Ethical advocacy based on caring: A model for neonatal and paediatric nurses
Article first published online: 27 SEP 2011
© 2011 The Author. Journal of Paediatrics and Child Health © 2011 Paediatrics and Child Health Division (Royal Australasian College of Physicians)
Journal of Paediatrics and Child Health
Volume 47, Issue 9, pages 642–645, September 2011
How to Cite
Spence, K. (2011), Ethical advocacy based on caring: A model for neonatal and paediatric nurses. Journal of Paediatrics and Child Health, 47: 642–645. doi: 10.1111/j.1440-1754.2011.02178.x
- Issue published online: 27 SEP 2011
- Article first published online: 27 SEP 2011
- Accepted for publication 15 June 2011.
- ethic of care;
- neonatal nursing;
- paediatric nursing;
- patient advocacy
Advocacy has been identified as an ideal in nursing practice. National codes (Australian Nursing and Midwifery Council) and professional standards (Australian College of Neonatal Nurses) state that nurses are to respect their patients' autonomous choices and act as their advocates. This responsibility includes acting as advocates for the needs and welfare of patients, for the profession of nursing and for the interests of colleagues in nursing. However, ambiguous interpretations of the concept of patient advocacy continue to pose a number of problems for nurses in practice and in particular neonatal practice. Neonatal nurses often perceive themselves primarily as advocates for the rights of helpless and vulnerable infants in their care. Advocacy is underpinned by caring, which is a significant feature in the delivery of quality care for each baby and child. This advocacy may be expressed at the bedside, in committee meetings, in agency discussions or in the public arena.