, behaviors and/or practices for preserving and safeguarding the rights, values, wellbeing and best interests of patients in the healthcare system” (Vaarito et al 2006, Bu and Jezewski 2007, Zomorodi and Foley 2009). Vaartio & Leino-Kilpi describe patient advocacy into two sectors; proactive advocacy and reactive advocacy (2004). Proactive advocacy includes actions aimed at aiding the patients in informed decision making and the protection of patient rights; reactive advocacy is focused on addressing safety concerns (Vaartio & Leino-Kilpi, 2004). Further concept analyses from Baldwin 2003 & Bu and Jezewski 2007, include four main sectors of patient advocacy: Protecting and empowering patient autonomy, protecting and representing the best interests of vulnerable patients, ensuring educated decision making while acting as a mediator for the patient to healthcare services, and lastly acting upon social justice to help create equitable access to adequate healthcare (CPD, 2015). Using Tanners model of clinical judgment; the process of patient advocacy begins with assessing for the need to advocate. The assessment should include the patient, environment, situation, resources and possible risks (Ellis
Still, the previous advantages discussed should influence the nurse to improve in identifying patient vulnerability. This is evident by this patient where I utilized my interpersonal skills to communicate to this patient so that he/she is aware that he/she is not alone in this journey. Nurses need to utilize models and theories to guide nursing practice. For instance, McCormack’s framework focuses on patient-centered care which influences nurses to understand the patient as a whole and their values (Abley, 2012, p. 42). Being able to identify values will give nurses and myself a better comprehension about the patients resulting in worthiness and belonging expressed. As a result, informing nurses about patient’s subjective vulnerability because a trust and understanding relationship is established. This is supported in a clinical experience where a patient “felt understood and opened up for further interactions based on trust” through an honest, supportive relationship with a nurse (Gjengedal, 2013, p. 134). Nurses should provide patient-focused provision of service, and assist this patient in overcoming his/her obstacle as a way of encouragement. Furthermore, Sellman (2005) explains how encouragement may compromise human flourish (p. 7), it is dependent on the situation and it cannot be assumed all encouragement will lead to harm. This informs nurses to be aware of the consequences that prevent the
The first provision of the American Nurses Association’s (ANA) “Code of Ethics” states, “ The nurse, in all professional relationships, practices with compassion and respect for the inherent dignity, worth and uniqueness of every individual, unrestricted by considerations of social or economic status, personal attributes, or the nature of health problems.” The second provision states, “The nurse’s primary commitment is the patient, whether the patient is an individual, family, group, or community” (Fowler, 2010). As nurses we need to respect the autonomy and allow for the patient to express their choices and concerns. We also need to provide them with support by giving them knowledge and understanding so they
...ctive we are able to understand analyze previous achievements and forward progress within the community. According to Kirsten-Ashmen, “ empowerment is defined as the process of increasing personal, interpersonal, or political power so that individuals can take action to improve their to improve their life situation (p.81)”. Within the empowerment theory there is a focus on conscious raising, social justice, mutual aid , power, socialization, and group cohesion. The DSNI strives to achieve all of these sub-ideas within the theory.
The healthcare system can be difficult for clients to navigate and they are often unsure how to access information which puts them at the mercy of others and can lead to feelings of helplessness (Erlen, 2006). Nurses can provide resources to educate patients when they becomes dependent on a health care provider and no longer feel in control of their own body which can lead to fear, hopelessness, helplessness and loss of control (Cousley et al., 2014). The change in roles individuals face can further increase their stress and feelings of powerlessness (Scanlon & Lee, 2006). According to the CNA code of ethics, nurses are responsible for protecting patients from objective risks that place them in an increased level of vulnerability (Carel, 2009). They can do this by providing the resources necessary for patients to educate themselves and be better able to cope with the health challenges they
An ethical dilemma is defined as a mental state when the nurse has to make a choice between the options and choices that he or she has at her disposal. The choice is a crucial task as the opting of the step will subsequently determine the health status of the concerned patient, hence it requires a great deal of wisdom along with proper medical and health training before any such step is opted as it is a matter of life and death. Strong emphasis should therefore be on the acquisition of proper knowledge and skills so that nurses do posses the autonomy to interact with patients regarding ethical issues involved in health care affairs and address them efficiently. It is normally argued that nurses are not provided sufficient authority to consult and address their patients on a more communicative or interactive level as a result of which they are often trapped in predicaments where their treatments of action and their personal beliefs create a conflict with the health interests of the patient. (Timby, 2008)
The classical term for the word ethics is, moral philosophies that rule an individual’s or group behavior or action. The American Nurses Association used ethics to write the Code of Ethics for Nurses with these values and visions in mind: “(1) As a statement of the ethical obligations and duties of every person who chooses to enter the profession of nursing. (2) To act as the nonnegotiable standard of ethics. (3) To serve as an expression of the understanding on nursing’s commitment to society.” (Nurses Code of Ethics, 2015). With our ever-changing society and healthcare, also comes changes to the American Nurses Association’s
Smale, G. and Tuson, G. (1993) Empowerment Assessment: Care management and the skilled worker, London, NISW.
Autonomy is identified as another professional value and one that the nurse must possess. Autonomy is the right to self-determination. Nurse’s respect the patient’s right to make a decision regarding their healthcare. Practical application includes, educating patients and their families on their choices, honoring their right to make their own decision and stay in control of their health, developing care plans in collaboration with the patient (Taylor, C. Lillis, C. LeMone, P. Lynn, P,
Healthcare is viewed in an unrealistic way by most individuals. Many people view a physician as the only means to find a solution to their problem. Nurses are still seen by some as simply “the person who does what the doctor says.” This is frustrating in today’s time when nurses are required to spend years on their education to help care for their patients. In many situations nurses are the only advocate that some patients’ have.
On the path to an advanced nursing role, I have learned about the qualities that make exceptional advanced nursing role nurses. In my present Registered Nurse role I have found that I cherish values important to the success of my envisioned career. I have experienced what lack of effective leadership can entail for a nursing unit. During the progression of this class I have found that one of the best things I am doing as an RN is using persuasion as a form of starting change. In the class we learned that historically nurses have been in positions to advocate for change, however they have not been as influential as previously believed (Sullivan, 2004). At the core of effective leadership lies influence (Sullivan, 2004). According to Mintzer (2005), influencing people requires some degree of persuasion. In addition to my ability to persuade I have learned how to ...
Empowerment is about decision-making and autonomy, personal and professionally. Nancy should have empowered her staff’s nurses with the opportunity to be involved in the organization decision-making process. When nurses can influence and control their nursing practice, their autonomy, confidence, and commitment to the organization increase (Manojlovich, 2007). Organizations that empowered nurses to act and guide their everyday challenges using their professional skills, knowledge, and own judgment, shows positives patient outcomes, and less nurse turnover, burnout, dissatisfaction, stress, and powerlessness among their staff (Rao,
“Enabling” is the nurse 's’ responsibility to help the make a transition into the unknown. For
The American Nurses Association Code of Ethics for Nurses has five elements that pertain to the Principle of Autonomy. Each individual element applies to “respect individual persons” (Baillie, McGeehan, Garrett T, M., Garrett R. M., 2013, p.33). In Chapter 2 of the Health Care ethics: Principles and problems text, it discusses thouroghly the consent of an individual to make their own decisions regarding their health and future requests of care. As a nurse or within all heath care professions, we must treat each individual patient with care, respect, and to remain mindful to the patient regarding any aspect of their lives. In the ANA Code of Ethics for Nurses, it explains ways of maintaining the empathy required in the health field. It further discusses that the respect for human dignity must be a priority, relationships to patients must remain neutral, the severity of the situation, the right to self-rule, and the professionalism that must be upheld by the nurse and their associates.
Ethics is defined as moral principles that govern a persons or a group’s behavior, ethical principles apply to both personal and professional relationships (Webster, 2015). The field of nursing is a profession that has been highly regarded and respected in society. Most nurses enter the profession in order to utilize their clinical skills to help others in their time of need. Those in failing health rely on nurses to care for them in their most vulnerable states, and expect a level of compassion and humanity while receiving care. Nurses have an ethical responsibility to their patients, clients, and their community. Compassion, empathy, and integrity are staple characteristics that nurses possess that allow them to successfully perform their