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Swedish registered nurses' and nurse managers' attitudes towards patient advocacy in community care of older patients

Authors

  • Anna Josse-Eklund RN, DN, MScN,

    Doctoral Student, Corresponding author
    • Department of Nursing, Karlstad University, Karlstad, Sweden
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  • Kerstin Petzäll RN, PhD,

    Assistant Professor, Professor
    1. Department of Nursing, Karlstad University, Karlstad, Sweden
    2. Department of Nursing, Gjøvik University College, Gjøvik, Norway
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  • Ann-Kristin Sandin-Bojö RNM, PhD,

    Assistant Professor
    1. Department of Nursing, Karlstad University, Karlstad, Sweden
    2. The Women's Department, The County Council of Värmland, Sweden
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  • Bodil Wilde-Larsson RN, PhD

    Professor
    1. Department of Nursing, Karlstad University, Karlstad, Sweden
    2. Department of Public Health, Hedmark University College, Elverum, Norway
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Correspondence

Anna Josse-Eklund

Department of Nursing

Karlstad University

Universitetsgatan 2

651 87 Karlstad

Sweden

E-mail: anna.eklund@kau.se

Abstract

Aim

To describe and compare registered nurses' (RNs) and nurse managers' (NMs) attitudes towards patient advocacy in the community care of older patients.

Background

RNs may act as patients' advocates in the care of older patients. NMs should support patient advocacy in order to make the best care available to patients.

Method

A modified Attitudes towards Patient Advocacy Scale was used to collect data from 207 RNs and 23 NMs in the Swedish community care of older patients. The response rate was 52%. Descriptive and inferential statistics were used.

Results

Both RNs and NMs showed positive attitudes towards patient advocacy. They were more positive towards patient advocacy for patients unable to help themselves than for competent patients.

Conclusions

This study showed that RNs and NMs did not differ in their attitudes towards patient advocacy. This result is consistent with the idea of giving the neediest and vulnerable patients greater care.

Implications for Nursing Management

It is important for NMs to clarify their own and RNs attitudes towards patient advocacy as disparities may affect cooperation between the groups. Any effects on cooperation may, by extension, affect the quality of care.

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