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Nursing beliefs and actions in exercising patient advocacy in a hospital context

OBJECTIVE Analyzing beliefs and actions of nurses in exercising patient advocacy in a hospital context. METHOD A quantitative cross-sectional exploratory and descriptive study, conducted with 153 nurses from two hospitals in southern Brazil, one public and one philanthropic, by applying Protective Nursing Advocacy Scale - Brazilian version. Data were analyzed using descriptive statistics and analysis of variance. RESULTS Nurses believe they are advocating for patients in their workplaces, and agree that they should advocate, especially when vulnerable patients need their protection. Personal values and professional skills have been identified as major sources of support for the practice of advocacy. CONCLUSION Nurses do not disagree nor agree that advocating for patients in their working environments can bring them negative consequences. It is necessary to recognize how the characteristics of public and private institutions have helped or not helped in exercising patient advocacy by nurses.OBJETIVOAnalisar as crencas e acoes de enfermeiros no exercicio da advocacia do paciente no contexto hospitalar.METODOEstudo quantitativo, exploratorio-descritivo, com delineamento transversal, realizado com 153 enfermeiros de duas instituicoes hospitalares do sul do Brasil, uma publica e uma filantropica, mediante aplicacao do Protective Nursing Advocacy Scale - versao brasileira. Os dados foram analisados atraves de estatistica descritiva e analises de variância.RESULTADOSOs enfermeiros acreditam que estao advogando pelos pacientes em seus ambientes de trabalho, concordando que devem advogar, especialmente quando pacientes vulneraveis precisam da sua protecao. Os valores pessoais e a qualificacao profissional foram identificados como principais fontes de apoio ao exercicio da advocacia.CONCLUSAOOs enfermeiros nem discordam e nem concordam que advogar pelos pacientes em seus ambientes de trabalho possa lhes trazer consequencias negativas. Faz-se necessario reconhecer como as caracteristicas das instituicoes publicas e privadas vem favorecendo, ou nao, o exercicio da advocacia do paciente pelos enfermeiros.

Health advocacy by nurses in the Family Health Strategy: barriers and facilitators

OBJECTIVE Identify the barriers and facilitators of health advocacy to users delivered by nurses from the Family Health Strategy. METHOD Qualitative study carried out with nurses from the Family Health Strategy of a city in the south of Brazil. Study participants were 15 nurses, who were interviewed. The content of the interviews was recorded, transcribed and analyzed in the light of the discursive text analysis. RESULTS Two categories emerged, one about the lack of organization at the workplace, bureaucracy and limitations to professional work in health environments, and another about the facilitating aspects to exercise advocacy both individually and collectively. CONCLUSION When nurses, provided with technical, scientific and relational knowledge, are empowered to make decisions, they are not only supported by other professionals at work but also develop actions of health advocacy to users, thus qualifying the care delivered.

Advocacia em saúde por enfermeiros na Estratégia Saúde da Família: barreiras e facilitadores

OBJECTIVE Identify the barriers and facilitators of health advocacy to users delivered by nurses from the Family Health Strategy. METHOD Qualitative study carried out with nurses from the Family Health Strategy of a city in the south of Brazil. Study participants were 15 nurses, who were interviewed. The content of the interviews was recorded, transcribed and analyzed in the light of the discursive text analysis. RESULTS Two categories emerged, one about the lack of organization at the workplace, bureaucracy and limitations to professional work in health environments, and another about the facilitating aspects to exercise advocacy both individually and collectively. CONCLUSION When nurses, provided with technical, scientific and relational knowledge, are empowered to make decisions, they are not only supported by other professionals at work but also develop actions of health advocacy to users, thus qualifying the care delivered.

Acción política de enfermeros en Estrategia Salud de la Familia: barreras y facilitadores

OBJECTIVE Identify the barriers and facilitators of health advocacy to users delivered by nurses from the Family Health Strategy. METHOD Qualitative study carried out with nurses from the Family Health Strategy of a city in the south of Brazil. Study participants were 15 nurses, who were interviewed. The content of the interviews was recorded, transcribed and analyzed in the light of the discursive text analysis. RESULTS Two categories emerged, one about the lack of organization at the workplace, bureaucracy and limitations to professional work in health environments, and another about the facilitating aspects to exercise advocacy both individually and collectively. CONCLUSION When nurses, provided with technical, scientific and relational knowledge, are empowered to make decisions, they are not only supported by other professionals at work but also develop actions of health advocacy to users, thus qualifying the care delivered.

Cross-cultural adaptation and validation of the Moral Distress Scale-Revised for nurses

Objective: Cross-culturally adapt and validate the Moral Distress Scale-Revised for nurses. Method: Quantitative, analytical cross-sectional study conducted with 157 nurses of two hospital institutions of Southern Brazil, one public and one philanthropic. Procedures conducted: cultural adaptation of the instrument according to international recommendations; validation for the Brazilian context. Results: Face and content validation was considered satisfactory as assessed by a specialist committee and a pretest. The instrument demonstrated satisfactory internal consistency through frequency and intensity analysis per question in the 157 items and per subgroups of the various hospital units. Cronbachs alpha was 0.88 for the instrument and between 0.76 and 0.94 for hospital units. Pearsons correlation found a moderate association for moral distress among nurses. Conclusion: The Moral Distress Scale-Revised - Brazilian version is a valid instrument for the assessment of moral distress in nurses. Objetivo: Adaptar culturalmente e validar a Moral Distress Scale Revised para enfermeiros. Método: Estudo quantitativo, transversal analítico, realizado com 157 enfermeiros de duas instituições hospitalares do Sul do Brasil, uma pública e uma filantrópica. Realizou-se: a adaptação cultural do instrumento segundo recomendações internacionais; e a sua validação para o contexto brasileiro. Resultados: A validade de face e conteúdo foi considerada satisfatória mediante avaliação de comitê de especialistas e realização de pré-teste. Mediante análise de frequência e intensidade por questão nos 157 questionários e por subconjuntos das diferentes unidades hospitalares, o instrumento demonstrou consistência interna satisfatória, com alfa de Cronbach 0,88 para o instrumento e entre 0,76 e 0,94 para as unidades hospitalares. A correlação de Pearson identificou moderada associação de sofrimento moral nos enfermeiros. Conclusão: o Moral Distress Scale Revised - versão brasileira é um instrumento válido para ser utilizado na avaliação de sofrimento moral de enfermeiros.

Crenças e ações de enfermeiros no exercício da advocacia do paciente no contexto hospitalar

OBJECTIVE Analyzing beliefs and actions of nurses in exercising patient advocacy in a hospital context. METHOD A quantitative cross-sectional exploratory and descriptive study, conducted with 153 nurses from two hospitals in southern Brazil, one public and one philanthropic, by applying Protective Nursing Advocacy Scale - Brazilian version. Data were analyzed using descriptive statistics and analysis of variance. RESULTS Nurses believe they are advocating for patients in their workplaces, and agree that they should advocate, especially when vulnerable patients need their protection. Personal values and professional skills have been identified as major sources of support for the practice of advocacy. CONCLUSION Nurses do not disagree nor agree that advocating for patients in their working environments can bring them negative consequences. It is necessary to recognize how the characteristics of public and private institutions have helped or not helped in exercising patient advocacy by nurses.OBJETIVOAnalisar as crencas e acoes de enfermeiros no exercicio da advocacia do paciente no contexto hospitalar.METODOEstudo quantitativo, exploratorio-descritivo, com delineamento transversal, realizado com 153 enfermeiros de duas instituicoes hospitalares do sul do Brasil, uma publica e uma filantropica, mediante aplicacao do Protective Nursing Advocacy Scale - versao brasileira. Os dados foram analisados atraves de estatistica descritiva e analises de variância.RESULTADOSOs enfermeiros acreditam que estao advogando pelos pacientes em seus ambientes de trabalho, concordando que devem advogar, especialmente quando pacientes vulneraveis precisam da sua protecao. Os valores pessoais e a qualificacao profissional foram identificados como principais fontes de apoio ao exercicio da advocacia.CONCLUSAOOs enfermeiros nem discordam e nem concordam que advogar pelos pacientes em seus ambientes de trabalho possa lhes trazer consequencias negativas. Faz-se necessario reconhecer como as caracteristicas das instituicoes publicas e privadas vem favorecendo, ou nao, o exercicio da advocacia do paciente pelos enfermeiros.

Creencias y acciones de enfermeros en el ejercicio de la defensa del paciente en el marco hospitalario

OBJECTIVE Analyzing beliefs and actions of nurses in exercising patient advocacy in a hospital context. METHOD A quantitative cross-sectional exploratory and descriptive study, conducted with 153 nurses from two hospitals in southern Brazil, one public and one philanthropic, by applying Protective Nursing Advocacy Scale - Brazilian version. Data were analyzed using descriptive statistics and analysis of variance. RESULTS Nurses believe they are advocating for patients in their workplaces, and agree that they should advocate, especially when vulnerable patients need their protection. Personal values and professional skills have been identified as major sources of support for the practice of advocacy. CONCLUSION Nurses do not disagree nor agree that advocating for patients in their working environments can bring them negative consequences. It is necessary to recognize how the characteristics of public and private institutions have helped or not helped in exercising patient advocacy by nurses.OBJETIVOAnalisar as crencas e acoes de enfermeiros no exercicio da advocacia do paciente no contexto hospitalar.METODOEstudo quantitativo, exploratorio-descritivo, com delineamento transversal, realizado com 153 enfermeiros de duas instituicoes hospitalares do sul do Brasil, uma publica e uma filantropica, mediante aplicacao do Protective Nursing Advocacy Scale - versao brasileira. Os dados foram analisados atraves de estatistica descritiva e analises de variância.RESULTADOSOs enfermeiros acreditam que estao advogando pelos pacientes em seus ambientes de trabalho, concordando que devem advogar, especialmente quando pacientes vulneraveis precisam da sua protecao. Os valores pessoais e a qualificacao profissional foram identificados como principais fontes de apoio ao exercicio da advocacia.CONCLUSAOOs enfermeiros nem discordam e nem concordam que advogar pelos pacientes em seus ambientes de trabalho possa lhes trazer consequencias negativas. Faz-se necessario reconhecer como as caracteristicas das instituicoes publicas e privadas vem favorecendo, ou nao, o exercicio da advocacia do paciente pelos enfermeiros.