A strategy to strengthen the advocacy role of nursing: Speaking up training

Yıl 2025, Cilt: 12 Sayı: 3, 499 - 504, 30.09.2025

Özge Gençer , Nurcan Çalışkan

Öz

Patient advocacy is a fundamental part of contemporary nursing roles. Nurses within the professional team consider the ethical principles of the nursing profession, such as non-maleficence and autonomy, while advocating for patients. In addition, the advocacy role requires assertive, open, and questioning communication among nurses. For nurses, voicing indicates the ability to effectively question possible erroneous decisions and concerns in the clinical environment. Nurses, who are at a critical point in maintaining quality and safe care, can prevent adverse events that may occur in patients by exhibiting voicing behaviour. In this context, nurses and nursing students should include voicing training as a part of their education programs in order to strengthen their advocacy roles. In this review, in the light of current data and expectations, the responsibility of nurses' advocacy aspect in ensuring quality and safety in care was evaluated within the framework of voicing training for clinical, manager and academic nurses. The review aims to present a perspective on the relationship between the nurse's advocacy role and voicing behaviours and draw attention to its reflection on possible healthcare outcomes. The importance of nurses gaining a questioning and defensive perspective and developing their language skills to achieve this was emphasized, and suggestions were made on the subject.


1. Alghamdi, N. S. A., Malibari, A. W. M., Radin, R. A. M. A., Qurban, A. H. S., Alsulami, S. A. H., Alnmees, M. D. R. (2023). Unsung heroes: The essential work of medical nurses in healthcare. Journal of Namibian Studies: History, Politics, and Culture, 39, 40-50. https://doi.org/10.59670/d2vh6c75
2. Agency for Healthcare Resource and Quality. (2024). TeamSTEPPS. https://www.ahrq.gov/teamstepps-program/index.html
3. Akın, B., & Kurşun, Ş. (2020). Hemşirelik fakültelerinin savunuculuk rolüne ilişkin algı ve görüşleri: Nitel bir araştırma. Nursing Forum, 55(4), 637-644.
4. Brooks, A., Fitzpatrick, S., & Dunlap, E. (2022). Creating a culture of teamwork through the use of the TeamSTEPPS framework: A review of the literature and considerations for nurse practitioners. Journal of Leadership Education, 21(1), 155-162. https://doi.org/10.12806/V21/I1/R11
5. Carrillo, I., Serpa, P., Landa-Ramírez, E., Guilabert, M., Gómez-Ayala, Y., López-Pineda, A. (2024). Speaking up about patient safety, withholding voice and safety climate in clinical settings: A cross-sectional study among Ibero-American healthcare students. International Journal of Public Health, 69, 1607406. https://doi.org/10.3389/ijph.2024.1607406
6. Cole, C., Mummery, J., & Peck, B. (2022). Empowerment as an alternative to traditional patient advocacy roles. Nursing Ethics, 29(7-8), 1553-1561. https://doi.org/10.1177/09697330211020434
7. Darawad, M. W., Mansour, M., & Al-Niarat, T. (2020). Organisational empowerment and assertive communication behaviours: A survey of Jordanian newly qualified nurses. British Journal of Nursing, 29(7), 419-425. https://doi.org/10.12968/bjon.2020.29.7.419
8. Friary, P. M., Purdy, S. C., McAllister, L., & Martin, R. (2023). Speaking up in healthcare: An exploration of the allied health new graduate workforce. Internet Journal of Allied Health Sciences and Practice, 21(1), 5. https://doi.org/10.46743/1540-580X/2023.2314

Anahtar Kelimeler

Communication , patient advocacy , nursing education , patient safety

Hemşireliğin savunuculuk rolünü güçlendirmede bir strateji: Dillendirme eğitimi

Öz

Hasta savunuculuğu çağdaş hemşirelik rollerinin temel bir parçasıdır. Profesyonel ekip içerisinde yer alan hemşireler hastaların savunuculuğunu yaparken, zarar vermeme, özerklik gibi hemşirelik mesleğinin etik ilkelerini göz önünde bulundururlar. Ayrıca, savunuculuk rolü hemşireler için iddialı, açık ve sorgulayıcı bir iletişim gerektirir. Kaliteli ve güvenli bakımın sürdürülmesinde kritik bir noktada görev alan hemşireler dillendirme davranışı sergileyerek hastalar üzerinde meydana gelebilecek olumsuz olayların önüne geçebilirler. Hemşireler için dillendirme, klinik ortamda olası hatalı kararların ve endişelerin etkili bir şekilde sorgulama yeteneğini gösterir. Bu doğrultuda hemşireler ve hemşirelik öğrencilerinin savunuculuk rollerini güçlendirmelerinde, eğitim müfredatı ve programlarında dillendirme eğitimine yer verilmelidir. Bu derlemede güncel veriler ve beklentiler ışığında; klinik, yönetici ve akademisyen hemşirelere, bakımda kalite ve güvenliği sağlamada hemşirelerin savunuculuk yönünün sorumluluğu dillendirme eğitimleri çerçevesinde değerlendirilmiştir. Derlemenin amacı; hemşirenin savunuculuk rolü ile dillendirme davranışları arasındaki ilişki hakkında bakış açısı sunmak ve olası sağlık bakım çıktılarına yansımasına dikkat çekmektir. Hemşirelerin sorgulayıcı ve savunucu bir bakış açısı kazanmaları ve bunları sağlayabilmek için dillendirme becerilerinin geliştirilmesi gerektiğinin önemine değinilerek konuya ilişkin önerilerde bulunulmuştur.
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2. Agency for Healthcare Resource and Quality. (2024). TeamSTEPPS. https://www.ahrq.gov/teamstepps-program/index.html
3. Akın, B., & Kurşun, Ş. (2020). Hemşirelik fakültelerinin savunuculuk rolüne ilişkin algı ve görüşleri: Nitel bir araştırma. Nursing Forum, 55(4), 637-644.
4. Brooks, A., Fitzpatrick, S., & Dunlap, E. (2022). Creating a culture of teamwork through the use of the TeamSTEPPS framework: A review of the literature and considerations for nurse practitioners. Journal of Leadership Education, 21(1), 155-162. https://doi.org/10.12806/V21/I1/R11
5. Carrillo, I., Serpa, P., Landa-Ramírez, E., Guilabert, M., Gómez-Ayala, Y., López-Pineda, A. (2024). Speaking up about patient safety, withholding voice and safety climate in clinical settings: A cross-sectional study among Ibero-American healthcare students. International Journal of Public Health, 69, 1607406. https://doi.org/10.3389/ijph.2024.1607406
6. Cole, C., Mummery, J., & Peck, B. (2022). Empowerment as an alternative to traditional patient advocacy roles. Nursing Ethics, 29(7-8), 1553-1561. https://doi.org/10.1177/09697330211020434
7. Darawad, M. W., Mansour, M., & Al-Niarat, T. (2020). Organisational empowerment and assertive communication behaviours: A survey of Jordanian newly qualified nurses. British Journal of Nursing, 29(7), 419-425. https://doi.org/10.12968/bjon.2020.29.7.419
8. Friary, P. M., Purdy, S. C., McAllister, L., & Martin, R. (2023). Speaking up in healthcare: An exploration of the allied health new graduate workforce. Internet Journal of Allied Health Sciences and Practice, 21(1), 5. https://doi.org/10.46743/1540-580X/2023.2314

Anahtar Kelimeler

İletişim , hasta savunuculuğu , hemşirelik eğitimi , hasta güvenliği

Kaynakça

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