Advocating for patient safety: Power dynamics in nurse advocacy practice in Australia—An integrative review
Notice bibliographique
Résumé
Introduction Nurses play a vital role in advocating for patient safety, yet their ability to fulfil this role is influenced by the power dynamics within healthcare systems. Understanding the relationship between power and nurse advocacy in Australia is essential to fostering a supportive environment for effective advocacy. Aim This integrative literature review aims to identify and examine the relationship between power and the advocacy role of nurses in Australia. Methods The review followed an integrative literature review design, guided by the approach outlined by Toronto and Remington. A comprehensive search was conducted in electronic databases such as Medline, CINAHL, Emcare, Scopus, ProQuest Health & Medicine, and Informit. The search terms used were ‘nurse OR nursing OR nurses' AND ‘advocacy OR whistleblowing' AND ‘Australia.' A total of 2507 articles were retrieved, and 26 studies met the inclusion criteria, comprising 18 qualitative studies, one quantitative study, one mixed-method study, one review of existing literature, and four editorial commentaries. The search was completed in May 2023. Findings The findings suggest that enhancing nurses' advocacy for patient safety requires a multifaceted approach. This includes empowering nurses through professional development and leadership opportunities, fostering a culture of patient safety, and engaging in political action to advocate for policies that support advocacy efforts and patient safety. This approach aims to advance patient well-being and elevate the professional standing of nurses within the healthcare system. Discussion Power dynamics significantly shape nurse advocacy practices. Nurses with greater personal power are more likely to advocate confidently, while those with less power may be hesitant. Healthcare organisations can either support or hinder advocacy efforts, with unsupportive systems creating barriers and fostering a culture of silence. Whistleblowing, as a form of advocacy for patient safety, is also affected by organisational culture and power structures. Conclusion Power dynamics play a critical role in determining how effectively nurses can advocate for patient safety. Empowering nurses and addressing organisational barriers are crucial for promoting advocacy in healthcare. This review highlights the need for healthcare systems to cultivate environments that support and facilitate nurse advocacy.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,003 | 0,005 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,001 | 0,002 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,001 |
| Science ouverte | 0,001 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».